Health reform and the disfunction of the U.S. Senate
Labels: Barack Obama, health reform, politics
Some thoughts on current events related to economics, public policy and higher education. And occasionally some gossip of local interest to those in and around Gettysburg, PA. The views expressed here may reflect those of some members of the faculty of the Department of Economics at Gettysburg College, but they do not reflect the views of the department or college as a whole.
Labels: Barack Obama, health reform, politics
Labels: economics, jobless recovery, Paul Krugman

Labels: Brad DeLong, economics, initial claims, jobless recovery, vector autoregression

Labels: economics, jobless recovery
Argh! The only reason it won't be possible is if you make it impossible! Fortunately, reconciliation needs only 51 votes, so the Democrats don't need any of these Senators.
Labels: Ben Nelson, Blanche Lincoln, Evan Bayh, health reform, politics
Labels: economics, Harold Ford
Labels: Barack Obama, economics, fiscal policy, politics
Labels: Barack Obama, economics, fiscal policy, jobless recovery, monetary policy, politics
Harold Pollack has circulated an open letter from a long list of prominent health experts to Nancy Pelosi and other Democratic leaders to pass the Senate health bill now. I'd add my name to the list if I were asked, and if I were an expert instead of just a fan.
I'd add this to the authors' list of consequences should the Democrats not pass health reform now. Democratic candidates this November are going to need Democratic party activists to raise money, work phones, put up yard signs, go door to door to get out the vote, etc. Who is going to do those things if the Democrats walk away from health reform now? I can't imagine myself trying to persuade an undecided voter of the benefits of voting Democratic. Vote for the Democrat, keep the Democrats in power, and we'll deliver... What exactly? Would you believe any assurance from a Democrat about what they would deliver if they won? How could I convince an undecided voter that it makes a bit of difference whether Democrats or Republicans control Congress?
The letter:
22 January 2010
Congresswoman Nancy Pelosi
Speaker of the House of Representatives
235 Cannon House Office Building
Washington, DC 20515
Congressman Charles Rangel
Committee on Ways & Means
U.S. House of Representatives
1102 Longworth House Office Building
Washington D.C. 20515
Congressman Henry A. Waxman
Committee on Energy and Commerce
2204 Rayburn House Office Building
Washington, D.C. 20515
Congressman George Miller
Committee on Education and Labor
2205 Rayburn House Office Building
Washington, DC 20515
Dear Speaker Pelosi and Chairmen Rangel, Waxman, and Miller:
For nearly three-quarters of a century, Presidents and Congressional leaders have tried to enact legislation that would make health care accessible to Americans. Although pieces of this dream have been realized—health care for the elderly, the disabled, and children in low-income families—universal coverage itself has proved beyond reach.
We are now on the cusp of realizing this goal. Both houses of Congress have adopted legislation that would provide health coverage to tens of millions of Americans, begin to control health care costs that seriously threaten our economy, and improve the quality of health care for every American. These bills are imperfect. Yet they represent a huge step forward in creating a more humane, effective, and sustainable health care system for every American.
We have come further than we have ever come before. Only two steps remain. The House must adopt the Senate bill, and the President must sign it.
While the House and Senate bills differ on specific points, they are built on the same framework and common elements—eliminating health status underwriting and insurance abuses, creating functioning insurance markets, offering affordability credits to those who cannot afford health insurance, requiring that all Americans act responsibly and purchase health insurance if they are able to do so, expanding Medicaid to cover all poor Americans, reforming Medicare payment to encourage quality and control costs, strengthening the primary care workforce, and encouraging prevention and wellness.
Some differences between the bills, such as the scope of the tax on high-cost plans and the allocation of premium subsidies, should be repaired through the reconciliation process. Key elements of this repair enjoy broad support in both houses. Other limitations of the Senate bill can be addressed through other means.
The Senate bill accomplishes most of what both houses of Congress set out to do; it would largely realize the goals many Americans across the political spectrum espouse in achieving near universal coverage and real delivery reform.
With the loss of Edward Kennedy’s Senate seat, Democrats no longer enjoy a filibuster-proof Senate majority, though they still enjoy the largest Senate majority any party has achieved in the past generation. The loss of this one vote does not require Congress or the President to abandon Senator Kennedy’s life work of health care reform. A year of political infighting, misleading debates about death panels and socialized medicine, and sheer inaction has left Americans exhausted, confused, and disgruntled. Americans are also bearing the severe consequences of deep recession and unemployment. Still, a majority of Americans support the elements of the Senate bill.
