Humans In Danger of Annihilation From Global Warming and Zombies, But Life Possible Elsewhere

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There are two news stories regarding potential danger to the human race. The BBC reports on methane escaping from the Arctic sea bed, which possibly could accelerate the rate of global warming. This danger sounds trivial when compared to yet another BBC report on how zombies can destroy the human race. I’ve feared that zombies were a real danger ever since they invaded the world of Jane Austen’s Pride and Prejudice.

The above report on the dangers of zombies did come out of Canada. So much for the claims that socialized medicine stifles important medical research. From the report:

In their scientific paper, the authors conclude that humanity’s only hope is to “hit them [the undead] hard and hit them often”.

They added: “It’s imperative that zombies are dealt with quickly or else… we are all in a great deal of trouble.”

According to the researchers, the key difference between the zombies and the spread of real infections is that “zombies can come back to life”.

Fortunately there is a chance to fight them:

Professor Ferguson went on to joke: “The paper considers something that many of us have worried about – particularly in our younger days – of what would be a feasible way of tackling an outbreak of a rapidly spreading zombie infection.

“My understanding of zombie biology is that if you manage to decapitate a zombie then it’s dead forever. So perhaps they are being a little over-pessimistic when they conclude that zombies might take over a city in three or four days.

It appears that between global warming and zombies we might be doomed. Fortunately there is also some good science news today. The amino acid glycine has been found in a comet according to a NASA astrobiologist. Finding such a building block of life on a comet might suggest that such building blocks of life can be spread to many planets. This potentially could lead to the development of life on another planet which is free of zombies and Jane Austen novels.

Fixing Health Care in Canada

The Canadian health care system has features which are not supported by advocates of health care reform in the United States, despite the tendency of conservatives to use Canada for scare stories. Canadian physicians are also concerned about some of the problems there and the Canadian Medical Association is discussing reforms to their system.

It is notable that, while there are certainly aspects of the Canadian system which need to be fixed, there is one change which is unthinkable there–adopting the American system. As with most of the industrialized world, they are looking at providing universal coverage with a combination of government and private plans.

I’m sure many conservative bloggers will see any internal criticism of the Canadian system as an argument against health reform, which makes no sense since a system like the Canadian system is not being considered here. It is also notable that, even with its faults, much of the criticism of the Canadian system coming from conservatives is greatly exaggerated and sometimes totally false as recently noted here.

The Right Wing Lunacy Isn’t New

We seem to be living in crazy times. A substantial number of  conservatives have a number of delusions, including that that Barack Obama is a Muslim and not a natural born American citizen, believe in creationism, still think there was WMD in Iraq at the onset of the war, and think that the scientific consensus on climate change is part of a conspiracy to destroy industrialized society. The health care debate has added a number of new delusions as conservatives listen to the wild claims of “death panels” from a crazy lady in Alaska posting on Facebook. Right wingers see additional conspiracies ranging from a plot to destroy private health insurance and have government take over health care to the Obama administration collecting email for the purpose of creating an enemies list.

Rick Perlstein writes that there is nothing new in the crazies coming out to protest health care reform. He notes that, “If you don’t understand that any moment of genuine political change always produces both, you can’t understand America, where the crazy tree blooms in every moment of liberal ascendancy, and where elites exploit the crazy for their own narrow interests.” He provided some examples:

In the early 1950s, Republicans referred to the presidencies of Franklin Roosevelt and Harry Truman as “20 years of treason” and accused the men who led the fight against fascism of deliberately surrendering the free world to communism. Mainline Protestants published a new translation of the Bible in the 1950s that properly rendered the Greek as connoting a more ambiguous theological status for the Virgin Mary; right-wingers attributed that to, yes, the hand of Soviet agents. And Vice President Richard Nixon claimed that the new Republicans arriving in the White House “found in the files a blueprint for socializing America.”

When John F. Kennedy entered the White House, his proposals to anchor America’s nuclear defense in intercontinental ballistic missiles — instead of long-range bombers — and form closer ties with Eastern Bloc outliers such as Yugoslavia were taken as evidence that the young president was secretly disarming the United States. Thousands of delegates from 90 cities packed a National Indignation Convention in Dallas, a 1961 version of today’s tea parties; a keynote speaker turned to the master of ceremonies after his introduction and remarked as the audience roared: “Tom Anderson here has turned moderate! All he wants to do is impeach [Supreme Court Chief Justice Earl] Warren. I’m for hanging him!”

