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Krugman slams the media for health care coverage

Paul Krugman has been tough on Barack Obama at times, but he’s behind him on health care. Today he mocks the media for focusing on everything but the actual policy issues.

The talking heads on cable TV panned President Obama’s Wednesday press conference. You see, he didn’t offer a lot of folksy anecdotes.

Shame on them. The health care system is in crisis. The fate of America’s middle class hangs in the balance. And there on our TVs was a president with an impressive command of the issues, who truly understands the stakes.

Mr. Obama was especially good when he talked about controlling medical costs. And there’s a crucial lesson there — namely, that when it comes to reforming health care, compassion and cost-effectiveness go hand in hand.

Of course, the policy issues are too boring for our brain-dead media when compared to all the drama surrounding the process.

Krugman also focused on one of the most important policy developments over the past several days.

I don’t know how many people understand the significance of Mr. Obama’s proposal to give MedPAC, the expert advisory board to Medicare, real power. But it’s a major step toward reducing the useless spending — the proliferation of procedures with no medical benefits — that bloats American health care costs.

And both the Obama administration and Congressional Democrats have also been emphasizing the importance of “comparative effectiveness research” — seeing which medical procedures actually work.

So the Obama administration’s commitment to health care for all goes along with an unprecedented willingness to get serious about spending health care dollars wisely. And that’s part of a broader pattern.

Many health care experts believe that one main reason we spend far more on health than any other advanced nation, without better health outcomes, is the fee-for-service system in which hospitals and doctors are paid for procedures, not results. As the president said Wednesday, this creates an incentive for health providers to do more tests, more operations, and so on, whether or not these procedures actually help patients.

MedPAC was originally created by Republicans to look for ways to cut costs in Medicare and Medicaid, so you would think they would be openly in favor of this development of giving this panel real power, but most Republicans are too busy trying to kill the reform effort.

CNN smacks down Lou Dobbs on Birther silliness

At least someone at CNN has some journalistic integrity left. Next, they need to get rid of Dobbs.

CNN President Jon Klein wrote an email last night to “Lou Dobbs Tonight” staffers telling them the Obama birth certificate story is “dead,” TVNewser reports.

“It seems this story is dead,” Klein wrote, “because anyone who still is not convinced doesn’t really have a legitimate beef.”

CNN focused on the additional information that all Hawaii records are now electronic, so they don’t produce paper copies of “original” birth certificates.

Will this end the story? Don’t bet on it. The level of hatred on the right for Obama is reaching a fever pitch.

UPDATE: A civil rights organization is demanding that CNN remove Lou Dobbs from the air.

Birther mania

Since Barack Obama announced his candidacy for President, we’ve seen the lunatic fringe on the right push the limits of idiocy. Since his election, the levels of insanity on the right have grown exponentially.

The “birther” movement has set a new standard, even by the standards of the loony right wing. They make the teabaggers looks like sober economic scholars.

Naturally, Jon Stewart, the most trusted newsman in America following the death of Cronkite, has a field day with this one.

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Pay particular attention to his smackdown of Lou Dobbs, who brings up “questions” surrounding Obama’s place of birth several days after a guest host ON HIS OWN SHOW completely debunks the asinine story. Further proof that Lou Dobbs is a complete buffoon. Why is this clown still on CNN?

Senate votes to kill the F-22

I’ve been following the Obama administration’s attempts to reform the defense procurement process and cut unnecessary military spending, so I was happy to see the Senate side with the President and kill the F-22 fighter program. Fred Kaplan explains why this is so important.

This is a big deal: The Senate today voted to halt production of the F-22 stealth fighter plane, and it did so 58-40, a margin much wider than expected.

Not only is this a major victory for Secretary of Defense Robert Gates, who lobbied strenuously (something he rarely does) to kill this program, and for President Barack Obama, who pledged to veto the defense bill if it contained a nickel for more F-22s. The vote might also mark the beginning of a new phase in defense politics, a scaling-back of the influence that defense contractors have over budgets and policies.

