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Posted by Craig Westover | 2:55 PM |I am now posting at the Minnesota Free Market Institute and True North. I am still taking comments via email at westover4@yahoo.com.
I am now posting at the Minnesota Free Market Institute and True North. I am still taking comments via email at westover4@yahoo.com.
How doth the loyal St. Paul rep
Hausman believes "job creation is essential." The bonding bill, she says, is expected to create 10,000 good-paying jobs. In the bonding process, the Legislature gave preference to projects ready to go so that jobs would be created as soon as the bonds were issued.
In other words, it's not the projects themselves that Hausman regards as necessarily "essential;" that the projects are ready to go makes them "essential." Putting people to work is "essential," not necessarily the work they will do. That has a nice progressive ring to it, but as economic principle it is a clanging symbol.
When government builds projects that people would not willingly pay for themselves, the nonessential jobs it "creates" are at the expense of productive jobs lost elsewhere in the economy. In simple terms: A state-paid carpenter building a new house for a gorilla in St. Paul (vetoed by the governor) gets his job at the expense of a privately paid carpenter not building a new home for a family in Roseville.
As if it suddenly just happened, Hausman sees an infrastructure in decay — bridges are falling down, there is a backlog of basic maintenance of university buildings, and sewer and water systems are in need of repair. Spending to fix that is "essential." Tough to argue with that, but that is where deception, guile and predatory taxing comes into play. We find our infrastructure in such a state because legislators elect to spend available tax dollars on other non-essentials that litter current and past budgets and bonding bills.
For example, the state's complex highway funding formula, based on politics, not priorities (which legislators are too timid to tackle), virtually ensures that highway maintenance is deferred in favor of new but not necessarily "essential" road construction. In large measure the $6.6 billion transportation tax increase was "essential" because in this wonderland bonding for absolutely necessary state roads and bridges would suck too much money away from local legislative pet projects masquerading as "essential" state investments.
Hausman gives "essential" a nuanced local meaning. While I find the Rochester National Volley Ball Center a non-essential project for state funding (which the governor vetoed), Hausman says it is "essential" for Rochester; ergo it should be funded by state money collected in part from Duluth. But not to worry, Duluth, you'll get state money for a hockey arena (which the governor, inconsistently, did not veto) funded in part by Rochester. Of course, taxpayers in Rochester and Duluth and across the state, not the legislators bribing each other with ribbon-cutting opportunities, are actually picking up the tab.
But in Alice's wonderland, trading in "pork" futures, so to speak, "for better or worse," is "essential to getting the (bonding) bill passed" — even if it means sleeping with the enemy and trading local road funding for an override vote. Heaven forbid a legislative leader should actually show a little leadership and try to reform a bad system.
"Right now," writes Hausman, "DFLers think putting people back to work and protecting investment ... in our infrastructure are essential." Tomorrow they might think that a state-run health care system is "essential." Next, we'll need another "essential" light-rail line.
Essential ought not be simply a word reflecting Hausman's preferences. On the taxpayers' side of the looking glass, essential has an objective meaning. It is essential that Hausman and the DFL come to understand that.
Craig Westover is a contributing columnist to the Pioneer Press Opinion page and a senior policy fellow at the Minnesota Free Market Institute (www.mnfmi.org). His e-mail address is westover4@yahoo.com.
This commentary originally appeared in the St. Paul Pioneer Press, Wednesday April9, 2008
ABU DHABI (AFP) - The crown prince of the United Arab Emirates of Dubai has bought a female camel for a record 2.72 million dollars, an organiser at a camel beauty pageant said on Monday.Drum roll, please ....
Sheikh Hamdan bin Mohammed bin Rashed al-Maktoum "bought camels... worth 16.5 million dirhams (4.49 million dollars), including a female camel... for 10 million dirhams (2.72 million dollars)," Hamad bin Kardoum al-Amiri said.
Interesting email from AM 950 KTNF this morning that highlights the difference in the way the political right and left look at religion. The email promotes the Progressive Faith Conference, "Voting Justice, Voting Hope." It reads in part:
While there is certainly room for debate on the role religion should play in politics, nonetheless, the left and the right take fundamentally different approaches to the question. On the right, the moral question is, “How does one reconcile one’s faith with politics?” On the left, the question , “How does one incorporate religion into one’s "progressive" politics?” That is a substantial difference.Get Ready to Change the Way You Think About Faith and Politics at the national gathering "Voting Justice, Voting Hope: Progressive Faith Taking Action in 2008" sponsored by the Plymouth Center for Progressive Christian Faith.
