Tag Archives: obama

Hospitals Report Big Drop in Uninsured Admissions in Blue States

Mother Jones

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Jason Millman has been listening in on earnings calls for publicly traded hospital chains, and he says they all report a big difference in admissions between states that expanded Medicaid and those that didn’t:

The Hospital Corporation of America…saw a 22.3 percent growth in Medicaid admissions, compared to a 1.3 percent decline in non-expansion states. The company also had a 29 percent decline in uninsured admissions in the expansion states, while non-expansion states experienced 5.9 percent growth in uninsured admissions, chief financial officer William Rutherford said.

Community Health Systems, with facilities in 29 states, also noticed an expansion gap. In expansion states it serves, CHS said it saw self-pay i.e., uninsured admissions drop 28 percent while Medicaid admissions increased by 4 percent. Self-pay emergency room visits decreased 16 percent in expansion states, but they increased in non-expansion states, the company said in its earnings call last week.

Tenet Healthcare reported last week that it had a 17 percent increase in Medicaid inpatient visits while uninsured visits decreased 33 percent in the four expansion states where it operates. In non-expansion states, Medicaid admissions dropped 1 percent as uninsured care rose 2 percent.

This is why hospitals support Medicaid expansion so strongly. Medicaid may not pay a lot, but on average it pays a lot better than uninsured patients. A drop of around 30 percent in uninsured admissions is a big win for the patients, but it’s also a big win for the hospitals.

Normally, of course, that would be enough to gain Republican support all by itself, but not in the world of Obamacare. The fact that Medicaid expansion benefits the poor, benefits hospitals, probably benefits state finances, and is all but free to participating states—well, it’s just not enough. Demonstrating their tribal opposition to all things Obama is far more important.

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Hospitals Report Big Drop in Uninsured Admissions in Blue States

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It only took 28 years to get solar panels back on the White House roof!

It only took 28 years to get solar panels back on the White House roof!

Daniel Zimmerman

Today, Jimmy Carter gets to enjoy a gleeful chuckle while Ronald Reagan rolls over in his grave. Today is a good day.

After four years of repeated grumblings of “we’re going to do this, we promise,” the Obama administration has plunked some solar panels on the White House roof. And like all great things, they’re American-made, American-installed, and run off of good ol’ American sunlight!

A little bit of backstory: Back in 1979, Carter was ahead of the curve in installing solar panels at the presidential residence. At their dedication, he provided an apt analysis of what they symbolized at the time: “A generation from now, this solar heater can either be a curiosity, a museum piece, an example of a road not taken, or it can be a small part of one of the greatest and most exciting adventures ever undertaken by the American people—harnessing the power of the sun to enrich our lives as we move away from our crippling dependence on foreign oil.”

Reagan honored that sentiment with a resounding “SIKE NAW” when he removed the panels in 1986.

And nearly 30 years later, here we are again! Time is a flat circle, after all.

During a speech today in California, President Obama unveiled new plans to promote the use of solar energy by businesses, households, and the government, plus a $2 billion initiative to make federal buildings more energy efficient by 2017.

“Every four minutes, another American home or business goes solar, and every panel is pounded into place by a worker whose job cannot be overseas,” Obama said.

What better place to continue that trend than his own house?

“Being at the White House, we do have some security concerns, and we can’t cover the entire roof,” says White House Usher James Doherty in an official video (watch below) showing the installation of the panels. “Although that would be good from an energy saving standpoint,” he adds with an uncomfortable giggle.

Hopefully, these solar panels will enjoy a slightly longer life than Carter’s.

Eve Andrews is a Grist fellow and new Seattle transplant via the mean streets of Chicago, Poughkeepsie, and Pittsburgh, respectively and in order of meanness. Follow her on Twitter.

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It only took 28 years to get solar panels back on the White House roof!

