President Obama came into office as the heir to a great foreign policy legacy enjoyed by every recent U.S. president. Why? Because the United States stands on top of the power ladder, not necessarily as the dominant power, but certainly as the leading one. As such we are the sole nation capable of exercising global leadership on a whole range of international issues from security, trade, and climate to counterterrorism. We also benefit from the fact that most countries distrust the United States far less than they distrust one another, so we uniquely have the power to build coalitions. As a result, most of the world still looks to Washington for help in their region and protection against potential regional threats.

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Yet, the Iraq war lingers; Afghanistan continues to be immersed in an endless cycle of tribalism, corruption, and Islamist resurgence; Guantánamo remains open; Iran sees how North Korea toys with Obama and continues its programs to develop nuclear weapons and missiles; Cuba spurns America's offers of a greater opening; and the Palestinians and Israelis find that it is U.S. policy positions that defer serious negotiations, the direct opposite of what the Obama administration hoped for.

The reviews of Obama's performance have been disappointing. He has seemed uncomfortable in the role of leading other nations, and often seems to suggest there is nothing special about America's role in the world. The global community was puzzled over the pictures of Obama bowing to some of the world's leaders and surprised by his gratuitous criticisms of and apologies for America's foreign policy under the previous administration of George W. Bush. One Middle East authority, Fouad Ajami, pointed out that Obama seems unaware that it is bad form and even a great moral lapse to speak ill of one's own tribe while in the lands of others.

Even in Britain, for decades our closest ally, the talk in the press—supported by polls—is about the end of the "special relationship" with America. French President Nicolas Sarkozy openly criticized Obama for months, including a direct attack on his policies at the United Nations. Sarkozy cited the need to recognize the real world, not the virtual world, a clear reference to Obama's speech on nuclear weapons. When the French president is seen as tougher than the American president, you have to know that something is awry. Vladimir Putin of Russia has publicly scorned a number of Obama's visions. Relations with the Chinese leadership got off to a bad start with the president's poorly-organized visit to China, where his hosts treated him disdainfully and prevented him from speaking to a national television audience of the Chinese people. The Chinese behavior was unprecedented when compared to visits by other U.S. presidents.

Obama's policy on Afghanistan—supporting a surge in troops, but setting a date next year when they will begin to withdraw—not only gave a mixed signal, but provided an incentive for the Taliban just to wait us out. The withdrawal part of the policy was meant to satisfy a domestic constituency, but succeeded in upsetting all of our allies in the region. Further anxiety was provoked by Obama's severe public criticism of Afghan President Hamid Karzai and his coterie of family and friends for their lackluster leadership, followed by a reversal of sorts regarding the same leaders.

Obama clearly wishes to do good and means well. But he is one of those people who believe that the world was born with the word and exists by means of persuasion, such that there is no person or country that you cannot, by means of logical and moral argument, bring around to your side. He speaks as a teacher, as someone imparting values and generalities appropriate for a Sunday morning sermon, not as a tough-minded leader. He urges that things "must be done" and "should be done" and that "it is time" to do them. As the former president of the Council on Foreign Relations, Les Gelb, put it, there is "the impression that Obama might confuse speeches with policy." Another journalist put it differently when he described Obama as an "NPR [National Public Radio] president who gives wonderful speeches." In other words, he talks the talk but doesn't know how to walk the walk. The Obama presidency has so far been characterized by a well-intentioned but excessive belief in the power of rhetoric with too little appreciation of reality and loyalty.

In his Cairo speech about America and the Muslim world, Obama managed to sway Arab public opinion but was unable to budge any Arab leader. Even the king of Saudi Arabia, a country that depends on America for its survival, reacted with disappointment and dismay. Obama's meeting with the king was widely described as a disaster. This is but one example of an absence of the personal chemistry that characterized the relationships that Presidents Clinton and Bush had with world leaders. This is a serious matter because foreign policy entails an understanding of the personal and political circumstances of the leaders as well as the cultural and historical factors of the countries we deal with.

Les Gelb wrote of Obama, "He is so self-confident that he believes he can make decisions on the most complicated of issues after only hours of discussion." Strategic decisions go well beyond being smart, which Obama certainly is. They must be based on experience that discerns what works, what doesn't—and why. This requires experienced staffing, which Obama and his top appointees simply do not seem to have. Or as one Middle East commentator put it, "There are always two chess games going on. One is on the top of the table, the other is below the table. The latter is the one that counts, but the Americans don't know how to play that game."

Recent U.S. attempts to introduce more meaningful sanctions against Iran produced a U.N. resolution that is way less than the "crippling" sanctions the administration promised. The United States even failed to achieve the political benefit of a unanimous Security Council vote. Turkey, the Muslim anchor of NATO for almost 60 years, and Brazil, our largest ally in Latin America, voted against our resolution. Could it be that these long-standing U.S. allies, who gave cover to Mahmoud Ahmadinejad and Iran's nuclear ambitions, have decided that there is no cost in lining up with America's most serious enemies and no gain in lining up with this administration?

The end result is that a critical mass of influential people in world affairs who once held high hopes for the president have begun to wonder whether they misjudged the man. They are no longer dazzled by his rock star personality and there is a sense that there is something amateurish and even incompetent about how Obama is managing U.S. power. For example, Obama has asserted that America is not at war with the Muslim world. The problem is that parts of the Muslim world are at war with America and the West. Obama feels, fairly enough, that America must be contrite in its dealings with the Muslim world. But he has failed to address the religious intolerance, failing economies, tribalism, and gender apartheid that together contribute to jihadist extremism. This was startling and clear when he chose not to publicly support the Iranians who went to the streets in opposition to their oppressive government, based on a judgment that our support might be counterproductive. Yet, he reaches out instead to the likes of Bashar Assad of Syria, Iran's agent in the Arab world, sending our ambassador back to Syria even as it continues to rearm Hezbollah in Lebanon and expands its role in the Iran-Hezbollah-Hamas alliance.

The underlying issue is that the Arab world has different estimates on how to deal with an aggressive, expansionist Iran. The Arabs believe you do not deal with Iran with the open hand of a handshake but with the clenched fist of power. Arab leaders fear an Iran proceeding full steam with its nuclear weapons program on top of its programs to develop intermediate-range ballistic missiles. All the while centrifuges keep spinning in Iran, and Arab leaders ask whether Iran will be emboldened by what they interpret as American weakness and faltering willpower. They did not see Obama or his administration as understanding the region, where naiveté is interpreted as a weakness of character, as amateurism, and as proof of the absence of the tough stuff of which leaders are made. (That's why many Arab leaders were appalled at the decision to have a civilian trial of Khalid Sheikh Mohammed in New York. After 9/11, many of them had engaged in secret counterterrorism activities under the umbrella of an American promise that these activities would never be made public; now they feared that this would be the exact consequence of an open trial.)

America right now appears to be unreliable to traditional friends, compliant to rivals, and weak to enemies. One renowned Asian leader stated recently at a private dinner in the United States, "We in Asia are convinced that Obama is not strong enough to confront his opponents, but we fear that he is not strong enough to support his friends."

The United States for 60 years has met its responsibilities as the leader and the defender of the democracies of the free world. We have policed the sea lanes, protected the air and space domains, countered terrorism, responded to genocide, and been the bulwark against rogue states engaging in aggression. The world now senses, in the context of the erosion of America's economic power and the pressures of our budget deficits, that we will compress our commitments. But the world needs the vision, idealism, and strong leadership that America brings to international affairs. This can be done and must be done. But we are the only ones who can do it.

 US NEW & WORLD REPORT

6/18/2010

 

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The Wall Street Journal

Confidence Waning in Obama, U.S. Outlook

Americans are more pessimistic about the state of the country and less confident in President Barack Obama's leadership than at any point since Mr. Obama entered the White House, according to a new Wall Street Journal/NBC News poll.

[NBCpol]

The survey also shows grave and growing concerns about the Gulf oil spill, with overwhelming majorities of adults favoring stronger regulation of the oil industry and believing that the spill will affect the nation's economy and environment.

Sixty-two percent of adults in the survey feel the country is on the wrong track, the highest level since before the 2008 election. Just one-third think the economy will get better over the next year, a 7-point drop from a month ago and the low point of Mr. Obama's tenure.

News Hub: The Mood of Americans on Obama

3:44

The polls are showing that the mood of Americans has taken grim turn as the Gulf oil spill diminishes past high hopes. Peter Wallsten of the Wall Street Journal discusses with Kelly Evans and Neal Lipschutz.

Amid anxiety over the nation's course, support for Mr. Obama and other incumbents is eroding. For the first time, more people disapprove of Mr. Obama's job performance than approve. And 57% of voters would prefer to elect a new person to Congress than re-elect their local representatives, the highest share in 18 years.

The results show "a really ugly mood and an unhappy electorate," said Democratic pollster Peter Hart, who conducts the Journal/NBC poll with GOP pollster Bill McInturff. "The voters, I think, are just looking for change, and that means bad news for incumbents and in particular for the Democrats."

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Associated Press

President Barack Obama pauses in the East Room of the White House in Washington on April 6.

