Obama the Market Liberal

Timshel

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http://commentisfree.guardian.co.uk/daniel_koffler/2008/01/substance_not_style.html

Substance, not style
US elections 2008: Despite what many believe, there are significant differences in policy between Barack Obama and the other candidates

Daniel Koffler

It has become a common view among pundits observing the Democratic primary campaign that there isn't a great deal of substantive disagreement between the frontrunners, Hillary Clinton and Barack Obama, and so the contest between them comes down to a contest of style - more specifically, Obama's style and Clinton's lack thereof - or perhaps, if Andrew Sullivan is right, a tectonic generational conflict. To the extent that both the media and the leading campaigns are propelling the idea that the underlying dynamic in the race is "change versus experience", it's true, and self-fulfillingly if not trivially so, that substantive ideological and policy differences will not settle the Democratic nomination.

But the fact that campaign strategies, and the media narrative enfolding them, have obscured genuine, substantive disagreement between Obama and Clinton, does not entail that no such disagreement exists. On the contrary, there is a deep and profound disagreement between the candidates on how to approach public policy questions, one that implies highly discrepant visions of governance. Every so often, in speeches and in debate, either Obama or Clinton or both offer glimpses of their philosophical differences. Saturday night's presidential debate was one such occasion.

Obama put it this way:

We do have a philosophical difference. John [Edwards] and yourself [ Hillary Clinton] believe that if we do not mandate care - if we don't force the government to get - to - if the government does not force taxpayers to buy healthcare, that we will penalise them in some fashion. I disagree with that because as I go around town hall meetings, I don't meet people who are trying to avoid getting healthcare; the problem is they can't afford it. The costs are too high. And so, as a consequence, we focus on reducing costs.

Obama's preference for reducing healthcare costs while preserving the freedom to choose whether or not to participate in the healthcare system, as against Clinton's (and Edwards's) insistence on mandating participation, is not a one-off discrepancy without broader implications. Rather, Obama's language of personal choice and incentive is a reflection of the ideas of his lead economic advisor, Austin Goolsbee, a behavioural economist at the University of Chicago, who agrees with the liberal consensus on the need to address concerns such as income inequality, disparate educational opportunities and, of course, disparate access to healthcare, but breaks sharply from liberal orthodoxy on both the causes of these social ills and the optimal strategy for ameliorating them.

Instead of recommending traditional welfare-state liberalism as a solvent for socioeconomic inequalities and dislocations, Goolsbee promotes programmes to essentially democratise the market, protecting and where possible expanding freedom of choice, while simultaneously creating rational, self-interested incentives for individuals to participate in solving collective problems. No wonder, then, that Obama's healthcare plan is specifically designed to give people good reason to buy in, without coercing them. Likewise, as George Will reported in a column from October, Goolsbee's proposal for reducing income inequality is to lower barriers to higher education, the primary factor in determining future earnings, and noticeably does not rely on state interventions in the market, which can succeed at equalising income at the price of reducing it across the board.

Goolsbee and Obama's understanding of the free market as a useful means of promoting social justice, rather than an obstacle to it, contrasts most starkly with the rest of the Democratic field on issues of competition, free trade and financial liberalism. Back in the spring of 2007, when the term "subprime mortgage" was beginning its ascent to ubiquity, Goolsbee composed an impressive op-ed in the New York Times, noting that - fraudulent lending practices aside - subprime products are a powerful tool for democratising the credit market and opening it up to lower socioeconomic strata, and had been substantially successful in reducing financial constraints on working-class people. Crack down on fraud by all means, but don't cut off an important avenue of economic empowerment for working people, and most of all don't do so in the name of working people.

