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Operation Free: Defending America from the threat of climate change

Today’s guest blogger is Jon Gensler, a former U.S. Army captain, LEED accredited professional, and a dual MBA/MPA Candidate at MIT Sloan and the Harvard Kennedy School (a repost).

September 11th is both a difficult and honorable day. Difficult because eight years ago we were woken to threat of terrorism on our shores as thousands of Americans lost their lives in the attacks. And yet honorable because it is now a day we use to honor those whom we lost not only on that day, but in the years since 2001, fighting abroad to secure our safety. However, this is not about the four hijacked jets of September 11, 2001. This is about my response to them.

Iraq Oil Fire

I am lucky enough to be a native of the great state of West Virginia a graduate of West Point, and a former Army officer and veteran of the Iraq War. I remember clearly the plane that took me to Iraq as a platoon. That first year in Iraq, many good soldiers gave their lives for the rest of us, including my good friend and former football teammate, Joe Lusk, USMA ’01. Be thou at peace, brother. I wish I had space to list all of those who gave the last full measure, and I honor them here.

The next plane I want to mention is where this story starts to change. My plane was riding lower over the ground, coming into its landing strip. Looking out the window, I could see desolation all around. Truly the Waste Land of the poet T.S. Eliot. But this was not Iraq or some God-forsaken land in Central Asia. This was me flying home to West Virginia, and those wastelands used to be a beautiful stretch of Appalachia, blasted and laid bare by our coal-hungry economy. My thoughts jumped rapidly from those whom I had lost in the war to future generations of Americans, of West Virginians. What will we call the Mountain State when all of the mountains are gone?

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Climate Progress

Operation Free: Defending America From The Threat Of Climate Change

Our guest blogger is Jon Gensler, a former U.S. Army captain, LEED accredited professional, and a dual MBA/MPA Candidate at MIT Sloan and the Harvard Kennedy School.

September 11th is both a difficult and honorable day. Difficult because eight years ago we were woken to threat of terrorism on our shores as thousands of Americans lost their lives in the attacks. And yet honorable because it is now a day we use to honor those whom we lost not only on that day, but in the years since 2001, fighting abroad to secure our safety. However, this is not about the four hijacked jets of September 11, 2001. This is about my response to them.

Iraq Oil Fire

I am lucky enough to be a native of the great state of West Virginia a graduate of West Point, and a former Army officer and veteran of the Iraq War. I remember clearly the plane that took me to Iraq as a platoon. That first year in Iraq, many good soldiers gave their lives for the rest of us, including my good friend and former football teammate, Joe Lusk, USMA ’01. Be thou at peace, brother. I wish I had space to list all of those who gave the last full measure, and I honor them here.

The next plane I want to mention is where this story starts to change. My plane was riding lower over the ground, coming into its landing strip. Looking out the window, I could see desolation all around. Truly the Waste Land of the poet T.S. Eliot. But this was not Iraq or some God-forsaken land in Central Asia. This was me flying home to West Virginia, and those wastelands used to be a beautiful stretch of Appalachia, blasted and laid bare by our coal-hungry economy. My thoughts jumped rapidly from those whom I had lost in the war to future generations of Americans, of West Virginians. What will we call the Mountain State when all of the mountains are gone?

Kayford Mountaintop Removal

Which brings me to my last plane: a short, small flight from grad school in Boston to Washington, DC, where I would join 150 other veterans with Operation Free in order to meet with our senators on the Hill. We would give voice to the national security threat that climate change poses. You see, this isn’t merely about saving our mountains; this is about preserving our way of life, about reasserting our national place as an international leader.

Who will respond when storms of growing frequency and intensity batter the shorelines of the world? Not the Chinese. Not India. We will. The US military. And beyond the count of humanitarian missions that will rise with rising seas, we must not for a moment underestimate the threats that will increase as populations are displaced, as drinking water becomes ever more scarce. Misery and scarcity will spread, creating breeding grounds where terrorists can and will gain a foothold.

