Now tell me that this bill is the best we can hope for, and do it without blaming what we’re getting on evil conservatives. This bill is not the best we can get, but it is exactly what Obama and the DLC types wanted…because they’re not on your side.

This is a bill that the insurance industry, for-profit hospitals and pharmaceutical companies will accept. They’re willing to accept it because without the sorts of “reforms” contained in this bill they will experience catastrophic failure and massive amounts of popular ill will in the not too distant future. That’s why it’s accurate to call this a preemptive bailout rather than reform.

At this point, the bill does not regulate insurance rates. It stipulates that you can’t be denied coverage or limited in your use of insurance, but it does not regulate how much you’ll pay for that coverage. It only says that you’re required to purchase coverage. The end effect then is to entrench the current system so deeply that further reforms are unlikely to be successful…actual reform that is. Politicians may fiddle around the edges, but the system that delivers sub-optimal care at great cost is here to stay.

Theoretically, the federal government will subsidize those who cannot afford the insurance they’re mandated to purchase, but note that these subsidies will have a fair amount skimmed off the top before they pay for any actual health care.

Never mind the happy talk about how people without coverage will soon be transported to a magical land of possessing health insurance. This bill privatizes the profits and socializes the losses, funneling tax dollars to insurance companies rather than using them to provide health care.

Mr. Obama and his party have found a way to subsidize a value subtracting industry and do so on your dime, all while telling you that this is the best they can do and that it all comes from their great love for you, the peasants.

They’re liars, and they’ll continue putting the screws to you for as long as you keep believing their lies.

It takes a great deal of gullibility to swallow the idea that this is the very best possible. It requires willful ignorance of the proceedings. Did they mobilize the activist base to push hard for the best possible options with the knowledge that some compromise would be necessary? Nope. They took all that off the table before beginning negotiations. Did they look around the world for all the different ways to address this issue and present them to the American people for debate? Nope. They held secret meetings with the industry they’re supposedly reforming before the process started. (Shades of the Bush-Cheney energy policy, but we don’t want to draw those types of comparisons, do we?)

Did a new president with a strong mandate, a deep pool of eager activists and fine oratorical skills ever make a pitch to convince the majority of Americans – of all political affiliations – that we can…and we must…do something about this issue that will put us on a strong social and economic future for the long term. Nope. He pretty much crafted this bill behind the curtain and then pretends that his hands are tied by recalcitrant Congresspeople from the GOP and the necessity of bipartisan warm fuzzies. And please note that when it comes down to the actual action, he’s now willing to pass the bill on party lines…after twisting the arms of all the dissenters in his party, but only his party.

As my opening, anecdotal evidence suggests, Obama could have end run the GOP and appealed directly to the American people. With a good plan he probably could have gotten the support necessary for real reform. He didn’t because he never wanted anything that resembles real reform. He’d rather sell us a ramshackle “starter home” sitting on an unsound foundation with an APR mortgage that will probably be underwater before we can even make a dent in the principal. That’s right, the “richest country in the world” can only afford a shithole house in a crappy neighborhood. Be happy with it, America, because it’s the best we can get.

Part 2 of 2. (Read part 1…)

It’s Time to Separate Church and State, Once and for All

If you recall, anti-Catholic prejudice was once a problem for Catholic politicians in the US. John F. Kennedy went so far as to address the issue head-on in his 1960 campaign – probably because he didn’t feel he had much choice. Here’s what he told the Greater Houston Ministerial Association on September 12 of that year:

I am not the Catholic candidate for President. I am the Democratic Party’s candidate for President who also happens to be a Catholic. I do not speak for my Church on public matters — and the Church does not speak for me.

He went on to assert his respect for the separation of church and state and vowed that Catholic officials would not dictate policy to him. As noted in part 1, the times, they have a-changed.

In 1960 it was “anti-Catholic prejudice.” In 2010 it’s “empirical evidence of improper behavior by the Roman Catholic Church.” And it’s time it stopped. Cold.

If I were a Congressman, I’d introduce a bill yesterday stripping all US operations of the Roman Catholic Church of their tax-exempt status. At the press conference announcing the move I’d also say something along these lines: “I won’t be running for re-election – what could possibly be the point? However, between now and the day I leave office, I’m going to raise hell 24/7/4ever over this issue. I know that I’ll probably never get my bill into a committee hearing, let alone get it out of committee, but if Richard Dawkins, Sam Harris and Christopher Hitchens can draw as much attention as they have, I feel certain that I, as a sitting member of the United States Congress, can get booked on every talk show in America. Rest assured, my fellow citizens, this is going to make for some epic television.”

Of course, I’m not Congressional material. If you want to know what Congressional material is, recognize that representatives of a foreign theocracy are inside Congress shaping policy … and not a damned one of the spineless sacred whores on Capitol Hill has uttered a fucking syllable in protest.

Did I miss something?

“America is a Christian nation.” It certainly is. Sort of. It’s a Christian nation in the same way that it’s a white nation, a heterosexual nation, a right-handed nation and a nation with brown hair. That is, “Christian” is the majority position. Boy howdy, is it the majority position, with a majority of the population saying it believes angels and demons are active in the world and 80% saying they believe in miracles. Hell, even our atheists and agnostics sound a little religious. A snapshot of American religious affiliation that I offered up back in 2007 is instructive:

• Polls show the percentage of Americans identifying themselves as Christian ranging as high as 85% or beyond.
• The president is a Christian…
• …as is the VP.
• The Speaker of the House is Catholic…
• …and the Senate Majority Leader is Mormon.
• Well over 90% of our Congressional representatives are Christian, with a majority of the remainder being Jewish.
• The Supreme Court features seven Christians and two Jews.
• All of our major presidential candidates in both major parties.
• Almost all of our past presidents; depending on how you count Unitarians, you have to go all the way back to Lincoln (ironically enough, the founder of the GOP) to even find one to debate over;
• Hell, even sports franchises are starting to build their operations around the evangelical litmus test.
• It seems unlikely that a similar review of the legislatures and courthouses in the 50 states would reveal too much variation from this overpowering Judeo-Christian norm.

There’s no denying that we’re a Christian culture – in many ways, that’s a simple math question and it’s about as controversial as noting that whites of European descent are the racial majority. But Christian culture and Christian government aren’t the same thing, and the United States is most emphatically not a Christian state. Not yet, anyway.

Reflecting back on my “if I were a Congressman” fantasy from above, I suppose I’d spend the remainder of my time in office asking the audiences of those TV shows to think about a proposition: to wit, while most Americans are Christian, “Christian” describes a lot of different things and not one unitary thing. Dr. Sid’s “modest proposal” from a couple of months back was more about provoking than persuading, but at its core there’s an important question. If you’re a Christian, you may want to see a more Christian government. But if you’re a Baptist, do you want to see a more Catholic government? If you’re Catholic, how are you going to react when the Texas School Board is co-opted by Mormons and all of a sudden the nation’s textbooks are filled with lessons that transform the hallucinations visions of The Prophets into stone cold fact? If you’re a member of the Foursquare Bible Congregation in Smallpond, Alabama, you probably agree with the Stupakers on abortion, but how do you feel about the idea that your duly elected representatives are keeping counsel with that German eunuch in the pointy hat?

Think about it, Christian supermajority. Think hard.

Crawling Toward a More Rational Future

Evidence suggests that there may be hope in the long run.

From USA Today:

The percentage of people who call themselves in some way Christian has dropped more than 11% in a generation. The faithful have scattered out of their traditional bases: The Bible Belt is less Baptist. The Rust Belt is less Catholic. And everywhere, more people are exploring spiritual frontiers — or falling off the faith map completely.

These dramatic shifts in just 18 years are detailed in the new American Religious Identification Survey (ARIS), to be released today. It finds that, despite growth and immigration that has added nearly 50 million adults to the U.S. population, almost all religious denominations have lost ground since the first ARIS survey in 1990.

“More than ever before, people are just making up their own stories of who they are. They say, ‘I’m everything. I’m nothing. I believe in myself,’ ” says Barry Kosmin, survey co-author.

From FutureMajority:

The American Religious Identification Survey (ARIS) also found that a movement towards claiming no religious affiliation is “a general trend among younger white American.” The Pew Forum on Religion and Public Life reported “people not affiliated with any particular religion stand out for their relative youth compared with other religious traditions.”
…
The National Journal profiles a growing faction of non-religious youth – the Secular Student Alliance (SSA). Their motto is “Mobilizing Students for a New Enlightenment.” The SSA’s chapters have grown from 42 in 2003 to 129 this year and they currently have a network of over 14,000 students. Their mission is “to organize, unite, educate, and serve students and student communities that promote the ideals of scientific and critical inquiry, democracy, secularism, and human based ethics.”

From AlterNet:

We are on the verge — within 10 years — of a major collapse of evangelical Christianity. This breakdown will follow the deterioration of the mainline Protestant world and it will fundamentally alter the religious and cultural environment in the West.

Within two generations, evangelicalism will be a house deserted of half its occupants. (Between 25 and 35 percent of Americans today are Evangelicals.) In the “Protestant” 20th century, Evangelicals flourished. But they will soon be living in a very secular and religiously antagonistic 21st century.

This collapse will herald the arrival of an anti-Christian chapter of the post-Christian West. Intolerance of Christianity will rise to levels many of us have not believed possible in our lifetimes, and public policy will become hostile toward evangelical Christianity, seeing it as the opponent of the common good.

Millions of Evangelicals will quit. Thousands of ministries will end. Christian media will be reduced, if not eliminated. Many Christian schools will go into rapid decline. I’m convinced the grace and mission of God will reach to the ends of the earth. But the end of evangelicalism as we know it is close.

So perhaps in the 2020s and beyond the Bible-thumping Jesus Jihadi yahoo will be a thing of the past – or at least, his inexplicable influence on the course of government will be. But that’s of little comfort today. Just because the good guys win the war eventually doesn’t mean they don’t lose battles along the way, and lost battles mean casualties, measured in lasting damage to real human lives. Even if it’s just ten years until we’re free of these crusaders, understand that a lot of mischief can be done in a decade. If I might put it in more meaningful terms, remember how long George Bush was in office? Add two years to that.

