Puget Sound Liberals Weekly Newsletter #202

Enhancing Freedom, Opportunity and Cooperation in Puget Sound and Beyond

Through informing and networking Liberals and Liberal Organizations.

 

Our vision is hundreds of thousands of well-informed Puget Sound Liberals working together.

 

          3500 members                            November 27, 2009              formerly Lake Hills Liberals                

 

 

 

 

                                                     

Our Website                                   Our  Editor                  To Unsubscribe

 

              Table of Contents  * Featured Articles

 

About Puget Sound Liberals

Calendars of Events

Communication with Our Members

We May Be Progressing

Opportunities

Petitions

 

Commentaries from Our Members

Sharon Abreu: Read This to Understand Controlling Health Care Costs

Eileen Cody: Slate Gordon Wrong about Health Care Reform

Rick Bender: Labor Will Only Support Legislators who Support Worker’s Rights**

 

Liberals and Democrats Links to the Beef

Government Watch*

Winning without Confrontation

One Bridge Too Far

Dean Baker Is Vindicated*

 

State and Local Links to the Beef

Exposing BIAW’s War against State Government**

Featured Advocacy Group: Progressive States Network

 

Nation and World Links to the Beef

Comments on Proposal to Reduce Health Care Costs

 

Our Liberal Spirit

Our Fleeting Minutes of Fame

 

Recommended Books

 

 

 

 

Our Political Values

 

Our Political Priorities

 

·       Fair Clean Elections and Open Government

·       Fair Taxes and Competent Spending

·       Investment for Productivity

·       Quality Health, Education, Jobs, Income

·       Environmental Protection and Energy Independence

·       Security and Equal Rights

·       Justice and Peace Everywhere

·       International Cooperation and Leadership

 

Conservatives oppose all of these

 

     Let’s End Our National Nightmare

 

         Let’s Restore Our American Dream

 

More on Conservative opposition to our American Dream

 

Washington State’s 5 Major Needs

·       Federal Funding for Health and Education

·       Public Campaign Financing

·       Substituting a Progressive Income Tax

·       Replacing Conservative Legislators

·       Stopping Corporate Abuse

 

Quote of the Week

Five Minutes of Fame   Andy Warhol

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 


Calendar of Events

 

Thursday, October 29 at 5:30 PM at Town Hall Seattle (1119 Eighth Avenue, Seattle) - 2nd Annual Puget Sound Sage Vision for Justice Dinner.  $70.

 

Calendars of Events                             

 

King County Democrats - LD Meetings            Some 2008 Legislature Lobby Days

Thurston County Progressive Net                  Western Washington Fellowship of Reconciliation

Alliance for Democracy                                Democratic Underground.Com                          

Sierra Club Cascade Chapter Calendar           Cool State Washington

Washington Public Campaigns Calendar         Town Hall Seattle Calendar

Washington State Labor Council                    Whatcom County Peace and Justice Calendar 

Conversation Cafe      Drinking Liberally         Seattle NOW          

Wallingford Neighbors for Peace and Justice – Friday Night Movies      Liberal films on PBS

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 


Communication with Our Members

 

We May Be Progressing

 

We May Be progressing with reforms to reduce obstacles to enabling our state government.

·       Public campaign financing may be adopted, at least regarding Supreme Court justices.

·       Some type of tax reform may be adopted to make our tax system fairer and increase state revenues.

·       BIAW may be forced to return retro rebate moneys, such that it won’ t have funds to continue its attacks on state government.

 

House Speaker Frank Chopp hinted at the first two.  The third may result from David Spring’s research.  I hope that our newsletter’s promotion of these reforms is partly responsible for their progress.

 

Opportunities

Useful Websites: contacts, maps, community organizing tools, and more.

 

Petitions

Tell President Obama to attend the Copenhagen global climate meeting to push for action.

Tell the EPA to support standards to increase gas mileage for new cars.

