What's Love Got to Do With Health Care?Melanie Sturm | @ThinkAgainUSA Read Comments - 2Publish Date:
Thu, 07/05/2012
Tamara Shayne Kagel made waves recently when she wrote a column in the Jewish Journal of Los Angeles titled “I Don’t Want to Date a Republican.” Clarifying her fears, she pondered with horror: “What if I have Republican babies?” Now smitten, she’s had to Think Again.
Having crossed the partisan Rubicon from insularity to open-mindedness, Kagel says she now respects and admires her boyfriend who, she acknowledges, “values helping the poor as much as I do -- just in a different way.”
To arrive at this tolerant Zen state, Kagel recalibrated her moral compass, the antidote social psychologist Jonathan Haidt advocates in “The Righteous Mind -- Why Good People Are Divided by Politics and Religion.” Haidt cautions, “Beware of anyone who insists there is one true morality for all people, times, and places.” Comedian Steven Colbert didn’t buy Haidt’s thesis insisting “not just that I’m right; almost more importantly is that you are wrong.“
Last week, as if aping Colbert, many media, academic and political elites insisted opponents of the Affordable Care Act (ACA) were villainous and treacherous, including Supreme Court justices who might rule the law unconstitutional. Hardball’s Chris Matthews compared Chief Justice Roberts to the judge who upheld the Fugitive Slave Act, but after Roberts became the swing vote, he seemed to morph from Darth Vader into Luke Skywalker.
Disturbed by this Star Wars mentality, polls show public confidence in media and government at record lows. This week’s Rasmussen survey of Supreme Court perceptions confirmed the widening gap between the political class and mainstream voters -- the Court’s favorability doubled from 27 to 55 percent among the political class but dropped from 34 to 22 percent among mainstream voters.
Every American wants our health care system to be more efficient, affordable and accessible. As world-class consumers, we expect cost containment, improved quality and more choices -- we get that in our cell phones, why not our healthcare? We’ve watched Apple compete by continuously innovating, creating new markets and must-have products at prices unimaginable a decade ago. Meanwhile, market entrants like Android offer choices to consumers for whom a phone (never mind an iPhone) was previously unaffordable.
Not surprisingly, Americans rejected government-centric solutions that interposed Washington bureaucrats between doctors and patients and did little to address the healthcare cost explosion. Nevertheless, à la Colbert, lawmakers insisted they were right and opponents weren’t merely wrong, but evil. Despite public outrage, Congress passed the ACA on a party-line vote aided by political payoffs, accounting gimmicks, deceptive language, and parliamentary trickeries never before used for such far-reaching legislation.
As unsettling is the perception that last week’s Supreme Court ruling -- which rewrote the ACA in order to find it constitutional and used reasoning that politically-diverse legal experts regard as flimsy -- was made to protect the Court’s legitimacy in the eyes of those who define illegitimacy as anything with which they disagree. If political calculations factored into Court deliberations, doesn’t that undermine judicial integrity?
Most importantly, two years into the 2,409 page law and 4,103 pages of associated regulations, we know it’s “dreadful public policy,” as non-partisan Washington Post columnist Robert Samuelson wrote: Its “attempt to achieve universal health insurance coverage is a massive feat of social engineering that, by its sweeping nature, weakens the economic recovery and antagonizes millions of people.”
Moreover, its promises are false: health insurance premiums have risen $2,200, not declined by $2,500; official cost estimates nearly doubled with further increases expected, thus increasing the deficit; and millions of Americans will lose their insurance and doctors as companies dump workers into government health exchanges to avoid escalating healthcare expenses.
Now consider the moral travesties. Not only does the law perpetuate the largest transfer of wealth from the young to the older in world history, it promises a quantity and quality of care it can’t deliver while stifling the medical innovation on which the world depends for continuously improving health outcomes.
The story of Deamonte Driver, a 12-year old Medicaid beneficiary, is instructive. Unable to secure appropriate and timely treatment, he died of an infection that started with an abscessed tooth -- not because he was uninsured, but because he was government-insured.
The ACA’s proponents won’t mention these fiscal, economic and moral challenges. Like used car salesmen, they tout loss leaders (universal coverage and 26-year olds on parents’ plans) and free extras (contraception) – all attainable with cheaper and less disruptive policies like tax credits and high-risk pools. How do we separate the facts from the sales pitch, and if the deal is so good, why do the well-connected get waivers?
