Tag Archives: flight

A Health Care Scandal That’s Way Bigger Than the VA

Mother Jones

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The VA hospital scandal is basically composed of two separate things:

  1. A longstanding problem of excessive wait times for non-urgent appointments as well as problems with access to the VA system in the first place.
  2. A specific and recent case of hospital officials allegedly gaming the system by putting some vets on a “secret” waiting list so that the performance reports they submitted to Washington would look better than they really were.

We’ve heard a lot about #1, but this is largely a policy problem, not a scandal. No administration has ever secured enough resources from Congress to properly staff the VA system, and the result has been waiting lists and backlogs. In the past few years this has started to improve as more vets have been allowed into the system; funding has increased; mental health has become a bigger priority; the paper-based approval process has become more automated; and the backlog of vets waiting for approval has been cut in half.

The real scandal—in the normal sense of “scandal” as opposed to inefficiency and underfunding—is #2. As scandalous as these charges are, however, they’re localized; small; and entirely nonpartisan. Everyone agrees that heads need to roll if they’re confirmed. That’s in stark contrast to a far, far larger denial of medical services to sick Americans that could be fixed instantly if there were the political will to do it. Ezra Klein explains:

It’s a relief to see so much outrage over poor access to government-provided health-care benefits. But it would be nice to see bipartisan outrage extend to another unfolding health-care scandal in this country: the 4.8 million people living under the poverty line who are eligible for Medicaid but won’t get it because their state has refused Obamacare’s Medicaid expansion.

As appalling as the wait times are for VA care, the people living in states that refused the Medicaid expansion aren’t just waiting too long for care. They’re not getting it at all. They’re going completely uninsured when federal law grants them comprehensive coverage. Many of these people will get sick and find they can’t afford treatment and some of them will die. Many of the victims here, by the way, are also veterans.

….All in all, the Kaiser Family Foundation estimates that more than 7.5 million uninsured adults would be eligible for Medicaid but live in a state that has refused the expansion….The point here isn’t to minimize the problems at the VA, which need to be fixed — and fast. But anyone who feels morally outraged over the extended wait times at the VA should be appalled by the literally endless wait times the poor are enduring in the states that are refusing to expand Medicaid.

Fat chance of that, I suppose. Nonetheless, it’s at least as big a scandal as VA #1, and far, far bigger than VA #2.

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A Health Care Scandal That’s Way Bigger Than the VA

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Patent Court Judge Steps Down After Cozy Relationship to Patent Attorney Becomes Public

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Tim Lee writes about a recent scandal at the federal circuit court that specializes in patent cases:

Last week Judge Randal Rader, the court’s chief judge, admitted that he wrote an effusive email to patent attorney Edward Reines. The email praised the attorney’s work and encouraged him to share the email with potential clients, a breach of judicial impartiality. The revelation has forced Rader step down as the court’s chief effective this Thursday. Rader plans to stay on the court as a circuit judge. The Federal Circuit was also forced to re-consider two cases involving Reines after Rader retroactively recused himself from them.

Rader’s indiscretion is the last straw for Jeff John Roberts of GigaOm (no relation to the chief justice, as far as I know), who writes: “the Federal Circuit looks beyond salvaging. It’s time for Congress to disband the court.”

The problem with the patent court is that it seems to have suffered the equivalent of regulatory capture. I don’t know the backgrounds of the judges on the court, but they’re awfully prone to upholding patent claims. They’re sympathetic in terms of broad legal interpretations, widening the scope of software patents far beyond what Supreme Court precedent requires (or even suggests), and they’re sympathetic in terms of specific cases, where they rule in favor of plaintiffs well over half the time (see chart on right).

I don’t know if getting rid of the patent court and simply allowing patent cases to be heard by ordinary circuit courts is the right answer. That’s how patent cases used to be heard, but there’s been a lot of water under the bridge since then. Besides, that would require congressional action, and what are the odds of that? What’s more, if Congress did rouse itself to do something about this, a better course of action would be legislation that explicitly reins in the scope of software patents and does more to make patent trolling less lucrative. That would be the right thing to do. We can keep hoping, anyway.