Mr. McInturff said voters' feelings, typically set by June in any election year, are being hardened by frustration over the economy and the oil spill. "It would take an enormous and seismic event to change the drift of these powerful forces before November," he said.

Mr. McInturff added that any "little, faint signs" in the spring that voters were adopting a more optimistic outlook have now been "squished by feelings from this oil spill."

For Democrats, the results underscore the potential for major losses in November. Both parties have been forced to contend with an anti-establishment wave this year. But Republicans, through strong fund raising and candidate recruitment, have put enough seats in play in the House and Senate to give the GOP a realistic shot at winning control of both chambers.

Support for Mr. Obama and his party is declining among centrist, independent voters. But, more ominous for the president, some in his base also are souring, with 17% of Democrats disapproving of Mr. Obama's job performance, the highest level of his presidency.

Pulse of the Poll

See results from The Wall Street Journal/NBC News poll.

Following the Polls

Pick your own answers to survey questions and see how you line up with the poll respondents.

Approval for Mr. Obama has dropped among Hispanics, too, along with small-town residents, white women and seniors. African-Americans remain the firmest part of Mr. Obama's base, with 91% approving of his job performance.

In winning the presidency, Mr. Obama conveyed an image of remaining steady and focused during the banking crisis and economic downturn. Now, amid the oil spill and a weak economic recovery, Americans are taking a dimmer view of his personal qualities and leadership style.

Some 30% in the poll said they "do not really relate'' to Mr. Obama. Only 8% said that at the beginning of his presidency. Fewer than half give him positive marks when asked if he is "honest and straightforward.'' And 49% rate him positively when asked if he has "strong leadership qualities,'' down from 70% when Mr. Obama took office and a drop of 8 points since January.

Just 40% rate him positively on his "ability to handle a crisis," an 11-point drop since January. Half disapprove of Mr. Obama's handling of the oil spill, including one in four Democrats.

"As a Democrat and as a woman, I am disappointed in him," said poll respondent Melissa Riner, a 42-year-old law clerk from Mesa, Ariz. Referring to the oil spill, Ms. Riner added, "I don't think he's handling it. He doesn't seem to be doing anything. He just talks."

James Ciarmataro, a 23-year-old stay-at-home dad from Macomb, Mich., said it was difficult to relate to Mr. Obama, because the president is "eating steak dinners at the White House and playing golf" while the country is suffering.

Poll Consolidates Doom And Gloom

1:42

An exclusive Wall Street Journal/NBC poll has bad news for President Obama and congressmen of all political stripes. WSJ's Peter Wallsten says the political climate will make for a brutal midterm election.

An independent, Mr. Ciarmataro said he would vote in November for "whoever seems the newest, and doesn't seem to have any ties to anybody else."

Tina Becker, a 47-year-old homemaker and registered Democrat from Wauseon, Ohio, who identifies herself as an independent, said she still strongly supports Mr. Obama. "But it might have made him look better if he communicated more about how things were progressing," she said.

In the survey, 45% said they wanted to see a Republican-controlled Congress after November, compared to 43% who wanted Democratic control. But even more telling is the excitement gap between the core voters of each party.

<img src="http://s.wsj.net/public/resources/media/WSJNBC0610_D_-alt-1.jpg" alt="" width="262" height="176"/>

Just 44% of Obama voters—those who voted for Mr. Obama in 2008 or told pollsters they intended to—now express high interest in the midterm elections. That's a 38-point drop from this stage in the 2008 campaign.

By contrast, 71% of voters who supported Republican John McCain in 2008 expressed high interest in this year's elections, slightly higher than their interest level at this stage in that campaign.

The gap helps explain why the Democratic National Committee is spending $50 million on a campaign to try to lure Obama voters back to the polls this year.

Nearly two-thirds in the survey said they wanted more regulation of oil companies. Majorities also favor more regulation of Wall Street firms, health insurers and "big corporations."

While a majority still favors greater offshore drilling, support has slipped considerably over the past month as the Gulf oil spill has grown worse—from 60% in May to 53% now.

Sixty-three percent support legislation to reduce carbon emissions and increase the use of alternative and renewable energy sources, even if it means an increase in energy costs.

Write to Peter Wallsten at peter.wallsten@wsj.com

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Gregg: U.S. following GreeceBy: Andy BarrMay 11, 2010 09:15 AM EDTSen. Judd Gregg (R-N.H.) is warning that the United States is well on its way to facing the same type of debt crisis that has crippled Greece. “We are on a path which will go to where Greece is, there's no question about that, if we don't adjust our present financial house,” Gregg said during an interview Monday night on the Fox Business Network. “If we continue to spend much more than we take in…we'll double our debt in five years and triple it in 10 years and essentially be where Greece is in about seven years,” he said. “So we know we are headed in that direction unless we do something about reducing the level of debt and reducing the level of our spending.” The national debt of Greece amounts to 113 percent of the country’s gross domestic product, equivalent to what the United States owed shortly after fighting the Second World War. The current U.S. debt amounts to roughly 80 percent of the gross domestic product. Asked when he expects that the U.S. debt situation will reach the crisis level that Greece is currently facing, Gregg said, “we're looking at maybe the outside 10 years, probably closer to seven years before we hit the wall, so to say.” The Republican senator said that the signs of a crisis are already here – pointing to recent downgraded ratings of U.S. debt. Asked how Americans will know that the crisis has hit, Gregg responded: “Well, when people stop buying our bonds.” “Basically, when they tell us that they don't have any confidence in our debt being repaid and they force us to pay a much higher interest rate, something that is unsustainable,” he said. “They essentially say to those of us in the United States, just trying to sell debt to finance our daily operations of government, we do not believe you can repay the debt or can repay it in a way to make us buy your debt at a reasonable price.”

 

POLITICO 

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By SHELBY STEELE

It has to be acknowledged that, in his battle for health-care reform, President Obama has shown real presidential mettle. He did what it took to win his way. He put every ounce of his political capital on the line, and he never blinked. For all the wrongheadedness of this reform—and the ugly backroom dealing that finally carried the day—the president himself will now enjoy a new respect at home and abroad. He will be less dismissible.

But if the old bowing and boyish president is receding, a new and more ominous president is emerging. And it is now apparent that Mr. Obama wants to be—above all else—a profoundly transformative president. He has spoken admiringly of the way Ronald Reagan changed the "trajectory" of history, and clearly he would like to launch a trajectory of his own.

But Reagan came into office as a very well-defined man with an unequivocal sense of direction. Agree with him or not, you knew what kind of society he wanted. Mr. Obama, despite his new resolve, remains rather undefined—a president happy to have others write his "transformative" legislation. As the health-care bill and the stimulus package illustrate, scale is functioning as vision. From where does it come?

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steele
Zina Saunders

Well, suppose you were the first black president of the United States and, therefore, also the first black head-of-state in the entire history of Western Civilization. You represent a human first, something entirely new under the sun. There aren't even any myths that speak directly to your circumstance, no allegorical tales of ancient black kings who ruled over white kingdoms.

If anything, you may literally experience yourself as a myth in the making. After all, you embody a heretofore unimaginable transcendence over the old human plagues of tribalism, hatred and ignorance. Standing on ground that no man has stood on before, wouldn't it be understandable if you felt pressured by the grandiosity of your circumstance? Isn't there a special—and impossible—burden on "the first" to do something that lives up to his historical originality?

Does this special burden explain Barack Obama's embrace of scale as vision (if I don't know what to do, I'll do big things)? I think it does to a degree. It means, for example, that a caretaker presidency is not an option for him. His historical significance almost demands a kind of political narcissism. For him the great appeal of massive health-care reform—when jobs are a far more pressing problem—may have been its history-making potential.

Here was a chance for Mr. Obama not just to be a part of history but to make history. Here he could have an achievement commensurate with his own historical significance. To have left off health care and taken up jobs would have left him a caretaker rather than a history-maker. So he hung in with health care and today it can be said: Barack Obama has signed the most significant piece of social legislation in 45 years—achieving something that has eluded every president since FDR.

A historic figure making history, this is emerging as an over-arching theme—if not obsession—in the Obama presidency. In Iowa, a day after signing health care into law, he put himself into competition with history. If history shapes men, "We still have the power to shape history." But this adds up to one thing: He is likely to be the most liberal president in American history. And, oddly, he may be a more effective liberal precisely because his liberalism is something he uses more than he believes in. As the far left constantly reminds us, he is not really a true believer. Rather liberalism is his ticket to grandiosity and to historical significance.

 

Of the two great societal goals—freedom and "the good"—freedom requires a conservatism, a discipline of principles over the good, limited government, and so on. No way to grandiosity here. But today's liberalism is focused on "the good" more than on freedom. And ideas of "the good" are often a license to transgress democratic principles in order to reach social justice or to achieve more equality or to lessen suffering. The great political advantage of modern liberalism is its offer of license on the one hand and moral innocence—if not superiority—on the other. Liberalism lets you force people to buy health insurance and feel morally superior as you do it. Power and innocence at the same time.

This is an old formula for power, last used effectively on the presidential level by Lyndon Johnson. But Johnson's Great Society was grasping for moral authority after the civil rights movement. I doubt any white president could use it effectively today, and even ObamaCare passed by only a three vote margin in the House and with no Republican support at all. Worse, in the end, it passed not to bring the nation better health care but to pull a flailing Democratic presidency back from the brink.

