Showing posts with label health care. Show all posts
Showing posts with label health care. Show all posts

Wednesday, September 26, 2007

Sunday Ain't No Park with George

On my way back from Sunday morning laundry, I pulled into one of the small self-service vegetable stands local farmers set by the road. I could use some tomatoes, and 3/$100 certainly beats the grocery store price.

I counted out two dollars worth of dimes--good opportunity to begin to clear up my change tray--when a woman, 65+ I’d guess, swung her SUV in behind me. As I got out of my car and started depositing my dimes, she, apparently having read my bumper sticker, opened her door, and without any greeting at all, countered, “Enough is enough, vote Republican!”

My bumper sticker, “Enough is Enough! Vote Democrat!” is the first I’ve ever sported on any car. The Democrat National Committee sent it to me along with a few other materials in their ever persistent quest for additional donations. I wish they’d intersperse news about party efforts and progress--I’d probably donate more frequently.

Nonetheless, I share the sentiment so strongly that I posted it prominently. I was fiercely independent until Ronald Reagan tried to shut down science, quadrupled the national debt, and convinced Americans that we just had to keep telling ourselves everything is fine. Just like magic. Then he added illegally defying Congress in the Iran/Contra scandal. Let’s not even get into his arming Osama bin Laden in Afghanistan to fight the Soviets. Something had to be done, so I turned to the Democrats.

George H. Bush, a warmonger who in 1979-1980 campaigned against Reagan’s “trickle down” economics fantasy as “voodoo economics,” turned and embraced it to win election in 1988, running unemployment up to double digits--and getting his chance to go to war.

Bill Clinton defeated Bush on an economic platform, and despite facing a hostile Republican Congress for most of his term, passed a number of measures and presided over the largest peacetime expansion in the nation’s history--and returned to budget surpluses along the way. He even managed to contain Osama bin Laden in Afghanistan. George W. Bush returned us to war and record deficits, committing us to years of expensive occupation all while refusing to pay for it, cutting taxes especially for those best able to afford them, ignoring the complete lack of positive economic impact--except for the wealthy. He’s even strained the military, including the National Guard, so far that all commanders warn we can’t sustain these deployments past the spring. And to top it off, military benefits, including needed health care and proper combat vehicles, have been missing, underfunded. Then there’s systematically destroying then very rights that make the U.S. Constitution our guiding principles. Enough is enough. Vote Democrat.

I really wasn’t up for an argument with this lady. “Well, we’re engaged in economic policies and a war we can’t sustain,” I offer, choosing a nonpartisan point.

“We HAVE to do that!” she insists, stridently, ignoring the logical disconnect. I let it go--the discussion promises to be pointless anyway. She doesn’t. “Bill and Hillary only got that surplus by cooking the numbers--it didn’t really exist!”

“They slashed funding for the military!” she adds, voice rising.

[Incidentally, why do so many Republicans assume all debate is about Senator Clinton? Haven’t they noticed the lively primary debate, featuring a range of strong candidates all with enthusiastic supporters?]

She doesn’t offer any specifics. I assume she’s referring to the long-standing practice of all administrations of lumping the current Social Security surplus into the overall budget--a practice candidate Al Gore promised to end, by the way, in his 2000 bid for the presidency. The practice also means all those deficits are that much worse, a point which seems to have escaped her. Probably just repeating what she’s heard on Rush Limbaugh.

I sigh inwardly. Issues like this need discussion, though, so I start to explain. Immediately she interrupts, her voice nicer, “Well, you have your ideas and I have mine.” The conversation is over.

So thousands of people will continue to die, thousands more badly wounded, because a retired lady in rural New York doesn’t need information to make up her mind. Medicare, headed rapidly for a financial meltdown, will wait until it’s a crisis. The looming Social Security shortfall, completely solvable if we act soon, will similarly wait for doomsday. If she has anything to say about it, America will remain the only industrial nation without national health care, spending billions on emergency room care instead, at far greater cost. Promising stem cell research--and possible cures for a wide range of diseases--will have to wait for scientists from other, more reasonable nations. Tax cuts will remain the magic cure for all ills, continuing the myth that “giving the money back so they can invest as they see fit” will resolve entitlement difficulties, ignoring Americans negative savings rate.

And peacetime prosperity will remain an accounting trick, all while America spends its former greatness and prosperity into the shadows where all myopic empires have been humbled. Instead, this will be the age of China, India, and the European Union.

Writer

Monday, September 17, 2007

Doesn’t Add Up

Aside from the ethical and legal problems private security firm Blackwater has amassed in Iraq, I’m troubled by a few economic issues.

Private contractors like Blackwater have become essential to U.S. military operations, even protecting State Dept. officials. These companies hire not only retired special ops personnel, but also current special ops troops away from the military, as the pay is substantially better.