Back in the days when grammar, not global warming, was taught in public schools, we learned that some adjectives can't be modified. "Unique," for example. Either something's unique — that is, one of a kind — or it isn't.
So the vandals have sacked Rome, and now they are fighting over the spoils. Ripped from the Pioneer Press headlines, 'Fight erupts over new sales taxes for transit. At issue: whether money should be used to bail out Met Council.' Wow. Even I thought the transit kids would play nice together a little longer than this.
The Star Tribune is reporting today that Forest Lake Area High School Students abruptly canceled the appearance of the National Heroes Tour, featuring decorated veteran from the fighting in Iraq and Afghanistan.
Tacking into the Wind: To end the fighting caused by state-run schooling, we should transform our “public education system” system from one in which government establishes and controls schools, to one in which individual parents are empowered to select schools that share their moral values and educational goals for their children. Instead of an education funding formula that funnels money to district schools, we ought to have an education funding formula where money follows the student to district schools, charter schools, private schools, religious schools, online schools and home schools.Driven by cost reduction, the recommendations of the Governor's Health Care Transformation Task Force, many of which are rapidly moving through the Legislature in health care reform bills, are, as I discussed in Wednesday's column, a fundamentally flawed approach to health care reform.
For the layman, the most disturbing sections of the Transformation Task Force report are those that expand the concept of "public health" to include virtually any behavior with an impact on the cost of health care. Sure, Minnesotans would be better off if we were all a little skinnier, exercised a little more, smoked and drank a little less, and never strayed one toke over the line. Good health habits can prevent chronic diseases, and chronic diseases raise the cost of health care.
But do Minnesotans really want to live in a state that requires "the active engagement of employers, schools, communities and the health care system" to enforce healthy behavior? Is the body mass index of your children a matter of public health? Is it the legitimate responsibility of the Department of Education to "ensure that schools are held accountable for making progress on health improvement goals" (A No Child's Behind Left Behind Act)?
Does recommending the Legislature "encourage and/or require employers, schools, communities and health care organizations to adopt age-specific goals" for certain health conditions and diseases portend any consequences we ought to fear? (My emphasis added.)
"If we want to control costs, we need to stop adding more people with preventable chronic disease to the health care system," the task force declares. That idea is common to every resurgence of eugenics from Margaret Sanger to the Third Reich to the forced sterilization of 1,200 "feeble-minded" patients in Minnesota during the 1920s.
For now, the Task Force offers the unhealthy among us the opportunity for re-education and repentance — but what will Minnesota do with those who can't kick their unhealthy habits or the heretics who refuse to turn in their Milky Ways? What will Minnesota do with those who persistently, as Justice Oliver Wendell Holmes wrote upholding a forced sterilization law, "sap the strength of the State"?
Cost reduction also drives the way the Transformation Task Force misconstrues the meaning of common words.
The task force defines words in terms of costs to the health care system, not their meaning to an individual. Thus, it makes perfect sense for the task force to believe a board of experts should determine if new medical technology has enough "value" to be included in the system.
An example of this attitude is the reaction of Sen. Linda Berglin to a proposed private cancer radiation treatment center in Woodbury. Berglin served on the Transformation Task Force and is chief sponsor of the Senate health care bill. Berglin and other legislators supported a moratorium on radiation therapy centers to limit duplication of costly facilities and protect hospitals from competition for lucrative outpatient cancer services.
How can that be — when the Transformation Task Force report promotes "competition" and "patient-centeredness"?
"Competition" logically means individual health care providers competing for individual patients on quality and price based on the individual's conception of value — much like Lasik surgery works today. Independent Lasik surgeons have had to innovate, improve their procedures, upgrade their technology and lower their prices to attract patients. Lasik surgeons operate outside the managed care payment system.
In the task force world, "competition" is "managed." Under the task force payment reform plan, health care providers must bid as low as possible for a contract to serve a population of patients offered by a managed care organization. Think of it like putting out a bid to provide computer maintenance: The task force approach is health care on an industrial model where we carbon-based units are maintained and repaired according to the manual. Unfortunately, we are not all the same make and model.
