On Health Care, a Promise, Not a Threat

McConnell warns GOP senators they may end up having to work with the Democrats. They should.

The failure so far of Senate Republicans to agree on a health-care bill provides an opening. Whatever happens the next few days, moderates and centrists on both sides can and should rise, name themselves, and start storming through.
.. The party is undergoing a populist realignment, with party donors, think-tankers and ideologues seeing things more or less one way, and the Trump base, including many Democrats, seeing them another.
.. He has impulses and sentiments but is not, as the French used to say, a serious man.

.. Many Republican senators see that the American people are not in the mood for tax cuts to the comfortable and coverage limits on the distressed. Democratic senators, on the other hand, are increasingly aware that ObamaCare is not viable, and in some respects is on the verge of collapse.This gives both parties motives to join together and make things better.

.. Republicans believe they must repeal ObamaCare because they’ve long promised to do so. Keeping promises, especially in our untrusting political climate, is a good thing. But polling suggests America isn’t eager that promise be wholly kept

.. Republican Shelley Moore Capito of West Virginia said on Fox News Wednesday night: “I’m ready to roll up my sleeves and work with the Democrats.” Republican Ron Johnson of Wisconsin says it’s a ‘mistake’ to attempt a partisan fix. Democrat Joe Manchin, also of West Virginia, says he’s “ready” for a bipartisan effort. The New York Times reports senators from both parties met privately weeks ago to discuss core issues. Mr. Manchin was there along with Democrats Joe Donnelly of Indiana and Heidi Heitkamp of North Dakota. Among the Republicans were Sens. Capito and Collins, Bill Cassidy of Louisiana and Lindsey Graham of South Carolina.

.. Every president until Barack Obama knew this. He bullied through ObamaCare with no Republican support, and he did it devilishly, too, in that he created a bill so deal-laden, so intricate, so embedding-of-its-tentacles into the insurance and health systems, that it would be almost impossible to undo. He was maximalist.

.. Here is a thing that would help: a little humility from the Democrats, and a little humanity.

.. ObamaCare has big flaws—always did. It was an imperfect piece of legislation and it’s done some things my party said wouldn’t happen, such as lost coverage and hiked deductibles.

.. The Democratic Party made this mess. It’s on them to help dig out of it. If they show some humility, Republicans would look pretty poor in not responding with their own olive branch.

.. When it’s over, use whatever words you want: “We forced Democrats to admit the bill was flawed and dying.” “We forced Republicans to back down.”

WHY TRUMPCARE KEEPS FAILING

compromise bill, worked out over several weeks of negotiations between two Republicans: Mark Meadows, a North Carolinian and the head of the right-wing Freedom Caucus; and Tom MacArthur, a New Jerseyan who is co-chair of the Tuesday Group

.. The compromise negotiations laid bare the simple dynamics of health care among Republicans: every action to add votes on the right loses votes in the center.

.. Dent also opposes how the compromise bill would allow states to deregulate insurance markets to allow insurers to deny coverage to people with preëxisting medical conditions. The preëxisting-conditions provision was a core part of Obamacare, and it was one of the few provisions of the law that Trump and Republican leaders promised to retain.

.. And, if the bill were to change in the Senate, there’s a possibility that the Freedom Caucus will abandon the effort all over again.

.. in the Senate, where, among both Republicans and Democrats, the Freedom Caucus is held in low regard.

.. If Obamacare repeal officially dies, Dent said that Trump has one other option: “Start over, deal with health care from the center out, and work with some Democrats.”

 

Build a Better Monster

We’re all trying to understand why people can’t just get along. The emerging consensus in Silicon Valley is that polarization is a baffling phenomenon, but we can fight it with better fact-checking, with more empathy, and (at least in Facebook’s case) with advanced algorithms to try and guide conversations between opposing camps in a more productive direction.

A question few are asking is whether the tools of mass surveillance and social control we spent the last decade building could have had anything to do with the debacle of the 2017 election, or whether destroying local journalism and making national journalism so dependent on our platforms was, in retrospect, a good idea.

We built the commercial internet by mastering techniques of persuasion and surveillance that we’ve extended to billions of people, including essentially the entire population of the Western democracies. But admitting that this tool of social control might be conducive to authoritarianism is not something we’re ready to face. After all, we’re good people. We like freedom. How could we have built tools that subvert it?

.. The economic basis of the Internet is surveillance. Every interaction with a computing device leaves a data trail, and whole industries exist to consume this data.

.. It is the primary source of news for a sizable fraction of Americans, and through its feed algorithm (which determines who sees what) has an unparalleled degree of editorial control over what that news looks like.

