Saturday, September 29, 2012

Another Romney pre-mortem

Joan Walsh in Salon:
In the end I think Romney killed his own campaign, not because he’s a bad person – he may be – but because, in addition to his ineptness, he came to symbolize what’s wrong with our economy, in every way. The tax rate he pays is a scandal. Shoveling millions of tax-free dollars to his sons is, too. Bain Capital was no job creator (unless you count Bain execs); the firm borrowed money to buy companies, saddled the companies with their debt and made huge fees, whether or not the firm survived.
I disagree.  Romney comes across as inept only because of the ludicrous etch-a-sketches forced upon him by the unhinged.  He made a terrible mistake accepting the nomination of a party taken over by the lunatic fringe.  Yes, the tax rate he pays is a scandal, but if he had simply said "I'm going to raise taxes for people like me," the scandal would have instantly become a campaign asset.  He could have run on, not run away from, Romneycare.  He could have become, to paraphrase Sally Cohn, "the mature adult in the room," leading "not with bullheaded self-righteousness but with self-reflection and deliberation."

Thursday, September 27, 2012

Better to let your opposition write their own ads.

Mitt Romney, advertising manager for the Democratic National Committee.

Mitt Romney, advertising manager for Barack Obama's campaign.

 As for the latter, Jonathan Chait says this in The Poetic Justice of Romney’s Self-Immolation:
What's devastating about the ad, aside from the juxtaposition of Romney's words against photos of regular Americans, is something I only noticed the second time I watched it. It's the sound of silverware clinking on china in the background as Romney speaks. That detail contrasts the atmosphere Romney inhabits with the one in which most Americans live. You can tell, even though you're not seeing this, that the remarks are being made to people enjoying a formal dinner.

The Republican brain drain

Richard Cohen in the Washington Post:
In 1980 Ronald Reagan won the Republican nomination. He beat a future president, George H.W. Bush; two future Senate majority leaders, Howard Baker and Bob Dole; and two lesser-known congressmen. This year Mitt Romney won the GOP nomination. He beat a radio host, a disgraced former House speaker, a defeated Senate candidate, a former appointee of the Obama administration, a tongue-tied Texas governor, a prevaricating religious zealot who happens to serve in the House of Representatives and a cranky libertarian doctor. Where did all the talent go?
Update: here's what Jonathan Bernstein says in Can anyone save the GOP?
Many of us argue that there’s something really wrong with the current GOP. It’s not that it’s conservative; it’s that, well, to be blunt, it’s nuts. Or, to put it more gently, it’s that there are strong incentives for being dysfunctional, such as the profit motive for those who stand to make a lot of money from the party being out of office (when talk show ratings go up and wacky conspiracy theory books about Democratic presidents sell like hotcakes).
The result is a party more hospitable to, say, Sarah Palin than to Richard Lugar. And a party which takes presidential candidates such as Michele Bachmann, Newt Gingrich and Herman Cain at least somewhat seriously. That is, it’s a party which frequently ignores reality and rejects the normal compromises of the U.S. political system. And every candidate the GOP nominates either shares in the crazy or is hostage to it – which is what we’ve seen from Mitt Romney throughout the campaign.

Thursday, September 20, 2012

David Brooks' reacts to Romney's "47%" comments

David Brooks in the New York Times:
Sure, there are some government programs that cultivate patterns of dependency in some people. I’d put federal disability payments and unemployment insurance in this category. But, as a description of America today, Romney’s comment is a country-club fantasy. It’s what self-satisfied millionaires say to each other. It reinforces every negative view people have about Romney.
Personally, I think he’s a kind, decent man who says stupid things because he is pretending to be something he is not — some sort of cartoonish government-hater.

Robert Bork named Chairman of Romney's Justice Advisory Committee

There is now another entry in the "Republicans have Jumped the Shark" contest.  Romney has named Robert Bork the Chairman of his Justice Advisory Committee.  After citing a number of Bork's controversial views, the New York Times called him "a polemicist for ultra conservative ideas,"

Monday, September 17, 2012

Why I love Obamacare


I am an independent conservative.  I believe in American ingenuity, and in free market capitalism.  When I think of problems our country faces, sometimes I dream up free market solutions that no one ever thought of.  I understand the perverse consequences of high marginal tax rates, and can explain the Laffer curve.  I’ve voted for lots of Republicans.

All of this suggests, you would think, that I oppose Obamacare, which Republicans have labeled socialism.  You would be wrong.  I’ll vote for the guy who wants to keep it and against the guy who wants to “Repeal it on Day 1.”  This is the story of why I love Obamacare. 

Of course you’re now thinking I suffer from a terrible cancer.  You are wrong again.  I am healthy, thank God.  My wife, son and daughter, thank God, are all healthy too.  I can afford insurance.  All four of us have been continuously insured since the day we were born.

Imagine someone starting off on his own as a consultant after years of employment.  There are millions of people like this, including me.  We need to move from my group insurance policy at Blue Shield to an individual insurance policy at Blue Shield.  We have been with Blue Shield for years.  This will be easy, because this is America, and America is exceptional.  Whatever faults the health insurance market may have, and some argue it has many, I know it has no problems at all dealing with healthy families that have been continuously covered and can afford insurance. We are the perfect health insurance customers.  It may not be fair, but financial services companies of all kinds fawn all over me in their attempts to win my business. 

