Category: Politics

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Where Your Tax Dollars Go

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Check out this website for a very interesting visual representation of how federal budget dollars are allocated. You can enlarge the image substantially at the site.

Hat tip: BoingBoing

Boutique Medicine: Tax it, Don’t Ax It

Sick of waiting weeks for a doctor’s appointment? Or hurried visits? Well, “concierge physicians” have got a deal for you. Just pay a retainer to a practice (usually between $2,000 and $5,000 annually), and you’ll get immediate attention, long visits, and personalized preventive care. There’s just one catch—when you and, say, 400 other health care “consumers” sign-up at a given practice, it drops the other 1500 patients it had been serving to concentrate solely on retainer patients.

Is this problematic? Some important Democrats say yes, and have moved to kick “concierge physicians” out of the Medicare program. Tommy Thompson resisted that move when he headed HHS—and now he’s on a leading concierge franchise’s board. But since he’s left, some lower level officials at HHS have been raising concerns about “boutique medicine.”

After thinking about retainer care for a while, I have a few conclusions about these efforts. In a nutshell: I think it’s unwise to try to ban concierge care outright. But I do worry about it. It’s consonant with a larger movement that TNR describes: “to radically transform health insurance altogether, so that risk is gradually transferred away from large groups ( i.e., the government and large employers) and onto individuals (i.e., you).” If health insurance starts to move from a “defined benefit” to a “defined contribution” model, we can count on a diversion of scarce medical resources from a common risk pool to pockets of well-heeled consumers. Here’s why I think so…

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Demography Ain’t Destiny

Daniel Drezner notes the latest study in the always irritating demographic-victory-of-the-scary-is-upon-us field of empirical research. This time, instead of the Chinese or the Hasidim, it’s the conservatives of Salt Lake City who will, if the trend lines continue unabated, take over the earth.

Look, there’s no doubt that far into the future, there will be way fewer bloodline-pure Italians, or ditto-pure Iowans born into Italy or Iowa. There’s also no question that if you’re only going on the basis of children produced, Salt Lake City will grow at a faster rate than Seattle.

But what conclusions can be drawn from these facts in light of the prevalence of immigration and assimilation? I have no confidence – none – that the political ideologies of parents with big families will result in successful political movements soldiered by their children. And if I was a political consultant, I’d be more concerned with the ideological ferment in Greater Los Angeles than I would in the ten Great Plains states that might rival it in population, even if your average couple in Scotts Bluff produces more kids than your average couple in West Hollywood. Or at least I would be if we didn’t have a Senate.

From Gradgrind to Glaeser

Economic analysis is often illuminating, but sometimes it just seems to provide cover for new Gradgrinds to ply reductionist utilitarianism. Case in point: the NYT Magazine has a glowing profile of Edward Glaeser, an economist from Harvard. As a patrician, provocateur, and polymath, Glaeser is reported to have single handedly revived the field of urban economics. Here are some of his prescriptions (as reported by Jon Gertner):

1) Don’t rebuild much of New Orleans– just let hard-pressed residents move somewhere else (and expect our exceedingly eleemosynary Congress to cut checks to each resident for $200,000, since that’s what they were planning to spend on infrastructure!). And don’t try to revive struggling rust-belt cities like Detroit, either.

2) “Car-based cities” are great; they “enable residents to buy cheaper, bigger houses,” and “the average car commute is about 24 minutes; on public transportation, it is around 48 minutes.”

I have a few questions for Glaeser. First, does his model value stability at all? Let’s say that this process of dispersion in search of better jobs leaves very few nuclear families with extended families nearby to help with child and elder care. Is the resultant need to hire day care workers and visiting nurses a boon to the economy, because unpaid labor to that end wouldn’t count in the GDP? Just how parsimonious are his models?

