Political MoJo

Anti-Marriage Futility

| Thu Aug. 4, 2005 11:10 AM PDT

In this month's Reason, Julian Sanchez tracks the ongoing battle over gay parenting. One quote, I think, nicely captures the bizarreness of the anti-gay-adoption position: "many policies don't prevent gay couples from raising children; they just make life more difficult for gay parents and their children." Indeed, barring serious intrusions by the state into the American household—intrusions that no doubt the James Dobson crowd is mulling over right this very second—it's virtually impossible to prevent gay couples from raising children. So the net effect of the crusade against gay marriage will be that gay couples end up raising kids out of wedlock, and many will become, as Jonathan Rauch once put it, "walking billboards for the joys of co-habitation." Now this is just a guess, but it seems that that trend will end up undermining the "institution of marriage" far more than equality for all couples ever would.

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Uninsured Kids

| Thu Aug. 4, 2005 10:35 AM PDT

According to a new study by the Robert Wood Johnson Foundation, upwards of 8.4 million children went uninsured in the United States last year, and as one would expect, many of those go without medical care or fail to go see a doctor when they need one. That's appalling, sure, but what really stands out here is that over 70 percent of these children could enroll in public health care programs—such as Medicaid or SCHiP—but don't, likely because their parents don't even know that their children are eligible.

Part of the blame here rests with state governments, which don't exactly walk the extra mile to alert people to these programs, or else make the requirements bewildering, in order to keep costs down. But setting that aside, this also highlights the fact that, very often, improving health care for the poor depends less on expanding insurance and more on making health care more convenient. In his book, The Escape From Hunger and Premature Death, 1700-2100, Robert Fogel notes:

Keep in mind that the poor are already entitled to health care under Medicaid and that the near poor often receive free health care through county or city hospitals and emergency rooms. Most proposals for extending health insurance involve taxing their wages for services they already receive. Such insurance may relieve the pressure on the public purse, but it will not guarantee better health care. I believe that screening in schools and community clinics has a better chance at success than unexercised theoretical entitlements.

As an argument against universal health care, this seems a bit tendentious. But as an argument that policymakers need to think less about the bewildering world of health insurance and more about making health care accessible—say, improving prenatal care, or free screening at schools, or community health centers—Fogel's on the right path.

Rein in the Advertising

| Wed Aug. 3, 2005 5:25 PM PDT

Steven Pearlstein of the Washington Post reports today that drug company executives have "acknowledged that they had gone overboard in advertising some products and laid out a set of voluntary guidelines for doing better in the future." That sounds nice, but what are the guidelines? Here:

They require companies to provide doctors with more timely information about a drug before touting it on the evening news. They should result in ads that give consumers more useful information and present a better balance between medical risks and benefits. And they may even reduce the risk that you'd have to interrupt the Super Bowl to explain erectile dysfunction to your inquiring 8-year-old.

Better than nothing, I suppose, but this doesn't begin to scrape at the problem, not so long as drug companies increasingly find ways to market new and controversial diseases—diseases that usually just so happen to require drug therapy—and not so long as doctors, many of whom have an overly cozy relationship with the pharmaceutical industry, tend to offer pills for nearly any ailment you can think of. Meanwhile, the new guidelines don't restrict advertising for the many brand-name drugs that offer little or no benefit over cheaper generics. Pearlstein is right on when he notes that most drug advertising is aimed at "artificially creat[ing] the impression in the minds of consumers that such a need exists," even when such a need doesn't exist. And so long as the industry is able to peddle that impression, Americans will continue to spend more and more on drugs they may not even need or benefit from, while premiums and public spending continue to skyrocket.

Sudan on Edge

| Wed Aug. 3, 2005 12:59 PM PDT

In the Lebanon Daily Star, Julie Flint writes on the dire consequences of the death of Sudanese leader John Garang: "For all Garang's flaws, his vision of a 'new Sudan' was a noble one from which he never deviated for an instant, even though a majority of southerners, even within the SPLA and SPLM, reject the unity for which he fought. They want separation. Garang's death puts the new Sudan in jeopardy." See also Eric Reeves' essay on how Garang's death could accelerate the Darfur genocide.

