Tuesday, September 29, 2009

WSJ.com - Why Medical Malpractice Is Off Limits

This is not just a partisan viewpoint.  See the last paragraph I quote below.

WSJ.com - Opinion: Why Medical Malpractice Is Off Limits

Eliminating defensive medicine could save upwards of $200 billion in health-care costs annually, according to estimates by the American Medical Association and others. The cure is a reliable medical malpractice system that patients, doctors and the general public can trust.

But this is the one reform Washington will not seriously consider. That's because the trial lawyers, among the largest contributors to the Democratic Party, thrive on the unreliable justice system we have now.

Almost all the other groups with a stake in health reform support pilot projects such as special health courts that would move beyond today's hyper-adversarial malpractice lawsuit system to a court that would quickly and reliably distinguish between good and bad care. The support for some kind of reform reflects a growing awareness among these groups that managing health care sensibly, including containing costs, is almost impossible when doctors go through the day thinking about how to protect themselves from lawsuits.

Howard Dean, former chair of the Democratic National Committee, was asked why there is nothing in the health-care proposals about liability reform. Mr. Dean replied: "The reason that tort reform is not in the bill is because the people who wrote it did not want to take on the trial lawyers. . . . And that is the plain and simple truth."



Monday, September 28, 2009

WSJ.com - Health 'Reform' Is Income Redistribution (from Young to Old)

This article includes simple explanations of the terms: Guaranteed issue, Community rating, and Individual mandate

WSJ.com - Opinion: Health 'Reform' Is Income Redistribution

Let's have an honest debate before we transfer more money from young to old.


Let's start with basics: Insurance protects against the risk of something bad happening. When your house is on fire you no longer need protection against risk. You need a fireman and cash to rebuild your home. But suppose the government requires insurers to sell you fire "insurance" while your house is on fire and says you can pay the same premium as people whose houses are not on fire. The result would be that few homeowners would buy insurance until their houses were on fire.

****
There are wiser and more equitable ways to ensure that every American has access to affordable health insurance. Policy experts and state policy makers have experimented with different solutions, including high risk pools and taxpayer-funded vouchers subsidized for those who are both poor and sick. Medicaid, charity care, and uncompensated care provided by hospitals cover some of these costs today.

These solutions are imperfect, but so are the reforms being proposed in Congress. Congress should be explicit about who will pay more under its plans.

Wednesday, September 23, 2009

WSJ.com - Charter Schools Pass Key Test in Study



New York City students who win a lottery to enroll in charter schools outperform those who don't win spots and go on to attend traditional schools, according to new research to be released Tuesday.

Ms. Hoxby's study found that the charter-school students, who tend to come from poor and disadvantaged families, scored almost as well as students in the affluent Scarsdale school district in the suburbs north of the city. The English test results showed a similar pattern. The study also found students were more likely to earn a state Regents diploma, given to higher-achieving students, the longer they attended charter schools.

Charter schools are publicly funded schools, typically with nonunion teachers, that are granted more freedom by states in curriculum and hiring, and are often promoted as a way to turn around failing schools.


Tuesday, September 22, 2009

WSJ.com - Getting Well: It's About Time

This article doesn’t draw any policy conclusions, but I think it comes back to the main problem with the 3rd-party payer system.  If it is not our money on the line, we aren’t concerned about being wise with its use.  We need to reconnect the health consumer with the costs for routine care.

 

WSJ.com - Getting Well: It's About Time

 

What cures colds, flu, sore throats, sore muscles, headaches, stomach aches, diarrhea, menstrual cramps, hangovers, back pain, jaw pain, tennis elbow, blisters, acne and colic, costs nothing, has no weird side effects and doesn't require a prescription?

Plain old-fashioned time. But it's often the hardest medicine for patients to take.

An estimated one-third to one-half of the $2.2 trillion Americans spend annually on health care in the U.S. is spent on unnecessary tests, treatments and doctor visits. Much of that merely buys time for the body to heal itself.

