Showing posts with label St. Louis Post-Dispatch. Show all posts
Showing posts with label St. Louis Post-Dispatch. Show all posts

Sunday, October 7, 2012

Editorial: Obama for president: A second term for a serious man

Well said...


 

Four years ago, in endorsing Democrat Barack Obama for president, we noted his intellect, his temperament and equanimity under pressure. He was unproven, but we found him to be presidential, in all that that word implies.
In that, we have not been disappointed. This is a serious man. And now he is a proven leader. He has earned a second term.
Mr. Obama sees an America where the common good is as important as the individual good. That is the vision on which the nation was founded. It is the vision that has seen America through its darkest days and illuminated its best days. It is the vision that underlies the president's greatest achievement, the Affordable Care Act. Twenty years from now, it will be hard to find anyone who remembers being opposed to Obamacare.
He continues to steer the nation through the most perilous economic challenges since the Great Depression. Those who complain that unemployment remains high, or that economic growth is too slow, either do not understand the scope of the catastrophe imposed upon the nation by Wall Street and its enablers, or they are lying about it.
To expect Barack Obama to have repaired, in four years, what took 30 years to undermine, is simply absurd. He might have gotten further had he not been saddled with an opposition party, funded by plutocrats, that sneers at the word compromise. But even if Mr. Obama had had Franklin Roosevelt's majorities, the economy would still be in peril.
Extraordinary, perhaps existential, economic challenges lie just beyond Election Day. The nation's $16 trillion debt must be addressed, but in ways that do not endanger the sick and elderly, or further erode the middle class or drive the poor deeper into penury.
The social Darwinist solutions put forward by Republican Mitt Romney and his running mate, Rep. Paul Ryan, are not worthy of this nation's history, except that part of it known as the Gilded Age.
Mr. Obama has not been everything we expected. In his first weeks in office, Democrats ran amok with part of his economic stimulus package. His mortgage relief program was insufficient. Together with his Treasury secretary, Timothy Geithner, the president has been too deferential to the financial industry. The president should have moved to nationalize troubled banks instead of structuring the bailout to their benefit. Regulatory agencies and the Justice Department were unable to bring financial crooks to heel.
We had hoped that Mr. Obama would staff the executive branch with the best and the brightest. There have been stars, but there have been egregious failures, too. The "Fast and Furious"operation at the Bureau of Alcohol, Tobacco and Firearms was a disgrace. The vastly expensive and unaccountable intelligence and Homeland Security agencies need stronger oversight. The now-renamed Minerals Management Service could have used some best-and-brightest inspectors before the Deepwater Horizon blowout in the Gulf of Mexico.
People who don't understand the word "socialist" accuse Mr. Obama of being one. But as president he has proven to be pragmatic and conciliatory. He is not one to tilt at windmills. He did not close Guantanamo. He cut deals with anyone who'd come to the table. In health care, banking regulation and most other policy areas, he has practiced the art of the possible.
In foreign policy, after being awarded the Nobel Peace Prize for doing little more than not being George W. Bush, he has been a centrist. He has stood with Israel, but not as its surrogate. He brought the last of the U.S. troops out of Iraq. He began to wind down the war in Afghanistan — too slowly in our view. He let the nations of the Arab Spring follow their own course to democracy. He used thumb drives instead of bunker busters in Iran.
Against the advice of his senior advisers, he approved the SEAL mission that killed Osama bin Laden. He has been almost ruthless in his pursuit of terrorists, reserving to himself the right to approve targets. Regretfully, he massaged "due process" to allow himself to assassinate an al-Qaida leader who was an American citizen.
He is not a happy warrior, literally or figuratively. He is careful, cautious, private and deeply thoughtful, almost introverted. His rhetoric soars because he is a good writer, and good writers tend to be solitary souls. He is not as good working off the cuff, as was demonstrated in Wednesday's debate with Mr. Romney. But being careful and thoughtful is a good thing in a president.
As to Mr. Romney, we are puzzled. Which Mitt Romney are we talking about? The one who said of himself, in 2002, "I'm not a partisan Republican. I'm someone who is moderate and ... my views are progressive."
Or is it the Mitt Romney who posed as a "severely conservative" primary candidate? Is it the Mitt Romney who supported abortion rights and public health care subsidies in Massachusetts or the one who is pro-life and anti-Obamacare now?
Is it the Mitt Romney who wants to cut taxes by $5 trillion or the one who can't remember saying that now? Is it the Mitt Romney who said in May that 47 percent of Americans are moochers or the one who said last week that's not what he believes?
Mr. Romney apparently will say anything that will help him win an election. As a president, he might well govern as a pragmatic chief executive, or he might sell himself to the plutocrats and the crazies who have taken over his party. He is asking Americans to take a lot on faith — there's nothing to see in his tax returns; he can cut taxes and whack away debt while trimming deductions he will not specify.
Mr. Romney's business career is the only way to judge his foundational beliefs: He did not run a company that built things and created jobs and strong communities. He became fabulously wealthy by loading up companies with tax-deductible debt, taking millions out up front along with big management fees. Some companies were saved. Others went bankrupt. Mr. Romney's firm always got out before the bills came due, either in lost jobs, bankruptcies or both.
If the nation's most pressing issue is debt, why elect a president whose entire business career was based on loading up companies with debt?
In picking Mr. Ryan as his running mate, Mr. Romney signaled that he's ready to perpetuate that model in public office. The middle class hasn't had a raise in 20 years. Income inequality has reached record heights. Mr. Romney is the very embodiment of what's gone wrong with the economy: Too many people at the top create vast wealth that they do not share, either by creating jobs or by paying fair tax rates.
If more Americans were paying attention, this election would not be close. Barack Obama would win going away, at least 53 to 47, perhaps even 99 to 1.
But the atmosphere has been polluted by lies, distortion, voter suppression and spending by desperate plutocrats who see the nation's changing demographics and fear that their time is almost up. They've had the help of a partisan Supreme Court.
The question for voters is actually very simple. The nation has wrestled with it since its founding: Will this be government for the many or the few?
Choose the many. Choose Barack Obama.

