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Health

GOP Health Group Misdiagnoses Health Care Crisis

courtroom1.jpgThe new Republican health study group may be interested in resurrecting Sen. John McCain’s (R-AZ) failed consumer-driven health care proposal or ensuring that Americans never have a choice between a public or private health care plan.

One goal is certain: this isn’t about coming up with viable policy solutions. To the contrary. This group is more interested in scoring political points and recycling trite rhetoric, than they are in lowering health care costs.

Consider Rep. Roy Blunt’s (R-MO) (he’s the group’s chair) description of the GOP’s approach to the health care crisis:

Republicans are committed to making health care more affordable, more accessible and offer more options to American families…Through this working group, Republicans will develop real solutions to improve our health care system by putting patients before paperwork and frivolous lawsuits. I am honored that the Republican Leader has asked me to lead a group of talented members who I know will be active participants in this important debate.”

To identify “real solutions,” one must first properly diagnose the problem. Blunt’s argument that “frivolous lawsuits” are significantly driving up health care costs, however, misses the point entirely.

The total cost of malpractice constitutes just 0.46 percent of total health care expenditures and settlements have grown modestly with inflation. While approximately 98,000 people die each year from negligent treatment, a mere 2 percent sue their physicians. As Maggie Mahar of Health Beat observed, “a very small group of doctors are losing or settling malpractice lawsuits, but they are losing big.” Between 1990 and 2002, “5.2 percent of doctors were responsible for 55 percent” of all malpractice pay outs.

In short, the increasing costs of malpractice insurance premiums are hurting doctors, but they’re not the real causes of increasing health care costs. And the longer Republicans obscure the real issues and obstruct reform efforts, the higher the costs will rise.

Yglesias

Andrew Sullivan Thinks I Live in Manhattan

But just because I quit The Atlantic doesn’t mean I’ve left DC.

At any rate, the argument that the administration has erred by not being more hardcore about the stimulus isn’t an argument about short-term politics. It’s an argument about the irrelevance of short-term politics. The administration will be judged in 2012 on the basis of its results. Unpopular 2009 actions that produce a strong recovery will be rewarded. Popular 2009 actions that prove insufficient to drive a strong recovery will be punished. “But the voters liked this approach 40 months ago” isn’t going to convince anyone.

UPDATE: Similarly, though Will Marshall makes some good points here he doesn’t address the question of substance. But the issue here isn’t simply that Paul Krugman wants to see more partisan red meat, it’s that there’s concern as to whether the Senate bill actually has enough job creating muscle to get the economy over the hump.

Yglesias

The Ws of Cleveland

Yesterday I watched a fair amount of NBA coverage on TV, and sports pundits across the land seemed oddly fixated on the idea that Mo Williams deserved to be sent to the All-Star Game. The basic argument was that since Cleveland is doing so well, they “must” have two All-Stars on the team. It wasn’t entirely clear if they were making an epistemic argument in which the success of the Cavs demonstrated that it must be the case that Williams is having an All-Star season or if it was a causal case in which the Cavs’ success simply mandates that you must make Williams and All-Star irrespective of the quality of his play.

Either way, it doesn’t make much sense. Almost any way you slice the numbers you come to the conclusion that what’s happening in Cleveland is exactly what it looks like—LeBron James is a fantastic basketball player, and then there are 6-8 other guys there making contributions, none of them extraordinary and none of them wildly out of line with his teammates.

ben_wallace_injury_cavs_nc.jpg

But beyond that, the focus on Williams seems myopic. Williams, it seems, is Cleveland’s second All-Star because he scores the second-most points. But everyone knows that there’s more to the game than scoring. And unlike your average overrated one-dimensional scorer, Williams isn’t even scoring that much. 17 points per game is nothing to sneer at, but it doesn’t exactly leap off the page and scream “All-Star season!” In terms of scoring efficiency Delonte West, Wally Szczerbiak, and LeBron James are all doing better (my stats are coming from here). Rebounding-wise, James, Ilgauskas, Varejao, and Ben Wallace are all contributing more in raw numbers, and Szczerbiak and Sasha Pavlovic contribute more on a per-minute basis.

A main idea behind the Williams-love seems to be that he’s new, and the Cavs have improved, so it must be all thanks to Williams. But the truth is that several Cleveland players are simply playing better than they did last year. LeBron is still on the upswing of his career, which should be no surprise given his age. Delonte West has dramatically increased his shooting efficiency and reduced his turnovers. And Ben Wallace’s rebound rate has edged back up from last year’s low point, and his shooting efficiency is the best it’s been since the 2005-2006 season.

Politics

GOP Leaders Taking Cues From Malkin On Stimulus, Call It ‘Generational Theft’

In early January, when President Obama first proposed his American Recovery and Reinvestment Plan, conservative columnist Michelle Malkin balked at the proposal’s name, writing that it should be called “The Generational Theft Act of 2009.” Malkin has been pushing her attempted re-branding ever since, repeating it over and over and over again.

Malkin’s views are apparently beginning to hold sway with Republicans in Congress. On January 29, Sen. Tom Coburn (R-OK) said of the proposed stimulus package, “This bill is a generational theft bill.” In a blog post yesterday for AmericaSpeakOn.org, a new conservative 501(c)4 group, House Minority Leader John Boehner (R-OH) used Malkin’s language as well:

The hundreds of billions of dollars Washington is borrowing to finance this pork-barrel monstrosity will come from our children and grandchildren. This is not “stimulus” – it’s generational theft.