Hack Beats Hackett

Wed Aug. 3, 2005 11:09 AM PDT

Yesterday, Democrat Paul Hackett came within about 4,000 votes of being the first Iraq War vet to be elected to Congress, and the race was far closer than most predicted. Today's post-election run down from the Cincinnati Enquirer doesn't contain much of interest, except for the revelation that Bush had the Republican candidate, Jean Schmidt, hand-deliver a condolence letter to a family in the district whose son was killed in Iraq.

I could understand that sort of action if the candidate were the district's sitting representative, or if the president had sent Ohio's Republican governor, or someone like that. But Schmidt was just an ex-state legislator who led Cincinnati's Right to Life group. Her only qualification to deliver a presidential letter was that it might help her party get another seat in Congress. That might be smart politics, but it's a pretty craven way to manipulate the war dead for political gain. Welcome to Congress, Representative Schmidt. You'll fit right in.

Global Wha...?

| Wed Aug. 3, 2005 11:00 AM PDT

Well, we all thought that the Global War on Terror was being renamed the Global Struggle Against Extremism. Maybe not. Larry Johnson reports:

The counter terrorism community is abuzz over the President's comments yesterday at a principals meeting of the Homeland Security Council. Bush reportedly said he was not in favor of the new term, Global Struggle Against Violent Extremism (GSAVE). In fact, he said, "no one checked with me". That comment brought an uncomfortable silence to the assembled group of pooh bahs. The President insisted it was still a war as far as he is concerned.

So war on terror it is. In any case this doesn't seem like it matters very much to me. Everyone knows what people are talking about when they talk about the "war on terror": it's an inept campaign to bust up the al-Qaeda network that took a wrong turn when the United States decided to invade Iraq and then let various states with terrorist tie develop or come close to developing or maybe even start proliferating nuclear weapons. From all appearances, the "Global Struggle Against Violent Extremism" would simply have come to denote much the same thing. As Ivo Daalder argues, the Pentagon may be rethinking its national security strategy, though that seems unlikely, but the president and vice-president definitely don't seem to be catching on. In that case, they may as well keep the old name.

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Scorpions

| Wed Aug. 3, 2005 10:33 AM PDT

This morning the Washington Post reports that prior to the invasion of Iraq, the CIA had funded, trained, and armed an Iraqi paramilitary group, the "Scorpions," to "foment rebellion, conduct sabotage, and help CIA paramilitaries who entered Baghdad and other cities target buildings and individuals." Then we learn that the Scorpions helped the military interrogate and torture officers captured in Iraq. Not al-Qaeda detainees, not Taliban detainees, not people who were planning to blow up anything in the United States. By the way, given that we invaded Iraq, the Geneva Conventions should very clearly apply there—none of this murky business that the president thinks should apply to al-Qaeda. But guess not. Laws are for pansies. Go read Marty Lederman's analysis here and here. As Lederman says of an Iraqi general who was beaten to death by Army officers:

From all that appears, this was a concerted, planned, systematic and extended series of brutal interrogations, carried out by numerous persons and entities, within the military and the CIA, in a manner that they all considered to be authorized. No rotten apples. No nightshift. Official U.S. policy and practice.

Meanwhile, this is going on, as well as this.

Why the Pull-Out?

| Tue Aug. 2, 2005 5:32 PM PDT

Arms and Influence tries to make sense of the recent surprise announcement that the Bush administration is planning to draw down troops from Iraq in 2006. What are they thinking? Do they really think Iraq is getting better rather than worse? Surely their assessment of what's going on in Iraq can't be that different from everyone else's assessment, namely, that Iraq's going to hell and is all set to implode. Bush may live in a cocoon, hearing only the news he wants to hear, but surely it can't be that bad, right? Alternatively, maybe the administration just plans to pull out regardless and risk letting a civil war erupt in Iraq, thus disregarding everything they've said in the past about "staying the course" and democracy and whatnot. That's possible. Who knows? Here's another interpretation:

My guess—and at this point, it's just a guess—is that we're seeing a combination of different forces at play. There are clear signs that the top levels of the Bush Administration genuinely do see the Iraq war in a more positive light than the general population. There are also reasons to believe that the DoD's manpower crisis has reached a critical level.