 

 

 

 

Sunday, September 20, 2009

WSJ.com - Mandatory Insurance Is Unconstitutional


WSJ.com - Opinion: Mandatory Insurance Is Unconstitutional

The elephant in the room is the Constitution. As every civics class once taught, the federal government is a government of limited, enumerated powers, with the states retaining broad regulatory authority. As James Madison explained in the Federalist Papers: "[I]n the first place it is to be remembered that the general government is not to be charged with the whole power of making and administering laws. Its jurisdiction is limited to certain enumerated objects." Congress, in other words, cannot regulate simply because it sees a problem to be fixed. Federal law must be grounded in one of the specific grants of authority found in the Constitution.

Congress cannot so simply avoid the constitutional limits on its power. Taxation can favor one industry or course of action over another, but a "tax" that falls exclusively on anyone who is uninsured is a penalty beyond Congress's authority. If the rule were otherwise, Congress could evade all constitutional limits by "taxing" anyone who doesn't follow an order of any kind—whether to obtain health-care insurance, or to join a health club, or exercise regularly, or even eat your vegetables.

This type of congressional trickery is bad for our democracy and has implications far beyond the health-care debate. The Constitution's Framers divided power between the federal government and states—just as they did among the three federal branches of government—for a reason. They viewed these structural limitations on governmental power as the most reliable means of protecting individual liberty—more important even than the Bill of Rights.




Thursday, September 17, 2009

WSJ.com - Energy 'Sprawl' and the Green Economy

Whether the author is right or wrong about nuclear power, he’s absolutely right that we need to consider the sprawl issue in our environmental debates.

 

WSJ.com - Opinion: Energy 'Sprawl' and the Green Economy

 

We're about to destroy the environment in the name of saving it.

Secretary of the Interior Ken Salazar recently announced plans to cover 1,000 square miles of land in Nevada, Arizona, California, Colorado, New Mexico and Utah with solar collectors to generate electricity. He's also talking about generating 20% of our electricity from wind. This would require building about 186,000 50-story wind turbines that would cover an area the size of West Virginia not to mention 19,000 new miles of high-voltage transmission lines.

This "sprawl" has been missing from our energy discussions.

The 1,000 square-mile solar project proposed by Mr. Salazar would generate, on a continuous basis, 35,000 megawatts of electricity. You could get the same output from 30 new nuclear reactors that would fit comfortably onto existing nuclear sites.

Renewable energy is not a free lunch. It is an unprecedented assault on the American landscape.

 

 

 

Wednesday, September 16, 2009

WSJ.com - The Man Who Defused the 'Population Bomb'

 

WSJ.com - Opinion: The Man Who Defused the 'Population Bomb'

 

Norman Borlaug arguably the greatest American of the 20th century died late Saturday after 95 richly accomplished years. The very personification of human goodness, Borlaug saved more lives than anyone who has ever lived. He was America's Albert Schweitzer: a brilliant man who forsook privilege and riches in order to help the dispossessed of distant lands. That this great man and benefactor to humanity died little-known in his own country speaks volumes about the superficiality of modern American culture.

Often it is said America lacks heroes who can provide constructive examples to the young. Here was such a hero. Yet though streets and buildings are named for Norman Borlaug throughout the developing world, most Americans don't even know his name.

 

 

 

 

WSJ.com - Health-Care Reform and the Constitution

 

WSJ.com - Opinion: Health-Care Reform and the Constitution

 

Rep. Clyburn, like many of his colleagues, seems to have conveniently forgotten that the federal government has only specific enumerated powers. He also seems to have overlooked the Ninth and 10th Amendments, which limit Congress's powers only to those granted in the Constitution.

One of those powers—the power "to regulate" interstate commerce—is the favorite hook on which Congress hangs its hat in order to justify the regulation of anything it wants to control.

The same Congress that wants to tell family farmers what to grow in their backyards has declined "to keep regular" the commercial sale of insurance policies. It has permitted all 50 states to erect the type of barriers that the Commerce Clause was written precisely to tear down. Insurers are barred from selling policies to people in another state.

That's right: Congress refuses to keep commerce regular when the commercial activity is the sale of insurance, but claims it can regulate the removal of a person's appendix because that constitutes interstate commerce.