In the task force health care system, a provider's profit depends on how "efficiently" it provides medical treatment. The provider can be "efficient" by developing innovative treatment methods or by rationing the treatment it provides. Which method the provider chooses has great consequences for the patient, but from the task force's perspective of keeping costs down, either approach would yield "high value health care."
And, lest the Transformation Task Force leave any minor detail of your life untouched, it would require every Minnesotan to have a minimum amount of health insurance, dictate to health plans whom they must cover for what at what price, and create a health insurance exchange that effectively would eliminate the role of private insurance brokers.
Wednesday's and today's columns have scratched the surface of the Transformation Task Force recommendations. They haven't touched the report's bureaucratic proposals, data privacy issues, the true costs of implementation or the biases of the organizations that guided the task force's process. Those are not minor issues, but as noted Wednesday, the devil is not in the details of the Transformation Task Force report — he is sitting in plain sight.
While claiming to be "market-driven" and "patient-centered," "competitive" and "focused on outcomes" and structured around "quality," "price transparency" and "value," the Transformation Task Force report is none of these. From the sow's ear of corporate socialism, one cannot stitch a silk purse "market-driven," "patient-centered" health care system.
The Health Care Transformation Task Force is not a starting point for reform; it is a dead end.
This commentary originally appeared in the St. Paul Pioneer Press on Thursday March 20, 2008.
Among the pressing issues facing the Minnesota Legislature this session are some very real problems with the health care system:
The polite line that might follow that list is that "reasonable people can disagree on how the state should address health care issues, but it is obvious something must be done." The Governor's Health Care Transformation Task Force is the centerpiece among several public-private committees that met between legislative sessions to "do something" about health care.
Observers of the Transformation Task Force portray it as a "love fest." Even critics praise the group's efforts. I have friends on the task force, and there are folks on it I respect. But I cannot in good conscience join the chorus of "Kumbaya." There is too much at stake.
My disagreement with the Transformation Task Force recommendations is not simply my preference for free-market solutions over government-run programs, nor even that I question the potential efficacy of task force recommendations (many of which are embedded in bills being rushed through the legislative process). My objection is more basic.
The devil is not in the details of the report, he's sitting in plain sight: The task force recommendations are a giant leap toward classical corporate socialism, a "friendly fascism," but fascism nonetheless.
Some things need to be called what they are. "Fascism" is a perfectly good word when used not as an insult but as an academic description. The task force recommendations are an integration of government and private corporations that destroys the distinction and endangers individual liberty and the quality of health care. It is the task force recommendations, not the task force members, to which the "fascist" label can be justly applied.
If the task force members are to be faulted, it is for letting their good intentions blind them to the unhealthy consequences of what they propose. Their report is the result of good people succumbing to the conceit that they, or any central committee, have the knowledge and authority to manage the health care system and make life-and-death health care decisions for others.
"Successful transformation of Minnesota's health care system will require active participation and engagement from consumers, employers, health care providers, health plans and government," declares the Task Force Report. The obligations the Task Force envisions for the first four groups require fundamental behavior change; government's obligation is to "enact the necessary changes to law to implement the transformation plan." In other words, supply the muscle, the force, the coercion.
The Task Force explicitly states that its report must be taken in its totality to be effective. Implied in that attitude are certain core beliefs:
Cost, quality and access to health care present problems, to be sure, but the greatest danger to Minnesota is the progressive assumption that the health of society outweighs any individual's interest in his or her behavior. That the Transformation Task Force or any group with a modicum of respect for freedom could publish a document so blatantly enslaving individual choice to the "common good" and have it be so well praised for its "good intentions" would be astonishing if it were not so frightening.
My intent here is not to discredit the 70-plus page report by killing trees; it is to point out a forest of recommendations fundamentally opposed to proven free-market principles and toxic to a robust health care system.
The Health Care Transformation Task Force was charged by the Legislature with proposing a plan to reduce Minnesota's health care expenditures 20 percent by January 2011 while increasing access to health care and improving quality. Cost reduction is the driving force of the Task Force recommendations. The Task Force report is a blueprint for the most nefarious kind of health care rationing.
Let's be clear — cost, quality and access to health care necessitate trade-offs. That is true in the managed care system we have today, in the totalitarian managed care system proposed by the Transformation Task Force, and in the purest of free-market systems.
