advice from a fake consultant

out-of-the-box thinking about economics, politics, and more... 

Monday, August 15, 2011

On Doing Better Than 50%, Or, Could More “Made In USA” Mean More Jobs?

We gotta grow some jobs, and that’s a fact, and we probably aren’t going to be able to do it with big ol’ jobs programs funded by the Federal Government, what with today’s politics and all, and that means if this Administration wants to stay in the jobs game they’re going to have to find some smaller and more creative ways to do it.

They are also going to have to come up with ideas that are pretty much “bulletproof”, meaning that they are so hard to object to that even Allen West and Louie Gohmert will not want to be on record saying “no no no!”; alternatively, solutions that work around the legislative process entirely could represent the other form of “bulletproof-ery”.

Well, I have one of those “maybe bulletproof” ideas for you today, and it has to do with how “Made in USA” the things are that our Government buys.

The archer sees the mark along the path of the infinite, and He bends you with His might that His arrows might go swift and far.

Let your bending in the archer’s hand be for gladness;

For even as he loves the arrow that flies, so he loves also the bow that is stable.

--From “The Prophet”, by Kahlil Gibran

For the rest of the story to make sense, we’ll have to define a term; specifically, “Made in USA”.

Most manufacturers in the US have to meet a very stringent standard before they can refer to a product as “Made in USA”; here’s how the standard is described by the Federal Trade Commission:

Traditionally, the Commission has required that a product advertised as Made in USA be "all or virtually all" made in the U.S.


There are special rules, most notably for automobiles (also textiles, wool, and fur), but for the most part everyone else goes by the “all or virtually all” standard when they claim something is “Made in USA”.

With one giant exception.

When the Federal Government “Buys American”, anything with over 50% US content is considered “Made in USA”; this according to the provisions of, naturally enough, the Buy American Act, 41 USC 10a – c. (Beyond the law, there are also certain Federal Regulations and Executive Orders involved; for now we’ll just call it all “the law” and let it go at that.)

Now there doesn’t seem to be anything immediately evident in the law that would prevent the Federal Government from purchasing more than 50% US content if we wanted to, and the Big Idea here today is that if government at all levels began to purchase more than 50% US content, we could create more US jobs, now and in the future, and we could do it with a minimum of muss and fuss.

Obviously, there are practical limits as to how far you could take such an approach (for example, good luck buying a Made in USA laptop), and the current law has exceptions that reflect that reality.

But consider this: there are about 450.000 vehicles in the Federal inventory (that does not include military combat vehicles), with roughly half of those belonging to the Postal Service; the General Services Administration buys about 65.000 vehicles a year (they run the Federal motor pool, and that’s the other half of the inventory).

Beyond that, think of all the billions upon billions of dollars of more mundane things the government buys every year: janitorial supplies, paper and toner, desks and chairs…well, you get the idea; now imagine if more of all of that was made right here.

One example of how we can do better can be found in Celina, Tennessee, where a garment factory that was doing work for the Air Force found itself unable to compete for a subcontract on $100 million worth of uniforms being made for the TSA; that’s because the uniforms were being made in Mexico instead.

If the work was being done here, it could mean about 300 jobs in a town that could really use ‘em. (By law, military uniforms are supposed to be made in USA; that’s an imperfect process.)

Some things already are restricted: if we don’t have a reciprocal trade agreement with a country, they generally can’t sell to the US government; China and Taiwan fall into that group.

I’m often guilty of running stories too long, so we’re going to cut this short today with a summary…followed by a cliffhanger that should keep you looking forward to Part Two:

Government buys a whole lot of stuff, and we could be buying more of it in the USA, and if we did, it could translate into jobs in places like Celina, Tennessee.

But it’s not as simple a picture as you might think, and when we get together next time, we’ll talk about the impact of free trade agreements on “Made in USA” purchasing, we’ll get the AFL-CIO’s reaction to all of this, and, if all goes well, we’ll see if we can provide official reaction from the Obama Administration.

And even though you’ll be sitting in your seat…you’re only gonna need the edge…

Thursday, August 4, 2011

On Organizing Anger, Or, Could Olbermann Primary Obama?

It was just a couple of nights ago that Keith Olbermann was challenging us, in one of his “Special Comments”, to rise up in the streets and take back this country.

He pointed out that the only way those on the left were going to be able to fight against those who are looking to get all “Tea Party” is to be as angry and as organized and as aggressive as the Tea Party community, and if we’re smart, we’ll take him up on that challenge.

But if you really want to push “professional” Democrats to the left, most especially this President, and you want to do it in time to impact the ’12 cycle, the only way to do it is to run a candidate in primary contests that either moves the conversation your way…or leaves you with a surprising new Candidate.

