Category: Uncategorized

Gingrich and Reagan – National Review Online:

Off topic, but too fun to skip…

The best examples come from a famous floor statement Gingrich made on March 21, 1986. This was right in the middle of the fight over funding for the Nicaraguan contras; the money had been cut off by Congress in 1985, though Reagan got $100 million for this cause in 1986. Here is Gingrich: “Measured against the scale and momentum of the Soviet empire’s challenge, the Reagan administration has failed, is failing, and without a dramatic change in strategy will continue to fail. . . . President Reagan is clearly failing.” Why? This was due partly to “his administration’s weak policies, which are inadequate and will ultimately fail”; partly to CIA, State, and Defense, which “have no strategies to defeat the empire.” But of course “the burden of this failure frankly must be placed first on President Reagan.” Our efforts against the Communists in the Third World were “pathetically incompetent,” so those anti-Communist members of Congress who questioned the $100 million Reagan sought for the Nicaraguan “contra” rebels “are fundamentally right.” Such was Gingrich’s faith in President Reagan that in 1985, he called Reagan’s meeting with Soviet leader Mikhail Gorbachev “the most dangerous summit for the West since Adolf Hitler met with Neville Chamberlain in 1938 in Munich.”

Gingrich scorned Reagan’s speeches, which moved a party and then a nation, because “the president of the United States cannot discipline himself to use the correct language.” In Afghanistan, Reagan’s policy was marked by “impotence [and] incompetence.” Thus Gingrich concluded as he surveyed five years of Reagan in power that “we have been losing the struggle with the Soviet empire.” Reagan did not know what he was doing, and “it is precisely at the vision and strategy levels that the Soviet empire today is superior to the free world.”

There are two things to be said about these remarks. The first is that as a visionary, Gingrich does not have a very impressive record. The Soviet Union was beginning to collapse, just as Reagan had believed it must. The expansion of its empire had been thwarted. The policies Gingrich thought so weak and indeed “pathetic” worked, and Ronald Reagan turned out to be a far better student of history and politics than Gingrich.

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Front Group King Rick Berman Gets Blasted by his Son, David Berman | Center for Media and Democracy:

Rick Berman’s son, David Berman, is a 42-year-old singer-songwriter who, since 1989, has been the front singer for a popular New York City indie rock band called the “Silver Jews.” Over the years, the Jews have developed a loyal following, but on January 22, 2009 David Berman stunned his fans by posting a note to an online message board announcing that after all these years he was leaving the Silver Jews. The reason? His father, Rick Berman.

In scathing language, David disclosed to his fans who his father is, and how leaving the band related to his father’s work. David wrote,

…follow the link. Amazing stuff!

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GPs and healthcare costs | OECD Factblog:

It may be common knowledge that doctors’ pay outstrips average wages, with the really high earnings going to medical specialists. But now, more and more doctors are becoming specialised, with implications for costs and healthcare policy more generally. There were some 3.2 million doctors in the OECD area in 2008, which is over 40% more than in 1990 in absolute terms. But looked at on a per head basis, the number of specialists expanded by about 50% over the same 18 year period, compared with a mere 15% rise per capita for GPs.As a result, the number of medical specialists now exceeds generalists in all but four OECD countries–Australia, France, Korea and Portugal. This trend towards specialisation may reflect advancements in medical technologies and the increasing complexity of healthcare. But it also reflects a a widening pay gap.

Indeed, despite the sharp rise in the number of specialists, their pay has grown faster than that of generalists in a diverse group of OECD countries, includingAustralia, Finland, Hungary and the Netherlands . Only in a few European countries, such as Belgium and Luxembourg, has the income of generalists grown faster than that of specialists.

Having more specialists is clearly not bad in itself, but a shift away from GPs can undermine primary care and increase costs pressures.

The UK is one country that has taken deliberate steps to improve the relative attractiveness of general practice . New contracts were introduced in 2004, and since then GP pay has risen sharply. Whether the extra cost incurred in improving the GP contracts has delivered value for money is less clear. But the search for policies to encourage a more effective GP/specialist balance is set to continue.

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Chart of the Day: Republicans and the Filibuster | Mother Jones:

This isn’t a big surprise or anything, but now you have the color-coded data to show to all your friends and relatives. Republicans are the party of obstruction, and they have been for more than four decades now.

Just wanted a bookmark for this great graphic…

The downward path of upward mobility – The Washington Post:

This is only a surprise to those on the right, whose favorite policies all favor driving down wages in one way or another because they think it “works.”

In fact, over the past decade, growing evidence shows pretty conclusively that social mobility has stalled in this country. Last week, Time magazine’s cover asked, “Can You Still Move Up in America?” The answer, citing a series of academic studies was, no; not as much as you could in the past and — most devastatingly — not as much as you can in Europe.

The most comprehensive comparative study, done last year by the Organization for Economic Cooperation and Development, found that “upward mobility from the bottom” — Daniels’s definition — was significantly lower in the United States than in most major European countries, including Germany, Sweden, the Netherlands and Denmark. Another study, by the Institute for the Study of Labor in Germany in 2006, uses other metrics and concludes that “the U.S. appears to be exceptional in having less rather than more upward mobility.”