Sunday, August 14, 2011

If US is Serious About Debt, There's a Single-Payer Solution

St. Louis Post-Dispatch Editorial
August 14th, 2011

If America truly is serious about dealing with its deficit problems, there's a fairly simple solution. But you're probably not going to like it: Enact a single-payer health care plan.

See, we told you weren't going to like it.

But the fact is that everyone who has studied the deficit problem has agreed that it's actually a health care problem — more specifically, the cost of providing Medicare benefits to an aging and longer-living population. The bipartisan National Commission on Fiscal Responsibility and Reform reported last December: "The Congressional Budget Office (CBO) projects if we continue on our current course, deficits will remain high throughout the rest of this decade and beyond, and debt will spiral ever higher, reaching 90 percent of GDP in 2020.

"Over the long run, as the baby boomers retire and health care costs continue to grow, the situation will become far worse. By 2025 revenue will be able to finance only interest payments, Medicare, Medicaid, and Social Security. Every other federal government activity — from national defense and homeland security to transportation and energy — will have to be paid for with borrowed money."

That being the case — and nobody argues that it isn't — there are two broad ways for the government to address its spiraling health care costs. One, shift more of those costs to recipients, by trimming benefits and/or extending eligibility ages and indexing eligibility to personal income. This is politically unpalatable, particularly to most Democrats, President Barack Obama being a conspicuous exception.

The second way for government to address its health costs is not to shift them, but to reduce them. This is what a single-payer health care system would do, largely by taking the for-profit players (insurance companies for the most part) out of the loop.

The advocacy group Physicians for a National Health Program estimates that "private insurance bureaucracy and paperwork consume one-third (31 percent) of every health care dollar. Streamlining payment through a single nonprofit payer would save more than $400 billion per year, enough to provide comprehensive, high-quality coverage for all Americans."

Once everyone is covered, the government would have the clout to bring discipline into the wild west of health care spending. It could insist that providers be paid for quality of service, not quantity. Health facilities and equipment could be managed by regional boards. Medical services could be "bundled" — rather than paying hospitals and doctors and laboratories separately, there would be fixed prices for treatments. And so on.

The Patient Protection and Affordable Care Act passed in 2009 contains many pilot programs designed to test cost-reduction strategies. Most of them won't kick in for another six to eight years, by which time health care costs will be approaching 20 percent of U.S. gross domestic product. The combined state and federal share of that will be 49 percent, up from 45 percent today.

Indeed, a study published this month in the journal Health Affairs estimates that while the Affordable Care Act will pay for itself by 2020, it won't actually "bend the cost curve," as the Obama administration had hoped. But the study, done by the Actuary Centers for Medicare and Medicaid Services, says the ACA will significantly slow the rise of health care costs to state and local governments.

