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sidecross
08-27-2007, 06:07 AM
August 27, 2007

A Socialist Plot

By PAUL KRUGMAN

Suppose, for a moment, that the Heritage Foundation were to put out a press release attacking the liberal view that even children whose parents could afford to send them to private school should be entitled to free government-run education.

They’d have a point: many American families with middle-class incomes do send their kids to school at public expense, so taxpayers without school-age children subsidize families that do. And the effect is to displace the private sector: if public schools weren’t available, many families would pay for private schools instead.

So let’s end this un-American system and make education what it should be — a matter of individual responsibility and private enterprise. Oh, and we shouldn’t have any government mandates that force children to get educated, either. As a Republican presidential candidate might say, the future of America’s education system lies in free-market solutions, not socialist models.

O.K., in case you’re wondering, I haven’t lost my mind, I’m drawing an analogy. The real Heritage press release, titled “The Middle-Class Welfare Kid Next Door,” is an attack on proposals to expand the State Children’s Health Insurance Program. Such an expansion, says Heritage, will “displace private insurance with government-sponsored health care coverage.”

And Rudy Giuliani’s call for “free-market solutions, not socialist models” was about health care, not education.

But thinking about how we’d react if they said the same things about education helps dispel the fog of obfuscation right-wingers use to obscure the true nature of their position on children’s health.

The truth is that there’s no difference in principle between saying that every American child is entitled to an education and saying that every American child is entitled to adequate health care. It’s just a matter of historical accident that we think of access to free K-12 education as a basic right, but consider having the government pay children’s medical bills “welfare,“ with all the negative connotations that go with that term.

And conservative opposition to giving every child in this country access to health care is, in a fundamental sense, un-American.

Here’s what I mean: The great majority of Americans believe that everyone is entitled to a chance to make the most of his or her life. Even conservatives usually claim to believe that. For example, N. Gregory Mankiw, the former chairman of the Bush Council of Economic Advisers, contrasts the position of liberals, who he says believe in equality of outcomes, with that of conservatives, who he says believe that the goal of policy should be “to give everyone the same shot and not be surprised or concerned when outcomes differ wildly.”

But a child who doesn’t receive adequate health care, like a child who doesn’t receive an adequate education, doesn’t have the same shot — he or she doesn’t have the same chances in life as children who get both these things.

And insurance is crucial to receiving adequate health care. President Bush may think that lacking insurance is no problem — “I mean, people have access to health care in America. After all, you just go to an emergency room” — but the reality is that the nine million children in America who don’t have health insurance often have unmet medical or dental needs, don’t have a regular place for medical care, and frequently have to delay care because of cost.

Now, the public understands the importance of health insurance, even if Mr. Bush doesn’t. According to a recent New York Times/CBS News poll, an amazing 94 percent of the public regards the fact that many children in America lack health insurance as either a “serious” or a “very serious” problem.

So how can conservatives defend the indefensible, and oppose giving children the health care they need? By trying the old welfare queen in her Cadillac strategy (albeit without the racial innuendo that made it so effective when Reagan used it). That is, to divert public sympathy from people who really need help, they’re trying to change the subject to the supposedly undeserving recipients of government aid. Hence the emphasis on the evils of “middle-class welfare.”

Proponents of an expansion of children’s health care have, as they should, responded to this strategy with facts and figures. Congressional Budget Office estimates show that S-chip expansion would, in fact, primarily benefit those who need it most: the great majority of children receiving coverage under an expanded program would otherwise have been uninsured.

But the more fundamental response should be, so what?

We offer free education, and don’t worry about middle-class families getting benefits they don’t need, because that’s the only way to ensure that every child gets an education — and giving every child a fair chance is the American way. And we should guarantee health care to every child, for the same reason.


http://select.nytimes.com/2007/08/27/opinion/27krugman.html?hp=&pagewanted=print

craazyman
08-27-2007, 07:17 AM
For example, N. Gregory Mankiw, the former chairman of the Bush Council of Economic Advisers, contrasts the position of liberals, who he says believe in equality of outcomes, with that of conservatives, who he says believe that the goal of policy should be “to give everyone the same shot and not be surprised or concerned when outcomes differ wildly.” [/url]

<Rant>

Yeah, good stuff Greg.

Why don't you go buy a rifle in case Al Queda knocks on your door? Don't tax me for protecting you with B-52s, spy satellites and HumVees. You think your outcome might differ wildly without the U.S. Army to protect your white little butt? I bet you've never even had firearms training.

The thing is, Gregg. YOu probably grew up in a family that didn't have a rifle range out back and Grandpa and the Uncles to teach you how to shoot straight and skin a deer. So what should we do? Leave you to starve? Or give you a gun and drop you off in the middle of the woods?

That's equality of opportunity.

But the problem is that eventually, you'd shoot yourself or someone else and you'd cut your fingers off trying to make dinner. So eventually we'd have to send in a search team and clean up after you. Frankly, it's less trouble for all of us if we just give you a hand up front.

Clear thinking economists refer to this as a "public good."

I guess you can be on the Council of Economic Advisers and still be a moron.

