Krugman responds to Obama attack

This is from Krugman's blog, not the paper, so I hope an extended quote is okay:

http://krugman.blogs.nytimes.com/2007/12 07/oy-obama

Here's what I said about the Obama plan when it first came out:

So there's a lot to commend the Obama plan. In fact, it would have been considered daring if it had been announced last year.

Now for the bad news. Although Mr. Obama says he has a plan for universal health care, he actually doesn't -- a point Mr. Edwards made in last night's debate. The Obama plan doesn't mandate insurance for adults. So some people would take their chances -- and then end up receiving treatment at other people's expense when they ended up in emergency rooms. In that regard it's actually weaker than the Schwarzenegger plan.

I asked David Cutler, a Harvard economist who helped put together the Obama plan, about this omission. His answer was that Mr. Obama is reluctant to impose a mandate that might not be enforceable, and that he hopes -- based, to be fair, on some estimates by Mr. Cutler and others -- that a combination of subsidies and outreach can get all but a tiny fraction of the population insured without a mandate. Call it the timidity of hope.

On the whole, the Obama plan is better than I feared but not as comprehensive as I would have liked. It doesn't quell my worries that Mr. Obama's dislike of "bitter and partisan" politics makes him too cautious. But at least he's come out with a plan.

And I was prepared to leave it at that -- Obama's plan was weaker than his rivals' because it wasn't universal, but I hoped that he would fix that in practice.

But then Obama started attacking his rivals from the right, denouncing their proposals using exactly the same false claims that conservatives will use to try to derail reform in the future.

And now, having been caught out on the facts, the Obama people respond with a personal attack, lifting quotes out of context to pretend that I never had problems with the plan. Something is very wrong here.

This proves that Obama -- likely via Robert Gibbs (this sure looks like his handiwork) -- selectively quoted Krugman out of context to make it look like he flip-flopped. I expect that kind of dishonesty from Republicans, not Democrats I would like to feel good about voting for!

I look forward to reading your comments late this afternoon when I return from canvassing for Mark Pera -- running against Dan Lipinski (who makes Joe Lieberman look like a good Democrat in comparison, really!) in the IL-3 primary.

Gotta go now!



Display:


Re: Krugman responds to Obama attack (2.00 / 2)

This is about to get juicy! he he!


by lonnette33 on Sat Dec 08, 2007 at 11:21:01 AM EST

Jim, you've made the troll happy! (1.33 / 3)


Obama's Pop. Vote LEAD = 600K | Clinton & McCain = WAR Authorizers
by NeuvoLiberal on Sat Dec 08, 2007 at 12:31:22 PM EST
[ Parent ]

Re: Jim, you've made the troll happy! (none / 0)

is Krugman running for president?  His opinions about anyones healthcare plan is IRRELEVANT!


by allmiview on Sat Dec 08, 2007 at 04:33:08 PM EST
[ Parent ]

Good Point (none / 0)

I like Krugman.  He's been consistent and forthright for years, defending the citadel when the right was at high tide, keeping the lamps lit, so to speak, in gloomy darkness.

But he's just doing his job and that doesn't include running for political office.  He's got his gig, and his bully pulpit, and he is having an intellectual hissy-fit with Obama just as he would with another tenured academic.  He doesn't have to worry about getting elected and is merely applying his own criteria of virtue to someone who does.  Maybe he should give that some thought.

If he was running for president he would be standing at the podium to the left of Dennis.

Apologies posted elsewhere but seemed relevant.


by Shaun Appleby on Sat Dec 08, 2007 at 04:48:09 PM EST
[ Parent ]

Yeah Krugman should just shut up and let Obama (2.00 / 2)

mislead the American people about Universal Heathcare.

He's totally irrelevant. Krugman's just some run-of-the-mill economist who's studied these issues in detail where Obama's our new best hope out to attack anyone who criticizes his plan for failure.


While I could sit in church and pray all I want, I wouldn't be fulfilling God's will unless I went out and did the Lord's work ~ Barack Obama
by bowiegeek on Sat Dec 08, 2007 at 08:16:44 PM EST
[ Parent ]

Re: Jim, you've made the troll happy! (none / 0)

Then why this weird focus on making Krugman out to be a liar?  And why the selective use of quotes that is beyond the pale?  If you read the piece referenced, it is clear that Krugman has not changed his position AT ALL.  Yet, by quoting just one segment the Obama camp is trying to create that appearance, which is highly disingenious.   If he is insignificant, why go to the lengths to employ such shady techniques?   It makes Obama look terrible in the process, as the selective and therefore falsified quoting in this case amounts to an attack on Krugman's character, truthfulness and motives.  They made it highly personal and look petty and crooked in the process.   How would YOU like it if your quotes were completely taken out of context and your opinions falsified into a caricature of reality?  How about this quote from you, then:   "Krugman... for President. His opinions about..healthcare..is..RELEVANT."


by georgep on Sun Dec 09, 2007 at 09:36:18 AM EST
[ Parent ]

Re: Krugman responds to Obama attack (2.00 / 3)

Rec'd.


by lonnette33 on Sat Dec 08, 2007 at 11:21:41 AM EST

Re: Krugman responds to Obama attack (none / 0)

Why attack Krugman? Because it helps him politically. He's just another politician


vote blue in 2008
by sepulvedaj3 on Sat Dec 08, 2007 at 11:37:50 AM EST

Re: Krugman responds to Obama attack (none / 0)

He is?   Where can I vote for him?


by NYFM on Sat Dec 08, 2007 at 05:10:15 PM EST
[ Parent ]

Re: Krugman responds to Obama attack (none / 0)

umm Obama is just another politician.


vote blue in 2008
by sepulvedaj3 on Sat Dec 08, 2007 at 08:03:06 PM EST
[ Parent ]

This great... (none / 0)

Seems like the more people that Obama pisses off the better he does in the polls.

I'm beginning to think that Obama relishes this back and forth with Kruggie.


"Well Hillary, I looking forward to you advising me as well." - Barack Obama
by General Sherman on Sat Dec 08, 2007 at 11:45:18 AM EST

Re: This great... (2.00 / 1)


Really?  What polls?
by killjoy on Sat Dec 08, 2007 at 01:24:23 PM EST
[ Parent ]

Re: This great... (2.00 / 3)

Right....Paul Krugman is the enemy. Cult of personality much?


by adamterando on Sat Dec 08, 2007 at 01:59:48 PM EST
[ Parent ]

asdf (none / 0)

either Krugman's arguments are reasonsed and reasonable is the question. Not whether he is an enemy or otherwise (and, not, having a debate on whether he is being fair doesn't make him an enemy.)

I find Krugman's arguments to be weak and controvertible, and his persistent attacks on Obama using the same to be unfair and pathetic.


Obama's Pop. Vote LEAD = 600K | Clinton & McCain = WAR Authorizers
by NeuvoLiberal on Sat Dec 08, 2007 at 02:13:54 PM EST
[ Parent ]

Re: asdf (none / 0)

".. and, no, having a debate .."


Obama's Pop. Vote LEAD = 600K | Clinton & McCain = WAR Authorizers
by NeuvoLiberal on Sat Dec 08, 2007 at 02:15:34 PM EST
[ Parent ]

Re: Krugman responds to Obama attack (none / 0)

"It doesn't quell my worries that Mr. Obama's dislike of "bitter and partisan" politics makes him too cautious. But at least he's come out with a plan."

This goes much deeper than a policy difference. Krugman has a deep-seated antipathy of Obama. It's personal to Krugman. Obama loses no sleep over this man.

Keep it comin'.