There has always been a narcissistic charge around Mr. Obama, the sense that in embracing him one was embracing something special in oneself—and possibly even a larger idea of human perfectibility. Every politician wants this capacity to attract identification. But it is also a trap. What happens when people are embarrassed for having seen themselves in you?

The old fashioned, big government liberalism that Mr. Obama uses to make himself history-making also alienates him in the center-right America of today. It makes him the most divisive president in memory—a president who elicits narcissistic identification on the one hand and an enraged tea party movement on the other. His health-care victory has renewed his narcissistic charge for the moment, but if he continues to be a 1965 liberal it will become more and more impossible for Americans to see themselves in him.

Mr. Obama's success has always been ephemeral because it was based on an illusion: that if we Americans could transcend race enough to elect a black president, we could transcend all manner of human banalities and be on our way to human perfectibility. A black president would put us in a higher human territory. And yet the poor man we elected to play out this fantasy is now torturing us with his need to reflect our grandiosity back to us.

Many presidents have been historically significant in retrospect, but Mr. Obama had historic significance on his inauguration day. His inauguration told a transcendent American story. Other presidents work forward into their legacy. Mr. Obama is working backwards into his.

Mr. Steele, a research fellow at Stanford University's Hoover Institution, is the author most recently of "A Bound Man: Why We Are Excited About Obama and Why He Can't Win" (Free Press, 2007).

 

WSJ OPINION 3/31/2010

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ObamaCare Rules For Paying Doctors Might Spur Exodus


By DAVID HOGBERG, INVESTOR'S BUSINESS DAILY
Posted 03/30/2010 06:52 PM ET

 

President Barack Obama points to the crowd before signing the Health Care and Education Reconciliation Act of 2010 at Northern Virginia
Community...

President Barack Obama points to the crowd before signing the Health Care and Education Reconciliation Act of 2010 at Northern Virginia Community... View Enlarged Image

Dr. Geralyn Ponzio, a primary care physician in New Jersey, closed her private practice this month. Numerous factors contributed, including inadequate reimbursement from insurers and Medicare, but President Obama's health care overhaul played a key role.

"It was a very big part of it," she said. "They said they were going to pay primary care physicians more, but I didn't believe it. I was also worried that, eventually, we'd be required to take Medicare and Medicaid patients."

Two ObamaCare provisions affecting how physicians are paid may accelerate a trend of more doctors such as Ponzio leaving the profession.

New Payment Rules

Under the health care law, insurers that participate in the exchanges must develop "a payment structure that provides increased reimbursement or other incentives for improving health outcomes" via practices such as quality reporting, effective care management, care coordination, and medication and care compliance initiatives. The health and human services secretary and a panel of experts will determine the payment guidelines.

For Medicare, the health care law empowers the HHS secretary to develop a "payment modifier" that will increase Medicare reimbursements for quality care. The secretary "shall establish appropriate measures" for quality.

"If you don't go by these guidelines you won't be able to bill Medicare or the insurance companies that participate in the exchanges," said Dr. Richard Armstrong, a general surgeon and member of Doctors 4 Patient Care, an advocacy group that opposed ObamaCare.

Some physicians worry that complying with these new quality measures could add to the administrative hassles that are already hurt ing their ability to spend time with and do what is best for patients.

"There are going to be doctors that are going to leave because these (changes) will result in more regulation for them," said Dr. Hal Scherz, an Atlanta pediatric urologist and president of Doctors 4 Patient Care. "It puts them in a position where they cannot do their job ... that's why doctors will retire. They'll be fed up with the fact that they'll be told what to do and they'll be concerned that if they don't follow the guidelines, they'll have to make a decision whether to do the right thing or go to jail."

Reimbursement issues were rated "most unsatisfying" by more than 54% of doctors surveyed in 2008 by the Physicians Foundation. Managed care issues and Medicare/gov't regulations were not far behind, with 51.6% and 45.8%, respectively.

Seventy-nine percent of doctors said ObamaCare makes them less optimistic about the practice of medicine, according to a survey by Sermo and AthenaHealth (ATHN). Two-thirds said they would consider dropping all government insurance programs.

A recent New England Journal of Medicine survey found that about one-third of physicians would mull leaving the profession. Forty-five percent of physicians expressed similar thoughts in a 2009 IBD/TIPP poll. A Sermo survey found that 26% of physicians were considering closing their solo practices.

Merit Pay For Docs

Some physicians, however, say the payment reforms are a boon.

"Most of these things don't hit for a few years, so they won't immediately change the practice of medicine," said Dr. Daniel Fass, a radiation oncologist in Rye, N.Y. "It's an attempt to address quality and utilization in medicine. I think they are something to look forward to. It will foster evidence-based medicine; everybody wants to see higher-quality outcomes. At the same time, it will reduce the explosion in the growth curve of health care costs."

Dr. Doris Robitaille, a family practitioner near Austin, Texas, ended her solo practice this year and later traveled to Haiti to provide health care after the earthquake.

"I'd rather be a servant to the people than be a slave to the insurance companies," she said. But she doesn't blame ObamaCare. "When people asked me about health care reform, I'd reply: 'I would vote for anything different than what we're doing now. The status quo is such a crisis.'"

Huge Shortages Loom

A study by the Association of American Medical Colleges projected a U.S. shortage of 124,000 physicians by 2025. And that doesn't account for the tens of millions of new patients — and possible pickup in early doctor exits — due to ObamaCare.

Data from the American Medical Association reveal a trend among physicians to retire earlier. A 2007 survey by Merritt Hawkins & Associates found an increase from 2004 in the number of doctors age 50 to 60 planning to retire in the next three years.

"A lot of doctors aged 55 to 65 are going to say enough," said Doctors 4 Patient Care's Scherz. "That's unfortunate, because at 55 to 65 we are at the peak of our careers, we're the best mentors to the young doctors out there."

Others suggest that paying for quality will help doctors get back to providing care the way they want to.

"It all depends on how it is carried out, but the underlying approach has got to be seen by doctors as favorable," said Stuart Guterman, assistant vice president for payment system reform at the Commonwealth Fund. "Instead of having to focus on what procedures are most profitable, you're now being paid for things that allow you to help your patients most."

Ponzio is not convinced that the quality measures will improve physician satisfaction.

"What if they require average blood sugar for my diabetic patients? That puts the onus on me when the responsibility is not mine entirely, a large part of it is the patient's. If the patients don't take their medications and check their blood sugar and then have bad outcomes, I'd get penalized for that."

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From Bloomberg.com By Ryan J. Donmoyer March 22 (Bloomberg) -- President Barack Obama said on the campaign trail in October 2008 that he wanted to “spread the wealth around.” With Obama on the verge of signing sweeping health-care overhaul legislation, he’s about to do just that. If the final version of the legislation passes the Senate, high-income investors will pay higher Medicare taxes, tax breaks for out-of-pocket medical deductions will be curtailed, and it will cost insurance companies more to pay executives millions of dollars. Those levies will help fund expansion of Medicaid services for the poor and subsidize health insurance to cover millions who don’t currently have benefits. “It’s very clear that taxes are levied on the wealthy and the benefits will spread across the entire income distribution, with a lot going to expanded Medicaid distribution and expanding health insurance,” said Roberton Williams, an economist at the Tax Policy Center, a Washington research institute backed by the Urban Institute and Brookings Institution. “One couldn’t claim he didn’t keep that promise” to “spread the wealth around.” In all, the bill would generate $409.2 billion in additional taxes by 2019, according to an analysis by the congressional Joint Committee on Taxation, a nonpartisan agency. The bill also imposes about $69 billion more in penalties for individuals and businesses who don’t meet mandates to buy insurance, according to the Congressional Budget Office, another nonpartisan agency. Higher Medicare Taxes Most of the revenue would come from higher Medicare taxes on about 1 million individuals earning more than $200,000 and about 4 million couples filing jointly who make more than $250,000. The legislation would for the first time apply Medicare taxes to investment income received by these households, beginning in 2013. The 3.8 percent rate would apply to unearned income such as realized capital gains, dividends, interest, rents and royalties. It wouldn’t apply to other income subject to income taxes, including interest from municipal bonds and retirement accounts such as 401(k) plans until funds are withdrawn. Obama’s budget proposes to allow the existing 15 percent tax rate on dividends and capital gains to rise to 20 percent in 2011 for the same high-earners. Layering a 3.8 percent Medicare tax on top of that would mean a new top rate on dividends and capital gains of 23.8 percent. The top tax rates on interest and rental income would rise to as high as about 44 percent, assuming other Obama tax increases on high-earners are enacted. Individual’s Share The bill also increases the individual’s share of Medicare tax currently imposed on salaries starting at $200,000 for individuals and $250,000 for couples to 2.35 percent, from 1.45 percent currently. The combination of the new Medicare taxes and Obama’s budget proposals, if they were in place this year, would cost a married couple with a household income of $5 million an extra $287,100 in taxes, according to analysis by the consulting firm Deloitte Tax in Washington. The Medicare taxes superseded an earlier Senate proposal to tax high-value employer-provided insurance coverage, dubbed “Cadillac plans.” That 40 percent excise tax was delayed until 2018, when it would begin to apply to benefits over $10,200 for individuals and $27,500 for couples. Those thresholds would be indexed to inflation, which grows at a slower pace than the cost of health care, meaning more employers would likely face the levy over time. Out-of-Pocket Costs Other provisions likely to affect higher-income individuals would scale back tax preferences associated with paying out-of- pocket medical expenses. Starting in 2013, Americans under 65 won’t be able to deduct medical expenses until they exceed 10 percent of income, up from 7.5 percent now; retirees would keep the lower threshold. The bill in 2011 places new restrictions on what can be purchased using special savings accounts funded with pre-tax dollars including health savings accounts. Improper withdrawals from the accounts also would be hit with a new 20 percent tax. And the legislation for the first time would place a $2,500 limit on what can be contributed to employer-sponsored flexible spending accounts, another type of account funded with pre-tax dollars that can be used to pay for medicines, co-payments, and other expenses. Employers currently set their own limits, typically between $3,000 and $5,000 in the absence of a government cap. This change would cost an average worker about $625 in tax savings, according to WageWorks Inc., a San Mateo, California, company that administers 1.5 million accounts. Tanning Salons Consumers who frequent tanning salons would pay a 10 percent excise tax, and those who buy devices such as wheelchairs would pay a 2.3 percent excise tax. Drugmakers may pass on a $3 billion annual fee. Insurance companies would be denied deductions when they pay their executives over $500,000. Under the reconciliation bill that is now before the Senate, individuals who don’t purchase insurance would be subject to a fine of $325 in 2015 and $695 in 2016. Individuals may be subject to a charge equal to as much as 2.5 percent of their income in 2016, if the total is greater than the flat payment. Employers with 50 or more workers would pay $2,000 per worker if they don’t offer health insurance. The legislation offers a small business tax credit to help pay for employer- provided premiums. Companies also would face more scrutiny from the Internal Revenue Service for using tax shelters. To contact the reporter on this story: Ryan J. Donmoyer in Washington at rdonmoyer@bloomberg.net Last Updated: March 22, 2010 14:40 EDT

