Friday, 31 August 2018

The Dangerous Myths of South African Land Seizures

Last week, President Donald Trump watched Tucker Carlson Tonight on Fox News and got mad. That’s not exactly news, but what happened next was news. The president tweeted a message of support for South Africa’s hard-pressed white farmers.

I have asked Secretary of State @SecPompeo to closely study the South Africa land and farm seizures and expropriations and the large scale killing of farmers. “South African Government is now seizing land from white farmers.”

Trump’s tweet had the usual effect: It has swung liberal-minded Americans to exactly the equal and opposite point of view from the president’s. Trump thinks it’s bad for South Africa to seize land from white farmers without compensation? Then it must actually be good!

But the tweet also had a second effect, this one much less usual: It seems to have actually changed real-world policy for the better. On Tuesday, South Africa’s governing African National Congress (ANC) party withdrew “for further consideration” a bill that would have authorized uncompensated land confiscations.

The issue is not yet dead: The bill—not yet enacted into law—was withdrawn for reasons of procedure, not principle. The new South African president, Cyril Ramaphosa, maintains he will soon introduce new land laws of his own. Yet there’s no mistaking Ramaphosa’s extreme discomfort with uncompensated land seizures. The day after Trump’s tweet, Ramaphosa published an op-ed in the Financial Times that handled the issue with sugar tongs:

“South Africans are currently engaged in an intense debate over the prospect of expropriation of land without compensation as one among several measures to achieve [land] reform,” he wrote. Ramaphosa proceeded to scold “commentators [who] have confined their engagement on this matter to soundbites and not to the substance.”

If that was a reference to Fox News, Ramaphosa has a point. It’s generally a bad idea to get your information from Carlson’s Fox News program about any subject other than, What are white nationalists talking about today?

Throughout the Carlson program, the screen blazed with chyrons asserting that South African land seizures had already happened: “South Africa farm seizures begin,” “Chaos in South Africa as land expropriations begin,” “South African government is now seizing land from white farmers,” “South African Land Grab: Threat of Violence and Economic Collapse."

But there have been no seizures to date. Not one farm has been taken from one white farmer without compensation. The law allowing such seizures has not passed. The constitutional amendment that would enable the law has not been enacted.

Nor is it true that South African white farmers are being massacred by angry blacks. South African crime statistics do not make it easy to ascertain how many victims of violence are rural as opposed to urban, or to identify rural victims by race. South Africa suffers appalling levels of crime and violence, and rural areas are even less well protected than cities. While still shockingly prevalent, violent crime has sharply decreased since the end of apartheid. U.S.-funded scholarship has shown that rural violence is overwhelmingly concentrated among the very poorest and among those with only a primary education—who are very unlikely to be white.

There’s no mystery why Trump would be susceptible to believing a fable of murderous blacks and victimized whites. View the same segment that Trump viewed, and you will not miss its obvious racial incitement, including the insinuation that President Barack Obama endorses the plunder of whites: “Why would former President Barack Obama, just several weeks ago, publicly praise a racist like Cyril Ramaphosa? Why would he do that?”

The correct answer to that question is that Obama praised Ramaphosa for the same reason that Western leaders generally have done so, not least British Conservative Prime Minister Theresa May. May headed a delegation of 29 U.K. corporate and financial leaders who visited South Africa this week to welcome Ramaphosa’s approach to investment and land questions. Ramaphosa is regarded by Western governments generally as the least worst alternative for South Africa, certainly in preference to his brazenly corrupt and flagrantly incompetent predecessor, Jacob Zuma.

That’s not the answer Carlson shared with his audience, though. When his guest declined to produce a sufficiently inflammatory answer to Carlson’s question about Obama, instead suggesting that Obama should call Ramaphosa to remonstrate with him, Carlson answered it himself: “I wish he’d said that in public when he’d had the chance, but of course he didn’t, being a coward.”

Carlson’s deceptive reporting—his sly incitement of racial resentment—was intended to mislead poorly informed, credulous, and racially prejudiced viewers. And unfortunately, one of those poorly informed, credulous, and racially prejudiced Carlson viewers happens to be the president of the United States.