The evidence that Obama heeds Goolsbee's lessons is ample, his healthcare plan being but one of many prominent examples. Whereas Clinton has recently taken to pulling protectionist stunts and rethinking the fundamental theoretical soundness of free trade, and Edwards is behaving like the love child of Huey Long and Pat Buchanan, Obama instinctively supports free trade and grasps the universe of possibilities that globalisation opens up, and seamlessly integrates it into his "audacity of hope" theme. As he remarked in a recent debate: "Globalisation is here, and I don't think Americans are afraid to compete. And we have the goods and the services and the skills and the innovation to compete anywhere in the world."

At the moment, Obama's and Clinton's positions on trade are roughly equivalent - both deserve credit for taking initial steps toward dismantling the obscene US government-supported agricultural cartels - but the present dynamic is Obama moving more and more in the direction of economic freedom, competition and individual choice, and Clinton wavering if not moving away from it. Obama proposes to address the "actuarial gap" in entitlement programs - actuarial gap being a term congenial to if not lifted straight from Niall Ferguson's analysis of generational accounting - in part by raising the cap on payroll taxes, but in part by creating incentives for personal retirement accounts, fostering, if you'll pardon the term, an ownership society. The idea, as with his approach to healthcare, is to bring individual self-interest and collective needs into harmony, and let rationality do the work from there. (Hillary Clinton, in case you're wondering, disagrees.)

Similarly, while Obama's support of immigration and immigrants undoubtedly derives in part from straightforward internationalism and humanitarianism - Obama's lead foreign policy advisor is Samantha Power, author of A Problem from Hell, under whose guidance Obama has directed far more attention to the Darfur genocide than any other candidate - it's likely that part of Obama's embrace of immigration stems from a Goolsbeean view of free movement of labour as inextricable from and essential to a free global market.

Perhaps it goes without saying that Obama's belief in freedom in labour markets and freedom in capital markets, sets him apart from the Republican field as well as the Democrats. Under ordinary circumstances, one would expect Republicans at least to respect free trade, but alas, they are inconsistent at best. As for freedom in immigration, even in politically propitious times, the modern GOP makes tactical concessions toward its xenophobic wing; in this season of famine, the Republican candidates, even those who have supported immigration in the past, have set up their nominating contest as a race to see who can take the most thuggish and contemptuous possible attitude toward Mexicans (the euphemism for this posture is "out-Tancredo-ing Tancredo").

Ironically, the nativist lunacy sweeping through the GOP underscores the conceptual connection between free trade and immigration, as mutually supporting pillars of economic freedom. Obama properly understands economic freedom as the best vehicle for accomplishing the historic goals of the left, which Irving Howe and Lewis Coser long ago described as wanting "simply to do away with those sources of conflict which are the cause of material deprivation and which, in turn, help create psychological and moral suffering."

In other words and in short, Obama's slogan, "stand for change", is not a vacuous message of uplift, but a content-laden token of dissent from the old-style liberal orthodoxy on which Clinton and Edwards have been campaigning. At the same time, Obama is not offering a retread of (Bill) Clintonism, Liebermanism, triangulation, neoliberalism, the Third Way or whatever we might wish to call the business-friendly centrism of the 1990s. For all its lofty talk of new paradigms and boundary shifting, the Third Way in practice amounted to taking a little of column A, a little of column B, and marketing the result as something new and innovative. Obama and Goolsbee propose something entirely different - not a triangulation, but a basis for crafting public policy orthogonal to the traditional liberal-conservative axis.

If this approach needs a name, call it left-libertarianism. Advancements in behavioural economics, public and rational choice theory, and game theory provide us with an opportunity to attend to inequality without crippling the economy, enhancing the coercive power of the state, or infringing on personal liberty (at least not to any extent greater than the welfare state already does; and as much as my libertarian friends might wish otherwise, the welfare state isn't going anywhere). The cost - higher marginal tax rates - is real, but eminently justified by the benefits.

"Stand for change"? I think I will.
 
Shorter version:

Obama is a pro-NAFTA, DLC, pro-globalization, pro-WTO democrat with a weak healthcare plan.