And right here, right now, we actually have a chance to do exactly that – and that’s why, in today’s discussion, I’m going to challenge Olbermann right back.

“Then white men began to fence the plains so that we could not travel; and anyhow there was…nothing to travel for. We began to stay in one place, and to grow lazy and sicker all the time. Our men had fought hard against our enemies, holding them back from our beautiful country by their bravery, but now with everything else going wrong, we began to be whipped by their weak foolishness…”

--Pretty Shield, of the Crow Nation, quoted in the book “The Native Americans: An Illustrated History”


So imagine, if you will, how the political conversation would be different right now if this President was facing a primary challenge from an unabashed Lefty.

Let’s go further: just imagine how things would be different over at 1600 Pennsylvania Avenue or over at the Capitol if someone announced they were running against this President from the left – and on the day that person announced, they had 15-20% of the Democratic electorate in their pocket, with an increasingly unpopular President on the other side.

Now imagine if that person had no qualms about “pooping in the Democratic pool”, and was willing to call out the Party establishment for having let the Nation down in so many different ways these past couple years, which would presumably make that candidate very interesting to those who support the interests of Labor, just to give one example.

And most importantly of all, imagine if this President, having just caved, again, for a second, and, soon, a third round of Republican hostage-taking (and facing a fourth in January of 2013), had to face a riled-up and articulate opponent on a debate stage.

Of course, for that to happen, you’d need a credible figure with national recognition, and in this environment, it wouldn’t hurt if that person wasn’t too closely associated with either Washington or the existing political parties.

(All of this would also make that candidate interesting to centrist voters as well; you’ll recall that the ’08 Obama Campaign appealed to many centrist voters for many of the same reasons.)

It also wouldn’t hurt if that person looked like a President, and even better, if that person was entirely familiar with the world of television.

So think about all that for a minute…and after you do, consider this: is there anyone else out there that you’d rather see primarying this President than Keith Olbermann?

Now let me take a minute and talk directly to you, Mr. Olbermann:

I know you said that it’s time for us to get organized and angry, but in this media world, if you don’t have Astroturf to get your movement off the ground, you need a celebrity with respect in all the right places, and that describes you pretty well.

Movements need to raise money, and if you were to go out there and do a week of hustling, I’ll bet you could raise seed money from both the “Left Coast” and “Upper West Side” communities (and you might even be able to hit your boss up for a donation); you could also draw a lot of PAC money (Labor, for starters, the gAyTM, for another) and lots of individual, enthusiastic, Internet contributions – and what happens to the political conversation if the Olbermann Campaign begins to raise money at a pace that puts The Fear on the Obama Campaign?

Al Gore took a big risk, and a made a big financial commitment besides, when he decided to bring you over to Current, and I don’t want you to have to worry about what’s going to happen over there; with that in mind I’m going to suggest that we ask Michael Moore to step in to take the wheel for a short time, at the same time you let Schuster run the actual newsgathering operation, so that we know you’ll be able to come back to something that has been in pretty good hands.

“…(baseball is) our national pastime, that is if you discount political campaigning.”

--Ronald Reagan


Before you dismiss this idea out of hand, Keith (can I call you Keith?), I want you to think about one thing, and I want you to think about this very, very, carefully:

You know what happens to those lucky few who actually make it through a Presidential campaign and win?

They get to throw out the first pitch of the new baseball season – at least four times.

You could take a few months out of what you have done so well and really change the direction of this nation’s politics, and you could think of it as a patriotic duty– but it would also be an incredible learning experience, and you’d come back to your own job with an understanding of the inner workings of realpolitik that very few on television could ever match…and after it’s over, since you wouldn’t be running again, you could actually talk about “where the bodies are buried” in a way no one else can.

Maybe you’re thinking: “How can I be credible if I have no real ability to run a government?” The answer can be found, literally, right here.

The Blogosphere is entirely capable of providing the appointees who would run a Government – after all, we have experts, including a Nobel laureate, to run an economy (Secretary of the Treasury Paul Krugman? Robert Reich for Council of Economic Advisors?), and folks like Lawrence Wilkerson who could take over at State…and I could go on and on and on, all the way down to my man Marshall Adame, who, I promise you, has all the training and skills we would need to ramrod the actual physical process of withdrawal from Iraq and Afghanistan (you’ll find him at BlueNC; on his resume is a stint running the Basra Airport, a couple of decades as a Marine logistician, and an unsuccessful run for Congress).

And it’s not like you would be more subject to scrutiny than you are now: virtually every hard-right Conservative out there already sees you as the Devil incarnate – and that’s actually an advantage in this situation that can’t be ignored.

