Obama’s Other Massachusetts Problem
Even if Democrat Martha Coakley wins 50 percent of the vote in the race to fill the late Sen. Ted Kennedy’s (ahem) term, there are other numbers emanating from Massachusetts that present a problem for President Obama’s health plan.
On Wednesday, the Cato Institute will release “The Massachusetts Health Plan: Much Pain, Little Gain,” authored by Cato adjunct scholar Aaron Yelowitz and yours truly. Our study evaluates Massachusetts’ 2006 health law, which bears a “remarkable resemblance” to the president’s plan. We use the same methodology as previous work by the Urban Institute, but ours is the first study to evaluate the effects of the Massachusetts law using Current Population Survey data for 2008 (i.e., from the 2009 March supplement). Since I’m sure that supporters of the Massachusetts law and the Obama plan will dismiss anything from Cato as ideologically motivated hackery: Yelowitz’s empirical work is frequently cited by the Congressional Budget Office, and includes one article co-authored with MIT health economist (and Obama administration consultant) Jonathan Gruber, under whom Yelowitz studied.
Among our findings:
- Official estimates overstate the coverage gains under the Massachusetts law by roughly 50 percent.
- The actual coverage gains may be lower still, because uninsured Massachusetts residents appear to be concealing their lack of insurance rather than admit to breaking the law.
- Public programs crowded out private insurance among low-income children and adults.
- Self-reported health improved for some, but fell for others.
- Young adults appear to be avoiding Massachusetts as a result of the law.
- Leading estimates understate the cost of the Massachusetts law by at least one third.
When Obama campaigns for Martha Coakley, he is really campaigning for his health plan, which means he is really campaigning for the Massachusetts health plan.
He and Coakley should explain why they’re pursuing a health plan that’s not only increasingly unpopular, but also appears to have a rather high cost-benefit ratio.
(Cross-posted at Politico‘s Health Care Arena.)
Obama Bank Tax Is Misguided
Perhaps I am a little confused, but didn’t the Obama Administration tell the American public only months ago that TARP was turning a profit? But now the same administration is proposing to assess a fee on banks to cover losses from the TARP. Maybe President Obama is coming around to the realization that the TARP has indeed been a loser for the taxpayer. He appears, however, to be missing the critical reason why: the bailouts of the auto companies and AIG, all non-banks. This is to say nothing of the bailout of Fannie Mae and Freddie Mac, whose losses will far exceed those from the TARP. Where is the plan to re-coup losses from Fannie and Freddie? Or a plan to re-coup our rescue of the autos?
If the effort is really about deficit reduction, then it completely misses the mark. Any serious deficit reduction plan has to start with Medicare and Social Security. Assessing bank fees is nothing more than a rounding error in terms of the deficit. Let’s put aside the politics and get serious about both fixing our financial system and bringing our fiscal house into order. The problem driving our deficits is not a lack of revenues, aside from effects of the recession, revenues have remained stable as a percent of GDP, the problem is runaway spending.
The bank tax would also miss what one has to guess is Obama’s target, the bank CEOs. Econ 101 tells us (maybe the President can ask Larry Summers for some tutoring) corporations do not bear the incidence of taxes, their consumers and shareholders do. So the real outcome of this proposed tax would be to increase consumer banking costs while reducing the value of bank equity, all at a time when banks are already under-capitalized.
Monday Links
- David Boaz: “Suddenly, I find myself nostalgic for Bill Clinton….Come back, Bill, all is forgiven. Or most, anyway. As long as you bring a Republican Congress with you.”
- So, have you been following the health-care debate on C-SPAN? Oh wait…
- Obama administration preparing a new arms package for Taiwan.
- Nat Hentoff to Castro et al: “Roar, tyrants, you cannot hide your racist deeds.“
- Podcast: “Price Controls in Obamacare” featuring Michael F. Cannon.
Weekend Links
- Prepare for a national debate over devoting more federal aid to Yemen.
- Reason Magazine: Why is Washington spending so much on the military?
- An update on the ongoing tension between mainland China and Taiwan.
- Top experts will meet at Cato next week to discuss the Obama administration’s counterrorism record after one year in office.
- Podcast: “Indefinitely Confining the ‘Sexually Dangerous‘” featuring Ilya Shapiro.
A Double Dip for Housing?
Washington is fretting this week over news that mortgage applications fell dramatically in November. Coupled with earlier indications of renewed softening in the housing market, there is growing fear that housing is headed for a “double-dip downturn” that could further damage the economy. As a result, Federal Reserve policymakers are considering additional stimulus, while the National Association of Realtors is suggesting an(other) extension of the “temporary” homebuyer tax credit.
Remarkably, neither policymakers nor the media are asking the obvious question: Given all of the emergency interventions in housing that government has undertaken, and the fact that the housing market continues to erode, do such interventions do much good?