The House of Representatives faces a stark choice. It can enact the Senate bill, and realize the century-old dream of health care reform. By doing so, it can achieve a historic milestone while freeing itself to address other national problems such as joblessness and mortgage foreclosure that affect millions of Americans. Differences between the House and Senate bill can be negotiated through the reconciliation process.
Alternatively, Congress can abandon this effort at this critical moment, leaving millions more Americans to become uninsured in the coming years as health care becomes ever less affordable. Abandoning health care reform—the signature political issue of this administration—would send a message that Democrats are incapable of governing and lead to massive losses in the 2010 election, possibly even in 2012. Such a retreat would also abandon the chance to achieve reforms that millions of Americans across the political spectrum desperately need in these difficult times. Now is the moment for calm and resolute leadership, pressing on toward the goal now within sight.
Some have proposed dividing the bill or starting anew with negotiations to produce a less comprehensive bill. From the perspective of both politics and policy, we do not believe this is a feasible option. We doubt that the American public would welcome more months of partisan wrangling and debate. We doubt that the final product would match what has already been achieved. Indeed we doubt that any bill would reach the President’s desk should congressional leaders pursue this misguided course.
We, the signatories of this letter, come from a variety of different perspectives. Some of us are long-standing advocates of progressive causes. Some of us are nonpartisan or identify as political moderates.
From these differing perspectives, we agree on one thing: the current choice is clear. Pass the Senate bill, and improve it through reconciliation.
Sincerely,
Henry J. Aaron, The Brookings Institution
Gerard Anderson, Johns Hopkins University
Ronald Anderson, UCLA
Dean Baker, Center for Economic and Policy Research
Ronald Bayer, Columbia University
Anna Burger, Secretary-Treasurer, SEIU
David Cutler, Harvard University
Linda C. Degutis, Yale University
Eric Feldman, University of Pennsylvania
Thomas Fisher, University of Chicago
Brian R. Flay, Oregon State University
David Grande, University of Pennsylvania
Thomas Greaney, St. Louis University
Colleen Grogan, University of Chicago
Jon Gruber, MIT
Mark A. Hall, Wake Forest University
Jacob S. Hacker, Yale University
Jill Horwitz, University of Michigan
James S. House, University of Michigan
Peter Jacobson, University of Michigan
Timothy Jost, Washington and Lee University (organizer)
Theodore Joyce, CUNY
George A. Kaplan, University of Michigan
Jerome Karabel, University of California at Berkeley
Mark A.R.. Kleiman, UCLA
Paula M. Lantz, University of Michigan
Simon Lazarus, NSCLC
Arleen A. Leibowitz, UCLA
Theodore Marmor, Yale University
Lynda Martin-McCormick, NSCLC
Michael L. Millenson, Northwestern University.
James A. Morone, Brown University
Jonathan Oberlander, University of North Carolina at Chapel Hill
Karen Pollitz, Georgetown University
Harold Pollack, University of Chicago (organizer)
Daniel Polsky, University of Pennsylvania
Sara Rosenbaum, George Washington University
Meredith Rosenthal, Harvard University
Lainie Friedman Ross, University of Chicago
William Sage, University of Texas
Theda Skocpol, Harvard University
Paul Starr, Princeton University
William Terry, Brigham and Women's Hospital
James A. Tulsky, Duke University
Alexander C. Wagenaar, University of Florida
Joseph White, Case Western Reserve University
Celia Wcislo, 1199-United Healthcare Workers East, SEIU
(Institutional affiliations listed for identification only).
cc. Senator Harry Reid
President Barack Obama
Labels: Barack Obama, health reform, Nancy Pelosi, politics
Labels: Ben Bernanke, Congress, economics, Federal Reserve, monetary policy, politics


Labels: Department of Labor, economics, employment, jobless recovery
I fear I must add, as a moral theologian of 30 years' practice, that this ill fame is pretty well supported by the known facts. It may not be deserved in all cases, but it is surely deserved in most. Politicians as a class radiate a powerful odor. Their business is almost as firmly grounded on false pretenses as that of the quack doctor or shyster lawyer. What really concerns them first, last, and all the time is simply their own jobs. Get close to them, and they will admit this frankly.
