Some Thursday Links-Are You ‘Socially Responsible’ & Global Women’s Health Inspectors: Colombia Division

Richard Epstein takes a look at ‘social responsibility’ investing:

‘In September 1970, the late Milton Friedman published a bold manifesto entitled “The Social Responsibility of Business is to Increase its Profits” in the New York Times Magazine, where he argued that businesses do not need to engage in various charitable or public-spirited activities, even those that generally meet with approval from shareholders. The best defense of the Friedman thesis is that any discrete corporate effort to advance collateral ends will not enjoy the unanimous consent of all corporate shareholders, so that the contribution operates like an implicit tax on dissenting shareholders. The better track is for the corporation to make the shareholders rich, so that they in turn can embark on their own charitable operations, without having to bind their fellow shareholders.’

I’d argue that more people nowadays are feeling social pressure to seek purpose, membership in a group, to do what everyone else is doing, be or be thought a ‘good’ person through their investments, and reacting accordingly.  There’s an underlying collectivism in the idea of wearing your commitments on your sleeve this way.

Or, at least, this underlying collectivism puts upward pressure upon companies and corporations to appear ‘socially responsible’ whatever their aims, and in fact pretty much every advertising campaign nowadays seems to be making some nod to climate change, helping the poor, making a difference etc.

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Peter Suderman at Reason on ‘optics’:

‘So the short version is this: The administration had evidence indicating that a young advance team member, who was also the child of a lobbyist-and-donor-turned-administration-staffer, was involved in a potentially embarrassing incident with a prostitute while serving as a member of the presidential advance team—and yet explicitly denied that this was the case, and also appears to have pressured independent investigators to delay and withhold evidence until after the election was over.’

Original piece at the Washington Post.

Perceptions And Reality-The News Business And Obamacare Overruns

Via Ira Stoll-Marc Andreessen: The Future Of The News Business: A Monumental Twitter Stream All In One Place.

If you’re in the information gathering and sharing business, you’d probably better understand how information is now being gathered and shared in order to broadcast it to as many people as possible (if you’re looking to make money and retain authority).

Many outlets still haven’t figured that out in the new landscape:

‘My take is that the rise of objectivity journalism post-World War II was an artifact of the new monopoly/oligopoly structures news organizations had constructed for themselves. Introducing so-called objective news coverage was necessary to ward off antitrust allegations, and ultimately, reporters embraced it. So it stuck.

But the objective approach is only one way to tell stories and get at truth. Many stories don’t have “two sides.” Indeed, presenting an event or an issue with a point of view can have even more impact, and reach an audience otherwise left out of the conversation.’

Are we back in an age of yellow-journalism, pamphleteering, and voices shouting from the rooftops? A period of unique opportunity before new and different monopolies form?

Check out an oral history of the epic collision between journalism and digital technology, from 1980 to the present, from the Nieman Journalism Lab.

Good for a laugh:-Who reads the newspapers?

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Don’t worry, the current ideological and political interests running our government are on the cutting-edge: Peter Suderman at Reason: Healthcare.gov Cloud Computer System Cost Five Times As Much As Expected:’

‘Asked about the increased cost, a federal health official tells NextGov that “if the additional services were not added urgently, the exchanges would not function as designed and citizens would continue to have issues using the marketplace.” In other words, the original plan had been for a system that wouldn’t work.’

Remember, the winners are many of Obama’s political and ideological allies and some previously uninsured people, not necessarily everyone else.