Before the “black helicopters” of the 1990s, there were right-wingers claiming access to secret documents from the 1920s proving that the entire concept of a “civil rights movement” had been hatched in the Soviet Union; when the landmark 1964 Civil Rights Act was introduced, one frequently read in the South that it would “enslave” whites. And back before there were Bolsheviks to blame, paranoids didn’t lack for subversives — anti-Catholic conspiracy theorists even had their own powerful political party in the 1840s and ’50s.

The instigation is always the familiar litany: expansion of the commonweal to empower new communities, accommodation to internationalism, the heightened influence of cosmopolitans and the persecution complex of conservatives who can’t stand losing an argument. My personal favorite? The federal government expanded mental health services in the Kennedy era, and one bill provided for a new facility in Alaska. One of the most widely listened-to right-wing radio programs in the country, hosted by a former FBI agent, had millions of Americans believing it was being built to intern political dissidents, just like in the Soviet Union.

Perlstein notes that while there have always been right wing nuts there is a difference in how the media responds to them:

It used to be different. You never heard the late Walter Cronkite taking time on the evening news to “debunk” claims that a proposed mental health clinic in Alaska is actually a dumping ground for right-wing critics of the president’s program, or giving the people who made those claims time to explain themselves on the air. The media didn’t adjudicate the ever-present underbrush of American paranoia as a set of “conservative claims” to weigh, horse-race-style, against liberal claims. Back then, a more confident media unequivocally labeled the civic outrage represented by such discourse as “extremist” — out of bounds.

The tree of crazy is an ever-present aspect of America’s flora. Only now, it’s being watered by misguided he-said-she-said reporting and taking over the forest. Latest word is that the enlightened and mild provision in the draft legislation to help elderly people who want living wills — the one hysterics turned into the “death panel” canard — is losing favor, according to the Wall Street Journal, because of “complaints over the provision.”

Good thing our leaders weren’t so cowardly in 1964, or we would never have passed a civil rights bill — because of complaints over the provisions in it that would enslave whites.

Edward Luce makes a similar argument in the Financial Times:

More than a generation ago, the great American historian, Richard Hofstadter, wrote the classic The Paranoid Style in American Politics. Having watched many public servants and colleagues in academia hounded out of their jobs on the flimsiest of pretexts during the “red scare” of the McCarthy era in the 1950s, Hofstadter identified what he saw as a peculiarly American pathology of proneness to conspiracy theory.

America, he pointed out, was a relatively rootless society, which meant that anyone suffering from economic or status anxiety, particularly its struggling white middle classes, was particularly susceptible to the politics of scapegoating. Although also exhibited on the American left – think of the indefatigable Noam Chomsky, who sees a conspiracy under every rock, or Ralph Nader, the former consumer activist who believes corporations run everything – Hofstadter saw the paranoid style mostly as a right-wing phenomenon.

His theory holds up very well in 2009. Anyone who visits a few of this month’s rowdy town hall meetings can grasp that opposition to Mr Obama’s healthcare proposals is a lightning rod to a far larger world view, which seeks to protect American values and the US constitution from an alien takeover.

The word “alien” is appropriate. A poll last week found that only 42 per cent of Republicans believe Mr Obama was born in America. “Birthers”, or those who believe the election of the president is a conspiracy that dates back at least to Hawaii in 1961, the place and time of Mr Obama’s birth, made up a slim majority of respondents in the south. Foreign-born candidates are ineligible for the presidency under the constitution…

No amount of contrary evidence will puncture the view that Mr Obama plans to establish “death panels” that will decide which grannies get to live or die. Nor will reason counter the view that countries such as Canada and the UK push their weakest to the back of the queue. “Who will suffer the most when they ration care?” asked Sarah Palin, the former governor of Alaska on Thursday. “The sick, the elderly and the disabled, of course.”

Reality Check on Health Care Comparisons

While the Canadian health care system is not on the table in this country and is not what I would like to see, the scare stories from the right are still ridiculous. Conservatives attack the Democratic proposals, which are quite conservative when compared to the health care plan in Canada, with warnings of becoming like Canada. An op-ed in The Ottawa Citizen provides a reality check, beginning with the title and subtitle: A reality check on a reality check. For years, Canadians have feared the American health care system; now Americans are being told to fear ours.