But Trump’s prejudices should not excuse anybody else’s. Since Trump’s August 23 South Africa tweet, liberal-leaning commentators have delved far into South African history purporting to justify—or at least condone—the threatened land seizures. Yet the most urgently relevant history here is much more recent, not the Native Land Act of 1913, but the transition of political power in 1994. That comparatively bloodless and harmonious transition was achieved because, and really only because, it guaranteed existing property rights.

This guarantee was codified in the South African Constitution of 1996:

No one may be deprived of property except in terms of law of general application, and no law may permit arbitrary deprivation of property.

Property may be expropriated only in terms of law of general application—(a) for a public purpose or in the public interest; and (b) subject to compensation, the amount of which and the time and manner of payment of which have either been agreed to by those affected or decided or approved by a court.

The 1996 constitution specifically addressed the grievances left behind by the 1913 land settlement. It authorized restitution of property to those deprived of it in 1913, not only to individuals, but also to communities—especially important since much of the land assigned to white owners in 1913 had never had an individual African owner. But the new constitution also affirmed that any person, trust, or corporation that lost land for the purposes of historic redress was entitled to fair compensation.

South Africa committed itself to respect existing property rights in 1996 not only as a matter of justice, but also to secure its own future. South Africa is not a wealthy country. At the time of the transition from apartheid, South Africa’s total GDP per capita was only about three-fourths that of Mexico. The new regime desperately needed to attract international investment to South Africa, after years of sanctions that had isolated the country’s economy. Countries that want investment must respect property rights.

Unfortunately, that concession to economic and political reality did not suffice to propel South Africa forward. The new regime made other mistakes. It operated the state as a jobs program for ANC loyalists. It indulged corruption—corruption that reached to the very top of the ANC. It politicized courts and bureaucracies. It imposed a vast system of race preferences on private industry. It accepted—even welcomed—the emigration of hundreds of thousands of South Africa’s most skilled citizens, especially Jews who felt threatened by the increasingly outspoken anti-Semitism of South African society, including its crumbling university system.

As a result, the end of international sanctions failed to trigger adequate economic growth. South African GDP, which had grown at an anemic average of 1.4 percent from 1980 to 1993, did expand at a faster clip, averaging 3.3 percent from 1994 to 2012. And because South Africa’s population was surging —from 39 million in 1994 to 58 million today—that annual growth in the first decade following apartheid averaged out to 1.2 percent a person. More recently, growth per person ceased altogether.

As the economy stagnated, the ANC elite enriched itself ever more brazenly. The New York Times in August published a withering profile of David Mabuza, South Africa’s new deputy president, who is alleged to have pillaged millions from the education system in his poor province of Mpumalanga:

Nearly a quarter of the primary schools in Mr. Mabuza’s province still have only dilapidated pit toilets, despite ample government funds to fix them. And during his tenure, his province was caught fabricating the passing rates on the annual national exam, enabling him to claim big leaps forward that never happened.

Ramaphosa, meanwhile, is estimated to have gained a fortune of at least $400 million from being cut in on other people’s deals that were required by law to include an ethnic African partner. At the time Ramaphosa took office, I wrote here:

One-third of South Africans report having paid a bribe a police officer in 2013, according to a Transparency International survey that year. About a third bribed a judge or magistrate. Even more than that have paid for a permit or license. South Africans are extorted for bribes at schools and hospitals, to obtain electricity and water. In 2017, South Africa ranked 71st on the Transparency International “perceptions of corruption” index, sliding from the 38th position it held as recently as 2001.

Of the world’s 45 most advanced societies, South Africa ranks 39th in the proportion of people completing high school. Under ANC rule, even the provision of such basic services as electricity and water has worsened.

These disappointments have pinched the African National Congress’s once overwhelming political dominance. It is losing urban professionals and South Africans of Asian origin to the Democratic Alliance, which won almost 23 percent of the vote in the national elections of 2014 and now governs the country’s most economically successful province, the Western Cape.