Suderman’s wife: Megan McArdle At Bloomberg. ‘Latest Obamacare Delay Is Probably Illegal

Still Looking For Alternatives-Charlie Martin At PJ Media: ‘Obamacare vs. Arithmetic’

Avik Roy At Forbes: ‘Democrats’ New Argument: It’s A Good Thing That Obamacare Doubles Individual Health Insurance Premiums’Megan McArdle At Bloomberg: ‘Health-Care Costs Are Driven By Technology, Not Presidents’

Two Tuesday Links

Peter Suderman at Reason on ACA claims that the law is lowering health spending overall:

‘Obamacare may be having a small effect on health spending growth at the margins, and it’s possible it will have a bigger effect in years to come. But the bulk of the slowdown so far is more likely a result of the recession over the last few years and significantly increased adoption of consumer-driven health plans in the years prior to the economic downturn. ‘

Bob Woodward At The Washington Post on Former Secretary of Defense Robert Gates new memoir.  War or continued war that is likely to bear little fruit, this blog is concerned about coming up with a strategy for Afghanistan.

Appealing to a pro-peace base, setting a timeline, and pulling-out does not necessarily meet our objective:

‘As I sat there, I thought: the president doesn’t trust his commander, can’t stand [Afghanistan President Hamid] Karzai, doesn’t believe in his own strategy, and doesn’t consider the war to be his. For him, it’s all about getting out.”

More on Gates’s career at the link.

Addition:  Another Gates quote:

‘Today, too many ideologues call for U.S. force as the first option rather than a last resort. On the left, we hear about the “responsibility to protect” civilians to justify military intervention in Libya, Syria, Sudan and elsewhere. On the right, the failure to strike Syria or Iran is deemed an abdication of U.S. leadership. And so the rest of the world sees the U.S. as a militaristic country quick to launch planes, cruise missiles and drones deep into sovereign countries or ungoverned spaces’

Peter Suderman At Reason: ‘Obama Admits That Obamacare is Unworkable’

Full piece here.

‘What the administration is really doing, though, is attempting to shift the blame. Insurers have spent months if not years preparing for the changes and requirements enacted under Obamacare. They will have a difficult time turning on a dime and extending cancelled policies. They may not be able to in some or many cases. And state insurance regulators will have to sign off on reinstatements, creating an additional layer of insulation between plan upsets and the administration. ‘

Can’t go forwards, can’t go backwards either.  So, it’s time to maximize political advantage and minimize damage:

‘In other words, the law can’t work if it does live up to its presidential promises. But it can’t maintain political support if it doesn’t. The two are incompatible.’

Addition: His wife, Megan McArdle:

‘I think it means the White House is giving up on November 30 as a date when things will change and settling in for a war of attrition that they will try to win news cycle by news cycle while hoping people get used to what’s going on and change the subject so something can take effect next year and then they can see what to do next,” Levin wrote. “Obamacare as they have known and envisioned it is just not going to happen.”

Of course, many on the Left will keep pushing for one of the goals all along, now that some changes are irreversible: Single-payer.

Suderman asks 5 follow-up questions.

Related On This Site:  Still Looking For Alternatives-Charlie Martin At PJ Media: ‘Obamacare vs. Arithmetic’

Avik Roy At Forbes: ‘Democrats’ New Argument: It’s A Good Thing That Obamacare Doubles Individual Health Insurance Premiums’Megan McArdle At Bloomberg: ‘Health-Care Costs Are Driven By Technology, Not Presidents’

Richard Epstein At The Hoover Institution: ‘The Obamacare Quaqmire’

Richard Epstein At The Hoover Institution: ‘Watching Obamacare Unravel’

From The New England Journal Of Medicine Via CATO: ‘The Constitutionality of the Individual Mandate’From If-Then Knots: Health Care Is Not A Right…But Then Neither Is Property?… From The New Yorker: Atul Gawande On Health Care-”The Cost Conundrum”Sally Pipes At Forbes: ‘A Plan That Leads Health Care To Nowhere’

Peter Suderman At Reason: ‘Administration Blows Its Credibility With Disastrous Obamacare Rollout’

Full piece here.

Key quote:

‘But rather than admit their problems, the administration offered confident spin. “States and the federal government will be ready in 10 months,” Gary Cohen, the federal official overseeing implementation of Obamacare’s exchanges said at the end of 2012. The exchanges “will be ready,” he promised members of Congress again a month later in response to skeptical questioning.’