Not that it will do any good, but your Senators and representatives need to hear from you that it is not acceptable for the Catholic Bishops to be meddling in the people’s business. Separation of church and state. Today.

When Jesus attacks, the proper course of action is to smack him in the nose with a crowbar. It says so, right there in the Constitution.

Part 1 of 2.

I tripped across a provocative headline in the Wall Street Journal the other day: “They Need to be Liberated from Their God.” Turns out the story was about Mosab Hassan Yousef and his spying on Hamas. Which was a little disappointing. There’s no doubt that Palestinian Muslims need to be liberated from their god, but given the recent explosion in documented attacks by US Christians on their fellow Americans (as well as on reason and basic common sense), I thought perhaps the WSJ was going to be the first mainstream “news” outlet to do a story on Jesus Gone Wild!

I keep a running tab of stories that strike my interest. Taken individually, each might suggest a particular narrow social pathology, which is to be expected in a nation of 300 million. But over time they accumulate into a gestalt, with all the small pictures adding up to a disturbing big picture. For instance:

Item: Pope warns against witchcraft in Angola

(AFP) – Mar 21, 2009

LUANDA (AFP) — Pope Benedict XVI issued a warning against witchcraft Saturday during his visit to Angola, after calling on African leaders to battle corruption and drawing a tough line against abortion.

Item: Pope in Africa reaffirms “no condoms” against AIDS

YAOUNDE, March 17 (Reuters) – Pope Benedict on Tuesday reaffirmed the Roman Catholic Church’s opposition to the use of condoms in the fight against AIDS as he started a visit to Africa, where more than 25 million people have died from the disease in recent decades.
…
“It (AIDS) cannot be overcome by the distribution of condoms. On the contrary, they increase the problem,” he said in response to a question about the Church’s widely contested position against the use of condoms.

The disease has killed more than 25 million people since the early 1980s, mostly in sub-Saharan Africa, and some 22.5 million Africans are living with HIV.

Item: Rape row sparks excommunications

By Gary Duffy
BBC News, Sao Paulo

A Brazilian archbishop says all those who helped a child rape victim secure an abortion are to be excommunicated from the Catholic Church.

The girl, aged nine, who lives in the north-eastern state of Pernambuco, became pregnant with twins.

It is alleged that she had been sexually assaulted over a number of years by her stepfather.

The excommunication applies to the child’s mother and the doctors involved in the procedure.

The pregnancy was terminated on Wednesday.

Abortion is only permitted in Brazil in cases of rape and where the mother’s life is at risk and doctors say the girl’s case met both these conditions.

Police believe that the girl at the centre of the case had been sexually abused by her step-father since she was six years old.

Item: Did the Mormons baptize Obama’s mother, after her death, without his knowledge or consent? A: Yes, they did.

A reader contacted me last week, saying that last year, in the heat of the presidential campaign, the Mormons had posthumously baptized Barack Obama’s mother, Stanley Ann Dunham. Baptizing the dead of other faiths, secretly and without the consent of their families, is a common Mormon practice. For the past fifteen years the Mormons have caused quite a stir by forcibly baptizing Jewish Holocaust victims – in other words, converting them to Mormonism – despite strong objections from the Jewish community.

Thus, it’s hardly a stretch to imagine the Mormons’ doing this to Obama’s mother. Still, I had no proof. Then yesterday, I received a document. It’s allegedly a screen capture of the registration-only section of the Mormon-run Web site, FamilySearch.org. In that screen capture, excerpted above, is clearly the name and correct date of birth and death of Barack Obama’s mother (Stanley Ann Dunham, born 29 Nov 1942 in Kansas, died 07 Nov 1995) and the date of her alleged post-death baptism by the Mormons.

Item: Catholic schools bans child whose parents are gay

Last week, a standing policy of the Archdiocese of Denver denied a child from enrolling in the Sacred Heart of Jesus Catholic School for kindergarten next year because the student’s parents are lesbians.

Currently the student is in the school’s preschool program and will be allowed to finish the year, according to Jeanette DeMelo, a spokeswoman for the archdiocese.

“It’s clear if they only accept students with perfect parents, they would have almost nobody,” said Beth Osnes, an organizer for the protest. “I know they have the right to, but why would they want to?”

Inside the church, the Rev. Bill Breslin addressed the issue in his sermon. He also posted his comments on his blog.

“If a child of gay parents comes to our school, and we teach that gay marriage is against the will of God, then the child will think that we are saying their parents are bad,” Breslin said on his blog. “We don’t want to put any child in that tough position.”

Please note: this is happening in the People’s Republic of Freakin’ Boulder!

That’s some big picture, huh? It’s gotten so bad that even former president Jimmy Carter, a man as responsible as any for introducing the poison of evangelical influence into the mainstream of modern politics, has had enough.

Of course, you live here. You read the news. That a lot of Christians are out of control isn’t a real revelation, is it? But lately, the goddamned Catholic Church has been making an unusually immoral and anti-Constitutional nuisance of itself. For instance:

• The Catholic Church is ending its long-standing relationship with St. Charles Medical Center in Bend over a surgical birth-control technique. Note, that’s Saint Charles the place is named after.
• The United States Conference of Catholic Bishops has issued a directive for Catholic health care that insists on inflicting artificial “life” sustaining techniques on dying (or functionally dead) patients despite the wishes of the patients or their families.
• And it doesn’t matter whether you’re even Catholic or not – all you have to do is be in the building.
• 300,000 Terri Schiavos, anyone? Let’s face it, the opinion of one reactionary geezer in Rome has now trumped centuries of ethical progress.

Still, we’re talking about their facilities and they’re paying the bills, and they have the right to control their operations the way they see fit, no? Well, maybe, maybe not. Ignoring the wishes of the patient, especially when those wishes are legally expressed in something like a living will, that’s pretty appalling, but I guess you could make the argument.

Even if you won that argument, though, get a load of the latest shenanigans from our friendly Catholic Bishops, who have now offered their “help” in wrangling an outcome in the Senate. You know, because that would make democracy better and stuff.

The Roman Catholic bishops signaled Thursday that if agreement is reached with House leaders on anti-abortion language, the church would work to get the votes needed to protect the provisions in the Senate — and thereby advance the shared goal with Democrats of health care reform.

“We would strongly urge everyone, Democratic and Republican, to vote to waive the point of order,” Richard Doerflinger, an associate director of the U.S. Conference of Catholic Bishops, told POLITICO. “Whether it would be enough to get to 60 votes, I can’t predict. We would certainly try.”

“I think it’s something we should explore,” said Rep. Dale Kildee (D-Mich.), a longtime opponent of abortion. “It could be something that could carry out the bishops’ objective.”

And why not? The Bishops have “helped” before, after all.

In November, the bishops drove a tough bargain, winning an amendment by Rep. Bart Stupak (D-Mich.) that would severely restrict the ability of even private companies to provide abortion coverage under new state insurance exchanges. That House deal — since weakened by the Senate — is what the bishops want to revive now as part of Obama’s final push on health care. But to survive the Senate, any revisions would need 60 votes to overcome points of order under the expedited reconciliation procedures being contemplated.

David Dayen observes, astutely enough, that “the Catholic bishops want to show a measure of dominance over the US government.” His nuanced look at the tactical knife fight of this particular backroom liturgical drama is helpful to those trying to understand how sausage law gets made.

Meanwhile, those of us out here beyond the Beltway can perhaps be forgiven for saying “wait a sec – back the truck up.” An organized cabal of Roman Catholic aparatchiks are so far up Congress’s ass that they’re openly discussing how they’re going to inject Vatican dogma into a US health care bill?

Excuse me?

The Constitution is clear that what you believe is your business, and I have no problem with that. But when your beliefs inspire actions that hurt the innocent, that systematically victimize those who believe other things, then I start to care. When those beliefs fuel actions that harm me and impinge on my freedoms, well, that’s the point where it becomes self-defense, isn’t it?

Tomorrow: Divide & Conquer

I asked my representative, “What’s the agenda when you return to Washington?”

I did not get any “inside information”. He told me that the newly enlarged Democratic majority led by the newly elected Democratic President would first work to stabilize the financial crisis and then move on to tackling health care reform. If i remember correctly, the goal after that was Iraq…but i can’t be sure. It was a long time ago now and i’m not always the best listener.

We’ll skip over the Democratic Party’s idea of stabilization and financial industry reform. To some degree that situation was forced upon them, and while they continue to do a shitty job from a Main Street perspective, that should come as no surprise. Look at who filled their campaign coffers.

Health care was the battle that the Democrats chose. Many (if not most) of us who voted for them wanted that battle. It’s a good battle, because the US needs health care reform badly. Too many hard-working Americans fall victim to the lack of decent health care, and far too many have their financial future ruined by our current system designed to produce ever-increasing quarterly profits rather than providing health care.

I’ve yet to read anyone who says that either of the bills we’re looking at are good. There are plenty of people who want the reform badly, but see a process so botched that they’d rather kill the bills than accept table scraps from the insurance industry. Of course, there is a chorus of professional and amateur pundits telling us to be satisfied with incremental improvements and that what we see is the very best that we can hope to get right now.

Bullshit. If there’s one thing that’s perfectly clear, it’s that from the perspective of Democratic leadership the most important thing is not health care reform itself. The important thing is to be able to say that the Democratic Party achieved “health care reform”. When the President says that he’s 95% satisfied he’s not necessarily saying that he likes 95% of the bill (though he might be saying that). He’s saying that he’s satisfied by any bill reaching his desk for signature.

He’s already comparing himself to FDR and making statements about how no other Democratic President has achieved what he’s about to achieve. See, this isn’t about the reform, it’s about electoral politics.