A left-wing splinter from the ANC, the Economic Freedom Fighters (EFF), took 6.3 percent of the vote in the 2014 national parliamentary elections. Uncompensated seizure of white-owned land is the EFF’s signature issue—but its anger is directed as much against South Africa’s South Asian minority and the new black business elite. The EFF’s rhetorical violence—its leader, Julius Malema, speaks of “cutting the throat of whiteness”—excites nationalist Africans who feel betrayed by the ANC.

In the municipal elections of 2016, the EFF won more than 11 percent of the vote in Gauteng province, the province that includes the slums surrounding Johannesburg and Pretoria, and more than 16 percent in Limopopo, the northernmost province that contains a higher proportion of poor people than any other in South Africa.

The ANC’s conversion on the land-seizure issue reflects not the ANC’s militancy, but its fear. Ramaphosa—whatever his other failings, a person keenly aware of realities—understands very well what uncompensated land seizures will mean for South Africa’s economic future. Even now, he’s inserting caveats into his endorsement of the concept: It’s still being studied, nothing will happen soon, he proposes to redistribute state-owned land rather than privately owned land.

But parliamentary elections are approaching in 2019. If the EFF takes larger bites out of ANC support as the election nears, prepare for a more radical ANC land policy.

And if that happens, prepare for two more things: accelerating South African economic decline and state failure—and intensifying racial messaging from American white nationalists. Americans have often seen South Africa as a distorted reflection of their own country, its fate an alternative or a foretelling of their own. On its own, South Africa is an important place: It is still, despite everything, the most advanced, stable, liberal, and democratic country in Africa. But the transatlantic-reflection effect makes South Africa especially important for Americans at this moment. Trump supporters such as Carlson are testing many themes for the election of 2020—and the message that A vote against Trump is a vote for white-race suicide already heads the list.

Race baiters feed off one another. In our interconnected world, the cross feeding can now cross borders. Trump’s tweeting empowers provocateurs such as Malema, who can now condemn the more cautious approach of the Ramaphosa government as craven truckling to an internationally despised U.S. president. In turn, Trumpists in the United States can seize on the provocations of Malema as proof of the malign intentions of dark-skinned people worldwide, as in this August 25 Breitbart News story, by Joel Pollak:

Radical South African politician Julius Malema confirmed President Donald Trump’s concerns Thursday, declaring defiantly that the point of the country’s proposed new “expropriation without compensation” policy would be to take land from white farmers.

South Africa and the United States are very different societies, but their histories have traced some similar trajectories—and they often exert cultural influence on one another. At the zenith of American self-confidence, in the 1980s and 1990s, the United States prodded and assisted South Africa toward a future of free markets and racial equality. Now—at this lower moment in U.S. history—South African mistakes could empower the most reactionary forces here, as well as impoverish South Africa itself. Liberalism and illiberalism have both gone global. Humanity’s best hopes and worst prejudices sustain each other or degrade each other, across borders, together.



from The Atlantic https://ift.tt/2onCnnR

The Holy Family of Greenleaf Is a Sinful Mess

In one of the early moments of Greenleaf’s Season 3 premiere, Bishop James Greenleaf (Keith David) rejects repeated advances from the rich, mysterious new congregant Rochelle Cross (LeToya Luckett). “I’m still married,” the bishop tells her as she caresses his cross pendant.

When Cross protests—“She threw you out!”—the bishop offers a weightier explanation for his refusal to fall into bed with her: “I’m married to God’s vision of the man I’m meant to be.”

Greenleaf’s characters stray often from the straight and narrow. The OWN drama follows the bishop and the rest of the often dysfunctional Greenleaf family as they lead Calvary Fellowship World Ministries, a mega-church in Memphis, while attempting to navigate the secrets in their own home. Executive-produced by Oprah Winfrey, the network’s co-owner, and created by Craig Wright, Greenleaf tackles hypocrisy both spiritual and secular. Its characters, even the holiest among them, sin spectacularly. The show is deft in its treatment of their transgressions; the Greenleafs do not escape judgment, whether divine or earthly.