Since the bursting of the bubble in 2006, the great unknown has been whether housing prices will revert to their historical trend (and possibly to below trend for a short period), or stabilize at some permanently higher level because a portion of the bubble (aided perhaps by public policy) would prove enduring. There is good reason to expect reversion to trend, but the economy can surprise us.
Let’s use an example to understand this better. The graph below depicts the course of house prices for my hometown of Hagerstown, MD, an area within commuting range of suburban DC that was hit particularly hard by the bubble and its deflation. The black line is a house price index computed by the Federal Housing Finance Agency for 1989–2009. The red line is an extended linear trendline drawn using index data from the period 1989–2002. (You can do the same analysis for your area using these FHFA data.) The question, then, is whether house prices will fall all the way back to the trendline or will stabilize at a level above the trendline.
Has HHS Buried Reports on ‘Head Start’?
According to sources within HHS cited by Heritages’ Dan Lips, a congressionally mandated report on the persistence of academic effects from the federal Head Start program was completed in draft form in 2008, but, nearly two years later, has not seen the light of day. A further follow-up report, to have been released in 2009 and covering persistence of effects through the 3rd grade, has also failed to materialized. Lips’ sources say the draft they saw in ’08 showed no lasting effects.
This timeline meshes with what I was told in a July, 2008 e-mail exchange with a researcher familiar with the studies. The 1st grade report was indeed expected to be completed that summer — one and a half years ago. So where is it?
Could it be, as Lips’ sources seem to imply, that its results were not flattering to the very expensive federal preschool program and that this is not something HHS officials want the public to know? There’s one way to find out: HHS, release the studies.
This is all rather important, what with the Obama administration seeking to lavish many additional billions on large-scale government pre-K, despite the paucity of results we’ve seen from such programs to date.
Sunlight Before Signing: Turning the Corner!
As I noted on Monday, the White House has begun posting the bills Congress sends down Pennsylvania Avenue so they can get a final public review. This was a promise President Obama made on the campaign trail.
The posting of bills actually began some time ago. I mistakenly believed that a promise administration officials made to the New York Timeshad been broken. But with no link trail leading from the Whitehouse.gov homepage to the posted bills, there was no way to find them. This was only technical sunlight, not the actual warming, disinfecting rays the president promised. So, sadly, we can’t put the many bills that got posted this way in the “win” column.
With a link on the homepage pointing to bills awaiting the president’s signature, a new era in Sunlight Before Signing is about to dawn. The White House’s current dismal SBS percentage (1 for 114, or .009) will be rising soon, and could ultimately be quite high!
Did the administration fail to execute on this simple promise from the beginning? Yes. But the good news is that we’re going to see implementation: average Americans will get a look at the bills that come to the president’s desk before he signs them, with an opportunity to say their piece.
That’s simple transparency, and as I’ve articulated elsewhere it will have salutary effects, reducing last-minute shenanigans in Congress.
Before we take a look at the full Sunlight Before Signing chart, here are some of the numbers:
- President Obama has signed 114 bills into law.
- Of those, 86, or 75%, have been held at the White House for five or more days as a matter of course. Simply posting them accessibly on Whitehouse.gov for comment would have fulfilled the president’s pledge.
- Forty-seven bills (41%) have been posted on Whitehouse.gov for five days, but without links leading visitors or search engines to them, they can’t be counted as fulfillments of the Sunlight Before Signing promise.
- One bill has been posted online for for five days, accessible to the public for their review, before receiving the president’s signature: The DTV Delay Act, Public Law 111-4.
Without further ado, the chart that lays out the Obama administration’s Sunlight Before Signing record so far: Read the rest of this post »
National Standardizers Just Can’t Win
I’ve been fretting for some time over the growing push for national curricular standards, standards that would be de facto federal and, whether adopted voluntarily by states or imposed by Washington, end up being worthless mush with yet more billions of dollars sunk into them. The primary thing that has kept me optimistic is that, in the end, few people can ever agree on what standards should include, which has defeated national standards thrusts in the past.
So far, the Common Core State Standards Initiative – a joint National Governors Association/Council of Chief State School Officers venture that is all-but-officially backed by Washington — has avoided being ripped apart by educationists and plain ol’ citizens angry about who’s writing the standards and what they include. But that’s largely because the CCSSI hasn’t actually produced any standards yet. Other, that is, than general, end of K-12, “college and career readiness” standards that say very little.
Comparing Vietnam and Afghanistan
Reports have leaked out over the past week that President Obama will announce that he is sending additional troops into Afghanistan. The only question seems to be whether he will send 30,000, 40,000 or some number in between. That is, frankly, not a very important issue.