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POLITICO After reform, no quick poll boost By: Josh Gerstein March 29, 2010 07:50 PM EDT Democrats who held out hopes that President Barack Obama’s health reform win would mean a quick boost to the party’s political fortunes are getting a reality check – a reminder that it takes more than one good week to shake up a year of sliding polls. Obama and his health reform plan did get a bump in several surveys immediately after the House vote eight days ago – but the numbers in some of those polls flattened out, showing how difficult it will be for Obama to capitalize on reform, even after his top legislative goal cleared Congress. “It helped a little bit, but I think it’s within the margin of error,” said Peter Brown of the Quinnipiac Poll, which recorded a slight drop in disapproval of Obama after the bill passed. “The Democrats said the American people will grow to love this. We’ll find out. At this point, they’re not exactly jumping up and down.” The most prominent political prognosticator who predicted a post-reform bump for Obama was President Bill Clinton – who told reporters last year that Obama would add 10 points to his approval rating “the minute health reform passed.” But Obama’s approval in the Gallup daily tracking poll stands at 48 percent – near his all-time low of 46 percent in the three-day rolling average. Near the time of passage, Obama ticked up to 50 percent in the poll. “People thought Obama might get a significant uptick,” said Frank Newport of the Gallup Poll. “Obama’s approval seems to have moved up a few points during and slightly after passage. Then it fell back down again.” At least one survey showed hints that Obama is still enjoying a bit of a boost from the passage of the landmark health legislation. The CNN-Opinion Research Corporation poll showed Obama’s approval rating up to 51 percent from 46 percent before the health bill passed. There were also signs of increased support for Obama from lower-income households and union members – key Democratic voting groups. Tracking such point-by-point fluctuations in the polls only tells so much. The real test for Obama and the Democrats is whether they can build momentum on the health care win to repair Obama’s damaged approval rating and Congress’s even more lackluster standings in time for the November midterms, when the ratings really matter. And for all their hopes for a shot of political adrenaline, Democrats believe the real value of the health care win is to fortify the president for battles still to come, to give Obama a stronger hand on Wall Street reform, a new education bill and a campaign finance overhaul. Still, the week-after polls give an early sounding on just how hard it could be for Obama to turn health reform into a long-term winner. One reason he didn’t get a big bounce, pollsters say, is that voters are split evenly on whether they like reform or don’t. “It’s pretty clear to me that public opinion is arrayed against the plan. And among swing voters, opinion is even more against the plan,” said Doug Schoen, a Democratic pollster who raised hackles at the White House recently by making dire predictions about the impact of health care reform’s passage. “I don’t think there’s any evidence it will be good politically, except for maybe some marginal impact firing up the base…..Them’s the facts.” The White House declined to comment for this story. But in the days before health reform passed in the House, Obama’s pollster Joel Benenson said the support for the plan was on the upswing. Benenson also attacked claims that most Americans oppose the health care bill as a “Republican myth.” “No pollster, including me, could look at the recent data and responsibly say anything other than that the American public is closely divided when it comes to supporting or opposing various health care plans,” Benenson wrote in a Washington Post op-ed earlier this month. But he predicted the plan would grow in popularity over time, as the public learned it included a ban on denying coverage for pre-existing conditions and helped seniors close the “donut hole” of prescription drug costs not covered by Medicare. “When it comes to health care and insurance, once reform passes, the tangible benefits Americans will realize will trump the fear-mongering rhetoric opponents are stoking today,” he wrote. However, critics said Benenson’s analysis overlooks indications that opponents of the bill tended to be far more passionate than supporters. A CNN/Opinion Research Corporation poll taken from March 25-28 found 45 percent of voters positively inclined towards the bill and 53 percent opposed. But 26 percent described themselves as “angry” over the bill, while just 15 percent were “enthusiastic.” Talk of a bump from health care buzzed through Washington last Tuesday when USA Today reported that a one-day Gallup poll taken in the 24 hours after health care passed found 49 percent of Americans thought the bill was “a good thing” and 40 percent disliked it. Gallup tried the question again over the weekend and the numbers had flipped: 50 percent were opposed to the health care bill and only 47 percent favored it. “I don’t think there’s going to be a rebound and I don’t think there’s going to be a bounce,” said Tom Jensen of North Carolina-based Public Policy Polling. “I don’t know why Bill Clinton is out there saying there’ll be a ten point bounce.” Democrats also got something of a scare from a Florida poll taken last week which showed only 34 percent of voters in that key swing state backing the new bill, with 54 percent opposed. The Mason-Dixon survey showed the large number of seniors in the state weighing down support for the legislation. Some 65 percent of those over 65 were against the measure. And in a real eye-opener for the White House: Obama’s approval rating in the Sunshine State stood as a dismal 37 percent. In other states, there are few signs that Obama or Democrats are getting a boost from the bill. “In the first couple of states we’ve polled, Missouri and Alabama, since it’s passed his numbers are about the same as they were before it passed,” Jensen said. “In the long term, health care could turn out to be a political winner, but I don’t think it’s going to happen in 2010.” However, Jensen said comparing Obama’s before and after numbers is of limited value because the real options were either passage of the legislation or an embarrassing decision to abandon one of the president’s central undertakings. “The political damage of health care has already been done. Republicans are really fired up,” he said. “On the whole I think health care will end up hurting Democrats but if you’re going to do it you need to pass it to keep it from being a disaster with no positive whatsoever.” Brown also said Obama’s so-called victory lap touting the bill around the country after it passed didn’t have a measurable impact. “The president has a very large pulpit to make his case. So far, it hasn’t changed things in the least,” Brown said. “If you do the kind of campaign the White House is doing, you would expect it to yield results if what they’re selling was popular, but despite a slight uptick it’s still not popular with the American people. The product hasn’t changed.” However, Quinnipiac’s poll last week also suggested that at least for some voters, dislike of the bill didn’t mean they favored a big fight over repealing it. A total of 51 percent of voters opposed suits by several attorneys general seeking to block the bill, while only 40 percent backed such an effort. The response could signal something that has been pretty clear to both sides of the health care debate for months: many voters want Washington to turn its attention to the economy. 2010 Capitol News Company, LLC

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March 27, 2010

STIMULUS WATCH: Weatherizing program slow to start

By GARANCE BURKE
Associated Press Writer

After a year of crippling delays, President Barack Obama's $5 billion program to install weather-tight windows and doors has retrofitted a fraction of homes and created far fewer construction jobs than expected.

In Indiana, state-trained workers flubbed insulation jobs. In Alaska, Wyoming and the District of Columbia, the program has yet to produce a single job or retrofit one home. And in California, a state with nearly 37 million residents, the program at last count had created 84 jobs.

The program was a hallmark of the American Recovery and Reinvestment Act, a way to shore up the economy while encouraging people to conserve energy at home. But government rules about how to run what was deemed to be a "shovel-ready" project, including how much to pay contractors and how to protect historic homes during renovations, have thwarted chances at early success, according to an Associated Press review of the program.

