Yup. Blake's schoolâa public one, as of this writing, anywayâisn't any cheaper to operate than a private one. But it is “free,” which is another way of saying it is paid for by taxes. It doesn't, in any real sense, compete with private schools on price, and the existence of public schools doesn't get them to keep their prices down nearly as much as the existence of other
private
schools. This aspect of the “public option” in education, however, was lost on the editorial board of the
Times
:
We strongly support inclusion of a public optionâthe bigger and stronger the better. That is the best way to give consumers more choices, inject more competition into insurance markets, hold down the cost of insurance policies, and save money for the federal budget.
“The Public Plan, Continued,”
New York Times
, October 18, 2009
Or maybe not. Here's the
Journal
:
A public program won't compete in a way that any normal business would recognize. As an entitlement, Congress's creation will enjoy potentially unlimited access to the Treasury, without incurring the risks or hedging against losses that private carriers do. As people gravitate to “free” or heavily subsidized care, the inevitably explosive costs will be covered in part with increased outlays to keep premiums artificially low or even offer extra benefits. . . . A public option is the beginning of the end of private health insurance.
“The End of Private Health Insurance,”
Wall Street Journal
,
April 13, 2009
In the end, the Affordable Care Actâdon't you love the way these laws get their names?âdidn't include a public option. The Progressive impulse, however, was still alive and kicking. Deprived of the carrot of what they believed would be low-cost health care paid for by taxes (which are always charged to the most productive members of society), they resorted to a stick: a requirement that every American buy insurance.
Even for Progressives, this was groundbreaking. There had never been a law that required anyone to buy anything at all, just for the privilege of breathing; even their favorite exampleâthe requirement that drivers purchase auto insuranceâwas still a matter of choice: If you want to drive on public roads, you have to have insurance; if you don't want to, you don't have to.
The
New York Times
saw this as a “fundamental question”:
If Congress approves health care reform, virtually all Americans will be required to buy health insurance or pay a penalty. That raises a fundamental question . . .
Could it be? Did the
Times
actually recognize some limit on the legitimacy of the federal government in demanding such a requirement? Uh, no:
. . . a fundamental question: Will the policies be affordable?
“Mandates and Affordability,”
New York Times
, November 1, 2009
No, the “fundamental question” is not affordability; it's
legality
. Here's the
Journal
:
The centerpiece of the Obama-Baucus plan is a decree that everyone purchase heavily regulated insurance policies or else pay a penalty. This government mandate would require huge subsidies as well as brute force to get anywhere near the goal of universal coverage. . . . Everyone would be forced to buy these government-approved policies, whether or not they suit their needs or budget. Families would face tax penalties as high as $3,800 a year for not complying, singles $950. As one resident of Massachusetts where Mitt Romney imposed an individual mandate in 2006 put it in a Journal story yesterday, this is like taxing the homeless for not buying a mansion.
“Another Health-Care Invention,”
Wall Street Journal
,
October 15, 2009
In the end, the debate over Obamacareâa debate that is still going onâis about the most basic principles of the free market: scarcity and choice. Scarcity is what gives things value; choosing one option over another is how we express our own values.
46
In a free market, the way we allocate scarce goods (which is pretty much everything) is by price. When people choose to buy something at one price and not at another, they are (as we free-market types say) “voting with their wallets.” Any argument over the way we buy health careâpills, doctor visits, surgery, wheelchairs, and those inedible meals they serve in hospitalsâthat forgets that all of these things are scarce isn't just antiâfree market; it's antireality.
However, that actually describes not only the Affordable Care Act but the entire health-care industry. Because most of the prices charged by doctors, pharmacies, and hospitals is paid by someone other than the person who actually uses their services, price signals don't really communicate very much. When you need an appendectomyâas I did only a few months agoâyou don't shop around for the best price, partly because, well, you
need
an appendectomy, and partly because you don't pay for it: your insurance does.
What this means is that a whole bunch of very scarce health-care goods are allocated by something other than price, which is by definition inefficient. There are a lot of arguments about how much people should be using price to make health-care decisions, since the alternative to rationing by price is rationing by . . . someone else. You can either recognize this or you can be the
New York Times
:
Critics have charged that this sensible idea would lead to rationing of care. (That would be true only if you believed that patients should have an unbridled right to treatments proven to be inferior.)
“Reform and Medical Costs,”
New York Times
, November 15, 2009
Â
Â
The battle over women's health care emerged after a federal advisory committee recommended recently that younger women should not routinely have mammograms but should first consult with their doctors. . . . Its judgment was seized upon by Republican scaremongers as an example of the kind of “rationing” that would allow government bureaucrats to deny insurance coverage of important health procedures.
“Senate Health Care Follies,”
New York Times
, December 4, 2009
On the other hand (I'm tempted to say the “right” hand), there's the
Wall Street Journal
:
President Obama objects when people use the word “rationing” in regards to government-run health care. But rationing is inevitable if we simply expand government control without fixing the way health care is reimbursed so that doctors and patients become sensitive to issues of price and quality.
“Government Health Plans Always Ration Care,”
Wall Street Journal
, June 25, 2009
And so it goes. It's hard, if not impossible, to tell whether the positions taken by the
New York Times
are so consistently wrong out of ignorance, denial, or a deliberate attempt to gloss over problems that get in the way of the newspaper's Progressive agenda (this is actually a problem with most Progressives). But whether it's electoral results, climate change, financial regulation, or health-care reform, the last two pages of the paper's first sectionâwhere the
Times
makes its editorial positions plainâare one constant in a changing world. If the compass is supposed to point north, you can rely on the
Times
to direct you south.