And for all of his talk about “off ramps” for the United States if the Afghan government does not meet certain policy targets or “benchmarks,” the reality is that he is escalating our commitment. Since Obama has repeatedly asserted that the war in Afghanistan is a war of necessity, not a war of choice, his talk of off ramps is largely a bluff—and the Afghans probably know it.
There are obvious hazards in equating one historical event with a development in a different setting and time period, but there are a couple of very disturbing similarities between Vietnam and Afghanistan. In both cases, U.S. leaders opted to try to rescue a failing war by sending in more troops. And in both cases, Washington found itself desperately searching for a “credible” leader who could serve as an effective partner in the war effort.
The United States never found such a leader in Vietnam, and was frustrated by a parade of repressive, corrupt, and ineffectual political figures. That experience sounds more than a little like the problem the Bush and Obama administrations have encountered with Afghan President Hamid Karzai and his government. That fact alone suggests that our Afghanistan mission is not likely to turn out well.
GAO: Dept. of Ed. Suffers Oversight Deficiencies
A report released today by the federal government’s non-partisan General Accounting Office finds deficits in the Department of Education’s financial and program oversight. According to the GAO, “These shortcomings can lead to weaknesses in program implementation that ultimately result in failure to effectively serve the students, parents, teachers, and administrators those programs were designed to help.”
The GAO’s findings are consistent with the longstanding pattern: for forty years, Americans have steadily increased spending on public schools without any resulting improvement in student performance by the end of high school (see the figures here and here).
The Obama administration has touted its $100 billion in education stimulus spending as a key to long term economic growth. What the data show, however, is that higher spending on public schools over the past two generations has not improved academic outcomes. And economists such as Stanford’s Eric Hanushek have shown that it is improved academic achievement, not higher public school spending, that accelerates economic growth.
So if the administration is serious in wanting education to boost the American economy, it must support reforms that are proven to significantly raise achievement, such as those that bring to bear real market freedoms and incentives — programs like the DC private school choice program that the administration has decided to kill despite its proven effectiveness.
Thursday Links
- European Union to install its first president.
- How delayed economic reform in India killed 14.5 million children. More details, here.
- It always starts with “good intentions:” How urban planners destroyed the small-town atmosphere in Portland, Oregon and made congestion even worse.
- Lots of talk but little action from the Obama administration on education.
- Podcast: If the Obama administration was serious about job creation in the stimulus plan, why weren’t dollars targeted at states with higher unemployment?
$98 Billion in Improper Payments
The Obama administration and its allies in Congress want the federal government to expand its role in subsidizing health care. We are told that this expansion will restrain rising health care costs. But an OMB report yesterday that the government made $98 billion in improper payments last year — $55 billion of which came from Medicare and Medicaid — ought to raise suspicions about that claim.
According to Reuters, OMB Director Peter Orszag told reporters that the embarrassing figures from Medicare and Medicaid demonstrate the need for health care reform. I would concur if “reform” meant reducing the government’s role in health care. However, he means the opposite, which raises the question of how giving more money to an already waste-prone and bureaucratic federal health system can possibly make sense for the economy.
The administration has promised to cut down on improper payments with the aid of a new executive order. According to the Associated Press:
Under the executive order, every federal agency would have to maintain a Web site that tracks improper payments, error rates and outstanding payments. If an agency doesn’t meet targets for reducing error rates for two years in a row, the agency director and responsible official will have to directly report to OMB to explain the delinquency and new actions they will take.
Somehow I doubt this will amount to much of a deterrent. The AP also said the administration plans to impose penalties on government contractors who receive improper payments. But last month it was reported that “the Department of Defense awarded nearly $30 million in stimulus contracts to six companies while they were under federal criminal investigation on suspicion of defrauding the government.”
Democrat Tom Carper, chairman of the Senate subcommittee on federal financial management, seemed to partly understand the broader meaning of the improper payment estimates:
It goes without saying that these results would be completely unacceptable in the private sector, as they should be in government, especially at a time of record deficits…Unfortunately, these numbers may still be just the tip of the iceberg since they don’t even include estimates for several major programs, including the Medicare prescription drug plan.
Yes, Senator, which is precisely why bigger government – be it stimulus, bail outs, or health care reform – is an inferior option to letting the marketplace provide for our wants and needs.
Carper is also right about the $98 billion figure being the “tip of the iceberg.” As has been noted here before:
The Government Accountability Office estimates that the two major government health programs are currently losing a combined $50 billion annually to such payments. But that estimate probably low-balls the actual losses. Harvard’s Malcolm Sparrow, a top specialist in health care fraud, estimates that 20 percent of federal health program budgets are consumed by improper payments, which would be a staggering $150 billion a year for Medicare and Medicaid.
See this essay for more on fraud and abuse in government programs.
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