"It seems like every day there is a new wrench in the works that keeps us from moving ahead," said program manager Joanne Chappell-Theunissen. She has spent the past several months mailing in photographs of old houses in rural Michigan to meet federal historic preservation rules. "We keep playing catch-up."

The stimulus package gave a jolt to the decades-old federal Weatherization Assistance Program. Weatherization money flows from Washington to the states, where it is passed to local nonprofits that hire contractors to spread insulation and install efficient heaters in people's homes.

Energy officials said the stimulus infusion is on track to create thousands of career-pathway jobs and support an industry that lowers carbon emissions while saving consumers money.

"This is the beginning of the next industrial revolution with the explosion of clean energy investments," said assistant U.S. Energy Secretary Cathy Zoi. "These are good jobs that are here to stay."

But after a year, the stimulus program has retrofitted 30,250 homes — about 5 percent of the overall goal — and fallen well short of the 87,000 jobs that the department planned, according to the latest available figures.

As the Obama administration promotes a second home energy-savings program — a $6 billion rebate plan — some experts are asking whether that will pay off for homeowners or for the planet.

"A very rosy picture was painted that energy efficiency would be a great way to create jobs and save money," said Michael Shellenberger, an energy expert who heads the Breakthrough Institute, an Oakland-based think tank that is financed by nonpartisan foundations and works on energy, climate change and health care issues. "The Obama administration risks overpromising again."

Many states held off on weatherizing under the stimulus over concerns about a Depression-era law that requires contractors to pay workers wages equal to those paid for local public works projects. The U.S. Labor Department issued wage rules for every county in the country in September but after receiving about 100 complaints, changed the wage rates again a few months later.

Bureaucratic delays kept officials in Austin, Texas, from weatherizing anything while they waited to hire furnace technicians under a $7.4 million federal grant, of which they received the first installment this month.

The recession itself has compounded the problems, since hiring freezes in some states meant there weren't enough public employees to administer the program.

In California, where Gov. Arnold Schwarzenegger ordered many state workers to take "Furlough Fridays," the program had created 84 jobs and weatherized 849 homes at last count, in December. Officials estimate several hundred jobs have been created since then.

Energy Department spokeswoman Jen Stutsman said the program produced 8,500 jobs nationwide from October to December 2009, but said she could not provide job creation figures for the last full year since federal guidelines for measuring the program's impact changed in the fall.

Zoi said the number of jobs created and homes completed would rise quickly as the program emerged from its startup phase, and that it was on target to meet overall goals. Now that the money is trickling down more quickly, auditors are fretting over how to make sure it doesn't fall into the wrong hands.

The Energy Department plans to hire one program officer for each state to watch for waste, fraud and mismanagement.

That also will help to ensure crews' performance is up to snuff.

In Illinois, the staff of the department's inspector general, Gregory Friedman, discovered that one agency weatherization inspector missed a dangerous gas leak on a newly installed furnace. State and local officials told auditors they would make sure the leak was fixed and retool statewide training materials.

In Indiana, where workers were required to go through a state weatherization training program, local managers say they have spent hours teaching new recruits to do their jobs properly.

"We keep getting inundated with all kinds of people who want a paycheck, but just aren't qualified to do this kind of work," said Bertha Proctor, who heads a nonprofit contracting agency in Vincennes, Ind.

Still, some of the stimulus program's flexible standards have allowed for innovation.

In Portland, Ore., local officials are reporting an energy-saving boon that has helped minority-owned businesses in the job-starved construction industry. Ohio, which had a strong weatherization program in place at the outset, had completed 6,814 homes by the end of last year, more than a fifth of the total nationwide.

Legislation authorizing a second energy savings program is moving slowly through Congress. Many details of the plan, including how long it will run and its total cost, still need to be worked out. The Obama administration said the "HomeStar" program would reward homeowners who buy energy-saving equipment with an on-the-spot rebate of $1,000 or more, and hope it could become as popular as last year's Cash for Clunkers money-back program for cars and trucks.

Micheline Guilbeault, 65, of Lawton, Okla., whose home was weatherized through the stimulus package, said she thought the new proposal would encourage more homeowners to go green.

"My house doesn't shudder anymore when the wind blows," Guilbeault said. "With the door that they just put in, I'm sure that the bill will go down because myself, I can feel the difference."

Still, some government watchdog groups said taxpayers shouldn't be on the hook paying for home improvements if the government has yet to release figures showing how much weatherizing saves.

"The government should have stayed out of the weatherizing business in the first place," said Leslie Paige of Washington-based Citizens Against Government Waste. "This is a way to rapidly expand and entrench an existing program without ever going back and looking at the rationale or intent or effectiveness."

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Stanford, Calif.

"No, no. Not at all."

So says Gary Becker when asked if the financial collapse, the worst recession in a quarter of a century, and the rise of an administration intent on expanding the federal government have prompted him to reconsider his commitment to free markets.

Mr. Becker is a founder, along with his friend and teacher the late Milton Friedman, of the Chicago school of economics. More than four decades after winning the John Bates Clark Medal and almost two after winning the Nobel Prize, the 79-year-old occupies an unusual position for a man who has spent his entire professional life in the intensely competitive field of economics: He has nothing left to prove. Which makes it all the more impressive that he works as hard as an associate professor trying to earn tenure. He publishes regularly, carries a full-time teaching load at the University of Chicago (he's in his 32nd year), and engages in a running argument with his friend Judge Richard Posner on the "Becker-Posner Blog," one of the best-read Web sites on economics and the law.

When his teaching schedule permits, Mr. Becker visits the Hoover Institution, the think tank at Stanford where he has been a fellow since 1988. The day he and I meet in his Hoover office, Mr. Becker has already attended a meeting with former Treasury Secretary Hank Paulson and spent several hours touring Apple headquarters down the road in Cupertino with his wife, Guity Nashat, a historian of the Middle East, and their grandson. "I guess you'd call our grandson a computer whiz," he explains proudly. "He's just 14, but he has already sold a couple of apps."

I begin with the obvious question. "The health-care legislation? It's a bad bill," Mr. Becker replies. "Health care in the United States is pretty good, but it does have a number of weaknesses. This bill doesn't address them. It adds taxation and regulation. It's going to increase health costs—not contain them."

Drafting a good bill would have been easy, he continues. Health savings accounts could have been expanded. Consumers could have been permitted to purchase insurance across state lines, which would have increased competition among insurers. The tax deductibility of health-care spending could have been extended from employers to individuals, giving the same tax treatment to all consumers. And incentives could have been put in place to prompt consumers to pay a larger portion of their health-care costs out of their own pockets.

"Here in the United States," Mr. Becker says, "we spend about 17% of our GDP on health care, but out-of-pocket expenses make up only about 12% of total health-care spending. In Switzerland, where they spend only 11% of GDP on health care, their out-of-pocket expenses equal about 31% of total spending. The difference between 12% and 31% is huge. Once people begin spending substantial sums from their own pockets, they become willing to shop around. Ordinary market incentives begin to operate. A good bill would have encouraged that."

Despite the damage this new legislation appears certain to cause, Mr. Becker believes we're probably stuck with it. "Repealing this bill will be very, very difficult," he says. "Once you've got a piece of legislation in place, interest groups grow up around it. Look at Medicare and Medicaid. Originally, the American Medical Association opposed Medicare and Medicaid. Then the AMA came to see them as a source of demand for physicians' services. Today the AMA supports Medicare and Medicaid as staunchly as anyone. Something like that will happen with this new legislation."

Bad legislation, maintained by self-seeking interest groups. Back in 1982, I remind Mr. Becker, the economist Mancur Olson published a book, "The Rise and Decline of Nations," predicting just that trend. Over time, Olson argued, interest groups would form to press for policies that would almost invariably prove protectionist, redistributive or antitechnological. Policies, in a word, that would inhibit economic growth. Yet since the benefits of such policies would accrue directly to interest groups while the costs would be spread across the entire population, very little opposition to such self-seeking would ever develop. Interest groups—and bad policies—would proliferate, and the nation would stagnate.

Olson may have sketched his portrait during the 1980s, but doesn't it display a remarkable likeness to the United States today? Mr. Becker thinks for a moment, swiveling toward the window. Then he swivels back. "Not necessarily," he replies.

"The idea that interest groups can derive specific, concentrated benefits from the political system—yes, that's a very important insight," he says. "But you can have competing interest groups. Look at the automobile industry. The domestic manufacturers in Detroit want protectionist policies. But the auto importers want free trade. So they fight it out. Now sometimes in these fights the dark forces prevail, and sometimes the forces of light prevail. But if you have competing interest groups you don't end up with a systematic bias toward bad policy."

Mr. Becker places his hands behind his head. Once again, he reflects, then smiles wryly. "Of course that doesn't mean there isn't any systematic bias toward bad policy," he says. "There's one bias that we're up against all the time: Markets are hard to appreciate."

Capitalism has produced the highest standard of living in history, and yet markets are hard to appreciate? Mr. Becker explains: "People tend to impute good motives to government. And if you assume that government officials are well meaning, then you also tend to assume that government officials always act on behalf of the greater good. People understand that entrepreneurs and investors by contrast just try to make money, not act on behalf of the greater good. And they have trouble seeing how this pursuit of profits can lift the general standard of living. The idea is too counterintuitive. So we're always up against a kind of in-built suspicion of markets. There's always a temptation to believe that markets succeed by looting the unfortunate."