Wrongdoing, in other words, never goes unaddressed for long on Greenleaf—even when its characters imagine themselves occupying the moral high ground. The show mines the gap between their public personas and personal improprieties, revealing secrets and lies that challenge the sanctity of structures its characters hold dear.

In doing so, Greenleaf exhumes its titular family’s ghosts. The two-part third-season premiere, which aired Tuesday and Wednesday nights, finds the Greenleafs reeling from a number of previously disclosed bombshells. One of these revelations threatens the Greenleafs’—and Calvary’s—very foundation: In the Season 2 finale, the bishop’s wife and Calvary’s first lady, Mae Greenleaf (Lynn Whitfield), had confronted her sister, Mavis McCready (Winfrey), about the affair she’d had with the bishop. Believing that it’d been a one-time involvement, Mae was shocked when Mavis revealed that the affair had extended long beyond what the bishop told his wife.

Greenleaf’s third season appears poised to follow the family as Mae and James come to terms with life in the wake of these excavated indiscretions. They agree to present a united front when the church’s livelihood is threatened, but Mae is disinclined to maintain their charade. When James tells their children about Mae’s own affair with a family friend, the first lady is horrified that he’s shared her darkest secret. What follows is a sharp, insightful exploration of what betrayals various kinds of unions can withstand. Greenleaf is at its best when it interrogates the ways that flawed human beings create—and attempt to maintain—structures with a divine purpose. When the bishop and first lady fail one another, they also sow discord within the whole Greenleaf clan—and the church. Sin may be a matter for God to adjudicate, but other people still exact their own judgments.

Greenleaf is not timely so much as it is trenchant. The show addressed a number of now-inescapable social issues long before doing so became something of a small-scale trend. The pilot, which aired in June 2016, established Greenleaf as a show that would grapple actively with the residual effects of abuses of power. The show’s protagonist, the Greenleafs’ daughter and former Calvary pastor Gigi (Merle Dandridge), only returned to her hometown after a 20-year absence to mourn the death of her sister. Faith Greenleaf, whose suicide both brought the family together and exposed its deepest rifts, had confided in Gigi years earlier that their uncle, Robert “Mac” McCready (Gregory Alan Williams), abused her. Gigi decides to stay in Memphis following Faith’s memorial largely to pursue some sort of justice for her late sister.

For much of the first season, Mac avoids punishment for his serial assault of Faith—and other girls in the area—through a series of victim-intimidation tactics, abuses of his municipal connections, and the family trust he takes for granted. He does not abandon his predatory behavior; he just takes greater pains to conceal it. The show doesn’t shy away from condemning Mac—or from implicating the people who helped enable his actions. Gigi, the show’s moral center, does not wait for God to judge Mac; she seeks out his other victims to build a case against him. Late in the second season, Gigi and Mac have an altercation that ultimately ends in his death. It’s a difficult but almost inevitable-seeming moment, one that resonates because of the pain it causes Gigi, not in spite of it.

Greenleaf doesn’t necessarily endorse vigilante justice, but it does establish the stakes of predation as life or death. The show’s attention to the ripple effects of sexual abuse added a desperately needed gravity to an entertainment climate that, even now, post-#MeToo, all too often trots out plotlines about rape just to explain why certain female characters are hardened. Greenleaf may be a show about the church, but its lessons range far beyond the spiritual. It is not an exercise in theological conjecture. When the bishop or Gigi takes the pulpit, their sermons address the tangible concerns in their family, the church, and the country. They are rousing and vibrant, their words melodic and rich. Greenleaf is meticulously relevant without being overly didactic; it is, after all, a show that revolves around the ungodly shenanigans of a saintly family. That’s lesson enough.

The show forms just one pillar of the core programming at OWN, which saw its slate revitalized after an initial struggle. Along with Queen Sugar, the success of Greenleaf helped anchor the network. “They became not just the standout shows on the network but two of the best dramas on TV—offering nuanced and knotty sketches of black Southern life,” Wired’s Jason Parham wrote of the shows in a June feature about OWN. “Both are among the top five original scripted series on ad-supported cable for women 25-54.”

