Public Policy and Governance – Page 149

We Don’t Need None Of Yer Dumb Facts…

The current version of the GOP seems intent upon retreating to its roots in the the Know-Nothing Party.

In September, a Republican lawmaker from Tennessee made an impassioned plea to get rid of higher education.

It seems that evil professors and other “elitists” are brainwashing students, presumably by introducing them to “facts” and “science” and other matter likely to wean them from the verities preferred by the lawmaker.

A Tennessee state GOP lawmaker has called for getting rid of the entire higher education system, asserting that such a move would “save America” and cut out “the liberal breeding ground.”

State Sen. Kerry Roberts made the remarks while speaking on his conservative talk radio show last week. He addressed his problems with the higher education system while discussing a recent legislative hearing focused on abortion legislation.

“If there’s one thing that we can do to save America today, it’s to get rid of our institutions of higher education right now and cut the liberal breeding ground off,” he said, before questioning why public colleges were funded by tax dollars.

If you saw this, and dismissed it as a bit of buffoonery representative of a fringe belief, allow me to enlighten you. Anti-intellectualism is the default policy preference of the Trump administration. Science, especially, is perceived as an enemy to be overcome, rather than a source of valuable information.

According to the New York Times,

The Trump administration is preparing to significantly limit the scientific and medical research that the government can use to determine public health regulations, overriding protests from scientists and physicians who say the new rule would undermine the scientific underpinnings of government policymaking.

A new draft of the Environmental Protection Agency proposal, titled Strengthening Transparency in Regulatory Science, would require that scientists disclose all of their raw data, including confidential medical records, before the agency could consider an academic study’s conclusions. E.P.A. officials called the plan a step toward transparency and said the disclosure of raw data would allow conclusions to be verified independently.

Andrew Wheeler, the former fossil fuel lobbyist who is currently dismantling the EPA, has a soothing explanation: he says that good science that which can be replicated and independently validated, science that can hold up to scrutiny. Therefore, the new approach is simply an effort to ensure that the agency is using “good science.”

For people who don’t understand scientific research, that sounds eminently reasonable.For people who do understand research, not so much.

The measure would make it more difficult to enact new clean air and water rules because many studies detailing the links between pollution and disease rely on personal health information gathered under confidentiality agreements. And, unlike a version of the proposal that surfaced in early 2018, this one could apply retroactively to public health regulations already in place.

“This means the E.P.A. can justify rolling back rules or failing to update rules based on the best information to protect public health and the environment, which means more dirty air and more premature deaths,” said Paul Billings, senior vice president for advocacy at the American Lung Association.

Public health experts warned that studies that have been used for decades — to show, for example, that mercury from power plants impairs brain development, or that lead in paint dust is tied to behavioral disorders in children — might be inadmissible when existing regulations come up for renewal.

For instance, a groundbreaking 1993 Harvard University project that definitively linked polluted air to premature deaths, currently the foundation of the nation’s air-quality laws, could become inadmissible. When gathering data for their research, known as the Six Cities study, scientists signed confidentiality agreements to track the private medical and occupational histories of more than 22,000 people in six cities.

As the Times reports, this is simply the latest in a stream of efforts to deny the negative effects of fossil fuels.

The change is part of a broader administration effort to weaken the scientific underpinnings of policymaking. Senior administration officials have tried to water down the testimony of government scientists, publicly chastised scientists who have dissented from President Trump’s positions and blocked government researchers from traveling to conferences to present their work.

The proposed rule is opposed by virtually every medical and scientific organization. Michael Halpern, deputy director for the Center for Science and Democracy at the Union of Concerned Scientists describes it as a wholesale politicization of the process.

That politicization requires rejecting “elitism”–defined as reliance on facts, evidence, science, and belief in the value of knowledge.

Welcome to what has become of the Republican Party.

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Winning A War Without Firing A Shot

The American public has heard so much about Russian activities–about interference with the 2016 election, about Russian “bots” that continue to infest Facebook and Twitter, and about Donald Trump’s longtime dependence on Russian money to finance his developments–that significant segments of the population have simply tuned it out. It’s last week’s story–and as a nation, we have a very short attention span.

That’s unfortunate, because Russia is winning Putin’s war on our democracy without having to fire a shot.

Roll Call recently had a headline that caught my attention.“The Most Important Document You May Ever Read.”