Making the insurance companies and the pharmaceutical companies happy means campaign contributions; that much is clear and understandable…if sleazy. The problem is that there’s some sort of alternate reality generator running in Washington D.C. that completely disconnects politicians from their constituents. The GOP is salivating at the passage of “Obamacare”, because it will be the political equivalent of a two by four with framing spikes pounded through. Not only have the Republicans got the kind of change they can believe in, they’re going to bash Democrats over the head with it for years to come.

LBJ famously gave up the South for a generation to do the right thing. Mr. Obama can make no such claim, because he’s not doing the right thing. He’s setting the stage for a grand screwing over of the American people that will cost his party at the polls for at least as long as LBJ’s civil rights actions. But that is apparently okay by him so long as he can say, “I signed a health care reform bill.”

The apologists cry that something is better than nothing reeks of hollow, political expediency. Do any of them really think that either of these bills (or the reconciled version of both) will be significantly improved upon in the near future? I know that it’s the popular meme to throw at the discontented, but really…how about showing us some examples of that process that are less than four decades old.

I want health care reform, and while i fully understand that politics is the art of the possible, i do not accept that trope as an excuse for doing a thoroughly shitty job. Negotiations are always about the possible, but only a fool starts them by offering less than what he’s willing to accept in the end.

Then again, “Democrats on Crack” explains a lot in very few words, doesn’t it?

Still, if that whole scene set your plausibility alarms to ringing, you might want to brace yourself for this one.

Think Progress makes a great catch on C-SPAN this morning: Someone calls in while Sen. John Barrasso (R-WY) is answering the lines, practically in tears because Sen. Jim Inhofe (R-OK) missed this morning’s procedural vote on health care.

He was apparently concerned that — after following Sen. Tom Coburn’s (R-OK) instructions to pray that someone couldn’t make a manager’s amendment vote Sunday night — his prayers for Sen. Robert Byrd (D-WV) to die struck the wrong senator.

“Our small tea bag group here in Waycross, we got our vigil together and took Dr. Coburn’s instructions and prayed real hard that Sen. Byrd would either die or couldn’t show up at the vote the other night,” the caller said.

Let’s review. A teabagger, following the lead of his duly elected Congressfolk, gets together with his fellow Christians and prays that God will kill a political opponent.

WWJW? Sen. Byrd, that’s who.

There’s so much wrong here it’s hard to know where to start. But suffice it to say that these mouth-breathers worship one more hateful god. Further, this god is apparently a bad shot – if you’re aiming for Byrd and only manage to wing Inhofe, well, omnipotence is right out the window, huh?

Maybe in the next Spidey sequel they can cast Sen. Coburn and his drooling band of lobotomized Christian teabaggers as the villains. But while we’re waiting on the fantasy to arrive at a theater near us, isn’t it nice to know that these people are free to roam the streets in reality?

UPDATE: TPM wonders if the caller was a prankster. Could be, could be. Hard to say for sure, but it’s certainly plausible. It’s just a shame that we live in an age where we have things like “citizens” carrying assault rifles to political rallies to consider – makes it hard to sort reality from fantasy.

Image Credits: Panchosoft.com and Raymond Pronk

Contributions to all federal candidates for House and Senate seats and the presidency from the 2000 through 2010 election cycles totaled $9.7 billion, according to an S&R analysis of records aggregated by the Center for Responsive Politics.

Contributions to candidates and committees in all 50 states, from 2000 through 2009, totaled about $14.5 billion, according to records aggregated by the National Institute on Money in State Politics.

In this decade, thanks to computerization of records and a few top-notch, non-partisan organizations, we’ve learned how to follow the money. Well, so what? Has vastly increased public visibility of political money changed the way politics operates?

The $24.2 billion spent on campaign contributions is only part of the story. Over the past decade, $23 billion has been spent by corporations, labor unions, and other special-interest entities to lobby Congress and federal agencies, according to records aggregated by the center.

More than $45 billion has been spent in the decade now ending to influence legislation and regulation at state and federal levels of government. It’s only conjecture, of course, but it’s hardly likely that the bulk of those billions of dollars was intended to improve the lot of the 99 percent of adult Americans who did not make campaign contributions or made gifts of less than $200.

Where did the $24.2 billion in campaign donations come from? Only a tiny fraction, generally in the tenths of 1 percent, of Americans over age 18 make campaign contributions of more than $200. Those who give more than $1,000 are even fewer — but the amounts given by those latter donors total significantly higher.

The bulk of the decade’s nearly $10 billion in donations to federal candidates came from special interests and individuals associated with specific special interests who gave $200 or more. According to the center, the top special-interest givers in the election cycles in this decade, generally in this order, were

the finance, insurance and real-estate industries; lawyers and lobbyists; miscellaneous business; ideological and single-issue donors; the health industries; communications and electronics; labor; agribusiness; energy and natural-resource interests; transportation; and the defense industry.

Corporations and individuals associated with these special interests donated more than $8 billion this decade to federal candidates. And the leader in campaign largesse for the decade and in each election cycle, at $1.62 billion, or more than 16 percent of all campaign contributions to federal candidates? The winner, by a wide margin, are the finance, insurance and real-estate industries.

The number of lobbyists has increased from 10,641 in 2000 to 13,426 this year. Now, that’s the number of people who have legally registered as lobbyists. There are plenty of revolving-door people (those who have left the Hill or the executive branch to become lobbyists and vice versa) who are not registered as lobbyists but are as influential. Consider the example of former Sen. Tom Daschle, who claims he’s a “resource” for his health-care industry clients and not a lobbyist.

Those interested in studying campaign finance and lobbing — who’s giving the money and who’s getting it — have two non-profit and non-partisan organizations to thank for ready, intelligible access to FEC and state election commissions data. They are the Center for Responsive Politics and the National Institute on Money in State Politics, which provides “free online access to public records in all 50 states, to document political donor and lobbyist contributions to policymakers.” Also helpful is Earmark Watch, a project of Taxpayers for Common Sense and the Sunlight Foundation, which helps expose what these billions of dollars can buy from legislators.

These groups have become technologically more savvy. Tracking campaign contributions and lobbying dollars can be narrowly focused on such data more easily than using the FEC’s website or state election data websites. The center and the institute now have talented staffers who frequently write analyses of donor data, especially when a particularly topic is in the news.

Congress irritated by the college football Bowl Championship Series? There’s the center’s Dave Levinthal on the Capital Eye Blog, detailing how much money the BCS, News Corp., the NCAA and major football universities are giving to whom for what purpose.

Wondering whether Congress will include legal importation of drugs from abroad (i.e., Canada) in health-care reform? There’s Levinthal again, pointing out that the pharmaceutical and health-products industries have spent nearly $200 million in 2009 to oppose it.

Want to know how much money the health-care industry has spent trying to influence state legislation and regulation? There’s the institute’s Anne Bauer, telling you “[i]n the last six years, major players in the health care industry gave $394 million to officeholders, party committees and ballot measure committees in the 50 states.”

When the short-term, high-vig payday loan industry sought to reinvigorate itself (i.e., screw the borrowers) through the ballot box, there was the institute’s Tyler Evilsizer to explain that in Arizona and Ohio, “donors from the industry gave more than $35 million to support ballot measures that would allow them to continue operating.”

Computerization of records and sophisticated staff allow an organization such as Citizens for Responsibility and Ethics in Washington, aka CREW, to track robocall ethics complaints against Sen. John McCain, develop a list of the most corrupt members of Congress, and keep track of the revolving door moves of White House staffers and cabinet members.

Yes, the governed can quickly track donations to those who govern or seek to govern. Yes, the governed can track the money spent by individuals, corporations, PACs and unions to legally influence those who govern. Yes, the governed can easily see how easy and legal it is for big spenders to influence legislators and regulators.

So what have we gained because we can do this? Not much.

Over the decade, corrupt politicians have been imprisoned for a variety of crimes. Convicted of crimes such as fraud and bribery, they were selfish and for sale. What they did was illegal.

But what remains unabated in the American political system is legalized corruption. The heightened ability to track political money does nothing to prevent the dramatic increase in legal campaign giving and the host of ethical and moral conflicts that so much money places in front of incumbents, challengers, and regulators.

We’ve seen the amounts of money spent to legally attain and maintain political power grow to such amounts that billionaires now spend tens of millions of dollars to finance their own campaigns. Modern elections trivialize issues and maximize dependence on name recognition. That costs money, which forecloses the possibility that better-qualified candidates who are not as wealthy can prosper at the ballot box.

We’ve seen how those with money to spend and an agenda to enact gain access to the levers of power, as did players in the health-care reform debate behind closed doors in the Obama White House.

Consider the consolidation of media, its threat to competitiveness, its anti-trust implications, and its potential to maintain unreasonably high consumer prices for news and entertainment. When Comcast announced its intended $30 billion purchase of NBC Universal from General Electric, its lobbyists flooded the Hill. Through September of this year, Comcast has spent $9.1 million on lobbying. The Federal Communications Commission must approve the sale.

Comcast’s 20-member D.C. lobbying team, reports Politico’s Kenneth P. Vogel, includes “former aides to Senate Majority Whip Dick Durbin (D-Ill.), Sens. Byron Dorgan (D-N.D.) and Kay Bailey Hutchison (R-Texas), former Senate Majority Leader and Obama confidant Tom Daschle (D-S.D.), Rep. John Dingell (D-Mich.), former House Speaker Dennis Hastert (R-Ill.) and Democratic Federal Communications Commissioner Michael Copps.” (Oh, look: There’s “confidant” Daschle acting as a “resource” again, “aides” notwithstanding …)

Continual increases in media consolidation by conglomerates reduce the likelihood that Americans’ monthly bills for cable, Internet, satellite, and telephone services will decrease.

Earlier this month, the House faced an impending vote on what Paul Krugman of The New York Times called “a quite modest effort to rein in Wall Street excesses.” Three days earlier, wrote Krugman, “Republican leaders met with more than 100 financial-industry lobbyists to coordinate strategies” to sidestep banking reform. All Republicans and 27 Democrats voted against the measure. (Gosh, what wonderfully independent thinking from our members of Congress.)