If the Season 3 premieres are any indication, Greenleaf is well-poised to maintain its reign. That the leaders of the titular family are being forced to confront their trespasses against one another is narratively promising. The show takes the responsibility of its anchor family seriously: In exposing the family’s failures to uphold the doctrine it touts, Greenleaf makes the case for both the complexity of all human beings and the need for community-specific structures of accountability. By zeroing in on the Greenleafs’ personal and collective offenses, the show offers glimpses at both small-scale redemption and punitive measures.

Now, against the picturesque backdrop of Memphis, the Greenleaf family must decide what is worth sacrificing to maintain some semblance of the life they’ve enjoyed. Most importantly, the show’s women must ask themselves what they are willing to ignore to achieve—or perform—familial harmony. Luckily, Greenleaf is not a show that leaves sin shrouded for long. That’s never been God’s vision.



from The Atlantic https://ift.tt/2ooD5kE

Does Brett Kavanaugh Agree With Bush v. Gore?

On November 22, 2000, while George W. Bush’s and Al Gore’s lawyers battled over disputed votes in Florida courts, three of Justice Ruth Bader Ginsburg’s four law clerks went home for Thanksgiving. I was one of them. Two days later, when her Court took the case, we were still at home. The decision stunned us.

The disputed 2000 election was a national trauma. Its conclusion, the Bush v. Gore ruling, is a repressed memory. The decision declared its reasoning “limited to the present circumstances,” and the justices have been good to their word. Election cases come and go, but only Justice Clarence Thomas, writing solely for himself, has cited the 2000 case.

Democrats have also moved on. Like Chief Justice John Roberts, President Donald Trump’s Supreme Court nominee Brett Kavanaugh worked on Bush’s side. Although little is known of what Kavanaugh did, his critics haven’t harped on it. Nobody wants to sound like a sore loser.

Now that Trump has been implicated in a violation of federal election laws, Democratic leaders have argued for delaying hearings on a nominee who could be asked to hear Trump’s case. Senate Republicans have rejected that argument, as have some red-state Democrats. The conceit is that the Court and its confirmation processes still stand outside ordinary politics. The Kavanaugh hearings remain scheduled to begin on September 4.

Anyone undecided on Kavanaugh ought to take a harder look at the last time the Supreme Court addressed the fate of the presidency. Bush v. Gore did not involve justices settling the future of the man who had nominated them. Even so, it did not go well. Kavanaugh’s role in that case does him no credit, and he should be asked about it in his hearings.

The fact that a lawyer would advance a legal position congenial to his client and his party is neither a surprise nor a scandal. Normally, though, as part of their craft, judges unfold their views gradually and coherently, in ways that honor the law’s norms around consistency and precedent. In Bush v. Gore, that did not happen. At the urging of campaign lawyers like Kavanaugh, five conservative judges rejected bedrock conservative legal principles to secure the presidency for a Republican. That was a surprise, and it should remain a scandal.

There was no reason for the Court to get involved in the recount. The Constitution gives the power over presidential vote counts to each state, as directed by its legislature. Florida’s legislature had written recount laws. Bush and Gore disputed what they meant. As happens every day, a state’s courts were interpreting the state’s laws to resolve a dispute. The Supreme Court plays no role in such cases.

The Court intervened on the theory that the Florida court had usurped the role of the state legislature. This was an extraordinary foray into a state’s governmental processes. The most recent precedents came from the era of Jim Crow, when Southern state courts twisted their own laws to railroad African Americans, implicating bedrock rights to equality and due process. There was nothing comparable here. Most astonishing, the intervention came from conservatives who typically defended state sovereignty.

The groundlessness of the Court’s initial position was betrayed by its final opinion, which offered an entirely different rationale. The Court declared that Florida violated the Constitution’s guarantee of equal protection by counting votes in different ways in different counties, and that the only remedy was to stop the recount altogether. But states have often employed disparate vote-counting procedures. Here, “originalists” such as Justice Antonin Scalia declared a never-before-seen right to fixed recount standards. Where prior applications of equal protection to voting had protected the power of each person’s vote, the majority here stopped the vote count altogether, declaring that Florida’s courts had run out of time (due to the Court’s intervention in the first place).

