ThinkProgress Logo

Climate Progress

Do Americans want Obama to show more “emotion” — or is that just the lust of the drama-driven media?

LARRY KING: I know you appear so calm. Are you angry at BP?

OBAMA: You know, I am furious at this entire situation because this is an example where somebody didn’t think through the consequences of their actions. It’s imperiling not just a handful of people. This is imperiling an entire way of life and an entire region for potentially years… [T]he one thing that I think is important to underscore is that I would love to just spend a lot of my time venting and yelling at people. But that’s not the job I was hired to do. My job is to solve this problem and ultimately this isn’t about me and how angry I am.

Poor Obama, he is no Howard Beale, and everybody in the TV business knows that anger drives ratings, which was a key point of satire of the classic movie,  Network.  Former Labor Secretary Robert Reich wrote earlier this year:

Not long ago I was debating someone on television. I thought the discussion was going well until the commercial break when a producer said into my earpiece “be angrier.”

“Why should I be angrier?” I asked him, irritated that he hadn’t appreciated the thoughtfulness of debate.

“That’s how we get channel surfers to stop and watch the program,” the producer explained. “Eyeballs are attracted to anger.”

HuffPost’s Jason Linkins has a great post, “Obama’s Oil Spill Response: Do Americans Want Him To Show More Emotion? No, They Do Not,” which I’ll excerpt below.  He in turn cites another great post, by Alex Pareene, listing all of the media pundits demanding Obama throw a fit, “Why won’t Obama just get even madder about this oil spill?“:

Read more

Health

NYT Challenges Dartmouth Research On Health Spending Variations, But Does Not Dispute Central Conclusion

dartmouth-atlas-283x300In today’s New York Times, Reed Abelson and Gardiner Harris challenge the findings of the now infamous Dartmouth Atlas of Health Care health economists, whose maps of U.S. health care spending variation have convinced generations of policy makers that more is not always better. While the debate around the Dartmouth research has been ongoing, Abelson and Harris focus on the claim that lower spending regions have better health outcomes than higher-spending regions:

But while the research compiled in the Dartmouth Atlas of Health Care has been widely interpreted as showing the country’s best and worst care, the Dartmouth researchers themselves acknowledged in interviews that in fact it mainly shows the varying costs of care in the government’s Medicare program. Measures of the quality of care are not part of the formula.

For all anyone knows, patients could be dying in far greater numbers in hospitals in the beige regions than hospitals in the brown ones, and Dartmouth’s maps would not pick up that difference. As any shopper knows, cheaper does not always mean better.

It’s certainly true that non health economist types may have used to Dartmouth’s “sexy maps” to make blanket statements like: ‘regions that spend less always have better health outcomes or ‘we’re spending more and getting less.’ But an overreading does not undermine the researcher’s fundamental conclusion: more expensive services do not necessarily improve health outcomes. As the Times’ article itself points out, other non Dartmouth studies support this conclusion. “A 2003 study found that patients who lived in places most expensive for the Medicare program received no better care than those who lived in cheaper areas,” the authors note.

Whatever methodological problems exist — and I would be surprised if the Dartmouth research didn’t account for the fact that patients are dying in greater numbers in higher-spending regions — it’s clear that “there are substantial variations in the cost of care for people of similar health depending on which institutions they go to—and also that clinicians with the best results often have lower, not higher, costs than average.” As our in house payment reform expert Ellen-Marie Whelan points out, “the Dartmouth Atlas research remains very important because it was the first to show regional variation in Medicare spending – it helped to identify the problem.” “In part because of the success the Dartmouth researchers had in helping to identify this variation — and the fact that these spending differences are probably not often associated with better outcomes — there is now increased focus on how we can offer better care at lower costs. This also reinforces the importance of the “Center for Innovation” at CMS which is allowing groups of providers to present how they propose to deliver care that is better at lower costs.”

The NYT criticism is important, but it should not swing the pendulum in the other direction and encourage policy makers to spend more money to lower-spending regions. As Merrill Goozner observes in his response to the NYT, “Higher quality care lowers costs, it doesn’t raise costs.” “Take a few additional steps to keep operating rooms germ free and rates of hospital-acquired infections and their attendant higher costs plummet. Do a knee implant right the first time and you don’t have a patient back within a year for a revision.”

“A careful mapping of quality, which has never been done by Medicare or anyone else since good data isn’t available, and cross-checking it with spending patterns may provide researchers with crucial clues for determining what accounts for variations in spending across the U.S.,” he concludes.

Update

The Dartmouth Researchers have issued their own rebuttal.