That means it’s less likely that credit will flow readily and credibly to America’s small businesses and consumers, and that more Americans may lose their homes unfairly.

And the drug-industry lobbyists? We’ve seen how lobbyists for pharmaceutical giant Genentech have written statements that 42 members of Congress from both parties have “revised and extended” into the Congressional Record.

That means it’s likely the out-of-pocket cost (and that inherent in premiums) for prescription medications is likely to grow as a percentage of Americans’ expenditures even as their wages have remained stagnant through the past decade.

We continue to see the fruits of lobbying in which special interests reap financial reward at little cost, such as the American Jobs Recovery Act that provided no jobs but $100 billion in tax breaks for corporations.

Are Americans better off because of the ease with which they can track who gives how much money to the people who would represent them and propose and pass laws that may help or hinder Americans’ lives, liberties and pursuit of happiness? No. That’s because incumbents and challengers don’t care a whit that this system is so blatantly and transparently stacked toward the influence wrought by so much money.

We point fingers at the financially oiled, undue influence of special interests. Our legislators and regulators just shrug: “So what?”

No legislative intent lies on the horizon of the next decade that would stem the shameful influence of money on the conduct of legislators and regulators and what they do, or fail to do, in the public’s interest. There will be no sufficient, substantial changes in campaign finance laws or congressional ethics policies to end this system of legalized corruption.

No reform candidates exist on the horizon immune to the blandishments the crassly monied political system can promise or proffer.

From 2010 to 2019, expect more of the same. Another $45 billion will speak louder than you or me to those who govern us.

This year the in the United States Senate the majority party risks long-term annihilation if it does not do everything in its power to pass health care reform complete with a new government subsidized insurance program. To this end a traditional filibuster forced upon the minority by the Majority Leader instead of a winter recess, complete with round-the-clock sessions, continuous minority speeches, and a ready quorum of majority party senators, trumps letting the minority return home to conduct caustic town hall meetings. The Majority Leader could (and should) continue the current Senate session until its scheduled re-convention in January, at which time a weary nation would welcome the use of “budget reconciliation rules” to pass reform.

A full blown filibuster, where failure of the minority to hold the floor before a quorum of majority party senators determined to pass the bill, would require that all the Senate’s other business would already be finished and the only task left would be either session adjournment, or bill passage.

With the Senate’s agenda concluded, the Majority Leader can deny the courtesy of allowing a “procedural filibuster.” The minority would be then compelled to conduct a traditional filibuster and to continuously address the Senate as long as the majority maintains a quorum. If the minority fails to hold the Senate floor then the majority will simply vote and pass the bill. If the majority fails to maintain a quorum, the Senate adjourns until it reconvenes in January.

The importance of the majority party demonstrating its determination and using all its legal powers is paramount to the survival of the party. If the leadership of the party shows a lack of discipline or resolve in attempting to make into law a proposal that they have campaigned relentlessly on for forty years, there will be a breach of faith between the leadership and the party faithful who have given decades of support. If the party faithful come to see the elected party leaders as ineffectual, they may conclude that the leaders are either inept or corrupt. Either of these conclusions will lead to a lack of voter support and subsequent electoral loss. Not only will the he party faithful be disillusioned but the unaffiliated voters will come to see the majority party as incompetent.

Convincing unaffiliated voters of the soundness of one set of policy options over another is the key to governing. These independent voters are swayed by both the truthfulness and soundness of an argument as well as the perceived leadership ability of the elected leaders. During a marathon filibuster conducted through out the late December holidays the independent voters would be forced to take stock of both parties’ resolve and conduct.

Having the attention of these voters is a double edged sword. The minority party’s arguments, both intellectual and emotional, would get a full airing both on the Senate’s floor and in all the news media outlets. It is in these outlets that the real debate over the health care reform bill would be carried out. There is a danger that the minority will be more persuasive but it is a risk that must be taken if health care reform is to be realized. Without a full throttled attempt at passage this year the majority risks far more than not passing a bill, it risks self implosion.

Kevin Marley is the long time brewmaster at the Denver  ChopHouse and Brewery. He is a husband and a dad and has voted more times than he can remember.

As a felon, Jefferson has had equally despicable company: Rep. Andrew J. Hinshaw, R-Calif. (accepting a bribe); Rep. Charles Diggs Jr., D-Mich. (payroll kickback scheme); Rep. Michael Myers, D-Pa. (accepting bribes from FBI agents impersonating Arab businessmen); Reps. John Murphy, D-N.Y., Frank Thompson, D-N.J., John Jenrette, D-S.C., and Raymond Lederer, D-Pa. (Arab businessmen bribery scandal, a.k.a. Abscam).

And Rep. Mario Biaggi, D-N.Y. (extorting money from a defense contractor); Rep. Mel Reynolds, D-Ill. (sex with underage campaign worker, bank fraud); Rep. Walter Tucker III, D-Calif. (accepting and demanding bribes); Rep. Dan Rostenkowski, D-Ill. (felony mail fraud); Rep. James A. Trafficant, D-Ohio (bribery, conspiracy and racketeering); Rep. Randy “Duke” Cunningham (accepting bribes from defense contractors) and Robert W. Ney, R-Ohio (Abramoff scandal). I’m sure readers can name more.

The collective misfortune of these men is that they got caught. Each undoubtedly said to himself, “I am invincible. I am a member of Congress.” They all assumed membership in the biggest-of-all-members-only clubs provided a get-out-of-jail-free card. But the real reason they believed they could get away with accepting bribes and committing extortion is that members of Congress have been doing it legally for years.

Jefferson may serve 13 years. Prosecutors say he probably earned less than $400,000 despite seeking millions in illegal bribes from “oil, sugar, communications and other businesses, often for projects in Africa,” said The New York Times. But he’s raked in about $6.45 million in campaign contributions since 1990, half from political action committees, according to the Center for Responsive Politics database. More than $600,000 came from lawyers and law firms. (Wonder if the sharks will return his calls now.)

Prosecutors focused on the $90,000 federal agents found in Jefferson’s freezer. The public should have been more focused on Jefferson’s legal sources of campaign bucks, in the same way it should have paid less attention to the penis of that other two-faced Louisiana legislative poseur, Sen. David Vitter, and more attention to the sources of his campaign funding.

We the voters, the people who have watched health-care costs starkly climb ever higher, who see taxes rising exhorbitantly at all levels, who witness the quality of education for our children wither, who watch jobs vanish overseas and unemployment rise, and who are frightened that decades-old safety nets are tattered beyond repair, have become so inured to the corrosive role of money in politics that we forget that politicians are continously but legally bribed by monied interests. And it should stop.

Ask Glenn Greenwald of salon.com. In a video for Larry Lessig’s change-congress.com, he explains how Sens. Joe Lieberman, I-Conn., and Evan Bayh, D-Ind., are threatening to filibuster any health-reform plan with a public option. Lieberman, says Greenswald, is “drowning in campaign contributions” from the health-care industry — more than $2.5 million — and his wife landed a cushy job in 2005 with PR flacksters Hill & Knowlton, representing pharma giant Glaxo. Several months later, Lieberman sought to steer incentives to Glaxo to develop vaccines.

“This is the kind of legalized corruption, legalized bribery, that runs the United States Senate,” says Greenwald. “Only in this case it is particularly sleazy and transparent because Lieberman is ready to gut the major initiative of the Democratic Party.”

Bayh’s wife, says Greenwald, “sits on the board of directors of WellPoint, one of the largest health-insurance companies in the nation. [The Bayhs] own, by their own disclosures, between $500,000 and a million dollars in WellPoint stock. … When Sen. Lieberman threatened to filibuster the public option … the value of the stock of the health-care industry skyrocketed … and personally benefited the finances of the Bayh family.”

Bayh’s wife was paid more than $2 million between 2005 and 2008. Bayh, in 2008, received $500,000 in campaign contributions from the health-care industry, says Greenwald.

“It’s really clear corruption,” says Greenwald.

Politicians defend their financial associations with large corporations (and unions) and wealthy individuals. They call it “campaign financing.” Sadly, we’re too accustomed to this shameless dance now, aren’t we?

A member of Congress, or someone who aspires to be one, gets on the phone and calls people who have lots of money. Often those people run very large enterprises, such as corporations (or unions). Those corporations, driven by the dictum “maximize shareholder income” (or, increasingly, “maximize CEO compensation”), would like members of Congress to make those tasks easier. Politicians say such donations only provide access to their ears, not their actions. The big corporate and PAC donors — or their hired lobbyists — say they’re only legitimately promoting the causes of their companies and clients.

Bullshit. It has been known for decades that lobbyists are often in the room, helping congressional staff write — or writing themselves — legislation. Earlier in this decade, tax-law experts from General Electric shaped an export tax reform bill that saved GE hundreds of millions of dollars.

Lobbyists’ dictation of politicians’ words and deeds has become even more blatant. New York Times reporter Robert Pear wrote Nov. 14 that lobbyists wrote and sought to have supportive statements about health-care reform placed by members into the Congressional Record prior to the Nov. 5 vote:

In the official record of the historic House debate on overhauling health care, the speeches of many lawmakers echo with similarities. Often, that was no accident. Statements by more than a dozen lawmakers were ghostwritten, in whole or in part, by Washington lobbyists working for Genentech, one of the world’s largest biotechnology companies. … Genentech, a subsidiary of the Swiss drug giant Roche, estimates that 42 House members picked up some of its talking points — 22 Republicans and 20 Democrats, an unusual bipartisan coup for lobbyists. [emphasis added]

A lobbyist created the messages and supporting documents and e-mailed them to members. Lobbyists denied any malevolent intent. Said one, quoted anonymously by Pear: “This happens all the time. There was nothing nefarious about it.”

