UP@NIGHT

Mitchell Aboulafia

Archive for the ‘health care’ Category

New Poll: Americans Want More Health Care Coverage

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Cartoon, National Library of Medicine, Public Domain

For months now we have been left with the impression by the news media and the Republicans that Americans are in revolt against Obama’s health care legislation.  What’s the evidence?  Polls have shown more Americans currently disapprove than approve of the legislation.  Now we have a poll that finally asks several of the right questions, including whether the law should have done more!

“A new AP poll finds that Americans who think the law should have done more outnumber those who think the government should stay out of health care by 2-to-1.”

Read the article here:  AP Poll: Repeal? Many wish health law went further Many of us have thought that there was something seriously misleading about polls that simply asked whether you favor the President’s health care legislation.  We now have a good idea why.  The Democrats should not run away from health care.  They need to tell the American people that if the Republicans take over, they could lose any chance for getting the health care that the majority of Americans need and want.

Written by Mitchell Aboulafia

September 25, 2010 at 2:45 pm

Obama, Health Care, and the Limits of Empathy

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Photo Brendan

William James………………………Teabaggers

Compromise is at the heart of American politics; yield in order to gain.  Politicians and citizens compromise because self-interest demands that they do so.  But at times they also compromise because they come to see the other person’s point of view.  Or as Obama likes to put it, they stand inside the other guy’s shoes.  This doesn’t necessarily mean, as Bill Clinton was so fond of saying, that I feel your pain.  We don’t have to go this far to see the other person’s point of view, although sometimes we might.  We just have to be willing to engage in an imaginative act that allows us to step outside of our comfort zone.  Functioning democracies depend on this ability.  Without it they descend into gridlock, civil strife, and even civil war.

However, sometimes we can’t empathize with others.  Not, for example, because they are hardened criminals whose ways are simply unacceptable, but because the ways in which other people understand and experience the world are beyond our powers of imaginative reconstruction.  Our failure here is not due to a lack of good will.  It relates to a distinction that the philosopher William James makes in his essay, “A Will to Believe,” between two kinds of hypotheses: living and dead.  That the earth is round is a living hypothesis for most every American in 2010.  That the earth is flat is a dead one.   This was not always true.  For much of human history the opposite was the case.  Today there are those for whom God is a living hypothesis, and the Deity is a vital and accepted feature of their experience.  But others, convinced atheists, can make no connection with this hypothesis.  They do not experience God as a living hypothesis and no amount of arguing or cajoling will change their minds.  Agnostics on the other hand experience God as a living hypothesis, but they also experience the notion that there is no God in a similar fashion.  They have what James calls an option: a choice between two living hypothesis, although it is possible that they may never choose.

How then does this relate to Obama and health care?  Obama is a savvy politician, who is both politically and philosophically pragmatic.  This doesn’t mean that he is without values.  It means that he thinks about their realization in terms of what will work.  And this may mean modifying his goals, compromising if necessary on his goals, in order to create some reform.  Obama is also a storyteller, one who understands that storytelling requires being able to see different points of view.  As a storyteller he appreciates the importance of empathy in the go of human life.  It wasn’t accidental that he spoke of it when he nominated Judge Sotomayor.  And he has also spoken about empathy as a lesson that he learned from his mother.  That he can listen and stand inside the other guy’s shoes is one of his strengths as a storyteller and as a politician.  Empathy, no doubt, can be an important tool in a politician’s toolkit.  But it can also be an Achilles heal.

Obama made several tactical judgments on how best to pass health care legislation.  One of them, however, was not actually a tactical judgment, although it could be read this way.  It was actually an assumption.  He believed (at times) that his use of empathy would be reciprocated by the opposition.  Obama has an unusual ability to empathize with others.  It is natural for him to take the perspective of others.  He assumed too much, or had too much faith, in the opposition possessing a comparable skill.  Although he certainly understood that powerful special interests  would be aligned against him, he appears to have forgotten how James’s notion of live and dead hypothesis could come into play.

There are forces out there, forces for whom the idea that the federal government can be a force for good is a dead hypothesis.  The birthers and teabaggers fall into such a camp.  It is not that they merely have firm convictions or values.  It is that the hypothesis that the federal government can be a force for good is simply not a part of their repertoire.  It is a dead hypothesis.  There are Republicans in Congress who believe this.  And there are also Republicans in Congress who need to pretend to believe it so that they can get reelected.   A fatal brew for a reformist president whose natural inclination is to try to compromise with the opposition, and who was once convinced that a cooperative bipartisan approach to health care would carry the day.

