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Health

Daschle Promises ‘Meaningful Health Reform’ ‘In The Not Too Distant Future’

daschlespeech.jpgSpeaking at a forum in Denver yesterday, incoming Health and Human Services Secretary Tom Daschle stressed the importance of moving quickly on health care reform. “The economy is going to be directly related to our capacity and our ability to reform the healthcare system in the months ahead,” Daschle explained.

After identifying the problems plaguing the system — rising costs, poor access to care, billions of dollars in unnecessary spending, lack of transparency — Daschle identified “the status quo” as “the most costly option of all” and promised to begin a “successful process” that “will ultimately bring us to a conclusive and successful effort in the not too distant future to bring meaningful health reform to people all over this country“:

And I believe that in a sense it’s really like our federal aviation system. Our job in government is to get everybody from here to there safely. You can fly coach, business or first class, but we want to make sure however you fly you get there safely. The same can be said for healthcare.

Echoing President elect Barack Obama’s campaign health care plan, Daschle envisioned a private-public partnership that lowers costs, guarantees access to affordable care, improves quality, “shift it away from sickness and on to wellness,” and invests in health infrastructure. “If you like what you have, you ought to be able to keep it. But if not we ought to pool the resources of those who aren’t in a system they like and offer them the same plan of options that members of congress have,” Daschle explained.

The former senator underscored the incoming administration’s grassroots approach to health care reform, promising to “reach out in as many ways as we possibly can…with full transparency.”

If you wish submit your own view as to what you consider “to be the biggest problem facing our healthcare system today,” click here.

Yglesias

Something to Think About

Economic output is determined by productivity per worker-hour and the total number of hours worked. Normally, then, increases in productivity have led to increases in output. But we were, as a society, well above subsistence levels in 1988. In principle, the past twenty years worth of increases in productivity could have resulted in flat output but decreased hours worked. That could be in the form of a lot of unemployment, with the unemployed provided some fairly generous welfare payments or else everyone just having longer vacations or retiring earlier or any combination of such measures.

Obviously, that’s not what happened. But isn’t it something that could happen in the future? Isn’t it even likely to happen, as average wealth levels increase and therefore the marginal utility of additional wealth declines? That’s not to say that people will sit around doing nothing all day, but maybe we’ll see tons and tons of hobby pursuits — people retiring at 50 and putting in five hours a day on their unpaid blog.

And speaking of unpaid blogging, tell Brad DeLong I expect answers to these questions.

Politics

Bush Claims His Library Institute At SMU Will Not ‘Herald’ His Presidency

During an interview on Thursday with NBC News’s John Yang, President Bush talked about his life after the presidency, namely, putting together his presidential library at Southern Methodist University. A “think tank” will accompany Bush’s library there, and during the interview, Bush claimed the institute won’t attempt to burnish his legacy:

BUSH: The klieg lights will be off as far as I’m concerned and the new president will have his chance to serve in this great job. And I’ll be occupied with some interesting things to do. We’re going to build a freedom institute at Southern Methodist, a policy center that’s going to not be a place where we herald George Bush or [the] Republican Party.

Watch it:

But the institute Bush is referring to will be completely independent from the academic governance of the university. It will reportedly “sponsor research and programs designed to promote the vision of the president” and “celebrate” Bush’s presidency. One university professor said that “[a]cademics everywhere should be concerned about this” and that it “goes against the idea of dispassionate inquiry.”

In fact, Bush’s chief political operative Karl Rove — who is orchestrating the “Bush Legacy project” — will serve as a “critical resource” for the institute. Moreover, the library “will rely chiefly” on a design firm, rather than historians, to showcase Bush’s policies.

A number of SMU professors have expressed outrage that the library will trade academic scholarship for partisan praise of Bush. And after the United Methodist Church referred a petition to reject the library to its local jurisdiction that owns the university property, Methodist ministers launched a PR campaign highlighting the institute’s partisan nature. While the petition ultimately failed, a church committee offered a resolution urging the Bush library to protect the academic “integrity” of SMU.

Indeed, Bush has already begun promoting his tenure in the White House and he seems happy enough to rewrite history to do it.

Yglesias

Good Line

I liked BeyondDC’s quip on green architecture: “LEED architecture without good urban design is like cutting down the rainforest using hybrid-powered bulldozers.”

I don’t actually think that’s totally fair since the electricity and heating resource consumption of buildings is a legitimately big deal, but suffice it to say that the current LEED system for rating the sustainability of buildings will be radically incomplete until the Neighborhood Development rating system is done. How buildings relate to each other and to other people in the community is a crucial issue.

Climate Progress

How would you spend $50 billion, Part 2 — The Alliance to Save Energy Plan

Part 1 reported that Obama and the Dems are planning a huge stimulus package with a big cleantech component and asked for ideas. Brian Castelli, Executive Vice President of the DC-based Alliance to Save Energy sent me their recommendations.

Brian has been a cleantech leader for over three decades. I got to know him at the DOE where he served as Chief of Staff to the assistant Secretary for energy efficiency and renewable energy, during which time we perfected our “bad cop – worse cop” routine. He has an MBA, served as a state energy director and has lots of other creds the world might know about if the link on ASE’s website to his bio wasn’t broken.

Here are the Alliance’s proposals:

Read more

Yglesias

Blogitecture in Helsinki

180px_mannerheim_ratsastajapatsas.jpg

Kids — I’m off today for a week-long trip to Helsinki, Finland where I and some other DC-based policy thinkers and writers are going to be guests of the Finnish government to learn about their education system. Finland is a world leader in PISA scores and other measures of educational success, so as the United States tries to reverse the current disturbing trend toward declining educational attainment, it seems that perhaps we have something to learn not only from how Finnish schools function, but from the larger social and economic policy context in which children learn.