So the military hires private contractors “to save money,” yet highly trained military personnel can earn more working for these contractors. Anyone else raising eyebrows about this fuzzy math? No wonder we spend several times what other countries spend on the military—yet we can’t muster sufficient veterans’ health benefits.

Add this to the list of my macroeconomic concerns. A short version:

The U.S. spends more on health care than any other nation, yet we’re the only industrial nation without universal health care, insuring only 75% of the population. The rest wait until their health concerns are costly crises and go to the emergency room, where taxpayers ultimately pick up the tab. How is this saving money? Forget the labeling slogans and socialize the process.

The U.S. is the richest nation in the world—yet we have a negative savings rate. What’s wrong with this picture?

We again have ballooning deficits, a negative trade balance, a credit crunch and a falling dollar. Our policies are based on fantasy, not economics, and government and citizens share the blame.

These practices cannot be sustained.

Writer

Sunday, August 12, 2007

Liberal? Conservative? Are You Sure? [A Rambling Economic Romp]

One of my students wrote a paper attacking the views of the liberal media, particularly George Will. No, that’s not a typo—that’s what she wrote, and what she meant. I wonder if staunch conservative Will realizes he’s converted. Truth is, the media has become quite conservative—look at FOX news, for example.

Other discussions in both the classroom and the corner store reveal a disturbing reality—people pick their favorite label, then their views. Democrat, Republican, Liberal, Conservative—these seem to be just words divorced from popular policy, and those misunderstandings lead to poor national choices.

Consider the proud Republicans who argue we must protect American jobs from foreign competition. Are they aware this is the Democrats’ position? Republicans would argue for free trade. NAFTA (North American Free Trade Agreement) especially seems to be a lightning rod, approved under President Clinton, despite the reality that the pact created ten times the number of jobs as it initially cost, the benefit continuing, the cost history, affected employees the beneficiaries of funding to cover the transition (and that funding exceeded the cost).

The WTO (World Trade Organization) also draws some fire, while other lesser known but important agreements, such as cooperation among the Pacific rim nations, seem to escape the radar. Any introductory macroeconomics text can lay out the well established case that such international trade benefits all parties (see comparative advantage). Why the opposition? More benefits are imported than exported.

At the same time, the same people oppose the United Nations, or any attempt at meaningful international law. So, while importing inexpensive food, clothing, toys, and so forth, we also abdicate the safety standards we trust in the U.S., putting ourselves at risk. Sound counterproductive?

How about fiscal responsibility? Instead of runaway spending and high taxes, we should pay as we go!

Not a Republican position—Reagan quadrupled the national debt, changing the largest creditor nation into the largest debtor nation. Clinton turned that around, generating the largest peacetime expansion in U.S. history, upsetting the conventional hawkish view that expanding economies need a war. Bush brought the U.S. back to both war and burgeoning deficits.

Interestingly, here Democrats and Conservatives agree! Pay for programs, wars as they come. Vice-President Cheney disagrees, claiming “Reagan proved that deficits don’t matter.” That’s like running up your credit card, pretending you’ll never have trouble making payments. It only works so long. As Howard Dean noted, “borrow and spend” isn’t better than the “tax and spend” mantra often leveled.

Think we need to reel in such spending? Great. That’s Republican—until you talk about which programs you want to cut. “Wait! I just want to cut the waste!” You know it’s not as easy as that, right? And I’m sure you know cutting your household spending isn’t as easy as deciding to do it.

Take health care. The U.S. spends more per capita than any nation—yet we’re the only industrial nation without universal health care—25% of Americans uninsured. So what? Their problem? Not when their serious conditions find their way to the emergency room at tax payer expenses instead of cheaper preventions. “Yeah, but universal health care will mean trade-offs!” You don’t think we have trade-offs now? Even if you think we should just abandon those people without means, that will inevitably affect the crime rate for people with no options and nothing less to lose. Fine? More law and order? That costs money too.

Or military spending. The U.S. spends more on the military than any other nation by a fantastic margin. Overkill? What are we really getting for it? Rumsfeld sent us down a path (ignoring Gen. Colin Powell—what the hell does HE know about Iraq…) merely stretching and demoralizing our forces, even causing commissioned officers to quit in droves. That’s money down the drain.

Much of this economic mumbo-jumbo is built on misunderstandings. In the 1920s. Americans benefited from sales to Europe, temporarily ravaged by WWI. It didn’t last, catching up to us in the 1930s. Prosperity returned in the 1950s—selling to a Europe ravaged by WWII, but again, this couldn’t last. In the 1960s, Democrat presidents ran up the deficit, and in the stagflation years of the 1970s, conservative Republican Nixon abolished the gold standard to allow currency to float—and wisely so, to the chagrin of conservatives.

Here’s the thing. We talk about liberals and conservatives, but we inherit these labels and their positions from talk radio instead of thinking for ourselves. Consequently, we even end up voting for the people whose positions we oppose—we just don’t know it.

Writer