As he speaks, Mr. Becker appears utterly at ease. He wears loose-fitting clothes and slouches comfortably in his chair. His hair, wispy and white, sets off his most striking feature—penetrating eyes so dark they seem nearly black. Yet those dark eyes display not foreboding, but contentment. He does not have the air of a man contemplating national decline.

 

I read aloud from an article by historian Victor Davis Hanson that had appeared in the morning newspaper. "[W]e are in revolutionary times," Mr. Hanson argues, "in which the government will grow to assume everything from energy to student loans." Next I read from a column by economist Thomas Sowell. "With the passage of the legislation allowing the federal government to take control of the medical system," Mr. Sowell asserts, "a major turning point has been reached in the dismantling of the values and institutions of America."

"They're very eloquent," Mr. Becker replies, his equanimity undisturbed. "And maybe they're right. But I'm not that pessimistic." The temptation to view markets with suspicion, he explains, is just that: a temptation. Although voters might succumb to the temptation temporarily, over time they know better.

"One of the points Secretary Paulson made earlier today was how outraged—how unexpectedly outraged—the American people became when the government bailed out the banks. This belief in individual responsibility—the belief that people ought to be free to make their own decisions, but should then bear the consequences of those decisions—this remains very powerful. The American people don't want an expansion of government. They want more of what Reagan provided. They want limited government and economic growth. I expect them to say so in the elections this November."

Even if ordinary Americans still want limited government, I ask, what about those who dominate the press and universities? What about the molders of received opinion who claim that the financial crisis marked the demise of capitalism, rendering the Chicago school irrelevant?

"During the financial crisis," he replies, "the government and markets—or rather, some aspects of markets—both failed."

The Federal Reserve, Mr. Becker explains, kept interest rates too low for too long. Freddie Mac and Fannie Mae made the mistake of participating in the market for subprime instruments. And as the crisis developed, regulators failed to respond. "The Fed and the Treasury didn't see the crisis coming until very late. The SEC didn't see it at all," he says.

"The markets made mistakes, too. And some of us who study the markets made mistakes. Some of my colleagues at Chicago probably overestimated the ability of the Fed to smooth disruptions. I didn't write much about the Fed, but if I had I would probably have overestimated the Fed myself. As the banks developed new instruments, economists paid too little attention to the systemic risks—the risks the instruments posed for the whole financial system—as opposed to the risks they posed for individual institutions.

"I learned from Milton Friedman that from time to time there are going to be financial problems, so I wasn't surprised that we had a financial crisis. But I was surprised that the financial crisis spilled over into the real economy. I hadn't expected the crisis to become that bad. That was my mistake."

Once again, Mr. Becker reflects. "So, yes, we economists made mistakes. But has the experience of the past few years invalidated the finding that markets remain the most efficient means for producing economic growth? Not in any way.

"Look at growth in developed countries since the Second World War," he continues. "Even after you take into account the various recessions, including this one, you still end up with a good record. So even if a recession as bad as this one were the price of free markets—and I don't believe that's the correct way of looking at it, because government actions contributed so greatly to the current problem—but even if a bad recession were the price, you'd still decide it was worth paying.

"Or look at developing countries," he says. "China, India, Brazil. A billion people have been lifted out of poverty since 1990 because their countries moved toward more market-based economies—a billion people. Nobody's arguing for taking that back."

My last question involves a little story. Not long before Milton Friedman's death in 2006, I tell Mr. Becker, I had a conversation with Friedman. He had just reviewed the growth of spending that was then taking place under the Bush administration, and he was not happy. After a pause during the Reagan years, Friedman had explained, government spending had once again begun to rise. "The challenge for my generation," Friedman had told me, "was to provide an intellectual defense of liberty." Then Friedman had looked at me. "The challenge for your generation is to keep it."

What was the prospect, I asked Mr. Becker, that this generation would indeed keep its liberty? "It could go either way," he replies. "Milton was right about that."

Mr. Becker recites some figures. For years, federal spending remained level at about 20% of GDP. Now federal spending has risen to 25% of GDP. On current projections, federal spending would soon rise to 28%. "That concerns me," Mr. Becker says. "It concerns me a great deal.

"But when Milton was starting out," he continues, "people really believed a state-run economy was the most efficient way of promoting growth. Today nobody believes that, except maybe in North Korea. You go to China, India, Brazil, Argentina, Mexico, even Western Europe. Most of the economists under 50 have a free-market orientation. Now, there are differences of emphasis and opinion among them. But they're oriented toward the markets. That's a very, very important intellectual victory. Will this victory have an effect on policy? Yes. It already has. And in years to come, I believe it will have an even greater impact."

The sky outside his window has begun to darken. Mr. Becker stands, places some papers into his briefcase, then puts on a tweed jacket and cap. "When I think of my children and grandchildren," he says, "yes, they'll have to fight. Liberty can't be had on the cheap. But it's not a hopeless fight. It's not a hopeless fight by any means. I remain basically an optimist."

Mr. Robinson, a former speechwriter for President Ronald Reagan, is a fellow at Stanford University's Hoover Institution.

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The Government Pay Boom

America's most privileged class are public union workers.

It turns out there really is growing inequality in America. It's the 45% premium in pay and benefits that government workers receive over the poor saps who create wealth in the private economy.

And the gap is growing. According to the U.S. Bureau of Labor Statistics (BLS), from 1998 to 2008 public employee compensation grew by 28.6%, compared with 19.3% for private workers. In the recession year of 2009, with almost no inflation and record budget deficits, more than half the states awarded pay raises to their employees. Even as deficits in state capitals widen and are forcing cuts in services, few politicians are willing to eliminate these pay inequities that enrich the few who wield political power.

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Let's walk through the math. In 2008 almost half of all state and local government expenditures, or an estimated $1.1 trillion, went toward the pay and benefits of public workers. According to the BLS, in 2009 the average state or local public employee received $39.66 in total compensation per hour versus $27.42 for private workers. This means that for every $1 in pay and benefits a private employee earned, a state or local government worker received $1.45.

The BLS study breaks down where that 45% premium comes from. It turns out that public employees earn salaries that are about one-third higher on average than what is provided to private workers per hour worked. But the real windfall for government workers is in benefits. Those are 70% higher than what standard private employers offer, as shown in the nearby table. Government health benefits are twice as generous as what workers employed by private employees earn. By the way, nearly this entire benefits gap is accounted for by unionizedpublic employees. Nonunion public employees are paid roughly what private workers receive.

What if government workers earned the average of what private workers earn? States and localities would save $339 billion a year from their more than $2.1 trillion budgets. These savings are larger than the combined estimated deficits for 2010 and 2011 of every state in America.

In a separate survey, the federal Bureau of Economic Analysis compares the compensation of public versus private workers in each of the 50 states. Perhaps not coincidentally, the pay gap is widest in states that have the biggest budget deficits, such as New Jersey, Nevada and Hawaii. Of the 40 states that have a budget deficit so far this year, 28 would have a balanced budget were it not for the windfall to government workers.

But these current fiscal problems are a picnic compared to the long-term benefit commitments that state and local politicians have made to public retirees. A 2009 study by economists Robert Novy-Marx and Joshua Rauh, published in the Journal of Economic Perspectives, estimated that these government pensions are underfunded by $3.2 trillion, or $27,000 for every American household.

The Orange County Register reports that California has 3,000 retired teachers and school administrators, who stopped working as early as age 55, collecting at least $100,000 a year in pensions for the rest of their lives.

Illinois's pension obligations are so costly the state had to issue $3.5 billion of bonds merely to meet its mandatory contribution to the worker retirement program, which faces $85 billion, or three years of state tax revenues, in unfunded liabilities. Near-bankrupt New Jersey would have to pay $7 billion a year if it properly accounted for its pension and health benefits.

California, Nevada New Jersey and Ohio all allow double dipping, which lets government workers retire in their 50s and then work another full-time job while collecting retirement checks. In Ohio, police, firefighters and teachers can retire after 30 years on the job, collect a full benefit each year and go back to work full-time doing the same job. This is called retire and rehire.

As the Columbus Dispatch reported last year: "Across the state, Ohio's State Teachers Retirement System paid out more than $741 million in pension benefits last school year to 15,857 faculty and staff members who were still working for school systems and building up a second retirement plan." Some teachers can earn nearly $200,000 a year in pensions and salaries.

The union response is that government workers deserve all this because they are more educated and highly skilled. That may account for some of the pay differential but not the blowout benefits. The unions also neglect one of the greatest perks of government employment: job security. Short of shooting up a Post Office, government workers rarely get fired or laid off.

If government workers were underpaid, we'd expect high attrition rates, as they pursued better private opportunities. The reality is the opposite. Cato Institute economist Chris Edwards has analyzed Department of Labor statistics and found that private workers are three times more likely to quit their jobs than are government workers.

So if your state is broke, this is a major reason. Eventually, governors, state legislators and city council members are going to have to decide whether protecting America's privileged class of government workers is a higher priority than funding such core functions of government as public safety. Something has to give. It's time to close the biggest pay gap in America.