"Well Hillary, I looking forward to you advising me as well." - Barack Obama
by General Sherman on Sat Dec 08, 2007 at 11:47:43 AM EST

Re: Krugman responds to Obama attack (2.00 / 2)


Nice ad hominem ad hominem.

Some winner Obama is if beating up on a newspaper columnist counts as a Major Victory.


by killjoy on Sat Dec 08, 2007 at 01:22:28 PM EST
[ Parent ]

Re: Krugman responds to Obama attack (2.00 / 3)

Um... And you miss the entire point. The Obama people purposefully took his original quotes (as seen above) out of context.


by adamterando on Sat Dec 08, 2007 at 02:00:58 PM EST
[ Parent ]

I read Krugman regularly (2.00 / 1)

I see no examples at all of Krugman attacking Obama on a personal level can you supply some examples? In context.

And if Barack is losing no sleep why did he put up the piece of his webpage? If Krugman is not important why respond at all?

I am sorry that came off as whistling past the graveyard. Because a lot of progressives do listen to Krugman and his case is holding up pretty well on the center left and left Econoblogs. Add to them the combined readership of DeLong, Ezra and Matt and you have Obama scoring some serious negative points among the policy wonks.


PollKatz: Bush Approval in 15 polls
by Bruce Webb on Sat Dec 08, 2007 at 05:07:06 PM EST
[ Parent ]

Semantics. (2.00 / 2)

Still the semantic argument from Krugman? None of the candidates plans will cover every single person, mandates or no mandates. If we can't stop people from killing each other by outlawing murder then we sure as hell can't force people to sign up for medical insurance by making it illegal to be uninsured. None of the candidates plans will be "Universal" if "Universal" means every single person. The only way to do that is a single payer system taken out of tax revenue that automatically covers every American, and none of the candidates plans do that.

This is a silly semantic argument. Stop already. This is like saying that a 'Universal Housing Plan' that made housing available to any homeless person wasn't really "Universal" if it didn't make homelessness against the law. It's a bizarre and senseless argument and Krugman is full of crapola.


by Mystylplx on Sat Dec 08, 2007 at 12:19:43 PM EST

Re: Semantics. (2.00 / 2)

This is not a silly semantic argument.

Edwards and Hillary have active plans to ensure everyone is covered. Edwards especially makes sure that everyone is covered because whenever you come into contact with the system, you are signed up if you do not have coverage. Obama makes no such effort to ensure that everyone is covered. In addition, he allows people to game the system by allowing them to avoid being covered until they feel like it.


by adamterando on Sat Dec 08, 2007 at 02:05:40 PM EST
[ Parent ]

Re: Semantics. (2.00 / 4)

just had a discussion of the free rider issue. its as if people think the uninsured will not use the healthcare system. if the uninsured will use the system regardless of insurance we will always have higher costs from free riders


by bruh21 on Sat Dec 08, 2007 at 02:18:01 PM EST
[ Parent ]

Re: Semantics. (none / 0)

just had a discussion of the free rider issue. its as if people think the uninsured will not use the healthcare system. if the uninsured will use the system regardless of insurance we will always have higher costs from free riders


by bruh21 on Sat Dec 08, 2007 at 02:18:21 PM EST
[ Parent ]

Re: Semantics. (none / 0)

But they don't ensure everyone is covered--they just mandate that everyone is covered, and that's a huge difference. I DO believe that mandates will probably bring more people into the tent, and that's a very non-trivial argument in favor of mandates. On the other hand I can't see how they would be realistically enforcable, they won't bring in that many more people, and they give Republicans a hammer with which to pound any such plan into the earth.

But that's the argument. Arguing about whether Obama's plan is reeeaaaaallly "Universal Health Care" IS a silly semantic argument. And it distracts from the real debate, which Obama is trying to have, which is mandates or not mandates.


by Mystylplx on Sat Dec 08, 2007 at 03:06:41 PM EST
[ Parent ]

The Edwards plan (none / 0)

Has a pretty effective enforcement mechanism. You have to report your insurance status on your tax return and any time you use anything in the health care system. So unless you are a regular tax dodger who is confident you will never need stiches or have your ankle x-rayed, over a relatively short period of time you should get pretty comprehensive results.

Which by the way is the word Krugman used.


PollKatz: Bush Approval in 15 polls
by Bruce Webb on Sat Dec 08, 2007 at 05:14:03 PM EST
[ Parent ]

Corr. Krugman used both terms (none / 0)

So lets look at some definitions.

2. Including, pertaining to, or affecting all members of the class or group under consideration

A mandate certainly affects all members of the population, it forces each member to make a choice: to comply or not to comply. In that sense the Clinton and Edwards plans are universal while Obama's is not.


PollKatz: Bush Approval in 15 polls
by Bruce Webb on Sat Dec 08, 2007 at 05:19:41 PM EST
[ Parent ]

Re: Corr. Krugman used both terms (none / 0)

That's pretty strained.

2. Including, pertaining to, or affecting all members of the class or group under consideration.

Obama's plan includes, pertains to, and affects all members of the class or group under consideration. It just doesn't mandate that they take advantage of that coverage. This is like insurance coverage itself. You can have insurance coverage but they don't mandate that you make a claim. You are covered but it isn't required that you take advantage of that coverage.

By the definition you are giving then the "Universal" in Universal Health Care really would mean "Universally mandated." I'll repeat--that's a silly way of defining it.


by Mystylplx on Sat Dec 08, 2007 at 06:43:17 PM EST
[ Parent ]

Re: Semantics. (none / 0)

Mandates are being used by pretty much every UHC system in the world that is not single-payer.  Enforcing them works in those countries, so why should it not here?  Can't we just follow the same recipes countries like Germany and Holland have employed to enforce the mandates?  


by georgep on Sun Dec 09, 2007 at 09:48:33 AM EST
[ Parent ]

Re: Semantics. (2.00 / 1)

Sorry, I like you, b ut you are the one engaging in semantics. "unversal" is not something you get to just make up as you go. It means certain things that are easy enough to look up if this is more about the policy than the candidate. its how i was able to test what edwards was saying. you should do the same.


by bruh21 on Sat Dec 08, 2007 at 02:16:49 PM EST
[ Parent ]

Re: Semantics. (none / 0)

It means "certain things?" Like what? It either means 'universally available' which includes all the candidates plans, or it means 'universall participation' which is none of their plans. The only other possibility is 'universally mandated,' and that's just silly.


by Mystylplx on Sat Dec 08, 2007 at 02:51:34 PM EST
[ Parent ]

Re: Semantics. (none / 0)

And hey, I like you too. :)


by Mystylplx on Sat Dec 08, 2007 at 02:52:03 PM EST
[ Parent ]

Re: Krugman responds to Obama attack (none / 0)

Krugman's ego has inflated to blimp-like size.. he knows the progressive era is coming and he wants to be crowned ''king of the ivory tower progressives''

Or king-maker...one or two columns?..ok. four or five columns?.. obsession.


by hawkjt on Sat Dec 08, 2007 at 12:22:54 PM EST

Re: Krugman responds to Obama attack (2.00 / 4)

Krugman is not the one who took someone's quotes out of context in order to insinuate that they're a liar and/or a flip-flopper.

Cult of personality again.


by adamterando on Sat Dec 08, 2007 at 02:06:32 PM EST
[ Parent ]

Krugman's logic on mandates is flawed (2.00 / 1)

If someone is going to "game the system" in Obama's plan, the same deviousness would extend to any other plan (other than single payer UHC). I can expand of this (as time permits) if someone wants me to elaborate on this point.