So where does this leave Obama?  Of course he knew that his initiatives would give raise to strong opposition.  But there is a difference between strong opposition and folks like the teabaggers.  There will be no compromising with those for whom health care reform is part of the dead hypothesis of “the good federal government.”  Resurrecting the federal government for them is like resurrecting God for the confirmed atheist.   And there will be no compromising with those who have been captured by them or their ilk.  They will hold their ground on every new initiative, and they will carry along the entire GOP, unless the self-interest of (some) Republicans leads the party in another direction.  (Pay attention here to how Brown handles himself in Massachusetts.)

It’s not that Obama doesn’t know this.  Yet he has been hesitant to acknowledge the limits of empathy and compromise, not just intellectually but perhaps more importantly emotionally.   The paradox here is that recognizing the limits of empathy and compromise may very well lead to substantial movement on legislation that Obama supports.  The savvy politician in him knows this.  It’s going to have  to bring the storyteller along, at least for now.  There will always be times for tales.

Most Americans generally shy away from absolutes.  They don’t like to think of themselves as driven by dead hypothesis.  Most Americans are more like agnostics than atheists or the religious when it comes to the federal government, ready to shift one way or the other depending on circumstance.  They will become (temporary) believers if they are given something that they believe will work.  Give them a reason to believe that the federal government can be an active and helpful feature of their lives and they will take it.  Give them a reason to believe the opposite, and they will, at least for the time being.  Regarding health care, Obama’s rhetorical task is clear.  He must help make (temporary) believers of the agnostics with regard to the federal government.

UP@NIGHT, Right Again (Prediction Record)

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Nostradamus  Vs.  UP@NIGHT No Contest

It has been over a year and a half since I began UP@NIGHT and my career as a pundit, for lack of a more refined label.  I suppose part of the challenge was to see how a philosopher by trade might do in the prediction business.  How I would stack up against the pundits in the media.  You know, mano a mano.

I thought that it would be fitting and fair to readers, and myself, to look at blogs in which I predicted the outcome of events in the political world to see if my track record was any good.  Low and behold, I discovered that if I had been a betting man, I could have made some good money.  So, without further ado, and no false modesty, here are the predictions.  Roll Over Nostradamus.

The titles are linked to the original blogs.

Correct Predictions:

A Dozen Reasons Why Obama will be the Next President: Money-Back Guarantee, May 20, 2008
It’s Over: Clinton Won’t be the Democratic Presidential or VP Candidate (and Boomers will make sure), May 24, 2008
Hillary Misbehaves and Obama Considers Offering Her a Cabinet Post, June 4, 2008
It’s the Economy, Stupid: TAKE TWO,  August 21, 2008   (Obama will win the election if he concentrates on the economy and doesn’t allow McCain to focus on foreign affairs)
McCain Just Lost the Election with a Hail Mary (or Political Ambition 21, Country 0), August 29, 2008  (Posted the day that McCain picked Palin as his running mate.)
Why Obama and Paul Newman won the Debate, September 27, 2008   (Argues that contrary to what many pundits in the media claimed, Obama won the first debate and that he will win the election.)
Democrats To Pass Significant Health Care Reform,  October 18, 2009   (This blog argues that Democrats will not be stopped by a filibuster in the Senate and they will fall in line to pass significant legislation.  And yes, I am taking credit for this one even though the legislation is not signed by the president and people may be unsatisfied with it.   It’s pretty much a done deal.  And whether one likes it or not, it will bring about substantial change.  In any case, both houses have passed bills.  Reconciliation will come early next year, by February.)

….

Semi-correct, although not a exactly a prediction:

Obama, Spock, and the New Star Trek Nation, June 6, 2008.  (UP@NIGHT was one of the first blogs, if not the first, to make the connection between Obama and Spock on the Web.  It has now become a commonplace.)

….

Incorrect Predictions:

The Twelfth Cylon Revealed, May 30, 2008  (I claimed that McCain is the 12th and missing Cylon on the TV show Battlestar Gallactica.  I still hold to the proposition that he may prove to be a Cylon.  The new series should reveal the truth.)

It’s Going to be Webb for VP, Probably,  May 16, 2008

….

Still up in the air:

Obama’s Pragmatism (or Move over Culture Wars, Hello Political Philosophy), December 14, 2008; reposted April 7, 2009  (Argues that Obama is a philosophical pragmatist, not merely a political one, and that his approach will have an impact on the culture wars.  See also, Obama: Conservative, Liberal, or Ruthless Pragmatist?, May 7, 2009; Bronx on the Court, Empathy, and Obama’s Pragmatism, May 27, 2009.)

