ThinkProgress Logo

Health

Howard Dean: Real Health Reform ‘Rises And Falls On Whether The Public Is Allowed To Choose Medicare’

Today, during an appearance on MSNBC’s Hardball, former Gov. Howard Dean (D-VT) said that a public insurance option is essential to any health reform effort:

If Barack Obama’s bill gets changed to exclude the public entities, it is not health insurance reform…it rises and falls on whether the public is allowed to choose Medicare if they’re under 65 or not. If they are allowed to choose Medicare as an option, this bill will be real health care reform. If they’re not, we will be back fighting about it for another 20 years before somebody tries again.

Watch it:

Progressives argue that regulated competition between a public and private health insurance plans would lower health care costs and improve quality. In other words, allowing patients the choice of a private plan or a public plan would re-invigorate real market competition. Private and public plans would have to deliver the highest quality at the lowest possible cost to attract patients.

This is certainly a familiar argument, but Dean is going one step further. He’s suggesting that a public option is a key progressive value, on par with universality and affordability of coverage. President Obama is expected to lay out his health care principles during tonight’s address. We’ll have to see if the President agrees with the Governor.

Politics

Obama to withdraw most troops from Iraq by August 2010.

obamapetraeus12.jpgPresident Obama is expected to announce this week that he will withdraw most U.S. troops from Iraq by August 2010, 19 months after his inauguration. Obama’s plan will initially leave a “residual force” of 30,000 to 50,000 troops. “A further withdrawal will take place before December 2011, the period by which the U.S. agreed with Iraq to remove all American troops.” Obama was also considering 16-month and 23-month timetables; the 19-month time frame was reportedly a “compromise.”

Yglesias

Non-Sequitur Objections to Bank Nationalization

continental_1.jpg

William Isaac has a Wall Street Journal op-ed claiming that his experience at the FDIC during the time when Continental Illinois was taken into receivership has given him important insights into why we shouldn’t use nationalization as a solution to the problems of today’s large banks. The op-ed doesn’t, however, really do that. Instead, it just repeats a couple of common instances of argumentative ping-pong. One sequence goes like this:

  1. Me: The FDIC nationalization process works well for dealing with small insolvent banks, so faced with a large insolvent bank we should do something similar.
  2. Isaac: But we’re talking about much bigger banks, it’s a different situation!

The other goes:

  1. Me: A nationalization process worked well for Sweden in the early 1990s, so faced with a similar banking crisis we should do something similar.
  2. Isaac: But we’re talking about a much bigger country, it’s a different situation!

In both cases, it’s true, the scale is different. But you have to consider why nationalization is the appropriate response in other situations. The issue is that there are only really two other alternatives. One is that you can let the bank go under, thus ensuring that everyone to whom the bank owes money loses out and setting off a panic that paralyzes your financial system. The other is that you can just give free money to the bank, thus rewarding the managers and equity holders whose poor business decisions created the situation. Neither of those is a very appealing option. Thus, nationalization. Nothing about the banks in question being big, or about the United States being a large country, change the fact that the other options are bad. Isaac offers this alternative prescription:

The Obama administration should declare that nationalization of any major bank is off the table; that the government stands behind our entire banking system; and that our banks will continue to receive a nonvoting form of equity capital, such as convertible preferred stock, from the government to the extent needed. Yesterday’s joint announcement to this effect by the Federal Reserve, FDIC, the Comptroller of the Currency, and the Treasury is a critical step toward healing our banking system and economy. Well done.

This is the “free money” option. And while it’s true that our only examples of successful nationalization schemes come from much smaller countries, we do have an example from the world’s second-largest economy of what happens when you try to go down this road. It’s Japan in the 1990s and it didn’t work. Now it’s true that the fact that the alternative to nationalization failed in a large economy doesn’t prove that nationalization will work. In theory, it could just be the case that we’re screwed and that there’s no way for a large economy that runs into this problem to rescue itself absent decades of suffering. But it’s also possible that what’s been made to work in small countries can be made to work in large ones. And as Kevin Drum says, it’s not as if the government would be restaffing Citi and Bank of America de novo. By and large, the very people working at those banks today would keep on working there. Some senior managers would get fired. But the big difference is simply that you would create a situation where a robust bailout of the institutions doesn’t end up rewarding the existing shareholders and senior managers. Then you could do the bailout and refloat the bank to private investors. It’s not about having the government “run” the bank, it’s about making sure that bailouts don’t reward the wrong people.