I have some personal experience with the “exodus from the Rustbelt” that Glaeser finds so appealing…

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Tax Scholar: Bush Is An Atheist

george_bush_narrowweb__200x245.jpgMy colleague, Susan Hamill, is never one to shy from a fight. Four years ago she burst onto the scene with her article, An Argument For Tax Reform Based on Judeo-Christian Ethics. This piece, which I’ve noted previously was a driving force behind an ultimately unsuccessful Alabama tax reform proposal, argued that (what she termed) “Judeo-Christian” ethics demanded that true believers support a more progressive tax scheme in the state. Her arguments were the centerpiece of the statewide debate on the referendum and she was targeted by Alabama’s Christian Coalition. (Curiously, she garnered the support of the national group.) I’ll never forget The Economist’s headline about this referendum: What Would Jesus Tax?

Well, my friends, Susan is back.

In her new paper, An Evaluation of Federal Tax Policy Based on Judeo-Christian Ethics, she argues that:

“the moral values driving the Bush Administration’s tax policy decisions reflect objectivist ethics, a form of atheism that exalts individual property rights over all other moral considerations. Given their overwhelming adherence to Christianity and Judaism, I conclude that President Bush, many members of Congress and many Americans are not meeting the moral obligations of their faiths.”

Powerful stuff! Susan joined the Alabama faculty as a tax scholar in the mid-1990’s. About five years ago, on sabbatical, she pursued graduate work at Samford University’s Beeson Divinity School – not exactly a hotbed of liberalism. These recent pieces reflect a marriage of scholarship with personal passion. Not surprisingly, people from many perspectives can find ways to disagree with Susan. On the other hand, she exemplifies a professor who believes her scholarship must have practical consequences. I have tremendous admiration for both her work and the way she has chosen to structure her professional life.

Is Bush an atheist? Who’d have thought you’d read the Virginia Tax Review to find out.

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Justice Breyer At Alabama

This afternoon, Justice Breyer gave the Albritton Lecture at the University of Alabama. His talk was uncontroversial, as he staked out all the positions one might expect. Citation of foreign law? If it’s helpful to read materials from other nations, why wouldn’t we? We aren’t bound by them. Kelo? Surprised by all the uproar since this seemed to have been the law since FDR. Being tagged as an activist? You’ve got the wrong Justice! Just take a look at that study by Gewirtz and Golder.

Breyer’s visit was still well worth the candle. We’ve had a string of Justices join us in Tuscaloosa, over the last few years, a happy side benefit to our Hugo Black Fellow Program. (Former Supreme Court clerks come and teach a light load for a year, giving them a chance to test out the job and write in relative peace.) They humanize the Court and make everyone feel a little better about the institution. Justice Thomas was immensely popular among students – as he is, apparently, among clerks. He spent time, lots and lots of it, answering student questions, shmoozing one-on-one. He managed to disarm even those folks who were prepared to loathe him.

Breyer had a different battle on his hands visiting the Heart of Dixie. Many students probably expected a liberal activist. (The opening question, asking him how he believed the Constitution protected property rights, gives you a sense of things. ) With his emphasis on the primacy of legislative decisionmaking – hardly a surprise from the author of Booker’s advisory sentencing guidelines opinion. – I suspect that many students found him remarkably unthreatening. They are correct. Those seeking a left-wing bogeyman on the Supreme Court will have to look elsewhere. To paraphrase Alex Kotlowitz, There Are No Liberals Here.

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More on the Democrats and a Contract with America

Earlier this week, I wrote a blog post arguing that the Democrats should create a Contract with America. In today’s Washington Post, an interesting article explores why the Democrats have no version of Newt Gingrich:

Where is the Democrats’ Gang of Seven? Why isn’t some spirited group of junior House Democrats capturing the public’s imagination and sinking its teeth into the spreading Jack Abramoff mess? And where is the Democratic equivalent of Gingrich?

In Congress, reform often comes from the back bench. Junior members have the least to lose and the shortest — and thus usually the cleanest — records. These unlikely agents of change are often change’s biggest beneficiaries. . . .