On the day that special counsel Robert Mueller’s report on election interference came out, cable news anchors strained to race through its 448 pages and describe the findings, all in the same breath. Computer sleuths hacked the document’s setting to let users search for “Trump,” “president,” “collusion” and “Russia.” Talking-head lawyers feverishly opined that Volume I contained less incriminating information than Volume II.

But around the country, voters mostly gave an “Is that all there is?” shoulder shrug and went back to their corners. Many members of Congress admitted they didn’t even bother to read it.

Nearly six months later, and to almost no fanfare last week while Congress was in recess, the Senate Intelligence Committee released the second of two installments of its own bipartisan investigation into roughly the same topic. The slim, 85-page report reads like a Russian spy novel crossed with a sequel to Orwell’s most dystopian version of the future — right down to an interview with a paid Russian troll who said his experience in 2016, pitting American voters against each other with social media platforms of their own making, was like being “a character in the book ‘1984’ by George Orwell — a place where you have to write that white is black and black is white.”

The Senate Intelligence Committee is chaired by Republican Richard Burr; Mark Warner, a Democrat, is Vice-Chair, and the investigation that led to the report is as bipartisan as you are likely to get in today’s Senate.

The report–available here-– doesn’t mince words. First, it confirms that the Russians deliberately attacked the American electorate in 2016 with an active campaign intended to benefit Donald Trump and destroy Hillary Clinton. One of the former trolls told the committee that, on the morning following the election, exhausted hackers in St. Petersburg, Russia, uncorked champagne, looked at each other and uttered “almost in unison: ‘We made America great.’”

The tactics and strategies that the Kremlin directed included every major social media platform you can think of — Facebook, Instagram, Twitter — and a few you’d never suspect, including Pinterest, LinkedIn and 4Chan. The hashtags alone tell the story— #MAGA #TrumpTrain #Hillary4Prison #ZombieHillary #SickHillary. Along with anti-Clinton stories, they also pushed out messages against Trump’s primary rivals like Sen. Ted Cruz and former Gov. Jeb Bush. Once in the general election, they pumped up third-party candidates to siphon support away from Clinton with posts including, “A vote for Jill Stein is not a wasted vote.”

Online trolls were based in St. Petersburg and were given daily quotas for targeting Americans online, including 50 Facebook posts per day. They were even given a list of American holidays, to remind them of times to post less, so as to avoid detection from online providers.

Americans gobbled it up. The Senate Intelligence report details a troubling fact: in the three months leading up to Election Day, Russian-planted false information on Facebook outperformed real news.

Russian messages were crafted to erode Americans’ trust in investigative and political journalism, and to exploit racial divisions. The sheer volume was so enormous that it overwhelmed readers, who could no longer separate what was real from what wasn’t.

As the article in Roll Call concluded: “If you read nothing else now that Congress is back in session, take a moment to digest this report. It may be the most important document you ever read.”

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A Chilling Question

I’ve been mulling over a question posed by Garrett Epps in a New York Times column awhile back.

There were actually a number of questions raised by his column–can we really return to the political/cultural environment we occupied before the election of Trump? Could a Democratic president ever trust Mitch McConnell, et al, sufficiently to negotiate with them in good faith? Can voters learn to trust their government again? Have Americans believed a lie all these years? Have we bought into the “we are exceptional” rhetoric and absorbed a highly selective history in which–despite some unfortunate mistakes we needn’t dwell on– we were the good guys?

Epps starts by referencing a short story by Nathaniel Hawthorn in which “Goodman Brown” is visited by Satan, who opens his eyes to the sinfulness of Brown’s pious neighbors:

how hoary-bearded elders of the church have whispered wanton words to the young maids of their households; how many a woman, eager for widows’ weeds, has given her husband a drink at bedtime and let him sleep his last sleep in her bosom; how beardless youths have made haste to inherit their fathers’ wealth; and how fair damsels—blush not, sweet ones—have dug little graves in the garden, and bidden me, the sole guest to an infant’s funeral …

Brown is never sure whether what he has seen was a dream, or whether “the placid and pious life of his neighbors is merely a pretense.”

Epps proceeds to draw a parallel, suggesting that the admirable democratic norms we thought Americans live by have really just been a “shell game for suckers.”

As Trumpism took hold in the nation in 2015, it was regarded as a kind of temporary madness. But time has revealed that this vulgar spirit is no aberration. It was there all along; the goodly veneer was the lie.