Economy

TARP Inspector General: Don’t Let TARP Fall Victim To Fraud Like Katrina And Iraq

barofsky.jpgToday, the House Financial Services subcommittee on oversight and investigations held a hearing to review accountability and transparency in the Troubled Assets Relief Program (TARP). During his testimony, Neil Barofsky, the Special Inspector General of the program, warned that if the Treasury Department is not “vigilant,” TARP could fall victim to fraud, much like the federal response to Hurricane Katrina or Iraq’s reconstruction:

History teaches us that an outlay of so much money in such a short period of time will inevitably draw those seeking to profit criminally. Hurricane relief, Iraq reconstruction, and the savings and loan bailout serve as important and difficult lessons. If, by percentage terms, some of the estimates of fraud in those programs apply to the TARP programs, we are looking at the potential exposure of tens if not hundreds of billions of dollars in taxpayer money lost to fraud. We must be vigilant.

This is a wise bit of advice, as billions were wasted during both the Katrina and Iraq reconstruction debacles. At the same hearing, Gene Dodaro of the Government Accountability Office (GAO) said that Treasury is taking steps to improve accountability “consistent with our recommendations,” but that “additional action is needed to better ensure that all participating institutions are accountable for their use of program funds.”

Politics

Vitter: Even though I didn’t resign, Burris should.

Earlier today, Sen. David Vitter (R-LA) called on Sen. Roland Burris (D-IL) to resign his Senate seat. Despite his own refusal to resign after admitting to being a former patron of the “DC Madam”, Vitter dismissed the notion that his demands of Burris are hypocritical. “I honestly don’t know anybody who would compare these situations. They are dramatically different,” Vitter said. The Hill reports:

Vitter said that Burris “clearly, at a minimum, misled the Illinois Legislature and the voters of the Illinois” by giving incomplete answers about his contacts with and fundraising efforts for former Gov. Rod Blagojevich (D-Ill.) as Blagojevich was considering appointing Burris to the state’s Senate seat.

“Obviously there are even more serious charges of perjury, but I guess that will sort itself out in terms of legal proceedings,” Vitter said.

After Vitter admitted his links with the DC Madam in 2007, right-wing pundit Sean Hannity said, “I think Senator Vitter should probably live by the line that he put out for Bill Clinton back in the Monica Lewinsky scandal.” Vitter adamantly refused to resign. Now, it seems, the old Vitter is back and demanding that public officials be held to account.

Emily Aden

Yglesias

Jason Furman on Fiscal Policy

jason_furman.jpg

Jason Furman is now Deputy Director of the National Economic Council. Conveniently, he also wrote an article for Slate back in April on what fiscal policy should look like. Thus far, everything that Obama’s done has been something that Furman recommended. But not everything Furman recommended has thus far made it into the budget. So it’s perhaps useful to take a look at what other kinds of ideas are bouncing around. Furman advocates:

  1. “[I]ncreased sin taxes on items like cigarettes” which, as you know, I agree with. I’m not sure how much room there is left to run with federal cigarette taxes before we start producing a counterproductive black market, but there’s a strong case for higher alcohol taxes and a decent case for legalizing-and-taxing marijuana.

  2. He says we should seek “a broader tax base by, for example, reforming the deductibility of the mortgage interest.” This is a very good idea, albeit politically difficult to implement. But insofar as we’re concerned with the long-run deficit, you could use a non-indexed cap such that over the years inflation will slowly phase the deduction out.
  3. On Social Security he says “Two of my favorite options are raising that amount of Social Security payroll that is taxable and indexing benefits and/or taxes to the changing ratio of beneficiaries to workers.”
  4. He calls for “scaling back on weapons systems originally designed to fight pitched battles on the plains of Europe,” which does seem to be the inclination of many inside the administration, but all signs are that they won’t actually seek to cut the defense budget or even to hold the defense budget steady. Instead, the White House will have a battle with the Pentagon over whether a country that accounts for half of global defense expenditures should engage in moderate real increases in defense spending or large real increases in defense spending. I expect fiscally conservative Blue Dog deficit hawks to be outraged by this state of affairs.*