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Obama’s Foreign Policy Paradox

Mother Jones

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Fareed Zakaria is the latest columnist to acknowledge that although President Obama’s foreign policy decisions have been largely correct, they’ve been sadly unaccompanied by any magic powers:

President Obama has not made a major mistake. He has done a skillful job steering the United States out of the muddy waters he inherited — Iraq, Afghanistan — and resisted plunging the country into another major conflict.

….Obama’s strategy of putting pressure on Moscow, using targeted sanctions and rallying support in Europe is the right one — and might even be showing some signs of paying off.

….From the Asia pivot to new trade deals to Russian sanctions, Obama has put forward an agenda that is ambitious and important, but he approaches it cautiously, as if his heart is not in it, seemingly pulled along by events rather than shaping them. Once more, with feeling, Mr. President!

I’ll concede that as a political partisan, maybe I’m cutting Obama too much slack. But I still wonder what all these critics want. I don’t mean the Bill Kristols and John McCains of the world. I know what they want: maximum confrontation, maximum bluster, and maximum military intervention. But what about the others? Like Zakaria, they sort of grudgingly recognize that Obama’s actual foreign policy actions have been about as good as they could have been, and yet they’re still unhappy. They want inspiration, dammit! They want the rest of the world to fall immediately into line. They want victory! That’s how it happens in the movies, after all. The president gives a big speech, and everyone swoons.

I wonder: Has any president in history been so widely criticized for doing everything right but not crowing loudly enough about it? I mean, it’s nice to think that a silver tongue would have gotten congressional Republicans to support intervention in Syria and Germans to approve harsher sanctions against Russia, but it’s just not so. I think everyone knows this perfectly well, but we find it so frustrating that we blame Obama for it anyway. It’s as if we’re all five-year-olds.

Which, come to think of it, maybe we are. We want this circle squared—triumph on every front but without any actual exercise of military power—and when we don’t get it we demand someone to blame, logic be damned. Before long we’re going to be holding Obama responsible for the fact that pi doesn’t equal three.

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Obama’s Foreign Policy Paradox

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Republicans Drink Their Own Kool-Aid, End Up Looking Like Idiots

Mother Jones

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Jonathan Bernstein makes a telling point today about the Fox News bubble that so many Republicans are trapped in. As you may recall, last week House Republicans released a survey suggesting that only 67 percent of Obamacare enrollees had paid their premiums. It was a laughably dumb survey, and it prompted the usual question: stupid or mendacious? Did Republicans really believe this nonsense, or were they just tossing out lies to muddy the waters?

Bernstein says the Republican follow-up to the survey demonstrates that they really believed their own spin:

This could be just a story of ineptitude. The House Energy and Commerce Committee wouldn’t be the first to construct a survey poorly….But yesterday, a House subcommittee invited insurance company executives to testify and, according to the Hill, Republicans on the panel were “visibly exasperated, as insurers failed to confirm certain claims about ObamaCare, such as the committee’s allegation that one-third of federal exchange enrollees have not paid their first premium.”

We don’t have to rely on reporter interpretations (here’s another one). It made no sense to hold the hearing unless Republicans were (foolishly) confident that the testimony would support their talking point, instead of undermining it.

The only plausible explanation is that closed feedback loop. Either members of the committee managed not to be aware of the criticisms of their survey, or they mistakenly wrote off the criticism as partisan backbiting.

Good catch! Obviously Republicans were caught off guard at yesterday’s hearing, and that could only happen if they really and truly believed their own flawed survey. And that, in turn, could only happen if they get pretty much all their information from Fox News and don’t bother with anything else. After all, the flaw in their survey was obvious. You didn’t have to be a brain surgeon to know that it would never stand up to scrutiny.

Welcome to the alternate universe of movement conservatism. Sometimes it bites you in the ass.