GOP, Inc. to be Permanently Downsized, January 30, 2009

….

Leaving aside the Cylon revelation, looks like UP@NIGHT was right about 90% of the time.    So I ask you, can you afford not to read UP@NIGHT?

….

[First posted December 26, 2009.  Reposted January 3rd, 2010 to start off the new year and add "Obama's Pragmatism." ]

…..

UPDATE, January 22, 2010.

With the unexpected victory of Brown in Massachusetts I  am going to have to amend what I claimed above, namley, that health care will not be stopped by a filibuster in the Senate.  It wasn’t stopped, but now it would be.  Nevertheless, I am not pulling the original prediction about health care (yet).  The Democrats can’t afford not to pass it, which was the thrust of the original blog.  No one knows what form it will take at this juncture, or when it is going to happen, but the Democrats will get something they can crow about.

Written by Mitchell Aboulafia

January 3, 2010 at 8:05 pm

Socialism is not the Issue: Don’t let them fool us again

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ObamaSocialistimages-1

There is a cottage industry in the making: “Obama the socialist” paraphernalia.  One of the striking features of this industry is the confusion that stands behind it.   As revealed in pictures above, some people don’t know the difference between National Socialism (fascism, Nazis; image one above: Nazi Brown Shirt/Obama) and Communism (sometimes called socialism; image two: Lenin/Obama).  The two groups hated each other and fought bloody wars.   Yet, for some, hey, a socialist is a socialist.  And they want to make you believe that Obama is one, which will help to kill health care reform, for the fifth or sixth time in U.S. history.

Fool me once, shame on you.  Fool me twice, shame on me.  Fool me three, four and five times, hand me the clown suit.

If one were to believe Fox News, the fear of socialism is running rampant in the Land.   Folks who regularly depend on government sponsored hearth care, for example, the Medicare program and the Department of Veterans Affairs, or who will someday depend on them, appear to feel no compunction about attacking the public option in Obama’s health care plan.  For some reason, it is socialism, but Medicare and Social Security are not.   Of course, these are not the only individuals attacking Obama.  There are radical free marketers who in principle just hate the idea of the government getting involved in anything.   They would even kill Social Security.   (I wonder how many of them don’t have health care or are in danger of losing theirs.)  After all, if the government gets involved, it will undermine the private insurance companies, and with this undermining the fall of capitalism and America can’t be far behind.

What is the main argument against a government sponsored alternative:  the government, which can’t seem to do anything right, will undermine well-run insurance companies, because a government sponsored option will be non-profit.  The counterargument: if we don’t have good non-profit competition, the price of insurance will continue to skyrocket and help bankrupt the country.

There is a lot of fear in insurance land.   We seem to have here companies that are afraid to compete with a government run program.  I wonder why.  Fear that their bloated profits might shrink?  Fear that they will be put out of business?

images-2

But the magic of the market should be able to find a place for private companies, even with a government sponsored alternative.  Does every vet choose the services of the Veterans Administration over private health care?   Surely not.  If the private insurance companies have good products to market, they will find patients, even with a public option available.  The public option that Obama is recommending is not going to be so attractive that it will drive out of the market well-run and reasonably priced private insurance.  But if the insurance companies don’t provide good service at reasonably prices, it should be their problem, not ours.

To return to socialism.  The funny thing about this debate is that few young people have any idea about the dangers of socialism.  That’s because they have grown up in a world in which there aren’t any dangers from socialism, at least not in the way in which the over 50 set remember.   And those who seem to be most concerned (look at the crowds at some of the town halls),  appear to be those currently benefiting from Social Security and Medicare or those who will be benefiting within a decade or two.  This form of “socialism” is quite fine and dandy.  (Just try to find a Republican member of the Senate who wants to do away with these programs.)

The danger for the young is not socialism; it is a capitalism that is malfunctioning and cannot compete.  One way to hamstring the American system is by perpetuating the endlessly wasteful health care system that we now have.  Many in big industry recognize this.   The question is rather simple for them: how do we compete against countries whose overhead for manufactured goods is markedly less than ours because their health care expenses eat less of the pie?

If we let fears from another era get the best of us now, we will have no one to blame but ourselves and (some special interests) for a declining standard of living in the years to come.

Kid.JPG

Written by Mitchell Aboulafia

August 18, 2009 at 5:08 pm

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