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Politics : President Barack Obama -- Ignore unavailable to you. Want to Upgrade?


To: ChinuSFO who wrote (70466)3/10/2010 12:17:59 AM
From: stockman_scott  Respond to of 149317
 
Obama has disappointed me more than ANY other president in my lifetime...I worked hard to help elect Obama and I donated a lot of money to his 2008 campaign...I really had high expectations for president Obama -- and I thought he would be a pragmatic progressive who could get things done but would NOT sell out to corporate interests...Obama has profoundly disappointed me and many other progressives -- I look at his very poor leadership and decision making when it comes to Wall Street reform, Afghanistan, and Health Care reform...I would be surprised if I ever donate time or money to the Obama campaign again in the future.

I never expected much from a president like G W Bush...But I expected A LOT from Obama and the dude has failed to deliver like I thought he would...so much wasted political capital during the first year of his presidency...A reckless escalation of the war in Afghanistan...such a shame...



To: ChinuSFO who wrote (70466)3/10/2010 3:35:51 AM
From: stockman_scott  Respond to of 149317
 
Health-care reform's sickeningly sweet deals
______________________________________________________________

By Kathleen Parker
Columnist
The Washington Post
Wednesday, March 10, 2010

Skipping through the Candy Land of the health-care bill, one is tempted to hum a few bars of "Let Me Call You Sweetheart."

What a deal. For dealmakers, that is. Not so much for American taxpayers, who have been misled into thinking that the sweetheart deals have been excised.

Not only are the deals still there, but they're bigger and worser, as the Bard gave us permission to say. And the health-care "reform" bill is, consequently, more expensive by billions.

Yes, gone (sort of) is the so-called Cornhusker kickback, extended to Nebraska Sen. Ben Nelson when his 60th vote needed a bit of coaxing. Meaning, Nelson is no longer special. Instead, everyone is. All states now will get their own Cornhusker kickbacks. And everything is beautiful in its own way.

Originally, Nelson had secured 100 percent federal funding for Nebraska's Medicaid expansion -- in perpetuity -- among other hidden prizes to benefit locally based insurance companies. When other states complained about the unfair treatment, President Obama and Congress "fixed" it by increasing the federal share of Medicaid to all states through 2017, after which all amounts are supposed to decrease.

Nelson's deal might have escaped largely unnoticed, if not for his pivotal role on the Senate vote last December. The value of what he originally negotiated for Nebraska -- about $100 million -- wasn't that much in the trillion-dollar scheme of things, but the cost of the "fix" runs in the tens of billions, according to a health lobbyist who crunched the numbers for me.

Other sweetheart provisions that remain in the bill include special perks for Florida ("Gatorade"), Louisiana ("The Louisiana Purchase"), Nevada, Montana, Wyoming, North Dakota and Utah ("The Frontier States"). There may well be others, and staffers on the Hill, who come to work each day equipped with espresso shooters, magnifying glasses and hair-splitters, are sifting through the stacks of verbiage.

Wearily, one might concede that this is, well, politics as usual. But weren't we supposed to be finished with backroom deals? Whither the transparency of the Promised Land?

During last month's health-care summit, Sen. John McCain had the audacity to raise -- "with respect" -- the specter of opaque and "unsavory" dealmaking, whereupon Obama reminded his former presidential foe that the campaign was over. Which isn't exactly true, of course, but point taken.

The effort to push any health-care bill through Congress is relentless, no matter how many Americans oppose it. All reasons are known and understood, at least politically. But taunting comprehension is how any member of Congress can view his reflection while carving out expensive deals instead of seeking every possible way to cut costs and reduce the likelihood of crippling taxes. It's not as though any of this is free.

To his credit, Obama conceded McCain's point in a post-summit letter to Congress, noting that some provisions had been added to the legislation that shouldn't have been. His own proposal does not include the Medicare Advantage provision mentioned by McCain that allowed extra benefits for Florida, as well as other states. The president also mentioned that his plan eliminates the Nebraska yum-yum (not his term), "replacing it with additional federal financing to all states for the expansion of Medicaid."

More fair? Sure, but at mind-boggling cost to taxpayers. To correct a $100 million mistake, we'll spend tens of billions instead.

Throughout the health-care process, the Democrats' modus operandi has been to offer a smarmy deal and then, when caught, to double down rather than correct course. The proposed tax on high-end "Cadillac" insurance policies to help defray costs is another case in point. Pushed by the president, and initially passed by the Senate, the tax was broadly viewed as an effective way to bend the cost curve down. But then labor unions came knocking and everyone caved. The tax will be postponed until 2018.

And the cost of the union compromise? According to the Congressional Budget Office, the original Cadillac tax would have saved the Treasury $149 billion from 2013 to 2019. Under the postponed tax, the savings will probably plunge to just $65 billion, or a net loss to the Treasury of $84 billion.