He's been shamelessly beating the shit out of trying to defend one or the other version of system each of which will fall short of universality one way or the other, and attacking Obama mercilessly.

Obama's plan has some very novel concepts like the "healthcare exchange" missing in other plans, which Krugman seems not to give due credit to.

I hope to see Krugman back off his ongoing hackery of relentless (weakly-premised and unfair) Obama bashing before I lose my respect for him completely.


Obama's Pop. Vote LEAD = 600K | Clinton & McCain = WAR Authorizers
by NeuvoLiberal on Sat Dec 08, 2007 at 12:38:51 PM EST

Re: Krugman's logic on mandates is flawed (2.00 / 1)

to expand this: "the same deviousness would extend to any other plan" a bit, unless there are HARD implementation penalties, gamers of the system WILL find ways to game the system. Fortunately, most people don't fall into devious gamers category, and therefore Krugman's non-stop beating about this is highly illogical (and hence becomes stupid whining).

Obama did say that once his system is in place, and options are available to all people, should there be excessive costs coming from gaming the system, then he would look into it and see what needs to done. AT that point, there will explicit and implemented options for people and hence it WILL be easier to get this done w/ less pain.

At this point, it's only a theory, hanging in this air, that devious gamers would amount a significant portion of healthcare costs.

Furthermore, Obama's system has other ways that can get people induced into getting covered.

First, Obama's plan offers more options than others' plans because of the healthcare exchange).

Second, it requires explicit participation by employers (either cover their employees, or pay towards the govt plan), which would make most employed people get covered.

Obama's plan mandates coverage for children (i.e. puts the responsibility on the shoulder of parents to find ways, using govt subsidies for this and for adult plans, if they can't afford), which is more easily achievable because of SCHIP and other programs, which is another route through which people will be brought to the system to get covered in some fashion.

All of this means that, essentially, almost all of the "gamers" of the system will be those unemployed people w/ no children that have an espsecially devious minds. Exactly what % of people fit into this description? I'd say less than 1-2% at most.

Krugman should STOP his unfair attacks on Obama.


Obama's Pop. Vote LEAD = 600K | Clinton & McCain = WAR Authorizers
by NeuvoLiberal on Sat Dec 08, 2007 at 12:56:33 PM EST
[ Parent ]

Re: Krugman's logic on mandates is flawed (2.00 / 3)

First, Obama's plan offers more options than others' plans because of the healthcare exchange).

That is false.

All three candidates' plans offer a menu of private insurer options. Obama and Edwards offer these private menu options through new bureaucracies -- regional exchanges -- much like Clinton's 1993 plan. Clinton's new plan offers these private options (both HMO and fee for service) through the existing Federal Employees Health Benefits plan. She makes Congress' plan available to everyone.

Both Clinton and Edwards are also proposing a Medicare-like public insurance plan that will also be available to everyone. In effect, this is setting up a "single-payer" type program to compete for customers with the private insurer menus.

Obama's plan offers the fewest choices because it does not include a public plan.


by hwc on Sat Dec 08, 2007 at 01:52:49 PM EST
[ Parent ]

Re: Krugman's logic on mandates is flawed (none / 0)

"Obama's plan offers the fewest choices because it does not include a public plan."

That's patently false.

Whom are you trying to kid/fool by saying Obama has no public plan?


Obama's plan will provide affordable, comprehensive and portable health coverage for all Americans by:
  * Making available a new national health program that will allow individuals and small businesses to buy affordable health care similar to that available to federal employees. No one will be turned away or charged more due to illness, and everyone who needs it will receive a subsidy for their premiums.
  * Making available a National Health Insurance Exchange to reform the private insurance market. Any American could enroll in participating private plans, which would have to provide comprehensive benefits, issue every applicant a policy, and charge fair and stable premiums.
  * Ensuring all of the 9 million currently uninsured children have affordable, high-quality health coverage
  * Expanding Medicaid and SCHIP and ensuring they continue to serve their critical safety net function.
  * Requiring employers to make a meaningful contribution to the health coverage of their employees.
  * Requiring that insurance plans accept all applicants and do not charge different prices based on
     pre-existing conditions.
From page 1 of Obama's HC overview (pdf)
Obama's details HC plan (pdf)

The "new national health program" is the Government plan that is part Obama's healthcare package.


Obama's Pop. Vote LEAD = 600K | Clinton & McCain = WAR Authorizers
by NeuvoLiberal on Sat Dec 08, 2007 at 02:05:38 PM EST
[ Parent ]

Re: Krugman's logic on mandates is flawed (2.00 / 2)

This is not a public plan. This is an insurance plan offered by the federal government through a list of private plans like Blue Cross Blue Shield.

The Edwards plan actually has a public option, like Medicare plus.

Obama's plan forces you to choose a private plan no matter what.


by adamterando on Sat Dec 08, 2007 at 02:11:31 PM EST
[ Parent ]

I see no where in the plan that says: (none / 0)

"through a list of private plans like Blue Cross Blue Shield".

It instead says this: page 4 of this pdf, we have:


Obama's healthcare plan overview:

(1) establish a new public insurance program, available to Americans
who neither qualify for Medicaid or SCHIP nor have access to insurance
through their employers, as well as to small businesses that want to
offer insurance to their employees;

(2) create a National Health Insurance Exchange to help Americans and
businesses that want to purchase private health insurance directly;

(3) require all employers to contribute towards health coverage for
their employees or towards the cost of the public plan ;

(4) mandate all children have health care coverage;

(5) expand eligibility for the Medicaid and SCHIP programs; and

(6) allow flexibility for state health reform plans.

More details:

(1) OBAMA'S PLAN TO COVER THE UNINSURED. Obama will make available a
new national health plan which will give individuals the choice to buy
affordable health coverage that is similar to the plan available to
federal employees. The new public plan will be open to individuals
without access to group coverage through their workplace or current
public programs. It will also be available to people who are
self-employed and small businesses that want to offer insurance to
their employees.

The plan will have the following features:

1.  Guaranteed eligibility. No American will be turned away FROM ANY
INSURANCE PLAN because of illness or pre-existing conditions.

2. Comprehensive benefits. The benefit package will be similar to that
offered through the Federal Employees Health Benefits Program (FEHBP),
the program through which Members of Congress get their own health
care. The new public plan will include coverage of all essential
medical services, including preventive, maternity and mental health
care. Coverage will include disease management programs, self
management training and care coordination for appropriate individuals.

3. Affordable premiums, co-pays and deductibles. Participants will be charged
fair premiums and minimal co-pays for deductibles for preventive services.

4. Subsidies. Individuals and families who do not qualify for Medicaid
or SCHIP but still need assistance will receive income-related federal
subsidies to keep health insurance premiums affordable. They can use
the subsidy to buy into the new public plan or purchase a private
health care plan.

5. Simplifying paperwork and reining in health costs. The plan will
simplify paperwork for providers and will increase savings to the
system overall.  Easy enrollment. The new public plan will be simple
to enroll in and provide ready access to coverage.

6. Portability and choice. Participants in the new public plan and the
National Health Insurance Exchange (see below) will be able to move
from job to job without changing or jeopardizing their health care
coverage. Quality and efficiency. Participating hospitals and
providers that participate in the new public plan will be required to
collect and report data to ensure that standards for health care
quality, health information technology and administration are being
met.


The wording clearly says that there will a  government/public insurance plan and it suggests it will be administered by the government.

Can you cite material from Obama campaign that says that the "new public insurance program" mentioned here will not be administered by the government? If you can't, then what is your point, and what is your basis for it?