 

 

 

 

Tuesday, September 15, 2009

WSJ.com - Whoa, Trigger

WSJ.com - Opinion: Whoa, Trigger

 

The latest political gimmick is the notion of a "trigger" for the public option: A new government program for the middle class would only come on line if private insurance companies fail to meet certain benchmarks, such as lowering overall health spending or shrinking the number of the uninsured.

 

Liberals should love the idea because a trigger isn't a substantive concession… Democrats will goose the tests so that private insurers can't possibly meet them, mainly by imposing new regulations and other costly burdens.

 

Keep in mind that every version of ObamaCare now under consideration essentially turns all private insurers into subsidiaries of Congress. All coverage will be strictly regulated down to the fine print, and politics will dictate the level of benefits as well as premiums, deductibles and copays.

 

The [House] bill also rewrites the 1974 federal law known as Erisa that lets large and mid-sized employers offer insurance with little regulation. Many businesses are finding innovative ways to drive down spending, largely with worker incentives to live healthier and be more sensitive to the costs of care. Many Democrats call this discriminatory.  In the individual insurance market, Democrats intend to outlaw medical underwriting: Everyone must be charged the same rate or close to it for the same policies, regardless of health status or history.

 

ObamaCare doesn't bother with incentives, instead merely increasing government command and control of private insurance while making it more expensive in the process. That's why a trigger will inevitably lead to the public option, and also why ObamaCare will make all of our current health problems worse.

 

 

 

Thursday, September 3, 2009

WSJ.com - Labor Day and the American Dream

 

WSJ.com - Opinion: Labor Day and the American Dream

Mike Rowe wants to restore the luster to Labor Day. As host of the cable TV show "Dirty Jobs," Mr. Rowe has done them all: from steel-mill worker and pig-slop processor to hot-tar roofer and sewer inspector. In the last year, he's teamed up with industrial-supplies giant Grainger to set up a Web site (www.mikeroweWORKS.com) aimed at the millions of Americans who find their calling outside a university's hallways.

In an entry headlined "WORK IS NOT THE ENEMY," Mr. Rowe nails his thesis to his Web page: "We've convinced ourselves that 'good jobs' are the result of a four-year degree. That's bunk. Not all knowledge comes from college. Skill is back in demand. Steel-toed boots are back in fashion."

It's true that, on average, a college grad will make much more money and have significantly greater job security than his high school counterpart. For most Americans, it's also true that the likeliest path to upward mobility runs through the college quad. Averages, however, never tell the whole story.

 

 

 

Monday, August 31, 2009

WSJ.com - Save the Light Bulb!

 

WSJ.com - Opinion: Save the Light Bulb!

The Energy Independence and Security Act of 2007 will effectively phase out incandescent light bulbs by 2012-2014 in favor of compact fluorescent lamps, or CFLs. Other countries around the world have passed similar legislation to ban most incandescents.

Will some energy be saved? Probably. The problem is this benefit will be more than offset by rampant dissatisfaction with lighting. We are not talking about giving up a small luxury for the greater good. We are talking about compromising light. Light is fundamental. And light is obviously for people, not buildings. The primary objective in the design of any space is to make it comfortable and habitable. This is most critical in homes, where this law will impact our lives the most. And yet while energy conservation, a worthy cause, has strong advocacy in public policy, good lighting has very little.

As a lighting designer with more than 50 years of experience, having designed more than 2,500 projects including the relighting of the Statue of Liberty, I encourage people who care about their lighting to contact their elected officials and urge them to re-evaluate our nation's energy legislation so that it serves people, not an energy-saving agenda.

 

 

Friday, August 28, 2009

WSJ.com - Why Gen-Y Johnny Can't Read Nonverbal Cues

 

WSJ.com - Opinion: Why Gen-Y Johnny Can't Read Nonverbal Cues

Unfortunately, nearly all of their [teenagers] communication tools involve the exchange of written words alone. At least phones, cellular and otherwise, allow the transmission of tone of voice, pauses and the like. But even these clues are absent in the text-dependent world. Users insert smiley-faces into emails, but they don't see each others' actual faces. They read comments on Facebook, but they don't "read" each others' posture, hand gestures, eye movements, shifts in personal space and other nonverbal—and expressive—behaviors.

