Monday, May 30, 2011

Passages

Daughter Laura is visiting with us from Portland OR.* She joined Ginny and me for our 38th wedding anniversary dinner at Siena, a favorite restaurant. Really, 38 years! On her agenda today, a Memorial Day family cook-out at our place, and celebration of Dad's 93rd birthday! With Mom, too, 89. Dad's health is slipping fast, but he is still unbowed and in there fighting. Mom's dementia challenges her, but whenever, wherever she can, she holds on. It is good, if a little sad, for Laura to be here at this time.

We are selling our house in EG, RI; it has been our home, then summer refuge, for 24 years. It is time. Naples FL is our home base now, has been for a few years. So Laura is also here to go through the boxed memories of her growing-up years, to select those things she will keep and treasure. It is a nostalgic time for her. But good memories, all good.

Awaiting us all are the inevitable corners that must be turned, the bows that must be tied--then, the new people and places to be embraced. Passages.


[*Son Adam and his wife Nilofer cannot be with us. They have just moved from Spokane WA to Irvine CA, and are acclimating to a new home and work responsibilities. But Adam had earlier taken what he wanted from among the things of his youth.]

Sunday, May 29, 2011

"Direct" Democracy's Erosion of Representative Democracy--and the Republic

I'm an Independent--a real Independent--and a fan of David Brooks. We part ways on some issues, of course, but I tend to agree with much that he writes. But I've never agreed with him more than I do with his recent column in the NYT. It's about the problem of America's drift toward "direct" or plebiscite democracy--simple majority rule, by any other name--and away from properly functioning elected leadership roles in a representative democracy. Mr. Brooks:
The United States, as you know, was founded as a republic, not simply as a democracy. The distinction has been lost over the past few decades, but it is an important one. The believers in a democracy have unlimited faith in the character and judgment of the people and believe that political institutions should be responsive to their desires. The believers in a republic have large but limited faith in the character and judgment of the people and erect institutions and barriers to improve that character and guide that judgment.  
America's founders were republicans [small "r"]. This was not simply elitism, a matter of some rich men distrusting the masses. This was a belief that ran through society and derived from an understanding of history...The first citizens of this country erected institutions to protect themselves from their own shortcomings. We're familiar with some of them: the system of checks and balances, the Senate, etc. More important, they believed, was public spiritedness — a system of habits and attitudes that would check egotism and self-indulgence.  
[T]he meaning of the phrase "public spiritedness" has flipped since the 18th century. Now we think a public-spirited person is somebody with passionate opinions about public matters, one who signs petitions and becomes an activist for a cause. In its original sense, it meant the opposite[:]...curbing one's passions and moderating one's opinions in order to achieve a large consensus that will ensure domestic tranquility. Instead of self-expression, it meant self-restraint. It was best exemplified in the person of George Washington.  
Over the years, the democratic [small "d"] values have swamped the republican ones. We're now impatient with any institution that stands in the way of the popular will, regarding it as undemocratic and illegitimate. Politicians see it as their duty to serve voters in the way a business serves its customers. The customer is always right... 
We no longer have a leadership class — of the sort that existed as late as the Truman and Eisenhower administrations — that believes that governing means finding an equilibrium between different economic interests and a balance between political factions. Instead, we have the politics of solipsism. The political culture encourages politicians and activists to imagine that the country's problems would be solved if other people's interests and values magically disappeared.  
The democratic triumph has created a nation that runs up huge debt and is increasingly incapable of finding a balance between competing interests. Today, the country faces three intertwined economic challenges. We have to make the welfare state fiscally sustainable. We have to do it in a way that preserves the economic dynamism in the country — that provides incentives for creative destruction. We also have to do it in a way that preserves social cohesion — that reduces the growing economic and lifestyle gaps between the educated and less educated.  