Regardless of what the CBO reports in the coming days, no one can claim the bill is as lean as it could be. A spoonful of sugar may indeed help the medicine go down, but even King Kandy and the Gingerbread People can choke on too many sweets.

kathleenparker@washpost.com



To: ChinuSFO who wrote (70466)3/10/2010 3:56:39 AM
From: stockman_scott  Respond to of 149317
 
Moderation Is No Virtue: Is Obama too reasonable for his own good?

newsweek.com

By Andrew Romano | Newsweek Web Exclusive

Mar 3, 2010 -- Watching President Obama's bipartisan health-care summit, I was reminded of something George Bernard Shaw once said: "The reasonable man adapts himself to the world; the unreasonable one persists in trying to adapt the world to himself. Therefore all progress depends on the unreasonable man."

The Republicans had clearly decided that it was in their best interest to act like the "unreasonable" men in the room—the more intractable, immoderate negotiators. They said the process should "start over from scratch," as if there were enough time remaining before campaign season to repeat the entire ordeal, and they continued to characterize a market-based proposal to reform the private insurance industry as "a government takeover of health care." Obama, meanwhile, sought advantage in seeming "reasonable," making a show of shunning campaign rhetoric and insisting on finding specific areas where "both sides can work together."

"I hope that this isn't political theater, where we're just playing to the cameras and criticizing each other," Obama said at the start of the summit, "but instead are actually trying to solve the problem." Seven hours later, he'd made no discernible progress.

This is the dynamic that largely defined Obama's first year in office. So maybe it's time to ask whether "reasonable" presidential leadership is an inherently flawed proposition. For many Americans the most appealing thing about candidate Obama was his rational cast of mind. After eight impractical, divisive years of George W. Bush, voters welcomed the prospect of a less ideological, more unifying presidency. Reason, the thinking went, would beget results that most people could get behind.

It hasn't really worked out that way. In pushing for his biggest initiatives to date—the stimulus package and health-care reform—Obama has chosen to support what he believes to be the best possible proposal instead of what he believes to be the best imaginable proposal. His economic adviser, Christina Romer, initially recommend a $1.2 trillion stimulus bill, but when his chief of staff, Rahm Emanuel, said "it would be impossible to move legislation of that size" through Congress, Obama slashed the sticker price to $787 billion. Health care was more of the same. After calling himself "a proponent of a single-payer universal-health-care program"—and later advocating for a public option—the president wound up backing a private-market plan that's nearly identical to the one that GOP leaders such as Bob Dole put forth in 1993.

Obama's first year was hardly a failure. He passed legislation large and small and made far more progress on health-care reform than any of his predecessors had. But the results of his rationalism—a stimulus package that's considered bloated on the right and insufficient on the left; a health-care bill that's stalled in Congress, despite a commanding Democratic majority—have become deeply controversial. His approval rating, meanwhile, rarely cracks 50 percent, and his political capital is largely spent. "Obama won the election by being the rational, professorial type," says Sean Wilentz, the liberal Princeton historian. "It's still unclear, however, that what worked for him as a candidate can work for him as president."

So the question is: would Obama be in better shape politically if he'd been a little less willing to adapt himself to the world, and a little more persistent in trying to adapt the world to himself?

A political theory called the Overton Window, named for the political scientist who developed it, hints at how a less reasonable approach to the presidency might have paid off. The term refers to the range of policies that the public can currently stomach. On health care, for example, a single-payer system is too far to the left, while an unregulated market is too far to the right. The Overton Window is somewhere in between. By promoting ideas that are meant to remain "unacceptable," however, politicians can reposition the window. Prime the public with fringe proposals, the theory says, and eventually your target proposal will seem acceptable by comparison—even if it fell outside the Overton Window at the start of the process.

This technique worked for several of Obama's predecessors, including the two most effective presidents of the last 100 years, Franklin D. Roosevelt and Ronald Reagan. Reagan promised to revolutionize Washington by simultaneously slashing taxes, trimming the bureaucracy, boosting defense spending, and erasing the budget deficit. But those around him knew that his proposals were unreasonable. Vice President George H.W. Bush had accused Reagan of peddling "voodoo economics" when running against him in the primaries, and Republican Senate Majority Leader Howard Baker compared supply-side policymaking to a "riverboat gamble." But Reagan stood his ground, nudging the Overton Window rightward. When it came time to negotiate with Congress, a few tiny compromises—supporting a bipartisan budget bill and agreeing to a slightly smaller first-year tax cut—enabled Reagan to change the fiscal landscape in ways that would have seemed inconceivable only a few years earlier. He started with the ideal and settled for the possible, but only after changing what was possible in the process.

Roosevelt's approach to creating Social Security was similar. He knew his timing was unreasonable. As NEWSWEEK's Jonathan Alter writes in The Defining Moment: FDR’s Hundred Days and the Triumph of Hope, organized labor was lukewarm to the idea, and much of the Democratic Party, not to mention all of the GOP, was still fiscally conservative. But FDR was determined. He asserted his liberalism in mid-1935 with a flurry of legislation, including big tax increases for the wealthy. Social Security was the grand finale. Congress eventually sanded down FDR's radical proposal, a process the president was happy to participate in. But the final bill—a delicate agreement between New Dealers and conservatives—was still far more liberal than anything that would have passed muster under Calvin Coolidge.