The column proceeds to debunk claims about a case used by conservatives as an example of Canadian care and compares this with actual health care in the United States:

Holmes has become the darling of conservatives and the stop-public-health-care movement in the United States. She’s testified before Congress, been on Fox TV as well as CNN, and her story is retold on hundreds of right wing blogs. She’s now doing a nasty TV ad for Patients United Now, a Republican-led group opposed to Obama’s reforms. You can see the ad at www.patientsunitednow.com. The group is spending almost $2 million on it to target politicians in Washington.

For a person living with cancer, the idea that someone’s care could be unreasonably delayed is truly scary. It also doesn’t reflect the experience I’ve had or the experiences that have been shared with me by so many other patients. Even CNN interviewed Doug Wright, a more typical patient in Toronto who is receiving very speedy treatment for his cancer.

Still, I found Holmes tale both compelling and troubling. So I decided to check a little further. On the Mayo Clinic’s website, Shona Holmes is a success story. But it’s somewhat different story than all the headlines might have implied. Holmes’ “brain tumour” was actually a Rathke’s Cleft Cyst on her pituitary gland. To quote an American source, the John Wayne Cancer Center, “Rathke’s Cleft Cysts are not true tumors or neoplasms; instead they are benign cysts.”

There’s no doubt Holmes had a problem that needed treatment, and she was given appointments with the appropriate specialists in Ontario. She chose not to wait the few months to see them. But it’s a far cry from the life-or-death picture portrayed by Holmes on the TV ads or by McConnell in his attacks.

In Senator McConnell’s home state of Kentucky, one out of three people under age 65 do not have any health insurance. They don’t have to worry about wait times for hip or knee replacement or cancer surgery — they can’t get care. The media household income in Kentucky is $37,186 — not quite enough for the $97,000 bill at the Mayo Clinic. CNN didn’t mention that in its “Reality Check.”

As the debate on health care reform heats up the United States, it seems certain that Canada’s public health care system will be used, or more accurately misused, in the battle for hearts and minds. For years, Canadians have feared the American health care system; now Americans are being told to fear ours.

SciFi Weekend: Harry Potter; Torchwood; Spock; Hayden Panettiere; and Anna Friel

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The sixth Harry Potter movie, Harry Potter and the Half-Blood Prince was a box office success but I found it to be a huge disappointment. There is always a problem turning the full novels into a movie-length story but this movie did the poorest job of the six movies out so far. I felt like I was seeing a succession of excerpts from the novel being placed on screen as opposed to a coherent story. We got a small feeling for the effects of teenage hormones now acting on the main characters and some bits and pieces to lead up to the upcoming final battle against Voldemort in the final installment, but it didn’t work as a coherent story as the novel did.

Emma Watson as Hermione Granger did have a few good scenes as she felt like vomiting at the site of Ron Weasley with other girls, and Ginny Weasley looked far more grown up than I had pictured her. I thought that, while imperfect, at least the conclusion captured much of importance from the novel. I09 was also disappointed in the ending.

Children of Earth

The Torchwood: Children of Earth miniseries which begins on BBC America is one of the best science fiction stories to appear on television in recent years. (Reviewed here but do not read until after viewed due to major spoilers). AOL Canada interviewed Russell T. Davies:

What was the inspiration behind ‘Children of Earth’? It’s a very scary concept.

I wanted it to be a big event. In Britain, it was moving to BBC1, the biggest channel in the country. They wanted to show it across the week, from Monday to Friday. The stakes were high, and I knew I had to make a big impact. I also wanted it to work on an international level, but again, relating it to the domestic story as well – the government, the police, the Army. Then there’s America, the United Nations…that’s the world, but you’re still talking to people in their living rooms, their kitchens. Ordinary lives being changed by huge decisions.

Big events like all the children being affected, and the invasion of Species 456…truly exciting and terrifying. Writ large, yes. But I think I had something to say about the world, and I think that’s the point.

Did you choose children as the victims deliberately?

Quite frankly, I didn’t put too much thought into it. I simply had the idea. I was just like, what if we have all the children suddenly stop and scream? Now, with hindsight, I look back and think, well that was a great idea. I don’t think it would have been as frightening if I said every man should stop and scream. Children are precious and vulnerable, and dramatically represent the innocent.

Did the BBC think they were taking a risk with the bleak ‘Children of Earth’?

They didn’t worry about the bleakness for a second. I think the bigger risk was running it from Monday to Friday. We all took a big breath with that one, and it worked! That week, we had the biggest audiences that we’ve ever had, and we were the number one drama for the entire week. We won every single night.

