Showing posts with label advanced nations. Show all posts
Showing posts with label advanced nations. Show all posts

Friday, February 01, 2019

Don't Be Fooled, It’s Republicans Who Ruined the Country

The other day a local young, privileged, white gay man with no children to support wrote an op-ed in the Virginian Pilot that stated he was proud to be a Republican and then went on to bloviate about the usual supposed merits of the Republican agenda: smaller government, fiscal responsibility, etc., etc.  Things that might once have been true of the GOP more than two decades ago when I was an active Republican. Those days, however, are long gone and Republicans cut from that cloth are as extinct as the dinosaurs in today's party of Trump. The reality is that today's GOP has overseen the rise of wealth disparity not seen since the Gilded Age and the slow death of the middle class. Further, today's GOP's core base consists of religious extremists and white supremacists.  Yet, I am sure that this young Republican views himself as a centrist even though personally I do not understand how one can still claim to be a Republican and not in fact be a racist. A column in the New York Times looks at the problem of so-called political centrists who continue the error of much of the media that gives false equivalency to Republicans and Democrats.  As the column points out, the real extremism is with the GOP despite pretense to the contrary. Until average Americans  (and the media) wake up to this reality, expect damage to the nation by the GOP to continue.  Here are column excerpts:

Why is American politics so dysfunctional? Whatever the deeper roots of our distress, the proximate cause is ideological extremism: Powerful factions are committed to false views of the world, regardless of the evidence.
Notice that I said factions, plural. There’s no question that the most disruptive, dangerous extremists are on the right. But there’s another faction whose obsessions and refusal to face reality have also done a great deal of harm.
But I’m not talking about the left. Radical leftists are virtually nonexistent in American politics; can you think of any prominent figure who wants us to move to the left of, say, Denmark? No, I’m talking about fanatical centrists.
Over the past few days we’ve been treated to the ludicrous yet potentially destructive spectacle of Howard Schultz, the Starbucks billionaire, insisting that he’s the president we need despite his demonstrable policy ignorance. Schultz obviously thinks he knows a lot of things that just aren’t so. Yet his delusions of knowledge aren’t that special. For the most part, they follow conventional centrist doctrine.
Schultz, however, still declares debt our biggest problem. Yet true to centrist form, his deficit concerns are oddly selective. Bowles and Simpson, charged with proposing a solution to deficits, listed as their first principle … reducing tax rates. Sure enough, Schultz is all into cutting Social Security, but opposes any tax hike on the wealthy.  Funny how that works.
In general, centrists are furiously opposed to any proposal that would ease the lives of ordinary Americans. Universal health coverage, says Schultz, would be “free health care for all, which the country cannot afford.”
[S]ingle-payer health care (actually called Medicare!) hasn’t bankrupted Canada. In fact, every advanced country besides America has some form of universal health coverage, and manages to afford it.
The real issue with “Medicare for all” isn’t costs — the taxes needed to pay for it would almost surely be less than what Americans now pay in insurance premiums. The problem instead would be political: It would be tricky persuading people to trade private insurance for a public program. That’s a real concern for Medicare-for-all advocates, but it’s not at all what either Schultz or Bloomberg is saying.
Finally, the hallmark of fanatical centrism is the determination to see America’s left and right as equally extreme, no matter what they actually propose.
[N]ow, with Democrats taking a turn that is more progressive but hardly radical, centrist rhetoric has become downright hysterical. Medicare and Medicaid already cover more than a third of U.S. residents and pay more bills than private insurance.
But Medicare for all, says Schultz, is “not American.” Elizabeth Warren has proposed taxes on the wealthy that are squarely in the tradition of Teddy Roosevelt; Bloomberg says that they would turn us into Venezuela.
Where does the fanaticism of the centrists come from? Much of the explanation, I think, is sheer vanity.  Both pundits and plutocrats like to imagine themselves as superior beings, standing above the political fray. They want to think of themselves as standing tall against extremism right and left. Yet the reality of American politics is asymmetric polarization: extremism on the right is a powerful political force, while extremism on the left isn’t. What’s a would-be courageous centrist to do?
The answer, all too often, is to retreat into a fantasy world, almost as hermetic as the right-wing, Fox News bubble. In this fantasy world, social democrats like Harris or Warren are portrayed as the second coming of Hugo Chávez, so that taking what is actually a conservative position can be represented as a brave defense of moderation.
But that’s not what is really happening, and the rest of us have no obligation to indulge centrist delusions.
It is nothing short of delusion to pretend the extreme GOP of today is the same as the party of my youth and young adulthood.  That party is dead and gone and its successor has inflicted real harm on millions of Americans.  It's time to accept that reality.  

Thursday, April 06, 2017

Why Are So Many White Americans Dying?