We live in a culture where young people—outfitted with iPhone and laptop and devoting hours every evening from age 10 onward to messaging of one kind and another—are ever less likely to develop the "silent fluency" that comes from face-to-face interaction. It is a skill that we all must learn, in actual social settings, from people (often older) who are adept in the idiom. As text-centered messaging increases, such occasions diminish. The digital natives improve their adroitness at the keyboard, but when it comes to their capacity to "read" the behavior of others, they are all thumbs.

…we might reasonably pose questions about silent-language acquisition in a digital environment. Lots of folks grumble about the diffidence, self-absorption and general uncommunicativeness of Generation Y. The next time they face a twenty-something who doesn't look them in the eye, who slouches and sighs for no apparent reason, who seems distracted and unaware of the rising frustration of the other people in the room, and who turns aside to answer a text message with glee and facility, they shouldn't think, "What a rude kid." Instead, they should show a little compassion and, perhaps, seize on a teachable moment. "Ah," they might think instead, "another texter who doesn't realize that he is communicating, right now, with every glance and movement—and that we're reading him all too well."

 

 

 

Thursday, August 27, 2009

WSJ.com - Obama's Health Rationer-in-Chief

 

WSJ.com - Opinion: Obama's Health Rationer-in-Chief

 

White House health-care adviser Ezekiel Emanuel blames the Hippocratic Oath for the 'overuse' of medical care.

Dr. Ezekiel Emanuel, health adviser to President Barack Obama, is under scrutiny. As a bioethicist, he has written extensively about who should get medical care, who should decide, and whose life is worth saving. Dr. Emanuel is part of a school of thought that redefines a physician’s duty, insisting that it includes working for the greater good of society instead of focusing only on a patient’s needs. Many physicians find that view dangerous, and most Americans are likely to agree.

Dr. Emanuel says that health reform will not be pain free, and that the usual recommendations for cutting medical spending (often urged by the president) are mere window dressing. As he wrote in the Feb. 27, 2008, issue of the Journal of the American Medical Association (JAMA): "Vague promises of savings from cutting waste, enhancing prevention and wellness, installing electronic medical records and improving quality of care are merely 'lipstick' cost control, more for show and public relations than for true change."

True reform, he argues, must include redefining doctors' ethical obligations. In the June 18, 2008, issue of JAMA, Dr. Emanuel blames the Hippocratic Oath for the "overuse" of medical care: "Medical school education and post graduate education emphasize thoroughness," he writes. "This culture is further reinforced by a unique understanding of professional obligations, specifically the Hippocratic Oath's admonition to 'use my power to help the sick to the best of my ability and judgment' as an imperative to do everything for the patient regardless of cost or effect on others."

In numerous writings, Dr. Emanuel chastises physicians for thinking only about their own patient's needs.

Is this what Americans want?

 

 

Tuesday, August 25, 2009

WSJ.com - Tax Withholding Is Bad for Democracy

 

WSJ.com - Opinion: Tax Withholding Is Bad for Democracy

America is supposed to be a democracy in which we're all in it together. Part of that ethos, which has been so essential to the country in times of crisis, is a common understanding that we all pay a share of the costs. Taxes are an essential ingredient in the civic glue that binds us together.

Our democracy is corrupted when some voters think that they won't have to pay for the benefits their representatives offer them. It is corrupted when some voters see themselves as victims of exploitation by their fellow citizens.

By both standards, American democracy is in trouble. We have the worst of both worlds.

***

But the politicians' fear of being honest about taxes doesn't change the urgent need to be honest. The average taxpayer is wrong if he believes the affluent aren't paying their fair share—the top income earners carry an extraordinary proportion of the tax burden. High-income earners are wrong, too, about being exploited: Take account of payroll taxes, and low-income people also bear a heavy tax load.

End the payroll tax, end withholding, and these corrosive misapprehensions go away. We will once again be a democracy in which we're all in it together, we all know that we're all paying a share, and we are all aware how much that share is.

 

 

Friday, August 21, 2009

WSJ.com - A French Surprise

 

WSJ.com - Opinion: A French Surprise

 

Politicians don't "grow" an economy like a vegetable garden, and the reasons behind economic growth in the global economy are at least as mysterious to our political class, if not more so, than they are to the rest of us.