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Personal Income Drops Across the Country

Personal income in 42 states fell in 2009, the Commerce Department said Thursday.

Nevada's 4.8% plunge was the steepest, as construction and tourism industries took a beating. Also hit hard: Wyoming, where incomes fell 3.9%.

Incomes stayed flat in two states and rose in six and the District of Columbia. West Virginia had the best showing with a 2.1% increase. In Maine, Kentucky and Hawaii, increased government benefits, such as unemployment insurance and Social Security, offset drops in earnings and property values.

Nationally, personal income from wages, dividends, rent, retirement plans and government benefits declined 1.7% last year, unadjusted for inflation. One bright spot: As the economy recovered, personal income was up in all 50 states in the fourth quarter compared with the third. Connecticut, again, had the highest per capita income of the 50 states at $54,397 in 2009. Mississippi ranked lowest at $30,103.

Write to Sara Murray at sara.murray@wsj.com

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AT&T Joins in Health Charges

AT&T Inc. said it would take a $1 billion charge against earnings tied to the federal health-care overhaul, joining a number of other companies in reporting an impact from the bill signed into law this week.

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The charges relate to prescription-drug benefits for retirees. Companies that provide this benefit, as AT&T does, receive a federal subsidy, plus they can deduct the value of this subsidy from their taxes. The health overhaul cancels the deductibility of the subsidy.

It's for that reason that companies are taking a charge against earnings. They "have a stream of tax benefits that they are losing way out into the future," said Roland McDevitt, director of health-care research at benefits consultant Towers Watson.

On Friday, 3M Co. joined AT&T in saying it would take a first-quarter charge, in 3M's case of $85 million to $90 million. Deere &Co., Caterpillar Inc. and AK Steel Holding Corp. said they were taking such charges.

AT&T's is much larger than the others' because it has far more current and future retirees, and a large number of them are unionized, with guaranteed benefits.

The charges are "noncash," meaning companies don't have to write a check. But ultimately their tax bills will be higher given the change in tax treatment of the drug-benefit subsidy.

The charges are related to a 2003 law providing a prescription-drug benefit under Medicare. At the time it was adopted, some companies were threatening to drop drug coverage for their retirees, since this would now be available through Medicare. Congress voted them a 28% tax-free subsidy for continuing to provide coverage to retirees eligible for Medicare.

The subsidies caused the cost of companies' obligations for retiree benefits to decline. AT&T, for example, saw its obligation drop by $1.6 billion at the time.

The cost of providing retiree prescription-drug coverage was already tax-deductible before the 2003 law. After that law was signed, companies remained able to deduct the cost of providing the benefit, including the portion paid for by the subsidy.

The current health-care overhaul doesn't eliminate the subsidy, nor make it taxable. What it changes is that companies will no longer be able to deduct the portion of the drug benefit paid for by the subsidy.

Since companies had created an asset based on the expectation they would be getting these deductions over the lives of their current and future retirees, they say they need to take a charge reflecting the fall in the asset's value.

Accounting rules say the charges, which affect what are called "deferred tax assets," must be taken in the quarter in which a tax-law change is enacted. The first quarter ends Wednesday. Companies wouldn't have to announce the charges before they actually report their first-quarter earnings over the next several weeks. However, if they viewed the charges as material, they might feel they needed to inform shareholders immediately.

The one-time charges, running into the hundreds of millions of dollars, could add to the ongoing debate about the health overhaul's impact, even though the charges are noncash.

Mr. Zion of Credit Suisse estimated in a report this week that companies in the S&P 500 index will rack up a combined $4.5 billion charge due to the change in the value of the tax asset.

—Roger Cheng contributed to this article.

Write to David Reilly at david.reilly@wsj.com, Ellen E. Schultz at ellen.schultz@wsj.com and Ron Winslow at ron.winslow@wsj.com

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The Doctors of the House

March 22, 2010

A landmark of liberal governance whose price will be very steep.

House Democrats last night passed President Obama's federal takeover of the U.S. health-care system, and the ticker tape media parade is already underway. So this hour of liberal political victory is a good time to adapt the "Pottery Barn" rule that Colin Powell once invoked on Iraq: You break it, you own it.

This week's votes don't end our health-care debates. By making medical care a subsidiary of Washington, they guarantee such debates will never end. And by ramming the vote through Congress on a narrow partisan majority, and against so much popular opposition, Democrats have taken responsibility for what comes next—to insurance premiums, government spending, doctor shortages and the quality of care. They are now the rulers of American medicine.

Mr. Obama and the Democrats have sold this takeover by promising that multiple benefits will follow: huge new subsidies for the middle class; lower insurance premiums for consumers, especially those in the individual market; vast reductions in the federal budget deficit and in overall health-care spending; a more competitive U.S. economy as business health-care costs decline; no reductions in Medicare benefits; and above all, in Mr. Obama's words, that "if you like your health-care plan, you keep your health-care plan."

We think all of this except the subsidies will turn out to be illusory, as most of the American public seems intuitively to understand. As recently as Friday, Caterpillar Inc. announced that ObamaCare will increase its health-care costs by $100 million in the first year alone, due to a stray provision about the tax treatment of retiree benefits. This will not be the only such unhappy surprise.

While the subsidies don't start until 2014, many of the new taxes and insurance mandates will take effect within six months. The first result will be turmoil in the insurance industry, as small insurers in particular find it impossible to make money under the new rules. A wave of consolidation is likely, and so are higher premiums as insurers absorb the cost of new benefits and the mandate to take all comers.

Liberals will try to blame insurers once again, but the public shouldn't be fooled. WellPoint, Aetna and the rest are from now on going to be public utilities, essentially creatures of Congress and the Health and Human Services Department. When prices rise and quality and choice suffer, the fault will lie with ObamaCare.

While liberal Democrats are fulfilling their dream of a cradle-to-grave entitlement, their swing-district colleagues will pay the electoral price. Those on the fence fell in line out of party loyalty or in response to some bribe, and to show the party could govern. But even then Speaker Nancy Pelosi could only get 85% of her caucus and had to make promises that are sure to prove ephemeral.

Most prominently, she won over Michigan's Bart Stupak and other anti-abortion Democrats with an executive order from Mr. Obama that will supposedly prevent public funds from subsidizing abortions. The wording of the order seems to do nothing more than the language of the Senate bill that Mr. Stupak had previously said he couldn't support, and of course such an order can be revoked whenever it is politically convenient to do so.

We have never understood why pro-lifers consider abortion funding more morally significant than the rationing of care for cancer patients or at the end of life that will inevitably result from this bill. But in any case Democratic pro-lifers sold themselves for a song, as they usually do.

Then there are the self-styled "deficit hawks" like Jim Cooper of Tennessee. These alleged scourges of government debt faced the most important fiscal vote of their careers and chose to endorse a new multitrillion-dollar entitlement. They did so knowing that the White House has already promised to restore some $250 billion in reimbursement cuts for doctors that were included in yesterday's bill to make the deficit numbers look good. Watch for these Democrats to pivot immediately and again demand "tough choices" on spending—and especially tax increases—but this vote has squandered whatever credibility they had left.

Mrs. Pelosi did at least abandon, albeit under pressure, the "deem and pass" strategy that would have passed the legislation without a vote on the actual Senate language. We and many others criticized that ruse early last week, and the House decision to drop it exposes the likes of Norman Ornstein of the American Enterprise Institute and other analysts who are always willing to defend the indefensible when Democrats are doing it.

All of this means the Senate's Christmas Eve bill is ready for Mr. Obama's signature, though only because rank-and-file House Members also passed a bill of amendments that will now go back to the Senate under "reconciliation" rules that require only 50 votes. Those amendments almost certainly contravene the plain rules of reconciliation, and the goal for Senate Republicans should be to defeat this second "fix-it" bill. It's notable that Democrats didn't show yesterday for a meeting with the Senate parliamentarian to consider GOP challenges, no doubt because they fear some of them might be upheld.

Though it's hard to believe, the original Senate bill is marginally less harmful than the "fixed" version, not least because the middle-class insurance subsidies are less costly and it would avert the giant new payroll tax. That's the White House increase in the Medicare portion of the payroll tax to 3.8% that Democrats cooked up at the last minute and would apply to the investment income of taxpayers making more than $200,000.

If the reconciliation bill goes down, Big Labor and its Democratic clients would be forced to swallow a larger excise tax on high-cost insurance plans, and it would also forestall the private student-loan takeover that Democrats included as a sweetener. In other words, they'd be forced to eat the sausage they themselves made as they have abused Congressional procedure to push ObamaCare into law.

We also can't mark this day without noting that it couldn't have happened without the complicity of America's biggest health-care lobbies, including Big Pharma, the American Medical Association, the American Hospital Association, the Federation of American Hospitals, the Business Roundtable and such individual companies as Wal-Mart. They hope to get more customers, or to reduce their own costs, but in the end they have merely made themselves more vulnerable to the gilded clutches of the political class.

While the passage of ObamaCare marks a liberal triumph, its impact will play out over many years. We fought this bill so vigorously because we have studied government health care in other countries, and the results include much higher taxes, slower economic growth and worse medical care. As for the politics, the first verdict arrives in November.

