First They Came for the Muslims

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One Week and Floundering

Eight days ago, before the inauguration, we already knew a couple of things (roughly quoting Richard Yeselson of Dissent):

  1. Our new President is an authoritarian, mentally-ill ignoramus, uniquely unfit and dangerous.
  2. The Republican Party is morally and intellectually bankrupt.

Given (1) and (2), I can’t think of anything since the inauguration that’s been more than a mild surprise. Given who he is and who his fellow Republicans are, what did we expect?

I’ll mention a few things anyway:

He gave an interview to a TV network other than Fox. Many observers thought he came across like a crazy person. One said it was the scariest thing he’d ever seen. Although many of his supporters probably enjoyed it. There’s a transcript of the interview here.

He’s still using Twitter and his outdated, easy-to-hack phone. He still spends a lot of time watching television and occasionally tweets in response to what he just heard, sometimes repeating exact phrases. One reporter said the tsunami of leaks from the White House make the President sound like a “clueless child”. I think he sounds more like an angry old fool with a severely damaged ego.

He has signed some executive orders, as new Presidents always do. For the most part, these have been aimed at impressing his supporters and may never amount to anything (he can’t get billions of dollars to build a wall by issuing an executive order). An exception is the one that will limit funding for overseas healthcare providers (the abortion “gag-rule”). It’s even worse than similar orders issued by other Republican Presidents. (Vice President Pence, who is an extreme foe of abortion rights, probably had a lot to do with it.)

Of course, that terrific replacement for the Affordable Care Act that he promised to announce in a day or two hasn’t been announced yet. But someone in the administration did take a concrete step regarding the ACA: they canceled an advertisement intended to get people to sign up for health insurance by the January 31st deadline. 

Meanwhile, The Washington Post obtained a secret recording of Congressional Republicans talking about the Affordable Care Act. It demonstrates what we already knew: they don’t know what parts of the ACA to repeal or what to replace those parts with. It’s great to hear them speak honestly for a change, so I’ve attached some choice excerpts at the bottom of this post. 

On the impeachment front, the President isn’t bothering to hide his eagerness to cash in on his new position. He doubled the membership fee at his Florida resort from $100,000 to $200,000; announced plans to build several more hotels in the US; and only plans to stop immigration from Middle Eastern countries where he doesn’t do business or doesn’t plan to (Iran bad; Saudi Arabia – where the 9/11 hijackers came from – good). A lawsuit has already been filed against the President regarding his foreign business dealings. You can read an explanation by one of the lawyers involved here and can see the formal complaint here.

Finally, the President’s spokesman announced that Mexico would reimburse us for the Wall sometime in the future, but in the meantime, companies that import stuff from Mexico (like fruits and vegetables, beer and cars) would pay for the wall through a new 20% import tariff. After it was pointed out that the tariff would be passed along to American consumers in the form of higher prices, the proposal was discounted as merely one of several ways we, not Mexico, could pay for the Wall, which, by the way, Republican politicians in Texas aren’t crazy about anyway.

As a result, and maybe in recognition of the fact that the Executive Branch of our government is now in the hands of knavish fools and foolish knaves, the President of Mexico canceled his visit to Washington.

Oh, and the President wants an investigation of the 3 million people, all of whom he knows voted for his opponent, because that’s how many more people voted for Hillary. Buenas noches, amigos.

As promised, excerpts from the Washington Post article based on that secret recording:

[A Representative] worried that one idea floated by Republicans — a refundable tax credit — would not work for middle-class families that cannot afford to prepay their premiums and wait for a tax refund…

[Another said] “It sounds like we are going to be raising taxes on the middle class in order to pay for these new credits.”

 … A freshman congressman … warned strongly against using the repeal of the ACA to also defund Planned Parenthood…

Of particular concern to some Republican lawmakers was the plan to use the budget reconciliation process — which requires only a simple majority vote — to repeal the existing law, while still needing a filibuster-proof vote of 60 in the Senate to enact a replacement….

… They did not have a clear plan on how to keep markets viable while also requiring insurers to cover everyone who seeks insurance.

[A Senator asked:] Will states have the ability to maintain the expanded Medicaid rolls provided for under the ACA, which now provide coverage for more than 10 million Americans, and can other states do similar expansions?