With so much at stake, lawmakers must recalibrate their moral compasses. Having done so, Kagel personifies Haidt’s message that love and mutual respect engender the willingness to see those with opposing views generously, improving everyone’s outcomes.
If elected leaders won’t love and respect us, we must Think Again in November. Scott Walker: Wisconsin's True ProgressiveMelanie Sturm | @ThinkAgainUSA Read Comments - 7Publish Date:
Thu, 06/07/2012
Last week after his criminal trial ended with a hung jury, John Edwards proclaimed hopefully, “I don’t think God is through with me,” as he planted the seeds for his comeback. Projecting the false modesty and manufactured authenticity that vaulted the one-term Senator toward the Presidency, Edwards personifies Graucho Marx’s maxim that “the secret to life is honesty and fair dealing. If you can fake that, you've got it made." In response to Edwards, I imagined a collective uproar: “Think Again, John -- the jig is up!” As Edwards exits stage left, Wisconsin Governor Scott Walker takes center stage. He, along with brave governors in New Jersey, Indiana, South Carolina, Louisiana, and possibly even New York, represent a new breed of leader emboldened to end public sector unions’ stranglehold on our governments and economy. Putting aside Edwards’ despicable personal conduct, he is emblematic of the corrupt patronage system that Governor Scott Walker ended in Wisconsin -- the one that allows government unions to cement relationships with self-serving politicians, leaving taxpayers unrepresented and rendering many states insolvent. By voting decisively to retain Walker (the only US governor to survive a recall), Cheeseheads declared the jig is finally up for this brand of special-interest cronyism and the politicians who perpetuate it – at least in Wisconsin. The truth is, public-sector unions don’t serve a compelling social need since governments don’t exploit labor for profits. Furthermore, as Franklin Roosevelt cautioned, “the process of collective bargaining…. cannot be transplanted into the public service...[without risking] paralysis of government by those who have sworn to support it.” Realizing this, President Carter reduced collective-bargaining rights for federal employees by signing the Civil Service Reform Act. It’s ironic that public sector unions met their match in Wisconsin, the birthplace of American progressivism and public sector unionism where roughly two-thirds of voters either are or are related to union members. Now, progressive Wisconsin is proof that the crisis of the modern entitlement state being played out worldwide -- from the Eurozone to California -- doesn’t have to be a Greek tragedy. In Wisconsin, even union sympathizers realize everyone is ill served when the government can't meet its obligations. They know the promises politicians make far exceed our ability to pay and, watching Europe implode from the same disorder, realize there is only one choice -- reduced yet sustainable government or bankruptcy. Wisconsin voted for balance knowing the essential first step on the path to prosperity and opportunity is for governments to recover fiscal soundness. That was Walker’s pledge in 2010. Facing the fourth highest tax burden in the country and determined to reverse Wisconsin’s $3.6 billion deficit without raising taxes or firing workers, Walker’s reforms disallowed collective bargaining for public-employee unions (except police and firefighters). No longer can unions negotiate their taxpayer-funded benefits with politicians they helped elect using mandatory dues. Additionally, Walker asked government employees to contribute modestly more to their health and retirement benefits. Even after these reforms, Wisconsin workers enjoy “a combined salary-benefits compensation premium of around 22 percent over private sector workers,” according to an American Enterprise Institute study released last month. Though modest, the unions and their allies reacted ferociously to these reforms, like a mama bear defending her cub. They captured national attention with protests, runaway state senators, legal challenges and state senator recall elections. Despite their efforts, they couldn’t overcome the will of the people -- to keep the reforms. That’s because Walker’s reforms are succeeding: The budget has a $150 million surplus; property taxes are lower; the unemployment rate is 6.8 percent (the lowest since 2008 and well below the national average); the private sector created 26,000 jobs in 2011; and savings realized by school districts have preserved jobs and educational programming. Most encouraging, according to a Wisconsin Manufacturers and Commerce survey in May, 73 percent of employers predicted moderate to good business growth and more than half plan to expand operations within two years – the highest rate in a decade. No wonder one-third of union members voted for Walker, according to exit polls. Seeing union policies