The Health Care Cul-de-Sac

What are the biggest threats to the American Dream right now, to our unity and prosperity, our happiness and civic health?

First, an economic stagnation that we are only just now, eight years into an economic recovery, beginning to escape — a stagnation that has left median incomes roughly flat for almost a generation, encouraged populism on the left and right, and made every kind of polarization that much worse.

First, an economic stagnation that we are only just now, eight years into an economic recovery, beginning to escape — a stagnation that has left median incomes roughly flat for almost a generation, encouraged populism on the left and right, and made every kind of polarization that much worse.

.. And if the Democrats, having blown up the insurance system once to implement Obamacare, really rallied around a Bernie Sanders-style proposal to do it all over again but on a bigger scale? Then not only would 2020 be a health care election, but if the Democrat won, the next two years would be consumed by outlandish single-payer expectations.

Where would that leave our two big problems, stagnation and the social crisis?

.. But when your main challenges involve men who aren’t working, wages that aren’t rising, families that aren’t forming and communities that are collapsing, constantly overhauling health insurance is at best an indirect response, at worst a non sequitur.

.. Democrats, meanwhile, could let single-payer dreams wait (or just die) and think instead about spending that supports work and family directly. They could look at proposals for a larger earned-income tax credit, a family allowance, and let the “job guarantee” and “guaranteed basic income”factions fight things out. If they want to go big in 2020, they could run on wage subsidies and public works, not another disruptive health care vision.

.. The country has bigger problems than its insurance system. It’s time for both parties to act like it.

Is Socially Responsible Capitalism Losing?

When companies prize investors above all, they’ll do anything to increase their stock price, and that’s not good for workers.

.. a Citigroup analyst named Kevin Crissey wrote in a note that was sent to the bank’s clients. “Labor is being paid first again. Shareholders get leftovers.” Jamie Baker, of JPMorgan, also chimed in: “We are troubled by AAL’s wealth transfer of nearly $1 billion to its labor groups.”

.. the company and agreed to cut its driver stock awards because they couldn’t find new investors to finance its growth.

.. “The interesting thing is always to ask them, ‘What’s the value proposition for employees? Why should these people work only for the interest of the shareholders? How are you going to get people to work hard?’ ” He went on, “I don’t think they have an answer.”

.. “If you are a millionaire and all around you is poor, you have no safety,” Sarder, who comes from Bangladesh, said. “Happiness is there when everyone has happiness.”

Would You Be Happier With a Different Personality?

Psychologists suggest there’s a sweet spot between accepting who you are and striving for who you want to be.

increases in extraversion, conscientiousness, and agreeableness were all associated with increased life satisfaction, whereas increases in neuroticism were associated with decreased life satisfaction.

.. a growing body of literature suggesting that personality changes are related to changes in life satisfaction, and that personality change can even be a better predictor of life satisfaction than many of the external variables that are normally considered in economic models of happiness.

.. people who are more positive, assertive, hard-working, calm, kind, and creative behave in ways that help promote their own happiness.

.. He argues that people should focus on developing their deepest goals, values, interests, and personal projects. These are the things that research shows give life the greatest meaning, and form a more central part of identity than lower-level cognition and perceptions.

The Price of Glee in China

This is Easterlin’s Paradox, the observation that a country in general does not get happier as it becomes richer. This is very controversial, with statisticians analyzing and reanalyzing data and crunching it a bunch of different ways. In the latest volley in this eternal war, Easterlin’s side came out with data from 37 countries over 30 years, including many countries that underwent spectacular growth during that time, and confirmed their original conclusion

.. Here we see a lot of cultural variation in this apparent happiness-income relationship. For example, Latin American countries are consistently poor but happy; Eastern European countries are usually richer but sadder than African countries, et cetera. Looking at the original graph above, you’d expect Chinese growth to make them much happier; looking at this graph, you notice that China’s three rich neighbors – Japan, Taiwan, and South Korea – are all about as happy as China. South Korea, despite making five times more money, is less happy than China is. If China’s income quintuples, why would you expect it to look like France or Ireland rather than South Korea?

.. A UN report theorizes that although richer countries tend to be happier, this is more likely due to factors other than income, like freedom, social trust, and stable families.

.. Let’s assume for a second that all this is true. National income does not matter for national happiness, and if China’s growth continues to skyrocket then in twenty years it will be as rich as Japan but not an iota happier than it is today. What do wedo with this kind of knowledge?

..  Or let me ask a more specific question. Suppose that some free trade pact will increase US unemployment by 1%, but also accelerate the development of some undeveloped foreign country like India into hyper-speed. In twenty years, India’s GDP per capita will go from $1,500/year to $10,000/year. The only cost will be a million or so extra unemployed Americans, plus all that coal that the newly vibrant India is burning probably won’t be very good for the fight against global warming.