And yet, after languishing in the minority for more than a decade, the Democrats’ back bench has yet to produce a Gang of Seven or an insurgent leader such as Gingrich, who inspired dozens of GOP House candidates in 1994. Most of the Democrats elected since the Republicans took over in 1994 simply replaced other Democrats. Moreover, none was really elected on a message of bringing “change” to Congress.

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Republican Speed-Dating?

I heard a story on Marketplace Morning Report this morning about Occidental College’s new speed dating program. It seems that 93% of alumni that marry within the faith – that is, marry fellow alums – give to the college. Thus, the speed dating program provides the Oxy development office two great opportunities: a chance to reconnect with disconnectd alums and the potential to create two-person donation machines.

Of course, college fundraisers aren’t the only ones trying to battle intermarriage. Institutional Judaism (for some people that means their local synagogue, for others mom and dad) has been fighting to keep marriages within the faith for years. Recently, the Reform Jewish movement has begun to re-emphasize that while interfaith couples are welcome, synagogues should work to convert the non-Jewish partner. The theory, presumably, is that single faith couples are more likely to share Judaism with the children, and to promote it with greater intensity.

So what about political intermarriage? It seems to me that this cuts both ways. On one hand, politics is evangelical: a Democrat wants to find ways to convert non-Dems to the party. In that sense, intermarriage offers opportunities. If a Republican marries a Democrat, that Democrat may be successful at changing – or at least tempering – his mate’s political proclivities. Of course, that’s a doubled edged sword: the Republican may transform the Democrat. In the end, I expect the Replicrat Kids will probably be miniature John Breauxs or Lincoln Chafees. So what is a party to do? I suspect the answer is to follow in the footsteps of Occidental: Speed Dating.

When a Republican meets another Republican at a GOP dating event, it produces tremendous good will for the party. Disconnected conservatives may start to see the GOP as a fun gang to be involved with. This might produce more donations as well as more labor at election time. And when romantic stars do align, the newly produced couple will be far more reliable donors, at least if college fundraising is any indicator. In the end, the party will probably be better off encouraging their members to marry within the faith. That pure Republican couple will probably vote Republican with even greater intensity than they did alone (if Cass Sunstein’s research on voting patterns among single-party judicial panels is any indicator) and the big pile of donations can then be used to convert those Dems.

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Should the Democrats Create a “Contract with America”?

contract1.jpgA common criticism of the Democrats is that although they are scoring some points when criticizing the Republicans, they are coming up empty in stating what they really stand for. I believe that there is some truth to this criticism. What surprises me is how ineffective the Democrats have often been in rallying around a basic theory; in articulating how specific policies will best advance their goals; and in selling their theory to Americans.

Back in 1994, the Republicans created the “Contract with America,” a document that set forth a list of concrete legislative goals. Perhaps it is time for the Democrats to produce their own Contract with America. I think that doing so would force the Democrats to articulate and rally around a set of concrete policy proposals that provide a clear alternative to the Republicans.

For example, I think that the Democrats need to come up with a plan for addressing security issues. When the Democrats criticize the Bush Administration for its surveillance measures, they need to also propose how they would address security without infringing upon civil liberties or abusing power. For example, they should propose more concrete plans for getting better international cooperation, tracking down loose nukes, and devising surveillance programs that are carried out with judicial oversight within the legal parameters of FISA.

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The Meaning of “Well Settled Law”

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Lawyers use the phrase liberally in their briefs; judges sprinkle their opinions with it. But hardly anyone agrees what it means. The phrase: “well settled law.” One of the most interesting exchanges occurred during the Alito hearings over this very phrase:

Ms. Feinstein asked whether Judge Alito did not agree that Roe “was well settled in court.”

He said, “It depends on what one means by the term ‘well settled.'”

This was followed by an extended back-and-forth and careful parsing of what the phrase may or may not mean to Alito.

It would be a mistake to see Alito’s equivocation as merely a product of confusion over terminology. Indeed, Alito’s hesitation to accord Roe the status of “well settled law”–he finally said only that it must be accorded “respect” as “very important precedent”–cannot be understood in an internally coherent way.

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