Imagine a professional politician in a very tight place, with 100 votes standing between him and his job, and then imagine him getting news that 110 voters on the other side have suddenly turned cannibal, and are full of enthusiasm for their new fad. What will he do? He will begin to see cannibalism in a new light, and to find a lot of good in it. I do not say that he will take the stump for it - at least not so long as it polls only 110 votes - but certainly he will not take the stump against it. And neither will his opponent.The American people learned a great deal about politicians during the Prohibition Reign of Terror. To be sure, there were some dry politicians who were actually dry; but the votes that maintained the Anti-Saloon League in Power at both ends of Pennsylvania Avenue came largely from men who cheated at every chance, and some of them ranked among the most assiduous lushers ever seen in Washington, a town always eminent for a hundred years for its passionate guzzling.
These babies, as every one will recall, turned a series of magnificent flipflops when the wet cyclone hit them. Their rubber knees and shockproof backbones worked perfectly, and they landed squarely on their feet, panting and lathering for repeal. I could give you a list of them, with statistics of their speed and tankage. They were mainly so stupid or so far gone in liquor that they didn't see the cyclone coming, and when it struck them suddenly at Chicago, where they had gathered for the national conventions, they were thrown into such a panic that some of them actually sobered up. They came to town hiccuping for law enforcement and they left 10 days later hiccuping for repeal.
Such dizzy somersaults are all in the day's work of a politician. The Democratic professionals at Washington, not to mention many of the Republicans, got converted to the New Deal overnight, and they will be unconverted with the same expedition when it blows up.
One hears sometimes of politicians who claim to have lost something by ''entering the public service.'' Usually they say they could have made more money outside and led happier lives. But this is true once or twice in a blue moon. The typical politician does far better in politics than he could have done at anything else. Now and then, of course, a man of genuine ability and integrity blunders into a governor's chair, or into Congress, or into some other political place, but he seldom lasts very long. The average American Congressman is about on a level, intellectually and morally, with a bartender in a second-rate saloon or a head barber in a third-rate shop. As for the governors, they are so low-down that two or three of the 48 are always being impeached for grave crimes and misdemeanors and there is always at least one who is on his way to the hoosegow. During the past 15 years no less than 20 governors have been charged with downright felonies, and four or five have actually gone to prison. The rest, though maybe honest enough, are mainly only demagogues and mountebanks. It would be hard to find any other class of presumably reputable men who show so high an average of rogues and charlatans.
The most nearly decent fellows in politics, in all probability, are the fanatics - at least at the start of their careers. But even the fanatics, if they last long enough usually turn into professional politicians.
The picture that I draw is a dark one, and there may be some who will protest that it is too sad. If so, then I can only reply that they do not know politicians. Every one who has actually lived with politicians, including all those members of the fraternity who have reformed and are trying to lead honest lives, will tell you substantially what I tell you. It is precisely such men as I have described who make and execute the laws of this imperial nation and are the lords of us all. No one in his sober senses would trust them in any other place of responsibility calling for sound skill and common decency. A doctor who was so plainly a suspicious character would lose all his patients, and a lawyer on the same level would have only thieves for clients. Yet we not only hand over our lives and property to their keeping; we also pay them handsomely for robbing and betraying us, and give them higher honor than we give to any other class of men.
What ails them? Why are they so ornery? Plainly enough most of them are recruited from a somewhat inferior stratum of the population. The typical newcomer at the trade is a young man of cloudy background and equivocal standards, whose yearning to live easily far outruns his ability to earn an honorable living.
This young man tries politics because it offers him a good job quickly. The talents that push him ahead are not those of a diligent and able man; they are those of a cheap-jack. The tricks that he has to master are the tricks most useful to a corn doctor at a county fair. The most dangerous thing he can do is to tell the truth.
I haven't the slightest doubt that many a youngster makes his first venture into politics full of laudable resolve to avoid all this buncombe and skullduggery. But if he has as much as a single electron of cerebral tissue in his head, he discovers very quickly that all the virtues he dreams of practicing are handicaps to him, and that he must either purge himself of them or give up all thought of a political career.