So…whaddaya think?

You want to go from making Special Comments about how The Fear has overtaken Democrats to being the one who puts The Fear upon them?

You wanna drive Grover Norquist and Steny Hoyer absolutely nuts, both at the same time?

You want to finally do what Craig Nettles got to do, that you never did: play baseball and join the circus?

Well, here’s your chance to do something that could change the whole political conversation – and before we’re done, President Obama might even find those “comfortable shoes” we’ve heard so much about.

So let’s take one for America, and let’s get this thing on the hump, or whatever cliché you prefer…but let’s do it now, and let’s do it well, and let’s create something that brings the “discouraged” public to bear in a way they aren’t today.

This is your chance to do something big, something profound…something that takes your “diva tendencies” and plays them to their best advantage…and I think it’s time for you to get behind this idea; before, as you suggested could happen, the window to fight back closes.

Monday, August 1, 2011

On Speaking To Power, Or, When Sanity’s Gone, There’s Always Satire

So everybody’s hearing the news, right?

There is a tentative debt ceiling deal, and this Administration and Congressional Democrats seem to have won everything they wanted: Republicans get to have multiple “we don’t approve” votes before 2012 on raising the debt ceiling, there won’t be any new revenue, there’s going to be another “hostage-taking” event around Christmastime, for many Democrats the issue of the Ryan Budget and the dismantling of Medicare is likely off the table for the 2012 electoral cycle, and the Administration seems to have figured out a way to not involve itself in shaping the way that entitlement reform will work out.

All in all, it’s some pretty slick negotiating, and I’m sure this Administration and Democratic Congressional leaders must be very proud.

Even on bad days, however, you gotta have some fun, and that’s why I’m encouraging everyone to take a minute today to say #thanksalot.

“This is tremendous, Don, just tremendous. The atmosphere heavy, uncertain, overtones of ugliness; a reminder in a way of how it was in March of 1964, at Miami Beach, when Clay met Liston for the first time and nobody was certain how it would turn out.”

--Howard Cosell, from the Woody Allen movie “Bananas”


There are a thousand other people today who will detail exactly where this went wrong, but I’m all about at least sending some kind of message; in order to say “thanks a lot” I’ve been Tweeting satire to the White House, and I’m hoping you’ll take some time today to do the same thing, using the #thanksalot hashtag.

“But I don’t Twibble, or Twister, or whatever they do on twitter”, you might say “and I don’t really get how it works”.

No problem.

If you want to send a message to a twitter user, you just put an “@” in front of their name, as in @whitehouse, usually right at the beginning of your message.

Hashtags are keywords that allow for lots of similar messages to be located, all together; when you put an “#” in front of a “word” it becomes a hashtag, as in #thanksalot or #arentyoutiredof. Popular hashtags become “trending” hashtags, and that’s one way how you make a big public statement on twitter (“Retweeting” someone else’s message is another way it’s done; retweeting and the sending of hastagged messages often occur symbiotically.)

Just to get you in the sarcastic spirit of the thing, here are some of the Tweets I’ve sent so far today:

@whitehouse Obama visits fallen building, a collapsed trench, and Carlsbad Caverns; says he'll "never cave" on debt deal. #thanksalot

@whitehouse republicans propose "logan's run", obama seeks reasonable compromise. #thanksalot

@whitehouse offers 1 Wet-Nap for each American thrown under bus yesterday; Republicans protest new "entitlement" #thanksalot

@whitehouse Prozac pill commits suicide; says in note that White House caving once again is "too depressing" #thanksalot

@whitehouse To avoid uncertainty in December, Obama Administration announces today they're caving on Bush tax cut extension #thanksalot

@whitehouse Dec. 23, 2011-Boehner: "We'll agree to revenue increases when both houses have a clean vote to repeal Obamacare..." #thanksalot

@whitehouse Dec 25, 2011-Administration announces entitlement compromise: cat food now food stamp-eligible #thanksalot

@whitehouse Obama Administration announces they prefer to negotiate with hostage-takers: "It makes us feel less guilty..." #thanksalot

@whitehouse Obama Administration "feels America's pain", announces nationwide program to distribute K-Y after debt deal #thanksalot

@whitehouse is there some sort of political viagra that could make obama "stand firm", just once? #thanksalot


At this point it looks like the only way this stinker goes down is if House Democrats vote against this bill and take the “Debt Ceiling Sword of Damocles” that the President has placed over their heads and put it right back on his, forcing either a 14th Amendment solution or a “clean” debt limit increase; if they do they not only stop this next hostage-taking dead in its tracks, but they create, for this Administration, the same level of fear that the Tea Party has today, and if that happens, then we move into the next stage of debt reduction negotiations from a position of strength.