But consider those two findings: In effect, they say that if reducing overall health care costs is the goal, then the ACA didn't go far enough. Thirty million more people will be insured and government costs will grow more slowly. But overall health care costs will continue to explode.

Sooner or later, a nation serious about controlling spending must take broad control of the health care system.

It surely won't be sooner. Compared to the political fight that would erupt over a single-payer plan, the congressional battle over the Affordable Care Act would seem as tame as resolution praising mom, the flag and apple pie.

The ACA was a compromise. Mr. Obama brought everyone to the table — doctors, insurance companies, drug companies, hospitals — and came away with a "best we can get" kind of bill. Many of those at the table turned around and lobbied against it or sought special favors once the bill came before Congress.

It passed by narrow margins, and Congress is decidedly more conservative now. Indeed, the new House majority has voted to repeal the ACA and challenges to its constitutionality continue to work their way toward the Supreme Court.

But now, like a baby discovering its toes, Congress has discovered the deficit. And the plain fact is that unless you want to commit political suicide and cut Medicare to the bone — as Rep. Paul Ryan's, R-Wis., budget plan would do — the best way to seriously address long-term deficits is to get control of health care costs through a single-payer plan.

In 2008, when health care costs amounted to "only" 16 percent of U.S. gross domestic product, Great Britain was spending 8.7 percent of its GDP on health care, and Canada was spending 10.4 percent. Both nations have single-payer plans. Quality of care scores in both nations are at least comparable, and in most cases, better.

Eventually, the United States will have a single-payer plan. But we'll waste a lot of money and time getting there.



Sunday, October 19, 2008

St. Louis Post-Dispatch, Toledo Blade, Pittsburgh Post-Gazette For Obama

Three battleground newspaper endorsements for Barack Obama. Each is located deep in the heart of the white working class constituencies Obama needs to win in November.

St. Louis Post-Dispatch- "Over the past nine months, Mr. Obama, the junior senator from Illinois, has emerged as the only truly transformative candidate in the race. In the crucible that is a presidential campaign, his intellect, his temperament and equanimity under pressure consistently have been impressive. He has surrounded himself with smart, capable advisers who have helped him refine thorough, nuanced policy positions.
In a word, Mr. Obama has been presidential."

Toledo Blade - "For guidance in arriving at this momentous decision, the election of the next president of the United States, we can look to the sober lessons of history. Without exaggeration, the country faces a transformational election on Nov. 4, not unlike that of 1932, which prefaced Franklin Delano Roosevelt's New Deal and a long slog out of the Great Depresssion.
Like the choice 76 years ago, next month's election is one in which voters have the power to cast aside the failed, greed-driven principles of governance and economics that have led to the current downturn and return to an equilibrium in which hard work is again rewarded by a decent standard of living for the average American.
To be sure, the path to recovery won't be easy for the next president. There are ominous signs that the economy will continue to falter before confidence can be restored in the financial system. The leadership required to contain and reorder the economic mess created by eight years of heedless deregulation will have to be both inspired and inspiring.
We believe the person best equipped by temperament and intellect to firmly grasp the reins of government and guide it safely forward in these uncertain times is Barack Obama."

Pittsburgh Post-Gazzette- "Mr. McCain is not the steady hand he purports to be, and nothing proves it more than his reckless selection of Sarah Palin, whose lack of knowledge to take over as president has becoming increasingly obvious and embarrassing. If Mr. McCain had chosen one of the many accomplished women in the Republican Party, his candidacy would have the stamp of seriousness. Instead, it bears the superficial imprint of pandering populism.
But this election is not just about the shortcomings of Mr. McCain and Ms. Palin and the failed legacy of a philosophy that they seek to perpetuate under the hastily erected banner of maverick.
It is about the strengths of Barack Obama, whose rise to prominence is not a fluke or national infatuation but the consequence of his remarkable skills -- a keen intellect, noble intentions and the wit and grace to express them in ways that have inspired millions across the country. He has a rare gift exactly suited to the fearful times -- he knows the language of reassurance and hope.
...Americans will be called upon to make an exceptional judgment worthy of the times. The forces of history appear to invite boldness and the Post-Gazette believes they should be heeded by voting for the only authentic, fresh agent of change in this race, Barack Obama."