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Yglesias

The Health Care See-Saw

One way to think about the health care debate as it plays out in congress is in terms of vote-buying. The closer from passage a health overhaul gets, the more valuable everyone’s votes become, and the more reasonable it becomes for members to start raising all sorts of objections to try to maximize their share of the surplus. But anytime the prospects for reform start looking bleak, there’s a bubble in vote prices that collapses. The 218th House vote is very valuable, but the 112th is worthless. That creates incentives for members to make their asks cheaper and then things move forward.

A consequence of this is that the metaphor of “momentum” is very misleading—it’s more like a pendulum. Which I think is borne out by what you see on the ground. Something like the House passing a version of reform doesn’t, via momentum, eliminate objections in the senate. Rather, it leads to an intensification of intra-caucus animosity. What relaxes tensions is the prospect of failure.

It’s not clear to me if the final settling place of this dynamic is passage or failure, but I think it points toward passage. Another point is that Republicans, by taking themselves out of the game, are ceding a huge amount of bargaining power to the Democrats. If Republican members were willing to be more creative and buck their leadership, they could gain a ton for themselves.

Security

U.S. Citizen And Samoan Diplomat Accidentally Arrested By Immigration Authorities

keil_1Court House News reports that Hans Joachim Keil, a U.S. citizen and Samoan diplomat, was wrongfully arrested by US immigration authorities who thought he was an “illegal alien” and incarcerated for nine days.

Keil alleges that immigration agents confiscated his valid U.S. and Samoan Diplomatic passports and questioned him without providing legal counsel. Keil claims that he was charged with falsely claiming to be a U.S. citizen and is seeking punitive damages for “constitutional violations, unlawfully imprisonment, pain and suffering, emotional and mental duress, and for being denied permission to leave Missouri for 4 months to tend to his diplomatic duties.”

Keil isn’t the first U.S. citizen to get tangled up in the nation’s broken immigration system. In June, U.S. citizen Irving Palomo was detained and put in a van headed for Mexico due to an U.S. Immigration and Customs Enforcement (ICE) mix-up. Diane Williams, a U.S. citizen of Caucasian and Native American descent, was recently deported to Honduras due to a mistake made by ICE officials. Mark Lyttle, a U.S. citizen who suffers from a mild mental disorder, was deported to Mexico. Mexican officials then deported him to Honduras, and Honduras deported him to Guatemala. After spending four months in Latin American prisons and homeless shelters, Atlanta airport officials tried to deport Lyttle again on his way back to his home in North Carolina.

The American Civil Liberties Union (ACLU) conservatively estimates that approximately 100 U.S. citizens are accidentally ensnared by the country’s broken immigration system each year.

The charges against Keil were immediately dropped when the Department of State acknowledged he was a citizen.

Media

Liberal Professor Marc Lamont Hill Appears On O’Reilly’s Show After Murdoch Said He Had Been Fired

Last night on the O’Reilly Factor, host Bill O’Reilly brought on Marc Lamont Hill and Mary Katharine Hamm to talk about Iran’s nuclear weapons program. He introduced Hamm as a “Fox News analyst” and called Hill — who was filling in for NPR reporter Juan Williams — a professor from Columbia University.

Marc Lamont Hill

What was interesting about Hill’s appearance was that it was his first one in nearly a month — since he was supposedly fired by Rupert Murdoch. From a report by the Live Feed on Oct. 16:

Rupert Murdoch continued Fox News Channel’s duel with the White House on Friday while also announcing the termination of the network’s left-leaning analyst Marc Lamont Hill. [...]

Murdoch also said that Hill has been fired. He revealed the move after a shareholder had raised the question of how Hill was hired, citing his “reputation of defending cop killers and racists.”

Murdoch never said why the network let Hill go. However, the Columbia University professor’s views — such as his defense of White House adviser Van Jones — are often out of step with those of the network’s hosts. Additionally, Hill has been the target of Cliff Kincaid, who works for the right-wing “Accuracy in Media” organization and has been leading a campaign to get Hill fired.

But if his controversial views were the reason he’s no longer a Fox News analyst, then why would O’Reilly still have him on his show? Or was there another reason he was fired?

Late last month, Hill said that he found out he had been fired through a “Google alert.” But on Twitter, Hill still calls himself a “Professor/Activist/Fox News Analyst,” and his bio on his website reads:

Marc Lamont Hill Bio

Hill has not responded to inquiries from ThinkProgress about his arrangement with Fox.

