Weighing the Good and the Bad in the Spending-Caps Deal

Republicans dislike “increased domestic spending” in general, but once you see the specifics, you understand why Republican leaders signed off on it: $80 billion in disaster relief funding, $6 billion toward opioid and mental health treatment, $4 billion to the Veterans Administration to rebuild and improve veterans hospitals and clinics, $2 billion toward research at the National Institutes of Health.

.. It was always a stretch to claim that Republicans had “basically repealed Obamacare” just by repealing the individual mandate. But getting rid of the individual mandate and the Medicare Independent Payment Advisory Board? Now we’re getting somewhere. The IPAB was created under Obamacare and given the duty to slow the growth of Medicare spending, but no board members were ever nominated. But as written under the law, IPAB would have enjoyed a lot of power over what Medicare was willing to pay for and how much, with little opportunity for Congress to overrule their decisions. This deal gets rid of IPAB for good.

.. An abusive person will often become a lot calmer when confronted with an authority figure they cannot abuse, such as a cop at the door. Abusive people can usually recognize the difference between the consequences of hitting a partner or spouse in public — where someone may see and confront them or call the cops — and doing so in private, and thus they keep those impulses in check in public. This is, in fact, one of the traits that can emotionally and psychologically trap the victim; the victim finds herself baffled and wondering, “he’s so nice and normal sometimes, so what am I doing that’s setting him off?”

.. Abusive people are generally pretty good at measuring what they can get away with in a given circumstance. They want to indulge their impulses right up to the point where it generates a permanent consequence. For example, if the abuser picks up a knife and begins chasing his partner around the house pledging to stab the partner, the partner is almost always going to flee and end the relationship, and/or file a restraining order.

.. restraining orders usually only work on the kind of people who don’t require restraining orders.) A man who is violently angry on the first date is not going to get a second date.

.. The creepy guy who hangs around a playground and stares at the children is going to get reported and caught pretty quickly. The creepy guy who works his way into a position of trusted authority, and who manages to seem kind, caring, and all of those other good traits around other adults, can pursue prey at will for a long time, because accusations of abuse will seem so unthinkable to other adults.

.. Many people have a hard time rectifying the two, and we should have a bit of sympathy for the friends and co-workers experiencing that cognitive dissonance upon learning of a person’s private sins.