 

Commentaries From Our Members

 

Sharon Abreu: Read This to Understand Reducing Health Care Costs

 

Letter to President Barack Obama urging four elements be included in health reform legislation to control costs By Alan M. Garber, Victor R. Fuchs, Kenneth J, Arrow

 

Dear Mr. President, As the full Senate prepares to debate comprehensive health reform legislation, we write as economists to stress the potential benefits of health reform for our nation’s fiscal health, and the importance of those features of the bill that can help keep health care costs under control. Four elements of the legislation are critical: (1) deficit neutrality, (2) an excise tax on high-cost insurance plans, (3) an independent Medicare commission, and (4) delivery system reforms.

 

Including these four elements in the reform legislation – as the Senate Finance Committee bill does and as we hope the bill brought to the Senate floor will do – will reduce long-term deficits, improve the quality of care, and put the nation on a firm fiscal footing. It will help transform the health care system from delivering too much care, to a system that consistently delivers higher-quality, high-value care. The projected increases in federal budget deficits, along with concerns about the value of the health care that Americans receive, make it particularly important to enact fiscally responsible and quality-improving health reform now.

 

In developing our analysis and recommendation, we received input and suggestions from Administration officials, including the Office of Management and Budget and others, as well as from economists who disagree with the Administration’s views.  The four key measures are:


Deficit Neutrality

Fiscally responsible health reform requires budget neutrality or deficit reduction over the coming years. The Congressional Budget Office (CBO) must project that the bill be at least deficit neutral over the 10-year budget window, and deficit reducing thereafter. Covering tens of millions of currently uninsured people will increase spending, but the draft health reform legislation contains offsetting savings sufficient to cover those costs and the seeds of further reforms that will lower the growth of spending. Deficit neutrality over the first decade means that, even during the start-up period, the legislation will not add to our deficits. After the first decade, the legislation should reduce deficits.

 

Excise Tax on High-Cost Insurance Plans

The Senate Finance Committee’s bill includes an excise tax on high-cost health insurance plans. Like any tax, the excise tax will raise federal revenues, but it has additional advantages for the health care system that are essential. The excise tax will help curtail the growth of private health insurance premiums by creating incentives to limit the costs of plans to a tax-free amount. In addition, as employers and health plans redesign their benefits to reduce health care premiums, cash wages will increase. Analysis of the Senate Finance Committee’s proposal suggests that the excise tax on high-cost insurance plans would increase workers’ take-home pay by more than $300 billion over the next decade. This provision offers the most promising approach to reducing private-sector health care costs while also giving a much needed raise to the tens of millions of Americans who receive insurance through their employers.

 

 
Medicare Commission

Rising Medicare expenditures pose one of the most difficult fiscal challenges facing the federal government. Medicare is technically complex and the benefits it underwrites are of critical importance to tens of millions of seniors and Americans with disabilities. We believe that a commission of medical experts should be empowered to suggest changes in Medicare to improve the quality and value of services. In particular, such a commission should be charged with developing and suggesting to Congress plans to extend the solvency of the Medicare program and improve the quality of care delivered to Medicare beneficiaries. Creating such a commission will make sure that reforming the health care system does not end with this legislation, but continues in future decades, with new efforts to improve quality and contain costs.

 
Delivery System Reforms

Successful reform should improve the care that individual patients receive by rewarding health care professionals for providing better care, not just more care. Studies have shown that hundreds of billions of dollars are spent on care that does nothing to improve health outcomes. This is largely a consequence of the distorted incentives associated with paying for volume rather than quality. Health care reform must take steps to change the way providers care for patients, to reward care that is better coordinated and meets the needs of each patient. In particular, the legislation should include additional funding for research into what tests and treatments work and which ones do not. It must also provide incentives for physicians and hospitals to focus on quality, such as bundled payments and accountable care organizations, as well as penalties for unnecessary re-admissions and health-facility acquired infections. Aggressive pilot projects should be rapidly introduced and evaluated, with the best strategies adopted quickly throughout the health care system.