 

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Social Security, Medicare, USPS, Education, HUD, Fannie, SEC, Freddie, TSA, Federal Reserve Bank, HUD. 

Examples of inefficiency, ineffectiveness, with some on a path to insolvency. 

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The Obama team’s favorite slices of fiscal baloney

The ongoing recession has raised a troubling question for otherwise resurgent Keynesian economists: How can the American economy keep getting worse under the intensive care of an interventionist economic team almost universally praised for its brilliance? The answer may be that the Obama administration is dealing with a fictional economy, one that bears little resemblance to the economy the rest of us inhabit. And when the difference between fact and fiction becomes too apparent, they just make stuff up. Herewith, five big lies the administration loves to tell and the mainstream media (with some notable exceptions) love to repeat:

1. Bold government action staved off a Depression, saving or creating 1.5 million jobs.

“Just remember,” Treasury Secretary Tim Geithner said on November 1, 2009, “a year ago today, last year, you had markets around the world come to a stop. Economic activity just stopped, came to a standstill, like flipping a switch.”

Geithner implies that the American business climate improved substantially in the first year of the Obama administration. In fact, nearly every indicator, from employment to freight transport to rents to retail sales to real estate, has headed steadily south. In some cases, such as unemployment, the numbers have been far worse than the Obama economic team’s worst-case projections. In others, such as real estate, the weakness of the market is masked by expensive government support, including but not limited to the unkillable First-Time Homebuyer Credit, an assault on loan underwriting standards (see Lie No. 2) by the Federal Housing Authority and the government-run mortgage giants Fannie Mae and Freddie Mac, and the completely opaque $75 billion Home Affordable Modification Program (HAMP).

The $787 billion in stimulus spending authorized by the American Recovery and Reinvestment Act of 2009 is now best known for its inflated and unsupportable job creation numbers. At press time, Council of Economic Advisers Chairwoman Christina D. Romer (who, confusingly, made her academic reputation proving that fiscal stimulus did not help the U.S. economy during the Great Depression and World War II) was giving the stimulus credit for 1.5 million American jobs in 2009. All efforts at checking her claims, however, have turned up very different numbers. The Associated Press, the Boston Globe, the L.A. Weekly, and local papers around the country have failed to find actual jobs to match up with those being reported at Recovery.gov. The administration’s only concession to this reality has been rhetorical: After claiming that hundreds of thousands of jobs had been “created” early in 2009, the Council of Economic Advisers turned to the phrase “saved or created” by mid-year. In December the Obama administration again changed its measure to jobs “funded” by the stimulus.

Of all the government interventions since the start of the real estate decline, only one—the rescue effort for too-big-to-fail Wall Street players, which predates Obama—has had a measurable effect. The Troubled Asset Relief Program, the Federal Reserve’s promiscuous use of discount windows and dollar-destroying low interest rates, and the Treasury Department’s open wallet for incompetent financial institutions have cumulatively ensured the survival of the biggest, failiest financial institutions, including such devourers of the commonweal as Citigroup, which managed to lose $7.6 billion in the fourth quarter of 2009 despite an infusion of tens of billions of taxpayer dollars over the year. 

2. “No one wants banks making the kinds of risky loans that got us into this situation in the first place.”

President Obama made this claim following a December meeting with big bank officials, then contradicted himself by urging bankers to take “third and fourth” looks at rejected business loan applications. But the administration has been even more enthusiastic about encouraging another type of credit: the precise risky loans that got us into this situation in the first place. 

Mortgage lending standards have declined, and the amount of risky debt taxpayers are underwriting has rapidly increased, under Obama’s guidance. A 2009 audit found that the Federal Housing Authority (FHA) was failing to vet lenders, ignoring missing borrower documentation, and declining to consider negative information prior to guaranteeing loans. More important, the FHA still guarantees mortgages with a minimum down payment of only 3.5 percent, despite abundant evidence that a borrower with low equity is more likely to default than any other type of borrower. (See Lie No. 3.) Defaults on government-approved loans continue to rise, as do redefaults on mortgages refinanced under HAMP.

Undaunted, the administration wants to give unpromising borrowers greater access to debt. At press time, the Treasury Department was considering allowing borrowers to get HAMP modifications by using only pay stubs, rather than tax records, to prove their financial status.

3. The economic crisis is a “subprime crisis.” 

“We believe the effect of the troubles in the subprime sector on the broader housing market will be limited,” Federal Reserve Chairman Ben Bernanke said in May 2007, “and we do not expect significant spillovers from the subprime market to the rest of the economy or to the financial system.”

To understand how Bernanke could be so wrong on something so important (see Lie No. 4), note that the real estate bust was not a problem with self-identified “subprime” loans (mortgages that are made to borrowers with bad credit and not backed by Fannie Mae and Freddie Mac). In fact, the rapid expansion in subprime lending was a late phenomenon that occurred in the last 18 months of a decade-long real estate bubble. Subprime defaults are actually slightly below their worst-ever historic records, and the explosion of subprime defaults that began in 2005 was accompanied or slightly preceded by a statistically equal explosion in prime defaults. 

How is this possible? The period going back to the mid-1990s has seen a massive increase in mortgages that look prime (and are backed by Fannie and Freddie) but in fact feature dangerously low down payments, tricky interest-only and adjustable rate mechanisms, and other inadvisable debt schemes. Late in 2008, Fannie Mae admitted in a footnote that its portfolio had for years been stuffed with alt-A, negative amortization loans, and other junk debt.

Statistically speaking, the only reliable gauge of default probability is how much equity the borrower has as a share of debt. Fannie, Freddie, the Department of Housing and Urban Development, the Federal Housing Administration, and all other federal real estate concerns have been working since the 1990s to increase the loan-to-value ratio of mortgages. They have succeeded: Americans now own a smaller percentage of their homes than at any other time in history.

4. Ben Bernanke is a heroic leader.

“The man next to me, Ben Bernanke, has led the Fed through one of the worst financial crises that this nation and the world has ever faced,” Obama said when nominating Bernanke for a second term as Fed chairman. “As an expert on the causes of the Great Depression, I’m sure Ben never imagined that he would be part of a team responsible for preventing another. But because of his background, his temperament, his courage, and his creativity, that’s exactly what he has helped to achieve.” 

Seconding that emotion, Time anointed Bernanke its 2009 Person of the Year, swooning over the Fed chairman’s cranial power, his “tired eyes,” and such bold action as lowering interest rates to zero and paying banks to keep deposits in the Fed’s vaults—none of which has translated into noticeable economic health during the last two years. (See Lie No. 5.) “He wishes Americans understood that he helped save the irresponsible giants of Wall Street only to protect ordinary folks on Main Street,” Time wrote. 

Alas, no sooner had the year turned than Bernanke’s reality distortion field began to fail. His reappointment, though inevitable, turned out to be a bigger challenge than expected, with a left-right Senate coalition rising up to make hay out of Bernanke’s abundantly documented record of wrong bets and absurd predictions. Had Bernanke limited himself to defending fictions about his own career, he might have stayed out of trouble. Yet he continues to maintain, in one of many examples, that former Fed Chairman Alan Greenspan’s artificially low interest rates in the early part of Decade Zero did not contribute to the real estate bubble. The hapless banking chief’s performance may have been summed up best by the financial blogger Mish Shedlock: “Bernanke did not get a single thing right.”

5. The worst is behind us.

“Here is what I know,” Larry Summers, Obama’s top economic adviser, told ABC in December. “We were talking about Depression; we were talking about the financial system collapsing. Today, everybody agrees that the recession is over, and the question is what the pace of the expansion is going to be.” 

Shortly after Summers made that comment, third-quarter GDP numbers were revised downward substantially. (They have traveled from 3.5 percent to 2.8 percent to 2.2 percent so far.) Former Fed Chairman Paul Volcker told Der Spiegel in December 2009, “You know, people get very technical about these things. We had a quarter of increased growth, but I don’t think we are out of the woods.” In January regional unemployment rates, which had shown some signs of improvement, began moving up again. The unwinding of consumer and homeowner credit continues. Christmas spending turned out to be only slightly higher (around 1 percent, according to MasterCard’s Spending-Pulse unit) in 2009 than in 2008—when, according to Summers and others, the United States was flirting with depression and financial collapse. The only good news: a return to GDP growth in the second half of 2009, based largely on inventory investment and nonresidential fixed investment, not a return to demand or underlying growth.

But the truly dire evidence is in real estate, the market that drove both the bubble and the bust. A record 7.6 percent of U.S. homeowners are at least 30 days late on payments, according to Equifax, and delinquencies continue to rise at an increasing pace. About 1.2 million loans out there are in limbo: The borrower is in serious default, but the bank has not started the foreclosure process. Another 1.5 million are in the early stages of the foreclosure process, but the banks haven’t yet taken possession of the homes. By a conservative estimate, there may be 3 million to 4 million foreclosed homes coming onto the market in the next few years. This is the inevitable, and salubrious, reaction to many years of real estate inflation, and it will continue to happen no matter how hard the government pretends it can control economic outcomes. See Lie No. 1.

Contributing Editor Tim Cavanaugh (bigtimcavanaugh@gmail.com) writes from Los Angeles.

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