Then again, I might be dreaming. Surely things couldn’t be changing quite that much. Could they?

Kaplan explains how rare this is for Congress to kill a weapons program at the request of the White House. Hopefully a new level of seriousness will prevail on Capital Hill.

Of course, many Senators are still committed to old battles, and many Senators lined up behind the F-22 because of jobs in their districts. Defense contractors and their supporters at the Pentagon have known for years that the best way to preserve a program would be to sprinkle as many jobs around the country in as many districts as possible. As a result, many Democrats, including liberal Senators like Barbara Boxer, opposed the administration here and tried to keep the program going. On the other side, many Republicans who didn’t have a dog in this fight were willing to back the White House. Of course it helped that John McCain was a fierce advocate for killing the F-22.

One of the worst examples of putting politics over the national interest is Chris Dodd, who’s fighting for his political life as he faces a tough re-election campaign next year.

The floor debate was more transparently self-interested than usual. Dodd argued with intense passion that killing the F-22 would create a “dangerous gap” in America’s technical know-how. The next advanced fighter jet, the F-35, won’t enter production until 2014. The highly skilled workers who make F-22s can’t be expected to hang around four years; they’ll get different jobs, and they’ll be unavailable when the country needs them.

Levin took the floor to point out that production of F-35s actually starts next year and that the FY 2010 budget contains money to build 30 of them. In other words, Levin said, “There is no gap.” He wondered where Dodd got his information. Dodd replied that it came from the defense contractors. That’s where he probably got the whole speech, too.

We’re also seeing how important it was for Obama to keep Defense Secretary Robert Gates.

Gates has slashed or killed a bevy of outmoded, over-designed, or unnecessary weapons systems in this budget. One or both houses of Congress have gone along with almost all of his swipes. Part of the reason for this compliance is Gates himself, who is almost universally respected; he’s known to be a hawk (a centrist hawk, but a hawk all the same), and he’s worked for Republicans as well as Democrats. In fact, he is a Republican.

Maybe it takes a Republican defense secretary to usher in a new era of defense politics. Are we in fact on the verge of such an era? There are many reasons to be skeptical (the annals of history among them), but what happened today might be a harbinger of something genuinely new.

Signs of hope in the West Bank?

Given the recent turmoil in the region, I was a little shocked to read this article about progress in the West Bank.

The International Monetary Fund is about to issue its first upbeat report in years for the West Bank, forecasting a 7 percent growth rate for 2009. Car sales in 2008 were double those of 2007. Construction on the first new Palestinian town in decades, for 40,000, will begin early next year north of Ramallah. In Jenin, a seven-story store called Herbawi Home Furnishings has opened, containing the latest espresso machines. Two weeks ago, the Israeli military shut its obtrusive nine-year-old checkpoint at the entrance to this city, part of a series of reductions in security measures.

Whether all this can last and lead to the consolidation of political power for the Fatah-dominated Palestinian Authority based in Ramallah, as the Obama administration hopes, remains unclear. But a recent opinion poll in the West Bank and Gaza by the Jerusalem Media and Communications Center, a Palestinian news agency, found that Fatah was seen as far more trustworthy than Hamas — 35 percent versus 19 percent — a significant shift from the organization’s poll in January, when Hamas appeared to be at least as trustworthy.

A critical factor has been the strength of the Palestinian security forces.

An important element in making the Palestinian force effective, American and Israeli officials say, was taking young Palestinian men out of the ancestral grips of their villages and tribal clans and training them abroad, turning them into soldiers loyal to units and commanders.

There still remains much to do. Israel has eased some checkpoints and other restrictions, but Palestinians are still angry over the many controls imposed by the Israelis. That said, the improved situation in the West Bank is a very significant development that can increase pressure on Israel to move forward on the peace process.

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