 

As economists, we believe that it is important to enact health reform, and it is essential that health reform include these four features that will lower health care costs and help reduce deficits over the long term. Reform legislation that embodies these four elements can go a long way toward delivering better health care, and better value, to Americans.  Sincerely,

Dr. Henry Aaron, The Brookings Institution

Dr. Kenneth Arrow, Stanford University, Nobel Laureate in Economics

Dr. Alan Auerbach, University of California, Berkeley

Dr. Katherine Baicker, Harvard University

Dr. Alan Blinder, Princeton University

Dr. David Cutler, Harvard University

Dr. Angus Deaton, Princeton University

Dr. J. Bradford DeLong, University of California, Berkeley

Dr. Peter Diamond, Massachusetts Institute of Technology

Dr. Victor Fuchs, Stanford University

Dr. Alan Garber, Stanford University

Dr. Jonathan Gruber, Massachusetts Institute of Technology

Dr. Mark McClellan, the Brookings Institution

Dr. Daniel McFadden, University of California, Berkeley, Nobel Laureate in Economics

Dr. David Meltzer, University of Chicago

Dr. Joseph Newhouse, Harvard University

Dr. Uwe Reinhardt, Princeton University

Dr. Robert Reischauer, The Urban Institute

Dr. Alice Rivlin, The Brookings Institution

Dr. Meredith Rosenthal, Harvard University

Dr. John Shoven, Stanford University

Dr. Jonathan Skinner, Dartmouth College

Dr. Laura D’Andrea Tyson, University of California, Berkeley

 

Eileen Cody and Karen Keiser: Slate Gordon Wrong about Health Care Reform

Published by Seattle Times on 11/20/2009

 

Former Sen. Slade Gorton’s recent guest commentary in The Seattle Times erroneously argued that the health-care reforms being debated in Congress would raise premiums and hurt families.  His most misleading claim is that health reform will cause insurance premiums to increase 53 percent for individuals. Without reforms, premiums would likely increase more than 100 percent over the next decade. They’ve already gone up more than 100 percent since 2001.  When health reform is enacted, reduced administrative duplication, increased competition of a public option and payment reforms will help control costs. People will no longer see 20- and 30-percent premium increases a year. 

 

Gorton compared the congressional reform proposal to Premera Blue Cross’ high-deductible individual plan, which provides very poor coverage. Premera’s plan provides no maternity or prescription drug coverage and requires a $2,500 deductible.  Comparing the cost of a limited high-deductable plan to a quality, comprehensive health-care plan is like comparing apples and oranges. An honest comparison would compare similar plans with similar benefits.

 

Gorton tried to bolster his case by referring to the effects of so-called flawed state reforms in 1993, but the legislation was repealed and never implemented.  Scare tactics have no place at the health-reform discussion table.  Karen Keiser and Eileen Cody

 

Rick Bender: Labor Supports Legislators who Support Worker’s Rights

Published by Seattle Times on 11/20/2009

 

A SHIFT in the political strategies of organized labor here in Washington seems to have exposed the reality of The Times editorial board's corporate agenda: dominance over a subservient work force ["Washington state's labor leaders don't get it," editorial, Nov. 15].

 

The labor movement makes no apologies for our mission to help workers find their voice in the workplace. We will continue to be a leader supporting progressive politics that give rise to better conditions for workers, including a strong minimum wage, defined benefit pensions, quality affordable health care, and safety in the workplace.  We believe that our fight is even more crucial in the face of the shaky moral compass with which business directs itself today. The huge disparity of income rising from the obscene salaries of executives, the collapse of the financial industry, the structure of corporate greed, and the destruction of our middle-class security exposed the business mantra — the end justifies any means, no matter who gets left behind.

 

Our political involvement is a way to inject fairness into the process. For years the Democratic Party stood beside us in our quest to help workers prevail over corporate interests. But over the past few years the Democratic caucus has watered down its positions on worker rights, and has tossed aside its responsibility to stand strong for the little guy.  We refuse to join them in the race to the bottom. We believe that what we have here in our state is good for workers and good for business and we won't give up our fight to keep it that way.

 

The Times is out of touch with the reality of the business climate here in Washington State. At the national level, we have consistently been recognized as a great place to do business. But locally, the business community and its lobbyists in Olympia ignore those high rankings and instead want our Legislature to follow South Carolina's lead.  South Carolina's low wages and lack of unionization were the primary lures for Boeing when the company chose to locate its second 787 production line there. If business climate had anything to do with it, the choice would have been different.