And yet there is still time to act. Legislation before the Congress now can give us a chance to avert the worst of climate change, preserve our environment, create new jobs in a clean economy that will last into the next century, and perhaps most importantly, mitigate the threat to our national security posed by unabated climate change. But the time is now. Join Operation Free and call your senators and support strong legislation that will secure our nation for the future.

Update

The Sierra Club‘s Bruce Nilles and Mary Ann Hitt report that the EPA “has determined that all 79 mountaintop removal mining permits submitted to them for review by the Army Corps of Engineers would violate the Clean Water Act.”

Yglesias

Endgame

I hear footsteps in the dark:

— Beyond the hub-and-spoke metro area.

— My colleague Matt Duss is a big fan of Duss.de.

— Jordan, Stockton, and Robinson inducted to the Hall of Fame.

— The best song about 9/11.

— Max Baucus looking to seize control of cap and trade legislation.

— I think Can’t Hardly Wait needs to be in this conversation.

— Ruling out a coalition in advance seems perverse; if Liberals+NDP = majority but the Tories have one more seat than the Liberals is Ignatieff really going to hand power over to a hobbled Conservative minority government rather than take the reins himself?

One more Ladyhawke tune: “Dusk ‘Till Dawn”.

Health

Would Tort Reform Lower Health Care Costs?

During Wednesday’s address to Congress, President Obama proposed including malpractice reform in his health care plan. The move was widely interpreted as an olive branch to Republicans, who have long argued that capping jury awards in medical malpractice cases would limit the use of “defensive” treatments and significantly lower health care costs.

As a senator, Obama had introduced legislation “aimed at reducing both medical errors and lawsuits through a program known as Sorry Works, rooted in the idea that injured patients value an apology as much as money,” and expressed some support for creating so-called ‘safe harbors’ for clinicians who follow best practices.

Republicans reacted to Obama’s speech with hostility, dismissing his “demonstration projects in individual states” as incremental and ultimately inadequate solutions. “I have to characterize [Obama's proposal] as a very disingenuous proposal,” Sen. Jon Kyl (R-AZ) said today on the floor of the Senate. “Everybody knows that there is a huge amount of money that could be saved in health care delivery if we did something to reform this jackpot justice system.” Watch a compilation:

But are “frivolous lawsuits” the real cause of high health care costs? The short answer is no. Malpractice costs represent less than half of 1% (0.46 percent of total health care expenditures) and malpractice settlements have grown modestly with inflation. In fact, in states that have adopted caps on jury awards, doctors are prescribing too many aggressive and intensive treatments that increase costs, but don’t improve outcomes.

When Texas capped non economic medical malpractice damages to $250,000 in 2003, most conservatives argued that the reform would free doctors from having to prescribe unnecessary treatment. It didn’t happen. According to the Dartmouth research on disparities in health care spending, many Texan doctors are still prescribing aggressive treatments that don’t improve outcomes. In fact, as of 2006, Texas was still at the top of the list of high-spending states.

In an interview with the Wonk Room, author Maggie Mahar suggested that the reasons why doctors prescribe so many unnecessary treatments are far more complicated than the fear of lawsuits:

It may be that he saw a case like this once before and it went sour, and he doesn’t know why and so he wants to be extra careful. It may be that he has been seeing Ms. O’Connell for years, she is a dear person and he really cares for her and he just wants to make sure that no stone is left unturned. Could be that he has been seeing Ms. O’Connell for years, she is a pain in the ass, and he knows that if he doesn’t order every treatment that her neighbor says he needs, he’s going to be hearing from her. And it could be that he is afraid of being sued. If I were the doctor, I wouldn’t be able to untangle my motives and say to what degree fear of malpractice suits is driving my actions.