Obama's Pop. Vote LEAD = 600K | Clinton & McCain = WAR Authorizers
by NeuvoLiberal on Sat Dec 08, 2007 at 02:40:09 PM EST
[ Parent ]

Re: I see no where in the plan that says: (2.00 / 2)

You are missing the point. The Federal Employees Health Benefits plan ("Congress' plan") is administered by the federal government. But, it is a menu of private insurance company plans. It's only administered by the federal gov in the same way that your employer administers your health insurance options.

All three candidates plan to offer a government administered menu of private insurance options -- Obama and Edwards through a new bureaucracy, Clinton by simply making the existing Federal Employess Health Benefits options available to everyone.

The difference is that both Clinton and Edwards offer and ADDITIONAL option -- a true government insurance program with the same benefits as Medicare. You actually buy the health coverage directly from the goverment program, with no private insurer middlemen. This will, in all likelihood, be the most affordable option. Under Clinton's plan, any American can choose to:

a) Keep the insurance they have

b) Buy insurance from a private insurer a the Federal Employees Benefits Plan group rates (much cheaper than buying in the open market)

c) Buy insurance from the new government Medicare-like progam.

Although the details vary, all three candidates offer a) and b). Clinton and Edwards offer c). Obama DOES NOT.

The advantage of Clinton's plan is that her government administered private insurer pool simply opens up enrollment in the current Federal Employees Benefits plan and thus, does not require the creation of massive new regional health markets (which were a major area of attack on her 1993 plan). In addition, her plan sets up marketplace competition between a true public plan (like Medicare) and government administered private plans. Don't tell the Republicans, but this is the mechanism by which Clinton's plan will push the country towards single payer, unless the private insurers can effectively compete with the Medicare plan.

A system of tax credits will cap health insurance costs as a percentage of income. In addition, corporate executives who get Mercedes Benz type health plans will only receive tax deductions for the cost of a normal plan. Luxury perks in their plans will not receive tax subsidies.

Covering everyone is absolutely critical to health care reform. It is the mechanism for lowering the cost to everyone (no more free-riders). It is also the political carrot to the health care and insurance companies to support Clintons plan. The insurance companies get 40 million potential new customers. The health care industry solves the free-ride problem is is crippling hospitals (see Grady Memorial Hospital, Atlanta's only Level 1 trauma center, that is bankrupt and on the verge of closing because they treat so many uninsured).


by hwc on Sat Dec 08, 2007 at 03:19:38 PM EST
[ Parent ]

Long Response (2.00 / 1)

(please ignore typos below. No time to proof-read and perfect my long response below).

"You are missing the point. The Federal Employees Health Benefits plan ("Congress' plan") is administered by the federal government. But, it is a menu of private insurance company plans. It's only administered by the federal gov in the same way that your employer administers your health insurance options."

I didn't mistake Federal Employees Health Benefits plan for an insurance underwriting entity (as is medicare).

What I said was that Obama's plan talks about a "new national plan" that would offer benefits similar to what are found in the FEBHP.

His plan doesn't clarify whether:
A. it's only a list as offered by the FEBHP, or
B. whether it will be a medicare like program.

Although, the plan pdf and statement by Cutler do keep drawing a distinction between private and public plans, I haven't seen a clear cut statement from the plan drafts that there will be a govt-underwritten program in Obama's package.

On the other hand, I have checked that HRC's package does offer a medicare like government underwritten option:


In addition to the broad array of private options that Americans can choose from, they will be offered the choice of a public plan option similar to Medicare.

JRE does it slightly differently

 Third: New Health Care Markets. The U.S. government will help states and groups of states create regional Health Care Markets, non-profit purchasing pools that offer a choice of competing insurance plans. At least one plan would be a public program based upon Medicare. All plans will include comprehensive benefits, including full mental health benefits. Families and businesses could choose to supplement their coverage with additional benefits. The markets will be available to everyone who does not get comparable insurance from their jobs or a public program and to employers that choose to join rather than offer their own insurance plans. The benefits of Health Care Markets include:

I concede that HRC and JRE do explictly offer a medicare like(govt underwritten) program. JRE's "Health car markets" seems to be his version of Obama's "national healthcare exchange", and his "public program" gets offered through that.

They key point, of course, is that the medicare-like-benefits program would not be free. The real medicare (for elderly and disabled) is an entitlement program, which clearly neither HRC nor JRE are saying would be extended to make it an entitlement to everyone (if they did, we would then have a single payer system).

Current medicare (coming under entitlement) premiums seem to be about half of FEBHP premiums (probably heavily subsidized by the govt), but quality of care is better for the latter.

While I concede the point that HRC+JRE are explicitly offering medicare like govt-underwritten plan, in Obama's defense, he does mention as onf his main points that he'd expand need/income-based medicaid programs:


Obama HC package webpage

Expansion of Medicaid and SCHIP. Obama will expand eligibility for Medicaid and the State Children's Health Insurance Program. Obama will expand eligibility for the medicaid and schip programs and ensure that these programs continue to serve their critical safety net function.

"All three candidates plan to offer a government administered menu of private insurance options -- Obama and Edwards through a new bureaucracy, Clinton by simply making the existing Federal Employess Health Benefits options available to everyone."

On this "new bureaucracy" point that HRC and yourself seem to dwell upon, first, the new medicare option would create at least an expanded bureaucracy. In fact, HRC says:


A Choice of a Public Plan Option: In addition to the array of private insurance choices offered, the Health Choices Menu will also provide Americans with a choice of a public plan option, which could be modeled on the traditional Medicare program, but would cover the same benefits as guaranteed in private plan options in the Health Choices Menu without creating a new bureaucracy. The alternative will compete on a level playing field with traditional private insurance plans. It will provide a more affordable option, in part through greater administrative savings. It will not be funded through the Medicare trust fund.

The wording "could be modeled" leaves gaps in exactly what this option would be like to the consumers or the implementation. She explicitly rules out tinkering with the medicare trust fund, which could mean that  a "new bureaucracy" would need to created in order to administer this program, and if not the existing one would need to be expanded. Whether "new bureaucracy" is better than "existing bureaucracy" is a matter od details.

Besides, isn't "healthcare bureaucracy" a rightwing attack line against healthcare reform? Why is it OK for HRC to use this line and for Obama not to to state his view against mandates?

"The advantage of Clinton's plan is that her government administered private insurer pool simply opens up enrollment in the current Federal Employees Benefits plan and thus, does not require the creation of massive new regional health markets"

This point of distinction applies (it seems to me) to be applicable comparing HRC's pkg with JRE's. Not Obama, as his "new public plan" does not go through his national healthcare exchange.

"In addition, her plan sets up marketplace competition between a true public plan (like Medicare) and government administered private plans. Don't tell the Republicans, but this is the mechanism by which Clinton's plan will push the country towards single payer, unless the private insurers can effectively compete with the Medicare plan."

As more people do signup for the public plan, of course, the bureaucracy  point kicks back in, right. Then why try to parade that bureaucracy argument?

All in all, while I do think that Obama should offer a govt-underwritten insurance program, there are holes in every plan other than a single payer system.

~~

"Covering everyone is absolutely critical to health care reform. It is the mechanism for lowering the cost to everyone (no more free-riders). It is also the political carrot to the health care and insurance companies to support Clintons plan. The insurance companies get 40 million potential new customers. The health care industry solves the free-ride problem is is crippling hospitals (see Grady Memorial Hospital, Atlanta's only Level 1 trauma center, that is bankrupt and on the verge of closing because they treat so many uninsured)."