If they fail to stop this deal, then when Medicare gets whacked in December the Democrats become co-conspirators – and at that point, for a Congressional Democrat up for reelection in ‘12 it’s gonna be either go down with all the other incumbents or run against Obama.

And at that point, the most interesting political question might be: did Obama depress turnout enough to cause Democrats to lose even more seats in Congress, or, when the details are better-known, is there going to be a huge “throw out all the bastards” vote that hammers Republicans just as ferociously as it does Democrats?

And what about Michelle Bachmann?

I don’t know, but it should be quite a soap opera between now and then, so stay tuned, make sure to say #thanksalot…and then do it a few times more…and most importantly of all, try to have as much fun in a bad situation as you can.

After all, as long as it’s happening to everyone else, it’s still comedy; until it finally does hit you…it’s not yet officially tragedy.

Friday, July 29, 2011

On Running Your Own Government, Or, Why Pay The Military?

I have not been talking about the insanity around the debt ceiling and debt and deficit and the efforts of Republicans to drive us all off the cliff, but I am today – and I’m going to do it by allowing you to grab ahold of this problem and see for yourself just how unbelievably bad this manufactured crisis is going to be.

You will hear a lot of conversation about the consequences from others; today, however, you are going to get the chance to be both the President and the Secretary of the Treasury, and you will get to decide for yourself exactly what bills the Federal Government should and should not pay as the cash runs out if a deal is not made by the time borrowing authority runs out.

At that point you’ll be able to see what’s coming for yourself – and once you do, you won’t need me to tell you what ugly is going to look like.

“…no state has the right to secede unless it wishes to…[and] it is the President’s duty to enforce the laws, unless somebody opposes him…”

--William H. Seward, deprecating President James Buchanan’s efforts to preserve the Union, as quoted in the book “Battle Cry of Freedom: The Civil War Era”


So before I go sending you off to take the reins of power, let’s fill you in on a few things that you’ll need to know.

If no one has explained it to you yet, the Great Big Fuss that is going on right now is set around two issues: there are those who feel that the best way to make this economy better is to ensure that the Federal Government is a smaller player in our economy and not running on a deficit; many of these folks feel the way to achieve this is to make immediate, drastic, cuts in Federal spending.

At the same time, the United States has run up against its “debt limit”. That means the US will be unable to borrow money to fund ongoing government operations, and as you’ll soon see, right now we borrow a lot of the money we need to run today’s Government.

So if you are one of those who seeks to immediately cut Federal spending, you could force that to happen by refusing to allow the Federal Government any more borrowing authority; the fear of what could happen after that is presumably going to force the opposition to accept any deal, no matter how draconian, just to obtain that borrowing authority.

Naturally, the bigger a hostage you’re holding, the more draconian of a deal you hope you can make, and holding the “Full Faith and Credit of the United States” hostage is about as big as it gets; that’s why the Republicans are pushing for everything right this very second, from the end of Medicare and Medicaid to the right to mine uranium right next door to the Grand Canyon.

So with all that in mind, let’s talk money.

In the month of August, the Federal Government is expected to take in $172.4 billion.

There will be a mess of bills that are coming due during the month; that amount totals $306.7 billion, and that means about 44% of the bills must go unpaid.

Where’s that money go?

The Big Five are interest on current debt, which must be paid to avoid a default, payments due to defense contractors, Social Security, Medicare, and Medicaid; the five of those, alone, will be just about $160 billion.

And that leaves $12.4 billion to fund everything else the Federal Government has to do.

That would include the remaining cost of supporting our several wars, the entire Federal law enforcement establishment (for example, the FBI, DEA, ATF, Immigration and Customs Enforcement, the TSA, the Border Patrol, the Federal Marshals’ Service and the Bureau of Prisons), the National Parks Service and the Forest Service, the Centers for Disease Control, the Weather Service…well, just about every single thing the Federal Government does, except the Big Five.

So that’s the situation – and now it’s time for you to become the boss and make the choices:

The fine folks at Bloomberg Government have created an interactive tool that allows you to point and click your way to figuring this stuff out.

You will find your spending choices, and you just click on what you want until you run out of money, which the handy bar on the left will manage for you. When the bar turns red…you’re out of money.

“…Each month, I put all my bill collectors’ names in a hat, reach in, and pull out a name. That’s who I pay. If you keep calling here, then your name is not going in the hat next month.”

--Steve Harvey, quoted in October 2003’s “Vibe” magazine


OK folks, so now you know where to go, and you know what to do, so let’s make something happen.