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Patent Court Judge Steps Down After Cozy Relationship to Patent Attorney Becomes Public

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We’re Still at War: Photo of the Day for May 2, 2014

Mother Jones

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Lance Cpl. Ethan C. Hogeland, native of Fayetteville, N.C., and amphibious assault vehicle crewman with 2nd Assault Amphibian Battalion, 2nd Marine Division, Marine Corps Base Camp Lejeune, N.C., watches the sunrise on the flight deck in preparation for manning the rails as the USS New York (LPD 21) sails into South Florida for Fleet Week Port Everglades 2014, April 28. Approximately 120 Marines from 2nd AAV Bn., 2nd Battalion, 6th Marine Regiment, 2nd Marine Division, Marine Corps Base Camp Lejeune, N.C., and Marine Light Attack Helicopter Squadron (HMLA) 269, Marine Corps Air Station New River, N.C., are participating in the 24th Annual Fleet Week in Port Everglades; South Florida’s annual celebration of maritime forces. (U.S. Marine Corps photo by Sgt. Alicia R. Leaders/Released)

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We’re Still at War: Photo of the Day for May 2, 2014

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An Economist Answers Some of My Questions About "Capital in the 21st Century"

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On Thursday I posted a couple of very rudimentary comments regarding Thomas Piketty’s blockbuster new book, Capital in the 21st Century. I had questions about Piketty’s estimates of r (return on capital) and g (economic growth) in the past and—much more importantly—how they were likely to play out in the future. But all I had were amateur musings because I am, after all, only an amateur.

However, yesterday Brad DeLong tackled some of the questions I asked in a far more rigorous and disciplined way, teasing out a lot of unstated implications along the way—including the importance of various measures of r and how they relate to the probability of increasing future wealth concentration in the real world. It’s a long post, and complex in places, but highly recommended. If you’re willing to work your way through it, DeLong provides a framework for thinking about Piketty’s model that helps you start to make sense of both the book and its conclusions.

POSTSCRIPT: I’ve gotten a couple of questions about why I seem unduly skeptical, or even harsh, about Piketty’s book. It’s obviously a landmark work, I don’t really mean to be unfair. But it’s a book with innovative and untested ideas that has obvious appeal to anyone left of center, and I think this is precisely the time to avoid unquestioning hosannas. Affinity bias makes us all sympathetic to Piketty’s arguments, and that’s why we should instead question it carefully and thoroughly.

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An Economist Answers Some of My Questions About "Capital in the 21st Century"

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It’s Finally Time For a New Phone

Mother Jones

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So I went out today to my local T-Mobile store to check out the new HTC One, and as far as I’m concerned they ruined it. It’s now a gigantic slab, thanks to the 5-inch screen mania that’s mowed down everything in its path over the past year. They should have kept the old size, even if it meant the screen might be a mere 4.8 or 4.9 inches.

So it’s now off my radar, and I’m pretty much thinking I’ll go ahead and get a Google Nexus 5 instead. Ironically, it also has a 5-inch screen, but it’s nonetheless about the same size as the old HTC One. It’s nowhere near as good looking, but it seems to be pretty functional and pretty reasonably priced. Anyone have any reason to warn me away from it?

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It’s Finally Time For a New Phone

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Friday Cat Blogging – 11 April 2014

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Here she is, the Queen of Sheba, keeping a watchful eye on her domain and her loyal subjects. Soon she will take a well-deserved nap.

But before you take a nap, how about donating a few bucks to our investigative reporting fundraiser? Our goal is to raise $100,000 over the next three weeks. As you all know, we’re a reader-supported nonprofit, so those dollars aren’t going to come from big corporations or super-rich political donors. They’ll be small contributions from regular people who read Mother Jones. If you value our reporting—or hell, even if you only value our catblogging—please donate $5 to the Mother Jones Investigative Fund. If you can afford it, make it $10. We’ll put it to good use. Here’s how to make a contribution:

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Friday Cat Blogging – 11 April 2014

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Who Started the Culture Wars, Anyway?