Outside of some tactical reasons I would support Obama over Clinton, this just tells me that the policy differences between Obama and Hillary are nominal at best.
 
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Shorter version:

Obama is a pro-NAFTA, DLC, pro-globalization, pro-WTO democrat with a weak healthcare plan.


Outside of some tactical reasons I would support Obama over Clinton, this just tells me that the policy differences between Obama and Hillary are nominal at best.
What it should tell you is that he does not support welfare state solutions that drive taxes through the roof, rather than opening the market up to more demand thereby allowing the supply side to become more competitive in offering coverage to americans. Protectionism will fail and we are a global economy now and forever and no amount of clicking your heels together and saying "there's no place like home" is going to change that. Withdraw from the global economy and watch the economy collapse.
 
What it should tell you is that he does not support welfare state solutions that drive taxes through the roof, rather than opening the market up to more demand thereby allowing the supply side to become more competitive in offering coverage to americans. Protectionism will fail and we are a global economy now and forever and no amount of clicking your heels together and saying "there's no place like home" is going to change that. Withdraw from the global economy and wathc the economy colapses.

Finland, the Netherlands, and Sweden do quite well in the global economy. And whatever Edwards said he was going to invest in healthcare, education, and worker training, pales in comparison to the social democratic welfare states of scandinavia.

I'm not buying that you can't have a scandanavian style egalitarian state, and not be successful in the global economy. And what Edwards was proposing, isn't even close to what the scandinavians invest in their people.
 
Finland, the Netherlands, and Sweden do quite well in the global economy. And whatever Edwards said he was going to invest in healthcare, education, and worker training, pales in comparison to the social democratic welfare states of scandinavia.

I'm not buying that you can't have a scandanavian style egalitarian state, and not be successful in the global economy. And what Edwards was proposing, isn't even close to what the scandinavians invest in their people.
So how do you pay for universay healthcare and keep the standard of living for ALL americans where it is right now and continue to grow the economy? Scandanavian health care costs are lower because their docs don't have student loans in the amount of 100K+ and they don't pay huge malpractice insurance premiums. You would have to so overhaul the medical malpractice system and limit awards to ONLY actual damages, and cap those. Europe doesn't just socialize the service side of their medical system. They also socialize the education side so that a medical education is free or at best very low cost. I know that my ex GF in Germany who was an MD paid zero for her medical education. No loans and no malpractice insurance.
 
Medical education is about 60K. 60K per each doctor shouldn't soley be the reason for our medical costs, which are twice theirs. Neither should lower doctor salaries. And how are you sure they limit tort in Europe at all?
 
So how do you pay for universay healthcare and keep the standard of living for ALL americans where it is right now and continue to grow the economy?

Because a properly run, single payer universal system is both cheaper for consumers, and for business, than our ridiculous, patchwork, hodgepodge system of healthcare delivery.

Scandanavian health care costs are lower because their docs don't have student loans in the amount of 100K+ and they don't pay huge malpractice insurance premiums. You would have to so overhaul the medical malpractice system and limit awards to ONLY actual damages, and cap those. Europe doesn't just socialize the service side of their medical system. They also socialize the education side so that a medical education is free or at best very low cost. I know that my ex GF in Germany who was an MD paid zero for her medical education. No loans and no malpractice insurance.

I've never heard that college loans to medical students were the biggest factor in our massive healthcare costs per capita, relative to other countries. That's a new one on me.

But, from what i recall, democrats lowered the interest on student loans, and I'm pretty sure edwards has a detailed plan to lower college education.
 
Read here http://books.google.com/books?id=iP...mDg&sig=0JIgaQUrKRGmCXrKBOeVHP9b6Yw#PPA431,M1 the whole book is on line and talks about the caps on liablity and the fact that some country's including Finland have no fault systems that avoid the drama of a trial and limits on what lawyers can get from the suit. Much more regulated than here. As a lawyer that DESPISES med mal I think it is a good idea to reform the system. Here in NM you have to go before a board of 3 lawyers and 3 doctors and they have to review the case. If they find there was malpractice over 90% of the cases settle. If they find none only 10% of the cases that go to trial end up in an award. And we are capped at 350K
 
Doctors in the US are compenssated at much higher rates because they spent lots of money to get their degrees, invested in not only a medical degree but an undergrad degree as well. Costs in the US are much higher including doctors visits.
 