It’s still offering spin.  I’m still waiting for more honest discussion about our foreign policy challenges as well, but I’m not holding my breath.

Related On This Site:Richard Epstein At The Hoover Institution: ‘The Obamacare Train Wreck’

Avik Roy At Forbes: ‘Democrats’ New Argument: It’s A Good Thing That Obamacare Doubles Individual Health Insurance Premiums’Megan McArdle At Bloomberg: ‘Health-Care Costs Are Driven By Technology, Not Presidents’

Richard Epstein At The Hoover Institution: ‘The Obamacare Quaqmire’

Richard Epstein At The Hoover Institution: ‘Watching Obamacare Unravel’

From The New England Journal Of Medicine Via CATO: ‘The Constitutionality of the Individual Mandate’From If-Then Knots: Health Care Is Not A Right…But Then Neither Is Property?… From The New Yorker: Atul Gawande On Health Care-”The Cost Conundrum”Sally Pipes At Forbes: ‘A Plan That Leads Health Care To Nowhere’

Peter Suderman At Reason: ‘ObamaCare Was Designed, Passed, and Implemented by Democrats. Obviously Republicans Must Be Responsible for Its Failures’

Full post here.

Cobble a huge bill together that’s been on the wish list for years.  Get it passed any way you can, going forward without the opposition party’s support and the skepticism if not suspicion of a large plurality of Americans.  Make the typical political promises, and maybe keep a few of them.  Once passed, after it squeaks by the Supreme Court and still seems to remain unpopular, bringing challenges and raising many doubts, rally around it and blame the opposition party.  If it doesn’t work out, it’s their fault, if it somehow does, it’s their fault, too.

‘And sure enough, three years after passage, ObamaCare shows signs that it might not be quite as wonderful as promised. But ObamaCare’s supporters are so determined to avoid admitting that it might be a failure—or even just less functional than they insisted it would be—that they are refusing to take responsibility for the politically troubled bureaucratic mess they created.’

Obama will ‘activate’ and get them in the door, nationalizing health care and providing a ‘roof’.  It’s for his bureaucrats and other Democrats to worry about the details.  He’s out campaigning again.

Even Joe Klein is having doubts as he reads the tea leaves and prepares his party for trouble down the road, at least about the implementation of Obamacare (it couldn’t be the ideas behind the implementation, of course).

‘The problem is not, as the Republicans claim, big government. It’s bad government. If the President doesn’t government reform and efficiency a major, high profile part of his second term—nothing less than a public crusade will do—he is in danger of tossing away his proudest achievements.’

Related On This SiteFrom The New England Journal Of Medicine Via CATO: ‘The Constitutionality of the Individual Mandate’From If-Then Knots: Health Care Is Not A Right…But Then Neither Is Property?… From The New Yorker: Atul Gawande On Health Care-”The Cost Conundrum”Sally Pipes At Forbes: ‘A Plan That Leads Health Care To Nowhere’From AEI: ‘Study: ‘Obama Healthcare Reform Raising Costs, Forcing Workers Out Of Existing Plans’

Obamacare Checkup-Peter Suderman At Reason

Full piece here.

‘ObamaCare gives small employers with healthy workforces an incentive to jump ship and insure themselves.’

and:

‘The larger thread here, though, is that we’re once again seeing that ObamaCare’s design is pretty clunky, at best. From a purely practical perspective, the law looks like a mess.’

Now that it’s passed, we’re finding out what’s in it.

See Also: Another Day, Another Crack In Obamacare.

Or you can just go to Obamacare.com and get all the facts from one place, and not have to think outside the box.

Addition:  At Reason is a telling graph indicating that Obama is just the next in a long line of Presidents who’ve increased spending.  Slowly, our government’s been growing for generations (we’re all guilty in believing in the “greatness” model) and our political class is following the incentives we’ve created.

Glenn Reynolds talks about this here, quite reasonably.  What kind of landing, or readjustment, are we going to have?

Another Addition.  Via Alexandria, a well-researched article at Time on health-care costs.  Why is everything so expensive?