Will you miss ‘Doctor Who’, now that you’re moving on from it?

Enormously. They’re gearing up for their next season right now, and I’m slightly turning into their stalker. I keep emailing them, ‘How are you?’ ‘How’s it going?’ ‘What’s happening?’ I can’t wait to be a viewer, to sit back and watch their series. It’s the first Doctor Who series that I get to watch for the first time in 21 years.

‘Children of Earth’ had the feeling of a series ender. How is ‘Torchwood’ supposed to return to its alien-of-the-week format?

I’m not sure it will ever return to its alien-of-the-week format. I think we’ve proven that the show can work really well with this continuous-story format. I think we’ve set a new benchmark for Torchwood. Let’s be honest, though: if they gave me a pile of money and tell me to make a monster-of-the-week, I would go and do it. But the story never ends. It looks like an ending because it was the perfect ending to the story, but I could easily write the next five scenes of what happens next. I won’t run out of stories, not until the day I die.

Spock Prime

Starland.com interviewed Leonard Nimoy regarding playing Spock once again, his possible future as Spock Prime in future Star Trek movies, Barack Obama’s interest in Star Trek, and his role in Fringe. Here are some of the questions from the interview:

DM: Do you feel a sense of completion with the Spock character after this film or is this the beginning of a new era for you and Spock?

LN: Both! I don’t know about me and Spock. It certainly is the beginning of a new era for Spock! It is impossible to predict about me and Spock. I have no idea where they want to go next and I feel very comfortable either way. I feel very gratified that I have been able to have some kind of closure. If this is the closure, then I am very comfortable with it. I was not happy at all with the closure that was imposed on the Spock character some years ago when Spock was just simply abandoned and Kirk was killed all in one fell swoop! I felt both were great losses to Star Trek. There was no reason to kill Kirk and there was a neglect of the Spock character. It seemed intentional. It seemed as if someone was saying, “Well, we have to put a stop to that and start with a whole new era here.” Having had this movie and this experience as Spock and seeing Zachary Quinto in the role now, I feel the character has a potentially wonderful, new life and certainly the success of the movie is just so terrific! It is so wonderful to see this happen and to see Star Trek have a chance of a reinvention and a revival. It was certainly in need of a revival.

DM: Can you describe for me, from your perspective, how Spock has changed over the years, from the first pilot to this latest film?

LN: In a lot of ways I feel closer to Spock personally than I ever have.

The Spock that I played in this movie is closer to me, in my personal life condition, than he has ever been before. It was a “performance” during the series years and during the film years because I was far more human and emotional, in the broadest terms, than the Spock I was playing – now that doesn’t mean that Spock had no emotions; as we all know, Spock had his own inner life. But what I was playing was a very logical, very cool, rational Spock. In this movie, my Spock has come to terms with himself in a very comfortable way. So I see myself up there as Spock now whereas Zachary did a wonderful job bringing us a Spock character before the Spock that I played in the original Star Trek series. And, finally, at the end of this movie, we see him arriving at the Spock that I played during the original series.

DM: What do you believe is Spock Prime’s future after this film?

LN: My sense is that he has some work to do. He talked about establishing a new Vulcan colony and I think he will be very involved in that. If we never see him again that is what I would imagine he is doing. He is busy rebuilding the Vulcan story.

DM: There has been a lot of talk of President Obama being an admirer of Star Trek and being compared to the Spock character. He even said he saw the new film and really liked it in a recent Newsweek interview and he mentioned the Spock connection. Have you ever met the President and discussed Star Trek with him?

LN: I met him twice. We didn’t actually talk Star Trek but the first time I met him he gave me the Vulcan salute when he first saw me! My wife and I were at a luncheon for him a long time ago. It was just at the very earliest stages of his beginning to campaign for the nomination for the Presidency. He came through a group of people – it was a small crowd – maybe 60 or 80 people and he saw me and raised his hand in the Vulcan gesture and said, “They told me you were here.” I gave the Vulcan salute back to him and that was the beginning of our relationship. I understand he grew up watching Star Trek.

DM: I assume as well that you are very open minded to appearing as Spock again should they ask you?

LN: I have no illusions on whether or not they need me. They decided that they wanted to make this film using Spock as kind of an anchor for the story, which I think worked very, very well. They don’t have to do that again. If they decide they have a role for me to play I would be very interested in talking to them about it. But I have every reason to believe that they have established a whole new set of characters and they can sail very well without me and that’s fine. Either way is good with me. I am very gratified that this has happened.

