Everyone is entitled to his own opinion, but not to his own facts.
--Daniel Patrick Moynihan
Showing posts with label Medicaid. Show all posts
Showing posts with label Medicaid. Show all posts

November 21, 2013

The Immortality of Presidents

By David K. Shipler

            History is supposed to have an unerring eye for ultimate accuracy. From the distance of time, historians are expected to act as the final judges, to cut ruthlessly through to the truth. It is fitting to reflect on this now, during a week of renewed mourning for President John F. Kennedy, who was felled in Dallas by an assassin half a century ago.
He and Jackie were dazzling. They tapped Americans’ vestigial yearning for royalty, the excitement of stylish celebrity, and the deep need for optimistic commitment to high purpose. Yet as popular as Kennedy was—his Gallup approval rating averaged 70.1 percent—he was never so widely admired as he became after his death. Indeed, Gallup’s graph of his rating shows a gradual, yearlong downward slope to 58 percent the week before he was killed—still higher than President Obama has enjoyed since the first six months of taking office, but a significant decline nonetheless. It followed a sharp bump up 13 months earlier after JFK faced down the Soviet Union in the Cuban missile crisis. (Presidents’ percentages typically rise after a national security crisis, as Franklin D. Roosevelt’s did after Pearl Harbor and George W. Bush’s following 9/11.)
One is tempted to wonder what course the line on that graph would have taken had JFK lived and had been able to win a second term.

February 22, 2013

Medicaid: An American Parable


By David K. Shipler

            Watching the Republican governors who still insist that they will not accept a penny of the federal government’s money to provide health insurance to their near-poor citizens brings to mind Alexis de Tocqueville, the French historian who traveled in the United States in 1831. He saw a country honeycombed with generosity taking the form of myriad associations organized to promote one worthy cause or another.
What he chronicled in his work, Democracy in America, has come down to us as evidence of our powerful impulses to charity, to philanthropy, to the common good—so much so that today, United Way chapters present annual Tocqueville awards to honor individuals who have been exceptionally generous with time or funds.
To be sure, Tocqueville was not a big-government advocate. He admired citizen-led private efforts over those that came from above. “Wherever at the head of some new undertaking you see the government in France or a man of rank in England,” he wrote, “in the United States you will be sure to find an association.”
But for a modern society, intricate with technological and economic complexity, this observation raises two questions: one practical, one moral. What mechanism is most practical in, say, the area of health care? What can be done privately, and what must be done publicly? And where does moral responsibility lie? Only at the local level of community, or on the broader plane of national concern?
These are the elements of our most acerbic debates as we struggle and disagree over where to locate the shifting line that should divide the private from the public.

February 2, 2012

The Tattered Safety Net

By David K. Shipler

Mitt Romney’s remark that the poor don’t need his concern because they have a safety net has triggered worry on the right and glee on the left that he’s emerging as an uncaring, unelectable patrician. But the more important issue is the myth that a safety net even exists—the widely accepted notion that the fragmented, underfunded programs to address poverty actually rescue falling families from destitution.

To give Romney his due, he said that “if” he found holes in the net, he’d “fix” them. Let’s take him up on that. Since he doesn’t already know about the gaping holes through which 46 million Americans have fallen into poverty, perhaps he’ll want to talk with a few such folks on the campaign trail. Then, all he’d have to do as president is summon up the billions it would take to do the job—a worthy investment, but not one that Republicans have ever been willing to make.

November 8, 2011

The Blurry Poverty Line

By David K. Shipler

Now that the Census Bureau has offered a more realistic way of calculating poverty, the outdated method should be discarded instead of retained as the “Official Poverty Measure” used to determine eligibility for government benefits. It was designed in the 1960s, when the average family spent about one-third of its budget on food, a proportion that has fallen to one-seventh as housing and other costs have soared. So it makes no sense to take the price tag of a minimum food basket and multiply it by three. But that will continue to happen unless Congress and the administration act—a hard act to perform with federal and state governments in fiscal straits.