In the wake of the 2016 presidential election, we have heard much about the supposed economic angst of white working class Americans.  In addition, a study last year found that mortality rates for working class whites was falling.  America is the only advanced industrial country to see this phenomenon.  It's not happening in "Old Europe" and other modern nations.  I have my own thoughts on the matter and causation: (i) America still has the worse (and most expensive) health care system of any industrialized nation where even with health care coverage, high deductibles force many to not seek medical treatment, (ii) America has the worse social safety net of any advanced nation, (iii) Europeans have far greater job security, and (iv) despite talk of vocational training for the non-college bound, our high school fail in far too many instances to provide real, marketable vocational skills.  The results in a globalized economy are deadly.  To address these problems takes money - something Republicans refuse to spend on American citizens and, indeed, the current crop of congressional Republicans seek to cut funding for all of the above cited needs, making the prospects going forward even worse.  To them, average Americans are disposable trash.  A piece in Politico looks at the problem.  Here are highlights:
It’s a mystery with profound implications for American politics, not to mention public health: Why are so many white people dying?
When economists Anne Case and Angus Deaton released their first bombshell study in 2015, showing that mortality rates were rising for middle-aged white Americans after years of decline, the finding stunned the research world. This wasn’t a global trend—it was a distinctly American phenomenon, Case and Deaton had discovered. Among other races and age groups in Europe, mortality rates had continued to fall. But in the U.S. white people aged 45 to 54 without a college degree were dying sooner, and not from the usual suspects like heart disease and diabetes.
[W]hen Donald Trump won an upset victory in the presidential victory with a message that resonated with those same voters, many turned to Case and Deaton’s research as one possible explanation for his ascendance.
Now Deaton, who won the Nobel Prize in 2015, and Case, his wife and coauthor, are back with a new paper that aims to refine their original findings, digging into the group that’s seeing the largest increases in mortality rates: white people without college degrees, accelerated by what they call deaths of despair, or suicide, alcohol- and drug-related deaths. “Ultimately,” they write, “we see our story as about the collapse of the white, high school educated, working class after its heyday in the early 1970s, and the pathologies that accompany that decline.”
[J]ournalists and scholars have voiced concern about the spotlight on white people’s economic problems, which are still, relatively speaking, far smaller than those of, say, African-Americans.
[N]obody is disputing that the United States has a real problem as it struggles to understand the despair in communities left behind by globalization and automation. And, Case argues, the reversal of decades of progress on health among the least educated should be setting a fire under political leaders and policy wonks in both parties as they try to craft real solutions:
[W]hite non-Hispanics stopped making progress on heart disease, which is a big killer in middle age. First progress slowed, then it flatlined, and now it looks like it’s turned in the opposite direction.
[A] [high school] degree seems to be a marker for a lot of dysfunction that we’re seeing. But this new paper shows that the body count is only the tip of the iceberg. People with less than a college degree are reporting a lot more pain, much poorer health, poorer mental health. They’re less likely to be married, they’re less likely to be attached to the labor market, their wages don’t increase with age as quickly as they had in previous generations. So part two is being able to document that these things are happening in sync with each other.
And the third part is the fact that things appear to be getting worse and worse with every successive birth cohort, so that the cohort born in 1980 is having a much harder time on all those dimensions than the cohort born in 1970, who is in turn having a much harder time than the cohort born in 1960.
It used to be the case that with a high school degree, you could get a good job, with potential for on-the-job training and you could expect to have a middle-class life. You could get married, you could have a family. And the kinds of jobs a person can get now with a high school degree are not jobs where there is any up to move to.
[I]n Europe, mortality rates are falling, but they’re falling even more for people on the low end of their education distribution. Their mortality is falling faster than people on the high end of their education distribution. So what are they doing right that we’re not? That’s sort of the question right now. And again, education might just be a marker of something else, but I think it would be wise to look at how the Europeans have actually shouldered the kind of changes in the labor market. You know, they’ve lost a lot of manufacturing jobs to the far East, they’ve weathered the recession, but they haven’t seen the same kind of dysfunction and mortality increases that we’ve seen in the U.S.—so why?
Education is not necessarily what’s driving this, but it is highly correlated with all these bad outcomes that are happening to people. And I think part of that is that your high school degree gets you less far than what it used to, and when that happens, a lot of other bad things follow on.
[W]e see the prescription opioid epidemic as being an accelerant, as making this worse, but we don’t think it’s a root cause. It was happening before the heavy-duty prescription opioids hit the market. It starts at least as far back as 1990—that death rates from deaths of despair start rising—and then you throw prescription opioids into the mix, and it makes things a heck of a lot worse. But it was happening already.
There seem to be two Americas now: one for people who went to college and one for people who didn’t, and that’s going to be truer and truer, regardless of the color of your skin. Whether or not there’s enough political force to bring us back together, I’m really not sure about that.