Take this tool and use it to create a conversation about just what really is at stake, and watch the look on your friends’ faces when you point out that the entire Federal Government is about to go out of business if Republicans have their way.

I’d tell you the looks on their faces would be priceless – but that’s not true.

Absent a debt ceiling deal, the price is actually going to be about $134 billion, which is the money we’re just not going to have next month, when we’re not doing things like paying for the salaries of active-duty servicemembers or food inspectors or the guards out there at the Supermax.

It should be a fun time, all the way around – unless, of course, you’re one of the 300 million or so of us who are gonna get screwed over by it all.

Tuesday, July 26, 2011

Hitler Holds News Conference, Blames Balanced Budget Amendment For U.S. Defeat

(FNS - Washington, New Germany, April 17, 1947) America’s new Führer, Adolf Hitler, announced today that his official War History would in fact acknowledge that one of the biggest contributing factors to the defeat of the Allies was the insistence of the former United States of America on sticking to its Balanced Budget Amendment, which left them unable to fund the wartime conversion of the US economy for the benefit of the Alliance.

“All those ideas Mr. Roosevelt spoke of”, said Hitler, “Lend-Lease, modular shipbuilding, War Bonds, secret weapons…in the end, all of them were just words, since the Americans’ Congress was never willing to allow the country to fully fund its war effort.”

As has been previously disclosed, Waffen SS historians have already located caches of documents in Washington describing plans to fund a massive military expansion in the former United States by selling War Bonds.

These debt instruments would have allowed the Roosevelt Administration to spend up to 40% of the Gross Domestic Product of the former Nation in defending itself, the former United Kingdom, and other nations against the Fatherland, but for reasons that are still not well understood Conservative politicians demanded that the former US Government never “take on debt for outsiders”, or, in the words of Mae Cadoodie, leader of the American Tea Party movement, “Never invite a foreign entanglement that raises our taxes”.

Had the Americans been allowed to sell War Bonds, or to raise taxes to fund the War, it is estimated that they could have provided tens of thousands of aircraft, millions of military vehicles, and hundreds of ships, but the Balanced Budget Amendment prevented any of that.

This represents the end of a series of political arguments that had been taking place since the 1930s, when some American economists were suggesting that a new idea called “deficit spending” could be helpful in bringing the former USA out of the Great Depression; at that time the Roosevelt Administration was unable to establish agencies such as the Work Projects Administration, which would have built public works projects throughout the USA in an effort to revive the moribund economy.

Mae Cadoodie and others fought back successfully against these ideas, pointing out that the last thing the US economy needed in a bad economy was new taxes; they made the same arguments when the Roosevelt Administration first proposed Lend-Lease as a war emergency measure.

“We cannot inflict punishing new taxes on American industry at this fragile time in our recovery” Cadoodie said in a famous speech in 1939, “and if the market is really there for this military materiel, if it’s not just some boondoggle manufactured by Roosevelt to take money out of the pockets of the American people, then I’m sure the British will be able to find the funding they need from the markets or from charitable donations”.

Cadoodie was unavailable for comment, as she and most other former American politicians are still serving on the Eastern Front, and will be for the foreseeable future.

In a related story, the conversion of the remainder of the American industrial base is underway for the fight against the Russians, and millions of otherwise unemployed Americans are being drafted into the military services in preparation for the final assault.

Saturday, July 23, 2011

On My Last Weekend, Or, Wanna Save A Few Trillion On Health Care?

So I disappeared for a full week, right in the middle of what should have been a busy writing schedule, and I have to claim some “personal days” to cover the time we missed here at the blog – but it won’t be time entirely wasted.

Instead, I’m going to jump into my own personal life for today’s story, and I’m going to do it so that we can stimulate some thinking about where we really need to go to if we ever hope to make some sense out of the crazy way we deliver health care in this country.

Since this appears to be the weekend that a lot of decisions are either going to be made about the future of our “social safety net”…or they wont; we’re entirely unsure…let’s talk about how it actually works for a lot of us – and how it could work a lot better.

But the worst part of the Industrial Revolution – and the part that has never been documented – is what happened to the role of managers. The owners of factories realized they needed a layer of insulation between themselves and the people they were exploiting. They needed the type of people who were incapable of understanding the workers’ pleas for common sense, decency, and safe working conditions. The owners wisely chose managers for these roles.

--Scott Adams, from the book “Dogbert’s Top Secret Management Handbook”


So as most of you know, I am a blogger, and that means, for better or worse, that this is how I’m trying to make a living – and as a result I, along with about 50,000,000 other Americans, find myself on the DGS Health Plan (never heard of DGS? It’s the “Don’t Get Sick” Health Plan).

So what do I do? The same as a lot of you: I don’t get sick.

