One of the central tenets of McCain's health insurance plan is to let Americans buy insurance from any state, regardless of the state they live in. This might be a good idea if health insurance were a fully free-market commodity, but it guts the power of any state to set its own regulations or subsidize policies. Any state that tries to set minimum coverage or cap prices will be undermined by policies in states that don't, and any state that subsidizes health insurance policies will suddenly find itself paying for the whole country with the tax revenue of only its own residents.
Here in Massachusetts, we're embarking on an interesting plan to provide nearly universal coverage. It's by no means a fool-proof plan, and it looks to me like it'll probably fail. Not just that, but I knew even back when it was still being proposed that it would probably end up failing; the bar was incredibly high, and the state had no precedent from other states that it could learn from. Still, I always supported the plan, because I'm confident that even if it fails, what we'll learn from it will be invaluable as we set up its successor. My hope is that, in a couple decades, Massachusetts will hit on an iteration that really works.
Given America's current health insurance system, there's no way any state — or the federal government, for that matter — will get it right the first time. What the country needs is 50 independent laboratories, each trying its own way to provide the best coverage to the most people. Some states will go the free market route, and I can only hope that at least one or two try to nationalize (state-ize?) health care, taking as their model some of the very successful Western European countries.
Here's the crux: McCain's plan would eradicate those 50 laboratories. We'd have just one place to try policies, and it would be at a level so high — the federal government — that any experiment would be politically and economically impossible. Health insurance policy would fester under McCain's plan.
Of course, Obama's plan also works at the federal level; that's what a president's plan does. But he wouldn't strip power from local governments. His plan would largely keep regulation in the states' hands, except for the mandate to insure all minors — a reasonable floor to set, I think. At the core of it, Obama is proposing to set up a parallel health insurance system: if the regulations set by your state don't provide you a good option, you can go for the health insurance that federal employees get, which by all accounts is a very good one.
In other words, McCain's plan would strip states of their ability to control health insurance; Obama's would set a minimum bar for them, and in doing so would create an upwards pressure for them to create an environment that begets even better policies.
I would actually like Obama's plan more if it gave states more control. If a state provides a health insurance policy that's roughly equivalent to the federal government's, it should be able to petition the federal government to have it (the federal government) withdraw its coverage from that state's citizens. This would increase the state's pool of insured, allowing it to provide cheaper plans with better coverage, without undermining the minimum coverage that the federal plan was meant to provide.
States' rights? What states?
In some optimistic corner of my mind, I still cling to the idealized notion that the GOP is a small government, states' rights party; I like to think that its current policies represent a temporary if horrible corruption of their real position.
Of course, I know I'm deluding myself. Republicans today aren't about small government, and they're certainly not about states' rights. What's mildly interesting is that the party actually still pretends to be in favor of states' rights when it suits it: specifically, with the abortion issue. But McCain's insurance plan is a great example of the GOP's complete comfort with trampling over states in nearly every other matter.
Thursday, October 16, 2008
McCain's health insurance plan
Thursday, September 4, 2008
Palin, the small-town mayor
Despite what they claim, the GOP have presented Sarah Palin almost purely as a nice storyline. There's little talk about the fact that as mayor of Wasilla she tried to fire the town's librarian after asking her to ban books, that she asked the town's top officials to resign as a loyalty test, or that she wants to teach creationism in public schools. People should give her credit for reining in big oil in Alaska and cutting down on government spending, but those efforts came at the expense of nearly everything else, according to Gregg Erickson, a columnist for the Anchorage Daily News.
And let's be clear, she's no centrist. Palin is against abortion even in cases of rape and incest, supported a Constitutional Amendment to ban gay marriage in Alaska and is no friend to the environment.
I would love the discussion to focus around these issues, but instead, Palin and others in the party have focused on her being a "hockey mom" we can all relate to, an average Jill who's just a hard-working mayor from a small town. This is somehow being spun as a plus.
I know plenty of nice people. I know plenty of people who are hard-working. But I don't know anyone who I'd consider ready to be president of the United States of America. And I'm sorry, but hunting moose is no qualification for conducting international politics — it's a completely orthogonal skill.
Have people forgotten that we're picking a leader here, not a pal? Imagine if GM were looking for a new CEO and picked one of their shift managers because she "understood blue-collar issues" and was "a down-to-earth candidate." Given that McCain is 72 years old, this is not just a rhetorical point; his VP must be qualified to be a good president.