 

In the same Forbes Magazine poll, which ranks Washington as the second-best state in the nation for business, South Carolina was ranked 26th. The unemployment-insurance system in South Carolina — the linchpin of survival for a laid-off worker — is bankrupt. The education system ranks near the bottom of the nation. And when reading about scandals from the offices of South Carolina's governor, lieutenant governor and attorney general, it seems the state's political leadership is bankrupt as well.

 

This is not the path that we at the Washington State Labor Council choose for the workers of our state. That is why we have made a change in our political program — why our affiliates have opted to evaluate our legislators according to how they champion the rights of working people — not merely by the "D" or "R" next to their names.  And that is why we will support champions of our values instead of giving in to corporate dominance over a subservient work force.  Rick Bender, president, Washington State Labor Council.

 

Liberals and Democrats

 

Government Watch

Also go to Whitehouse.gov.

 

Health Care Reform

The Senate procedure is to first get 60 Senators to vote to allow consideration of the bill crafted by Speaker Harry Reid.  This occurred Saturday evening when 60 Senators voted to allow consideration of the bill.  For more.  Then various amendments will be discussed and voted upon, with the Republicans doing everything they can to delay the process.  Hypocritical Republicans who complain about increasing government deficits passed the Medicare Part D bill which increased government deficits more.  Read some of the provisions in the bill that will now be considered.  Hopefully before Christmas break, 60 Senators will vote for cloture to end a Republican filibuster.  Then at least 50 Senators must vote to pass the bill. 

 

A bill merging the Senate and house bills will probably not pass until January.  This will break the log jam which has prevented addressing global warming, labor, glbt, immigration and other issues.

 

Stimulating More Jobs

President Obama will soon hold a jobs summit to consider ideas for further action beyond the stimulus-recovery package to stimulate more jobs.  It is crucial to reduce the number of unemployed and underemployed and to deal with the other issues noted above to obtain support in the 2010 election to increase the number of Liberal Democratic congress members.  With more Liberal Democratic congress members, cloture can be easily approved for stopping Republican filibusters.

 

Asia Trip

President Obama achieved more during his Asia trip than our commercial media pundits gave him credit for.

Winning without Confrontation

 

When threatened by the McCarthy Committee, John Kenneth Galbraith said that one must counter attack if possible to make the initial attack to expensive.  This has become the conventional wisdom, with which I agreed. 

 

But President Obama has virtually never confronted any of the parties which seek to stop health care reform.  Instead he has attempted to co-opt them in passivity at least until too late for them to mount credible attacks.  His strategy has been quite successful. 

 

However, I believe that at some point he will have to attack the lobbying system which protects corporate abusers and which wastes enormous amounts of money on unneeded military and other expenditures. 

 

One Bridge Too Far

 

Many have criticized President Obama for not attempting to implement a larger stimulus-recovery package and making stronger energy and financial reforms.  But even though his victories have been slower and weaker than one might like, none of his initiatives have failed.  If he had pushed for more, he might have failed.  I believe that so far, President Obama’s strategy has served us well.  For more.

 

Dean Baker Is Vindicated

 

Dean Baker has often shown his contempt for those (including the commercial media pundits) who failed and still fail to recognize the bubble and necessary steps to stop it from continuing or reoccurring.  He has also made various proposals, which now appear to be gaining support by various government bodies:

·       Allowing people whose mortgages are foreclosed to continue as renters (Fannie Mae)

·       Establishing financial regulatory bodies independent of the Federal Reserve (Christopher Dodd)

·       Reestablishing the Glass-Steagall separation of commercial and investment banks

·       Breaking up large financial companies until their parts aren’t too big to fail (Bernie Sanders)   More.

·       Regulating derivatives

 

I hope that Dean Baker will present a comprehensive description of the reforms that he would recommend.  And indicate the extent to which various congressional committees, congress members and other government bodies are considering or supporting these reforms.  Sort of a report card on the progress of Dean Baker’s recommendations.