This, of course, is the main point of discussion. Free-riders that want to beat the system will find ways to beat the system unless strong penalties and prosecution is in place. Most uninsured, especially those with families, would get covered if reasonably affordable options are there.

I was looking for data on the cost of emergency case (to get a feel for the numbers here). The only one I could (with limited searching) find is from American College of Emergency Physicians (who may have an interest in keeping emergency care at high levels, but doesn't mean that their data is not accurate. I welcome data on this from other sources, if you can find it). That says: 5% is the cost of emergency care in the overall system costs for healthcare. Of which, about half is uncompensated. We're at 2.5%. Of that a good portion maybe people who currently can't afford to and don't get subsidies to enroll in a plan (illegal immigrants could be some of this. No plan, other than HRC 676/Kucinich/Conyers currently covers them, anyhow).

So, these devious "free-riders" you keep talking about (i.e. those that won't insure their families and themselves even when good and affordable options are available) probably amount to under 1% or lower overall cost of the system, which was what I was guessing in an earlier comment. Given the (extremely) high profit margins of the overall system, 1% is NOT significant enough to affect the overall.

And, the word "mandate" DOES have a political baggage associated with it, when it comes to passing a bill under the current political climate. We can debate what the degree of such baggage is, but you can' deny that it doesn't have it. Does the 1 (5% at the most) factor justify the political cost? Krugman and you can disagree with Obama (I am trying to be objective analyst) but Obama is perfectly entitled to take an approach that he thinks is a better approach to getting healthcare reform in place.

What do I think at this point ("knowing what I know now"; remember the clause?) short of single payer system (which I'll need to study in depth as well)? I think that:

  1. the government should underwrite and pay for ALL emegency care.
  2. offer a govt-underwritten plan that gives coverage similar to FEBHP.
  3. mandate coverage for children with income/need based subsidies (if you won't find ways to cover your children, don't bring them into this world)
  4. no forced mandates for adults, but strong out reach by the govt to encourage everyone to get covered.


Obama's Pop. Vote LEAD = 600K | Clinton & McCain = WAR Authorizers
by NeuvoLiberal on Sun Dec 09, 2007 at 01:54:42 AM EST
[ Parent ]

5. (2.00 / 1)

5. the govt should run some geographically well-distributed free hospitals  (alongside the private healthcare providers/insurance system) that provide primary care, emergency care and other basic services along with emergency care (this in addition to underwriting/funding emergency care provided at private hospitals). Doctors should be encouraged to contribute a portion of their time to this as both public service as well as to help themselves (say to defray portions of their med school costs). There should also be regional specialist centers for higher cost items such as surgery etc (but this would have waiting lists on services, managed through an efficient scheduling system). Should buck the AMA and expand a visa/naturalization program for bringing in highly qualified doctors, dentists and specialists from other countries as well, based on the projected needs (no need to flood the market with them; put a decent cap on this).

This item will have some political baggage as well, but this will help reduce costs dramatically and give a decent safety net for those with the most need for help. The main point is that the private and (essentially govt-subsidized) system will continue to exist for other purposes and those that don't want to use the govt-run safety-net healthcare operation (which is intended for the needist folks, but would be an option for others as well).


Obama's Pop. Vote LEAD = 600K | Clinton & McCain = WAR Authorizers
by NeuvoLiberal on Sun Dec 09, 2007 at 02:16:50 AM EST
[ Parent ]

Healthcare plan comparator (none / 0)

Please see this useful resource: Healthcare plan comparator.


Obama's Pop. Vote LEAD = 600K | Clinton & McCain = WAR Authorizers
by NeuvoLiberal on Sun Dec 09, 2007 at 03:48:11 AM EST
[ Parent ]

Re: Krugman's logic on mandates is correct (none / 0)

Federal employees buy private health insurance.  The Federal employee "plan" is just a large collection of health insurance companies and HMOs who offer a variety of plans.  Most people can only choose one or two plans from an employer, Federal employees get to choose from a large number -- they are private plans though -- not a public plan.


by jfashwell on Sat Dec 08, 2007 at 03:17:16 PM EST
[ Parent ]

Re: Krugman's logic on mandates is flawed (none / 0)

Are you under the impression that her plan won't entail new bureaucracies just because it extends the Federal Employees Health Benefits? How many people does the Federal Employees plan cover now? How many will it cover if she gets her plan passed? Voila! Plenty of new bureaucracy to go around. All of their plans will have to be administered and will require lots of new bureaucracy.


by Mystylplx on Sat Dec 08, 2007 at 02:10:56 PM EST
[ Parent ]

Re: Krugman's logic on mandates is flawed (2.00 / 1)

Except for Edwards plan which allows you to sign up for a new Medicare type public plan which will have a similar 3% overhead cost compared to any private plan.


by adamterando on Sat Dec 08, 2007 at 02:12:39 PM EST
[ Parent ]

Edwards isn't offering free public plans, (none / 0)

unless you meet some means criteria (based on the initial healthcare overview I had read).

So why are his public plan offers difference from Obama's, as I've excerpted above.

Where and when you disagree, or think others are mistaken, could you please make your points/arguments using actual blockquotes from the plans (with links to pdfs) instead of plain remarks/opinions (so that we can be concrete in this discussion)?


Obama's Pop. Vote LEAD = 600K | Clinton & McCain = WAR Authorizers
by NeuvoLiberal on Sat Dec 08, 2007 at 02:51:02 PM EST
[ Parent ]

Re: Edwards isn't offering free public plans, (2.00 / 2)

Actually, Obama's public plan is not available to everyone. It's only available to the uninsured, which doesn't allow for a true private/public competition.


Join us at Show Me Progress!
by clarkent on Sat Dec 08, 2007 at 02:58:30 PM EST
[ Parent ]

If you're covered by the employer (none / 0)

then you seem to be right (as Obama's Natl. health insurance exchange seems to be open only to individuals; but I'm thinking that it should be made open to companies and esp. small business owners, in a modified version of his plan; I recall making this suggestion at DKos sometime back). But, individuals not covered by their employers do have the option of getting the public plan or go to the national healthcare exchange (where there will be competition) to get a plan.

The key question is: does Edwards give an option for individuals to pull out of employer provided coverage and seek the govt option. If so, would the employer permit that easily, since the employer's negotiated plan coverage may depend on enough number of employess going through the negotiated plan? How does this latter situation get addressed by Edwards' plan?


Obama's Pop. Vote LEAD = 600K | Clinton & McCain = WAR Authorizers
by NeuvoLiberal on Sat Dec 08, 2007 at 03:29:21 PM EST
[ Parent ]

Re: If you're covered by the employer (2.00 / 1)

Clinton's plan allows any individual OR company the option of participating in the Federal Employees Benefits Program private insurance menu OR in the new Medicare-style public plan.

If you like your current employer plan, keep it. If you don't, buy throught the government plan. More importantly, many small and midsize companies will start using the Federal Employees Plan for their employees. The big problem in the current system is that small business and individuals get absolutely hosed because they lack the buying power of a large insurance pool. The Federal Employees Benefits Program is huge pool with massive buying power. Their private insurance options are already cheaper than all but the largest employers can bargain for.


by hwc on Sat Dec 08, 2007 at 03:52:48 PM EST
[ Parent ]

Re: If you're covered by the employer (none / 0)

The whole employer insurance plan issue is why Clinton has a good shot of getting the business community on board for health care reform this time around. Businesses, large and small, are pulling their hair out trying to administer health care plans and their costs have been spirally out of control.