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Republicans Drink Their Own Kool-Aid, End Up Looking Like Idiots

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Using Weathercasters to Deliver a Climate Change Message

The White House invited weather broadcasters to interview President Obama and, the administration hoped, to spread the word in a landmark report. Read More: Using Weathercasters to Deliver a Climate Change Message ; ;Related ArticlesRescuers Turn to Boat as Storm Rocks FloridaFor Florida Grapefruit, One Blow After AnotherDot Earth Blog: Vatican Dialogue: ‘Man is a Technical Giant and an Ethical Child’ ;

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Using Weathercasters to Deliver a Climate Change Message

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The 12 things the Obama administration wants you to know about climate change

The 12 things the Obama administration wants you to know about climate change

Shutterstock

Climate change is affecting you, right now. Yeah, you.

That’s the message from the Obama administration today. “Climate change, once considered an issue for a distant future, has moved firmly into the present,” says the latest National Climate Assessment, published by the White House. Every few years, by law, the federal government is required to publish such a report; this is the third and most comprehensive one put out. It’s a hefty catalogue of changes underway in America’s climate and weather — and of the changes we can expect to experience as greenhouse gases continue to turn the world into a more exotic and less welcoming place.

“Summers are longer and hotter, and extended periods of unusual heat last longer than any living American has ever experienced,” the report says. “Winters are generally shorter and warmer. Rain comes in heavier downpours. People are seeing changes in the length and severity of seasonal allergies, the plant varieties that thrive in their gardens, and the kinds of birds they see in any particular month in their neighborhoods.”

The report is somewhat similar to the assessments published once or twice a decade by the U.N. Intergovernmental Panel on Climate Change. Except that this report’s focus is solely on the U.S. And, unlike the IPCC reports, this one is actually a pleasure to look at – replete with graphics, animated gifs, and an easy-to-read website for those who would prefer to not slog through a huge .pdf or printed report.

The report divides climate impacts into 10 geographical regions: Northeast, Southeast and the Caribbean, Midwest, Great Plains, Southwest, Northwest, AlaskaHawai’i and Pacific Islands, Oceans, Coasts.

“Some of the changes discussed in this report are common to many regions,” it states. “For example, large increases in heavy precipitation have occurred in the Northeast, Midwest, and Great Plains, where heavy downpours have frequently led to runoff that exceeded the capacity of storm drains and levees, and caused flooding events and accelerated erosion. Other impacts, such as those associated with the rapid thawing of permafrost in Alaska, are unique to a particular U.S. region. Permafrost thawing is causing extensive damage to infrastructure in our nation’s largest state.”

The report painstakingly outlines the impacts of climate change across the nation on water resources (water won’t always flow out of your tap when you want it to), energy (more blackouts), human health (what rhymes with mosquito?), transportation (traffic jams and transit outages, especially near coasts), agriculture (food is getting harder to find — unless you’re a plague of warmth-fostered invasive pests), forests (drought, fire, disease, and ravenous insects where trees once stood), and ecosystems (weird seasons are pushing wildlife into hostile ecological terrain).

And it contains 12 main findings — big-picture things that every American needs to understand about climate change:

1. Global climate is changing and this is apparent across the United States in a wide range of observations. The global warming of the past 50 years is primarily due to human activities, predominantly the burning of fossil fuels.

2. Some extreme weather and climate events have increased in recent decades, and new and stronger evidence confirms that some of these increases are related to human activities.

3. Human-induced climate change is projected to continue, and it will accelerate significantly if global emissions of heat-trapping gases continue to increase.

4. Impacts related to climate change are already evident in many sectors and are expected to become increasingly disruptive across the nation throughout this century and beyond.

5. Climate change threatens human health and well-being in many ways, including through more extreme weather events and wildfire, decreased air quality, and diseases transmitted by insects, food, and water.

6. Infrastructure is being damaged by sea level rise, heavy downpours, and extreme heat; damages are projected to increase with continued climate change.

7. Water quality and water supply reliability are jeopardized by climate change in a variety of ways that affect ecosystems and livelihoods.

8. Climate disruptions to agriculture have been increasing and are projected to become more severe over this century.

9. Climate change poses particular threats to Indigenous Peoples’ health, well- being, and ways of life.

10. Ecosystems and the benefits they provide to society are being affected by climate change. The capacity of ecosystems to buffer the impacts of extreme events like fires, floods, and severe storms is being overwhelmed.