These three goals are in tension with one another, but to prosper America has to address all three at the same time. 
Voters will have to embrace institutional arrangements that restrain their desire to spend on themselves right now. Political leaders will have to find ways to moderate solipsistic tribalism and come up with tax and welfare state reforms that balance economic dynamism and social cohesion.  
--"The Politics of Solipsism," by David Brooks, The New York Times (5.5.11)
Most people appear to miss or misunderstand this point; their history or civics courses just didn't stress enough this distinction about a properly functioning republic based on popular election of leader-statesmen. It was James Madison, an architect and draftsman of our Constitution and the Bill of Rights, an author of the Federalist papers, and President of the United States--as well as other early thinkers on democracy--who warned of the dangers of plebiscite democracy. As today's leaders abdicate their roles and duties, we move more, faster in that direction. Mr. Madison:
Pure democracies have ever been spectacles of turbulence and contention; have ever been found incompatible with personal security or the rights of property; and have in general been as short in their lives as they have been violent in their deaths. 
[And further:] The effect of [a representative democracy is] to refine and enlarge the public views, by passing them through the medium of a chosen body of citizens, whose wisdom may best discern the true interest of their country, and whose patriotism and love of justice will be least likely to sacrifice it to temporary or partial considerations. 
---The Federalist Paper No. 10, Publius (James Madison)**
And England's estimable, ever vigilant and thoughtful Edmund Burke offered the following reflection making the same point:
 Certainly, Gentlemen, it ought to be the happiness and glory of a Representative, to live in the strictest union, the closest correspondence, and the most unreserved communication with his constituents. Their wishes ought to have great weight with him; their opinion high respect; their business unremitted attention. It is his duty to sacrifice his repose, his pleasures, his satisfactions, to theirs; and, above all, ever, and in all cases, to prefer their interest to his own. But, his unbiased opinion, his mature judgment, his enlightened conscience, he ought not to sacrifice to you; to any man, or to any sett of men living. These he does not derive from your pleasure; no, nor from the Law and the Constitution. They are a trust from Providence, for the abuse of which he is deeply answerable. Your Representative owes you, not his industry only, but his judgment; and he betrays, instead of serving you, if he sacrifices it to your opinion. 
--"Speech to the Electors of Bristol," Edmund Burke (3 Nov. 1774), Works of the Right Honourable Edmund Burke, 1:446--48 (London: Henry G. Bohn, 1854--56)
President Eisenhower and Edmund Burke embraced the same view on the imperative of a compromising spirit in leadership:
All government, indeed every human benefit and enjoyment, every virtue, and every prudent act, is founded on compromise and barter. 
--Edmund Burke 
People talk about the middle of the road as though it were unacceptable. Actually, all human problems, excepting morals, come into the gray areas. Things are not all black and white. There have to be compromises. The middle of the road is all of the usable surface. The extremes, right and left, are in the gutters. 
---President Dwight D. Eisenhower 
It is hard not to see some of the warned-against weaknesses of direct democracy playing their part in the crisis levels of our national and local debt. It is sad and dispiriting, but so very human, to observe the demands from every income level or political orientation that someone else bear the costly burden of recovery--including the cost of essential reform to necessary public goods, human services, and retirement and health programs. And, of course, no group sees the need or fairness in raising their taxes, and that prominently includes high income folks: "Oh no, not us, we must keep our money and consumption to contribute to economic growth." Among other dispiriting aspects are the bankruptcy-threatening levels of public retirement and healthcare obligations blithely agreed to by politicians for peace and votes from state and municipal public employees. And a concomitant darkening of the larger economic picture is provided by the uncomfortable dominance of China as financier of our irresponsibly distended national debt.