DM: Are you going to be a regular on the TV series Fringe now?

LN: I have committed to at least two episodes for next season. That’s the beginning. Then we will see how it goes. The character I play on that show is just being given birth so we’ll just have to see how it evolves.

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Hayden Panettiere of Heroes has attracted attention for her fairly tame topless scene in I Love You, Beth Cooper. I find the pictures of her in an upcoming book entitled Room 23 (such as above) to be far more interesting.

Anna Friel Vanity Fair Topless

Seeing the pictures of Anna Friel in Vanity Fair has me wondering why it was that I stopped watching Pushing Daisies after a handful of episodes and why I have not gotten around to seeing Land of the Lost.

Health Care Reform And Scary Examples

I’ve frequently condemned those who use the health care systems in Great Britain or Canada as scare tactics to argue against health care reform. They should either be ignored as being totally ignorant of the issues currently under consideration or condemned as liars who are distorting the issue. Systems such as those in Great Britain and Canada are not on the table, period. Besides, if opponents of health care reform want to use examples of events elsewhere to scare people away from health care reform they do not need to turn to foreign countries. We have an excellent example here, in Massachusetts.

The Washington Post describes how Massachusetts wants to turn to capitation–payment of a flat fee per year per patient. This has attracted attention among those concerned that rising health care costs will interfere with attempts to pass health care reform nationally. The idea was first promoted by Richard Nixon, and later adopted by many insurance companies to screw both patients and doctors while increasing their profits.

Advocates of capitation in Massachusetts claim they will not implement this in the manner done by many HMO’s which led to disaster, but this remains to be seen. It is theoretically conceivable that a plan truly developed around delivering health care as opposed to making more money for HMO’s might be more successful, but I am very skeptical about this.

Megan McArdle lists some of the problems with capitation and then makes a prediction:

I predict this lasts about half a news cycle before the public outrage overwhelms state legislators, who start screaming for the heads of the traitorous, heartless bastards who suggested it.

I am not as optimistic as Megan. After having read about such a plan for a while, I fear they might really embark on this path. I am glad that Massachusetts is going ahead of the rest of the country so we can see hat happens before this is advocated nationally. If Massachusetts turns to capitation there are two possible outcomes (and I believe the second is more likely):

1) They will have really learned from the mistakes of the insurance companies and find a way to get capitation to actually work, or

2) It will be a terrible disaster, demonstrating to other states that they should not repeat this error.

Doctors, Life Expectancy, and Health Care Reform

Hugh Hewitt makes an especially desperate attempt to attack health care reform in a post entitled Obamacare Will Lead To A U-Turn On Life-Expectancy: What To Tell The Blue Dogs. In looking at the politics of health care reform he writes, “It is amazing that neither the D.C. GOP or any of the doctors’ groups have yet organized such an effort…” I disagree that the GOP has not been organizing against health care reform, but it is notable that doctors groups are not.

Not only are doctors groups not organizing against health care reform, but physicians have become among the strongest advocates of reform. That is because we see first hand how our health care system is collapsing. We know the problems greater than anyone else, other than perhaps the millions who are victims of the system. In an interconnected world we increasingly see how far we are falling behind other countries. While tertiary care remains tops in the world in the United States, in many other areas we have fallen behind the rest of the industrialized world. Doctors, after devoting years of our lives to medical educations, simply do not want to see our health care continue to slide into a second rate system.

Of course there will always be doctors who oppose health care reform. This is primarily motivated out of fears of lost income, but doctors also tend to be conservative and many really believe the propaganda coming from the right. Hewitt supports the claim in his title by printing a letter from a single anonymous doctor. Finding a doctor to oppose health reform is hardly difficult, but not very informative either.

The letter is based upon information from the American Society of Clinical Oncologists. There are many areas in which our subspecialty care in Oncology remains top in the world. Unfortunately if preventing deaths from cancer is how we measure a health care system, our system fails in cancer as well as in many other areas. While we must preserve our quality of care in cancer treatment under health care reform–and there is no reason why we cannot–we must also do something about the millions of Americans who cannot afford routine cancer screening. Treatment of cancer is not only about high tech treatment provided by Oncology. We must also consider routine pap smears, mammograms, and colon screening.