Former Bush top-level fundraiser, the President of Morgan Stanley, signed on as a Clinton fundraiser specifically because she blew him away with her knowledge of health care policy during several dinner meetings. Corporate America is dying for someone to fix the system. It's killing them.


by hwc on Sat Dec 08, 2007 at 03:56:45 PM EST
[ Parent ]

Re: Edwards isn't offering free public plans, (none / 0)

Once again that's false. The reason I don't respond with a lot of quotes is because I've discussed this at length before, and I believe I've even discussed it with you before too.

Here's my original take on Obama's plan.

In which I had lots of citations and you had lots of comments.

And here's my original take on Edwards's plan which cited heavily from the white paper on the plan.

I get tired of reciting things because I've already made these points many times before. I actually study these plans and look at the details. You apparently did not know that the Federal Employees Health Benefits plan is not actually a "public plan" but a set of private plans that compete for fed employees business. Obama does not have a single payer option like Medicare in his plan. If he does, please show me where that is. But if you go back and read the stories that Ezra Klein posted on this (in which he talked to the Obama folks about their plan) you will see that Obama offers no option for a truly public plan.


by adamterando on Sat Dec 08, 2007 at 06:28:14 PM EST
[ Parent ]

Re: Krugman's logic on mandates is flawed (none / 0)

Clinton's plan will require more employees in the existing offices that administer the Federal Employees Benefit program. However, the infrastructure is all in place. It's simply an upsizing.

Clinton's 1993 plan and Edwards plan required the creation of brand new regional government agencies that, in effect duplicate what is already in place. This is a big difference, both in terms of overhead, but also in terms of political battles. It's a big selling feature in Congress to not create new Federal departments.


by hwc on Sat Dec 08, 2007 at 03:23:29 PM EST
[ Parent ]

Re: Krugman's logic on mandates is flawed (none / 0)

It's not "simply an upsizing." It will make it many many times larger. They're gonna need to open some more offices--bet on it.


by Mystylplx on Sat Dec 08, 2007 at 03:27:07 PM EST
[ Parent ]

Re: Krugman's logic on mandates is flawed (none / 0)

Well duh.

Expanding an existing infrastructure is still much faster and more cost effective than starting a new one.

Go here, today, and choose your health program if Clinton's plan passes:

http://www.opm.gov/insure/08/planinfo.as p


by hwc on Sat Dec 08, 2007 at 03:59:03 PM EST
[ Parent ]

Obama's National Health Insurance Exchange (none / 0)

In addition to the public plan quote above,


Page 4 of HC plan details

(2) NATIONAL HEALTH INSURANCE EXCHANGE. To provide Americans with
additional options, the Obama plan will make available a National
Health Insurance Exchange to help individuals who wish to purchase a
private insurance plan.

The Exchange will act as a watchdog and help reform the private
insurance market by creating rules and standards for participating
insurance plans to ensure fairness and to make individual coverage
more affordable and accessible. Through the Exchange, any American
will have the opportunity to enroll in the new public plan or purchase
an approved private plan, and income-based sliding scale subsidies
will be provided for people and families who need it. Insurers would
have to issue every applicant a policy, and charge fair and stable
premiums that will not depend upon health status.

The Exchange will require that all the plans offered are at least as
generous as the new public plan and meet the same standards for
quality and efficiency. Insurers would be required to justify an
above-average premium increase to the Exchange. The Exchange would
evaluate plans and make the differences among the plans, including
cost of services, transparent.  

All the documents that I am quoting here can be found at: Obama's healthcare page.

All three candidates' plans offer a menu of private insurer
options. Obama and Edwards offer these private menu options through
new bureaucracies -- regional exchanges -- much like Clinton's 1993
plan.

Obama's exchange appears to be national, not regional.

This "new bureaucracies" line can be thrown at any healthcare plan put
forth by the Democrats. As such that is the overarching faulty
rightwing attack line (I am not going to Krugmanize you on it though)
against healthcare reform.

She makes Congress' plan available to everyone.

Obama's plan says the following about his national public plan (excerpted here).


Comprehensive benefits. The benefit package will be similar to that
offered through the Federal Employees Health Benefits Program (FEHBP),
the program through which Members of Congress get their own health
care
.

The new public plan will include coverage of all essential
medical services, including preventive, maternity and mental health
care. Coverage will include disease management programs, self
management training and care coordination for appropriate individuals.


which says the public plan will be similar to Congress' plan. Is there any serious difference between her language and his (if so, please blockquote the relevant portions from her plan).

Both Clinton and Edwards are also proposing a Medicare-like public insurance plan that will also be available to everyone. In effect, this is setting up a "single-payer" type program to compete for customers with the private insurer menus. Obama's plan offers the fewest choices because it does not include a public plan.

Please respond to my response above where I blockquoted aboue Obama's "public plan", and whose wording clear contradicts your claims.


Obama's Pop. Vote LEAD = 600K | Clinton & McCain = WAR Authorizers
by NeuvoLiberal on Sat Dec 08, 2007 at 03:14:54 PM EST
[ Parent ]

Re: Obama's National Health Insurance Exchange (2.00 / 1)

Yes. There is a big difference. Obama is proposing a new government program that is "similar to" the Federal Employees Health Benefits plan. Clinton is proposing to simply open up enrollment in the existing Federal Employees Health Benefits plan. This is a huge difference if you want to enact health care reform quickly because the mechanism to do so is already in place under Clinton's plan. The switch could be thrown probably within 12 months.

Here's the website. Go there right now and choose your plan the day legislation is passed :

http://www.opm.gov/insure/08/planinfo.as p

Clinton has been working this issue for more than a decade. Her plan has elements that very attractive from both a practical implementation and political standpoint. Even the name of her program "American Health Choices Plan" is intended to blunt the major scare tactic weapon that opponents of health care will use. Did any other candidate have enough experience on the issue to appreciate the importance of framing?


by hwc on Sat Dec 08, 2007 at 03:29:42 PM EST
[ Parent ]

Re: Obama's National Health Insurance Exchange (none / 0)

You know reading his plan I'm confused again. Can you provide any links that show that the public insurance option is like Medicare? Does Obama say anything like that? Edwards goes out of his way to say it's like Medicare. If Obama says that somewhere that would be significant in my eyes.

But if it's like the Fed Employees plan, then it's not really a public plan.

I'd be interested to know and shed a little light on this subject.


by adamterando on Sat Dec 08, 2007 at 06:42:25 PM EST
[ Parent ]

Re: Krugman's logic on mandates is flawed (none / 0)


KRUGMAN IS THE LEFTY-PROG-DEM COLUMNIST HERO.   There is no other.  No one comes in even a close second. Thats why the insiders in the media itself despise and belittle the guy - cause he even calls them on their bullshit...which of course the sweethearts in the media never-ever do.

You know the ones like Rich and Mahews who battered and slimed and slaughtered your hero Gore and who are ALL NOW PUSHING OBAMA.

Havent you noticed this?

Are you blind?

Or are you so addicted to media bs that you actually believed them when they said that Hillary and Al arent friends or allies.

i suggest you go read Als friend and mine, the daily howler and see how obama is playing cute with the Gore hater crowd.

Al wouldn approve of you right now.


Offend the Media - Vote for Hillary!
by Seymour Glass on Sat Dec 08, 2007 at 01:33:40 PM EST
[ Parent ]

Hogwash (none / 0)

Krugman's arguments are weak and fake, and his attacks don't stand the test of logic. If you can address the arguments I've made, go ahead and do so.

"Al wouldn approve of you right now."

I am more loyal to the truth (as best I know it) than to any person. Contrary to what you suggest, Al would probably side with me on the arguments, and appreciate my defending Obama on this using facts (as I have done in Gore's defense relentlessly over the last 2-3 years).