Sen. John McCain (R-AZ), who has become a top critic of the recovery package in the Senate, also referred to it as “generational theft” on CBS’ Face The Nation yesterday. Watch it:

Malkin isn’t the only far right conservative pundit influencing the GOP these days. As ThinkProgress noted yesterday, congressional Republicans are embracing right-wing talker Rush Limbaugh as their “unofficial leader.” Some Republicans, like Sen. Chuck Grassley (R-IA), are following Limbaugh’s lead by referring to the stimulus as the “porkulus” bill.

Health

The Latest On The Nelson-Collins Health Care Cuts

Throughout the course of the stimulus debate, I have argued that investing in health care would create health care jobs in the short term and lay the foundation for lowering health care costs.

But Sens. Ben Nelson (D-NE) and Susan Collins (R-ME) — who have led the effort to cut spending in the stimulus bill by about $100 billion — aren’t buying it. In an effort to trim “the fat“, they’re slashing a litany of health care provisions. The Kaiser Family Foundation has the latest:

- Reduce funds for federal subsidies for health insurance under COBRA by $5 billion and funds to help hospitals adopt electronic health records by $2 billion.

- Federal subsidies for COBRA would cover 50% of health insurance premiums for 12 months, compared with 65% of premiums for nine months as called for in the original Senate legislation.

- Reduce funds for the Biomedical Advanced Research and Development Authority for pandemic flu preparedness by about $870 million.

- Reduce funds for health care prevention and wellness programs by $2 billion.

- Eliminate funds for comparative-effectiveness research and school nutrition programs.

Today, President Obama explained the logic of investing in the health care sector:

If we’re going to be spending money anyway creating jobs, why not create jobs getting these medical records set up in a way that drives down health care costs over the long term?

So my critics have said that’s social policy. That’s not stimulus. Look, doesn’t it make sense if we’re going to spend this money to solve big problems that have been around for decades? That’s what we’re trying to do.

Watch it:

Climate Progress

I taped an interview for Lou Dobbs tonight on “clean coal” in the stimulus bill

The interview, not with Dobbs himself, is on the absurd FutureGen earmark in the Senate stimulus bill.

The coal industry needs to get its story straight. Is the Futuregen “zero-emissions” coal technology now in the stimulus bill “shovel ready”? If so, the industry shouldn’t oppose greenhouse gas regulations or even an emissions standard that blocks coal without CCS (see “The Path to Carbon Capture and Storage).”

If the technology does not exist, if as the industry claims we are many years away from demonstrating commercial viability for capturing and storing CO2 from coal, then there won’t be bloody many jobs created over the next two years by this $2 billion (see “Is coal with carbon capture and storage a core climate solution?“).

Politics

Obama DOJ affirms Bush’s state secrets position in extraordinary rendition lawsuit.

In federal court today, the Obama administration signaled it would uphold the Bush administration’s state secrets position in a lawsuit regarding Bush’s use of extraordinary rendition. Five men who say they were victims of extraordinary rendition — including current Guantanamo detainee and torture victim Binyam Mohamed — sued, but the case was thrown out last year after Bush declared it to be a matter of state secrets. In an appeal today, the new administration took the same position:

A source inside of the Ninth U.S. District Court tells ABC News that a representative of the Justice Department stood up to say that its position hasn’t changed, that new administration stands behind arguments that previous administration made, with no ambiguity at all. The DOJ lawyer said the entire subject matter remains a state secret.

Last Wednesday, Britain’s High Court of Justice revealed that the U.S. had threatened to stop sharing evidence with Britain if it disclosed evidence of the torture Binyam Mohamed has endured.

Yglesias

Trimming the Filibuster

If you’re interested in the subject of how the filibuster rule might be modified, check out this article from the March 17, 1975 issue of Time laying out the legislative work for the most recent update of the filibuster, reducing the supermajority requirement from 67 Senators to 60 Senators.

Media

Barnes Takes The Lead in “America’s Worst Columnist” Sweepstakes

g219_1.jpg

Fred Barnes takes decisive action to recapture the lead from Charles Krauthammer in their long-running duel for the title of “America’s Worst Columnist.”

Two facts all but forced Republicans to adopt the zero option. Partisan zeal wasn’t one of them. Republicans were ready to be pawns in a bipartisan game. But Obama’s promise to bring the parties together played out in form (he courted Republicans) rather than substance (he declined to compromise). Republicans got nothing in the bill. That was fact number one. And after they objected to the cost of the House version ($819 billion, not counting the debt payments), the measure grew larger in the Senate. That was the second fact.

Democrats couldn’t hide their self-consciousness about the excesses of their own bill. Supporters made few TV appearances to defend it and rarely talked about specific spending items. Obama sounded like Al Gore on global warming. The more the case for man-made warming falls apart, the more hysterical Gore gets about an imminent catastrophe. The more public support his bill loses, the more Obama embraces fear-mongering. “The failure to act, and act now,” the president said last week, “will turn a crisis into a catastrophe.”

Yes, that’s right, hundreds of billions of dollars in tax cuts now count as “nothing.” And Barnes has (a) invented the fact that there’s no man-made global warming, and (b) invented a new meta-fact which claims that there’s growing evidence for his position. Normally when reading something like this you need to wonder if the writer is being stupid or being dishonest, but in Barnes’ case it’s usually safe to assume that the answer is “both.” Naturally, contributors to Barnes’ Weekly Standard—a publication that enjoys nothing more than misinforming people—will continue to be guests on cable television much more frequently than will contributors to progressive publications.

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