Consider the devolution of Bill Barr, from an “institutionalist” who would protect the Department of Justice to a servant of Donald Trump. Consider the two dozen House Republicans who used physical force to disrupt their own body rather than allow government officials to testify to what they know about President Trump—because to follow the rules of the House, and the strictures of national security, would threaten their party’s grasp on power. Consider the white evangelical leaders who prated to the nation for a generation about character and chastity and “Judeo-Christian morality,” but who now bless Trump as a leader. Consider, if more evidence is needed, the unforgettable moment at the Capitol on September 27, 2018, when Brett Kavanaugh dropped forever the mask of the “independent judge” to stand proudly forth as a partisan figure promising vengeance against his enemies….

These are not victims crazed by “polarization” or “partisanship” or “gridlock” but cool-headed political actors who see the chance to win long-sought goals—dictatorial power in the White House, partisan control of the federal bench, an end to legal abortion and the re-subordination of women, destruction of the government’s regulatory apparatus, an end to voting rights that might threaten minority-party control, a return to pre-civil-rights racial norms. The historical moment finds them on a mountaintop; all the kingdoms they have sought are laid out before them, and a voice says, “All these things will I give thee, if thou wilt fall down and worship me.”

Epps accepts that Trump is more likely than not to be defeated in 2020, and that in any event, he’ll leave office at some point. But then comes the chilling question–a question to which I still don’t have anything near a satisfactory answer.

What then? Like young Goodman Brown, can Americans unsee the lawless bacchanal of the past three years? Can they pretend it did not happen, and that the fellow citizens who so readily discarded law and honesty never did so?…Can we go back to the world before Trump—and before Brett Kavanaugh and Mitch McConnell, before Bill Barr and Rudy Giuliani, before an invasion of a secure facility at the Capitol, before babies were torn from their mothers and caged, before racist rhetoric from the White House and massacres at a synagogue and an El Paso Walmart—to a world of political cooperation, respect for norms, and nonpolitical courts?

How?

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Medicare For All? Or For All Who Want It?

Elizabeth Warren and Bernie Sanders have made “Medicare for All” a centerpiece of their campaigns. Pete Buttigieg has offered “Medicare for All Who Want It.” Both proposals have generated criticism, and in my opinion, most criticism of both is misplaced, because the discussion fails to distinguish between two very separate issues: 1) what would a sensible system look like, and 2) how do we get there?

I was prompted to revisit the issue because my cousin–the cardiologist I often cite on this blog–has done his own analysis of the current state of healthcare in this country, and concluded that a single-payer system is both preferable and inevitable. (Those who want to get “into the weeds” of that analysis should follow the link.)

In my most recent book, I also make the case for single-payer–and point out that a fully-implemented single-payer system would be much less costly than our current patchwork, dysfunctional approach. Virtually every economist who has analyzed the situation agrees. That doesn’t necessarily mean that taxes wouldn’t go up, but any increase would be more than offset by savings on premiums, co-pays and other costs currently borne by individuals and employers.

At any rate–I’m in full agreement that a single-payer system is needed. I depart from the “vote for me and I’ll change the system” approach being taken by Warren and Sanders because there is an enormous mountain to climb between where we are and where we need to be, and the suggestion that all we have to do to get a single-payer system is elect a Democratic president (or perhaps a Democratic president and Senate) is ludicrous.

It isn’t simply that politically powerful insurance and pharmaceutical companies would throw everything they have into that debate. Voters rebel when they are told they will be forced into a new system, no matter how demonstrably better off they would be. Just getting the Affordable Care Act through Congress took enormous political capital, and that was after numerous (unfortunate but necessary) concessions.

In a recent column for the New York Times, political scientist Jacob Hatcher writes that we shouldn’t lose sight of what Ms. Warren is trying to do.

She’s making an evidence-based case for shifting the debate away from the perilous place it’s now in. Rather than “Will taxes go up?” or “Will private insurance be eliminated?” she wants us to ask a more basic question: How can we move from a broken system — a system that bankrupts even families who have insurance and produces subpar health outcomes despite exorbitant prices — to one that covers everyone, restrains prices and improves results?

I actually don’t see Warren asking (or answering) that very important question–she seems to be making the case for an immediate change that would eliminate all private insurers, and if my impression is correct, it is a politically fraught case.

