Thursday, January 21, 2010

Concerned about more corruption



http://www.nytimes.com/2010/01/22/us/politics/22scotus.html


I am concerned about today's Supreme Court ruling freeing limitations on corporate spending in federal campaigns and subsequently state and local campaigns as well (see newspaper articles linked above). While I acknowledge one can make a strict interpretation argument of first amendment rights to extend to any type of speech by any type of speaker, I think such an argument is dangerously flawed. Clearly the speech of corporations and unions is different than that of other advocacy groups and churches is different than that of individuals. Business, churches, advocacy groups and individuals are treated differently in many aspects of law (for example, corporations don't vote in elections).

Ultimately our laws are meant to enforce the will of the many while protecting the rights of the few. With a relatively unchecked flow of big money into campaigns, both the will of the many and the rights of many of the few will be compromised.

Our government is already hamstrung by the influence of moneyed interest as evidenced by the most recent efforts at healthcare reform and financial reform. It is no surprise that a healthcare reform bill written by legislators that have received millions of dollars in funding from health insurers transfers large public subsidies to those insurers with almost no cost containment measures.

Similarly it is not surprising that large, rapid Wall Street bailouts have been followed up with (to-date) minimal regulatory changes in a setting where corporate Democrats with firm ties to the financial industry run President Obama's economic team and the committees charged with financial industry oversight in Congress.

These two examples refer to a government controlled by the historically less-business friendly Democratic party IN the setting of McCain-Feingold. What will happen in the post-McCain-Feingold world with relatively unchecked interested electioneering? How much more beholden will our legislators and elected leaders be to moneyed interests?

While I believe it is theoretically possible for some citizens to sort through a tsunami of moneyed interest propaganda, I think it is improbable and therefore dangerous to unleash that tsunami. It is also possible to carry the biggest gun and remain safe in a lawless town, but society works to avoid such undesirable situations while maintaining freedoms.

I've long argued that if we want true healthcare (and health) reform, first we must pursue true campaign finance reform, freeing our legislators from moneyed interests. Unfortunately, I think we've moved in the wrong direction today.

Monday, January 11, 2010

Healthcare Reform Discussion

For my readers in Salt Lake City, I have been invited to lead a healthcare reform discussion group on Feb 2, 2010. I invite you to review the materials below and attend the discussion in person (Feb 2, 2010, 7:30 - 9:30 pm at 4348 S. Jupiter Drive (3760 E.), Salt Lake City).

For my readers not able to attend the discussion in person, I invite you to review the materials below and start a virtual discussion here. I'm very interested in your opinions. Also feel free to share additional materials in your comments. Finally, I encourage you to share your comments with others, including your legislative representatives on the state and national level.

Now for the discussion materials:

The U.S. House and Senate are currently in the midst of formulating a final healthcare bill intended to "reform" an industry that makes up nearly 20% of the national economy.

The readings/viewings below are meant to serve as a primer for a provocative discussion. I hope the discussion will examine 1) what are the problems with the current system, 2) what are the solutions being proposed by Congress, 3) what are other possible solutions and 4) how much will legislative process influence the final reform effort?

Please feel free to review as much or as little of the information below as you wish. If time is limited, I'd recommend reviewing the first three documents first.


1. Basic overview of the House and Senate bills.
http://www.kff.org/healthreform/upload/housesenatebill_final.pdf


2. Two different comentaries on healthcare reform strategies.
http://www.nytimes.com/2009/07/19/magazine/19healthcare-t.html?pagewanted=1&_r=2

http://www.theatlantic.com/doc/200909/health-care


3. Two New Yorker articles looking at the pros and cons of regional variation in our vast healthcare system.
http://www.newyorker.com/reporting/2009/12/14/091214fa_fact_gawande?currentPage=1

http://www.newyorker.com/reporting/2009/06/01/090601fa_fact_gawande


4. Two Frontline episodes relating to healthcare. The first examines other healthcare systems around the world and the second places healthcare within the larger context of government finances.
http://www.pbs.org/wgbh/pages/frontline/sickaroundtheworld/view/?utm_campaign=homepage&utm_medium=proglist&utm_source=proglist

http://www.pbs.org/wgbh/pages/frontline/tentrillion/view/?utm_campaign=searchpage&utm_medium=videosearch&utm_source=videosearch


5. Finally, for the political junkies like me, a discussion between two progressives about the current healthcare bills and an article about the sticking points between the House and Senate bills.
http://www.pbs.org/moyers/journal/12182009/watch.html

http://healthcarereform.nejm.org/?p=2723