Politics

Hatch: ‘Gays and lesbians don’t pay tithing, their religion is politics.’

hatchorrinSen. Orrin Hatch’s (R-UT) has been trying to have it both ways with the volatile Tea Party in Utah, on the one hand justifying their anger but also chastising them for not listening to the GOP. This week at a town hall meeting at Utah’s Dixie State College, Hatch again highlighted this dichotomy. Tea partiers “are good, honest, descent people, but out of anger should not disrupt the few GOP [candidates] who can win,” he said. Saying the GOP at large needs to get better organized, Hatch pointed to successful progressive efforts. He suggested the GOP would be at a disadvantage as a movement because gay rights activists, for example, are religiously devoted to politics:

He said the Republicans need to organize and pull together just as unions, environmentalists, personal injury lawyers and gay rights activists do for Democrat candidates.

Gays and lesbians don’t pay tithing, their religion is politics,” said Hatch.

Steve Benen asks, “I’d love to know what that means, exactly. Gay people can’t be religious? The LGBT community necessarily cares more politics than the rest of the country?” And if Hatch thinks gays and lesbians “don’t pay tithing,” then where does he think they worship? Or does he mean that they don’t worship at all?

Yglesias

Permitted and Forbidden in Gaza

Helpful chart from The Economist:

gazachart

I’ve heard the usual complaints about hypocrisy and double-standards, but while it’s certainly true that Turkey’s treatment of Kurds is not all it should be I’m really hard-pressed to think of an example of a government that’s preventing 1.5 million civilians from buying cilantro or musical instruments. North Korea, presumably. There are lots of human rights problems in the world, and certainly a lot of Arab autocracies seem to have a very selective interest in human rights issues, but this is real outlier behavior on Israel’s part and it has no reasonable relationship to security.

Economy

Bank Of America Finally Admits Its Mortgage Modification Program Is A Mess

Ever since the Obama administration launched the Home Affordable Modification Program (HAMP), Bank of America has lagged woefully behind the other big banks in terms of the number of borrowers that it managed to navigate through the program. So far, it has only approved 11 percent of eligible borrowers for permanent mortgage modifications.

Part of the problem is that BofA was siphoning borrowers off into its own private mortgage modification program, in violation of its deal with the Treasury Department. However, the bank was also incredibly slow in getting the program up and running, and still has problems streamlining the process, as borrowers’ documents are lost and requests for modifications go unanswered.

BofA had been dismissing its shortcomings by blaming its customers for failing to make it through the program. “On average we have more customers that fail the eligibility requirements than competitors,” said one of its executives last year. However, yesterday, the bank finally admitted that its program has serious shortcomings:

“We certainly know that as we rolled out the modification process we have not handled our customers to the standards Bank of America is accustomed to,” said Jack Schakett, a Bank of America credit loss mitigation executive during a conference call. A reporter had asked about homeowners’ tales of lost paperwork and frustration when applying for loan modifications…“We continue to train and retrain to try to improve our process and we’ve done a lot of things to try to make sure we don’t lose documents anymore,” he said.

Well, at least BofA isn’t trying to blame borrowers anymore for its own ineptness, nearly 14 months after the program was launched.

With the rush of worries caused by the Greek fiscal crisis, lingering high unemployment, and the Gulf oil spill, the housing crisis has been bumped off the radar. However, problems still remain, and banks across the country could still face a day of reckoning when it comes to home mortgages, even leaving aside the commercial mortgage woes that could be ahead.

The New York Times reported this week on the supposedly growing number of people who simply stop paying their mortgages, and are living rent-free until their bank works through its backlog and forecloses on them. As Reuters’ Felix Salmon explained, this could make the banks rue their collective inability to get borrowers into sustainable mortgage modifications early on.

“From the bank’s point of view, if this catches on, there’s a very large number of banks in this country who are just toast,” he said. “And in hindsight they were just much better off dealing in a realistic way with these borrowers a year ago or two years ago when the problem first reeled its head instead of extending and pretending. Now they are in a pickle.”

JP Morgan Chase has actually warned investors that “underwater homeowners may walk away from their mortgages.” According to the latest data, just 300,000 borrowers overall have received permanent mortgage modifications under HAMP, while the mortgage delinquency in the first quarter of this year was 9.38 percent (meaning nearly one in ten borrowers is delinquent), more than one point higher than at the same time last year.

Yglesias

The Nature of the Threat

Ezra Klein and Kevin Drum had a little back-and-forth yesterday on the merits of rhetorical invocations of the specter of China to spur the country to improve. Klein is generally skeptical and Drum generally supportive. I think I basically agree with Drum’s take on this, but it is worth pointing to what Matt Miller specifically said in the column that sparked this conversation:

IMG_0099

That’s because the real race we’re in is not a “race to the top” within the United States but a race to maintain middle-class living standards in a world where rising, hungry powers such as China and India now threaten them. It’s a race against other advanced nations whose school systems routinely outperform ours.