 

…at a time when politicians around the world are desperate for any sign of a turnaround, it's refreshing to hear the minister responsible for France's economy speak the truth about growth. It is the product of literally millions of decisions made by millions of people about what to produce, buy and sell. Politicians can influence all that decision making, especially by increasing or decreasing the incentives to produce, work and innovate. But they can't control today's multi-trillion-dollar economies, no matter how much they'd like to take credit for doing so when things start looking better.

 

 

 

Thursday, August 20, 2009

WSJ.com - The Whole Foods Alternative to ObamaCare

WSJ.com - Opinion: The Whole Foods Alternative to ObamaCare

 

Eight things we can do to improve health care without adding to the deficit.

 

• Remove the legal obstacles that slow the creation of high-deductible health insurance plans and health savings accounts (HSAs).

• Equalize the tax laws so that employer-provided health insurance and individually owned health insurance have the same tax benefits.

• Repeal all state laws which prevent insurance companies from competing across state lines.

• Repeal government mandates regarding what insurance companies must cover.

• Enact tort reform to end the ruinous lawsuits that force doctors to pay insurance costs of hundreds of thousands of dollars per year.

• Make costs transparent so that consumers understand what health-care treatments cost.

• Enact Medicare reform.

• Finally, revise tax forms to make it easier for individuals to make a voluntary, tax-deductible donation to help the millions of people who have no insurance...

Many promoters of health-care reform believe that people have an intrinsic ethical right to health care—to equal access to doctors, medicines and hospitals. While all of us empathize with those who are sick, how can we say that all people have more of an intrinsic right to health care than they have to food or shelter?

Health care is a service that we all need, but just like food and shelter it is best provided through voluntary and mutually beneficial market exchanges.

Rather than increase government spending and control, we need to address the root causes of poor health. This begins with the realization that every American adult is responsible for his or her own health.

Unfortunately many of our health-care problems are self-inflicted: two-thirds of Americans are now overweight and one-third are obese. Most of the diseases that kill us and account for about 70% of all health-care spending—heart disease, cancer, stroke, diabetes and obesity—are mostly preventable through proper diet, exercise, not smoking, minimal alcohol consumption and other healthy lifestyle choices.

 

 

Wednesday, August 19, 2009

WSJ.com - College-Entrance Test Scores Flagging

In my mind, these data show poor U.S. schools are not just an inner-city problem.

 

WSJ.com - College-Entrance Test Scores Flagging

Only about a quarter of the 2009 high school graduates taking the ACT admissions test have the skills to succeed in college, according to a report on the exam that shows little improvement over results from the 2008 graduating class.

The Iowa City, Iowa-based ACT said 23% of this year's high school graduates had scores that indicated they were ready for college in all four ACT subject areas, or had at least a 75% chance of earning a grade of C or better in entry-level courses.

A Department of Education report in April on the results from the National Assessment of Education Progress -- a key federal test -- found that U.S. high school students haven't made any significant progress in reading or math for nearly four decades.

 

 

 

Thursday, August 6, 2009

WSJ.com - How to Fix the Health-Care ?Wedge?

 

WSJ.com - Opinion: How to Fix the Health-Care ‘Wedge’

Consumers are receiving quality medical care at little direct cost to themselves. This creates runaway costs that have to be addressed. But ill-advised reforms can make things much worse.

An effective cure begins with an accurate diagnosis, which is sorely lacking in most policy circles. The proposals currently on offer fail to address the fundamental driver of health-care costs: the health-care wedge.

The health-care wedge is an economic term that reflects the difference between what health-care costs the specific provider and what the patient actually pays. When health care is subsidized, no one should be surprised that people demand more of it and that the costs to produce it increase. Mr. Obama’s health-care plan does nothing to address the gap between the price paid and the price received. Instead, it’s like a negative tax: Costs rise and people demand more than they need.

The bottom line is that when the government spends money on health care, the patient does not. The patient is then separated from the transaction in the sense that costs are no longer his concern. And when the patient doesn’t care about costs, only those who want higher costs—like doctors and drug companies—care.

Thus, health-care reform should be based on policies that diminish the health-care wedge rather than increase it.