Nevertheless, “how” is the most important question. As Hacker writes,

Getting to affordable universal care has always been a problem of politics, not economics. Given that the United States spends much more for much less complete coverage than any other rich democracy, it’s easy to come up with a health care design that’s much better than what we have. The problem is figuring out how to overcome three big political hurdles: financing a new system, reducing disruptions as you displace the old system and overcoming the backlash from those the old system makes rich.

Yep. And that brings me to an interesting paragraph in my cousin’s post. Dismissing the “public option” (which is what “Medicare for All Who Want It” really is), he writes,

Even now, given our current healthcare pricing, a medicare type program, operating with lower administrative costs, would be far cheaper than those offered by their private counterparts. This would allow employers to willingly relinquish expensive private plans in favor of the cheaper public option that would reduce the cost burden of extra employee benefits. This means that the public option would likely supplant the present private plans completely in short order. (Emphasis mine.)

Yes. That’s the point.

“Medicare for All Who Want It ‘ isn’t the answer to the “what” question. It’s the answer to the “how” question.

Hacker

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Old McDonald Had A Subsidy

Like many of you, I get all sorts of newsletters, from a variety of sources. A recent report about farm incomes, from this issue of Axios Markets, made me take a deep breath, because I’m old enough to remember the Republican Party that no longer exists.

That iteration of the GOP would have screamed bloody murder had a President imposed tariffs; defense of free trade was (forgive the pun) a party trademark. Those Republicans would have pointed to all the readily-available evidence of the negative effects of tariffs, including but not limited to the fact that they are paid for by consumers in the nation that levies them.

That GOP was also a champion of genuine capitalism, and an (admittedly selective) opponent of corporate welfare.

That GOP did scream bloody murder when President Barack Obama “bailed out” American auto companies. Never mind that we were just coming off the “Great Recession,” or that thousands of American jobs were at stake, or that the funds were structured as loans, not giveaways. They continued to criticize the decision even after it was clear that the intervention had worked, and even after the companies completely repaid the loans.

But I haven’t heard a peep from any of today’s Republicans about the mounting subsidies to farmers–subsidies meant to compensate them for losses entirely caused by Trump’s tariffs. Those subsidies are now larger than the amounts lent to automakers.

Here’s the information from Axios Markets that set me off:

What’s happening: U.S. farmers have been suffering this year. Chapter 12 bankruptcies have risen 24% over the previous year and farm debt is projected to hit a record high $416 billion.

While farm income is expected to reach its highest total since 2014, 40% of that income will come from trade assistance, disaster assistance, the farm bill and insurance indemnities, according to the American Farm Bureau Federation.

What we’re hearing: That’s “definitely not the normal,” Farm Bureau chief economist John Newton tells Axios. The $28 billion bailout package for farmers that President Trump signed earlier this year has “increased the percentage to a level we’ve not seen in a while.”

So let’s see. The party that believes in capitalism and markets–the party that counsels poor folks to suck it up and avoid ” welfare dependency”–is perfectly fine with government dollars supplying 40% of farm income.

The party of free trade has no problem with disruptive tariffs that interrupted farmers’ existing markets (many of which are unlikely to come back once this episode is over–other countries grow soybeans) so that their “leader” could look like the “tough guy” he clearly isn’t, and they’re hunky-dory with using billions of taxpayer dollars to compensate the people their idiocy injured.

Chinese imports of U.S. agricultural products totaled $24 billion in 2017 and peaked at $29 billion in 2013, according to U.S. government data. Imports fell to $9 billion last year as a result of the trade war.

Trump insists that he’ll make a new deal under which China will buy “40 to 50 billion” dollars of American farm products annually. As the Axios report notes, we’ve heard that song about an impending “great deal” before–and each time, Trump has had to pull back. Peterson Institute senior fellow Jeffrey Schott has opined that, even if a deal is signed, it’s unlikely that either side could deliver on its bloated promises to sharply increase US farm exports to China to $50 billion annually, “or anywhere near that total.”

Of course not.

Sentient Americans understand that virtually all of Trump’s pronouncements are untethered to reality–that they come straight from the fantasy universe he inhabits. What we don’t understand is where all those free-trade, fiscally-conservative, pro-market Republicans have gone.

I guess those policy preferences were less important than supporting a “leader” who promised them the continued dominance of straight white Christian males….

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