To be clear, I think Miller’s column is spot-on in its main points about education policy, but this is a very misleading account of how Chinese and Indian living standards relate to Americans’ well-being. It clearly implies that if India’s economy stopped growing, that this would somehow make it easier for America to maintain middle-class living standards. It’s important that people not go around thinking this, because there probably are things we could do to make China and India poorer but we really shouldn’t do them.

I like the line about “other advanced nations” a lot better. In this telling, it’s not that Finland’s excellent schools threaten America. Instead, they simply demonstrate that we can and should do better than we’re currently doing. Americans don’t like the idea that other people are outperforming us, and we shouldn’t like that idea. We should aspire to be the best. But that’s different from saying that the success of others is a threat to us, and I think people like Miller should be careful about how they phrase these points.

Climate Progress

Energy and Global Warming News for June 3, 2010: Will offshore drilling ‘Go the way of nuclear power’? Virginia’s religious leaders call on senators to support climate bill; Two climate change experts to sit on BP disaster investigation panel

Will Offshore Drilling ‘Go The Way Of Nuclear Power’?

Oil is still spilling into the Gulf of Mexico. The feds are looking into criminal charges against BP. And it may take months before the well is capped.

What are the long-term implications for BP, and for the oil industry?

Read more

Alyssa

Creative Control

Image used under a Creative Commons license courtesy of hawaii.

  

Obviously I’m not a Lost fan, and I stopped watching the show after I tried out the first two seasons on DVD.  But I think Emily Nussbaum’s piece on how the show became “a hit series about the difficulties of finding an ending to a hit series” is useful reading given the rise of intense, networked fan communities, and their ability to collectively impact the success or failure, the life or death, of a series:

Built as it was from video-game aesthetics, comic-book plots, and science fiction, Lost had always included witty internal acknowledgments of its own geek appeal, including characters who acted as stand-ins for Lost fans. Hurley began the series as an actual character, but he quickly became our avatar: the sci-fi geek, full of Star Wars references, loyal and positive, like Cuselof’s ideal. In contrast, Arzt, the wicked fan, was a science teacher full of gripes, but he hilariously blew to bits in season one. Later, we got snarky Miles and Frank Lapidus, an outsider who made bemused remarks about the melodramas around him.

This was fun in the early seasons, when Darlton felt like they were in communion with their audience, but as the show began its final slide, these characters increasingly operated more as venting devices for fan frustrations—a way for the writers to let us know they heard us, but also to joke about logic problems or clichés instead of addressing them. The snarky chorus stood in contrast to the main ensemble, which, with a few exceptions, devolved from archetypal (but layered) characters into action figures, their aims narrowing, like video-game heroes, to a single goal: Find Sun, find Jin, find Claire, return to the island, get off the island.

The job, it turns out, has changed. It used to be that you were responsible for writing a show, or for directing it, or getting, I don’t know, a plane’s-worth of clothes that looked like they’d been through a plane crash and a lot of tropical sunshine.  Now you are doing all of those things with the knowledge your’e being watched over by what is effectively a highly devoted, motivated, team of fact-checkers who have actual power over you other than writing cranky letters and blog posts.  If they get too displeased with you, you lose your job because your show goes off the air.

Commercial pressure’s always been there, of course.  But while in the past, writers, creators, etc., have had to work within broad frameworks for what audiences like, now audiences have the capability, and apparently the desire, to make clear the minutiae of what they like, in real-time as shows air.  I don’t know how you retain creative control in those circumstances.  And if you do retain it, how are you sure that the creative vision you’re pursuing is yours, rather than crowdsourced?


Politics

Texas lobbyists buy guns for easy access into the state capitol building.

Texas has more than 1,400 registered lobbyists who “enter and exit the Capitol numerous times during the course of a day” to wheel and deal with state lawmakers and push through their agendas. But one of their main frustrations is that they have to stand in a security line — just like other ordinary members of the public — to get inside. Now, they’ve found a way to get around that hassle: Buy a gun. Why? It’s easier to enter the Texas state capitol building with a gun than without one:

The only people exempted are lawmakers, properly identified state employees or Texans who carry a pistol with a concealed handgun license — or just the license itself, which allows them to bypass the security lines for an express lane reserved for “CHL: Holders.”