Outside the realm of bullet points, two other things he suggests are switching the measure of inflation to the C-CPI-U and that cuts in small-bore government programs could be valuable “if only to create more confidence in the budget process.” The latter, I think, is something we very well may see. The President loves the line about going through the budget “line by line” and eliminating programs that don’t work, so they probably need to eliminate something or other to be able to keep saying it.

On the inflation index thing, this almost seems like a bipartisan deficit reduction no-brainer. It would, in effect, simultaneously raise taxes and cut spending but could be plausibly portrayed as doing neither—it’s just a technical adjustment to the way the Consumer Price Index is calculated! Of course, you would never want to do something like that as a one-party measure but if there’s ever a bipartisan commission or what have you, then this is a very appealing option. From an ideological point of view, I would say that the problem to watch out for is that you sometimes hear the suggestion that this switch should be made only for Social Security. That’s not something I would want to see progressives agree to. But make the switch across the board and it’s a progressive measure that, in exchange for a mild slowing of the growth in Social Security benefits, would also mildly increase not only the level of Social Security taxes but also income taxes more generally, generating revenue that can be used for all manner of worthy domestic purposes.

Read more

Politics

Senate confirms Hilda Solis as Labor Secretary.

Today, the Senate voted 80-17 to confirm Hilda Solis as Labor Secretary. The vote is a defeat for anti-worker conservatives, who have been stalling her nomination since Obama nominated her on Dec. 19. Responses from the AFL-CIO, SEIU, and UNITE HERE.

Update

Jason Rosenbaum at the Seminal writes, “What’s more, given her strong progressive bona-fides and her vote in the House for the Employee Free Choice Act, we can safely say that the first battle over passing the Employee Free Choice Act has been won. I think it’s safe to expect strong support for unions and working families from Secretary Solis, and that includes supporting Free Choice.”


Update

,Roll call vote here.


[upd

Yglesias

Democracy Promotion Requires Peace Promotion

ayman_nour.jpg

Over at the Wonk Room, Peter Juul calls attention to our CAP colleague Brian Katulis’ paper on democracy promotion in the Middle East for the Century Foundation. It features the following bullets:

1. Restore U.S. credibility by disconnecting democracy and human rights promotion from U.S. security goals and reforming our own human rights and civil liberties practices. The Obama administration has already taken big step in this direction by directing the closure of the Guantanamo Bay prison camp by next January.

2. Use diplomacy to promote national consensus in key countries and address conflicts in the region. Internal conflicts in countries throughout the region – form Lebanon and the Palestinian Territories to Iraq and Yemen — are driven by the lack of a national political consensus on basic structures of governance. Moreover, resolving the Arab-Israeli conflict will create an environment in the region more conducive to democratic reform.

3. Integrate U.S. approaches to supporting democracy and governance reform in the region. All U.S. government assistance – from USAID to the State Department to military aid — should be coordinated to better encourage better governance by recipients of American funding and assistance.

4. Increase positive incentives for democratic reform. The model of the Millennium Challenge Corporation, which provided incentives to promote economic development and improved governance, is one the new administration can encourage reforms.

5. Diversify funding for democracy promotion in the region. Private philanthropy, endowments, partnerships and the like in the Middle East should be encouraged to take on political reform, building a stronger organic base for democracy and human rights.

6. Recognize the political power of Islamist forces. Like it or not, Islamist groups are potent political forces in many countries in the Middle East. Reform efforts that ignore them are at best incomplete, and the United States needs to take non-violent religious-political movements into account.

These are all excellent points. One thing I would add that I think has a tendency to go missing in these discussions is that the essential background for effective and sustainable democracy promotion is a relatively benign international climate. The end of the Cold War wound up being a boon to democracy not just because several Soviet-dominated countries in Central and Eastern Europe turned into democracies. It also helped spread democracy in Asia and Latin America, too, primarily because the United States no longer felt the need to support “our bastards” regimes and could, instead, make it clear that close relations with the U.S. depended on a proper respect for basic human and political rights. Great power conflict, by contrast, merely ensure than any actual or would-be dictator or revolutionary can always count on the support of one or the other external players.