drain government finances, endanger vital government services, and undermine their own jobs and benefits, why would union members want to pay their dues? Now that they have the option not to, tens of thousands have opted out. Perhaps this is the best outcome of all, for civil society is healthier when government employees believe they’re on the same side as taxpayers. As CS Lewis said, “We all want progress, but if you're on the wrong road, progress means doing an about-turn and walking back to the right road; in that case, the man who turns back soonest is the most progressive.” Though it’s too late for Edwards, other self-proclaimed “progressives” must Think Again – good policy makes great politics. The Green Wizard: Natural Gas Not RenewablesMelanie Sturm | @ThinkAgainUSA Read Comments - 5Publish Date:
Thu, 05/10/2012
As if accompanying Dorothy en route to the Emerald City of Oz, Americans seek a green wizard to fulfill our hearts’ desires -- a world powered by renewable energies like solar, wind and bio-fuels. Bedazzled by Glenda the Good Witch’s solar-powered ruby slippers, we want the green-brick-road to lead us to a cleaner energy future. However, without Auntie Em to awaken us to reality, Americans must Think Again. Though cast as the Wicked Witch of the West, over the last decade the conventional energy industry has revolutionized America’s energy outlook. Today we’re the most energy-endowed nation in the world, with enough clean, reliable, abundant, and cheap natural gas to last for generations. It’s “like adding another Venezuela or Kuwait by 2020”, according to Pulitzer-prize winning energy expert Daniel Yergin who believes the world energy map now centers on North America, not the Middle East. Energy consultant Wood Mackenzie estimates that tapping new reserves would generate one million jobs by 2018 and generate $803 billion in governmental revenue through 2030. Additionally, these new extraction technologies require far fewer wells, though they present fresh environmental challenges that several states (including Colorado) have addressed with new regulations to protect the environment and secure water supplies. Thus, rather than crucify the conventional energy industry, we should celebrate the entrepreneurialism and technological ingenuity that’s enabled the US to become a net energy exporter for the first time since 1949. The government need only permit development of new reserves -- not subsidize -- to further American energy independence, fuel our vehicles, lower energy costs and reap economic gains. Meanwhile, promoters of green energy policies continue to argue that “investments” in renewable energies are environmental and job-creation boons for America, though our journey along the green-brick-road proves otherwise. Whether evaluating wind power in tornado-swept Kansas or solar energy in sunny California, renewable technologies are woefully uneconomical, wickedly unreliable and surprisingly unsound environmentally. It’s understandable Americans dream green, considering we were told in 2008 that by investing $150 billion over the next decade in renewable energies, we’d reap five million new jobs. But as former Treasury Secretary Larry Summers noted, “The government is a crappy venture capitalist”. That’s because lobbying prowess and political viability outweigh economic viability when government picks winners and losers. After “investing” $110 billion since 2009, the sector is littered with taxpayer backed, bankrupt companies like Solyndra, Beacon Power, and Ener1, all of which paid bonuses before going under. Reuters reported last month “the wind industry… has shed 10,000 jobs since 2009 even as the energy capacity of wind farms has nearly doubled”… while the demonized “oil and gas industry added 75,000 jobs.” The truth is, industries that aren’t economically viable don’t create real jobs, and those that are viable, don’t need subsidies. Plagued by competitive disadvantages like sun and wind intermittency, and expensive land, capital, transmission and backup capacity, these technologies are uncompetitive, small market players and remain subsidy-dependent. Despite receiving 53.5 percent of federal financial support for the electric power sector, wind and solar supply only four percent of US power at a cost 100-300 percent more than conventional sources, according to the Energy Information Administration. A University of Wyoming study notes that because green policies increase prices, the “economic benefits derived from building renewable energy facilities in the short-run are more than offset by losses in economic output and employment”, thus hurting the poorest and most vulnerable. Additionally, given renewables’ green patina, many don’t appreciate their adverse environmental impacts beyond the eyesore, noise, water usage, and wildlife destruction. Called “energy sprawl” by the Nature Conservancy, renewable energies require vastly more land while