 

Here’s the Beef

Health care reform foes repeat same arguments used against Social Security and Medicare

 

State and Local

 

Our Exposure of BIAW’s War against State Government

 

Know Our Opponent: the BIAW

BIAW’s Conservative Ideology

Our Filthy Rich BIAW

Adequate School Funding Requires BIAW Changes

BIAW Contributes Big Bucks to Conservative Candidates

Some Democratic Legislators Support BIAW

BIAW Wins.  Labor, Education and our Public Lose.

BIAW’s Legal Successes

Lawsuit against BIAW Alleges Violation of Trust

BIAW Vulnerabilities

David Spring: It’s Time to End BIAW Corruption

David Spring: Washington Attorney General Rob McKenna’s $1 Billion Error

David Spring: BIAW Has Used Tax Money to Ruin Our Education

David Spring: Case Law Confirming No Time Limit to Recover Money

David Spring: BIAW’s Political Consequences

David Spring: Recovering Retro Money over Time

David Spring: State Must Recover BIAW Rebate

David Spring: L & I Ignored Known Rebate Error

David Spring: Is Rob McKenna Incompetent or Corrupt?

David Spring: Facts about BIAW and Rob McKenna

Frank Chopp and BIAW

 

Featured Advocacy Group

--------------------------- Progressive States Network -----------------------------

 

The Progressive States Network (PSN) provides coordinated strategic support for a network of state legislators, their staffs and advocacy groups, in order to equip them with coherent logistical and strategic advocacy tools necessary for advancing key progressive economic and social policies.

 

PSN provides a range of Strategic Services to legislators and advocates, including drafting legislation, hosting multi-state conference calls and Events nationally and in states, issuing Legislative Alerts on innovative legislation, distributing Issue Updates on key issue areas, and conducting Action Campaigns to mobilize grassroots support.

 

Progressive States Network to provide day-to-day support to state legislators and community organizations in each state to help make that happen. This accompanying package of issues is not designed to be an exhaustive set of policies but instead strategically focuses on those that can attract support from disaffected voters and thereby "wedge" those rightwing politicians whose allegiance to campaign contributors clashes with the desires of many of the voters who put them into office. And Progressive States as an organization has committed to providing legislative support to campaigns in states advancing these policies.

·       Wage Standards and Workplace Freedom – assuring
that American workers receive a decent wage and the freedom of speech in the workplace to stand up for their own interests.

·       Balancing Work and Family – helping create a more family-friendly workplace and society through better family leave policies, paid sick days, support for child care and access to contraception.

·       Health Care for All – extending health care coverage to all Americans, while helping cut costs for those currently receiving health coverage.

·       Smart Growth and Green Jobs – promoting energy independence and job growth through new transit options, smart development to strengthen our communities, and new energy technologies.

·       Broadband Build Out and Technology Investments – promoting universal and affordable Internet broadband, networking energy, health care & education systems, investing locally in technology jobs, and promoting diverse voices in local media.

·       Tax and Budget Reform – creating more equity and accountability in state tax systems, economic development subsidies, and public contracts.

·       Fair and Clean Elections – eliminating corruption in lobbying, establishing public financing for elections, protecting voting rights, and promoting reforms like national popular vote to assure that every vote counts.

 

PSN has also established a State Immigration Project to help provide legislators with the resources to respond to anti-immigrant attacks and instead promote policies to more effectively integrate immigrant families into our communities.

 

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Here’s the Beef

To obtain a balanced state budget, some taxes may be increased and tax loopholes eliminated.

Governor Gregoire says state revenue must be increased.  For more.

Private insurers are cheating Swedish Medical Center and other medical care providers.

If the East Link light rail route runs close to I-405 (on the BNSF route) with a stop at 114th Street NE, it could have a tunnel west to the business district, or frequent buses.

 

Nation and World  

 

Comments on Proposal to Reduce Health Care Costs

 

In response to the proposal to include four elements in health care reform to control costs, someone offered the following commentary:

 

For socially conscious health care reform advocates, the primary goal of reform is to see that every individual receives the health care that he or she needs. But what has really driven the reform process has been the concern over the very high costs of health care that have challenged individuals, employers and the stewards of our government health programs.