11. Ocean waters are becoming warmer and more acidic, broadly affecting ocean circulation, chemistry, ecosystems, and marine life.

12. Planning for adaptation (to address and prepare for impacts) and mitigation (to reduce future climate change, for example by cutting emissions) is becoming more widespread, but current implementation efforts are insufficient to avoid increasingly negative social, environmental, and economic consequences.

So we have a lot to worry about. But the more than 300 experts who collaborated on the report, under the direction of the 60-member National Climate Assessment and Development Advisory Committee, have plenty of advice for taking action. A response strategies section includes a mitigation chapter (“the amount of future climate change will largely be determined by choices society makes about emissions,” it reminds us) and a chapter dealing with adaptation (“adaptation planning is occurring in the public and private sectors and at all levels of government,” it notes, “but few measures have been implemented.”)

This graphic shows some of the changes that we’ve unleashed upon the world, thanks to our appetites for fossil-fueled power:

National Climate AssessmentClick to embiggen.


Source
National Climate Assessment, globalchange.gov

John Upton is a science fan and green news boffin who tweets, posts articles to Facebook, and blogs about ecology. He welcomes reader questions, tips, and incoherent rants: johnupton@gmail.com.

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The 12 things the Obama administration wants you to know about climate change

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Report: The Effects of Climate Change Are Occurring in Real-Time All Over the United States

Mother Jones

This story originally appeared in the Guardian and is republished here as part of the Climate Desk collaboration.

Climate change has moved from distant threat to present-day danger, and no American will be left unscathed, according to a landmark report due to be unveiled Tuesday.

The National Climate Assessment, a 1,300-page report compiled by 300 leading scientists and experts, is meant to be the definitive account of the effects of climate change on the United States. It will be formally released at a White House event and is expected to drive the remaining two years of President Obama’s environmental agenda.

The findings are expected to guide Obama as he rolls out the next and most ambitious phase of his climate change plan in June—a proposal to cut emissions from the current generation of power plants, America’s largest single source of carbon pollution.

The White House is believed to be organizing a number of events over the coming week to give the report greater exposure.

“Climate change, once considered an issue for a distant future, has moved firmly into the present,” a draft version of the report says. The evidence is visible everywhere from the top of the atmosphere to the bottom of the ocean, the report continues.

“Americans are noticing changes all around them. Summers are longer and hotter, and periods of extreme heat last longer than any living American has ever experienced. Winters are generally shorter and warmer. Rain comes in heavier downpours, though in many regions there are longer dry spells in between.”

The final wording was under review by the White House but the basic gist remained unchanged, scientists who worked on the report said.

On Sunday the UN secretary-general, Ban Ki-moon, said the world needed to try harder to combat climate change. At a meeting of UN member states in Abu Dhabi before a climate change summit in New York City on September 23, Ban said: “I am asking them to announce bold commitments and actions that will catalyze the transformative change we need. If we do not take urgent action, all our plans for increased global prosperity and security will be undone.”

Gary Yohe, an economist at Wesleyan University and vice-chair of the NCA advisory committee, said the US report would be unequivocal that the effects of climate change were occurring in real-time and were evident in every region of the country.

“One major take-home message is that just about every place in the country has observed that the climate has changed,” he told the Guardian. “It is here and happening, and we are not cherry-picking or fear-mongering.”

The draft report notes that average temperature in the United States has increased by about 1.5 degrees Fahrenheit since 1895, with more than 80 percent of that rise since 1980. The last decade was the hottest on record in the US.

Temperatures are projected to rise another 2 degrees Fahrenheit over the next few decades, the report says. In northern latitudes such as Alaska, temperatures are rising even faster.

“There is no question our climate is changing,” said Don Wuebbles, a climate scientist at the University of Illinois and a lead author of the assessment. “It is changing at a factor of 10 times more than naturally.”