If liability concerns aren’t a major driver of overtreatment, then what is? Experts believe that the current reimbursement structure does more to shape practice patterns than fear of liability. “The current health system reimburses doctors, hospitals, and other health care providers based on the number of visits and procedures that are done. As a result, health care providers’ revenues and profits increase when they deliver more services and the cost of health care goes up,” Ellen-Marie Whelan, a Senior Policy Analyst at the Center for American Progress, wrote in a recent report.

Indeed, as Dr. George Lundberg — the former editor of the Journal of the American Medical Association — concludes, “at least 30% of the $2.5 trillion expended annually for American health care is unnecessary. Eliminating that waste could save $750 billion annually with no harm to patient outcomes.”

The current reform legislation attempts to re-align the incentives in the current system. It encourages providers to coordinate primary care services, expands pilot programs that reimburse providers in bundles and for episodes of care and allows the Secretary of Health and Human Services or the Center for Medicare and Medicaid Services to expand successful models. These changes will lower health care costs by far more than .046%.

Yglesias

Declaring Victory

victory2 1

An important question that lingers on the eighth anniversary of 9/11 is how does this end, exactly? On the one hand, for all the terrible things that have happened since that terrible morning, our worst post-attack fears have very much not materialized. Insofar as America seems to be in rickety shape right now, that has far more to do with the collapse of an asset bubble and the grim medium-term fiscal outlook than with anything al-Qaeda is plausibly going to do. At the same time, despite some recent wins against al-Qaeda in the Pakistani frontier regions it doesn’t seem likely that we’re going to totally eliminate jihadist activity in various far-flung corners of the globe.

So does it make sense to spend years and years more on a permanent emergency footing? It seems to me that it doesn’t, and that James Fallows’ September 2006 article “Declaring Victory” is still one of the most important and relevant things published since 9/11. Obviously to some extent you need to update the thinking to take into account the past two years’ worth of activity, but it basically rings true to me today.

Politics

Gingrich ‘Inadvertently’ Names Porn Company ‘Entrepreneur of The Year’ For Stimulating The Economy

gingrichchri This week, Allison Vivas of Pink Visual received a fax from Newt Gingrich’s American Solutions for Winning the Future (ASWF) group, informing her that she’s been chosen for a 2009 Entrepreneur of the Year award by his Business Defense and Advisory Council. From the letter obtained by ThinkProgress:

Newt would like to arrange a private dinner with you at the historic Capitol Hill Club on the evening of October 7, 2009 in Washington. You’ll dine privately with Newt at this exclusive venue and he’ll take the occasion to present you with your well deserved award and have your photo taken together.

This tremendous honor is a testament to your success in building your business and recognition of the risks you take to create jobs and stimulate the economy. As an award winner, you’ll be on the ground floor as Newt and his Council begin the work to turn this country around. … Newt is looking forward to hearing your ideas on getting the economy moving again and getting your feedback on his plans over dinner.

Pink Visual is a porn DVD superstore — not the type of company you’d expect Gingrich would want stimulating the economy. ThinkProgress contacted Gingrich aide Joe Gaylord, who sent the faxed letter to Vivas, but we didn’t receive a response. An ASWF representative reportedly called Pink Visual this morning saying it had “inadvertently” sent the fax to Vivas and was retracting the honor. Pink Visual’s marketing coordinator Q Boyer didn’t buy the excuse:

“Allison was disappointed to receive a call this morning from an ASWF representative stating that the fax had been sent to her ‘inadvertently,’” Boyer told AVN.com. “We’re not entirely clear on how one ‘inadvertently’ sends a fax to the right person at the correct fax number, so our sense is that this is damage control on the part of a group that is having second thoughts about either recognizing the excellent work of a porn company entrepreneur in light of their own conservative political and social orientation, or having second thoughts about their promotional methodology and communication protocols.”

