The Evil of Indifference

Politics has been called war without the killing; a process in which people with very different notions of the common good, the best way forward–even how winners should be identified and rewarded and losers punished–clash without bloodshed.

Throughout history, we’ve become accustomed to the passions that ideological combatants have brought to our political “wars.”

These days, however, politics isn’t really about that clash of ideas and passions. It’s about power and privilege, increasingly dismissive of ideas and political philosophies.

Even a blind person can see that Donald Trump and the Republicans who control Congress are utterly indifferent to policy except to the extent those policies operate to keep them in office. Trump, especially, is often called out for lacking even rudimentary knowledge of–or interest in–the legislation he supports. He is utterly indifferent to the contents of that legislation; his only goal is “winning,” which he evidently defines as getting good press.

This approach to governing isn’t only dishonest; it’s very bad for morale. There is nothing more disheartening than putting your heart and soul into a cause and finding that your employer is totally indifferent to it.

Citing Donald Trump’s ongoing quest to undermine and repeal the Affordable Care Act, his refusal to meet with HIV/AIDS advocates during the primary, and his general “lack of understanding and concern,” six members of the Presidential Advisory Council on HIV/AIDS, established by President Bill Clinton more than 20 years ago, have resigned. Former council member and Lambda Legal lawyer Scott Schoettes writes in the group’s resignation letter:

“As advocates for people living with HIV, we have dedicated our lives to combating this disease and no longer feel we can do so effectively within the confines of an advisory body to a president who simply does not care.

The Trump Administration has no strategy to address the on-going HIV/AIDS epidemic, seeks zero input from experts to formulate HIV policy, and—most concerning—pushes legislation that will harm people living with HIV and halt or reverse important gains made in the fight against this disease.”

Scientists who have devoted their careers to understanding and fighting climate change didn’t resign from the EPA–they were terminated by administrators indifferent to  the consequences of environmental degradation.

The agency quietly forced out some members of the Board of Scientific Counselors just weeks after leaders told them their tenure would be renewed, said Robert Richardson, an ecological economist at Michigan State University and one of those dismissed.

The board is tasked with reviewing the work of EPA scientists and provides feedback that can be a powerful voice in shaping the agency’s future research. The cuts “just came out of nowhere,” Richardson said.

“The role that science has played in the agency in the past, this step is a significant step in a different direction,” he said today. “Anecdotally, based on what we know about the administrator, I think it will be science that will appear to be friendlier to industry, the fossil fuel industry, the chemical industry, and I think it will be science that marginalizes climate change science.”

And of course, the news has been full of the indifference–and hostility– with which the Administration and Congressional Republicans have responded to the CBO analysis of their “health” bill, including predictions that it’s vicious cuts would be responsible for 208,500 preventable deaths by 2026.

Indifferent to human suffering, indifferent to facts, evidence, science, indifferent to world opinion….but not to criticism from cable news personalities.

How far “leadership” has fallen.

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The Economics of Healthcare Reform

It’s getting so I hate to turn on the television, unless I’m watching something I have TIVO’d, and can zip through the commercials. On live TV, there is an ad that runs every few minutes declaring that healthcare reform will add to the national deficit and raise taxes. The ad ends by darkly warning that “America cannot afford” to reform healthcare.

Complex issues are never accurately addressed by slogans and bumper stickers, of course, but those of us who have actually been following the various proposals and arguments cannot help but be offended by the intellectual dishonesty of this particular 30-second spot. There are a number of proposals still on the table, for one thing, that would have different results. None of them currently would do any of the things this ad claims, for another. The Congressional Budget Office says that the version in the U.S. House would REDUCE the deficit by some 100 billion dollars over the next ten years.

Since I grit my teeth every time this particular bit of propaganda airs, I was gratified to see release of the following open letter from several of the nation’s most eminent economists.

Successful health care reform is vital to the nation’s fiscal and economic future. The legislation the House will vote on in the coming days will guarantee security of coverage, limit the costs of care, create incentives for improved quality of care, and set us on the path towards sustainable economic growth. In short, the House health reform legislation takes the steps necessary to promote our economic health.

Specifically, the bill:

  • Reduces the deficit by over $100 billion in the first 10 years, and continues to reduce the deficit in subsequent years, as judged by the Congressional Budget Office.
  • Takes initial steps to “bend the cost curve,” and thus might lead to even larger cost savings than official estimates suggest.
  • Covers nearly all American citizens and legal residents.

We urge House passage of the legislation, which provides a historic opportunity to realize the long-delayed goal of significant health care reform.

Signed,

Dr. Henry J. Aaron, The Brookings Institution
Dr. Mike Chernew, Harvard University Medical School
Dr. David Cutler, Harvard University
Dr. Judy Feder, Georgetown University, Center for American Progress Action Fund
Dr. Dana Goldman, University of Southern California
Dr. Jonathan Gruber, Massachusetts Institute of Technology
Dr. Len Nichols, The New America Foundation

$64,188,492

That’s the amount the Commonwealth Fund says Indiana could save annually in Medicaid payments if we had healthcare reform.

Commonwealth has just completed a national survey that ranks states on a variety of health dimensions. Those who live in Indiana and pay any attention to such things will not be surprised to find that we land in the bottom quartile of the states overall, and rate comparatively poorly in most of the categories for which there was a ranking.

As our state continues to struggle to provide essential services with declining revenues, Governor Daniels might consider the merits of healthcare reform rather than threatening once again to cut (cripple)education. (I’m sure his long affiliation with Eli Lilly has nothing to do with his disinclination to support measures that might affect its bottom line…)

I think Jonathan Chait has it just about right.

If health care passes, will it be a grand historical achievement, or a crushing disappointment? The answer, I predict, will be both. The American health care system is an indefensible morass of waste and cruelty. The distance between the status quo and the ideal is therefore so vast that we could—and probably will—end up with a reform that massively improves the system, while coming nowhere close to the ideal.