And up ‘til now, it’s worked out surprisingly well, even though I weigh more than I should and I have a coke addiction that can see me consuming as much as 2 liters in a single day…but by last Friday I had one of those tooth twinges building up that you know is not going to end up well.

By Friday night things were getting bad enough that I had to tell The Girlfriend that we were very likely to be going to an Emergency Room, if not that night, certainly by morning – unless things cleared up on their own, which, if you’re an optimist, could happen.

So much for optimism.

Midday Saturday we’re in downtown Seattle and I’m waiting in line to be seen by an intake clerk, then a triage nurse, and then a financial counselor, because there’s no way I can really take on a big medical bill.

I’m lucky that Washington State has a “Charity Care Law”; that law requires Washington’s hospitals to accept all comers at the Emergency Room, regardless of ability to pay – and there’s been a considerable increase in demand over the past four years.

(The Department of Health reports that $591 million in such care was provided in ’07, and in the last year for which numbers are available, ’09, the same cost had run up to $846 million; that’s a 43% jump in just two years. The odds are pretty good that the ’10 and ’11 numbers will also show an increase that’s well above the rate of inflation.)

Anyway, after that they showed me to a sort of mini-Emergency Room facility, I was examined by a Medical Student and his Instructor, and they decided that maybe a CAT scan would be a good idea, just to determine exactly how badly and how widespread this infection might be.

I rode the ride, an assessment was made, and it time to offer up my various elbows to my Medical Student, which left me with a couple of bruises that are still healing, and him with a couple of experience points.

More assessment followed the return of the lab results; as a result I was given a prescription of a rather unpleasant antibiotic that I’ll be taking for a few more days, but all in all, for me, things worked out pretty well.

That said…imagine if I lived in Canada.

First thing, I waited longer than I should have with this infection, and if I had a General Practitioner with whom I had an ongoing relationship, I would have gone there at least a day sooner.

That delay imposed a few costs: I had that CAT scan, took up ER time and a mini-ER suite; instead I could have made an office visit, and probably walked out with a prescription for the same antibiotic with a quick exam or just a blood test.

There is no financial counselor in Canadian healthcare – instead, you present your Provincial insurance card, and that’s that. For those not aware, Canadian healthcare, for the most part, works like American care, except there’s only one insurance company, and that’s each Province; they also collect taxes to fund the services.

That means providers only deal with one insurer, and all of that cuts a lot of administrative expenses out of the system. It also means patients never have to worry about whether their provider will be “in the network”.

(Fun Fact: bankruptcy is now a big part of the American medical system. In 1981 8% of bankruptcies were related to medical costs, but by 2007 that number appears to have grown to 62%, all this according to the Journal of the American Medical Association. Three-quarters of that 62% had medical insurance.

Canada does not have a medical bankruptcy problem of statistical significance.)

When you add all this together, it begins to explain how it’s possible that Canada can insure all their people for about 11% of their 2009 Gross Domestic Product (GDP) when we pay about 17% of GDP and still leave a huge portion of the population either completely uninsured or unable to pay for care even if they have insurance, due to what won’t be covered when the bill comes in at the end of the month.

(Fun Fact #2: Sweden, Switzerland, France, Germany, Iceland – in fact, any country that you can name on the face of the Earth – pays less than we do for their health care.

By a lot.

When it comes to the cost of health care, the USA is #1.)

So it’s not all skittles and beer, up there in Canada. You might have to wait a while to get some types of care, and it appears that there’s an element of “rationing by waiting period”, which is a constant source of complaints up there. (The counterargument is that rationing of some sort is required in any medical insurance scheme; otherwise, you’ll have folks at the doctor’s for no reason at all, and that’ll quickly drive a system broke.)

There are co-pays, for some services, and no coverage for others, depending on your Province, (nonemergency dental and vision are often not covered) and that can lead to some out-of-pocket, but for the most part taxes cover the bills.

And just as we in the USA are struggling to pay for medical care, so is everyone else: controlling medical costs are hard, for a variety of reasons, including the cost of paying medical professionals to do work in a dangerous environment that can often be hard to automate.

Dangerous, you say?

In healthcare, back injuries, frequently caused by overexertion, occur at a very high rate. Healthcare industry workers sustain 4.5 times more overexertion injuries than any other type of worker…According to national statistics, six of the top 10 professions at greatest risk for back injury are: nurse's aides, licensed practical nurses, registered nurses, health aides, radiology technicians, and physical therapists.


So the other reason I’m having this conversation today is because I was having a talk with a very nice gentleman just about 48 hours ago who is a bit more Conservative politically than I, and he wondered how I felt about “Obamacare” (formally known as the Affordable Health Care Act).