producing significantly less energy than conventional energy. Most disconcerting, their incurable intermittency requires utilities to rely on conventional power to cycle up when there’s no wind or sun, and power down when there is, thus diminishing carbon reduction advantages. If policymakers weren’t brainless scarecrows, cowardly lions and heartless tin men, they’d adopt Bill Gates’ proposition that cheap energy is “a fantastic vaccine” for the economy. That’s what Americans deserve – a booster shot to deliver authentic solutions, real jobs and genuine economic growth. Moving beyond fossil fuels will happen eventually when superior and affordable energies are scaled for mass use. Energy development isn’t a zero sum game, as the Wyoming study concludes: “Environmentally responsible development of fossil fuel resources could be complementary with renewable energy development, creating jobs and generating tax revenues to ensure a robust economy capable of creating and funding innovative renewable energy technologies of the future.” Given our economic straits and the remoteness of the green dream, the underlying question is how much more are Americans willing to pay to harness wind and sun. Isn’t it time to demand that our leaders propose energy solutions based not on ideology but on how to best guarantee prosperity for generations of Americans? Think Again – a secure, affordable and environmentally sound energy future is not over the rainbow. Sex, Lies and Videotaped Government ScandalsMelanie Sturm | @ThinkAgainUSA Read Comments - 4Publish Date:
Thu, 04/26/2012
What do you get when you cross George Orwell’s Animal Farm with John Belushi’s Animal House? Government Gone Wild!
If you assume that’s the title of a porn movie about U.S. secret service agents cavorting with prostitutes in foreign countries, or employees of the U.S. Government Services Administration (the GSA manages federally-owned property) whooping it up in Las Vegas at taxpayers’ expense, Think Again.
The hard truth is that the larger government grows, the more Orwellian and “Animal House” its conduct. Belushi’s character “Bluto” exercised no greater restraint around free beer than did GSA Regional Director Neely and his employees, whose exploits at their $823,000 Las Vegas “team-building” soirée were videotaped, only to dominate newscasts this month. Bluto couldn’t have carpe diem-ed on his parents’ allowance better than Neely who wrote in an invitation to personal friends: “We’ll pick up the room tab…. I know I’m bad, but…why not enjoy it while we have it….Ain’t gonna last forever.” Since government depends on resources drawn from the real economy, consider these facts: after the GSA’s Inspector-General reported Neely’s misconduct, Neely still received a 2011 bonus; the average GSA salary is nearly $92,000, $40,000 more than median household income; and the GSA’s budget rose 119 percent in 2011. Furthermore, the non-partisan Congressional Budget Office reported this January that federal employees enjoy greater job security and earn significantly higher compensation compared to private-sector workers.
Having worked in a large bureaucracy (the World Bank), I believe most public servants are decent, skilled, and dedicated, though rarely are “per diem” allowances unspent, or self-justifications un-uttered. It’s a truism that people won’t spend other people’s money as carefully as they spend their own. Unlike household budgets that strive to boost savings by minimizing expenses, government bureaucracies spend what they’re given while justifying more for next year. They also lack the expertise and market discipline to “invest” wisely, evidenced by “green investments” in now-bankrupt companies like Solyndra.
Here's the ultimate question: why transfer more money from the real economy to those who are intrinsically more wasteful, negligent and indifferent to its ultimate good? To curb Bluto-like behavior, voters mustn’t allow irresponsible conduct they wouldn’t otherwise tolerate. If your child spent irresponsibly while racking up credit-card debts, wouldn’t you confiscate his card? Good governance, like good parenting, means establishing and enforcing reasonable limits.
Yet, politicians charged with stewarding America’s finances have acted like the pigs in Animal Farm who pronounced “all animals are equal, except some are more equal than others.” Exempted from the self-discipline and frugality associated with American Exceptionalism and prosperity, they’ve presided over the greatest scandal -- an explosion of government, an avalanche of debt and the mugging of our children’s future.
April 29th marks the third consecutive year in which the Senate hasn’t passed a budget. Vested with the authority to confront and steer America through fiscal problems, the Senators’ inaction reflects the ultimate “piggish” dereliction of duty. It’s also illegal, though conveniently, there’s no penalty for breaking the 1974 Budget Act.