</Rant>

willoweyes
08-27-2007, 09:45 AM
Sometimes Craazy's convoluted irony leaves me lost and bewildered, but damn! I think we may be on the same side here.

and frankly, I'm no economic wizard--I actually do count on my fingers, and I've never quite figured out how they got people to put so much faith in paper, but--what are we talking about? I thought middle class people paid taxes to support schools, and health care, and stealth bombers. So what's this about middle class welfare? If a middle class child needs health care, it has been paid for by middle class people--or am I missing something?

suebee
08-27-2007, 09:55 AM
jeeze for once i agree with everything you said c-man!!

maybe its just that the republicants have no one smart left in the party and so all the crony appointments are necessarily reflective of this?

sidecross
08-27-2007, 11:36 AM
It is quite obvious that a society that pays for public education should not see a difference in paying for public health care.

Having a public health care system is certainly better than Bush’s comment: “I mean, people have access to health care in America. After all, you just go to an emergency room”

The U.S. in preventing infant mortality is ranked 28th in the world; this is a disgrace in how the U.S. measures ‘wealth’.

bopes
08-27-2007, 12:03 PM
Obesity rates climb in most states (http://news.yahoo.com/s/ap/20070827/ap_on_he_me/obesity_rankings).

Looks like we're being fattened up for the slaughter.

sidecross
08-28-2007, 05:17 AM
August 28, 2007

Holding Kids Hostage

By BOB HERBERT

The governors of New York and New Jersey were upset and not trying to hide it.

“We had zero forewarning,” said New Jersey’s Jon Corzine. “It was sprung at 7:30 on a Friday night in the middle of August, the time when it would draw the least fire.”

He was talking about the Bush administration’s latest effort to thwart the expansion of the popular Children’s Health Insurance Program. Governors in several states are trying to include more youngsters from the lower rungs of the middle class and have vowed to fight the president on this issue.

Acting during a Congressional recess, and making a distinct effort to stay beneath the radar of the news media, the administration enacted insidious new rules that make it much harder for states to bring additional children under the umbrella of the program, known colloquially as CHIP.

The program is popular because it works. It’s cost effective and there is wide bipartisan support for its expansion. But President Bush, locked in an ideological straitjacket, is adamant in his opposition.

In addition to the new rules drastically curtailing the ability of governors to expand local coverage by obtaining waivers from the federal government, the president has threatened a veto of Congressional efforts to fund a more robust version of the overall program.

“It’s stunning,” said New York’s Gov. Eliot Spitzer. “He says he’s going to veto health care for kids because it’s too expensive at the same time that these continuing resolutions for the war, where we don’t even know what the cost is, are going through unabated. This is insanity.

“Everybody agrees this is the right thing to do except the Bush administration.”

Health coverage for poor children is provided by Medicaid. CHIP was originally designed to cover the children of the working poor. That has worked well, but there are still huge numbers of families who need help.

“The reality,” said Governor Spitzer, “is that there is an enormous proportion of American society above the poverty level but in the lower middle class that simply can’t afford health coverage.”

Wherever there are large numbers of families without coverage, you will find children who are suffering needlessly and, in extreme cases, dying. They don’t get the preventive care or the attention to chronic illness that they should.

“That has not only an immediate effect on their development,” said Mr. Spitzer, “but a long-term cost to society that is incalculable.”

Several states, including New York and New Jersey, have used federal waivers to raise the family income ceiling for eligibility to participate in CHIP. New Jersey, for example, offers coverage to the children of families with incomes as high as 350 percent of the official poverty rate for a family of four, which is $20,650 a year. New York has an upper limit of 250 percent of the poverty rate and is trying to raise it to 400 percent.

State officials said the onerous new rules would make it all but impossible to offer coverage beyond 250 percent of the poverty level.

Administration officials have argued that the CHIP program should adhere closely to its original intent of limiting coverage to families only slightly above the official poverty line. They said there is a danger that families with higher incomes would begin substituting CHIP for private insurance coverage.

The reality is that under the administration’s approach enormous numbers of children in families without a lot of money will be left with no coverage at all, private or otherwise. The expansion of CHIP is the most efficient, cost-effective way of reaching those youngsters.

Denying CHIP to such families forces them to seek out hospital emergency rooms when medical treatment can no longer be postponed. “I see it every day,” said Governor Corzine. “If you’re uninsured, particularly with children, if you don’t have a place to go, that’s where people show up.”

What’s happening is cruel. Children who should be eligible for CHIP are being held hostage to policies driven by a desire to protect the big insurance companies and an ideology that views CHIP, correctly, as yet another important step on the road to universal health care.

Ronald Reagan, one of the tribunes in the fight against Medicare and Medicaid back in the ’60s, pumped up the warnings against “socialized medicine” by saying that if Medicare becomes a reality “you and I are going to spend our sunset years telling our children and our children’s children what it once was like in America when men were free.”

I wonder what crazy things the ideologues think would happen if CHIP is expanded to cover the children who have no health insurance today.


http://select.nytimes.com/2007/08/28/opinion/28herbert.html