Obama's Pop. Vote LEAD = 600K | Clinton & McCain = WAR Authorizers
by NeuvoLiberal on Sat Dec 08, 2007 at 01:53:13 PM EST
[ Parent ]

Re: Hogwash (2.00 / 1)

Riighht. You need to study the issue more then because a lot of your statements on the candidates health care plans are false.


by adamterando on Sat Dec 08, 2007 at 02:13:45 PM EST
[ Parent ]

Have you actually read Obama's plan? (none / 0)

From your comments about "public plan", it doesn't seem to me that you have done so.


Obama's Pop. Vote LEAD = 600K | Clinton & McCain = WAR Authorizers
by NeuvoLiberal on Sat Dec 08, 2007 at 02:55:05 PM EST
[ Parent ]

do you know what the daily howler is (none / 0)

i suggest you visit it and read bobs comments on obama and the media...and krugman.

----

The Daily Howler
From Wikipedia, the free encyclopedia

The Daily Howler is a liberal American political blog written by Bob Somerby. It was perhaps the first major political blog, started in 1998. The style is at once earnest and sarcastic. Somerby criticizes what he considers the media's frequently biased or lazy coverage. In his view, the media frequently latch on to a generally agreed "script" with little regard for facts that contradict the script. For instance, in the runup to the US 2000 election it was frequently said or assumed that Gore was untruthful, but much of what supposedly underlay that script was in fact untrue, misrepresented or greatly exaggerated. He also argues that the media frequently ignore substantive issues and concentrate on trivial ones instead (in the 2000 presidential election, for example, professing bewilderment in response to the candidates' budget proposals while writing repeatedly and at length about irrelevant issues such as Gore's choice of clothes, or in 2006 writing articles about Barack Obama's middle name).

The Daily Howler is probably the best known 'media monitoring' blog that has an extensive track record of criticizing bias on both sides of the political divide.

Bob Somerby is also a professional stand up comic. He has appeared on Larry King Live, with Bill Maher, Bill O' Reilly and with Brian Lamb on C-Span. In college at Harvard, he was roommates with the actor Tommy Lee Jones and former Vice President Al Gore.

[edit] Commentary

   * From a Columbia Journalism Review article[1]: Bob Somerby needs no introduction, of course, unless your days are spent solely in the brick-and-mortar world...
    * Paul Krugman opened one of his op-eds[2] for the New York Times as follows:

"     A message to my fellow journalists: check out media watch sites like campaigndesk.org, mediamatters.org and dailyhowler.com. It's good to see ourselves as others see us. I've been finding The Daily Howler's concept of a media "script," a story line that shapes coverage, often in the teeth of the evidence, particularly helpful in understanding cable news.     "

[edit] External links


Offend the Media - Vote for Hillary!
by Seymour Glass on Sat Dec 08, 2007 at 02:17:14 PM EST
[ Parent ]

I know and respect his work from the past (none / 0)

I found his coverage of 2008 oriented with his personal views instead of the rigorous defense he did of Gore for years. The two are not comparable.


Obama's Pop. Vote LEAD = 600K | Clinton & McCain = WAR Authorizers
by NeuvoLiberal on Sat Dec 08, 2007 at 02:44:55 PM EST
[ Parent ]

well its obvious (none / 0)

you are as dumb as dirt.

you were EXTREMLY dumb to thin that Al would EVER run against his friends the Clinton.

And too - you refuse to even learn the truth from some leagues brighter than you are. Instead you choose to insult him.

The VP himself told me last november - when we were on the trail together - that Somerby was the smartest man hes ever known.

would ANYBODY ever say that about you?

doesnt seem likely...

btw how does Bobs support for Kucinich - taint his defense of Hillary I wonder?

Didnt know that - did you "smart guy"?


Offend the Media - Vote for Hillary!
by Seymour Glass on Sat Dec 08, 2007 at 06:38:55 PM EST
[ Parent ]

Re: well its obvious (none / 0)

"well its obvious you are as dumb as dirt."

Hahaha. Your view of my intelligence is not something I'm losing sleep over. Haha.

"you were EXTREMLY dumb to thin that Al would EVER run against his friends the Clinton."

I wanted to see Gore run because we need somone with a sane head, with the qualifications, experience and the capacity to win and put the country back on track.

And, People that voted for the war and continued to support invading Iraq until it began DO NOT count as qualified for the job or the Democratic nomination. 4000 American troops, $1.5 trillion and 1 million civilians, and severely eroded international standing of the US as a result of the war are the reasons why.

"And too - you refuse to even learn the truth from some leagues brighter than you are. Instead you choose to insult him."

I suppose you meant Somersby here. If so, I didn't insult him with my comment above. I just don't think that you can even remotely compare what media did to Gore (in 2000, and after his iraq war speech) to ANYTHING that has happened this election cycle; hence your injection of Somerby has little to do with the discussion. Also, it has been revealed that the Clintons have been trying to coddle Matt Drudge (who put a major hurt on Gore in 2000 with his tabloid style smears of Gore, and continues to do that whenever he can.)

"The VP himself told me last november - when we were on the trail together - that Somerby was the smartest man hes ever known."

You are probably using a pseudonym. Anecdotes (that you were on some trail with Al Gore; Al is free to hold his own views on how intelligent different people are. I am not trying to win medal for intelligence from AL Gore or anyone else) from pseudonyms are just that: anecdotes from pseudonyms.

"would ANYBODY ever say that about you? doesnt seem likely..."

Again, Your view of my intelligence is not something I will be losing my sleep over tonight.

"btw how does Bobs support for Kucinich - taint his defense of Hillary I wonder? Didnt know that - did you "smart guy"?"

Somersby is free to support whomever he likes. That doesn't have much to do with the debate on Obama and Krugman here.


Obama's Pop. Vote LEAD = 600K | Clinton & McCain = WAR Authorizers
by NeuvoLiberal on Sat Dec 08, 2007 at 09:37:38 PM EST
[ Parent ]

YOU INSULT MY FRIEND (none / 0)

BOB

and then you say he is being false and imply he's a shill for hillary.

you seem to be one of those bright people who goes from hero to hero cult to cult, always with an enemy on the other side of your worship.

Of course im using a moniker -

i know gore

i know hillary

I know that there is no 'bad blood' between them and knew that Al wasnt gonna run - because of how the media WOULD respond again -

plus he never would run against the clintons.

Id be with al - first above - even bill - if that were my choice.

but for you to deny or not understand or be repelled that obama is using the same forces against clinton that the media used against Al......rrrrrgh!

thats why i called you dumb. you as a gore ally should KNOW BEETTER!! obviously - you are not DUMB.

you just seem to willingly - have blinded spots.


Offend the Media - Vote for Hillary!
by Seymour Glass on Sun Dec 09, 2007 at 09:08:45 PM EST
[ Parent ]

Re: Krugman's logic on mandates is flawed (none / 0)

Hey, plenty of Obama supporters like and admire Paul Krugman, I know I do.  We just don't take every word he says as gospel, especially when he strays from the theoretical, his domain, to the practical, the domain of politicians.  He may be a lot of things but he ain't a politician and should stick to what he does best.  If he starts calling individuals out by name it is perfectly reasonable that he should expect a rebuttal.


by Shaun Appleby on Sat Dec 08, 2007 at 04:58:53 PM EST
[ Parent ]

Mandates are theoretical (none / 0)

At this point. The whole question is whether the various plans have their carrots and sticks in the right places to maximize coverage and that question is to this point theoretical. The argument is not really between Obama and Krugman, it is between Obama's Economic Team (Goulsbee, Leibman, and Cutler) and Krugman. While the latter two have limited policy backgrounds, each working briefly in the Clinton Administration, all four men are currently academics.