And then there are the ills of state government, which in many ways are succumbing to the same temptations and failures of direct democracy in various forms. The Economist recently ran a Leaders piece and a Special Section on the perils of "extreme democracy," focusing on California as the poster child for irresponsible, unaccountable state government and the abdication of elected leadership to increasing direct, referendum democracy.
The debate about the merits of representative and direct democracy goes back to ancient times. To simplify a little, the Athenians favoured pure democracy ("people rule", though in fact oligarchs often had the last word); the Romans chose a republic, as a "public thing", where representatives could make trade-offs for the common good and were accountable for the sum of their achievements. America's Founding Fathers, especially James Madison and Alexander Hamilton, backed the Romans. Indeed, in their guise of "Publius" in the "Federalist Papers", Madison and Hamilton warn against the dangerous "passions" of the mob and the threat of "minority factions" (ie, special interests) seizing the democratic process. 
Proper democracy is far more than a perpetual ballot process. It must include deliberation, mature institutions and checks and balances such as those in the American constitution. Ironically, California imported direct democracy almost a century ago as a "safety valve" in case government should become corrupt. The process began to malfunction only relatively recently. With Proposition 13, it stopped being a valve and instead became almost the entire engine.  
You don't know what you've got till it's gone 
All this provides both a hope and a worry. The hope is that California can right itself. Already there is talk of reform—though ironically the best hope of it may be through initiatives, since the push for a constitutional convention died last year for lack of money. There is talk, too, of restoring power and credibility to the legislature, the heart of any representative democracy. That could be done by increasing its unusually small numbers, and making term limits less onerous. 
More important, direct democracy must revert to being a safety valve, not the engine. Initiatives should be far harder to introduce. They should be shorter and simpler, so that voters can actually understand them. They should state what they cost, and where that money is to come from. And, if successful, initiatives must be subject to amendment by the legislature. Those would be good principles to apply to referendums, too. 
The worry is that the Western world is slowly drifting in the opposite direction. Concern over globalisation means government is unpopular and populism is on the rise. Europeans may snigger at the bizarre mess those crazy Californians have voted themselves into. But how many voters in Europe would resist the lure of a ballot initiative against immigration? Or against mosque-building? Or lower taxes? What has gone wrong in California could all too easily go wrong elsewhere. 
---"The perils of extreme democracy: California offers a warning to voters all over the world," The Economist (4.23.11)
We can be grateful that in their practical wisdom, the founding fathers crafted a representative democracy to lead us, a republic that contemplated that it's elected representatives were to be as much statesmen representing the nation's interests as representatives of the narrower interests of particular, often provincial constituencies. All would be popularly elected, but there would be a balancing of powers and representative roles among the executive function and a bicameral legislature to prioritize and balance the representation of those tiered constituencies. 

That "balance of powers" has been largely effective. And if our representative democracy has sometimes been an uneven and rocky road of political, economic, and social turns and changes, we've come out of each challenge a stronger, better government, a stronger, better society and nation. On the whole, it has functioned well enough to accommodate the development of the most stable, advanced and generous social democracy, and the most robust, productive market economy, in the history of the world.

But now things have changed. The wrong turns, errors, protracted delays or failures to act--our political irresponsibility, abdication of leadership roles, and dysfunction--are now more widespread, more irresponsibly accepted than ever before, and they are subject to finer tolerances as the global community and economy is less forgiving.

As much or more than any other time in our history, our two dominant political parties have now become internally dominated by the most extreme elements of their constituencies. This is particularly true of the Republican party and its resurgent, now dominant right wing, and their cousins, the Tea Party. Where once, both parties united behind the executive on matters of global importance, that is no longer the case. Where there was often compromise on legislation and matters clearly in the country's interest, that is no longer the case, either. Rather, in a time of clear, sometimes dire, national and global challenges--both economic and societal--the Republican leadership now says that its principal goals and priorities are to deny the Democratic president re-election, and to deny or reverse any legislation advanced or passed during his term in office. That's what it has come to. That is the range of vision and depth of responsibility that now passes for national and international leadership. And this is our face to the world that still looks to us with hope for more balanced, responsible global leadership.

If there have been times in our history when the dysfunctional polarization of party leadership and members has rendered our government less able to serve the best interests of the country--at home and abroad--it was clearly not at a time when so much was at stake, when effective, timely and balanced responsiveness was so critical to the nation and the international community. And it was not at a time when the ascendant economic, military and geopolitical power and influence of other countries was so clearly poised to take advantage of our internal weakness, even to threaten or eclipse our power and influence in the world.

But once this addictive, destructive opiate--abdicating more to direct democracy--is out of the bottle, how do we get it back in? How do we save ourselves--except by those same politicians suddenly realizing and embracing the essential need for their responsible leadership?