[A Representative] worried that the plans under GOP consideration could eviscerate coverage for the roughly 20 million Americans now covered through state and federal marketplaces and the law’s Medicaid expansion: “We’re telling those people that we’re not going to pull the rug out from under them, and if we do this too fast, we are in fact going to pull the rug out from under them.”

They are also still wrestling with whether Obamacare’s taxes can be immediately repealed, a priority for many conservatives, or whether that revenue will be needed to fund a transition period.

And there seems to be little consensus on whether to pursue a major overhaul of Medicaid — converting it from an open-ended entitlement that costs federal and state governments $500 billion a year to a fixed block grant…. doing so would mean that some low-income Americans would not be automatically covered by a program that currently covers 70 million Americans.

What To Do (Which Side Are You On?)

It’s already Day 5 of the T___ administration. Sadly, there’s no indication yet that Vice President Pence has begun following the steps in the 25th Amendment (in particular, the Let’s-Replace-A-Crazy-President clause). However, stories describing the President’s mental instability and general unfitness for his new job are appearing, and it’s been suggested that Pence’s staff may be leaking damaging information in order to lay the groundwork for just such a constitutionally-mandated transfer of power. One can hope.

Of course, there are things to do besides hoping. Except for the extremely successful, worldwide Women’s March on Saturday, the best known call to action has probably been “The Indivisible Guide: A Practical Guide for Resisting the Trump Agenda”. What began as an overloaded Google doc is now a website:

WHO IS THIS DOCUMENT BY AND FOR?

We: Are former progressive congressional staffers who saw the Tea Party beat back President Obama’s agenda.

We: See the enthusiasm to fight the Trump agenda and want to share insider info on how best to influence Congress to do that.

You: Want to do your part to beat back the Trump agenda and understand that will require more than calls and petitions.

You: Should use this guide, share it, amend it, make it your own, and get to work.

Here’s the summary of Chapter Two:

How your MoC [Member of Congress] thinks — reelection, reelection, reelection — and how to use that to save democracy. MoCs want their constituents to think well of them and they want good, local press. They hate surprises, wasted time, and most of all, bad press that makes them look weak, unlikable, and vulnerable. You will use these interests to make them listen and act.

Chapters Three and Four offer instructions for organizing your own anti-T___ group and doing things that will have the biggest effect (attending events, requesting meetings and making coordinated phone calls).

Another document that’s received a lot of attention was written immediately after the election by the Russian-American journalist Masha Gessen. It’s called “Autocracy: Rules for Survival”. Having lived under Putin, she lets us know it would be a big mistake to give T__p the benefit of the doubt. For example, she wishes Hillary Clinton had said something like this that dark night in November:

We are standing at the edge of the abyss. Our political system, our society, our country itself are in greater danger than at any time in the last century and a half. The president-elect has made his intentions clear, and it would be immoral to pretend otherwise. We must band together right now to defend the laws, the institutions, and the ideals on which our country is based.

Gessen’s six rules for surviving autocracy are: 

  1. Believe the autocrat (don’t assume he’s exaggerating when he promises to do something terrible)
  2. Don’t be taken in by small signs of normality
  3. Institutions won’t save you (nor will cultural norms)
  4. Be outraged
  5. Don’t compromise
  6. Remember the future (in other words, keep hope alive).

Gessen followed this up with another article, this time describing her great-grandfather’s experience in Nazi-occupied Poland and her grandmother’s as a government censor in the Soviet Union. Her conclusion is: given a choice between collaboration (possibly under the guise of being a “realist”) and resistance, choose resistance.

In December, the economist and former Secretary of Labor Robert Reich cautioned against falling into one of four syndromes: (1) normalizing the situation (“he’s just another President”); (2) going numb or shutting down emotionally; (3) cynicism; or (4) helplessness. Prof. Reich, who is currently providing almost continuous political commentary on Facebook, ends with this:

If you find yourself falling into one or more of these syndromes, that’s understandable. Normalizing, numbing, becoming cynical and feeling powerless are natural human responses to the gross absurdity and genuine peril posed by T___.

But I urge you to pull yourself out. We need you in the peaceful resistance army, starting January 20.