And by the way that has always been the oddest critique about Krugman. Somehow knowing a lot about something disqualifies you from commenting on anything else, yet there seems to be no test for entry for anyone else. Why do Frank Rich and George will have the right to comment on all things political and otherwise and Krugman not? George talks about everything from baseball to foreign policy, nobody tries to confine him to one topic, yet having PhD after your name means you can't comment on anything outside your specialty. Which would be okay if anyone pointed out a sustained series of mistakes (on say the war) but mostly Paul is blamed for being shrill mainly on the basis that he got Bush right early while all around were swooning.


PollKatz: Bush Approval in 15 polls
by Bruce Webb on Sat Dec 08, 2007 at 05:38:17 PM EST
[ Parent ]

Re: Mandates are theoretical (none / 0)

Look, I am not criticising Krugman for speaking his mind.  Nor should Obama, or his economics advisers as you insightfully point out, be criticised for responding.  Krugman and Obama are both in my heroes pantheon and I am uncomfortable when this public debate between them strays into the personal, on either side.

Having said that there seems no reason to not discuss the merits of their respective positions and acknowledge that Krugman is the champion of the theoretical but Obama is actually intending to win, and win convincingly, in a very important national election.

If Obama's position can bear this level of scrutiny in the primary debates it strengthens his position for the general.  It is a question of politics as much as theory.


by Shaun Appleby on Sat Dec 08, 2007 at 05:50:06 PM EST
[ Parent ]

Re: Mandates are theoretical (none / 0)

Webb is describing what should be, not what is. If Obama or his advisers had responded to Krugman's criticisms then we would be having a very different conversation. But Obama chose instead to falsely accuse Krugman of inconsistency. Obama did this because he cannot afford to engage in the substance of this debate, and he cannot permit his advisers to explain the honest reasoning behind his partial plan.


by souvarine on Sun Dec 09, 2007 at 12:11:17 AM EST
[ Parent ]

Re: Mandates are theoretical (none / 0)

Well, if his response to Krugman was a personal attack it was inappropriate and to be regretted.  I find it hard to accept, however, that Obama's plan, which we now all know Krugman reviewed with reserved praise initially, is indefensible.

Why didn't we just go straight to single-payer or keep our mouths shut, that's what I don't understand.  I am afraid of a proposal which combines wonkish complexity with enforcement.  Sounds like a recipe for a thrashing to me.


by Shaun Appleby on Sun Dec 09, 2007 at 12:24:40 AM EST
[ Parent ]

Re: Mandates are theoretical (2.00 / 1)

No one has said its not defensible. That again is NOT the point. There are two points being made. One that the other two plans are better, and that Obama should not have attacked Krugman for being inconsistent when Krugman has been one of the strongest advocate on the opinion page side of these debates for a very long time. Some might make a secondary argument about Obama's approach buying into the GOP rhectoric but I am less concerned about this than the inability of some of the Obama supporters here to pick up on the arguments being made to them.


by bruh21 on Sun Dec 09, 2007 at 06:55:53 PM EST
[ Parent ]

Re: Mandates are theoretical (none / 0)

Well it's a relief to agree with you mostly, but that 'secondary argument' is the crux:

1. That the other plans are 'better,' in progressive theory

2. That responding to Krugman in the way which they did was an unforced error.

But it's precisely this 'secondary argument' you mention which seems to me where we part company.  It's not just 'buying into GOP rhetoric' which has been levelled at Obama's approach but also 'cowardice' and 'expediency.'  Given that Obama is determined to do this in his first term I would welcome a frank discussion of the pros and cons of getting elected on this platform in the general and championing this legislation through Congress in office.  I get the point of the 'mandate' I just wonder if we can really sell it nationwide.  Massachusetts is Massachusetts.  Maybe Obama is being a good practitioner of the art of the possible, after all.  I have also been impressed with some of the points NeuvoLiberal has made about the detail of these respective proposals, I hope he diarises his view.  Obama seems to being saddled with a narrative in many respects.  

The wonkish vagueness of the respective proposals is not a big help either, there is a lot of 'interpretation' going on.


by Shaun Appleby on Sun Dec 09, 2007 at 07:27:12 PM EST
[ Parent ]

Re: Mandates are theoretical (none / 0)

I don't think the element of mandatory healthcare insurance is an issue that can be reduced to "progressive theory."  I've realized over the last couple of days it is the the heart of the matter about how one sees the problem of healthcare in America, and, quite, frankly, do they  understand where Americans are.  I've been unimpressed by Neuvo's postings because he seems to get details wrong. Let me put it to you another way- this is about bargaining power- who has it and who does not. If one goes onto the private market, and the private insurance companies are your only choice, that affects your bargaining power.  The mandate plays a role in how we can achieve the economies necessary to put us in a better bargaining position. Again- how we understand the problem. I am not a scholar on this. I just know from looking at it- health insurance, indeed, all insurance, relies on pooling of risks. If people get to opt out of the pooling of risks, you have some of the issues I've described elsewhere such as free rider (ie, Walmart). This isn't easy, but it's not that complicated that we can gloss over a very salient point- healthy or not- everyone eventually uses the healthcare services to some degree in this country. Creating a plan that reflects the costs associated with this usuage is the begining of making a better system versus the conservative frame (and it doesn't matter if Obama intends this or not) of arguing that its somehow a matter of choice. People are going to use the system. The  conservatives would have us live in the fantasy that they do not. That its all individual decision. This is what the understanding of mandate is meant- at least to me- to address.


by bruh21 on Sun Dec 09, 2007 at 08:41:10 PM EST
[ Parent ]

Re: Mandates are theoretical (none / 0)

Agreed, in principle.  The thing that makes me uneasy is that this is a universal social welfare proposal built on the foundation of private-sector insurers.  Having come to grips with this myself only recently it seems that even the 'public' options proposed by Edwards and Hillary would merely be pooling large numbers of end-users through a state managed administration, the risk would still be underwritten by private-sector providers who would still be doing so for profit.  The state would be using the leverage of volume, along with more modest coverage, to squeeze the best deal out of them they could.  What that deal might be is imponderable.

I'm still a bit uncomfortable with that 'for-profit' component embedded in the 'value-chain' of the end-users' insurance costs when the purchase is mandatory, it's the principle of the thing, maybe, but I can see a lot of problems with controlling costs, theoretically they will decline, along with privately sourced coverage.  In practice I'm not so sure.  Explain to me why the insurance industry is going to willingly be an accessory to the murder of their own golden goose again?  Civic pride?  If insurance is going to be cheaper overall it is going to be at their expense, unless the universal coverage is stripped to the bone.  Just guessing.

Underlying my view is the assumption that for whatever cause the real problem with health insurance uptake is cost not free-riding.  That seems to be the assumption of Obama's proposal too.  I haven't heard the convincing argument against that yet.  Why wouldn't the insurance company happily sign up the 40M new insurers at the best price they can get and then lobby aggressively for increases at every opportunity thereafter, no matter what deal had been struck.  They are pretty good at lobbying.  It seems almost like leaving the fox guarding the hen-house.


by Shaun Appleby on Sun Dec 09, 2007 at 09:05:07 PM EST
[ Parent ]

Re: Mandates are theoretical (none / 0)

the convincing arguments are to look at other countries and what they do and what works. free rider isn't about people trying to trick the system, and it matters only to the degree it contributes to cost.  peo for example waiting to the last minute because they can't afford the present health insurance system.