Yglesias

The Historical Evolution of Three Point Shooting

I observed the other day that the average points per NBA three point attempt in 2008 exceeded the average points per possession. Then the next day I read in Bill Simmons’ The Book of Basketball about how low three point percentage was in the first few years of NBA three pointers. So I thought it might be useful to take a historical look at this question. Thus the following charts points per possession and points per three point attempt ever since the three pointer was introduced in the 1980 season:

threepointers

In the early years, three point percentages were terrible and a possession ending in a three point attempt tended to be a badly below-average possession. But pretty quickly either the existing players got better at shooting from long range, or else better long range shooters got recruited into the association, and three point attempts became about average. Ever since that happened, the two indicators tend to be pretty close, though with the points per three point attempt slightly above the average points per possession.

It’s be interesting to compare the comparable figures from NCAA and different European leagues. Have all leagues converged to this same equilibrium, or are there some places where the average points per three pointer is somewhat lower than the average points per possession.

Health

The Far Reach Of Stupak’s Amendment

Rep. Bart Stupak (D-MI)

Rep. Bart Stupak (D-MI)

Over at FiredogLake, Jon Walker points out that the Stupak Amendment “could effectively stop many employer-provided health insurance plans from covering abortions for tens of millions of Americans” and restrict any private plan in the Exchange from offering abortion coverage. The amendment stipulates that “no funds” authorized under the health care reform bill “may be used to pay for any abortion or to cover any part of the costs of any health plan that includes coverage of abortion, except in the case…[of a risk of death of the mother, rape, or incest].”

But as Walker explains, while the bulk of the federal money may lie in subsidizing coverage for middle class Americans, the federal dollars appropriated through HR 3962 touch “many insurance plans directly and indirectly.” The Stupak amendment would prohibit insurers from selling abortion coverage in the following ways:

1) Any policy that is sold within the Exchange: A strict interpretation of the Stupak language suggests that since the Exchange is established by the federal government, any plan that operates within the Exchange would not be able to provide abortion coverage. However, since Stupak allows insurers that operate plans within the Exchange to sell abortion riders, one could also assume that a policy in the Exchange could still offer abortion coverage.

2) Policies in the Exchange that receive risk-adjustment dollars: Even though the risk adjustment mechanism is distributed from a pool that is seeded with insurer dollars, the government distributes the dollars, which adjust for individuals who receive government-subsidized coverage. Moreover, one could also argue — like the Bishops did — that once insurer money enters a risk adjustment mechanism that is administered by the government, it automatically becomes government money. Under this explanation, insurers that sell abortion riders may not qualify for risk adjustment payments.

3) Policies in the Exchange that are directly subsidized by the government: Anyone who receives government affordability credits (Americans between 150-400% FPL) would not be able to purchase an insurance policy that includes abortion coverage. Insurers are also required to accept all applicants and would have to stop offering abortion coverage once it accepts its first federal-dollar beneficiary.

4) Employer-sponsored policies that receive reinsurance funds: The bill requires the Secretary of Health and Human Services to “establish a temporary reinsurance program to provide reimbursement to assist participating employment-based plans with the cost of providing health benefits to retirees and to eligible spouses, surviving spouses dependents of such retirees.” Employer-sponsored plans that offer abortion would not be eligible for this funding or would have to forego the benefit.

5) Employer-sponsored policies that receive “wellness program grants”: The bill allows the Secretary of Health and Human Services to award Wellness program grants to small employers. Employers would have to segregate their wellness programs from their health benefits in order to receive the credit and provide abortion coverage.

6) Employer-sponsored policies that receive small business credits: For small businesses that want to offer health insurance coverage, the bill provides a tax credit over a two-year period will help them transition to or continue providing health benefits to their employees. In order to receive the tax credit, small businesses would have to stop offering abortion coverage.

In 2015 and beyond, the Commissioner can allow larger employers to enter the Exchange, permitting the Stupak amendment to further restrict their ability to offer abortion coverage.

Pro-life proponents may claim that Stupak simply preserves current policy but if they bother to examine the implications of their amendment they would discover that it actually accomplishes their goal of significantly restricting access to abortion.

Politics

Kareem Abdul-Jabbar: ‘It’s a just and noble cause to make health care available to everyone.’