Hewitt tries to scare readers by claiming that our life expectancy will decrease if we reform our health care system. One would think that our life expectancy was something to brag about. Life expectancy is not the only measure of a health care system as there are many other factors involved such as demographics, but this is the measure which Hewitt decided to make his argument upon. I’ll post the rankings of the top fifty countries under the fold. The United States falls at number 45, following Jordan, Puerto Rico, Bosnia and Herzegovina, Bermuda, and Saint Helena. Canada and Great Britain are often used as scare stories by the right, even though neither system is popular with advocates of health care reform. Despite all their problems, Canada falls at seventh and even the United Kingdom leads the United States at 37. If Hewitt wants to make life expectancy the primary consideration for supporting health care reform, we better look at how other countries are doing better than we are.

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Avoiding the Extremes in Health Care

Conservatives try to lump any government action involving health care together as “socialized medicine.” Similarly they act as if European programs all fall under this label. In reality there are a wide range of plans used around the world and a wide variety of plans discussed in the United States. At one extreme there are totally government run plans as in the United Kingdom. Canada has a single payer plan where the government has replaced private insurance as the primary payer, giving the government a tremendous amount of control over health care. Other countries have a combination of government and private insurance.

While most Democratic politicians support such a mixed approach, it seems that the bulk of economically liberal bloggers are supporting a single payer plan. Therefore I was a surprised to see Ezra Klein’s op-ed in The Los Angles Times in which he described problems of single payer plans and supported a more mixed approach:

Britain and Canada control costs in a very specific fashion: The government sets a budget for how much will be spent on healthcare that year, and the system figures out how to spend that much and no more. One of the ways the British and Canadians save money is to punt elective surgeries to a lower priority level. A 2001 survey by the policy journal “Health Affairs” found that 38% of Britons and 27% of Canadians reported waiting four months or more for elective surgery. Among Americans, that number was only 5%. Score one of us!

Well, sort of. American healthcare controls costs in another way. Rather than deciding as a society how much will be spent in the coming year and then figuring out how best to spend it, we abdicate collective responsibility and let individuals fend for themselves. So although Britain and Canada have decided that no one will go without, even if some must occasionally wait, the U.S. has decided that most of those who can’t afford care simply won’t get it…

Moreover, surveys conducted by the Organization for Economic Cooperation and Development have found that most countries don’t have waiting lines or the uninsured. Not Germany or France or Japan or Sweden, all of which have more of a mix of public and private options. But Canada is next door, and Britain speaks our language, so we tend to spend a lot of time comparing our system with these systems and not a lot of time thinking through the full range of options.

In light of the “Health Affairs” data, smugness about our speedy access to care seems a bit peculiar. If someone can’t afford care, we record their waiting time as zero. You don’t wait for what you can’t have. But a more accurate accounting would record that wait as infinite, or it would record when the patient eventually ends up in the emergency room because the original ailment went untreated. Research like this raises a simple question: Would you rather wait four months for a surgery or be unable to get it altogether?

Just last week, House Republicans expressed their preference for the latter. Their long-awaited budget document was admirably specific about changes to Medicare. They call for “a new Medicare program” in which enrollees are given a check “equal to 100% of the Medicare benefit,” which they can then take to the private market to purchase their own care.

This proposal has a purpose beyond dismantling a popular government entitlement program. Currently, Medicare does not abide by a budget. It is not run like the Canadian or British healthcare systems. Instead, it pays whatever is deemed “reasonable and necessary.” Because of that, costs are shooting through the roof: The Congressional Budget Office estimates that Medicare spending will more than triple by 2050.

The Republican plan gives Medicare a budget. Costs grow only as fast as the check grows. And because the check grows more slowly than health spending does, the program saves money. But this is, in effect, almost precisely the strategy of Britain and Canada: It is the government imposing an arbitrary budget on its healthcare spending.

The difference is that the British and Canadian governments try to apportion that health spending so that the whole population gets care. That can mean, alongside other cost-saving measures, longer waits for services. The Republican budget simply would give individuals a fixed check. That will mean that patients who exceed that sum and don’t have money of their own go without needed care.

So Americans will continue to brag that no one waits, and Canadians and Britons will continue to brag that no one goes without. And somewhere, the French and the Germans and the Japanese and the Swiss and many others will wonder why we insist on choosing between such awful extremes.

