Notes on a Theory…

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Posts Tagged ‘Medicare

Top Posts for 2013

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Here they are–the top posts, based on views, for 2013.

1. Blaming Consumers is a Cop Out

This is the no contest the most read piece this year, also the most comments for a post.  It included a shout out to John Kenneth Galbraith, and a link to Albert Hirschman. (Mental note, talk about more good economists.)

“our willingness” to buy products produced under these conditions is an odd way to talk about it. Businesses spend a lot of energy obscuring these working conditions, to tell those who are concerned about it that they have improved them, will work to improve them, or that they aren’t that bad or that they are inevitable.  Beyond that, it’s not clear what consumers are supposed to do. If all products were clearly labeled to give us a full sense of the conditions in which they were made, it’s not as if it would be possible to simply avoid such products. Anyone who’s ever spent time trying to do this knows while you can occasionally find something made in fair conditions, it’s next to impossible to do it consistently.  Despite the myth that markets always provide broad choice, this is simply not the case.

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Written by David Kaib

December 26, 2013 at 5:53 pm

Defending Social Insurance: Solidarity is More Powerful than Individualism

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I recently argued against a common framing when it comes to fending off attacks on Social Security and Medicare, which come in the form of referring to these programs as “entitlements” which must be “reformed.” The standard response, as I said then, is  ”Social Security (or Medicare) is not an entitlement.  It’s an earned benefit.” I argued that this is troubling because it is weak to simply deny the claim and that it is factually wrong, because these programs are entitlements (i.e. rights).  By making the rights frame explicit, we can put opponents on the defensive by using their own term against them and better mobilize our side. That’s how you build power.

I didn’t point out, but I should have, that this phrasing also suffers from the “Don’t Think of an Elephant” problem. As George Lakoff has says, when someone tells you not to think of an elephant, you will in fact think of an elephant. Using the word evokes the image, even if you do so as a denial. That’s just how our brains work.

But I also said that  ‘earned benefit’ is just a weak term.  It’s that claim I want to defend here.

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Written by David Kaib

October 31, 2013 at 2:46 pm

Entitlement Means Right

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By U.S. Government [Public domain], via Wikimedia Commons

Democrats* have gotten at least part of the message–language matters. They know the GOP has long been using language to advance their agenda, and they know they want to as well.  Unfortunately, often this means simply denying Republicans’ framing and offering bloodless alternatives.

A good example involves talk about Social Security and Medicare, lumped together under the term ‘entitlements.’ Political elites (not, it should be noted, limited to Republicans) talk incessantly about the need to ‘reform entitlements’ because, they say, entitlement spending is out of control. To listen to this talk, our greatest threat as a nation is ballooning entitlement spending (not climate change, or inequality, or mass unemployment, or mass incarceration or anything the rest of us actually care about).

Now, this is utter nonsense. I’ve written about this before.  But for now I want to talk about the politics, not the substance.

The standard liberal rhetorical move when faced with this is denial.  Even more than the facts, the typical response denies the label.  “Social Security (or Medicare) is not an entitlement”, they insist.  “It’s an earned benefit.” Read the rest of this entry »

Written by David Kaib

October 11, 2013 at 9:50 am

Chained CPI, Social Insurance and Two Kinds of Politics

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Social Security was enacted in response to mass mobilization. It can only be saved through mass mobilization.

The president’s new budget proposal includes both Chained CPI, a cut in Social Security benefits, and cuts in Medicare benefits.  As Shawn Fremstad  notes, the White House’s assurances that the ‘most vulnerable’ will be protected are not to be taken seriously.

It’s troubling for any number of reasons, including that the defenses offered are nonsense.  Chained CPI is arguably a more accurate measure for working people, but the existing measure clearly underestimates inflation for seniors, who spend far more of their income on health care, where costs are rising faster. Social Security doesn’t contribute to the deficit, which doesn’t matter (at least at the moment), and no one actually cares about it, and Medicare costs could be dealt with through costs controls rather than benefit cuts. Read the rest of this entry »

Top Five Posts That You Did Read: 2012

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Here are your top five posts from the last year, based solely on page views. The biggest thing driving traffic – one or two people who have a bigger megaphone than me passing it along.  (My thanks to those people).  Was there anything else they shared in common? Let’s take a look.

Also, don’t miss Top Five Posts that No One Read: 2012.

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How Means Testing Exploits Well Intentioned Liberals

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Means testing of Social Security or Medicare is a bad idea.  It doesn’t generally save that much money and it undermines the very logic of social insurance–universal coverage paid for by dedicated taxation, thereby spreading risk over the whole population, protecting everyone.  Means testing is a way of welfarizing social insurance, that is, associating it with the poor (read : undeserving)  Most people, even politically active people, don’t understand the idea of social insurance, either its policy or political logic.

That said, I’ve found the idea is one that many liberals seem drawn to.  I’m not talking about neoliberals who are really skeptical of social insurance. I mean people who are primarily concerned with inequality, who have no ideological skepticism toward government. And I don’t mean the politicians and think tanks that are pushing it.  I mean why people think it sounds like a good idea.

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Written by David Kaib

December 17, 2012 at 11:16 pm

No More Lame Ducks

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yellow-duck-mdLegislators at the state and federal levels are working hard at acting without democratic constraints at the moment.

The Michigan legislature, still held by Republicans, although their House majority was reduced in the recent election, has been rushing through all manner of ALEC-sponsored legislation, including the No Rights At Work law, harsh abortion restrictions, and an emergency manager law that had just been overturned by initiative.  (They are being encouraged by billionaires who know their power is at a high point and voters’ at a low one).

In the meantime, at the federal level, after a campaign where both sides accused the other of wanting to cut Medicare, both sides are scheming to cut Medicare–hopefully in a way that ensures that no one takes the blame (i.e. bipartisanship).  This is important because such cuts are deeply unpopular among practically all voters, regardless of party or age.  Whipping votes is easier among those members of Congress who were defeated or retiring, many of whom have already lined up lucrative post-Congress employment and may just have some interest in mind other than the public’s.

The time between an election and when the next legislature is seated is perhaps the moment of the lowest ebb of democratic accountability, because of the presence of lame duck members, because the public is exhausted from the non-stop, soul-crushing, circus that is the modern election season, and because it is the time when the possibility of citizens angrily voting against them is furthest off.  And many politicians seem hell-bent on making the worst of it.

Obviously, the lame duck sessions aren’t the only culprit here.  The Republican Party’s lurch to the right has been a product of organizational politics that serve to insulate it from electoral control, and the vast role of money in politics serves to make legislators in both parties dependent on the funders rather than the people (a problem that has gotten worse in recent decades but is not exactly new either–funders have usually set the bounds within which popular politics can operate, as Thomas Ferguson has argued).  There are also almost no independent organizational structures that allow regular people to effectively pressure their representatives.  There are plenty of other undemocratic practices and rules we need to target together, as part of a larger democracy agenda.

Sill, what possible purpose does the lame duck session serve? Elite Washington loves the lame duck session, because what ever little impact the public has on policy in normal circumstances, they would prefer to operate with even less popular interference.

But if you actually care about democracy, how to you justify it? The answer is clear. You can’t.

No more lame ducks.

Written by David Kaib

December 13, 2012 at 10:48 pm

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