Health care is a limited economic resource that will be rationed. The question is, "Will you manage your consumption of health care, or will someone else manage it for you?"
In a managed care system, health care is rationed for you; someone controls the supply of health care irrespective of demand; the pie is fixed and everybody more or less receives an equal share of the fixed amount. In a free-market system, you ration your own health care by making choices; choice, your slice of the pie, is always growing, albeit with some people having more choices than you and others fewer.
In a free-market system, health care is rationed by the relationship between price and the demand for service at that price, not by a central committee fixing supply and price.
The contrast of these two systems is stark. It is the difference between a managed health care system in which patients queue up for a 38-week wait for a hip replacement and an expanding market of competing Lasik surgery centers offering steadily declining prices and higher levels of quality to greater numbers of people.
The necessity to reduce costs steered the Transformation Task Force away from broad examination of macroeconomic factors like supply and demand. Instead, the task force pursued "culprit economics" — leaping to the narrow assumption that the culprits creating rising costs are physicians who provide "uneven health care below the levels we should expect for the money we are spending" and the rest of us for driving up health care costs with our "unhealthy behaviors."
Thus, changing behavior — the way doctors practice medicine and the way people live their lives — becomes the one best path to reducing health care costs, as if the laws of supply and demand could be eliminated.
It is said only two things in life are certain — death and taxes. If the Transformation Task Force recommendations are implemented, Minnesota government will have way too much control of both.
Thursday: The task force and public health.
This commentary originally appeared in the St. Paul Pioneer Press on Wednesday, March 19.
Part Two of this two-part series appeared in the St. Paul Pioneer Press on Thursday March 20, 2008.
The "Override Six" have been alternately flogged and fawned over as "traitors" to the GOP and "courageous" legislators who put "principle over party." As you'll recall, the six — Reps. Neil Peterson, Jim Abler, Kathy Tingelstad, Bud Heidgerken, Ron Erhardt and Rod Hamilton — voted with Democrats to override Gov. Tim Pawlenty's veto of a $6.6 billion tax increase included in the transportation bill.
In case your neural implants were down and you didn't get Karl Rove's talking points last month, in the February Issue of Townhall Magazine Rove responds to a question from Mary Katherine Ham about the 3 things a Republican nominee must do to beat Hillary. The question may already be dated, but Rove's answer is not. It applies not just to a potential Republican presidential candidate, but also to every conservative. Here's what Rove said.
That's not a bad outline for all conservative voices to follow. I'd say the left has done a great job of casting conservatives as the party of "no" – no abortion, no gay marriage, no immigration, no new taxes – except the right has given the left so much help cartooning conservatism that it has hardly been a challenge."First, our candidate must introduce himself again … he must create a narrative that explains his life and commitments … our candidate must not be afraid to say something controversial. The American people want their president to be authentic.
"Second, our candidate must also tackle issues families care about and Republicans too often shy away from … concerns like health care, he cost of college and social mobility will be important. The Republican nominee needs to be confident in talking about these concerns and credible in laying out how he will address them.
"Third, our candidate must go after people who aren't traditional Republicans – aggressively campaign for the votes of minorities … emphasize how his message can provide hope and access to the American Dream for all."
If you liked "The Moffitt" you may like "The Play's the Thing," the "Community Voices" piece in today's MinnPost.
Excellent piece by Mike Kaszuba in the Star Tribune on the behind the scene dealings that went into securing Republican Rod Hamilton’s vote for the Transportation Bill. It also makes note of Democrat-Farmer-Labor Rep. Bernie Lieder’s sanding off the truth when it comes to “earmarks.”
I definitely don't like earmarks, that's correct," Lieder said. "This is kind of a general, if you want to call it, I suppose, a general earmark." But because Hwy. 60 was never specifically named in the legislation, Lieder said, it was not technically an earmark.Earmarks are not the only ways the DFL is sanding off the truth on the Transportation Bill.
There are promises, and there are political promises, which, lacking the maintenance of sincerity, crumble faster than a rural road in a Minnesota winter. Seems the Democratic-Farmer-Labor Party is busy sanding off the truth around the promises it made in exchange for support of the $6.6 billion tax increase, nee "transportation bill," railroaded over Gov. Tim Pawlenty's veto.

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