When Bush v. Gore was decided, a handful of brave conservatives denounced the ruling’s opportunism. Had that reaction been more widespread, the backlash might have taught the Court a lesson in modesty. Work on the case by Washington lawyers like Kavanaugh might have become the dubious distinction it deserves to be. But conservatives closed ranks and Bush won reelection, fair and square.

Since Roberts’s ascension to chief justice, the Court has reshaped laws affecting partisan power. Some of the Court’s key rulings—for example, unfettering corporate speech in 2010, or shackling unions this June—bear a real resemblance to Bush v. Gore: radical in law, Republican in politics. The radicalism is evident in those two cases especially. They overruled decisions that had been joined by Richard Nixon’s former legal adviser William H. Rehnquist, who was nobody’s idea of a liberal. Even so, these more recent Roberts Court rulings are better reasoned and less brazen than Bush v. Gore. They emerge from a libertarian view of the Constitution that is far-reaching, but at least minimally coherent. That coherence is just what was missing from Bush v. Gore.

At his hearings, Kavanaugh will seek to deflect questions about many cases by saying they could come into question again if he is confirmed. But, as a meaningful precedent, the Court is done with Bush v. Gore. There is nothing to stop Kavanaugh from answering: What arguments did he advance in that case? Is he proud of his work? Does he agree with the opinion?

A nation with two political parties deserves a high court above them both. For Kavanaugh to acknowledge Bush v. Gore’s lack of principle would be a refreshing expression of humility, both personal and judicial. By contrast, if Kavanaugh can’t distinguish political demand and legal principle in this nearly unmentionable case from our past, it’s a bad bet he’ll do so in the future—in Trump’s case, or any other on which our future depends.



from The Atlantic https://ift.tt/2NC2BOs

‘Medicare for All’ Is a Fantasy

“Medicare for All” is an enormously popular slogan, as evidenced by a slew of recent surveys. Its widespread appeal has emboldened the growing ranks of America’s democratic socialists, the more ambitious of whom see it as the entering wedge of a larger transformation of the country’s economic life. It’s also an indulgent fantasy, based on the illusion that we can simply reset the way the U.S. health-care system operates. And for those who doubt the wisdom of moving the U.S. health system further under state control, and who believe that Medicare is less the solution to its woes than a prime source of them, it’s both a warning and an opportunity. Opponents of Medicare for All must reconcile themselves to devoting more federal dollars to health expenditures in the short run—call it a bribe—to secure a saner and more sustainable health system in the long run.

The failure of congressional Republicans to unite around a coherent alternative to Obamacare is the proximate cause of the single-payer boomlet. The temptation for Republicans will be to focus solely on savaging Medicare for All, leaving the more contentious questions surrounding the pathologies of the U.S. health system to be addressed at a later date. But it would be shrewder to use the threat of Medicare for All to bring the overmighty hospital sector, bane of reformers on the left and the right, to heel.

First, it must be said that the rising popularity of Medicare for All is at least in part a reflection of its conceptual vagueness, as the moniker can refer to a wide array of policies, ranging from the establishment of a public-insurance option to the outright abolition of private health insurance. (Indeed, there have been versions of single-payer I’ve been drawn to myself, such as a system focused solely on catastrophic expenses.) Given this vagueness, it follows that though support for the concept is wide, it is not terribly deep. Merely pointing out that moving to a single-payer system would necessitate substantial tax increases seems to lower support for doing so substantially, which isn’t too surprising in itself. This is one reason at least some Republicans are positively gleeful about the prospect of a prolonged political battle over Medicare for All.   

However, it would be a mistake to dismiss single-payer’s appeal so lightly. It is foreordained that Democrats will campaign on Medicare for All in the years to come, as the party’s activists are transfixed by the (illusory) promise of sweeping away the maddening complexity of the health-policy status quo. Moderate Democrats who might have once resisted calls for Medicare for All are either staying mum, out of fear that they’ve fallen out of step, or they are busily devising more palatable versions of the idea that can still bear the name. If plans for Medicare for All eventually run aground, as I expect they will, squeamish Democrats will be a big part of the story. For starters, though, Republicans will have to do the heavy lifting.