Hall of Famer and basketball legend Kareem Abdul-Jabbar revealed this morning that he has been battling leukemia, a form of cancer that develops in blood tissue. Abdul-Jabbar appeared on CNN’s American Morning and fielded questions about his battle with the disease. During the conversation, CNN co-host Kiran Chetry asked Abdul-Jabbar if he was following the health care debate, prompting the basketball star to offer his endorsement for reform. He explained that he believes that it is a “just and noble cause” to guarantee access to health care to Americans:

CHETRY: I’m sure you’ve been paying attention to the ongoing debate about health care. Have you taken a stand on that? Do you have an opinion on what we need to do as a nation to ensure more people can have access to health care?

ABDUL-JABBAR: I’m all for that. We have the best technology in the world. We’re supposed to be the ‘can-do’ nation. And our health care system really fails so many people. Especially poor people, people who don’t have the means to go to private doctors. I think we should change that. I think it’s absolutely crucial. Certainly it’s a just and noble cause to make health care available to everyone.

Watch it:

Yglesias

Kaplan: Civil Society Requires Perpetual War

One of the best things about not working at The Atlantic anymore is not counting Robert Kaplan among my professional colleagues. Here’s his take on modern-day Europe:

Europe, having been liberated from nuclear terror at the conclusion of the Cold War, proved unable to muster the gumption to deal with Yugoslavia on its own, or, as the case of Afghanistan shows, to demonstrate much enthusiasm for any great collective effort. Which leads to the question: What does the European Union truly stand for besides a cradle-to-grave social welfare system? For without something to struggle for, there can be no civil society—only decadence.

Thus, with their patriotism dissipated, European governments can no longer ask for sacrifices from their populations when it comes to questions of peace and war. Ironically, we may have gained victory in the Cold War, but lost Europe in the process.

Spencer Ackerman observes that there’s something rather crazy about the view that the Cold War was waged “so that European soldiers would one day become our cannon fodder.” One might further note that it’s not at all clear that the American public has any real desire to sacrifice anything in Afghanistan. It seems to me that one of the key props of the wars in both Iraq and Afghanistan has been the consensus on both the right (Bush, The Weekly Standard) and the center (Blue Dogs, The Washington Post) that it’s not necessary to raise hundreds of billions in tax revenue in order to pay for hundreds of billions in war expenditures. By far the fastest way to end the war in Afghanistan would be to ask General McChrystal’s staff to produce a plan to make it deficit neutral and find sixty votes in the senate for his financing plan.

3980645680_1787ceb764

In a larger sense, however, Kaplan is merely highlighting the fundamental difference between neoconservative thinking and thinking undertaken by people with a moral compass. As Alex Massie says, present-day Europe’s state of peace, prosperity, and physical security is a good thing. Neoconservatives, however, see war and death as good things. Irving Kristol told Corey Robin that market-oriented conservatism is too “boring” (“The notion of devoting your life to it is horrifying if only because it’s so repetitious. It’s like sex.”) so you need to inject some death and destruction into the mix to keep things interesting.

The world would be a better place if people looking for cheap thrills would stick to the black metal scene or maybe take up extreme sports rather than foreign policy punditry. But the point is that it’s extremely dangerous to take advice from people with this mindset—they’re not even trying to enhance the country’s security, they’re trying to embroil the country in wars.

Update

CORRECTION: That’s William F. Buckley, not Irving Kristol, who made those remarks to Corey Robin.

Politics

Study: 2,200 Vets Died Last Year Because They Lacked Health Insurance

Obama 2008On the eve of Veterans Day, a team of researchers from Harvard Medical School has released a study finding that an estimated 2,266 veterans under the age of 65 died last year because they did not have health insurance. That “translates to six preventable deaths per day” and more than twice the number killed in Afghanistan since the war began in 2001.

Being uninsured raises a person’s odds of dying prematurely by 40 percent. The researchers found that 1.46 million veterans between the ages of 18 and 64 lacked insurance in 2008. While most veterans are eligible to receive excellent care from the Veterans Administration, those who were not injured in combat and whose income is above a certain threshold are often ineligible. Others are assigned low priorities, providing them with less consistent and more expensive access to care:

“Like other uninsured Americans, most uninsured vets are working people – too poor to afford private coverage but not poor enough to qualify for Medicaid or means-tested VA care,” said Dr. Steffie Woolhandler, a professor at Harvard Medical School. [...]