Ideology and Pragmatism

In 2005 Jonathan Chait wrote at article about ideology versus pragmatism at The New Republic,  comparing left versus right:

We’re accustomed to thinking of liberalism and conservatism as parallel ideologies, with conservatives preferring less government and liberals preferring more. The equivalency breaks down, though, when you consider that liberals never claim that increasing the size of government is an end in itself. Liberals only support larger government if they have some reason to believe that it will lead to material improvement in people’s lives. Conservatives also want material improvement in people’s lives, of course, but proving that their policies can produce such an outcome is a luxury, not a necessity.

The contrast between economic liberalism and economic conservatism, then, ultimately lies not only in different values or preferences but in different epistemologies. Liberalism is a more deeply pragmatic governing philosophy–more open to change, more receptive to empiricism, and ultimately better at producing policies that improve the human condition–than conservatism…

Bush’s administration gives primacy to political advisers over policy wonks in large part because they have no need to debate their ends, only the means of achieving them … The next liberal administration, whenever it happens, will not be nearly so certain. Aside from rolling back conservative excesses, its economic agenda will take its cue from external events, and the decisions it arrives at could, in time, be cast aside through experimentation. Ultimately, those policies, whether they move left or right, will be measured against their effect on people’s lives, not the degree to which they bring the government closer to some long-ago agreed-upon vision. In time, those policies will be altered yet again to suit a changing world. This is known as progress.

Ross Douthat responds by using the massive spending in the stimulus bill as an example of the “next liberal administration” following liberal economic ideology. He concludes:

This is not to say that there aren’t degrees of ideology and degrees of pragmatism, or that some thinkers and some politicians aren’t more empirical than others. And it’s certainly possible to imagine – and hope for, from this administration – a liberalism that’s more pragmatic and evidence-based than was George W. Bush’s conservatism. But the debates that have dominated the first two weeks of the Obama Presidency ought to be an object lesson in why ideological preconceptions always matter, no matter how empirically-minded you aspire to be.

Ross is partially correct, but also makes a mistake in using the response to the current economic crisis to compare the reliance on ideology of the Bush administration to the Democratic stimulus package. Jonathan Chait responds:

Is he saying that Democrats would deem the stimulus a success even if they discover that it fails to stimulate economic growth, merely because it has enlarged the size of government and that is a liberal end in and of itself? Does he further believe that the Obama economic team would have implemented something like a $900 billion stimulus plan even if the economy was humming along rather than facing its worst crisis since the Depression?

Brian Beutlers adds:

Imagine an alternate reality in which the economy is in fine shape and Barack Obama’s just been elected president. Perhaps he’d go hog wild and propose a trillion dollars in unfunded spending just to sneak a bunch of liberal wish list items on to the government debt ledger. But I don’t really think so. And I don’t think Ross does either. Maybe I’m crazy, but I think it’s much more likely that under kinder circumstances Obama would carry forward with the plan he campaigned on–to let the Bush tax cuts expire, tackle the energy, climate and health crises and, maybe, give the middle class a tax cut. That, of course, was before the economy started shedding 600,000 jobs a month, but it made some sense at the time. Just as Jon’s analysis suggested it would.

Now imagine Barack Obama is a Republican. He’s just been elected and the economy is in the toilet. What’s his answer? Tax cuts for the rich! What if the economy’s in decent shape? Tax cuts for the rich! What if we’d just been invaded by China, Canada, and Mexico, and alien space craft were hovering over Manhattan, Los Angeles, and Washington, D.C.? Tax cuts for the rich!

This contrast carries across the board. If burning fossil fuels was harmless, for instance, would Democrats stand behind a politically fraught plan to price carbon just for the fun of it? If the private insurance industry had somehow contained costs and covered 98 percent of the people in the country, would Democrats be demanding major, complicated reforms to the health care system? Obviously not.

As I said, Ross is partially correct, especially in concluding that “ideological preconceptions always matter.” Ideology matters, but liberals realize that facts must be considered when adopting policies while conservatives ignore facts which do not fit into their ideology.

Response to the economic crisis on the part of both the left and right is primarily influenced by ideology. It might be true that large government spending on the infrastructure will create more jobs and strengthen the economy. It is also possible that, as we got into this mess at least partially by overspending and not saving as a society, the best response might actually be decreasing government spending and tax cuts (of course not limited to the rich). There is really no evidence to argue this on pragmatic grounds and I do not believe writers on either the left or right who are convinced that their answer is the right one. We can’t even come to an agreement as to whether the New Deal worked.  Lacking facts it does make sense to consider ideology, as long as one is willing to change the policy if facts prove them wrong.