Record-breaking heat—even at night—is expected to produce more drought and fuel larger and more frequent wildfires in the Southwest, the report says. The Northeast, Midwest, and Great Plains states will see an increase in heavy downpours and a greater risk of flooding.

“Parts of the country are getting wetter, parts are getting drier. All areas are getting hotter,” said Virginia Burkett, chief scientist for global change at the US Geological Survey. “The changes are not the same everywhere.”

Those living on the Atlantic seaboard, Gulf of Mexico, and Alaska who have weathered the effects of sea level rise and storm surges can expect to see more. Residents of coastal cities, especially in Florida—where there is already frequent flooding during rainstorms—can expect to see more. So can people living in inland cities sited on rivers.

Some changes are already having a measurable effect on food production and public health, the report will say.

John Balbus, senior adviser at the National Institute of Environmental Health Science and a lead author of the NCA report, said rising temperatures increased the risk of heat stroke and heat-related deaths.

Eugene Takle, convening lead author of the agriculture chapter of the NCA report and director of the climate science program at Iowa State University, said heat waves and changes in rainfall had resulted in a leveling off in wheat and corn production and would eventually cause declines.

In California, warmer winters have made it difficult to grow cherries. In the Midwest, wetter springs have delayed planting. Invasive vines such as kudzu have spread northward, from the South to the Canadian border.

Some of the effects on agriculture, such as a longer growing season, are positive. But Takle said: “By mid-century and beyond the overall impacts will be increasingly negative on most crops and livestock.”

The assessments are the American equivalent of the United Nations’ Intergovernmental Panel on Climate Change (IPCC) reports. This year’s report for the first time looks at what the United States has done to fight climate change or protect people from its consequences in the future.

Under an act of Congress the reports were supposed to be produced every four years, but no report was produced during George W Bush’s presidency.

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Report: The Effects of Climate Change Are Occurring in Real-Time All Over the United States

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The Latest Benghazi Freakout In Ten Sentences

Mother Jones

Last week, in response to a Freedom of Information request filed by Judicial Watch, the White House released a memo related to Benghazi that was authored by Ben Rhodes, the deputy national security adviser for strategic communication. The four-page memo, written a few days after the attacks, was designed to prep Susan Rice for her upcoming appearances on several Sunday talk shows. Among other things, it addressed the anti-American protests that had first sprung up in Egypt and then spread throughout the Middle East, including this line as one of the goals of her appearances:

To underscore that these protests are rooted in an Internet video, and not a broader failure of policy.

Republicans say this is a “smoking gun” of a White House cover-up on Benghazi. But is it? Here are ten things you should know:

  1. First things first: this memo should have been released earlier, and conservatives are fully justified in asking why it took a FOIA request to finally shake it loose.
  2. That said, as an adviser for “strategic communication”—what the rest of us call spin—Ben Rhodes’ job is explicitly political, providing guidance on how to put the administration’s foreign policy actions in the best light.
  3. Nine hours before Rhodes sent his email, the CIA had provided its assessment of what caused the attacks in Benghazi: “We believe based on currently available information that the attacks in Benghazi were spontaneously inspired by the protests at the US Embassy in Cairo and evolved into a direct assault against the US consulate and subsequently its annex.”
  4. The Cairo protests, in turn, were inspired by the YouTube video “Innocence of Muslims,” which is why Rhodes mentioned the video in his memo.
  5. As it happens, it turned out that there were no protests earlier in the day in Benghazi—but at the time, that was what the CIA believed.
  6. However, multiple sources—including McClatchy, Al Jazeera, the New York Times, and then deputy CIA director Michael Morell—have confirmed that anger toward the YouTube video did play a role in motivating the initial attacks.
  7. Multiple sources also confirm that that the Benghazi attacks were opportunistic—organized hastily to take advantage of the Cairo protests, not planned days or weeks ahead of time.
  8. Susan Rice, in all her Sunday show appearances, was properly cautious about the role of the video, the nature of the attacks, and the fact that everything she said was tentative and based on “the best information we have to date.”
  9. Like any administration, the Obama White House wanted to put the best face on its Middle East policy, and there’s no question that their public statements were designed to do just that.
  10. Nevertheless, the Republican theory that Obama was afraid to blame Benghazi on terrorism has never really made any sense; there’s simply never been any evidence of anything more than a fairly routine amount of spin in the aftermath of the attacks.