Senate Budget Chairman Kent Conrad said last year, “History is going to judge whether we have the courage, character, and the vision to stand up for America’s future. Those who take a walk, those who turn away, those who don’t have the gumption to stand up, are going to be judged very, very harshly.” Though Conrad intended to pass a budget resolution this month, he was over-ruled by Senate leadership. Believing they can evade electoral consequences by not voting on difficult budget matters, they mirror the corrupt, greedy, and myopic leadership of the pigs in Animal Farm.
Economist Milton Friedman, one of America’s greatest apostles for freedom and free markets, believed politicians are finger-in-the-wind types who can be trained: “The important thing is to establish a political climate of opinion which will make it politically profitable for the wrong people to do the right thing. Unless it’s politically profitable for the wrong people to do the right thing, the right people will not do the right thing either.”
In other words, the onus is on us. Politicians will concern themselves with our interests only if they think we care. If we don’t care that they’ve violated the law by refusing to adopt a budget, and that they’ve spent us $16 trillion into debt, what do we care about?
Demand accountability and restraint, and don’t allow the word trillion to be normalized, after all, a trillion hours ago dinosaurs roamed the earth! Don’t wait for the right people to get elected; remember, Bluto became a US Senator despite his 0.0 GPA. It’s a basic rule of life -- If we tolerate out-of-control Animal House behavior and indifferent Animal Farm attitudes, we’ll just get more of it.
Think Again. It’s not only a fiscal imperative -- it’s a moral one.
Buffett Rule: Tax Fairness or Farce?Melanie Sturm | @ThinkAgainUSA Read Comments - 5Publish Date:
Thu, 03/01/2012
“The higher up in the tree the monkey goes, the more of his backside that shows,” goes the maxim. It would be hard to climb higher than Warren Buffett, the world's most celebrated investor. However, as the namesake of the Buffett Rule that imposes higher tax rates on the wealthy, Buffett and his backside dangle precariously “out on a limb.” Capitalism's Critics Are Intellectually BankruptMelanie Sturm | @ThinkAgainUSA Read Comments - 3Publish Date:
Thu, 01/19/2012
When Paul Simon sang “Mama don't take my Kodachrome” in 1973, he claimed he'd “read the writing on the wall,” but he couldn't have foreseen how a transformative technology — making photos from digits — would render obsolete his precious color film. The global brand icon that revolutionized photography, making it affordable and convenient for ordinary people, now teeters on the brink of bankruptcy. Unfortunately for Kodak workers and the residents of Rochester, N.Y., consumer choice — not Mama — vaporized Kodachrome.
Because election season coincides with economic stagnation, lost jobs and defunct companies are political hot potatoes, putting capitalism on trial. Before joining free-enterprise bashers who bemoan investors who find opportunity in “the gales of creative destruction,” Think Again. As Kodak's ascent and decline demonstrate, this tenet of capitalism is what sparks entrepreneurship, innovation, growth and continuous progress, improving everyone's standard of living. Preoccupied as we are with economic hardship, it's hard to appreciate the upending phase of “creative destruction.” But without disruptive transformations and the financial capital they attract, the entrepreneurial innovation that fueled America's economic preeminence — and job-creators like Boeing, Apple, Amazon, FedEx and Intel — couldn't have occurred. To paraphrase labor leader Samuel Gompers, the biggest enemy of the worker is an unprofitable, poorly managed company. We'd also be saddled with outmoded horseshoes, floppy disks, typewriters and eight-track tapes. By reallocating scarce resources to better businesses such as automobiles, digital memory devices, laptop computers, CDs and online retailers, consumers realize previously unimaginable conveniences and value as obsolete products end up in the dustbin of history. Capitalism is like cancer surgery — though risky and unpleasant to watch, it's a life-enhancing, regenerative process allowing productive cells to flourish where unhealthy ones once permeated. Since not all practitioners are well-trained surgeons, the process can be messy and imperfect. Sometimes the patient weakens before recovering vitality; sometimes he dies, making room for the healthy. What's worse is when government subverts free-market capitalism by rescuing the suicidal from the consequences of their own errors. When they connect the nearly dead to life-sustaining “bailout-IVs,” governments play Dr. Frankenstein — creating economic zombies who dwell malodorously in our midst, suck up scarce resources and prolong everyone's suffering. What's protest-worthy are the prolonged and expensive hospital stays as government gets to appear beneficent with other people's money! This is “crony capitalism.” In free enterprise, companies must reinvent or bear the consequences. Consider Smith Corona, the world's leading typewriter manufacturer, whose consumer breakthroughs included the automatic carriage return, electronic dictionaries, grammar checkers, word processors and the PDA. This reinvention process stopped in 1992 with the classically ironic shortsightedness of its CEO, who dissolved the company's joint venture with Acer Computers, saying, “Many people believe the typewriter and word-processor business is a buggy-whip industry, which is far from true.