In another, less exceptional country, this trivial change from “group” to “individual” insurance could be a bureaucratic nightmare.  But in America, staying with the same insurance company, a paragon of private enterprise efficiency, it’s a single, two-minute phone call.  Three minutes, tops.

Wrong.  After about 6 hours filling out the world’s most humiliating medical underwriting form, plus another three hours in follow-up phone calls, Blue Shield decides to issue an insurance policy for me and my son, while refusing to cover my wife and daughter at any price.  At.  Any.  Price.

Did I mention my wife and daughter had been insured by Blue Shield for years?  Did I mention my wife and daughter are healthy, and that they have been continuously covered since the day they were born? 

What does it say when a free market can’t even address the needs of its ideal customer? 

I don’t blame this fiasco on Blue Shield, and you shouldn’t either.  Blame it on an individual insurance market that’s unable to function properly due to a problem called adverse selection, where the people who buy insurance tend to be those the insurance company will lose money on.  This is a market failure.  Every free market capitalist knows that markets can fail.  This is, however, where American ingenuity shines.  We’re exceptionally good at structuring free markets such that they can function properly and work their Adam Smith magic.

And we know exactly how to make the individual health insurance market function properly.  Although it gets technical, a properly functioning health insurance market requires four critical characteristics:

(1) Guaranteed issue – an insurance company can’t cherry pick the best customers, and neither can its competitors.

(2) A ban on exclusion of preexisting conditions.

(3) Community rating – everyone in a given age group pays the same premium.

(4) The widest possible risk pools – virtually everyone is covered, as is the case in the group insurance market and with seniors, solving the adverse selection problem.

That is exactly what Obamacare delivers on January 1st, 2014, a date that cannot come soon enough.  A humiliating, bureaucratic, expensive, nine-hour medical underwriting process?  Gone.  A decision to decline coverage, or charge more?  Illegal.  You should be able to go to a web page, supply your name, address, birth date, social security number, credit card and expiration date, and, paraphrasing an iconic Silicon Valley entrepreneur, boom, you’re covered.  As fast as an Amazon book order, except for the two additional pieces of information (birth date and social security number).  It would be impossible for Blue Shield to make these improvements unilaterally, because if they did, it would put them in an adverse selection death spiral.

As you probably know, there are other narratives about Obamacare.  There’s the Supreme Court decision; the death panel conspiracy theory; the Blunt amendment which, had it succeeded, would have allowed any employer to exclude any medical service from coverage for any reason, and which caused Olympia Snowe to retire from politics.  There are the people with cancer who can’t get coverage; the businesses of all kinds stiffed by medical bankruptcies; the poor.  There are the Republicans incensed by “socialist” Democrats, and the Democrats incensed by “heartless” Republicans.  There is the “Medicare-for-all” crowd.

I empathize with all those narratives and the emotions behind them.  And I believe a country without universal health insurance can’t call itself a first-world nation.

But these narratives don’t reflect my story.  I neither expect nor deserve your sympathy.  There is trouble in paradise, however, when a market can’t even address the needs of its perfect customers, and, by the grace of God, I am a perfect customer.  I love Obamacare because it represents American ingenuity at its finest.  I revel in the audacity of a classical American question: Can we make the individual health insurance application process not twenty percent faster, not twenty times faster, but two hundred times faster?

Maybe you support Obamacare for one or more of its other provisions: the ban on lifetime caps; the filling of the Medicare drug benefit donut hole; the refunds when premiums are too high; the ‘no one left behind’ expansion of Medicaid; the subsidies for those who can’t afford insurance; the incentives for small businesses; the provisions related to accountable care organizations; the ban on co-pays for certain preventive services.

Maybe you oppose Obamacare, or maybe you don’t love Obamacare as much as I do, because, like many, you are covered by group health insurance or Medicare, and the fact that the individual health insurance market can’t function properly is irrelevant to you, at least for now.  Or you’re a medical underwriter, and the humiliating, time-consuming process we experienced represents good money.  Whether you support it or oppose it, however, Obamacare represents an ingenious free market solution.  Anyone who calls it socialism doesn’t understand free market capitalism. 

To those of you who have to apply for individual health insurance prior to 2014, you have my deepest sympathies.  It will not be like ordering a book from Amazon, although it should be.  If you’re 26 or younger, Obamacare provisions that have already taken effect might spare you from the horror I experienced.  If not, and if you are any less perfect a health insurance customer than I am, I shudder when imagining what your experience could look like.  I pray you survive until January 1st, 2014, when you can join me in celebrating American ingenuity.

(Postscript: after enduring a second humiliating medical underwriting process, my wife and daughter are now insured by Aetna.  Having two insurance companies means our family deductible is essentially twice what it should be.)

Thursday, September 13, 2012

An outstanding article from an outstanding author

Warning - if you're like me, once you start reading this article, you will not be able to stop.

Michael Lewis: Obama's Way