How should Republicans meet the challenge of Medicare for All? They’d do well to recognize that fighting the last war will leave them ill-equipped to win the next one. The defeat of Ryancare and, several tortuous months later, that of the fallback Graham-Cassidy bill, should put to rest hopes that Obamacare will soon be dismantled. By zeroing out the individual-mandate penalty, and by relaxing the regulations governing short-term, limited-duration insurance plans, the Donald Trump–era GOP has inadvertently addressed two of Obamacare’s chief political vulnerabilities: the deep and persistent unpopularity of the mandate itself, which is no longer a thing, and the unmet appetite for bare-bones insurance coverage, which is being at least partially accommodated. As much as Obamacare’s champions might rue these initiatives, they’ve left Obamacare’s core features—subsidized insurance exchanges and Medicaid expansion—in stronger political shape. When it comes to the basics of the U.S. health system, the right’s answer to Medicare for All can’t be some rival utopian scheme. Free-market partisans might lament the fact that calls for Medicare for All are wildly popular while paeans to high-deductible health plans and health-savings accounts don’t stir the soul in quite the same way, but it’s a fact all the same. Sober incrementalism must be the order of the day.

Rather than work to undo the exchanges, some conservative policy analysts, such as Chris Pope of the Manhattan Institute, suggest embracing them as a safety net for “low-income individuals and those with major pre-existing conditions.” This is, of course, a far more modest role for the exchanges than what President Barack Obama and his allies had in mind. But that is fitting: If conservative health reform is to gain ground, it will do so by being less hubristic than the left’s version, not equally so. In a similar vein, Pope has suggested that states be allowed to “semi-expand” Medicaid. That is, in deference to states that have been reluctant to accept the Medicaid expansion out of concerns over “crowd-out,” work disincentives, and the potential fiscal burden, semi-expansion would allow them to impose regulations designed to ensure that working-age, able-bodied Medicaid beneficiaries eventually transition to other coverage, whether employer sponsored or subsidized via the exchanges. Such an approach would surely cost the federal government a good deal of money, but it would also expand coverage in some of the country’s poorest states.

One could go further in this direction. The Graham-Cassidy bill went down to defeat in part because numerous Republicans feared, not unreasonably, that by curbing future federal Medicaid spending, it would impose a ruinous burden on state governments going forward. One way to allay these fears would be to ease this burden by, for example, entirely federalizing the cost of caring for the older Americans who are eligible for both Medicare and Medicaid. Though this population represents only 15 percent of Medicaid enrollees, it represents one-third of all Medicaid expenditures and, more to the point, a rapidly rising share of state budgets. Federalizing the dual eligibles would, again, be quite expensive. Yet, as the health-policy scholar Donald Taylor Jr. argues in Balancing the Budget Is a Progressive Priority, it could also yield significant fiscal benefits by improving the coordination of care. And it would make imposing spending discipline on the rest of the Medicaid program an easier sell.   

So much for the carrots. What about the sticks? Regardless of ideological proclivities, all health reformers in America must confront the hospital sector. The United States has a vastly larger number of fully kitted-out community general hospitals relative to its population than Europe’s market democracies, and hospital-bed occupancy is far lower. Many of our expensively equipped hospitals are tiny rural outfits, where most beds lie idle. In theory, the reason to maintain these underutilized hospitals is to ensure that decent medical care is within reach of all Americans, including those residing in small rural communities. This is a noble aspiration. Yet it neglects the all-important distinction between emergency care, where having decent facilities within easy reach really is essential, and elective care, when you might prefer better, cheaper medical providers, which means medical providers that have high patient volumes and thus the requisite experience to do their jobs well. Emergency departments really do need to be liberally sprinkled in every corner of the country, and they really do need tighter government oversight to ensure that money isn’t wasted. Elective care is a different matter—it’s the kind of care where the emergence of specialized providers would be a boon, and where getting people to travel to the best, most cost-effective facilities would go a long way toward curbing the monopoly power of locally dominant hospitals.