Granted, Obama doesn't have a lot of political experience. But his now-derided "community organizer" role was in a city with a population literally more than four times greater than all of Alaska — and that's not counting the metro region outside Chicago proper. He's demonstrated his approach to foreign affairs. He's also run a large and extremely successful campaign for more than a year now, so his experience has been somewhat tested and highly scrutinized, as Republican Joe Scarborough pointed out (at 2:00 into the clip). Palin is coming out of left field.
Besides, Obama isn't pretending that his lack of experience is somehow a good thing, as Palin is.
Wednesday, August 6, 2008
Obama's failing, and why it shouldn't matter
It’s funny how a flip-flop can look like a betrayal if you’re on the wrong side of it.
Since he secured the Democratic party’s nomination, Obama has made a well-documented dash to the center. He’s tempered his 16-month pullout from Iraq by saying he’d adjust the timetable as needed, putting him fairly close to McCain’s (also new) position that timetables are irrelevant but that we should be out by 2013. With regard to oil, Obama now supports tapping the Strategic Petroleum Reserve, a reversal of his earlier position. He also did a 180 on FISA; ditto public campaign financing, and he’s not even relying on small donations as much anymore.
Now, each of those shifts is arguably the sensible thing, and one could be tempted to just shrug it off and say, “that’s politics for ya.” The problem is that Obama started out with — and still maintains — the notion that he’s somehow a new class of politician, and that’s turned out to be a lie. If we wanted a standard centrist, we had Hillary.
Don’t get me wrong — I’d still pick Obama over McCain. Obama has stayed firm on his tax brackets, which redistribute wealth more to the have-nots. I’d also prefer to see Obama picking the next one or two Supreme Court justices, and Obama’s certainly a more charismatic leader. Electing Obama would be a show of good faith to the rest of the world, although my guess is that it would be a fairly short-lived honeymoon. When it comes down to it, Obama is left-of-center, and McCain is right-of-right-of-center. I guess beggars can’t be choosers.
Obama's rush to the center reminds me of why I’m in favor of states’ rights. America will never elect a truly innovative class of politician as president, because it’s just too big and diverse. If you average out a rainbow, you get a muddy, unexciting color.
America should strive to work a bit more like the European Union: a tight union of separate, independent states. Each state should be responsible for its own moral compass, governmental initiatives and much of its own administration; the federal government should primarily be a coordinating body, distributor of wealth and guardian of a few basic human rights.
The argument might come back that the EU suffers from a disconnect from its citizenry, slow political movement caused by various countries’ hesitations at one point or another, and a general confusion as to the path it should take. I would respond: exactly.
In other words, I would like to see more of an “agree to disagree” attitude within America. Texas and Massachusetts are going to differ on a lot of things, and there’s no reason to let Ohio and Florida decide, every four years, whose opinion gets to rule supreme.
Sunday, June 29, 2008
Wall-E Surprise
I know I usually post only once a week, but I wanted to get a short entry in today, before July's Month o' Music starts.
I just saw Wall-E and was pleasantly surprised. I came in thinking it would be a cute, fun movie, but it turned out to have a good message as well. I'm not talking about the environmentalism, which turned out to be a relatively minor element.
Friday, June 27, 2008
An environmentalist's manifesto
To compensate, I'll leave you, my faithful reader(s), with my militant and proselytizing manifesto.
I would submit that we never had a carte blanche in the first place; we've been taking luxuries as fundamental necessities without thinking, like some character out of The Great Gatsby who's slowly starting to realize that his money isn't coming from a deep trust fund but from a line of credit.
Let's take driving, because it's always fun to beat a dead horse. According to one site I found that lists carbon emissions by mode of transportation, a 180 lb man creates about 200 lbs of CO2 every mile he drives alone in a car. It won't go away for thousands of years.
Okay, cars pollute — nothing new. But the crux is that driving isn't a basic right, it's a huge convenience. Humans survived tens of thousands of years without more than feet, horses and wheels, but we've forgotten all that in the last century. Suddenly, it's not driving that's fast and easy; it's walking or biking that are slow and hard.
It would behoove us all to remember that when we drive, use a computer, turn on the A/C or do any number of other activities that consume power, we're going above and beyond what nature was designed to let us do. We're spending what we were never given to spend.