Dr. David Himmelstein, the co-author of the analysis and associate professor of medicine at Harvard, commented, “On this Veterans Day we should not only honor the nearly 500 soldiers who have died this year in Iraq and Afghanistan, but also the more than 2,200 veterans who were killed by our broken health insurance system. That’s six preventable deaths a day.”

Unfortunately, health insurance is just one of many serious problems vets face. Up to one-in-five veterans of the wars in Iraq and Afghanistan suffers from Post Traumatic Stress Disorder, while male vets face suicide rates double the national average. And, as the VA under President Obama recognized, veterans still account for up to a quarter of all homeless.

The fact that even veterans cannot receive adequate health care demonstrates that the current system is broken and in need of dramatic overhaul. A robust public option will guarantee that vets and all working-class Americans will be able to afford quality health insurance. Still, the study’s authors warn that the health care legislation “would do virtually nothing for the uninsured until 2013” and would “leave at least 17 million uninsured over the long run when reform kicks in,” leaving many veterans without care.

Update

Politico reports, “Senate Majority Leader Harry Reid called Sen. Tom Coburn (R-OK) ‘illogical’ for holding up a veterans care bill Tuesday, criticizing the Oklahoma Republican for supporting war funding while blocking health care funding for veterans.”

Yglesias

Obama Administration Endorses Paid Sick Leave

It’s not quite the high-profile issue that health care or climate change is, but there’s been some interesting developments recently on the quest to get paid sick leave for all of America’s workers. The fact that many American workers get no sick leave whatsoever is rarely discussed in elite circles, most likely because, as Steven Greenhouse has highlighted with this chart, the phenomenon is quite class bound:

sick-wage2

Advocates for changing the situation have made headway in terms of linking the issue to fears about the spread of H1N1 flu. Does it really serve even the interests of prosperous professionals to live in a country where low-wage food service workers, for example, are likely to show up at work while sick and infect everyone else? This was discussed at a recent CAP panel featuring, among others, Vice President Joe Biden and Domestic Policy Council chief Melody Barnes where they seemed generally supportive. But things took another important step forward today in the somewhat obscure venue of the Senate HELP Committee’s Subcommittee on Children and Families where Seth Harris, Deputy Secretary from the Labor Department, came to offer a strong statement of support for paid sick leave:

In conclusion, it is clear that while much has been done to help prepare for a national health emergency like 2009 H1N1, more is needed to help protect the economic security of working families who must choose between a pay check and their health and the health of their families. That is why the Administration supports the Healthy Families Act and other proposals that advance workplace flexibility and protect the income and security of workers. I appreciate your time today, and I am happy to answer any questions you may have.

It’s worth observing that this bill would, among other things, be a specific boon to parents since it would allow you to take sick leave in order to take care of a sick child. You’d think that might be the kind of thing “pro-family” conservatives would be interested in along with us godless socialists.

Yglesias

Maine Republicans Want Conservative Challenger to Snowe

It seems Olympia Snowe might be more comfortable in a different political party:

This Public Policy Polling survey of Maine isn’t all that surprising: She has a 46/40 disapproval/approval rating from state Republicans. By a whopping 27 points, those same Republicans say they’d back a “conservative challenger” to Snowe in the 2012 GOP primary. Voters who picked the McCain-Palin ticket in 2008 and self-identified conservatives all oppose Snowe and want a challenger; basically everyone else in the state has a more positive view of Snowe, the poll found.

Picture-30

I don’t know whether these results are “surprising” or not, but I think they ought to change our understanding of the prospects of bipartisanship in health reform. This means that when you’re thinking about whether Snowe will support a bill or not, the issue ultimately comes down to not triggers versus non-triggers, or employer mandates versus free rider fees, but whether Snowe wants to remain a Republican or not. Based on this polling, a Snowe who votes for a comprehensive health care overhaul is basically not going to be viable as a GOP primary candidate. Conversely, a Snowe who votes for comprehensive health reform and switches parties would remain a very popular general election candidate with a safe seat.

n46614321049_6786

Incidentally, this poll inspired me to look up who’s important in Maine GOP politics aside from Snow and Susan Collins. Turns out the top Republican in the State Senate is Kevin Raye, who’s also proprietor of Raye’s Mustard Mill, which is one of Maine’s finest food products. I don’t know much about the guy’s politics, but he makes great mustard!

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