**Federalist No. 10 is an essay written by James Madison and the tenth of the Federalist Papers, a series arguing for the ratification of the United States Constitution. It was published on Friday, November 23, 1787, under the pseudonym Publius, the name under which all the Federalist Papers were published. The essay is the most famous of the Federalist Papers, along with Federalist No. 51, also by Madison, and is among the most highly regarded of all American political writings.[1] (Wikipedia)

**Federalist No. 51 is an essay by James Madison, the fifty-first of the Federalist Papers. It was published on Friday February 8, 1788 under the pseudonym Publius, the name under which all the Federalist Papers were published. One of the most famous of the Federalist Papers, No. 51 addresses means by which appropriate checks and balances can be created in government and also advocates a separation of powers within the national government. One of its most important ideas is the pithy and often quoted phrase, "Ambition must be made to counteract ambition." (Wikipedia)

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Tuesday, May 17, 2011

Vermont To Be First "Single Payer" Health Insurance State

I must admit, I didn't see this coming. But after all, we are talking about Vermont. I just didn't think any state would be ready to take on such an ambitious, daunting commitment: creating a statewide, "single-payer" health insurance system. But they have. It will take some years to get there, but they have the outline of a plan, and the commitment to pursue it. And I'm pleased they did, for it may turn out to be just the experiment we need to better inform us about the possibilities and the barriers. Here's more from a recent edition of The Economist:
...In Vermont Peter Shumlin, the Democratic candidate for governor, insisted that Barack Obama's reforms had not gone far enough. "Vermont needs a single-payer system," he told voters. "Get insurance companies out of the picture." Mr Shumlin won the election. Now he is preparing to fulfill his promise. 
On May 5th Vermont's legislature passed a bill that lays out steps to adopt a single-payer health system. Mr Shumlin is expected to sign the bill shortly. No state is likely to follow Vermont's lead, at least in the near future. But with Vermont, America begins its first experiment with government-run health care.  
Vermont is an appropriate setting for the test. It is the state that re-elects Bernie Sanders, the self-described socialist senator who in 2009 presented a 700-page single-payer amendment. For local politicians, reforming health care is something of a hobby. They have debated universal coverage for decades, notably in the 1990s. But they have also enacted other changes, such as a state-subsidised health plan and a requirement that insurers cover services for autistic children. Vermont's Medicaid programme is among America's most generous. As a result only 10% of Vermonters are uninsured, according to the Kaiser Family Foundation, compared with 17% of Americans. Health spending per person is 15% higher than the national average.  
---"The American exception: Vermont may become the first state to have government-run health care," The Economist (5.14.11)
But if per capita health care spending in Vermont is 15% higher than the national average, what is the game plan to significantly reduce healthcare costs, and move toward the level of some of the European single-payer systems that operate at half the per capita costs of the US? From the same article:
The new law attempts to expand coverage and lower costs. The state will move forward in two steps. The first goal is to create a health exchange by 2014, as required by the national health reform. The second is to use the infrastructure of that exchange, such as a single system for paying claims, to introduce publicly-funded health care in 2017. An independent board will set payment rates for doctors and hospitals, as well as benefit packages for patients. Costs will be contained, Mr Shumlin says, by cutting administrative expenses, slashing fraud and rewarding doctors for the quality rather than just the quantity of care.
As moved as I am to see healthcare as a "public good," and the need for a government-based, single-payer system to equitably and effectively administer it, there's more to cost reduction and cost containment than that. It's not just about the insurance structure, as friend Dieter Haussmann, informed observer and skeptic of a single-payer US healthcare insurance system, is wont to remind me. It's about effective cost reduction and cost containment; that's the sine qua non of any universal health care system if it is to be both effective and affordable. And it has to be both.

Dieter is understandably skeptical about the ability of government to effectively lead and manage such an enterprise, especially on such a cost-conscious basis. The government record in the US is not inspiring. And regardless of my insistence that among those single-payer systems in other countries are good benchmarks for healthcare coverage policy, cost-efficient service systems, and good medical practice, those countries have their cost containment challenges, too.