A 2010 Economic Mobility Project study found that in almost every respect, the United States has a more rigid socioeconomic class structure than Canada. More than a quarter of U.S. sons of top-earning fathers remain in the top tenth of earners as adults, compared to 18 percent of similarly situated Canadian sons. U.S. sons of fathers in the bottom tenth of earners are more likely to remain in the bottom tenth of earners as adults than are Canadian sons (22 percent vs. 16 percent). And U.S. sons of fathers in the bottom third of earnings distribution are less likely to make it into the top half as adults than are sons of low-earning Canadian fathers.

Surveying all the evidence, Scott Winship, a fellow at the Brookings Institution, concludes in this week’s National Review: “What is clear is that in at least one regard American mobility is exceptional. . . . [W]here we stand out is our limited upward mobility from the bottom.”

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Parting Shot at ‘Waste’ By Key Obama Health Official – NYTimes.com: Republicans called him evasive. For political reasons, the administration did not want him to defend past statements in which he had extolled the virtues of the British health care system and had suggested a need to cap total health spending and limit the supply of costly high-technology medical care in the United States.

Dr. Berwick said most of the criticism by Republicans, who warn of a government takeover of health care, was “purely political, a world of sound bites.” In the interview, he lashed out at Republicans who depict him as an advocate of rationing health care.

In 2009, he told a biotechnology journal, “The decision is not whether or not we will ration care — the decision is whether we will ration with our eyes open.”

Dr. Berwick said Republicans had “completed distorted” his meaning. “My point,” he said, “is that someone, like your health insurance company, is going to limit what you can get. That’s the way it’s set up. The government, unlike many private health insurance plans, is working in the daylight. That’s a strength.”

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The American-Western European Values Gap | Pew Global Attitudes Project:

As has long been the case, American values differ from those of Western Europeans in many important ways. Most notably, Americans are more individualistic and are less supportive of a strong safety net than are the publics of Britain, France, Germany and Spain. Americans are also considerably more religious than Western Europeans, and are more socially conservative with respect to homosexuality.

Americans are somewhat more inclined than Western Europeans to say that it is sometimes necessary to use military force to maintain order in the world. Moreover, Americans more often than their Western European allies believe that obtaining UN approval before their country uses military force would make it too difficult to deal with an international threat. And Americans are less inclined than the Western Europeans, with the exception of the French, to help other nations.

These differences between Americans and Western Europeans echo findings from previous surveys conducted by the Pew Research Center. However, the current polling shows the American public is coming closer to Europeans in not seeing their culture as superior to that of other nations. Today, only about half of Americans believe their culture is superior to others, compared with six-in-ten in 2002. And the polling finds younger Americans less apt than their elders to hold American exceptionalist attitudes.

This is a fascinating read. If I had to give it a subtitle, I’d say, “More Americans removing heads from butts – finally!” It is difficult to stay small minded in this increasingly globalized world, though many manage to do so, and do so with amazing arrogance.

Insiders Sound an Alarm Amid a Natural Gas Rush – NYTimes.com: “Money is pouring in” from investors even though shale gas is “inherently unprofitable,” an analyst from PNC Wealth Management, an investment company, wrote to a contractor in a February e-mail. “Reminds you of dot-coms.”

“The word in the world of independents is that the shale plays are just giant Ponzi schemes and the economics just do not work,” an analyst from IHS Drilling Data, an energy research company, wrote in an e-mail on Aug. 28, 2009.

Company data for more than 10,000 wells in three major shale gas formations raise further questions about the industry’s prospects. There is undoubtedly a vast amount of gas in the formations. The question remains how affordably it can be extracted.

The data show that while there are some very active wells, they are often surrounded by vast zones of less-productive wells that in some cases cost more to drill and operate than the gas they produce is worth. Also, the amount of gas produced by many of the successful wells is falling much faster than initially predicted by energy companies, making it more difficult for them to turn a profit over the long run.

Amgen’s New Enbrel Patent May Undercut Health Care Plan – NYTimes.com:

Something to really dislike about the PPACA!

Enbrel, which is used to treat rheumatoid arthritis and psoriasis, was one of several biotechnology drugs that were expected to face competition in the next few years from copycat versions, eventually saving the health care system billions of dollars a year.

The 2010 health care law established a way for such biologic drugs, which can cost tens of thousands of dollars a year, to face competition from near generic versions, which are often called biosimilars. A new law was needed because biologic drugs, which are made in living cells, were not covered by the 1984 law governing most pharmaceutical competition.

The main patent on Enbrel was to expire in October of next year. But the new patent could stave off such biosimilar competition until Nov. 22, 2028. By that time, Enbrel will have been on the market 30 years, far longer than the 20 years of protection expected in patent law.

Enbrel had sales of $3.5 billion in the United States and Canada in 2010, accounting for nearly one-quarter of Amgen’s revenue. The drug costs more than $20,000 a year. Pfizer sells Enbrel abroad.

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Using new health law, HHS challenges Pa. insurer’s rate increases – latimes.com:

Insurance premiums have historically been regulated by state governments. But oversight has varied substantially from state to state, with some doing almost no review and some actively blocking rates they deem excessive.

The Obama administration this year announced it would review any rate increase above 10% in states that do not have the capacity to do reviews themselves.

The Department of Health and Human Services is reviewing 35 such increases. And administration officials have completed two, including the Everence rate hike in Pennsylvania.

They have already determined that an 11% increase that Everence is imposing on customers in Montana is reasonable.

Another 77 rate hikes of more than 10% are being reviewed by state regulators around the country, according to the Department of Health and Human Services.

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