In general, I think the United States has a lot to learn from the social models prevailing in northern Europeans countries such as Finland. Finland’s per capita GDP is roughly the same as America’s, but Finland’s gini coefficient is far lower, suggesting that typical Finns enjoy higher material living standards than do Americans. Add to that longer life expectancy, lower crime rates, and lots of modernist design and architecture and it seems like a nice place. On the other hand, they have worse weather. I once spent an extremely long layover in Helsinki Airport where I was surprisingly well treated by Finnair rather than given the usual “we’ve stranded you here and it’s all our fault but we refuse to apologize or take responsibility” schtick one usually gets form airlines, so I’ve long felt a deep appreciation for the Finnish way and I’m very eager to see some non-airport portions of the country (the view from the terminal looked nice).

At any rate, you know the drill — blogging will continue, but on a reduced and somewhat sporadic schedule. Of course you should expect some commentary on Helsinki’s public transportation (metro, tram, and commuter rail — a veritable trainapolooza) system.

Yglesias

The Department of Lieberman

Peggy Noonan revives the long-simmering issue of why we’ve given our border security and disaster recovery agency the creepy and un-American name “Department of Homeland Security”:

By the way, [Barack Obama] should both reorder the Department of Homeland Security, that hopeless bureaucracy, and change its name. Homeland is a Nazi-ish word, not an American concept at all. And at this point “Homeland Security” is associated more with pointless harassment than safety. No one knows who came up with it.

Steve Benen observes that there’s no mystery here — it was Joe Lieberman. I say we call it “The Department of Lieberman.”

Meanwhile, I saw Punisher: War Zone last night. Predictably, it’s bad. But beyond that, you can add it to the pile of the large number of films that portrays the Department of Homeland Security as some kind of incredibly badass intelligence or paramilitary outfit. I don’t understand why this keeps happening. We have all kinds of badass agencies — intelligence, special forces, SWAT teams, etc. — but DHS does border security and disaster relief, not the FBI’s counterintelligence and counterterrorism functions.

Economy

Stubborn Bush Prepares His Final Act: Devastate The Ailing Economy By Letting The Auto Industry Die

Our guest blogger is Daniel J. Weiss, a Senior Fellow and the Director of Climate Strategy at the Center for American Progress Action Fund.

pic.jpgGeorge Bush’s deep unpopularity, lack of a positive agenda or accomplishments, and his waning days in office have sapped most of his presidential powers save one: the ability to say “no.” His intransigent opposition to long term bridge loans to save General Motors, Chrysler, and Ford has forced Congressional leaders to scramble to provide assistance to prevent bankruptcy, which would devastate the already ailing economy. It appears that there is a tentative deal that will keep GM and Chrysler on life support until the new president and Congress can provide long-term assistance to nurse them back to health.

The possible deal would loan GM and Chrysler up to $17 billion from the Advanced Technology Vehicles Manufacturing Incentive Program, established by Sec. 136 of the Energy Independence and Security Act. This program provides up to $25 billion in loans to retool factories so that they can produce more efficient vehicles that meet new fuel economy standards. Already, the Big Three and smaller innovative start up companies are seeking these funds.

Speaker Nancy Pelosi opposed using these funds for the bridge loans because they are supposed to jump start efforts to build significantly more efficient cars. Taking this money would only delay this critical effort, slowing American companies’ efforts to win the race to build the super efficient cars of the 21st Century.

November’s shocking unemployment figures of another half million people out of work made it imperative that GM and Chrysler avoid bankruptcy. Speaker Pelosi acted responsibly to provide the only solution that Bush and conservative lawmakers would accept:

“Congress is considering various short term funding options for the American automobile industry. We will not permit any funds to be borrowed from the advanced technology program unless there is a guarantee that those funds will be replenished in a matter of weeks so as not to delay that crucial initiative. Regardless of the source, all funding needs will be tightly targeted with vigorous supervision and guaranteed taxpayer protection.”

This weekend, Congressional leaders will hammer out the conditions for the loans. Read more

Media

Built Wieseltier Tough

Leon Wieseltier laments the continued existence of mediocre music in a post-Mumbai universe:

On the second night of the atrocity in Mumbai I was hungry for news and turned on CNN. What I got was John Legend moving himself, and the audience, at something called “A Celebration of Heroes,” with a revoltingly sanguine song. It is called “If You’re Out There,” and it is one of those grandiose Quincy Jones-ish anthems to an easy eschatology. I expect to hear it a lot around January 20, when all will be put right. “If you’re out there/ Sing along with me/ If you’re out there . . ./No more broken promises/ No more call to war/ Unless it’s love and peace that/ We’re really fighting for/ We can destroy hunger/ We can conquer hate . . .”: that is what I heard while the Taj was burning. As dumb as the Youngbloods in my day, except for its groove. When trouble comes, these souls will be useless. I reflect now on the beautiful reliefs at Jaulian, which defeated the hordes of the White Huns in the fifth century when the heat of the fires that were set to destroy them turned clay into terracotta and preserved them. Toughness is the condition of a gentle world. There are all kinds of people out there, and a great quantity of fire.

Those souls will be useless, but the world will call for the assistance of literary critics with incomprehensible prose and pretensions to foreign policy expertise?

Yglesias

Kick the Can

Congressional Democrats set to offer Detroit a mini-bailout so real decisions can be made in January when Barack Obama’s in office and the GOP congressional majority will have less influence.

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