In testing a statistical hypothesis, scientistsâreally, everyoneâshould be on the lookout for two kinds of error: Type I errors, or false positives, are essentially seeing something that isn't there; false negatives, or type II errors, happen when you fail to see something that is there.
When both occur at exactly the same time, there's a good chance you're reading an editorial in the
New York Times.
Epilogue:
The View from 2011
Writing this book (okay,
thinking
about writing this book) started in early 2009 with the inauguration of President Obama. It endedâsort ofâwith the midterm elections that “refudiated ” (I
love
that word), more than anything else, his economic philosophy.
This whole thing began with one nervous father: nervous about the widespread acceptance of Progressive ideas and especially the uncritical way they were being presented to my children. If you've gotten this far in the book, you know that I recognize that Progressivism has been around, in the United States anyway, for a century, so it's not that I blame everything about its popularity on the current administration. However, from early 2009 to the middle of 2010, it looked a lot like we had arrived at some sort of Progressive nirvana: a government takeover of health care; management of virtually the entire financial industry;
ownership
of more than half of the domestic automobile business; and, of course, close to a trillion dollars in “stimulus” spending that mostly amounted to a gigantic subsidy of the country's public employee unions while
increasing
the nation's unemployment rate
The second half of 2010, however, was a different story: the rise of the Tea Party movement, huge declines in the president's approval ratings, and, of course, the midterm elections, which turned a seventy-six-vote Democratic advantage in the House of Representatives into a fifty-nine-vote Republican majority . . . the biggest change in more than sixty years.
So I should be less nervous now than when I started, right?
Wrong.
As 2010 turned into 2011, our representatives in Washington were attempting to deal with a couple of, shall we say, urgent bits of business. The first was the expiration, at year's end, of the tax cuts originally passed during the administration of George W. Bush. On December 6, congressional Republicans and the president agreed to extend both the Bush tax cuts and federal unemployment benefits, while reducing the taxes that just about everyone would pay into Social Security and Medicare for 2011. It was an expensive gesture: nearly $900 billion in taxes foregone. Almost all of the moneyâeight dollars in ten, by some estimatesâwas aimed at people earning less than $250,000 a year. For Progressives, it was Christmas.
Sure it was.
Calling the Progressive response to the compromiseâwhich it was; no one got exactly what they wantedâhysterical is an understatement. Congressman Jerrold Nadler (D-NY) called the Republicans a “bunch of gangsters.” Richard Trumka, president of the AFL-CIO, called it an “unconscionable giveaway.” Bernie Sanders, the Senate's only (admitted) socialist, gave an eight-and-a-half-hour speech in which the nicest thing he called the deal was a “moral outrage.” Michael Capuano (D-MA) was so peeved that he said that President Obama “may or may not be” the Democrats' best candidate for 2012, a tantrum that was endorsed by such Progressive icons as Keith Olbermann and Ralph Nader.
Why the over-the-top rhetoric? Because in addition to preserving the tax cuts for “ordinary” Americans, the deal did the same for the richâyou know, the people and small businesses that report income in excess of $250,000 a year. The most productive members of society. The ones who do all the hiring and investment. Yup, them.
Or that's how it was reported, anyway, even by reporters who should have known better. The actual compromise didn't tax
people
at different rates; it taxed
income
. Which means that even the richest Americans pay the same tax on their first $250,000 of income that everyone else. But never mind; it's not exactly news that Progressives can't understand tax incentives.
So Progressives, who had been screaming for a second stimulus for months, responded to a deal that would have beenâin the words of conservative columnist Charles Krauthammer, the “largest stimulus in galactic history”âby stamping their Progressive feet and threatening to take their Progressive ball home. The reason was that Progressives don't just stand for a reflexive mistrust of the free market; they stand
at attention
when it comes to redistributing incomeâand that means that anything that didn't punish the wealthy just had to be evil.
Here's how bad it got: I found myself defending the president on
Squawk Box
.
The second, and probably more significant, policy controversy of the end of 2010 was kicked off by the publication of several different plans for reducing the staggering difference between the amount of money that the federal government was obliging itself to spend and the amount of money that the American taxpayer was willing to pay for those obligations. The deficit-reduction plan, first floated by a bipartisan presidential commission, actually showed how it was possible not only to eliminate the ongoing deficit but also to put Social Security back in the black.
The Progressive response? Nancy Pelosi called it “simply unacceptable.” It “told working Americans to drop dead,” according to Richard Trumka. Paul Krugman said that the commission had been “hijacked.”
Yeesh.
Near as I can tell, the reason for such hostility to the Bowles-Simpson plan (named for the commission's chairmen, one a Democrat, the other a Republican) was the way it “gutted” Social Security. It did thisâI swearâby increasing the age at which Americans could receive their full retirement benefits from sixty-five to sixty-sevenâ
seventy-five years from now
.
Progressivism may be hysterical, but it isn't in retreat; it's on the attack. And it retains a powerful set of channels for communicating its philosophy, including television, newspapers, and the Internet.
Oh, and the schools.
Toward the end of the 2010 school year, and therefore the writing of this book, Blake brought home a writing project for her fifth-grade class entitled “Understanding Environmental Concerns.” Here's a sample:
Today you read about the environment and the importance of our country's natural resources. Currently a conflict exists between people who want to reduce the amount of chemicals in the air in order to protect the environment, and those who say it hurts business if we limit the amount of emissions they release.