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A couple of days ago Paul Waldman wrote about Persecuted, a new movie that features a Christian evangelist who gets framed for murder by an evil senator and then spends the rest of the film running from government agents. It all sounds pretty silly, and it’s come in for plenty of mockery on the left. But after watching the trailer, I have to say that it didn’t sound much sillier than plenty of other movies and TV shows I’ve seen. In Hollywood, evil businessmen have done a lot worse than this to environmental activists and the CIA has done a lot worse to national security whistleblowers.

So fine. Why not make a silly movie about a persecuted evangelist instead of a persecuted journalist trying to expose the CIA? It’s not my cup of paranoid thriller tea, but all of us enjoy being paranoid about different things. And I was happy to see that, unlike many lefties, Waldman concedes that right-wing Christian paranoia isn’t completely ridiculous:

But liberals should acknowledge that for more fundamentalist Christians, there’s a genuine feeling that underlies their fears. In many ways, the contemporary world really has turned against them. Society has decided that their beliefs about family—in which sex before marriage is shameful and wicked, and women are subordinate to their husbands—are antiquated and worthy of ridicule. Their contempt for gay people went from universal to acceptable to controversial to deplorable in a relatively short amount of time. If you are actually convinced that, in the words of possible future senator and current congressman Paul Broun, “I don’t believe that the Earth’s but about 9,000 years old,” then modern geology is an outright assault on your most fundamental beliefs. And so is biology and physics and many other branches of science.

And it’s not just changing culture. Over the last half century, various branches of government have also taken plenty of proactive steps to marginalize religion. Prayer in public school has been banned. Creches can no longer be set up in front of city hall. Parochial schools are forbidden from receiving public funds. The Ten Commandments can’t be displayed in courtrooms. Catholic hospitals are required to cover contraceptives for their employees. Gay marriage is legal in more than a dozen states and the number is growing rapidly.

Needless to say, I consider these and plenty of other actions to be proper public policy. I support them all. But they’re real things. Conservative Christians who feel under attack may be partly the victims of cynical politicians and media moguls, and a lot of their pity-party attempts at victimization really are ridiculous. But their fears do have a basis in reality. To a large extent, it’s the left that started the culture wars, and we should hardly be surprised that it provoked a strong response. In fact, it’s a sign that we’re doing something right.

As far as I’m concerned, the culture wars are one of the left’s greatest achievements. Our culture needed changing, and we should take the credit for it. Too often, though, we pretend that it’s entirely a manufactured outrage of the right, kept alive solely by wild fantasies and fever swamp paranoia. That doesn’t just sell the right short, it sells the left short too. It’s our fight. We started it, and we should be proud of it.

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Who Started the Culture Wars, Anyway?

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Senate Torture Report Starts to Leak

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In an entirely unsurprising development, it appears that the Senate report on CIA torture is starting to get leaked. Today, McClatchy reports the complete list of findings from the report, including these:

The CIA’s use of enhanced interrogation techniques did not effectively assist the agency in acquiring intelligence or in gaining cooperation from detainees.
The CIA inaccurately characterized the effectiveness of the enhanced interrogation techniques to justify their use.
The CIA’s use of enhanced interrogation techniques was brutal and far worse than the agency communicated to policymakers.
The CIA impeded effective White House oversight and decision-making. The CIA has actively avoided or impeded congressional oversight of the program. The CIA impeded oversight by the CIA’s Office of Inspector General.
The CIA manipulated the media by coordinating the release of classified information, which inaccurately portrayed the effectiveness of the agency’s enhanced interrogation techniques.

The whole story is here, along with the complete list of findings. I expect more like this in the future unless the CIA stops slow rolling its declassification process and allows the report to be substantially released.

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Senate Torture Report Starts to Leak

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Some Follow-Up Notes on Thomas Piketty’s "Capital in the 21st Century"

Mother Jones

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I’m a little reluctant to dive ever deeper into the weeds of Thomas Piketty’s Capital in the 21st Century since I’m woefully unqualified for the task. But I have a couple of follow-up comments that might be worthwhile. These are things I alluded to in my post on Tuesday but didn’t elaborate on.