Read here http://books.google.com/books?id=iP...mDg&sig=0JIgaQUrKRGmCXrKBOeVHP9b6Yw#PPA431,M1 the whole book is on line and talks about the caps on liablity and the fact that some country's including Finland have no fault systems that avoid the drama of a trial and limits on what lawyers can get from the suit. Much more regulated than here. As a lawyer that DESPISES med mal I think it is a good idea to reform the system. Here in NM you have to go before a board of 3 lawyers and 3 doctors and they have to review the case. If they find there was malpractice over 90% of the cases settle. If they find none only 10% of the cases that go to trial end up in an award. And we are capped at 350K

And, how much less are your doctor bills than other states?
 
Because a properly run, single payer universal system is both cheaper for consumers, and for business, than our ridiculous, patchwork, hodgepodge system of healthcare delivery.



I've never heard that college loans to medical students were the biggest factor in our massive healthcare costs per capita, relative to other countries. That's a new one on me.

But, from what i recall, democrats lowered the interest on student loans, and I'm pretty sure edwards has a detailed plan to lower college education.
Is edward going to force medical schools to lower tuition? Is he going to force states and private undergrad schools to lower their tuition? And if so how is that NOT socialism?
 
It really makes no sense arguing with you Edwards supporters. You won't be happy till everyone pays 45% or more of their income if fees and taxes to the government and that the income gap is closed by limiting the amount of money those in the upper brackets can earn
 
This article is fairly thin gruel. It essentially takes Obama's less than stellar healthcare plan and uses that to extrapolate that Obama is a more centrist than he really is. Not that I have a problem with that. Obama is generally a progressive that is viewed as a centrist whereas Clinton is a centrist that is viewed as a liberal.

It's simply not the case that Obama supports "free market" laissez faire Chicago school economic policies. In fact, he is to the left of Clinton on most global trade issues, highlighting the need for labor and environmental protections in free trade agreements - opposing CAFTA and calling for a fix of NAFTA. He's also a much stronger supporter of labor unions (Mark Penn, Clinton's campaign adviser operates a union busting firm).

As for the differing savings programs that Clinton and Obama have offered, they have to the same goal, just with different incentives. Clinton's plan is to have the government match individual savings. Obama takes the position that people don't save even when you incetivize it so he takes an opt out approach wherein employers are required to set aside money from your pay unless you tell them not to.

I could go on, but you get the gist of it.
 
Is edward going to force medical schools to lower tuition? Is he going to force states and private undergrad schools to lower their tuition? And if so how is that NOT socialism?




With all due respect, I’m simply not accepting the premise of your question.

I can’t recall ever hearing a doctor tell me that medical school tuition, are what drives them out of business. And I’ve talked to a lot of doctors, since my ex-wife was a nurse. I recall hearing that it was insurance company reimbursement rates that were killing them, along with the incredible overhead and paperwork trying to deal with a patchwork, hodge podge system of different insurance companies.

And I’ve never seen a study from GAO, CBO, or any non-partisan, peer reviewed source that suggested that medical school tuition rates was a major factor in why we pay so much more for healthcare, than anyone else.
 
He's just another shithead supporting massive immigration to put americans out of work and trade with nations which use slavery to further decimate the american working class. Nothing new here. Just another stupid fuck.
 
And I’ve never seen a study from GAO, CBO, or any non-partisan, peer reviewed source that suggested that medical school tuition rates was a major factor in why we pay so much more for healthcare, than anyone else.

There might be something to it though.
 
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