I'm guilty too; I drive several times a week, use a computer for hours a day and enjoy the A/C at work. But I feel guilty about it, which makes me think every time I do something that pollutes, which makes me do it a lot less. It may be melodramatic and smack of self-flagellation, but I think it's one case where a bit of guilt is deserved and well placed. To put it bluntly: every animal has to pollute a bit, but we might ask ourselves what gives us the right to so grossly exceed our allowance.
And when you stop and think about it, taking an extra half-hour to use public transportation instead of driving isn't really that inconvenient. You're still saving a lot of time compared to having to walk those 6 miles. And if you bring a book or a magazine or manage to grab a seat and doze off for a few, it can honestly be a nice experience.
Hmm, that last graf
Friday, June 20, 2008
The international price of nuclear power
With oil prices and CO2 on everyone's minds, America is looking for other sources of power. Nuclear energy is one option that comes up a lot: it doesn't pollute the air, and we know how to make a lot of it economically and ubiquitously; the latter can't yet be said of wind, hydro or solar power. There are of course concerns about safety — accidents are rare, but they're devastating when they happen — and nuclear waste, but there's another issue I haven't heard much about.
America is the world's superpower, and where it goes, others may follow. But nuclear technology can be used for bombs as well as power plants, and the line separating them is neither wide nor necessarily visible. Every time America has accused Iran of pursuing nuclear weapons, Iran has countered that it's only after power plants. The technologies are close enough that proving either side right has been difficult. Nuclear bombs and power plants use the same ingredients, enriched uranium and plutonium, and plutonium is in fact synthesized in nuclear reactors. Even without enriching nuclear fuel to weapons-usable quality, a country could easily use radioactive fuel or waste to make dirty bombs.
If America touts nuclear energy as its energy solution, it will be in a tough place telling other countries they can't do the same. Iran and other countries will have much greater political leverage for pursuing a strong nuclear energy program, and that would put them within dangerous reach of developing a nuclear weapons program.
Even if no country uses the nuclear bombs it develops, we run the risk of coups, corruption, under-the-table support or even just bureaucratic negligence putting bombs in the hands of those who will. And nuclear waste will be around when every government now in existence is long gone; it's irresponsible to leave it for the terrorists and governments of the 60th century to find. Soviet Russia wasn't all that careful in cleaning up its nuclear waste, and who are we to say that no new nuclear power would be as bad?
We need to develop alternatives to energy other than fossil fuels, yes. But we need to examine each option carefully if we're to avoid jumping out of the frying pan and into the incinerator. It may be worth spending a bit more time and money developing the truly clean and safe technologies instead of investing heavily in a technology that could bite us hard later.
Sunday, May 25, 2008
Math puzzle: which station? (part 1)
Whoops, looks like I missed this week's regularly scheduled posting. It's late now and I don't feel like typing anything too involved, so here's a neat little math question I've been wondering about.
Environmentalist that I am (or "greentard," as my girlfriend likes to call me1), I like to take the T to work as often as I can. My 90-minute trek starts with a walk to the red line, which I take in to Park Street.2 There are two T stops, Porter and Davis, roughly equidistant from my house; the train going my direction hits Davis first, then Porter. The question is: does it matter which I take?
Here's my thinking. On the one hand, trains run through each station at the same pace, so it shouldn't matter where I wait. If I have to wait an average of X minutes at Porter, I should have to wait the same X minutes, on average, at Davis.
On the other hand, let's imagine that I walk to Davis and get there just in time to see the train pulling out; I missed it by 30 seconds. It takes a minute or two for the train to get to Porter, so if I'd instead gone to that station, I'd get there just before the train; perfect timing!
My hypothesis is that if my schedule and the trains' schedules were completely random, everything would even out and it wouldn't matter which station I went to. But neither one of them is totally random; the trains are relatively regular (every 7 or 8 minutes), and so am I (I try to leave around 7:45 am). If I assume that my time is somewhat synchronized with the trains' — with some randomization, since neither of us are flawless — I bet Porter is the better station. My time cost for being a bit ahead of the train isn't high (30 seconds or a minute), but if I'm a bit behind, I'll catch a train at Porter that I'd miss at Davis.
I'll run some simulations; stay tuned for the results next week.
Apologies if this post is badly written; the timestamp is my excuse.
[2] Sic. Remind me to write about my conundrum regarding "in to" and "into" soon.