While Ross is correct in pointing out that ideology affects many decisions, he is incorrect in using this to create an equivalency between the left and right. Obama is responding to a bad situation based upon what his economic advisers, right or wrong, have advised is the best pragmatic course. If he took office during different economic conditions, the influence of his Chicago school economic advisers would likely be more significant and we would probably see more fiscally conservative policies. Obama might be right or wrong, but he is attempting to respond to the economic crisis pragmatically. This is not changed by the fact that many liberals are supporting his policies based upon ideology. Regardless of who is ultimately right, the Republicans are certainly coming out of this looking like they are more interested in playing politics (and are perhaps even crazy as Steve Benen writes).

One major difference between liberals and conservatives is that many (although certainly not all) liberals would abandon the idea of responding to the economic crisis with massive spending if there were to be evidence that this did not work. As Jon wrote in  his 2005 article, “Contemporary economic liberalism is less of an ideology than the absence of one–a rejection both of dogmatic fealty and hostility to the free market.”

Liberals (with some exceptions) generally support the free market and realize that most things are better done by the free market than by government. Liberals, not being blinded by ideology, also realize that there are certain things which the free market does not handle well. Liberals realize that such decisions must be made based upon objective facts, not based upon ideology. Chait used Bill Clinton as an example:

Bill Clinton came to office planning to spur the economy with a Keynesian stimulus, but abandoned those plans after fierce debate among his staff economists. Instead he embraced the novel goal of sparking recovery by slashing the deficit in the hopes that lower interest rates would enable sustainable growth. As that policy seemed to work, moderate liberals continued to embrace the credo of fiscal restraint. But, after the economy slid toward a recession in 2001, liberal economists abandoned short-term restraint in favor of temporary tax cuts to encourage spending.

He also noted how the Republicans have both moved further to the right, and become more ideological, in recent years. He  looked back at Eisenhower, Nixon, and Ford:

Eisenhower used the federal government, rather than states and localities, to build the Federal Highway System, and he made no effort to reduce a top tax rate that stood at an absurdly high 91 percent. Nixon declared, “We are all Keynesians now.” He raised Social Security benefits and proposed an ambitious national health care plan. Conservatives have since renounced Nixon’s economic record, and no wonder. Today it would place him on the left edge of the Democratic Party.

It’s not a coincidence that the two most economically liberal Republican presidents–Nixon and his successor, Gerald Ford–also displayed the most serious interest in empiricism. Both required their assistants to produce detailed “Brandeis briefs” outlining the essential arguments on both sides of any policy debate. Ford invited Milton Friedman and John Kenneth Galbraith into the Oval Office for a free-ranging debate on economic policy.

Since the mid-’70s, the GOP has grown steadily more conservative, and therefore less pragmatic.

Taking advice from both Milton Friedman and John Kenneth Galbraith is essentially what Barack Obama is doing. His economic advisers include both Chicago school economists who have been influenced by Milton Friedman and more liberal economics who would fall closer to Galbraith.

While conservatives might attack it as “flip-flopping,” liberals realize that when the facts show that a policy has not worked, or when conditions change, it is necessary to change the policy. In contrast we have repeatedly seen Republicans stick to the same principles based upon ideology regardless of how much evidence there is that their policies have failed. Conservatives have even build extensive defenses against objective evidence, with the most extreme classifying any information source which does not share their ideology as being liberally biased.

Ideological preconceptions do matter. Often there is more than one pragmatic course of action and basing policies based upon one’s principles may be justified. Other times ideology must be set aside to make the best decision. The difference between liberals and conservatives is that liberals can look beyond their ideological preconceptions and consider the facts to develop pragmatic policies. Conservatives in recent years have demonstrated an inability to do this.

Tuesday’s Holiday

Via John Cole I find that someone at AP apparently believes that only blacks are taking Inauguration Day off.  My office will be closed on Tuesday to celebrate the inauguration. I gave the instructions back in October–if Obama wins we would close. I’m not going to miss that day.

If McCain won, some employees thought they should have more time to take off to drink to handle their misery or plan their moves to Canada, but I saw no reason to treat it different from any other day.

George Bush was inaugurated on a Saturday so, while I wouldn’t have closed the office for that, I was able to watch on television. I primarily remember the networks following Bill Clinton around for what seemed like all afternoon as he kept talking to people and didn’t want to leave.