.. Together, these companies control some 65% of the online ad market, which in 2015 was estimated at $60B. Of that, half went to Google and $8B to Facebook.

.. These companies exemplify the centralized, feudal Internet of 2017. While the protocols that comprise the Internet remain open and free, in practice a few large American companies dominate every aspect of online life. Google controls search and email, AWS controls cloud hosting, Apple and Google have a duopoly in mobile phone operating systems. Facebook is the one social network.

.. There are two interlocking motives for this data hunger: to target online advertising, and to train machine learning algorithms.

.. A considerable fraction (only Google and Facebook have the numbers) of the money sloshing around goes to scammers.

.. The more poorly current ads perform, the more room there is to tell convincing stories about future advertising technology, which of course will require new forms of surveillance.

.. The real profits from online advertising go to the companies running the casino—Facebook and Google.

.. we assumed that when machines reached near-human performance in tasks like image recognition, it would be thanks to fundamental breakthroughs into the nature of cognition. We would be able to lift the lid on the human mind and see all the little gears turning.

What’s happened instead is odd. We found a way to get terrific results by combining fairly simple math with enormous data sets. But this discovery did not advance our understanding. The mathematical techniques used in machine learning don’t have a complex, intelligible internal structure we can reason about. Like our brains, they are a wild, interconnected tangle.

.. The algorithms learn to show people the things they are most likely to ‘engage’ with—click, share, view, and react to. We make them very good at provoking these reactions from people.

.. If you concede that they work just as well for politics as for commerce, you’re inviting government oversight. If you claim they don’t work well at all, you’re telling advertisers they’re wasting their money.

Facebook and Google have tied themselves into pretzels over this. The idea that these mechanisms of persuasion could be politically useful, and especially that they might be more useful to one side than the other, violates cherished beliefs about the “apolitical” tech industry.

.. All the algorithms know is what they measure, which is the same for advertising as it is in politics: engagement, time on site, who shared what, who clicked what, and who is likely to come back for more.

The persuasion works, and it works the same way in politics as it does in commerce—by getting a rise out of people.

But political sales techniques that maximize “engagement” have troubling implications in a democracy.

.. One problem is that any system trying to maximize engagement will try to push users towards the fringes. You can prove this to yourself by opening YouTube in an incognito browser (so that you start with a blank slate), and clicking recommended links on any video with political content. When I tried this experiment last night, within five clicks I went from a news item about demonstrators clashing in Berkeley to a conspiracy site claiming Trump was planning WWIII with North Korea, and another exposing FEMA’s plans for genocide.

This pull to the fringes doesn’t happen if you click on a cute animal story. In that case, you just get more cute animals (an experiment I also recommend trying). But the algorithms have learned that users interested in politics respond more if they’re provoked more, so they provoke. Nobody programmed the behavior into the algorithm; it made a correct observation about human nature and acted on it.

Social dynamics on sites where people share links can compound this radicalizing force. The way to maximize engagement on Twitter, for example, is to say provocative things, or hoist an opponent’s tweets out of context in order to use them as a rhetorical bludgeon. Twitter rewards the captious.

.. So without explicitly coding for this behavior, we already have a dynamic where people are pulled to the extremes. Things get worse when third parties are allowed to use these algorithms to target a specific audience.

.. Political speech that tries to fly below the radar has always existed, but in the past it was possible to catch it and call it out. When no two people see the same thing, it becomes difficult to trace orchestrated attempts to target people in political campaigns. These techniques of micro-targeted political advertising were used to great effect in both the Brexit vote and the US election.

.. This is an inversion in political life that we haven’t seen before. Conversations between people that used to be private, or semi-private, now take place on public forums where they are archived forever. Meanwhile, the kind of political messaging that used to take place in public view is now visible only to an audience of one.

.. Politically engaged people spend more time online and click more ads. Alarmist and conspiracy-minded consumers also make good targets for certain kinds of advertising. Listen to talk radio or go to prepper websites and you will find pure hucksterism—supplements, gold coins, mutual funds—being pitched by the same people who deliver the apocalyptic theories.

Many of the sites peddling fake news during the election operated solely for profit, and field-tested articles on both sides of the political spectrum. This time around, they found the right to be more lucrative, so we got fake news targeted at Trump voters.

.. Apart from the obvious chilling effect on political expression when everything you say is permanently recorded, there is the chilling effect of your own peer group, and the lingering doubt that anything you say privately can ever truly stay private.

