Paul Ryan’s Missed Opportunities on Spending

while he was part of the leadership team that negotiated the mostly successful sequester in 2011 (really the only instance of a successful negotiation with President Obama), he disdained fights on smaller spending priorities.

.. Ryan never had the party’s broader support for tackling entitlements. Not only was he saddled with a president, in Donald Trump, who had campaigned against entitlement reform, but — forgotten now — his 2012 running mate, Mitt Romney, had savaged Rick Perry in 2012 for having written favorably about such reforms. Ryan himself had also voted for Medicare Part D back in 2003.

.. So, while Ryan was right on the merits about the biggest fiscal problem, he was never able to mount an effective campaign either legislatively or in the public arena to solve the problem.

.. As a more junior congressman he went along with a lot of bad spending ideas during the Bush years, and as a leader he never picked fights that could be translated into a tangible result to report home .. as opposed to more nebulous arguments about bending the overall rate of spending

.. The failure to zero out federal support for Planned Parenthood when the GOP controlled the House, then the House and Senate, and then even the House, Senate, and White House, was the most indefensible example of this.

In Praise of Incrementalism

What do Renaissance painting, civil-rights movements, and Olympic cycling have in common? In each case, huge breakthroughs came from taking tiny steps. In a world where everyone is looking for the next moonshot, we shouldn’t ignore the power of incrementalism.

.. Lessons from Gay Rights Activism

  1. Put your own interests first.  Don’t get distracted by other causes.
  2. Take the moral high ground.
  3. Have weekly meetings (in person)

Tillerson Balances Trump’s Goals With His Own

In interview, secretary of state reflects on his role in administration, warns China on trade and territory

 “Most of the things he would do would be done on very short time frames. Everything I spent my life doing was done on 10- to 20-year time frames, so I am quite comfortable thinking in those terms.”

His solution: “Delivering the incremental wins,” he said. “Incremental progress is taking you toward the ultimate objective, which is, as I say is eight, 10 years down the road.”’

.. Mr. Tillerson said one of his top long-term priorities is shifting the balance of the trade and national-security relationship with China

.. Mr. Tillerson warned China that the U.S. has an arsenal of economic weapons to force Beijing to address trade imbalances and a continuing territorial dispute in the South China Sea.

 .. “We can do this one of two ways,” Mr. Tillerson said during the interview, seeming at times to speak directly to his Chinese counterparts. “We can do it cooperatively and collaboratively, or we can do it by taking actions and letting you react to that.”

Tools he might apply include tariffs, World Trade Organization actions, quotas and other mechanisms, he said.

.. If I were a world leader—doesn’t matter who—I wouldn’t talk to Tillerson,” said Larry Wilkerson, who was chief of staff to former Secretary of State Colin Powell, citing the public divide between the two men. “The president must feel that this person can do the work for him…this is not the case here. It’s becoming antagonistic.”

.. Mr. Trump has also disparaged his top diplomat, complaining that Mr. Tillerson doesn’t understand his “Make America Great” philosophy and has few original thoughts. “Totally establishment in his thinking,” he has told aides.

.. “I believe you solve a problem in Afghanistan not by just dealing with Afghanistan,” he said. “You solve it by solving a regional problem, and that’s the way we’re looking at the Middle East.”

.. said he spends the bulk of his time concentrating on North Korea, Iran, counterterrorism, China and Russia.

 

Going Small on Health Care

The Democratic bill in 2010 delivered significantly to the party’s base; the Republican bill in 2017 delivers significantly only to the party’s donors.

.. In order to mitigate its unpopularity, Senate Republicans keep making their bill more like, well, Obamacare, which raises the question of why they’re attempting something so complex for such a modest end.

.. the smaller bill would repeal the individual mandate requiring the purchase of health insurance. It would replace it, as the Senate bill does, with a continuous-coverage requirement — a waiting period to purchase insurance if you go without it for more than two months.

.. Instead of wringing almost $800 billion out of Medicaid over 10 years, it would try to reduce the program’s spending by $250 billion — just enough for deficit neutrality.

.. That’s it. That’s the whole thing. Eliminate the hated mandate, keep the exchanges stable, cut a few health care taxes, and pull Medicaid spending downward. Pass the package, declare victory, and pivot to tax reform.

.. Republicans could campaign in 2018 on the credible claim that they had maintained Obamacare’s coverage for most people who wanted it, while reducing its burdens on those who don’t.

.. the Republican Party is too divided on health care, too incompetently “led” by its president, and too confused about the details of health policy to do something that’s big and sweeping and also smart and decent and defensible.