Ironically, on May 17, 1995, Gingrich led a press conference on Capitol Hill announcing the Christian Coalition’s 10-point “Contract with the American Family,” a conservative legislative wish list. One of the items in the contract: restricting pornography. From Gingrich’s comments:

“We are committed to scheduling the hearings, to scheduling the mark-up and to scheduling the bills on the floor,” Gingrich said. “We’re committed to implementing the contract with the family.

Gingrich’s Business Defense and Advisory Council appears to be an outreach to small businesses nationwide. We spoke with Larry Kudeviz, owner of Genesis Press in South Carolina and previous award-winner. Kudeviz said that when he attended the dinner with Gingrich recently, there were about 30 or 40 other entrepreneurs there. He, like Vivas, was surprised to get the award because he had never had any contact with the Speaker. Since the dinner, he has continued to receive e-mail updates from ASWF.

Jarvis Coffin, CEO and President of Burst Media, also received an invitation to attend the Oct. 7 dinner with Gingrich. In a post on the Huffington Post, he wondered how Gingrich’s group found his e-mail address and whether it was breaking FCC rules by sending unsolicited faxes. The outreach by ASWF left a “bad taste in my mouth,” wrote Coffin.

Listed on the agenda for the dinner is time for video testimonies. In the fax Gaylord sent to Vivas, this portion is circled with the note, “Please come prepared to share your thoughts on how we can help your business.” Vivas also received a fax showing a mock award and a replica of the “gavel that changed America” that she would be receiving:

gavelaward

Security

9/11: Time To Remember And To Reflect On Where We Stand On National Security

Our guest blogger is Brian Katulis, Senior Fellow at the Center for American Progress Action Fund.

Eight years after the September 11th attacks, we have an opportunity to reflect on that tragic day and the lives that were lost in the attacks. It’s also a time to think about where we stand on national security and what threats the terror networks that attacked us eight years ago pose today and how we can best address them.

And I have to say that I’ve seen some worrisome signs in how we’re debating Afghanistan these days that maybe we haven’t learned to move beyond the raw emotionalism and simplistic debates to assess what the stakes are and how we as a country can most effectively keep our country safe.

It struck me in some of the reactions I got to this brief appearance I had on NPR’s “Morning Edition” this week, in which I reiterated a lot of the points I made with Hardin Lang in this article for Foreign Policy.com.

One Hill staffer, who shall remain nameless, wrote: “Aren’t we in or out?” That question was perhaps the stupidest question I have seen in a long time on Afghanistan, and it comes from an intelligent, informed person.

The reaction reminded me of one important point I took away from the Iraq debates of 2005-2008. One sign that the wheels are really coming off for a particular national security policy question is when the wise women and men of national security start discussing a particular question in terms one would use at a pep rally for football game. When you start seeing a certain set of terms on your op-ed pages like “win,” “lose,” ‘victory,” or “defeat” in talking about conflicts like Afghanistan, you know pretty much that the person has crossed the line from doing policy analysis to policy advocacy.

When you see people debating things like whether Afghanistan is a “war of choice” versus a “war of necessity,” you know that we’re for the most part just dabbling in rhetoric and not engaging in a clear argument that defines what it is that we are trying to do, whether we have the means to achieve those goals, and at what cost.

Somehow editors of many leading newspapers have allowed analysts to avoid defining clear policy objectives for Afghanistan and arguments that make the case for employing available resources to achieve those objectives.

Afghanistan is not a football game, and policy analysts and public servants should avoid the “rah-rah” pep rally approach to debating national security. The current debate, to the extent that we’ve even had one, leaves the impression that it’s either full blown nation-building counterinsurgency in Afghanistan with the maximum number of troops or get them all out.

The range of policy options in Afghanistan is much broader than that –- and the variables are much more numerous than the number of troops the United States has on the ground, such as:

- What is the current nature of the threats posed by terror networks from Afghanistan? What are the most effective and efficient means to address those threats?

- How do Afghan leaders gain legitimacy and power to govern? What are ways Afghan leaders can work to settle their differences on sharing power – both the Afghan actors that participated in the political processes like elections and the actors that reject those processes and seek to exert influence by other means (like the Taliban)?