Related On This Site: A Few Health Care Links: “The Individual Mandate Survives As A Tax”From The New England Journal Of Medicine Via CATO: ‘The Constitutionality of the Individual Mandate’From If-Then Knots: Health Care Is Not A Right…But Then Neither Is Property?… From The New Yorker: Atul Gawande On Health Care-”The Cost Conundrum”Sally Pipes At Forbes: ‘A Plan That Leads Health Care To Nowhere’From AEI: ‘Study: ‘Obama Healthcare Reform Raising Costs, Forcing Workers Out Of Existing Plans’

Peter Suderman At Reason: ‘The Hardest Part of Setting Up ObamaCare’s Health Exchanges’

Full piece here.

‘A Health Affairs study by a researcher at the Vanderbilt University School of Medicine published earlier this year estimated that, due to the complexities of calculating an individual’s income for the purposes of subsidy distribution, a non-trivial number of exchange enrollees are likely to get the wrong subsidy. Incomes fluxuate unexpectedly. The time frames used to judge income are too small. The databases used to verify individual income are incomplete. yet the exchanges are going to have be able to make relatively swift judgements about income levels and subsidy qualifications anyway.’

We’ll see what happens.

Via Instapundit, 5 ways to protect yourself against Obamacare.

Related On This Site:  From If-Then Knots: Health Care Is Not A Right…But Then Neither Is Property?… From The New Yorker: Atul Gawande On Health Care-”The Cost Conundrum”Sally Pipes At Forbes: ‘A Plan That Leads Health Care To Nowhere’Peter Suderman At The WSJ: ‘Obamacare And The Medicaid Mess’

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Peter Suderman At Reason: ‘Obama Claims Repealing ObamaCare Would Benefit Insurers. In Fact, They Stand to Lose $1 Trillion ‘

Full post here.

You don’t get to single-payer overnight, you first pass an enormously complicated piece of legislation without the other party’s support, then you get private insurers on board, then perhaps you gradually restrict market activity with endless regulations, enormous and politically dependent bureaucracies, allowing access to fewer and fewer private insurers:

‘It’s not just health insurers. Most of the health system’s biggest and most powerful industries are betting on the law to boost their bottom line. The drug industry cut a deal with the White House to help finance the promotion of the health law. And following the debate, investors in the hospital industry got spooked.’

Health care costs are rising.  Our system is slapdash, and inefficient, tied to employment, and wasteful.  I think this solution is worse than the problem.

Related On This Site:  From The New England Journal Of Medicine Via CATO: ‘The Constitutionality of the Individual Mandate’From If-Then Knots: Health Care Is Not A Right…But Then Neither Is Property?… From The New Yorker: Atul Gawande On Health Care-”The Cost Conundrum”Sally Pipes At Forbes: ‘A Plan That Leads Health Care To Nowhere’From AEI: ‘Study: ‘Obama Healthcare Reform Raising Costs, Forcing Workers Out Of Existing Plans’

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Peter Suderman At Reason: ‘Whoops! ObamaCare Backers in Wisconsin Produce Report Showing That the Health Care Overhaul Will Make Health Insurance More Expensive’

Full piece here.

I still don’t know how you insure a projected 30 million + more people, vastly increase government oversight, and lower costs.  Clearly our current system needs to become more efficient, but I suspect a reasonable percentage of the drivers of change behind the Affordable Care Act really do believe it is the job of all of us to provide health-care in the collective, not insurance, for all:

That’s because more than half the individual market will still end up paying more: “After the application of tax subsidies,” the report projects, “59 percent of the individual market will experience an average premium increase of 31 percent.”

Related On This Site:  From If-Then Knots: Health Care Is Not A Right…But Then Neither Is Property?… From The New Yorker: Atul Gawande On Health Care-”The Cost Conundrum”Sally Pipes At Forbes: ‘A Plan That Leads Health Care To Nowhere’Peter Suderman At The WSJ: ‘Obamacare And The Medicaid Mess’

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