 

 

Wednesday, August 5, 2009

WSJ.com - American Babies Are Ruining Everything

 

WSJ.com - Opinion: American Babies Are Ruining Everything

More and more, we are hearing from people who might best be described as anti-birthers. …they advance a simple proposition: that the birth of each additional American child is a kind of calamity for the environment.

There’s a larger trouble with this point of view, of course, and it has nothing to do with the arithmetic. However new-sounding the language about “carbon footprints” may be, what we have here is the same old Malthusian view of people breeding themselves to destruction.

…. it means that when a friend has a baby, you have to think we’re all the worse for it. It means that instead of celebrating the development that brings things like refrigeration, cars and calories to people who don’t now have them, we fear the day that a child in Manila enjoys enough of the blessings of life to have the same carbon footprint as a kid from Minnesota.

The real answer, of course, is to have a little more faith in the creative powers of human beings. Given the freedom to grow and innovate, surely the same people who have licked polio, sent a man to the moon, and given us a revolution in information will sooner or later come up with new technologies that will provide for our energy needs while being friendlier to the environment.

The task is not without its challenges. But we’re not likely to get far with a “science” that defines the problem as American babies.

 

 

WSJ.com - Teeing Up the Middle Class

 

WSJ.com - Opinion: Teeing Up the Middle Class

Few of President Obama’s 2008 campaign pledges were more definitive than his vow that anyone making less than $250,000 a year “will not see their taxes increase by a single dime” if he was elected. And he was right, very strictly speaking: It’s going to be many, many, many billions of dimes.

Democrats already plan to repeal the Bush tax cuts, but that won’t raise enough money. So they’re proposing an income tax surcharge on “the wealthy,” but that won’t raise enough either. Democrats have no choice but to soak the middle class because only they have enough money to finance the liberal dream of yoking the middle class to cradle-to-grave government entitlements.

So waiting in the wings is the biggest middle-class tax increase of them all: a European-style value added tax, or VAT. This tax would apply to every level of production or service, and it is beloved by politicians in Europe because it raises so much money so easily without voters noticing.

The undeniable reality is that you can’t run a European-style welfare-entitlement state without European-style levels of taxation on the middle class (and eventually without low European-style growth and high jobless rates). It’s looking more and more like Mr. Obama’s no-middle-class-tax pledge was one of the greatest confidence tricks in American political history.

 

 

Monday, August 3, 2009

WSJ.com - Pay Your Teachers Well

 

WSJ.com - Opinion: Pay Your Teachers Well

The conflicting interests of teachers unions and students is an underreported education story, so we thought we’d highlight two recent stories in Baltimore and New York City that illustrate the problem.

The Ujima Village Academy is one of the best public schools in Baltimore and all of Maryland. Students at the charter middle school are primarily low-income minorities; 98% are black and 84% qualify for free or reduced-price school meals. Yet Ujima Village students regularly outperform the top-flight suburban schools on state tests.

However, Maryland’s charter law requires teachers to be part of the union. And the Baltimore Teachers Union is demanding that the charter school pay its teachers 33% more than other city teachers, an amount that the school says it can’t afford. Ujima Village teachers are already paid 18% above the union salary scale, reflecting the extra hours they work. To meet the union demands, the school recently told the Baltimore Sun that it has staggered staff starting times, shortened the school day, canceled Saturday classes and laid off staffers who worked with struggling students. For teachers unions, this outcome is a victory; how it affects the quality of public education in Baltimore is beside the point.

The actions of the teachers unions in both Baltimore and New York make sense from their perspective. Unions exist to advance the interests of their members. The problem is that unions present themselves as student advocates while pushing education policies that work for their members even if they leave kids worse off. Until school choice puts more money and power in the hands of parents, public education will continue to put teachers ahead of students.

 

 

 

Wednesday, July 29, 2009

WSJ.com - Is There a 'Right' to Health Care?

 

WSJ.com - Opinion: Is There a ‘Right’ to Health Care?

If there is a right to health care, someone has the duty to provide it. Inevitably, that “someone” is the government. Concrete benefits in pursuance of abstract rights, however, can be provided by the government only by constant coercion.