Likewise, a less reasonable approach might have helped Obama emerge from the health-care wars with more political capital, and more legislative victories, than he has now. His major mistake was starting the negotiations where he intended to end up, with a compromise bill at least as conservative as Richard Nixon's 1974 proposal, and asking the Republicans to cooperate out of the good of their own hearts. There was never any political incentive for them to play ball. Passing the bill would make the president look like a bipartisan hero; blocking it would make him look like a failure. So of course the GOP angled for political advantage by calling Obama's plan a communist plot to kill Grandma and resolving to oppose it at all costs, an "unreasonable" position that jerked the Overton Window rightward and left Obamacare looking radical when it was actually moderate.

But imagine that the president had tried to shift the Overton Window to the left by loudly advocating for a proposal that he knew would never pass, like the public option, which he supported in theory but refused to fight for, or even a single-payer system, which he rejected outright. The reaction would've been the same: the GOP still would've accused Obama of orchestrating a government takeover of health care, the tea partiers still would've showed up at town-hall meetings with shotguns. But at least he would've had some room to operate. Taking note of the (rather predictable) outrage on the right, Obama could have cut a deal with Republicans to eliminate all government involvement, either by dropping the public option or by replacing the single-payer system with private-insurance exchanges; he might have included tort reform in the package as well. Republicans would then have been able to claim that they reined in the president's liberal ambitions and persuaded him to adopt conservative ideas. The Dems would have been disappointed, but they'd have signed on eventually. While Obama would have suffered a bit at first for seeming more radical than he actually is, he'd ultimately have earned points for his openness and bipartisanship. And the final legislation would have been a lot like the bill that Democrats are currently cobbling together in Congress, only it would've materialized much, much sooner, long before the country had had time to tire of the issue.

It's impossible to say whether any Republicans would have cooperated with Obama in this alternate universe. But that's not really the point. The electorate would have been far more amenable to Obama's revised proposal, meaning that moderate House and Senate Democrats would've been far more comfortable supporting it, and Senate Republicans far more reluctant to filibuster.

Conservative New York Times columnist Ross Douthat recently referenced rumors that the White House had created a limited "fallback option" that would "insure half as many people as the House and Senate bills—15 million, all told—at a quarter of the cost." He sounded grateful. "There's a lot that you can do on insurance expansion for a quarter of the cost," he wrote, "and given the fiscal situation now and going forward, that seems like a much better path to take."

But what if single-payer or a strong public option had been the White House's opening salvo and the current bill had been its fallback option. In other words, what if the Overton Window had started off further to the left? In that case, it's not difficult to imagine conservatives like Douthat applauding Obamacare as it now stands. It's not that Obama should be more liberal; it's that acting more liberal at first could make him a more effective moderate. As the president prepares to wrangle with Congress over jobs, he might consider adding a little unreasonableness to his arsenal. Who knows? He might actually make some progress.



To: ChinuSFO who wrote (70466)3/10/2010 5:45:39 AM
From: stockman_scott  Read Replies (1) | Respond to of 149317
 
The current proposal in Congress does not address any of the most meaningful issues in health care:

1) The need for single-payer insurance...Multi-payer systems inflate health care costs and give 8-12% of total health system costs to private insurers in system waste

2) True universality of coverage in a plan that doesn’t create a second-class citizenry of the insured...Congressional plans still leave 10-15% of our country not insured and create a second-class system of the poor insured that will place them below Medicaid recipients with respect to stigma and prioritization of care

3) The crisis of doctor shortages and primary care deficits in American medical care...Doctors are retiring at record rates and they are only being replaced at 75-85% rate because of a monopoly and market-control of the MD control by the AMA. Also, we have a 2/3 primary care / specialist ratio and 40% less per-capita doctors than the best European and Scandinavian countries. We have plenty of dermatologists and radiologists but not enough doctors to complete basic screenings and offer fundamental preventative care

4) Tax shortages for the Federal government and a lack of funding for the Medicare (and Social Security) trust funds...With a $13 trillion deficit and annual budget deficits of greater than $500B, our country and our entitlement programs are heading for bankruptcy...The idea of providing greater benefits without tax hikes is a myth impossible through policy

5) Tort reform and the end of defensive medicine...The featured research section of my website discusses the true costs of defensive medicine, which are high and staggering. Most studies that indicate these costs are 0.5% of total system costs are flawed econometric studies that poorly measure true indirect effects on health care costs within our American system

My website addresses these issues, and many more, as they related to health policy, comparative health systems and public health. I encourage you to all check the site out and appreciate your visits. Every visit also raises money that goes 100% to charity to fight disease.

The url is: satvathealthcare.com

Thanks,
Amir Satvat
MBA in Health Care Management, The Wharton School
MPA in Health Policy and Management, New York University
Former Health Care Investment Banker, Goldman Sachs

Posted February 17, 2010 at 10:12 pm |

_______________________________________________

Thirty-two of the thirty-three developed nations in the world have Universal Healthcare, with the United States being the lone exception

satvathealthcare.com



To: ChinuSFO who wrote (70466)3/11/2010 3:51:34 AM
From: stockman_scott  Read Replies (1) | Respond to of 149317
 
Should Progressives Give Up on Obama? Chris Hedges vs. Rabbi Lerner

alternet.org