“Every lobbyist in Texas is going to become a card-carrying member or a gun-carrying member,” lobbyist and former state lawmaker Pat Haggerty said. “We’re going to have more damn guns in here than we know what to do with.”

Highlighting the incredibly cozy relationship between special interests and Texas lawmakers, one lobbyist said that he expected lawmakers to write new rules accommodating “frequent visitors” — such as lobbyists. “We’re not even visitors,” said the lobbyist. “This is where we do our business.”

Security

Dagan, Cordesman On Israel’s Strategic Value To U.S.

ISRAEL/SPYMASTERIn the wake of the attack on the Free Gaza flotilla, comments from two leading strategic thinkers — one Israeli, one American — indicate that a significant reappraisal of the U.S.-Israel strategic relationship may be underway.

The first comes from Mossad Chief Meir Dagan, who told the Knesset’s Foreign Affairs and Defense Committee on Tuesday that “Israel is gradually turning from an asset to the United States to a burden.” Dagan acknowledged that Israel’s strategic value to the U.S. has declined in the wake of the Cold War, saying “Israel’s importance was greater when there was conflict between the blocs, while this year there has been a decrease (in Israel’s importance).”

The second comes from Anthony Cordesman, one of the U.S.’s most highly regarded national security analysts, who — in a new piece entitled “Israel as a Strategic Liability?” — writes that “America’s ties to Israel are not based primarily on U.S. strategic interests… They are a product of the fact that Israel is a democracy that shares virtually all of the same values as the United States.”

At the same time, the depth of America’s moral commitment does not justify or excuse actions by an Israeli government that unnecessarily make Israel a strategic liability when it should remain an asset. It does not mean that the United States should extend support to an Israeli government when that government fails to credibly pursue peace with its neighbors. [...]

It is time Israel realized that it has obligations to the United States, as well as the United States to Israel, and that it become far more careful about the extent to which it test the limits of U.S. patience and exploits the support of American Jews. This does not mean taking a single action that undercuts Israeli security, but it does mean realizing that Israel should show enough discretion to reflect the fact that it is a tertiary U.S. strategic interest in a complex and demanding world.

Israel’s government should act on the understanding that the long-term nature of the U.S.-Israel strategic relationship will depend on Israel clearly and actively seeking peace with the Palestinians — the kind of peace that is in Israel’s own strategic interests.

Like Cordesman (for whom, full disclosure, I interned years ago) I’ve always been skeptical of claims about the strategic benefits of the U.S.-Israel partnership. As Cordesman writes, “At the best of times,” Israel “provides some intelligence, some minor advances in military technology, and a potential source of stabilizing military power.” And even these benefits are contingent on “an Israeli government that pursues the path to peace,” which is not a description I think any reasonable person would use for Israel’s current government.

But I’m also a strong believer in the moral and ethical basis of the U.S.-Israel relationship, in support for Israel as a fellow democracy — an imperfect one, sure, just as the U.S. was and still is in many ways — and as a country that shares many of our values and holds enormous spiritual significance for many Americans.

Whether one supports or opposes the current U.S.-Israel relationship, on whatever basis, the fact is that the U.S. is deeply implicated in what Israel does. But supporting the relationship on the basis of values means recognizing that the U.S. has a unique responsibility to work toward halting Israel’s violations of those values, most obviously its four decade-old occupation of the West Bank and Gaza and creation of illegal settlements throughout occupied territory, rather than providing diplomatic cover for them. One can quibble with the manner in which President Obama has pursued the settlement issue, but the fact that he has made it such a central element of his approach to Israel shows how seriously he takes the relationship, and how he understands the threat that the settlements represent to Israel’s future. Though no two countries’ interests are perfectly aligned, I think that U.S. and Israeli interests in resolving the conflict, seeing Israel integrated into the region (and allowing the region to benefit from Israel’s vibrant culture and enormous economic accomplishments) are about as closely aligned as such interests get.

Hopefully, Dagan and Cordesman’s comments will serve as something of a wake-up call to Benjamin Netanyahu, who seems to believe that, as long as he has a compliant U.S. Congress and a network of messaging outlets to shout down and smear his American critics, he can behave as belligerently and intransigently as he wants without paying a price. He may be right — but only up to a point. The world is changing, and so is the U.S.’s role in it. As recent comments from Defense Secretary Robert Gates and CENTCOM Chief Gen. David Petraeus showed, there’s a growing awareness that the persistence of the Israeli-Palestinian conflict seriously undermines U.S. interests and credibility in the region. When major figures like Meir Dagan and Anthony Cordesman start openly questioning Israel’s strategic value to the U.S., both Bibi and his American cheerleaders need to sit up and take notice.

Older

Newer

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

Sign Up