In brief, the rules and hazards of the game run implacably against indulgence in any such rectitude. It is a luxury for rich men's sons who crave only a term in the legislature between Harvard and despair - not a diet fit to nourish professionals. The beginner who really wants to get on must grasp the bitter fact that votes are never won in any substantial numbers by the devices taught in Sunday schools. They are won by far more realistic artifices, of which two are salient. The first is to go out into the highways and byways and there flatter and enchant the boobs with blah. The second is to come to terms with the herdsmen who keep droves of boobs in corrals ready to be knocked down to the highest bidder.
What is to be remembered is that virtually all the politicians in the United States have wallowed in their time in those two mud holes; if they hadn't they wouldn't be where they are today. They have all talked balderdash from the stump, they have all throbbed to the huzzas of morons, they have all promised what they knew they couldn't deliver, and they have all connived at more or less open corruption. If there is an exception in all this broad land, than I apologize to him most humbly. But I never met him and never heard of him.
Try to imagine what would happen to a doctor who had to get his patients by scratching their backs, and kissing their babies, and attending all their raffles and birthday parties, and marching in all their parades. Certainly the effect upon his professional integrity would hardly be salubrious. Now imagine him obliged to go to the saloon keeper at the corner for permission to practice at all, and giving the saloon keeper, in return for his permit, the right to dictate his prescriptions. Surely it would be asking too much of human nature to expect him to remember his Hippocratic oath. If he kept out of jail he'd be doing enough.
Well, every politician, whether large or small, is in that boat, or has been in it in the past. Even the mightiest of them, frowning down on the world from his glittering balloon, has yielded his neck to some boss in his day, whether openly or behind the door, and done his share of fawning over idiots, and discharged his five million words of hooey. In so far as he is a man of any sense whatever, he has got on by flattering and fooling his inferiors. A suspicious character from the start, by virtue of his trade, he has gradually bent himself this way and that to fit every suspicion, and so he emerges at last as a kind of chartered public enemy, safe from the police so long as he is reasonably careful, and living on the troubles of the people.
How are we to improve him - or get rid of him? The first, I believe is a sheer impossibility. So long as we want to enjoy the excitement of democracy we must be prepared to endure its curses, and one of them is the fact that when two men stand up before a mob, the one honest and the other a fraud, the mob always prefers the fraud. He is always longer on promises and readier with soothing, and hence can be more charming to persons incapable of thought. Years ago I proposed a way out that got no attention at the time but maybe had some merit. It was based on a question: Why should there be any politicians at all? Why should we hand over our affairs to men so palpably dubious and chosen so ridiculously? Why should we assume that the capacity to enchant and hoodwink ignorant and credulous people is the capacity to serve the whole community? Why not get rid of the difficulty by abolishing politics altogether and choosing our rulers by lot? Why not take away all the rewards of public office and make the holding of it not a privilege but a duty?
The scheme may sound crazy at first sight; but if we are content to choose men at random and against their will to go into a jury box and decide the gravest matters of life and death, they why shouldn't we be willing to trust the same men with other matters? If they are fit to execute the laws, they why aren't they fit to make them? That making laws requires any special knowledge is surely not a fact, for it is done today mainly by amateurs, and the professionals intermingled with them are more often than not incompetent or dishonest. The only real difference between the amateurs in a jury box and those in a legislature is that the former have no private interest in the case before them.
I offer my plan to the Brain Trust. If it is adopted before Congress meets in January the professors will have a much easier time than they now seem likely to have.
Copyright c 1934 Liberty Publishing Corporation Copyright c 1980 Liberty Library Corporation
I've often thought it would be better to pick our representatives by lot rather than by election so I'm glad to know that the idea has been batted around before. But there's another lesson I think we can learn (or relearn) from the health reform fiasco, which is that it is pointless and pathetic to count on any politician, Barack Obama included, to be a courageous leader. Politicians are by nature slavish sycophants who suck up to the "herdsmen who keep droves of boobs in corrals." If liberals want health reform, we will not get it by relying on Obama, Pelosi, or Reid, but by becoming the biggest, meanest herdsmen with the largest number of boobs in our corrals.Labels: Barack Obama, health reform, Pelosi, politics, Reid




Labels: economics, jobless recovery
Labels: health reform, Obama, Pelosi, politics, Reid
The renewed efforts to rein in credit growth follow a burst of frantic lending activity by Chinese banks that have raised concerns about overheating in the Chinese economy...
