What Is Civic Health?

There are obviously lots of ways one might define civic health. The National Conference on Citizenship–a Congressionally-chartered organization dedicated to “strengthening civic life in America”–has promulgated one of them. The Conference works through a nationwide network of partners, and one of the projects those state partners pursue is the production of a periodic, state-specific  “Civic Health Index.”

The Index measures the chosen behaviors of citizens in the relevant state, and compares the results to national figures. Indiana has just completed publication of its latest Index, available at the link, with results based upon data from 2017.

As the panel presenting the results put it, there’s good news and not-so-good news.

Indiana’s iteration of the Civic Health Index has been co-chaired by former Supreme Court Chief Justice Randall Shepard and former Indiana Representative Lee Hamilton. In a forward to this year’s publication, Hamilton notes that–in addition to civic information–Americans need to know the values that underlie productive civic dialogue. He lists those values as mutual respect and tolerance; the humility to know that sometimes we’re wrong; the honesty to keep deliberations open and straightforward…and “of course, the civility that allows us to find common ground despite our disagreements.”

If only!

The data is interesting. Indiana does well on the indicators of involvement chosen by the Commission: posting political and social issues on social media sites, reading or watching the news, contacting public officials, and even (I was surprised) “talking and spending time with people of different racial, ethnic or cultural backgrounds.” Hoosiers volunteer, donate and do favors for neighbors in numbers that compare favorably to those in other states.

When it comes to voting, the news isn’t so good.

First, midterm elections. In 2010, Indiana ranked 43d in the percentage of eligible voters registered (65%), and 48th in voter turnout (39%). In 2014, those percentages were 64% and 35%, earning the state ranks of 30th and 47th, and in 2018, we ranked 37th in voter registration (65%) and worked our way up to (whoopee!) 43d in turnout (49%).

In the last presidential year, 2016, we ranked 40th (68.8%) in registration and 41st (58.3%)in turnout. (I can’t help thinking that Indiana’s extreme gerrymandering plays a significant role in depressing voter turnout.)

This year, for the first time, the Civic Health Index included two “action items.” The Indiana Bar Foundation, which directs production of the Index and is deeply engaged in civic education, announced plans to convene a task force to evaluate current civic education practices in the state and recommend improvements.

The second action item addressed the need to improve both registration percentages and voting turnout in the state.

With respect to that goal, Bill Moreau, a prominent local lawyer who will retire from active practice this year, announced that he and his wife are creating “The Indiana Citizen,” a nonpartisan, nonprofit foundation devoted to civic engagement–and especially voting. The site will offer the sort of information–about registration, polling places, candidates and issues–that we used to get from local newspapers, before their decline.

Maybe, if the Indiana Citizen can raise enough money to afford the sort of informational campaign they hope to mount, we can improve Indiana’s abysmal turnout–and do a bit of educating along the way.

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So Here’s Where We Are….

I did it again. This should have posted tomorrow morning. Sorry.

This week saw the start of the public phase of the House Impeachment process. Media outlets–left, right and center–have reported on testimony, the behavior of various Representatives, the White House and a multitude of partisans. Still other outlets have reported on those reports.

In other words, there has been a lot of noise. Amid the clamor, though, I think Josh Marshall has made the most incisive observations.As he points out, the question commonly asked is whether the Democrats can make their case convincingly to the American public. And as he also points out, that really isn’t the question.

What’s really being asked is whether Democrats will be able to convince not the American people but Republican partisans and more specifically congressional Republicans. And that is by design an all but impossible standard because they are deeply and unshakably committed to not being convinced.

This is not only the obvious verdict of the last three years. It’s even more clear with the questions which have emerged since September. Congressional Republicans have hopped from one argument to another: from no evidence of wrongdoing, to the wrongdoing is actually fine, to a rearguard action against a corrupt process. The chaos of arguments has zero logic or consistency beyond the simple and overriding one: of refusing to accept that the President did anything wrong no matter what evidence emerges and simply use whatever argument is available to justify that end.

Marshall is right. The pundits who are evaluating the Democrats’ “performance” by their success in moving immovable Republicans are applying a ridiculous standard. As he says, no sane person willingly plays a game or has an argument or even wages a war in which the adversary gets to decide who wins or loses.

That not only guarantees failure it breeds a a sense of helplessness and mawkish begging. It demoralizes supporters and puffs up opponents with a sense of unmerited power.

Public opinion surveys show the public is already pretty well convinced even in advance of public hearings. Overwhelming numbers see this kind of extortion and foreign election interference as wrong. Similar numbers believe the President did these things. Even in advance of public hearings roughly 50% of the voting population already supports the extreme step of removing the President from office – something that hasn’t happened in almost a quarter of a millenium of American history.

Marshall points out that the evidence of illegal behavior and abuse of power is already overwhelming. Damning testimony has come from Trump’s own appointees, and to the extent details are still missing, it’s because Trump has kept people who could fill in the blanks from testifying.

Certainly it is important to air the evidence publicly, clear up good faith confusions and nudge as many people who believe the President did something wrong but are hesitant about the upheaval of impeachment in the direction of supporting impeachment and removal. But the basic case simply makes itself. The evidence is overwhelming.

His conclusion–with which I entirely agree–is sobering.

It’s not the Democrats who are on trial here, needing to prove themselves with some magisterial performance. Indeed, it’s not even really the President whose guilt is obvious and not even questioned with serious arguments. Who and what is on trial here is the Republican party, which has made it pretty clear that they are willing to countenance any level of law breaking and abuses of power so long as it is done by a Republican or at least as long as it is Donald Trump.

The Democrats’ job is to lay out the evidence in a public setting and get elected Republicans to sign on the dotted line that this is presidential behavior they accept and applaud. That won’t be difficult. They have one last chance to change their answer. Democrats real job is to clarify and publicize that that is their answer.

This isn’t pollyannish. It is simply recognizing the nature of the crisis in which the country finds itself and avoiding nonsensical, bad-faith exercises that can only end in frustration. The aim for Democrats is to set forth, calmly and clearly, what the Republican party accepts and what it is and consolidate the non-Republican, non-authoritarian nationalist vote which supports the rule of law and the constitution. Since the GOP is self-indicting, President Trump will almost certainly not be removed from office and these questions, properly set forth, will go before the people in one year.

What We The People do then–and the margin by which we do it– will tell us who we really are.

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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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