 

In this late phase of the reform process many have expressed doubts over the adequacy of the various policies in the reform proposal that allegedly are designed to control health care costs well into the future. In response, 23 of the nation's most distinguished economists have signed on to this letter addressed to President Obama expressing support for four elements that they believe are of critical importance and should be included in the reform legislation. Let's look closer at these four elements.


Deficit neutrality

The economists call for budget neutrality initially, to be followed by deficit reduction. Of course they are referring only to the federal government budget and not to private sector spending. The great risk of limiting consideration to public spending is that, in the absence of effectively controlling actual health care costs, the government budget can be controlled only by shifting the costs to the private sector. Individuals and businesses certainly do not want to see an increase in their health care spending, especially while the government is reducing its spending in the later phase, that of deficit reduction.

Isolating health care spending for budget neutrality while continuing with deficits in other government programs (war, financial institution bailouts, interest on the debt, expanding our prison population, etc.) does not seem just. Appropriate use of debt is fundamental to any business, and there is no reason that reasonable debt should not be a part of the government's management of its financial obligations to health care.

That said, our total government debt is the result of prior devious efforts to reduce revenues (i.e., taxes) in order to force the reduction in funding of government programs. With inadequate revenues and with exploding debt, deficit hawks in Congress can be relied upon to underfund crucial programs such as health care, but theirs is a pathological process since they only look at spending and refuse to consider revenues.

Those who argue that taxes collected for government health care spending remove money from the economy are flat out wrong. Health care is one of the most important and beneficial components of our economy, constituting over 17 percent of our GDP (Gross Domestic Product). Those taxes are moved back into our economy.

Those who scream that we are being taxed to death need another dose of reality. The average total tax revenues of OECD nations (Organization for Economic Cooperation and Development) were 35.9 percent of GDP in 2006. For the United States, the total tax revenue was 28.0 percent of GDP, placing us near the bottom of OECD nations. (OECD Tax Database - link above)

Suppose we increased our tax revenues to the average of OECD nations, which would still be far, far short of those nations with more highly socialized systems. At 7.9 percent (35.9 average minus 28.0 U.S.) of our GDP of about $13.8 trillion, that would increase government revenues by about $1.1 trillion in a single year, ten times the amount they are considering for health care reform. Our entire federal spending is under $3 trillion. We could eliminate entirely the deficits and provide surpluses while keeping tax revenues at well below the OECD average, if only the deficit hawks would look at the revenue side of the ledger.

 
Excise Tax On High-Cost Insurance Plans

Why would any health insurance plans have very high premiums? One reason is that insurers use medical underwriting to assess high premiums for individuals with preexisting disorders. It would be unfair to tax those premiums for an individual with other burdens, but with adequate regulatory reform medical underwriting should be eliminated anyway.

 

The more common reason for high premiums is that the plan covers other services and products such as dental care, eye care, maternity benefits, mental health services, and pharmaceuticals. Applying an excise tax to these premiums would result in eliminating such benefits from the plans and shifting these expenses to the individual in the form of greater out-of-pocket spending. The proposals under consideration place a cap on out-of-pocket expenses for covered services, but that cap is unaffordable for many, and these expenses would not apply to the cap. Thus they would impose an even greater financial burden.

 

Since the excise tax would discourage access to these important health care services, it should be rejected as the flawed policy concept that it is.

 

Medicare Commission

Although the Medicare Commission purportedly would be to improve quality and value, its primary purpose would be to limit spending within the Medicare program. Medicare has already served as a leader in innovations to reduce health care spending, with the private insurance industry following. In fact, many providers believe that Medicare has been too aggressive, often resulting in lower reimbursement rates than in the private sector. Granting the Commission more power to use newer innovations to further reduce spending will inevitably increase the animosity held towards Medicare by the providers. A decline in willingness to accept Medicare beneficiaries could further impair access.

 

This is not to say that the concept of a commission is a bad idea. If the commission worked with the entire health care delivery system in applying potentially beneficial innovations, higher quality and greater value are possible. If the commission became too aggressive, the push-back by providers and their patients would moderate their excesses.