Finally, here are some sites that offer alternative perspectives on the news. They’re good places to visit if you want an antidote to outlets like CNN, the TV networks and the front page of The New York Times (The Washington Post is better these days):

Pro Publica (Journalism in the Public Interest) 

Think Progress

Talking Points Memo

Media Matters for America

Vox

Daily Kos (a group blog about politics)

Hullabaloo (another group blog about politics)

Plus, something that might give you chills. It did me.

What’s Their Deal With Health Insurance Anyway?

It feels odd to write about anything else now that a senseless, malevolent being has taken control of the White House, but here goes anyway:

Four years ago, Dr. Ben Carson, who is expected to be the U.S. Secretary of Housing and Urban Development in the new administration, compared the Affordable Care Act to slavery:

“You know, Obamacare is really I think the worst thing that has happened in this nation since slavery,” Carson … said … in remarks at the Values Voter Summit in Washington. “And it is in a way, it is slavery in a way, because it is making all of us subservient to the government, and it was never about health care. It was about control…”

“And why did [the Obama administration] want to pass it so badly? Well, as I said the other night on television, Vladimir Lenin … said that socialized medicine is the keystone to the establishment of a socialist state.”

As we might expect, there is no evidence that Lenin said any such thing. The “socialized medicine” quote attributed to him by Carson and others was fabricated for a 1949 brochure issued by the American Medical Association. That’s back when the AMA was fighting President Truman’s proposal for national health insurance (and years before they opposed Medicare). But Carson telling that tall tale helps explain why the Republican Party is so opposed to the Affordable Care Act.

The ACA requires individuals to have health insurance (or pay more income tax) and employers of a certain size to offer health insurance to their employees (or pay more income tax). It also requires that health insurance plans meet specific requirements in order to qualify as health insurance for purposes of the law. So that’s one reason Republicans want to repeal the ACA. The law requires that we do something for our own benefit or for the benefit of others. It limits our freedom to do whatever the hell we want. That makes it a prime example of government overreach, or what the right-wing calls the “Nanny State”.

But since Republicans are forced to buy insurance for their houses and cars without making a fuss (let alone bringing up slavery or Nazi Germany), being forced to buy insurance for their bodies (or their employees’ bodies) can’t be the only reason they’re against the ACA.

A second reason is simply political. After decades of trying, a Democratic President finally got a bill passed that takes us closer to universal health insurance. But whatever Obama was for, the Republicans were against. They immediately labeled the ACA as “Obamacare” to help convince right-wingers to oppose the law, even if they didn’t know what the law did (and even if the law would improve their own lives). 

That’s despite the fact that the ACA adopted the conservative approach to universal healthcare that Republicans had been advocating since the 1970s. It’s pretty amazing. A letter to the editor in The Chicago Tribune tells the disheartening story:

Obamacare is virtually the same privatized mandate plan [the Republican Party] pushed since President Richard Nixon first proposed the National Health Strategy in 1971, then again in 1974. Then the GOP revived its privatized mandate plan again in 1993 with … the [HEART] act … an alternative to the [Clinton] single-payer plan… 

Obama — as a compromise to have basic health reform passed — used this same GOP blueprint with one significant change: adding a public option alongside the GOP’s privatized mandate plan … 

Eventually the public option was stripped out of the 2010 ACA bill as a further compromise to attract bipartisan support for the bill, leaving in its place the very plan that the GOP wanted and pushed for decades. Unfortunately, the ACA did not receive a single vote from the Republican Party that created the plan’s primary concepts as an alternative to a single-payer — “Medicare for all” — type of system.

No wonder the Republicans have had so much trouble coming up with a replacement for “Obamacare”. The law they’re so against is the law they used to be for.

A third reason the Republicans oppose the ACA is that it’s the kind of Robin Hood economic redistribution Republicans hate. It takes from the rich and gives to the poor. Paul Krugman explains in a blog post called “Health Care Fundamentals”:

Providing health care to those previously denied it is, necessarily, a matter of redistributing from the lucky to the unlucky. And, of course, reversing a policy that expanded health care is redistribution in reverse. You can’t make this reality go away.