Recent polls show that Republican legislators do face a lot of antipathy about Iraq—even if the Democrats continue to look as though they can't lead us to victory, either. All of these pressures may be pushing through different channels of government to the very top, where senior decision-makers may be pre-disposed to seeing progress that isn't really there. Any one of these officials may be of two minds about Iraq: (1) the insurgent groups are defying our best efforts; (2) on the other hand, we could turn the corner tomorrow.

That seems about right. But if that's right, it also means that we're very likely to see a draw-down in 2006 no matter what the situation looks like; too many other outside factors are at work here for the "facts on the ground" to matter all that much.

Is Big Government Dangerous?

| Tue Aug. 2, 2005 3:37 PM PDT

Arnold Kling isn't happy with those who argue "that the market power of corporations is something to be feared, while the coercive power of government is not." I don't know many people who argue both points—the true Stalinists are in pretty short supply these days—but perhaps he means liberals who often prefer a regulated economy to an unregulated one. Well, then. His big argument, it seems, is this:

The best statement of the philosophical case against antitrust is in philosopher Harry Binswanger's essay, "Antitrust: 'Free Competition' at Gunpoint." Binswanger draws a fundamental distinction between economic power and political power. Economic power, he notes, is simply the power to produce and trade, whereas political power is the power of the government and necessarily rests on the use of force or threat of force.
That isn't really the best statement of the philosophical case, is it? Are there still people who believe that economic power is "simply the power to produce and trade"? That it has nothing to do with, say, the power to enter into contracts enforced and upheld by the government, which necessarily rests on the use of force or the threat of force? Where, pray tell, does he think property rights come from? Or the limited liability corporation? Or bankruptcy law? Am I missing something?

The flip-side of this, meanwhile, is that much political power just isn't particularly threatening in any meaningful way. Somewhere in the world, a trust fund exists for highway projects. If I choose to drive, I have to drop a few bucks into it. I can choose not to, though. Then the highway agency build roads and other stuff. It's all big government, and sometimes it generates waste, fraud, and abuse, but the idea that whatever government agency builds highways has "power" over me in a way that, say, Verizon doesn't just seems a bit odd. The same goes for Social Security, which often gets blasted as some monstrous state apparatus. Really, though, it's just an agency that collects money in and sends checks out. On the other hand, when the president of the United States decides he can override the law and hold without trial anyone he deems an "enemy combatant," well, sure, that's the sort of political power one should fear, but that sort of thing doesn't seem so incompatible with the rise of corporate power, now does it?

Costs of War

| Tue Aug. 2, 2005 12:06 PM PDT

Tyler Cowen has a post on the consequences of war in Iraq that makes, among other things, this point:

Today we see many signals that things are going badly. But most of those signals also imply that things would have gone very badly under the alternative scenario for Saddam's fall. A civil war, for instance, may well have happened anyway, albeit later.

The point here is that yes, the United States may well end up causing a full-blown civil war in Iraq. But if so, such a civil war might have happened eventually anyway, with or without a U.S. invasion, so this bad outcome shouldn't mean that the invasion of Iraq was therefore wrong. Well, it's true that civil war in Iraq might have happened no matter what. The United States made some particularly galling mistakes in the early days of the invasion and occupation—not providing security, disbanding the Baathist army, utter incompetence and fraud in the reconstruction process—that made the current mess more likely. But civil war might have happened no matter what the U.S. did. And it might have happened if the United States hadn't invaded.

But the overlooked factor here is what else the United States could have done had we not invaded Iraq. The opportunity costs seem just as important. We could have spent the energy and resources to securing loose nuclear material around the world, or promoting a peaceful democratic transition in a place like Egypt, or stopping genocide in Sudan. We've spent over $200 billion in Iraq; surely we could have found some humanitarian and freedom-enhancing use for that money elsewhere. In our alternate world, Iraq might still have descended into civil war anyway, after, say, Saddam Hussein died—we'll never know of course—but a bunch of other positive things would have happened too.