- What are the most effective ways to enhance the capacity and willingness of Afghan leaders and institutions to govern justly and effectively? What is the capacity of the U.S. and other actors from outside Afghanistan to achieve tangible gains in Afghanistan, and at what cost?

- How much should the United States versus other actors around the world shoulder the burden in Afghanistan? Why isn’t Afghanistan viewed by more countries as a global security challenge, as opposed to just a national security issue for the United States and some other countries? (A few months ago, for example, I asked the question – where is the Muslim world on Afghanistan in this piece)

That’s just a start at some of the questions, but it’s rare to find discussions in the op-ed pages of the leading newspapers. Les Gelb did a few months ago in the New York Times, and Chuck Hagel’s recent piece raised important points, and Nicholas Kristof did a fine job this past weekend, but the main debate as thus far centered on the important, but not the only question, of U.S. troop levels.

At this point in Afghanistan policy, my view is that it would be extremely unwise -– actually foolish -– to send more troops or money without a stronger commitment from Afghan partners to fight the narco-trafficking that fuels the insurgency and deal with the corruption that makes Transparency International give Afghanistan such a poor ranking, among other problems.

I don’t think it’s such a radical position -– we need Afghan partners with the same sorts of commitment to the objectives –- if we are going to have any hope of achieving progress in Afghanistan. And it would be unwise for us at this stage to send more U.S. taxpayer money and troops without Afghan leaders making a stronger commitment to us. Given what I heard from Stuart Bowen and General Arnold Fields, the special inspectors general for Iraq and Afghanistan respectively, in this panel I moderated here at the Center this spring, I have serious concerns about our government’s capacity to use these resources wisely in Afghanistan, even before we consider the problems associated with possible partners in Afghanistan who might not have the same commitment.

But the reaction I got from some people to what I thought was a sensible proposition – that we need partners in Afghanistan as committed to the sorts of things we want to achieve – if we’re going to have any hope of seeing our investments achieve progress.

As the Obama administration moves towards making its next decisions on Afghanistan, here’s a plea: let’s move beyond the cheerleading pep rally sort of debate that we’ve seen in the op-ed pages and media, a debate that barely rise above the ‘less filling/tastes great” dialectic seen in this classic commercial.

Media

Downside: Massive Death and Destruction

300px-aeronet_la_jolla2007297aqua250m-1

Jim Snyder reports for the Hill on thinking about climate and energy legislation:

If healthcare poisons the well for climate change, some observers expect Democrats to settle for more modest environmental gains. Ditching the cap-and-trade piece to pass a so-called renewable electricity standard and stronger energy-use standards could give Democrats a partial win and President Barack Obama at least something to show off at the climate talks in Copenhagen, Denmark, in December. But it would also threaten to fracture Democrats and their base of support, in much the same way the public option is threatening to split the party in the healthcare fight.

So I’m a huge sellout squish, but what’s missing from this balance of considerations—and indeed from the entire article—is the reality that American carbon emissions are causing catastrophic climate change and that each and every year that emission volumes fail to fall, more and more catastrophe becomes inevitable. Wildfires burn, land floods, islands are rendered uninhabitable, hurricanes destroy cities, countries are wracked by famine, etc. When you just bracket the devastating impact of unchecked climate emissions, then naturally capping carbon emissions doesn’t look like a very savvy legislative strategy.

But by the same token, a climate/energy bill that doesn’t reduce emissions doesn’t do anything to resolve the climate crisis. Political leaders in both parties need to ask themselves if they want to be written about in the history books like Neville Chamberlain and James Buchanan—men whose entire careers are wiped out by the basic reality that they failed to grapple with the major challenges of their times. If they don’t have a problem with that—if deep down, they don’t care about being failures as public officials and stewards of the national interest—then there’s not much to be done. If they do have a problem with that, then forces ranging from the EPA’s regulatory authority to changes to congressional procedure are going to have to be brought to bear to make the political system do something that the political system is clearly indisposed to do.