Left to its own devices, a market economy won’t care for the sick unless they can pay for it; insurance can help up to a point, but insurance companies have no interest in covering people they suspect will get sick. So unfettered markets mean that health care goes only to those who are wealthy and/or healthy enough that they won’t need it often, and hence can get insurance….

The thing is, however, that guaranteeing health care comes with a cost. You can tell insurance companies that they can’t discriminate based on medical history, but that means higher premiums for the healthy — and you also create an incentive to stay uninsured until … you get sick, which pushes premiums even higher. So you have to regulate individuals as well as insurers, requiring that everyone sign up — the mandate. And since some people won’t be able to obey such a mandate, you need subsidies, which must be paid for out of taxes…

What [the Republicans] are left with is … voodoo: they’ll invoke the magic of the market to somehow provide insurance so cheap that everyone will be able to afford it whatever their income and medical status. This is obvious nonsense [but] it’s all they’ve got.

The redistribution is related to a fourth reason they’re against the ACA and it might be their biggest reason of all. Not only did the ACA impose fines in the form of tax increases on taxpayers who wouldn’t buy health insurance, it included a separate, relatively large tax increase on the richest Americans. As everyone knows, that‘s anathema to Republican politicians. Repealing the ACA, therefore, would mean a big tax cut for the Republicans’ favorite people. From Slate:

One of the core, very simple things [the ACA] did was raise taxes on the wealthy in order to fund subsidized health care for more Americans. Couples earning more than $250,000 saw a 0.9 percent increase in their top Medicare tax rate, as well as a new, 3.8 percent Medicare surtax on investment income.

If Republicans have their way and successfully repeal the Affordable Care Act, those two taxes will be toast—which will mean a substantial break for some of the country’s wealthiest families. The liberal Center on Budget and Policy Priorities estimates that millionaires would see 80 percent of the benefits from those tax reductions. Based on the most recent IRS data, the think tank roughly projects that the 400 highest income households—which earned an average of more than $300 million each in 2014—would see a $2.8 billion annual tax cut, worth about $7 million on average per filer.

So that’s at least four reasons why Republicans want to scrap the Affordable Care Act:

1) It’s what they call the “Nanny State” in action. 

2) It was an important Obama accomplishment.

3) It’s the kind of redistribution Robin Hood was for and the bad guys were against.

4) It raised taxes, especially for the rich.

In conclusion, Republicans don’t necessarily want millions of Americans suffering and dying without medical treatment. Being concerned about that kind of thing is simply low on their list of priorities.

The Subject’s Point of View by Katalin Farkas

In a nutshell, Professor Farkas argues that meaning is in the head after all. That’s the “internalist” position that most academic philosophers have rejected in favor of a newer position called “externalism”. That’s the idea that, in Hilary Putnam’s well-known phrase, “meaning ain’t in the head”.

Putnam argued for his position by describing a thought experiment in which two guys named Oscar are exactly the same in every way and live on two Earth’s that seem to be the same in every way too. They both call the clear, tasteless liquid around them “water”, but it’s years before anyone on either planet has figured out what water is made of. The thing is that, without anyone knowing it yet, the water on Earth is H2O (as we now know) but on Twin Earth it’s XYZ (i.e. not H2O). The question is: “What do Oscar and his twin mean by the word “water”?” Putnam and the other externalists think that they mean different things when they each use that word. (You can read more about the thought experiment here.)

Farkas, on the other hand, thinks that the great 17th century philosopher RenĂ© Descartes was basically right. Meaning is a psychological phenomenon. If Oscar and his twin on that other Earth have the exact same conscious thoughts about what they both call “water”, the word has the same meaning for both of them, regardless of what water’s (unknown) molecular composition happens to be. 

Here’s the last paragraph of the book:

I have defended a certain conception of the mental, one I regard as developing Descartes’s fundamental insight about the mind: that the mind is essentially revealed from the subject’s point of view. I have shown that this conception lies at the heart of contemporary internalist theories. I have considered an objection against the notion of internally individuated content [or meaning] and found it wanting. Hopefully, we can now give back the subject and her point of view the proper place they deserve.

I also accept the internalist position, which is probably the main reason I enjoyed the book. The author’s discussion of sense and reference was especially helpful, but it’s not a book for anyone unfamiliar with the topic.