.. Orwell imagined a world in which the state could shamelessly rewrite the past. The Internet has taught us that people are happy to do this work themselves, provided they have their peer group with them, and a common enemy to unite against. They will happily construct alternative realities for themselves, and adjust them as necessary to fit the changing facts.

Finally, surveillance capitalism makes it harder to organize effective long-term dissent. In an setting where attention is convertible into money, social media will always reward drama, dissent, conflict, iconoclasm and strife. There will be no comparable rewards for cooperation, de-escalation, consensus-building, or compromise, qualities that are essential for the slow work of building a movement. People who should be looking past their differences will instead spend their time on purity tests and trying to outflank one another in a race to the fringes.

.. Moreover, powerful people have noted and benefited from the special power of social media in the political arena. They will not sit by and let programmers dismantle useful tools for influence and social control. It doesn’t matter that the tech industry considers itself apolitical and rationalist. Powerful people did not get to be that way by voluntarily ceding power.

.. Consider the example of the Women’s March. The March was organized on Facebook, and 3-4 million people attended. The list of those who RSVP’d is now stored on Facebook servers and will be until the end of time, or until Facebook goes bankrupt, or gets hacked, or bought by a hedge fund, or some rogue sysadmin decides that list needs to be made public.

.. We need the parts of these sites that are used heavily for organizing, like Google Groups or Facebook event pages, to become more ephemeral

.. These features are sometimes called ‘disappearing’, but there is nothing furtive about it. Rather, this is just getting our software to more faithfully reflect human life.

.. You don’t carry all your valuables and private documents when you travel. Similarly, social sites should offer a trip mode where the view of your account is limited to recent contacts and messages.

..  I’ve pushed for “Six Fixes” to the Internet. I’ll push for them again!

  1. The right to examine, download, and delete any data stored about you. A time horizon (weeks, not years) for how long companies are allowed to retain behavioral data (any data about yourself you didn’t explicitly provide).
  2. A prohibition on selling or transferring collections of behavioral data, whether outright, in an acquisition, or in bankruptcy.
  3. A ban on third-party advertising. Ad networks can still exist, but they can only serve ads targeted against page content, and they cannot retain information between ad requests.
  4. An off switch on Internet-connected devices, that physically cuts their access to the network. This switch should not prevent the device from functioning offline. You should be able to stop the malware on your refrigerator from posting racist rants on Twitter while still keeping your beer cold.
  5. A legal framework for offering certain privacy guarantees, with enforceable consequences. Think of this as a Creative Commons for privacy. If they can be sure data won’t be retained, users will be willing to experiment with many technologies that would pose too big a privacy risk in the current reality.

.. At a minimum, we need to break up Facebook so that its social features are divorced from the news feed.

.. But it cannot simultaneously be the platform for political organizing, political campaigns, and news delivery.

.. Shareholder pressure doesn’t work, because the large tech companies are structured to give founders absolute control no matter how many shares they own.

.. The one effective lever we have against tech companies is employee pressure. Software engineers are difficult to hire, expensive to train, and take a long time to replace. Small teams in critical roles (like operations or security) have the power to shut down a tech company if they act in concert.

.. Unfortunately, the enemy is complacency. Tech workers trust their founders, find labor organizing distasteful, and are happy to leave larger ethical questions to management. A workplace free of ‘politics’ is just one of the many perks the tech industry offers its pampered employees. So our one chance to enact meaningful change is slipping away.

Win, Lose, but No Compromise

a simple binary rule dominates their politics: “I am strong, why should I compromise? I am weak, how can I compromise?”

.. That is not always true in other walks of life. We just got that lesson at the Olympics. American runner Abbey D’Agostino clipped New Zealand’s Nikki Hamblin from behind in the women’s 5000-meter qualifying heat, sending both tumbling to the ground well short of the finish.

The Associated Press reported: “D’Agostino got up, but Hamblin was just lying there. She appeared to be crying. Instead of running in pursuit of the others, D’Agostino crouched down and put her hand on the New Zealander’s shoulder, then under her arms to help her up, and softly urged her not to quit.” They embraced at the finish.

.. There is no doubt that Republicans during the Obama presidency pioneered and perfected this scorched-earth politics and have now paid a price for it. They let themselves be led around by a group of no-compromise talk-radio gasbags, think-tank ideologues in the pay of one industry or another, Fox News know-nothings and an alt-right fringe, who, together, so poisoned the G.O.P. garden that an invasive species, Donald Trump, just took it over.

.. It will be a tragedy if center-right Republicans conclude that their only problem is Donald Trump, and that once he’s gone the G.O.P. will be theirs again. Their party is over.