 

If the power of the Medicare Commission were limited only to Medicare, then there is a potential that cost-cutting aggressiveness might threaten to convert Medicare into a quasi-welfare program not unlike Medicaid, a transformation that would not please our Medicare beneficiaries. It is more likely that the Commission simply would be enmeshed in studies of relatively ineffectual measures that would have little net impact on costs.

 

We would need a universal Medicare for all program for the Commission to have a real impact that would be both beneficial and cost saving.

 
Delivery System Reforms

These economists recommend that we reward health professionals for providing better care. The problem is that we don't know how to do that. They recommend funding research into what tests and treatments work and which ones do not, as if that isn't what research has been all about anyway. Maybe it would be helpful to directly compare expensive patent drugs to generics, but the overall spending impact will be modest since this year's patented drugs are next year's generics.

They also recommend bundled payments, accountable care organizations, plus penalties for re-admissions, hospital acquired infections and other PACs (potentially avoidable costs). In my message two days ago I already discussed the reasons why these measures cannot be relied upon to reduce health care costs (Bundled payments and ACOs - link above).

Is this really the best that these noted economists can come up with? They have made the same mistake as the politicians. Their perception of reform is to build on our existing dysfunctional financing system (an egregiously flawed concept that you would think our leading economists would understand).

If we had an improved Medicare for all we could have 1) deficit neutrality through global budgeting, 2) rational tax policies that are equitable, 3) public administration using the guidance of commissions as appropriate, and 4) our own beneficent monopsony that can realign incentives to promote the delivery system reform that we need. And, oh yes, every single person would be included. It doesn't take an economist to understand that.

Here’s the Beef

A national infrastructure bank would create jobs with little addition to our government deficit.

More information on San Francisco’s approach to providing coordinated health care.

An American Firm Driptech makes affordable efficient irrigation equipment to alleviate water shortages.

Many companies are violating worker’s rights.

Stopping oppression of women today is the moral equivalent of stopping slavery in the 19th century.

Anti-Taliban tribal militias are being encouraged, which will reduce need for NATO troops.

U.S. should give more assistance to non-corrupt effective governors and ministry officials instead of to Hamid Karzai.

 

Our Liberal Spirit

 

Our Fleeting Minutes of Fame

 

One can obtain fame briefly by doing a very good or a very bad thing, with the latter being much easier.  Is there any reason for Liberals to seek such fame?  If they obtain such fame, what should they do with it?

 

There is only negative value in obtaining fame by doing a very bad thing.  Such as the recent shooting of soldiers at Fort Hood. 

 

If a Liberal obtains fame by doing a very good thing (such as the pilot who successfully landed a disabled plane on the Hudson River, the occasion can be used to demonstrate any relevant values of increased freedom, opportunity, equality, competence and compassion.  Such demonstration should be subtle, just a gentle framing of the actions which produced the fame.

 

Recommended Books – See our list of books for liberals

Les Leopold, 2009, The Looting of America.  How Wall Street’s Game of Fantasy Finance Destroyed Our Jobs, Pensions and Prosperity.  And What We Can Do About It.

 

Unlike most other books about our housing-credit bubble and collapse that I have reviewed, this book does not present many details about its history.  Les Leopold focuses upon how fraudulent mortgages were securitized and with unregulated derivatives used to create a speculative casino.  Major financial companies then lured naïve municipalities, mutual, pension and charity funds and people with 401(k) funds to take risks in order to obtain higher returns.  Some gained at first, but then the collapse cost them much of their gains and even much more than they had gained. 

 

I strongly recommend this book to under stand the basics of what happened.  Unfortunately, Les Leopold is not so specific about what should be done: such as

·       a transactions tax to render much speculation unfeasible

·       restricting derivatives to protecting from loss

·       increased margin requirements

·       breaking up large financial companies and regulating them

·       separating commercial and investment banks

 

 

These reforms would reduce the stock market to enabling investors to recover their money, eliminating the majority of present transactions which are only speculative.