I’m not a big fan of that plan, I’m not, and that’s because I’d much rather do something like expand Medicare to everyone, or “go all Canada”; either choice seems simpler and easier and doable at far lower administrative costs than any plan that relies on private insurers, as the Affordable Health Care Act does.

So there you go: that’s how I spent the weekend, and a couple of days after to boot, and if we were living in Canada I could have had the same problem, but it would have cost the healthcare system a whole lot less money – and when everyone gathered at the White House today, I wish that’s what they had been talking about.

Wednesday, July 13, 2011

On Anticipation, Or, I’m In Seattle, So It’s A Dennis Kucinich Story

It was a beautiful day in Seattle last Saturday, and at the unholy hour of 7:30 AM I was steering my car into the parking lot of Qwest Field, preparing to take advantage of the spectacular weather by descending into the showroom of The Comedy Underground – in order to spend the day surrounded by politics and politicians.

The only thing that could have made the irony more prefect…is if all the espresso shops had been closed.

Thank your favorite deity (or, perhaps, the power of serendipity) that they weren’t, or we might not been able to cover the events at NWroots 2011 at all.

We’ll have a lot to talk about over the next few days, and to lead things off I’ll tell you about the series of events that might – or might not – have to do with why I happened to bump into Ohio Congressman Dennis Kucinich as he came down from the sunlight into the same dark room as the rest of us.

Your emperor may be a great prince: I do not doubt it, seeing as he has sent his subjects so far across the waters; and I am willing to treat him as my brother. As for the pope of whom you speak, he must be mad to speak of giving away countries that do not belong to him.

--Atahualpa, the last Sapa Inca of Tahuantinsuyu, quoted in the book “The Native Americans: An Illustrated History”


So here are today’s “need to knows”: the Constitution mandates that the Census be used to determine how many Representatives each State sends to Congress; based on the last Census, Ohio’s losing two seats in the House, Washington’s gaining one.

In Ohio, the most significant population declines occurred in urban areas, particularly Dennis Kucinich’s 10th District (Cleveland’s western suburbs; Cleveland’s population today is more than 15% smaller than it was a decade ago.)

Combine that with the fact that the proudly liberal Kucinich has been a thorn in the side of Ohio Republicans, who, cycle after cycle, just can’t seem to knock him off when it comes time to count the votes, and you have a lot of rumors that all come to the same conclusion: if you can’t beat Kucinich in an election…why not just make his District disappear?

In the meantime, Washington is looking to have at least two open seats in the politically “purple” western half of the State: Democratic Congressman Jay Inslee is running for Governor, freeing up the 1st; there’s also going to be this new 10th District, the boundaries of which are as yet uncertain.

The odds are pretty good that the Redistricting Commission (two Republicans, two Democrats, and a fifth member appointed by the other four), will assemble a District from an “area of overpopulation” that would probably include parts of Thurston, Pierce, and King Counties:

--Thurston Country includes liberal, liberal, Olympia, the State Capitol, as well as suburbs for residents who work as far away as Seattle – but it also includes areas that are quite rural. Around the county there’s a wide range of incomes, but there’s also rising unemployment.

--Pierce Country (Tacoma is the big city in the County) has a healthy suburban and rural crime problem that has evolved over time as the methamphetamine business changed from a “local manufacturing” model to one based on imported Mexican drugs (there are fewer meth labs today, but meth possession and the associated auto thefts, burglaries, and family problems are still going strong…), and the street violence in Tacoma itself has been moderated. That said, the underlying economic causes of these problems are still there, which probably sounds familiar to a lot of readers around the country.

Fort Lewis and McChord Air Force Base are now “Joint Base Lewis McChord” and that large military presence is amplified throughout the region by the presence of dependants, retirees, and civilian workers. Because there’s a war on unemployment in the County is relatively low.

--King County is the place everyone thinks of when they think of Washington: Seattle’s here, and it appears, if the legends are to be believed, like a woodsy Upper West Side with high-tech campuses dotting the landscape and producing billionaires by the bucketful – and all that thanks to the gentle mists of espresso falling from the sky.

The reality’s a bit different: King County is surprisingly purple at election time, and about 2/3 of the population is located outside the city limits of reliably liberal Seattle. The 8th District, out in the eastern suburbs, has elected two Republicans to the House for almost 20 years in a row: the annoyingly effective Jennifer Dunn and the amazingly ineffectual Dave Reichert.

--Much of Inslee’s 1st District is located west of Seattle, and much of it is rural – but also included in his District are Seattle’s northern suburbs, including Everett, home to a giant Boeing assembly facility. The District is also one of the most military in the Nation; within the District or immediately next door are elements of Naval Base Kitsap (which is actually several facilities combined under one name) and Naval Station Everett (which homeports a Carrier Battle Group).