In the past five years, Genentech has spent nearly $10 million on lobbying expenses. In the past decade, Genentech has contributed more than $1 million to federal candidates. Pear reports Genentech’s PAC has made contributions to some of the members who used its talking points and that company officials had hosted fundraisers for some.

And, of course, there’s no quid pro quo, right? Wrote Pear: “Evan L. Morris, head of Genentech’s Washington office, said, ‘There was no connection between the contributions and the statements.’” [emphasis added]

Bullshit again. It is, as Greenwald says, legalized corruption. Imagine if I, as an individual voter living in a rural district, had asked my congressman to insert under his name words I wrote about health-care reform into the Congressional Record. He would say no. (Or rather, the staff member I’d get shunted off to would say no.) But when Genentech said jump, 42 members of Congress asked, “How high?”

Don’t kid us. It’s legalized corruption. Remarks members of Congress revise and extend into the Congressional Record, we now see, have been actually written by lobbyists. So what do the clowns we elect to office do for the $174,000 we pay them (and with very nice health-care bennies, too)?

A handful of Republican senators, led by Sen. Jim DeMint, R-S.C, think they have an answer — a constitutional amendment to limit how long a person may serve in Congress. Apparently, senators would get 12 years, while representatives would get only six years. (Imagine that bill’s conference committee, eh?) On his Senate website, DeMint writes:

As long as members have the chance to spend their lives in Washington, their interests will always skew toward spending taxpayer dollars to buy off special interests, covering over corruption in the bureaucracy, fundraising, relationship building among lobbyists, and trading favors for pork, in short, amassing their own power.

Don’t be misled. After all, what’s to prevent the current system of lobbyists, legalized corruption, and greed from buying new sets of politicians every six or 12 years? Being new, they’ll come cheap, too.

Members of Congress need mountains of money to obtain and retain political power. They spend hours each day dialing donors and asking for, or demanding, campaign contributions. That’s the extortion part of the equation. Donors demand at least an ear and now, we see, actual words printed in the Congressional Record. That’s the corruption part. All that separates many uncharged and unjailed members of Congress from Jefferson and his imprisoned pals is an FBI wiretap.

Changing the politicians through term limits has little merit. Instead, get rid of the current system of campaign finance. If members of Congress were willing to bail out banks with hundreds of billions of dollars, demand that they allow the public to outbid special interests. Lobby members of Congress (yep, I said lobby) to drastically and dramatically overhaul public election financing. Demand that members of Congress place in the federal budget each year sufficient billions of dollars to pay for every federal and statewide election in the country. Give incumbents and challengers alike plenty of public money. But cut them off at the financial knees if they accept a single dime of corporate, union, or PAC money.

If our politicians continue to insist on being bought, let the public do the buying.

It’s also clear from an article in The Colorado Independent that this is only half of what the amendment’s authors intended.

“It’s intended to account for human beings who may be created through asexual reproduction in laboratories and used as raw material for research, organs, or stem cells. Fertilization would not have properly applied to asexually reproduced humans, but even asexually reproduced human beings have a definite biological beginning,” [Gualberto Garcia] Jones explained. (Jones heads the organization that initiated this year’s amendment)

That this law could be interpreted to include sperm is an ironic example of the law of unintended consequences.

The amendment’s final language, on which Colorado will vote in November 2010, is as follows:

SECTION 1. Article II of the constitution of the state of Colorado is amended BY THE ADDITION OF A NEW SECTION to read:
SECTION 2. Person defined. As used in sections 3, 6, and 25 of Article II of the state constitution, the term “person” shall apply to every human being from the beginning of the biological development of that human being.

So what does “biological development” mean? Last year’s amendment defined a person as starting with a fertilized egg (and it lost by a 3:1 margin), and the new amendment could be interpreted to mean the same – a zygote is a person.

But this time, the amendment’s language is even broader. The Independent article makes it clear that this was intentional on the part of the amendment’s authors. The language was written specifically to “to be more comprehensive in our definition of a person,” and the result is that, if passed, the amendment will outlaw abortion, many types of birth control, stem cell research, and could potentially outlaw fertility clinics.

“Beginning of the biological development.” That phrase may be perfectly clear to a conservative Christian abortion activist like Jones, lawyers and judges will have a more difficult time interpreting what it does to Colorado’s laws.

Last year, our own Dr. Slammy and commenters pointed out a number of the absurdities that went along with last year’s failed amendment, such as allowing a pregnant woman to drive in the HOV lane, the legal drinking age becomes 20 years, 3 months, sex with a pregnant woman becomes menage-a-trois, a woman who is not aware that she is pregnant while engaging in a harmful activity of any kind could be charged with neglect, and so on.

The new proposed amendment is even broader in its possible interpretation because a single cell – an egg – would be defined as a “person” this time. And as a result, the possible ramifications are even more farcical.

The problem is that it’s really hard to define when a “person’s” biological development starts. You could say that it starts when an egg is fertilized and be relatively safe (if it passes in 2010 and survives the inevitable legal challenges, that’s probably how this amendment would ultimately be interpreted). But it’s possible that the amendment would be interpreted more broadly. After all, that egg started its development years or decades before it was fertilized. If the egg is damaged, then the “person’s” development will be adversely affected. And damaged eggs happen all the time – they’re one of reasons for miscarriages and failures to conceive. Does that mean that we need to protect a woman’s children when they’re eggs in a girl toddler’s immature ovaries? And how, exactly, are we going to do that?

Are we willing to charge prepubescent girls with child neglect for daring to play soccer and risking ovary damage? What’s next, forcing women to wear petticoats and ride horses sidesaddle? Actually, I suspect that many of Jones’ supporters would find cultural regression to Victorian or Puritan values to be pleasantly refreshing.

And since a human can’t develop without the aid of sperm (cloning aside), does development start when intercourse and ejaculation provide the sperm? Or does it start in the man’s testicles? Or even before then? Damaged sperm are a lot more common than damage eggs – that’s the biological reason that men produce billions of them. Is each damaged sperm an example of child neglect? Should we charge a little league coach with manslaughter if he accidentally throws a baseball into a boy’s crotch with an errant pitch? And should urologists be prosecuted for accessory to murder for performing a vasectomy?

The zygote personhood amendment last year crashed and burned because Coloradans understood that it was a legal minefield of epic scale. This proposed personhood amendment is even worse. Any legislation that makes a minimum of 20,000 separate changes to Colorado law is going to have a huge number of unpredictable unintended consequences.

One of those unintended consequences will be that Colorado will become more of a laughingstock than it was during the Amendment 2 debacle decades ago, or than Kansas was after its school board voted to permit the teaching of “intelligent design.”

It will be in the voters’ hands in 2010. Hopefully they’ll make the right decision next year just as they did last year.

ArtsWeek continues.  Halloween is in the air. So is health care reform. Maybe you can imagine this dedicated health care professional extracting the deductible from your wallet with a hemostat!

[Semi-NSFW]

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What’s worse is you’ve got a pediatrician appointment today for both of your kids – their asthma is acting up and the drugs aren’t working as well as they should be. Furthermore, your son is still recovering from a case of malaria he picked up, probably from a mosquito bite he got during the pee wee football game by the reservoir a couple of months ago. At least the rains will damp down on your environmental allergies some today. Better rain, even flooding, than the dust storm that blew through the area a couple of weeks ago. That caused several major pileups and fouled up ventilation so bad that some of the buildings downtown are still closed..

As you pull together breakfast for the family, there’s no milk because it’s too expensive. Most of the local dairies were forced to close down over the last few years as the drought reduced the cows’ milk production. The few diaries that survived can charge almost as much as they want to since the supply is far lower than the demand. The same is true of eggs and cheese, although beef has been cheaper recently as dairy cows are slaughtered for their meat in a last-ditch effort to pay off drought-driven debts.

You take the kids to their appointments and find out that your son’s malaria isn’t quite gone yet – it’s apparently a strain that’s become resistant to the more common, and cheaper, anti-malarial drugs. The next course of drugs is not only more expensive, but also has more side effects that will make it harder for your son to be effective in school. Both kids’ asthma is doing OK, but the pediatrician points out for the third time that you might want to consider moving out of the suburbs and into a rural area with cleaner air. Unfortunately, because of your spouse’s job, that’s just not possible. And with the chronic conditions you and the kids have, you need the company’s good health insurance.

After dropping off the kids at school, you head to the grocery store. The produce section is half the size that it was just a few years ago, and all the produce you do see is expensive – almost all of it was shipped in from out of state. Over the last three months there have been two e. coli recalls of produce from out-of-state farms where the water got polluted, and there have been dozens of others over the last few years. You’ve tried to grow a garden yourself to supplement the meager grocery store selection, but growth issues and the drought has forced your town to go on strict water restrictions. It doesn’t help that the garden plants always seem to be out-competed by the invasive weeds in your yard. The bindweed and thistle have grown largely immune to the commercially avaialble herbicides.

There have been several large dry lightning-sparked wildfires recently that tore through mountain communities. As a result, the insurance companies gave up on insuring homes in the mountains. The regional wildfire fighting coordination office had to give up on fighting fires – there is just too much fuel and temperatures have been too high for safe fire suppression, and when the city’s conserving every drop of water for human consumption, using city water to fight wildfires just was not possible. As a result, your neighbors were driven out of their beloved mountains down to the suburbs where they could be safe and get homeowners insurance.

Your neighbors’ daughter is in the U.S. Air Force, piloting an armed drone patrolling the Mexican border as air cover for the Border Patrol. There’s been a massive influx of immigrants and refugees from Central and South America recently, and even though the Border Patrol is now three times the size it was in the early 2000’s, there’s still not enough agents to police the border without military help. She’s worried that she’ll be deployed soon to southern Europe as back-up for our allies’ efforts at keeping the EU from being overwhelmed by Turks, Arabs, and Africans pouring northward. There have been a few brushfire wars recently, but most of Africa and parts of the Middle East are looking more and more like a powder keg just waiting for the right spark. As a result of the worsening national security situation, taxes have skyrocketed to pay for the large military required to maintain all the active deployments. Worse yet, there’s a chance that your neighbors’ daughter might be deployed to guard the Venezuelan oil fields that the previous President “annexed” in support of U.S national security interests and that the Venezuelans are resisting as an invasion and occupation.