First: As you know by now, Piketty’s primary argument is that, historically, r > g. That is, the return on capital is higher than economic growth, which means that owners of capital see their incomes grow faster than ordinary laborers. Since the rich own most of the capital, this means that the incomes of the rich naturally increase faster than the non-rich unless proactive steps are taken to stop it.

That’s fine. But take a look at the highlighted region in the chart on the right. The first set of points is for 1950-2012, a period in which r was about 0.5 percentage points less than g. The next set of points is a projection for 2012-2050, a period in which r is roughly 0.5 percentage points greater than g. This is not a big difference, especially considering the inherent noise in the data. Even if it’s correct, it means the next 40 years will see only small changes in the relative returns to capital and labor.

The real action is in the period 2050-2100, and it’s almost entirely dependent on Piketty’s projection that g will plummet by two full percentage points. Now, this might be correct. But keep in mind what’s going on here. Piketty’s main conclusion is (a) based on a projection more than 50 years in the future, which is inherently unreliable, and (b) primarily a guess that economic growth will plummet. So everything boils down to this: will global economic growth plummet during the period 2050-2100? I’d like to suggest that this is a very different question from the one most people are addressing in their reviews of Piketty.

Second: Another thing I mentioned on Tuesday is that if economic growth slows and capital stocks increase, then the return on capital should go down. Piketty acknowledges this—though not in the chart above—but contends that r will fall less than g. In technical terms, this all depends on the elasticity of substitution between capital and labor. However, over at Tyler Cowen’s blog, Matt Rognlie argues that Piketty is confusing gross and net production functions. If you account for depreciation, then the elasticity is such that r is likely to fall much faster than Piketty thinks as capital stocks increase and economic growth slows down.

I want to be clear that I can’t assess this independently. But it sounds plausible, and Cowen thinks it sounds plausible too. I’d very much like to hear Piketty or someone else address this.

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Some Follow-Up Notes on Thomas Piketty’s "Capital in the 21st Century"

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Guess What? Greece Is Finally Starting to Recover

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Apropos of nothing in particular, I want to highlight this column from Hugo Dixon that I found at Counterparties yesterday:

Greece is undergoing an astonishing financial rebound. Two years ago, the country looked like it was set for a messy default and exit from the euro. Now it is on the verge of returning to the bond market with the issue of 2 billion euros of five-year paper.

There are still political risks, and the real economy is only now starting to turn. But the financial recovery is impressive. The 10-year bond yield, which hit 30 percent after the debt restructuring of two years ago, is now 6.2 percent….The changed mood in the markets is mainly down to external factors: the European Central Bank’s promise to “do whatever it takes” to save the euro two years ago; and the more recent end of investors’ love affair with emerging markets, meaning the liquidity sloshing around the global economy has been hunting for bargains in other places such as Greece.

That said, the centre-right government of Antonis Samaras has surprised observers at home and abroad by its ability to continue with the fiscal and structural reforms started by his predecessors. The most important successes have been reform of the labour market, which has restored Greece’s competiveness, and the achievement last year of a “primary” budgetary surplus before interest payments.

I don’t have anything to say about this, but once a narrative takes hold we sometimes don’t realize it when things change. If you had asked me last week how Greece was doing, I would have answered, “Oh, they’re still screwed.” But apparently they’re doing better. Not out of the woods yet, but doing better. Update your priors.

POSTSCRIPT: If this keeps up—and that’s still a big if—it also might be a lesson in the virtue of kicking the can down the road. Back in 2012, lots of commenters, including me, believed that the eurozone had deep structural problems that couldn’t be solved by running fire drills every six months or so and then hoping against hope that things would get better. But maybe they will! This probably still wasn’t the best way of forging a recovery of the eurozone, but so far, it seems to have worked at least a little better than the pessimists imagined. Maybe sometimes kicking the can is a good idea after all.

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Guess What? Greece Is Finally Starting to Recover

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