“ By 1995, Smith Corona was bankrupt, and Acer was the world's fourth-largest computer company. Smith Corona learned the hard way that maintaining one's practices can be a formula for obsolescence. In contrast, Apple Computer, now the world's most valuable company, faced bankruptcy in 1996 before its reinvention accomplished the greatest turnaround in corporate history. It took rehiring founder Steve Jobs — whose reinvention followed being pink-slipped a decade prior — to reposition the company, its product line and marketing strategy. Struggling companies whose shortsighted and complacent management fail to reinvent can be attractive to private equity investors who believe their risk capital (not taxpayers) and expertise can enable small and sometimes-troubled companies to profitably reincarnate. Though risky and uncertain, corporate turnarounds involve losing excess weight, consolidation and the injection of new ideas and fresh money. Successful ventures yield returns commensurate with the risk and “smart money” reputations; failure assures the reverse. When opportunistic politicians cherry-pick failures in order to compare “turnaround capitalists” to rapacious corporate raiders or “vulture capitalists,” they're themselves birdbrains whose intellectual honesty is as compromised as their intellectual capacity. Where is the advantage in stealing from yourself? That's the implication when “turnaround capitalists” are accused of looting the companies they own. As Mr. Eastman spins in his grave and Kodak struggles with its own death spiral, ambitious politicians prey like vultures on our economic insecurity, luring votes with tales of government-insured utopia. Real leadership involves explaining that in a world characterized by constant change and where status quos lead to obsolescence, Americans have historically prospered, often in the wake of adversity, chaos and even failure. Considering the scores of American companies founded during recessionary times, Americans should be reassured that the free market on which innovation and economic dynamism depend is the key to renewed prosperity. Unfortunately, expecting intellectually bankrupt politicians to Think Again may be futile since, as Upton Sinclair observed, “It is very difficult to make a man understand something when his salary depends on his not understanding it.” America's New Years Resolution:Fiscal FitnessMelanie Sturm | @ThinkAgainUSA Read Comments - 1Publish Date:
Thu, 01/05/2012
Politicians are like New Year's revelers whose resolutions to get fit are as habitual as their unhealthy lifestyles. The most undisciplined merrymaker continually ups the weight-loss ante —10 pounds last year, 20 pounds this year — just as undisciplined politicians alleging fiscal prudence have upped their borrowing limit 4,967 percent since 1962, 67 percent since 2009. Road to Hell paved with irony and big governmentMelanie Sturm | @ThinkAgainUSA Read Comments - 0Publish Date:
Thu, 06/23/2011
Unlike Jack Nicholson's mother, who never saw the irony in calling Jack a “son of a bitch,” I'm hoping you'll appreciate another delicious irony. In a keynote speech at an international economic forum, a major political leader blamed the state's heavy role in the economy for stagnation. Government, he said, should “protect the choice and property of those who willingly risk their money and reputation.” Class warfare divisive and un-AmericanMelanie Sturm | @ThinkAgainUSA Read Comments - 0Publish Date:
Thu, 08/04/2011
In a Russian joke, there are two friendly farmers, Boris and Ivan. Both are prosperous, though Boris owns chickens and Ivan doesn't. When a genie offers Ivan anything he desires, he ponders his wish and orders, “Kill Boris' chickens!” Slouching toward Europe: US needs rehabMelanie Sturm | @ThinkAgainUSA Read Comments - 1Publish Date:
Thu, 09/01/2011
“They tried to make me go to rehab but I said no, no, no,” British singer-sensation Amy Winehouse sang before joining Jim Morrison, Jimi Hendrix and Janis Joplin in the “Dead at 27” Club. Seeing the media atwitter over the “Euro Crisis” makes me think Winehouse's unfortunate demise is a metaphor for what ails Europe. |
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