This is where Medicare comes in. To understand why medical care in the United States is so obscenely expensive, look first to Medicare’s role in propping up underperforming hospitals, which invariably warp the way they practice medicine to capture as much Medicare reimbursement money as they can. The conceit of Medicare for All is that by centralizing health expenditures in a single agency, or at least in a vastly expanded public-insurance program, the government will be in a position to dictate terms to these greedy hospitals. The trouble is that hospitals wield a great deal of power in democratic politics, not least because they employ large numbers of awfully sympathetic people. There are the generously compensated hotshot doctors, yes, but of course many of them are people who might never recoup the enormous investment, in tuition and in foregone opportunities, they’ve made in their training. And that’s not to speak of the legions of nurses, orderlies, custodians, and others who make hospitals hum with life. It is one thing to say you’re going to leverage Medicare for All’s big population of beneficiaries to slash overall health expenditures. It is quite another to be the lawmaker who will be accused, fairly or otherwise, of voting for mass layoffs of blue-collar workers who have devoted their lives to helping others.  

Just about every maddening aspect of how Medicare reimburses hospitals began as an earnest attempt to solve some discrete problem. The sum total of these supposed solutions has left us with an awful mess. Medicare for All is, to my mind, a Year Zero fantasy—it’s all about wiping the slate clean and starting over again, with institutions borrowed from some supposedly more enlightened society. But there is no such thing as Year Zero in a democracy, whether capitalist or socialist. The history of how we got to our present shambles will continue to shape, and deform, our health sector.

Instead of indulging the Year Zero fantasy, we ought to focus insurance subsidies on those who need them most and, just as importantly, shift from provider policies that do little more than shield hospitals from much-needed competition to ensuring that all Americans have the emergency and safety-net services they need. This will likely mean a heavier government hand when it comes to delivering emergency care and a lighter touch with respect to elective-care services, where more vigorous competition could redound to the benefit of the highest-performing hospitals while, over time, helping to contain costs. And how would we get politically powerful medical providers to acquiesce? It’s simple: Warn them that if they don’t, they’ll soon wind up with Medicare for All.



from The Atlantic https://ift.tt/2MZY8Yx

The Atlantic Daily: It’s Not Going to Stop

The Atlantic Politics & Policy Daily: Here Today, McGahn Tomorrow

The Logo Design Revolution

The fields of graphic design and semiotics are inextricably linked. In this way, the first logo creators were most likely the ancient Egyptians, who designed images to convey socio-cultural values and established visual codes of representation. But as the industrial revolution began to give rise to consumer culture as we know it, logo design remained mostly utilitarian; images that represented brands often depicted either the product, the service, or something related to its manufacture, such as a factory.


Then came Paul Rand with his iconic rendering of the IBM logo in 1956. Many design historians see this as the definitive turning point in logo design. Shortly thereafter, Ivan Chermayeff and Tom Geismar founded a design firm that would take things one step further.


“They revolutionized the field when they created simple, bold, memorable, and whimsical identities for companies in a time when soulless corporate modernism was the trend,” said Dan Covert, whose short documentary, 60 Years of Logos, details the contributions of the grandfathers of logo design. “And because of that, their work has stood the test of time.”


These days, said Covert, it’s rare to find a logo that survives five years before it is redesigned. “If you look back at the list of companies Chermayeff and Geismar designed logos for that are still around in their original or slightly altered form, that’s enough to argue their staggering contribution to the field,” he added. Among the companies that boast a Chermayeff and Geismar-designed logo: Chase Bank, PBS, Barney’s, NBC, National Geographic, NYU, The Smithsonian, Cornell University, Brown University, HarperCollins, Showtime, Mobil Gas, PanAm, and Merck.


In the film, Chermayeff and Geismar say that their theory of design reflects a company’s identity more so than it does a company’s purpose. “We interview a lot of people, and you get a sense of the culture,” says Chermayeff. “[In the interviews,] we’re  not talking about design; we are talking about what they do, who they are, and how might they best be portrayed. It’s a process of investigation, creativity, and politics.”



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