So: A “smoking gun”? “Cold, hard evidence” of an Obama cover-up? Just like Watergate? Hardly. Even George Will doesn’t believe that. The video really did play a role in the Cairo protests and then the Benghazi attacks, and there was never anything wrong with saying so. It’s inexplicable that Republicans think this memo proves anything more damning than that.

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The Latest Benghazi Freakout In Ten Sentences

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Here’s the Easiest Way to Fund the Interstate Highway System: Just Restore the Damn Gas Tax

Mother Jones

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With a few exceptions, the interstate highway system is blissfully toll-free. That may be about to change:

With pressure mounting to avert a transportation funding crisis this summer, the Obama administration Tuesday opened the door for states to collect tolls on interstate highways to raise revenue for roadway repairs.

….The question of how to pay to repair roadways and transit systems built in the heady era of post-World War II expansion is demanding center stage this spring, with projections that traditional funding can no longer meet the need. That source, the Highway Trust Fund, relies on the 18.4-cent federal gas tax, which has eroded steadily as vehicles have become more energy efficient.

….With the trust fund about to run into the red and the current federal highway bill set to expire Sept. 30, Congress cannot — as its members often note — keep “kicking the can down the road.”

Hold on. It’s true that we’re using a bit less gasoline than in the past. But that’s not why the Highway Trust Fund is in dire shape. It’s in dire shape because the federal gas tax has been cut nearly in half since it was last changed two decades ago. In 1993 dollars, it’s now about 11 cents per gallon. If it had just kept up with inflation, highway funding would be in fine shape.

Now, there’s arguably a good reasons to allow tolls. Basically, it makes driving on interstates more of a pain in the ass, which probably means marginally less driving on interstates. And less driving is good for the planet. So if you think that making it less convenient to drive is a good idea, tolls might help.

But you know what else would cut down on driving? Gas taxes restored to 1993 levels. So what’s the point of dicking around instead with tolls and corporate tax reform and all that? The answer, of course, is Republicans, who have sworn a blood oath never to raise taxes, even if “raising” actually means “keeping them at the same level.” So instead of just bumping up the gax tax by a dime or two and then indexing it to inflation—no muss, no fuss—we’re going to play a bunch of idiotic and annoying games merely to keep our roads in decent repair.

Thanks, Republicans. I appreciate it.

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Here’s the Easiest Way to Fund the Interstate Highway System: Just Restore the Damn Gas Tax

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A Short Primer on American Preferences in Foreign Policy

Mother Jones

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The American public largely seems to approve of President Obama’s specific foreign policy choices. They want to withdraw from Iraq and Afghanistan; they don’t want to go to war in Syria; they don’t want troops on the ground in Ukraine; and they support serious negotiations with Iran over its nuclear weapons program.

And yet, paradoxically, they don’t think much of Obama’s foreign policy in the aggregate. Overall approval ratings for his foreign policy are stuck at roughly George W. Bush levels. What’s going on?

With the benefit of my vast experience reading the mood of the American public, I’d like to explain what’s going on. This should save our nation’s pundits millions of windy words trying to invent sophisticated explanations that make them look smart. Here it is:

The American public really likes short, decisive wars that the United States wins conclusively. A couple of weeks is good. A month or two is pretty much the outside limit.

That’s it! Now you understand foreign policy. Grenada: good! Panama: good! Gulf War: not bad! Kosovo: pushing it. Iraq: Horrible. Syria and other places where we fail to intervene at all: massive cognitive dissonance. War is bad! But we want to kick the bad guys in the butt! Does not compute! President is failing….failing….failing….

This has been a public service announcement. Are there any questions?

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A Short Primer on American Preferences in Foreign Policy

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