After dinner, you let the kids stay up late for the first time in months – the flooding dumped enough water into the reservoirs and local streams that the power plants have enough water to operate all day instead of shutting down or operating on a rolling blackout schedule. You wish now you hadn’t voted to approve the nuclear plant (or elected the public utilities commissioners who approved the increase in your electricity rates to pay for it), since it’s no better than the coal plants – they all need so much water for cooling that just hasn’t been there the last few years. Well, until today’s flooding, anyway. So you let the kids enjoy the special treat.

———-

According to the Intergovernmental Panel on Climate Change Fourth Assessment Report, one of the largest peer-reviewed studies of climate science performed to date, a scenario similar to that described above is 90% likely. More recent scientific data suggests that the IPCC’s conclusions about the severity of climate disruption were overly conservative. As a result, both the IPCC’s projections for climatic upheavals later this century and their 90% confidence in those projections are very likely under-estimates of the severity of the problem.

Knowing all of this, how much would you spend on an insurance policy that lowers the chances that the overly conservative scenario described above happens? How much is your quality of life, your family’s health, your friend’s well being, your lower tax rate, worth to you? 1% of your annual income? 5%? 10%? More? Or nothing at all?

In 2008, the average American spent approximately 16% of their salary on health, home, car, and life insurance premiums¹. That’s a huge amount of money. The reason people pay that much is because they want to be insured against the likelihood of something horrible and expensive occurring. And the more likely something is, combined with how expensive it it is, the more we pay in insurance.

The table below illustrates the difference^{2, 3}:

The table clearly shows that Americans pay the most overall money for our health insurance, but given how high the risk of needing the insurance is (estimated at 100% in a given year), the risk value metric is actually pretty good.

What the table doesn’t show, however, is that we have homeowners or renters insurance not because of the average claim, but because the small chance of a severe financial loss is still risky. The table below illustrates this point:

Remember, insurance premiums cost the average American 16% of their annual salary in order to insure against future financial losses that could be, but usually aren’t, extraordinarily high. So the question is how much should the world be willing to pay in order to insure against future financial losses?

As was mentioned above, the likelihood of substantial risk is at least 90%, with more recent studies than the 2007 IPCC report saying that the risk is actually higher. The next question has to be “how much is the future financial risk” of doing nothing?

A University of Oregon analysis estimated 4% as the bare minimum cost of doing nothing. An International Institute for Environment and Development (IIED) study estimated that the benefit:cost ratio of addressing climate change was at least 8:1. Recent worst-case estimates (discussed below) say that the annual GWP cost of addressing climate disruption is approximately 3%, so the IIED study says that the cost of doing nothing could be as much as 24% of GWP. This number is similar to that calculated by the Stern Review (which, not coincidentally, is what the IIED used as their baseline) back in 2006. The lowest estimates of the cost of doing nothing are in the range of 1-2% of GWP, and a few scientists have suggested that the upper range of the cost could literally be the end of human civilization.

As for the cost of mitigation, aka climate insurance, a recently released study by the E3 Network calculated how much money the world would have to spend in order to return the carbon dioxide (CO₂) in the Earth’s air to a recent estimate of a “safe” level – 350 parts per million (ppm). The study reviewed the available literature and found that the worst case estimate was 3.0% of global gross domestic product (aka gross world product, GWP), and the E3N models estimated the estimate put the cost at approximately 2.5% of GWP.

The table below compares the insurance paid by Americans to three projected climate costs vs. risks.

Notice that Americans pay more in premiums than they get in benefits (ie claims), so the risk divided by the expense is less than 1. The difference represents insurance company profits, and clearly Americans are willing to pay for the comfort that insurance gives them. The table also shows that the risk of significant damage due to climate disruption divided by the global expense of addressing climate disruption varies from 0.33 to 100, and in five out of the six cases shown above, the future financial risk that is effectively insured equals or significantly exceeds the cost of insurance.

To put this all into perspective, the GDP of the U.S economy in 2008 was about $14.4 trillion. 16% of that (the money spent on average for insurance) is a little less than $2.6 trillion. According to the World Bank, the GWP was just over $60 trillion in 2008. The percentage of the global economy that is likely at risk is 24%, or $14.4 trillion. And the economists are estimating that the cost of insuring against losses that could equal the size of the entire U.S. economy will be no more than 3% of GWP, or $1.8 trillion.

In other words, for less money that the U.S. spends on insuring itself, the entire globe could be insured against climate disruption. Then imagine taking your four favorite cities in the world – and then erasing one.

And for another dose of reality, the United States is presently arguing over spending money to insure the U.S. against climate disruption to the tune of 0.25% to 3.5% of GDP (ACES analysis by the CBO). 0.25% to 3.5% of U.S. GDP in 2008 would be between $36 and $500 billion ($0.5 trillion)⁴. That’s well below what the U.S. already pays for insurance and is several hundred billion dollars less than the financial bailouts.

Ultimately, the analysis of what the U.S. already pays to voluntarily insure itself against future losses illustrates that insuring the global economy against future financial losses makes economic sense. After all, Americans already pay more to insure against smaller future losses that have a smaller chance of occurring than does climate disruption.

If the U.S. is willing to insure itself against future financial losses due to damage to home, vehicle, and health, then there’s no good reason why the U.S. and the world should be unwilling to insure themselves against future financial losses due to climate disruption.

———-

¹ According to the national car insurance comparison site CarInsurance.com, the national average annual premium for car insurance was $1,600 in 2008. According to the National Association of Insurance Commissioners, the national average premium for homeowners insurance was around $800, although it varies widely from state to state. The Kaiser Family Foundation estimates that the annual cost of health care per person in the U.S. is nearly $5,300. Life insurance premiums vary so widely that it’s difficult to come up with a solid number, but $300 per year is a reasonable estimate. The total from this estimate is $8,000.

Average salary was derived from 2008 Census Bureau data.

² Derived from the Federal Highway Administration and the National Highway Transportation Safety Board, and the Insurance Industry Institute. Percentage is defined by the number of collisions divided by the total number of private, commercial, and publicly-owned vehicles on the road. Average Insurance claim is the total for all claim types (injury, collision, comprehensive, and property damage) divided by the number of accidents.

³ “Risk value” is a term defined for this analysis only. While the insurance industry undoubtedly has its own metrics, this metric is my own and may or may not be equivalent to an official industry metric.

⁴ This “cost” is not an accurate accounting of the actual costs to the economy. This money would be circulating in the economy still, but would not be going to the interests that it goes to presently, especially oil and coal companies and coal-burning utilities. Instead, the money would be directed toward energy and carbon-efficient companies. As a result, the argument in Congress is clearly not one of economics, but rather a battle between entrenched, old-energy interests protecting their profits and influence and up-and-coming, new energy interests hoping to gain profits and influence.

In fact, this entire analysis illustrates that the reasons behind opposing insuring the world against losses due to climate disruption are neither scientific nor economic. Instead, the reasons are ideology, profit, and political power.

I want to keep the health insurance I have—which is no health insurance. I was dropped when I had a heart attack. My insurance company called it a preexisting condition, and they were right. Heart attacks have been around a very long time. The important thing is that I treasure my insurance company’s free market right to maximize profits at all moral and ethical costs. I would willingly die defending that right. And now, finally, I may get that chance.

I try not to worry about my needless impending death. I don’t lose sleep over the pointless suffering between now and then, and I refuse to get down about leaving my wife and children behind without any health care of their own. What I do worry about is the prospect of private insurance juggernauts experiencing a ten to fifteen percent decline in annual gross revenue due to the availability of a public option. Now that’s scary.

I don’t have a doctor. But if I did, I wouldn’t want some bureaucrat coming between me and him. Like Sarah Palin, I am against Obama’s death panels. I prefer Liberty Mutual’s death panels, because at least they’re American. I am not impressed with claims of socialized medicine working in countries like Britain, France, and Canada. It’s far better to die of septic shock in a free country than to receive antibiotics in a single-payer one. Single-payer systems, as we know, just aren’t fair. Why should one person have to pay for everyone else? What if that person runs out of money?

I’ve always relished getting the insurance statement envelope in the mail following a surgical procedure. It makes me fee a little like a nominated actor on Oscar night. I never know if I’m going to be reimbursed 80 percent, 50 percent, or not at all. I firmly believe the suspense has kept me going all these years. But under a single-payer or a public option, let’s face it—the thrill will be gone.

Bleeding heart liberal commie pinko anti-American leftist homosexual traitors contend there are 47 million uninsured people in this country. But the truth is, 46,999,996 of them are illegal immigrants and the other four are my family. Let’s get something straight, though—we don’t want a handout. We have a little thing called pride. I can proudly say I’ve been turned away by some of the biggest names in healthcare, from Aetna to AIG to CIGNA to United Health—a virtual Who’s Who of the insurance business.

I am not in the least offended that members of Congress receive superior healthcare provided entirely by the federal government. I recently spoke to my congressman regarding this issue, and he personally assured me that were I ever elected to the House or the Senate, the exact same health plan would be made available to me.

One day, should I miraculously live that long, I’ll be eligible for Medicare, and the government better keep their grubby hands off it. Back when our country was founded by a few brave men, many of them gave their lives for Medicare. If these same patriots were alive today, they would do what any patriot would do in the face of a government takeover of Medicare—show up at Obama rallies with loaded assault weapons.

Because of government interference in the natural order of things, bloodletting has become a lost art. Castor oil and cod liver oil for treatment of everything from a common cold to multiple bone fractures has become a thing of the past.

Amputations are way down, and that’s a problem because, as everyone knows, a severed limb cannot be reinfected. I am not troubled by life expectancy in the U.S. ranking 35th, a bit behind Bosnia and a hair ahead of Albania . Life expectancy is vastly overrated. Post-mortem relapses are increasingly rare.