So with all that in mind, here’s the first couple of minutes of Kucinich’s speech, where he describes his connection with Seattle and his rejection of war as a concept:



Bonus Video: check out this little “Hey, how’s it goin’?” moment between Kucinich and the aforementioned Seattle Congressman Jim McDermott, who spoke just after Kucinich:



So the question now becomes: if Kucinich were to run for Congress in Washington…where and how?

To help answer that question, I’m going to fall back on the electoral results of 2009’s Referendum 71, which represents the most recent example of Washington voters making the “liberal” choice in a Statewide election (R-71 was enacted to protect certain rights of qualified domestic partners).

WA-01, Inslee’s current District, includes portions of Snohomish and Kitsap Counties; in 2009 R-71 passed in Snohomish County 53-47% with about 100,000 votes cast. More significantly, most cities with more than 2000 votes cast voted for the measure.

Kitsap County voted heavily in favor of the measure; the entire County voted 65-35% and cast about 24,000 votes.

What about a potential WA-10?

Let’s start up north and go south: for the most part, southern King County voted against R-71, for the most part, it was somewhere around 52-48%; if you were to cut off all of King County south of Seattle and plunk it in WA-10, there would be about 75,000 votes in play.

Pierce County voted exactly 50-50% on R-71, with 110,000 votes cast – but Tacoma accounted for 40,000 of those votes, and they went 58-42% in favor of the more liberal position.

Thurston County went very heavily for R-71 (63-37%; 33,000 votes), but 15,000 of those votes were cast in Olympia (73-27%); if Olympia’s not in the 10th the rest of the County looks more like 53-47% in favor of the liberal choice.

More Bonus Video: here’s Kucinich talking about Social Security:



So if those are the apparent numbers…who might show up to help a Kucinich campaign?

Let’s start with Labor: I had the impression that Jeff Johnson, who is President of the Washington State Labor Council (WSLC), might like to work with a (well-known Friend Of Labor) Kucinich – but I have been warned, more than once, that the WSLC can’t endorse anyone until the Union’s State Convention debates and votes on the matter. (This year’s Convention is in the first week of August; that could be an issue if Kucinich were to announce his intentions this Fall or Winter).

Seattle’s "Portlandia", for want of a better word, will come out to help Kucinich in a big way; that would probably be true whether he ran in the 1st or the 10th.

In Washington elections, “boots on the ground” become doorbellers and phone bankers - but 100% vote-by-mail means no driving voters to the polls, and that means ensuring turnout becomes more of a messaging issue. We can probably assume that the number of volunteers Inslee was able to pull last time is gonna be about what is required if a Kucinich WA-01 run were to occur.

Beyond that, there's a lot of out-of-state help available as well: for example, if Kucinich were to get public about repeal of the Washington State Defense of Marriage Act, it seems likely that LBGT money and help would come in from around the country.

There are groups like IAVA, the Iraq/Afghanistan Veterans' group, that might step up (and they do recognize Kucinich as an ally), which would be helpful (lots of active duty and their families, civilian contractors, vets, and retirees in both WA-01 and a likely WA-10). You could expect to see Progressive PAC money and virtual “phone bank” help from folks like MoveOn as well, just as there will likely be a ton of "Crossroads GPS"-like cash and Conservative volunteering coming to any opponent.

What about timing? The Ohio Redistricting Commission (three Republicans, two Democrats) will have the first say in what happens; that process has just begun with the first meeting of the Ohio Legislative Task Force on Redistricting, Reapportionment, and Demographic Research on June 16th.

(Wanna make some money? Draw The Line Ohio is sponsoring a competition to draw the best Districts, which they intend to present to the Commission, and they’re willing to pay cash prizes for the best work: check it out at the Draw The Line Midwest website.)

I told Kucinich that I’d love to see him come out and run in the 8th, against the ineffectual Dave Reichert; his response: “I’m not here as a candidate”.

I winked, he did not nudge.

Should Kucinich run, I would expect attacks to cover ground such as: “He’s a carpetbagger!” or “He’s too liberal for the (insert name here) District” or what might become my favorite: a variation of “Vote against Nancy Pelosi: Vote against Dennis Kucinich”.

So that’s what I know: Kucinich was in town to stir up the troops, and if things don’t go well in Ohio there are several scenarios that could place him here in Washington – and there are at least two Districts where he could have a shot at winning.

And with all that seen and said, I climbed the stairs from the darkened underground political comedy lair and returned to the world of light, where people do things like knit tree cozies – you know, the normal world.