I’m with him …

parrell_parang_signalI have to say, I’m with my neighbor James Carville on this one … put a decent health care reform out there and let the Republicans kill it. I’ve said over and over that without a vital public option, it’s neither about the health care or the reform. It’s about the lobbyists and an administration win and I don’t think we should go for it. Carville thinks it would send a good signal to the country about how little Republicans are willing to come to the table in the name of what’s good for American and bi-partisanship if they fight health care reform vehemently. Let them show themselves as obstructionists while we trot out people bankrupted by underinsurance, folks who lost relatives to insurance companies who ration health care, and people who can’t even access the basics enough to be treated for the most treatable of diseases. Let them all be seen on TV saying no well baby care and prenatal care to their fetus fetishists.

On CNN’s “State of the Union,” Democratic strategist James Carville became the first leading Democrat to suggest publicly that there might be political advantage in letting Republicans “kill” health care.

“Put a bill out there, make them filibuster it, make them be what they are, the party of no,” Carville said. “Let them kill it. Let them kill it with the interest group money, then run against them. That’s what we ought to do.”

This weekend’s comments by White House officials simply acknowledged the long-obvious reality that the idea of a government-run insurance plan was partly a bargaining chip.

Bargaining chip? WTF? What exactly do we get if the public option is off the table?

Krugman says the public option may be a signal on Obama’s trustworthiness that not every one is seeing. Okay, finance/economics lesson time again. Signaling theory is based on the idea that that market reacts rationally to publicly available information. So, for example, if I want to signal that my company is worth more than the average company, I want to find a way to signal that to the market I’m superior so they’ll run up my stock price to recognize me as a superior company. Then I can rake in bonuses and capital gains. I could borrow money in the commercial market, for example, that gives me a Aaa rating. This signals raters who are assumed to be in the know find my company to be a good bet compared to others that they rate lower. This signal should push up my stock price.

So what kind of signal do we have here? Well, Krugman argues that the public option is one of the ways Obama can ‘signal’ that he’s still a progressive democrat and he’s signaling that he’s a sell out without realizing it. He points out that the public option debate has turn into a signal on who should buy stock in what Obama says. Signals are based on the market knowing what actions can be trusted, however. You have to trust that some one who gives a company the Aaa rating really has some inside proprietary information and believe they are a reliable, trustworthy source of rating. Krugman says the Obama administration is sending out bad signals and doesn’t even realize it.

If progressives had real trust in Obama’s commitment to doing the right thing, the administration would have broad leeway to do deals. But the president doesn’t command that kind of trust.

Partly it’s a matter of style — as many people have noted, he has been weirdly reluctant to make the moral case for universal care, weirdly unable to show passion on the issue, weirdly diffident even about the blatant lies from the right. Partly it’s a spillover from his other policies: by appointing an economic team that’s Rubin redux, by taking such a kindly attitude to the banks, he has squandered a lot of progressive enthusiasm.

Add in the dealmaking as part of the health care process itself, and progressives can be forgiven for having the impression that Obama (a) takes them for granted (b) is way too easily rolled by the other side.

So progressives have their backs up over one provision in health care reform that’s easy to monitor. The public option has become not so much a symbol as a signal, a test of whether Obama is really the progressive activists thought they were backing.

And the bizarre thing is that the administration doesn’t seem to get that.

So, who’s signals should we trust? Carville? Krugman? Obama?

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RIP: Public Option

Nancy+Pelosi+Meets+HHS+Secretary+Sebelius+MlRcysrYVYolIn a yet another policy flip of epic proportion, nearly every democrat on the talking head circuit put to rest the idea that we might get even a small public option for health insurance. Fear tactics and greed in America are once again winning the health care debate. Evidently sixty isn’t enough when the majority of democrats in the senate prefer to join the Republicans in shooting down whatever hope we had of joining the rest of the industrialized and developed world in removing the burden of health care insurance from business and the poor and middle classes.

Carrie Budoff Brown at Politico reminds us what President Barack Obama said about a public option at the beginning of this public policy debacle.

It was only in June that Obama said in a letter to Senate Democrats that “I strongly believe that Americans should have the choice of a public health insurance option operating alongside private plans. This will give them a better range of choices, make the health care market more competitive, and keep insurance companies honest.”

A month ago, Obama said in his weekly radio and Internet address that “any plan I sign must include an insurance exchange: a one-stop shopping marketplace where you can compare the benefits, cost and track records of a variety of plans – including a public option to increase competition and keep insurance companies honest – and choose what’s best for your family.”

The reality on the ground today was delivered by via CNN.

A day after President Obama appeared to suggest that his administration might be open to health care reform legislation that does not include a public health insurance option, one of Obama’s top aides on the issue left the door open to accepting nonprofit health insurance co-ops, a proposal that has gained traction in bipartisan negotiations in the Senate Finance Committee.

“I think there will be a competition to private insurers,” Health and Human Services Secretary Kathleen Sebelius said in an interview that aired Sunday on CNN’s State of the Union, “that really is the essential part, that you don’t turn over the whole new marketplace [after health care legislation is enacted] to private insurance companies and trust them to do the right thing. We need some choices, we need some competition.”

At a town hall in Grand Junction, Colorado Saturday, Mr. Obama seemed to downplay the necessity of having a public insurance option in the final version of any health care reform legislation presented to him by Congress.

“The public option – whether we have it or we don’t have it – is not the entirety of health care reform,” the President said. “This is just one sliver of it, one aspect of it. And, by the way, it’s both the right and the left that have become so fixated on this that they forget everything else . . .”

Echoing Mr. Obama’s Saturday comments, Sebelius also told CNN Chief National Correspondent John King that “what’s important is choice and competition.” A public option “is not an essential element,” the Cabinet secretary said Sunday.

No wonder they’re planning for windfall profits at United Health Care. They are getting exactly what they want. A bunch of new people at terms that were negotiated by the world’s biggest sucker. How can any one left standing in the Democrat corner possibly believe any thing this administration says from now on? How can we possibly support health care reform that is not about health care or reform. What we are seeing is another big industry payoff placed on the national credit card. I would have never thought I’d have seen the bonus class have so much to celebrate with a democratic majority controlling so much. The only thing that makes the Dubya handouts bigger is that they came with a war that not only cost treasury, but human lives.

I am waiting to see how any one in Left Blogistan can all this anything but complete capitulation. Complete capitulation is not 11th dimensional kung fu chess no matter what hallucinogenic you’ve taken.

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Obama and the Enhanced Status Quo

monopoly smoke ringsWe were promised changed. What we are getting is perpetuation of the status quo. Let’s try this headline at the Guardian on for size “Goldman Sachs to make record bonus payout”.

Staff at Goldman Sachs staff can look forward to the biggest bonus payouts in the firm’s 140-year history after a spectacular first half of the year, sparking concern that the big investment banks which survived the credit crunch will derail financial regulation reforms.

A lack of competition and a surge in revenues from trading foreign currency, bonds and fixed-income products has sent profits at Goldman Sachs soaring, according to insiders at the firm.

Staff in London were briefed last week on the banking and securities company’s prospects and told they could look forward to bumper bonuses if, as predicted, it completed its most profitable year ever. Figures next month detailing the firm’s second-quarter earnings are expected to show a further jump in profits. Warren Buffett, who bought $5bn of the company’s shares in January, has already made a $1bn gain on his investment.

The bold part says it all. There continues to be a systematic elimination of competition from merger mania in the financial sector which has created two classes of too-big-to-fail institutions. We now have those that function completely with government funding and those that function by funding candidates for government. Goldman Sachs is benefiting immensely from both.

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