I am dead set against government sponsored preventive care. Preventive care not only weakens our natural defenses against disease but also casts our government in the role of parent. My own parents had a different approach to medical concerns. When my right foot hurt, Dad would stomp on my left foot, and vice-versa. Mom said he picked this up while watching old episodes of The Three Stooges, proving once again that we can certainly learn a lot from our forefathers.

The fact is, the misguided outcry for a public option—or any sort of healthcare for that matter—represents a serious threat to intelligent design. Intelligent design is a constitutionally guaranteed right granted by our nation’s founders. Under intelligent design, we evolve into a superior civilization as the strong survive, the weak perish, and the really weak run Blackwater.

Government programs are doomed to failure. Aside from the GI Bill, Social Security, the FDA, the Hoover Dam, the Federal Reserve System, the FAA, the SEC, the Army, the Navy, the Air Force, the Marines, the National Guard, and NASA, name one government program that works.

I believe the Earth was created in six days by an all-powerful benevolent God and that on the seventh day He created our current healthcare system in His own image. Tampering with the Lord’s healthcare system is heresy and will surely bring the wrath of nations down on this once great land. When that day comes, we owe it to ourselves to bleed to death and resist the evil temptation to show up at a free clinic.

__________________________

Rich Herschlag is the author of Before the Glory: 20 Baseball Heroes Talk About Growing Up and Turning Hard Times Into Home Runs (HCI, 2007). His other books include Lay Low and Don’t Make the Big Mistake (Simon & Schuster, 1997) and The Interceptor (Ballantine, 1998).

As we all know, the nation has been alive with discourse of all flavors over the current state of the health care system and the insurance industry. Recently, Senator Baucus has brought forth his proposal, dubbed by some critics (rightly so, in my opinion) the “Insurance Industry Profit Protection and Enhancement Act.”

Please listen: The very reason we need the government to intervene is because millions of us have a Sword of Damocles hanging over our heads. Private industry has already proven that it cannot be trusted to look out for its bottom line and simultaneously safeguard and maintain the health of the American people, even if some of us are misguidedly rallying in the streets against our interests at the urgings of their preferred Chicken Littles of media and industry.

It is my belief that what needs to be accomplished is the affirmation of every American citizen’s right to a basic level of health, security and well-being above a private company’s right to make a profit, which it currently does in part by conveniently discounting and disregarding its customers’ human rights at its whims. Private insurers need to know, as my mother would say, that “your rights stop where another one’s starts.”

Legislation that hands millions of new customers directly over to health insurers, who have made clear that they give their profit motives precedence over honoring their commitments to their policyholders, sometimes with deadly consequences, is simply a conversion of taxpayer money into more income for the industry and a tacit acceptance of its horrific business practices.

As a taxpayer, I have no qualms about the cost of health care reform–I consider it our duty to one another as citizens, as a community, and as a nation. How do you think it looks when Washington puts us all further in hock frivolously throwing money down the toilets of the banking industry, tax cuts for the rich, and Iraq, to cite a few recent examples (our last president tried to flush Social Security as well), and then tries to tell us that we’re not entitled to a health care system that won’t be tainted by continued rewards to an industry with no reservations about flipping us the middle finger and leaving us for dead when we dare get sick? Why are regular people being taught to accept the ever-growing obligations to war, to creditors, and to failed industry, and at the same time not to make an across-the-board investment in one another as this nation’s human capital: workers; thinkers; doers; entrepreneurs; taxpayers; human beings?

I am free to help pay your medical bills, and those of my grandparents, and for those of us in states of extraordinary need, but not for a system that’s going to be there for me, free from the tentacles and inflated costs of private interests, even if I don’t have the right job, the right friends, a trust fund, a winning Powerball ticket, or the good fortune to remain healthy and free of accidents between now, at the age of 29, and my 65th birthday, should I find myself again without income or coverage?

Is continued corporate captivity the thanks we are going to get from our representatives for supporting them with our votes and paying for their salaries, benefits and pension plans? We not only sacrifice our own salaries, benefits and pension plans (and for many of us, our homes) for others’ bad decisions and greed, but now we can expect to be groomed to accept some compromise from Capitol Hill that may or may not improve our lives while the jackpots continue to flow upward?

A hostile climate has been created for every working person in this country. We have been told for years by the powerful, privileged and obscenely well-compensated that we are going to have to do things like “tighten our belts” and “weather the storm” (or, as some have called it, the “rough patch”). We’ve individually and collectively been subjected to repeated assaults on our financial well-being, our employment opportunities, our civil rights, our health and our futures by an ever more demanding section of the population so far insulated from what we are truly facing. One can turn on the television and at any given time watch a politician, executive, “industry expert” or news reporter talk about our right to access affordable health care, even though they themselves would never fathom or accept such treatment, as though United States citizens were no better than numbers on a balance sheet or some rogue band of freeloaders trying to burgle the upper class.

We all know who is really being burgled.

Let me tell you something: I don’t care to hear what anybody in a position of privilege has to say unless they have truly done their homework or they have first-hand life experience to back it up. I don’t care if some insurance executive is going to have to postpone the construction of his exact replica of the M.C. Hammer mansion in Dubai if he doesn’t get some additional payoff from the American public. I’ve got skin in the game here, too, and you and the rest of our representatives have the opportunity to come through with flying colors for me and for my fellow citizens. We’re all counting on you, even those of us who don’t know it or won’t admit it because it wouldn’t fit their politics or their way of thinking to do so.

We as Americans need to join the rest of the West in providing each other, across income, party and racial lines, with a guarantee of basic care not as some so-called “middle-class entitlement,” as I have heard wafting condescendingly out of the windpipes of more than one multimillionaire, but as a long-overdue recognition of our needs and our rights, and perhaps the making of amends over the treatment so many of us have endured from entities that have been allowed growing and crippling control over the quality, course, and length, of our lives.

If a strong stand is not ultimately taken on our behalf, it will be a damning and ominous indicator of what this country truly thinks of me, my neighbors, my family, my friends, and the rest of my fellow citizens. I implore you: Keep an irrevocable public option on the table and stick to your guns on it. To be blunt, some of your colleagues absolutely will do their best to beat you over the head with whatever you do, so you might as well make it worth doing in the first place and roll with the punches so that we, as a nation, will come out better for it. I don’t want something for nothing, as the elites would put it–I want something better for what I have put in and will continue to put in, and the people of this nation have more than paid for it in service to their employers, their families, their communities, their country–and some with their lives.

Thank you,
A. N. Cargo
Denver, Colorado (CO-01)

You’ve been taking a beating in the local press recently. Your lack of town hall meetings on health care reform during the August recess appears to be unpopular.

I’ll be honest. I haven’t paid a tremendous amount of attention to the health care “debate”. It’s summer. I’m busy. And frankly, i’ve assumed from the start that the final product will be well less than this nation needs. It won’t be a national health care plan, the solution that’s at least 50 years too late already. GM may not have needed to be bailed out/purchased if we had a health care system like every other developed nation, but we all knew that such a system wasn’t a possible result, so why bother getting worked up by whatever result we get?

I’ve assumed that the best i can hope for is to be required to buy an over-priced, under-covered private insurance plan. (Please feel free to prove me wrong, and i realize that you’re not capable of producing the result single-handedly.) Major American industries set to be reformed have an amazing track record of coming out ahead in the process. Honestly, i have better things to do than wait around for a kiss in this type of situation.

But if i were you, i wouldn’t be holding any town halls gone wild on the matter either. I don’t know what kind of ignorant insanity has gripped this nation, but i fear that it could be contagious. Apparently, a three-cornered hat, a Chinese made “Don’t Tread on Me” flag, and a Glock strapped to your hip is all you need to channel the wisdom of the founders. And over health care reform no less. Where was this when PATRIOTs I and II were passed, or FISA, or the fool’s errands in Afghanistan and Iraq, or the give away of the treasury to a certain bank which shall remain nameless?

We’re not seeing patriots defending their freedom. I’m not really sure what we’re seeing. I keep hoping that it will turn out to be a Monty Python sketch, but i fear that Franklin’s statement to the Convention is closer to the truth.

“Socialism” is the watch word. The fear of socialism is enough to turn what should be open communication between constituents and representatives into the political equivalent of professional wrestling. It’s enough to bring out the guns. I suggest that you propose a bill that requires every recipient of Social Security, disability, unemployment, WIC, the Bridge Card, Medicare, Medicaid, and government subsidies of any sort to write a 1500-word essay before the checks are sent. The essay will define socialism; compare and contrast it with other systems; provide current and historical examples; and examine ways in which socialism may (or may not) co-exist with democracy, capitalism and free markets.

And that’s my compromise position. In the world of Tyrannous Lex, such an exercise would be required for even conversational use of the word.

You’re probably not getting many “keep up the good work” letters these days. But this voter completely understands your position on this matter. As they say on the internet, don’t feed the trolls.

Best of luck on your return to the fetid swamp of philosophical depravity that is our nation’s capitol,

Lex

It was a big project and received support and funding from big governments.  As with all such projects, it would be difficult to measure exactly how rapidly such a project could be run and at what cost.  Pitched as being equivalent to landing a man on the moon, 15 years and a budget of $3 billion seemed completely appropriate.

In 1998 a gauntlet was thrown down which had the impact of an earthquake in a glassworks.  Craig Venter, and his firm Celera Genomics, declared that they would produce the genome in a fraction of the time of the public effort, and for only $300 million.

In 2002, the genome was completed, ahead of time and under budget.

How much does any good cost?  What happens if the good concerned is expensive and important?  Back in 1990, governments felt justified in financing the Human Genome Project because, it was felt, private companies would see no value in the results and could not carry the cost.

Craig Venter and his investors thought differently.  That Celera Genomics lost a fortune on the endeavour is unimportant (except for the investors).  By competing with the state, the company saved taxpayers a fortune.