That’s something to keep in mind in general as we try to stay true to our values while negotiating a transition to a more multipolar world. An emphasis on democracy and human rights implies some level of tension with the government of China. But at the same time, maintaining a basically friendly relationship with China is actually crucial to fostering an environment in which democracy and respect for human rights can blossom. That’s a difficult line to walk, but it’s important. And the general idea has application to the specific region. Working on the Israeli-Arab conflict or on trying to work toward an improved relationship with Iran can be seen as contrasting goals with democracy promotion. But at the same time, lowering international tensions in the Middle East would in many ways make it easier to move forward on democracy.

Politics

Study: Network news coverage favored Republicans from 1992-2004.

It’s a truism among conservatives that the media has a liberal bias, but a study of campaign coverage released by Indiana University has found that ABC, CBS, and NBC favored Republicans in each of the presidential elections from 1992 through 2004. The study, which is the “first major research project analyzing the relatively unexplored territory of visual coverage in presidential elections,” found that “production decisions” such as editing techniques, camera angles and shot lengths were more favorable to Republicans. The study also looked at “who is given the last say in a piece,” finding that “GOP candidates were favored in terms of having the last say in all but the 2004 election.”

- Michael Wilson

Security

Goldfarb: Can’t Show Weakness In Front Of The Russians!

putin-medvedev.jpgLeaving aside former McCain spokesblogger Mike Goldfarb’s yawn-inducing insinuation that criticizing neoconservatives qualifies as Jew-baiting, I think his interpretation of President Obama’s response to Russia is interesting:

There were very few times in last year’s campaign when McCain completely outmaneuvered Obama, but one of those instances came during the invasion of Georgia, when McCain’s deep suspicion of all things Russian led him to condemn Russia’s aggression quickly and forcefully. Obama, on the other hand, allowed his staff to put out a pathetic statement calling on both sides to show restraint. The invasion of Georgia provided no opportunities for this country, it was a moment that brought into sharp relief the dangers posed by a resurgent and more confident Russia. Even as a decline in energy prices and a global recession threaten the collapse of the Russian economy, that country continues to assert itself by pressuring the Kyrgyz to shut down a critical U.S. supply line. [...]

Obama projected weakness and indecision when Russia first invaded Georgia last summer. Now the Russians are trying to choke off U.S. forces in Afghanistan and the Obama administration has offered no discernible response — though, presumably, hopefully, a serious behind-the-scenes effort to determine a strong response is underway.

It’s true that the Georgia crisis temporarily boosted McCain’s campaign, but this probably had less to do with McCain’s “maneuvers” than with the way that international crises of this sort generally redound to Republicans’ benefit. Something similar could be said in regard to the economic crisis and Democrats.

But while it’s less than surprising that members of McCain’s own staff were deeply impressed by his response to the Russian invasion — bellicosity, after all, qualifies as good policy in conservativeland — I actually think it probably did more in the long run to hurt him by highlighting his tendency to perpetually careen from crisis to crisis, an image that was finally and forever cast in granite when, in a matter of days, he went from barely noticing the economic collapse to frantically suspending his campaign to deal with it.

Meanwhile, the fact that Obama undertook a serious behind-the-scenes effort to determine an appropriate response, rather than simply popping off at the mic in an attempt to appear “strong,” was interpreted by the American people as evidence that he was prepared to govern.

Certainly, Russia’s recent behavior is troubling, but it’s worth pointing out that none of the dire predictions being floated by McCain or his brain trust during the Georgia crisis — Bill Kristol and Bob Kagan, for example, couldn’t agree on whether Putin was more like Hitler or Stalin — have come to pass. In retrospect, it almost seems like these guys were milking the crisis for maximum political benefit, but I know that can’t be true.

Older

Newer

Switch to Mobile
ThinkProgress Signup Overlay Skip and Continue to ThinkProgress Skip and Continue to ThinkProgress

Sign Up