But Vermont clearly appears to appreciate that there are many unresolved issues and unanswered questions to be addressed as they move forward: how to reduce cost per capita, to be sure, but also related issues of defining the scope of services and identifying reliable funding sources:
However, this progress may not proceed as hoped. Single-payer systems are not a panacea—health spending is growing at a faster clip in Britain and Canada than in America. Furthermore, the main aspects of Vermont's plan have yet to be worked out. Most crucial, politicians have not decided how the scheme will be funded. In a study for the state legislature, William Hsiao of Harvard University recommended a payroll tax on companies and employees, rather than paying for it out of general taxation. But the governor's office has until 2013 to present a plan. It is also unclear which health services will be covered and how to pay for Vermonters who seek care out-of-state. And the whole scheme will need federal approval.
This process in Vermont should be instructive for the rest of the country to observe. I am hopeful, of course. But I have questions about whether a small state has the economies of scale and resources to prove a good test of the possibilities. But it's the only opportunity we have, and we are fortunate to have that. I'll be watching; so will Dieter. So will the nation, the Democrats, Republicans, Independents, all.

Saturday, May 14, 2011

One or Two Things: Mary Oliver

Mary Oliver so often provides what I need, when I need it--whether I'm looking for it or not, whether I know I need it or not. It's so easy to relate to her most insightful, transcendent or uplifting reflections on life as she looks deeply at the simplist, most common earthly things and events. But now and then she surprises with that sober reflection, that recurrent lesson of reality, that causes us to stop and just feel it, often uncomfortably, then look for something more comforting or transcendent. Reading through Dreamworks (1986) again, I was struck that way by parts of one poem I'd read a few times before:


One or Two Things

1
Don't bother me.
I've just
been born...

3
The god of [earth]
came up to me many times and said
so many wise and delectable things, I lay
on the grass listening
to his dog voice,
crow voice,
frog voice;
now, he said,
and now,
and never once mentioned forever,

4
which has nevertheless always been,
like a sharp iron hoof, at the center of my mind...

7
For years and years I struggled
just to love my life. And then

the butterfly
rose, weightless, in the wind.
"Don't love your life
too much," it said,

and vanished
into the world.


Just the instinctive reflection of her spiritual intuition? Perhaps. Or, perhaps her own translation and experience of the Zen, Sufi or Christian contemplatives? But isn't it also possible to see a foreshadowing of her future life-and-loss lessons, her spiritual rebirth, her own deeper, personal experiences and understandings to come?


Tuesday, May 3, 2011

Osama bin Laden. Pakistan.

On Sunday, May 1, 2011, based upon new American intelligence, and at the direction of President Obama, an elite American SEAL team succeeded in it's mission to take Osama bin Laden. He was killed in a compound in Pakistan not far from Islamabad, and he had apparently been there for some time.

So it is done, finally. Everything's been said, and said again. There is joy, a shared national, even global joy about it--and also relief, but the kind attended by a shade of unhappiness and resignation that it unavoidably took so long.

We were so close to him in those early days in the Tora Bora mountains of eastern Afghanistan. It's been a long time. And for some time we've heard the coninuing, apparently credible reports that Pakistan was often protecting, even directing and financing the Taliban and its leaders, perhaps even keeping Mullah Omar. We dared not think Osama bin Laden, for there was little al Qaeda presence in Afghanistan or Pakistan--and Pakistan couldn't be that bold.

But then we found him. He was in a high-walled, large and conspicuous compound without any detectable communications connections. It was located in an affluent community some 60 miles from the Pakistan capital, Islamabad, and two miles from their principal military academy. And the residents of that community include many Pakistani military families.

When it was built five years ago, someone might have noticed how unusual it was for that residential area, both in size and configuration. Someone might have noticed how anonymous the occupants, how clandestine, perhaps furtive, their activities--especially given it's location, neighbors, and the reputation of the Pakistani intelligence service (ISI) for knowing all that goes on and who is doing it.

Surely it is apparent why President Obama chose not to inform the Pakistani government or military of our mission to take bin Laden from that compound--and in all likelihood, take him dead.

Congratulations to the intelligence team and the elite SEAL team that made the mission possible and made it a success. Now we must sort out what kind of continuing relationship with Pakistan remains necessary for regional stability and security--and what kind of relationship is still workable, given our history with this unreliable, mendacious "ally," whose interests and agenda have often proved contrary to our own.