The question of health care is not one of rights but of how best in practice to organize it. America is certainly not a perfect model in this regard. But neither is Britain, where a universal right to health care has been recognized longest in the Western world.

Not coincidentally, the U.K. is by far the most unpleasant country in which to be ill in the Western world. Even Greeks living in Britain return home for medical treatment if they are physically able to do so.

Universality is closely allied as an ideal, ideologically, to that of equality. But equality is not desirable in itself. To provide everyone with the same bad quality of care would satisfy the demand for equality. (Not coincidentally, British survival rates for cancer and heart disease are much below those of other European countries, where patients need to make at least some payment for their care.)

In any case, the universality of government health care in pursuance of the abstract right to it in Britain has not ensured equality. After 60 years of universal health care, free at the point of usage and funded by taxation, inequalities between the richest and poorest sections of the population have not been reduced. But Britain does have the dirtiest, most broken-down hospitals in Europe.

 

 

Tuesday, July 28, 2009

WSJ.com - New Jersey's 'Italian' Problem

 

WSJ.com - Opinion: New Jersey’s ‘Italian’ Problem

Big Government is the reason New Jersey ranks as the worst of 50 states on the Small Business Survival Index. And Big Government is a leading reason New Jersey has a “corruption problem” that an FBI agent at Friday’s press conference characterized as “one of the worst, if not the worst, in the nation.”

Sandy McClure, co-author of the book “The Soprano State: New Jersey’s Culture of Corruption,” agrees that big government is a big reason behind the state’s corruption problem. “You have all these little authorities that everyone has to go to for permission,” she says. “Too much government means too many opportunities for officials looking to cash in. And there’s no way that the press can keep track of it all.”

Ms. McClure is right: The more extensive government’s reach, the more opportunities the governing class has to steal from and shake down the productive class.

The point is that politicians and officials have more to sell in an environment of high taxes, big spending and overregulation—the same things that help explain New Jersey’s anemic economic growth and job creation. When government gets too big and complicated for businesses to get their permits and approvals and funding honestly, the dishonest prosper. And the honest get fed up and flee.

 

 

Wednesday, July 22, 2009

WSJ.com - Europe Thumps U.S., Again

 

WSJ.com - Opinion: Europe Thumps U.S., Again

Across the globe, countries are moving ahead with similar bilateral trade deals, often giving their own national companies an edge over U.S. competitors. In a perfect world, all countries would be able to benefit from multilateral trade opening under the Doha Round. But for now bilateral deals are better than nothing, and America is leaving itself behind.

 

 

Friday, July 17, 2009

WSJ.com - Obama Needs to 'Reset' His Presidency

Interesting critique from a Democratic Party insider – while I don’t hope the Democrats remain strong in 2010 elections, I do think the advice he gives to get back on track is telling. 

 

Mr. Van Dyk was Vice President Hubert Humphrey's assistant in the Johnson White House and active in national Democratic politics over 40 years.

 

WSJ.com - Opinion: Obama Needs to 'Reset' His Presidency

What adjustments should be made?

- Cut back both your proposals and expectations. You made promises about jobs that would be "created and saved" by the stimulus package. Those promises have not held up. You continue to engage in hyperbole by claiming that your health-care and energy plans will save tax dollars. Congressional Budget Office analysis indicates otherwise.

It's time to re-examine these initiatives. Could your health plan be scaled back to catastrophic coverage for all -- badly needed by most families, but quite affordable if deductibles are set at the right levels? Should the Rube Goldbergian cap-and-trade proposals be replaced with a simple carbon tax, with proceeds to be allocated to alternative-fuels development?

- Talk less and pick your spots. You are outdoing even Johnson and Mr. Clinton with your daily speeches in the capital and around the country.

Applause and adulation are gratifying. But the more you talk, the less weight your words will hold. Let voters see you at your desk, conferring with serious people about serious matters. When you do choose to talk, people will understand that it's important and they should listen.

- Conform your 2009 politics to your 2008 statements. During your campaign, you called for bipartisanship and bridge-building. You promised to reduce the influence of single-issue and single-interest groups in the policy process. Yet, in your public statements, you keep using President Bush as a scapegoat.