And there’s the problem for single-payer entities; without competition it is frequently impossible to calculate what something should cost.  The original, publically-funded, approach to sequencing used “heierarchical shotgun” sequencing, in which small chunks of DNA are sequenced and then reassembled.  It is slow and methodical.

Venter’s team used “whole genome shotgun sequencing”.  It was the innovation that allowed sequencing to proceed faster and cheaper.

Costs aren’t static.  Competition drives not just cost-saving through streamlining of processes, but also innovation in the processes themselves.

Healthcare is considered no less a public good than the human genome.  There are numerous ways in which governments attempt to finance this good.  The effects are difficult to measure, given the scale and lack of symmetry in implementation.

The most heated discussion is that in the US.

The Economist has an in-depth analysis which I won’t go into, but I will summarise.  The US system costs 16% of US GDP, and leaves some 15% of the population uncovered by healthcare.  The UK system of national health covers everyone, and costs 8.4% of GDP.  Life expectancy in the US (a crude measure of the benefits from healthcare) is 77.8 years, while in the UK it is 79.1.

However, in the US five-year mortality rates for cancer are dramatically better than in the UK.

Healthcare in the US is both rapid and effective; however, it is not available for everyone.  This lack of comprehensive care turns up in the life-expectancy rates.  In the UK more people have care, but it is of a slightly lower quality.

The debate in the US has become crippling and ugly.  People with care, no matter what it costs, are scared of seeing that care rationed or downgraded.

Of course, capitalist systems already ration scarce things through high prices.  So the argument of rationing (whether by the state, or through high fees) is moot. 

The structure of paying for healthcare is critical to the debate.  Whether governments, insurance companies or individuals pay for care, the money is ultimately derived from company profits and individual salaries.  The problem isn’t about who pays, but how payment is made.

If there is a single-payer (whether public or private) then competition is stifled and innovation stops.

The sad truth is that the rest of the world free rides on the expense and innovation of the US system.  Healthcare companies generally use the US as the place to introduce their new products, test them out, build scale and then take them to the rest of the world once the costs have been covered.

If the US moves to a single-payer as well, then innovation will plunge.

What is needed is a system that encourages sufficient competition to promote both innovation and cost-containment, without making the competition so extreme that it excludes so many from care.

According to The New York Times, former Sen. Daschle has been spending quality time in the White House holding forth on health-care reform. Reports The Times: “He still speaks frequently to the president, who met with him as recently as Friday morning in the Oval Office. And he remains a highly paid policy adviser to hospital, drug, pharmaceutical and other health care industry clients of Alston & Bird, the law and lobbying firm.”

He says he’s not a lobbyist. He says he’s a “resource” for his clients and former legislative colleagues. “I do not tailor my views to any specific group or client.”

How believable — or unbelievable — is that claim?

The 900-lawyer firm he works for has received more than $5 million in lobbying fees so far this year, much of it from companies and associations with an abiding interest in influencing the outcome of health-care reform efforts. From 2005 (when the firm’s lobbying revenues nearly tripled) to 2008, the firm’s lobbying fees totaled $24.2 million, according to the lobbying database of the non-partisan Center for Responsive Politics.

Mr. Daschle joined the K Street firm after losing his Senate re-election bid in 2004 to Sen. John Thune. Mr. Daschle is an expert in health-care matters; Alston & Bird has numerous clients interested in health-care reform; and the firm’s annual lobbying fees skyrocketed. Surprise!

The Washington Post pegged Mr. Daschle’s salary at $2 million. He also received $2 million last year from business partner Leo Hindery, whose gift of a car and driver led to Mr. Daschle’s withdrawal from cabinet consideration.

“We know that many power brokers never register as lobbyists, but they are every bit as powerful,” said Ellen Miller, executive director of the Sunlight Foundation watchdog group.

Over his congressional career, Mr. Daschle has enjoyed considerable financial support from the health-care industries. Since 1998, he has received $1,517,020 in campaign contributions from PACs and individuals associated with the health-care fields.

After amending his tax returns for 2005 through 2007 for failing to disclose income (the car and driver) from Mr. Hindery, he paid $101,943 in back taxes plus interest. Then he withdrew from consideration for secretary of Health and Human Services. In this post, he would have served as point man for the president’s health-care reform plans.

But, reports The Times, he appears to have sufficient access to the president’s ear to be an effective advocate on health care. But for whose benefit?

White House officials say they appreciate his help. “He is one of a number of people that provides outside advice to the White House, and the president greatly appreciates that advice and Tom’s friendship,” said Dan Pfeiffer, a spokesman for the White House who previously worked for Mr. Daschle. Mr. Pfeiffer added that the former senator was “a recognized expert on health reform who knows more about the legislative process than just about anyone.”

Critics, though, say his ex officio role gives Alston & Bird’s health care clients privileged insights into the policy process. They say Mr. Daschle’s multiple advisory roles illustrate the kind of coziness with the lobbying world that Mr. Obama vowed to end. If he had been confirmed as health secretary, Mr. Daschle would have been subject to strict transparency and ethics rules. [emphasis added]

Mr. Daschle has not registered as a lobbyist. Nor does he have an enviable track record of disclosing the health-care clients in his portfolio when addressing public-policy issues — as he failed to do on Aug. 16 on NBC’s Meet the Press. He told host David Gregory this:

Well, David, I guess the, the basic question is, are we building this new system for the American people or for the insurance companies?  I mean, that’s really the key question.  How will they be better served?

But, complains Time’s Michael Scherer:

Left unmentioned was the fact that Daschle, in his capacity as a high-paid consultant at the law firm Alston and Bird, is once again working closely with lobbyists for UnitedHealth, the largest U.S. industry player, aiding the company’s effort to convince moderate Senate and House Democrats to, among other things, kill the public option and keep company profits high.

(BusinessWeek’s Chad Terhune and Keith Epstein think the insurers have already won.)

Here’s how his employer describes Mr. Daschle’s role:

Senator Tom Daschle is a Special Public Policy Advisor in Alston & Bird’s Washington, D.C., office, and is a member of the Legislative & Public Policy Group. As a non-attorney, Senator Daschle focuses his services on advising the firm’s clients on issues related to all aspects of public policy with a particular emphasis on issues related to financial services, health care, energy, telecommunications and taxes. In addition, he advises on trade and international matters. He spends a substantial amount of time providing strategic and policy advice to clients in renewable energy.

Mr. Daschle could not formally lobby for a year after leaving the Senate because of ethics rules. Five years later, he has not registered as a lobbyist. Yet he maintains a portfolio of health-care industry clients, gives paid speeches to health-care industry groups, and has, apparently, unlimited access to the White House and its decision makers — including President Obama.

If it looks like a duck and quacks like a duck, it must be a duck. Mr. Daschle should register as a lobbyist.

True, as the Financial Times reported, President Obama’s performance in his press conference about health-care reform may have been “uninspiring”: “His points may have been true but they were not new, and he restated them in an uncharacteristically lackluster way.” But maybe he’s tired of trying to convince us to accept what may be, to his mind, benefits he seeks to bestow on us.

After all, hasn’t the public been to hell and back with health-care costs and policies? How much more suffering from inadequate care, including the needless losses of loved ones, does it take before we agree to health-care reform?

The first family Sack wrote about, the Browns, are conservatives. The husband:

How much will this health care plan really cost, he asked. How can we cover nearly everybody without higher taxes or debt?

His wife:

“What we do know is there is going to be more government control, and with more control you’re going to have fewer choices. It’s an innate part of being American to have those choices.”

“Taxes” and “choices” are, of course, conservative talking points: The Browns are speaking reflexively, not reflectively. But then the tenor of Sack’s piece shifted. The two other families interviewed make it clear questions about the Democratic administration’s health-care plan remain unanswered to the public.

Although she may well benefit from Mr. Obama’s plan to subsidize health insurance for the working poor, Rowena Ventura, [an] uninsured worker from Cleveland, wondered whether she could afford it. “I’m worried because they’re talking about forcing people to buy insurance,” said Ms. Ventura, a registered Democrat and part-time health care worker. “You just can’t ask any more of me. You just can’t.”

Her concerns couldn’t be more apparent, not to mention poignant. “Required-to-buy” resounds with about as much discordance as a note can. How does that jibe with a benefit? Meanwhile, a small businessman has no idea of the shape of health-care to come.

[Dean Raschke] worried that Washington would end up taxing the health benefits he provides to his 50 employees. He said he also feared that Congress would raise his income taxes to pay for the plan, although his earnings are well below the $1-million-a-year threshold now being considered.

Besides the confusion, Obama’s conciliatory tendencies subvert his plan. Back to Ms. Ventura:

“You see,” she said, gesturing at Mr. Obama on the television, “he’s saying he wants to continue private insurance, but then he says they’re part of the problem. Well, which is it? It’s just ridiculous.”

As psychologist and neuroscientist Drew Westen wrote earlier this month:

If Obama’s storytelling has a flaw, it’s that he prefers to leave out the antagonists [like private insurance -- RW]. In his AMA speech, he never called the group on its opposition to Medicare in the 1960s. Nor did he mention that the insurance and pharmaceutical industries blocked reform for decades, even as their profits rose.

Still, if you’re like me, it’s hard to imagine a change that’s for the worse. (In other words, give us something, anything.) In a report at American Progress today titled Health Care Premiums Run Amok, David Cutler writes (emphasis added):

Health care costs are expected to grow 71 percent over the next decade, which will in turn drive premium increases for health insurance.  … average family premiums will grow to more than $22,000 by 2019, up from $13,100 today. In some states with higher-than-average premiums, family premiums will exceed $25,000 in 10 years. Of course, a family’s total health care costs will be even higher once co-payments and other out-of-pocket expenses are calculated into the total.

For all except a lucky few whose companies pick up the bulk of their premiums, our premiums are already — as I’m wont to repeat — like a second rent (or mortgage, as the case may be). Who can pay a third?

More at Memeorandum.