Economy

Michigan Chamber Of Commerce Embraces Glenn Beck, Invites Him To Be A Keynote Speaker

On his Fox News show this past Wednesday, right-wing extremist Glenn Beck claimed, “The uber-left is in business with big business.” But next Tuesday, Beck is keynoting a U.S. Chamber of Commerce forum in Michigan sponsored by several major corporations, including AT&T, Comcast, and Dow Corning.

Although Beck’s race-baiting and McCarthyism have led a massive advertiser boycott of his Fox News program, the largest business lobby in the United States has chosen to embrace him as the “dinner keynote speaker” for the 2009 “Future Forum” at Michigan State University’s Kellog Forum on September 15th:

Glenn Beck, Keynote Speaker for Michigan Chamber of Commerce, Comcast, AT&T, Consumers Energy sponsoring

Beck has called President Obama a “socialist,” a “Marxist,” and a “racist” with a “deep-seated hatred of white people.” It may not come as a surprise that the U.S. Chamber of Commerce, with its right-wing agenda of blocking health care reform, clean energy legislation, and workers’ rights, is embracing Glenn Beck’s hate and fearmongering.

Tomorrow, Beck is broadcasting live on Fox News from Washington D.C. to promote the “9/12 Project,” Beck’s tearful mobilization against “socialism.” The 9/12 march is bankrolled by right wing organizations such as the Competitive Enterprise Institute, FreedomWorks, the National Taxpayers Union, and GrassFire.org. These front groups are themselves backed by ExxonMobil, Koch Industries, HealthFirst, and other corporate titans who aim to maintain their windfall profits under the status quo.

The top sponsors of the Michigan event are Comcast, AT&T, and Consumers Energy. AT&T is on the board of the Chamber of Commerce but has pulled its ads from Glenn Beck’s show. Other Chamber members who have stopped advertising on Beck — but are giving him a platform in Michigan — include Aegon, CVS, State Farm Insurance, and UPS.

Yglesias

The Slippery Slope to Socialized Medicine

Daniel Gross makes the point that completely apart from Barack Obama’s proposals, the private sector health insurance system is inexorably unraveling:

The latest report from the Census Bureau on income, poverty, and health insurance is full of interesting data. (For example, median household family income in 2008, at $50,303, was below where it was in 1998. Heckuva job, Bushie, Greenie, and the whole economic team!) Perhaps the most surprising census data are the significant evidence that, even absent a reform bill, the United States is slowly nationalizing health care. In 2008, enrollment in Medicare and Medicaid rose from a combined 81 million to a combined 85.6 million. Add in military health care, and some 87.4 million Americans in 2008 got health insurance directly from a government source—about 29 percent of the total. Meanwhile, health insurance became less tethered to work. The percentage of people covered by employment-based health insurance fell from 59.3 percent in 2007 to 58.5 percent 2008, and the percentage of those working full-time and part-time who lacked health insurance rose in 2008. The ranks of those getting insurance from employers include a substantial number of public employees—teachers, state workers, etc. (In August, government accounted for about 17 percent of payroll jobs.) Add those folks to the people receiving coverage from Medicare, Medicaid, and the military, and, as Jon Bon Jovi once put it, “we’re half way there.” Most of the Americans who have insurance may already be getting it through the government, one way or another.

See also this CBPP chart:

9-10-09pov-f3

Obama’s proposals have been structured to try to avoid accelerating these trends. But if his framework were put in place, it would be easy enough to tweak so as to really change things. As written, the public option would be part of a Health Exchange that most people can’t participate in. But if the Exchange works well then there will presumably be pretty to open it up (à la a proposal from Ron Wyden) in which case pretty quickly most people might be getting their insurance in a very different way from how it mostly works today.

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