A state-run newspaper on Wednesday cited unnamed banking sources as saying some banks had been told to stop all lending for the rest of January and that Bank of China, which has been the most aggressive lender among the large state banks, had switched off its internal electronic loan approval system...
Analysts said Beijing had also raised the required amount of capital some banks must hold in reserve with the central bank, leaving them less money to hand out as loans.
US exports to China were $71.5 billion in 2008, so a recession in China could do some damage to demand in the US. More importantly, I think, is that China is now such an important node of the global manufacturing economy that a disruption there could create a major supply shock for the rest of the world. Then there's finance: who knows what kind of ramifications an unwinding of China's asset bubble have for financial markets in the rest of the world.
Labels: Brown, Coakley, Massachusetts, politics
Labels: liberal arts colleges
That, of course, would be political suicide. It would be the act of a party so arrogant, elitist and contemptuous of popular wisdom that it would not deserve to govern. Marie Antoinette would applaud, but voters would rage.
A little perspective is in order. If the Republicans take Massachusetts' senate seat, the Democrats will have a 59-41 majority in the Senate. There is no reason on earth that a party with substantial majorities in both houses of Congress and control of the presidency should not make good on the most important item on its legislative agenda. And plenty of reasons not to abandon the effort. As Jonathan Chait argues:
The difference between the parties is that Republicans ignore the establishment’s advice. After Obama’s election, conventional wisdom insisted that the GOP would have to move to the center. Instead the party moved further right. And whatever the policy merits, it has worked politically. If Republicans had cooperated more with Obama, it would have given him bipartisan accomplishments and made him even more popular.
The GOP’s ability to ignore establishment nostrums in the face of defeat is its great electoral strength. Democrats, by contrast, have a congenital tendency to panic. Abandoning health care reform after they’ve already paid whatever political cost that comes from voting for it in both houses would be suicide. Even if Coakley loses, the House could pass the Senate bill as is, avoiding the need to break a filibuster, and tinker with it in a reconciliation bill that can’t be filibustered. The only thing preventing the Democrats from following through would be sheer panic.
Abandoning health care at this point would only prove that the Democrats are comically, pathetically incapable of governing. Who in his right mind would want to keep the party in power after that clown show?
Labels: Brown, Coakley, economics, health reform, Massachusetts, politics
Labels: economics, macroeconomic populism, Venezuela
Labels: economics, history of thought, Say's law, Schumpeter
Labels: Andrew Levin, economics, Great Inflation, John Taylor
There are lags between policy changes and changes in employment, and that means it's much easier to back off of action initiated now if things turn out to be better than expected than it is to do something later if the optimistic scenario fails to materialize. That is, the risks of failing to do anything and then realizing the pessimistic high unemployment outcome are much larger than doing something now and then having things turn out better than expected. Even on their own terms, I don't think their conclusion that we shouldn't devote any resources to job creation (other than protecting jobs through "modest" help for state and local governments) follows.
Well, modesty is in the eye of the beholder. Meaningful support to state budgets could easily require federal government loans or expenditures in the area of $50-100 billion. Continuation of income support to the poor and unemployed, continuation of ARRA, the effect of automatic stabilizers, continued monetary expansion - this is an incredibly stimulative macroeconomic policy package. I don't think that we need to add on top of this tax credits for new employment or similar exotic jobs-related proposals that are floating out there. We don't need ARRA 2.0. Long-term we need more spending on infrastructure, energy R&D, etc., but this is a separate issue.
In any case, Dean Baker countered the part of the argument related to productivity before it was even made. Here's his response to similar claims about robust job growth:
Silliness on Productivity, by Dean Baker: In discussing the December jobs report the Post repeated some of the silliness about productivity that is currently circulating among people who imagine themselves to be knowledgeable about the economy. It told readers that:
Employers slashed positions more dramatically in the past two years, squeezing more productivity out of remaining workers. That has led many analysts to expect a substantial increase in the number of jobs in the early months of 2010, as companies must hire again just to keep up with demand for their products.
Actually, productivity growth averaged 2.6 percent annually over the last two years. This is somewhat more rapid than the growth rate over the prior two years but it is below the 2.9 percent average annual growth rate in the decade from 1995 to 2005. In other words, there is nothing extraordinary about the recent rates of productivity growth so there is no special reason for believing that a burst of hiring is imminent.
Labels: economics, jobless recovery, Mark Thoma
Labels: economics