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.

The Coming War on Business

In a series of essays for conservative magazines like Chronicles, Francis hammered home three key insights.

The first was that globalization was screwing Middle America. The Cold War had just ended, capitalism seemed triumphant and the Clinton years seemed to be an era of broad prosperity. But Francis stressed that the service economy was ruining small farms and taking jobs from the working class.

  1. His second insight was that the Republican and conservative establishment did not understand what was happening. He railed against the pro-business “Economic Men” who thought G.D.P. growth could solve the nation’s problems, and the Washington Republicans, who he thought were infected with the values of the educated elites.
  2. Francis told Buchanan. “Go to New Hampshire and call yourself a patriot, a nationalist, an America Firster, but don’t even use the word ‘conservative.’ It doesn’t mean anything anymore.”
  3. .. His third insight was that politics was no longer about left versus right. Instead, a series of smaller conflicts — religious versus secular, nationalist versus globalist, white versus nonwhite — were all merging into a larger polarity, ruling class versus Middle America.

“Middle American groups are more and more coming to perceive their exploitation at the hands of the dominant elites. The exploitation works on several fronts —

  • economically, by hypertaxation and the design of a globalized economy dependent on exports and services in place of manufacturing;
  • culturally, by the managed destruction of Middle American norms and institutions; and
  • politically, by the regimentation of Middle Americans under the federal leviathan.”

appalled by pro-corporate Republican economic policies on the one hand and liberal cultural radicalism on the other. They swung to whichever party seemed most likely to resist the ruling class, but neither party really provided a solution.

The Buchanan campaign was the first run at what we now know as Trumpian populism.

.. “The ‘culture war’ for Buchanan is not Republican swaggering about family values and dirty movies but a battle over whether the nation itself can continue to exist under the onslaught of the militant secularism, acquisitive egoism, economic and political globalism, demographic inundation, and unchecked state centralism supported by the ruling class.”

.. Francis was a racist. His friends and allies counseled him not to express his racist views openly

.. in 1994 Francis told a conference, “The civilization that we as whites created in Europe and America could not have developed apart from the genetic endowments of the creating people, nor is there any reason to believe that the civilization can be successfully transmitted to a different people.

.. When you look at today’s world through the prism of Francis’ work, a few things seem clear: Trump is not a one-time phenomenon; the populist tide has been rising for years. His base sticks with him through scandal because it’s not just about him; it’s a movement defined against the so-called ruling class.

.. Trump may not be the culmination, but merely a way station toward an even purer populism.

.. Trump is nominally pro-business. The next populism will probably take his ethnic nationalism and add an anti-corporate, anti-tech layer. Google, Facebook, Amazon and Apple stand for everything Francis hated — economically, culturally, demographically and nationalistically.

.. As the tech behemoths intrude more deeply into daily life and our very minds, they will become a defining issue in American politics. It wouldn’t surprise me if a new demagogue emerged, one that is even more pure Francis.

‘Trump Is What Happens When a Political Party Abandons Ideas’

As surprising as Trump’s young presidency has been, it’s also the natural outgrowth of 30 years of Republican pandering to the lowest common denominator in American politics.

Republicans took control of Congress in 1994 after nationalizing the election into broad themes and catchphrases. Newt Gingrich, the marshal of these efforts, even released a list of words Republican candidates should use to glorify themselves (common sense, prosperity, empower) and hammer their opponents (liberal, pathetic, traitors); soon, every Republican in Congress spoke the same language, using words carefully run through focus groups by Republican pollster Frank Luntz. Budgets for House committees were cut, bleeding away policy experts, and GOP committee chairs were selected based on loyalty to the party and how much money they could raise.

.. Gone were the days when members were incentivized to speak with nuance, or hone a policy expertise (especially as committee chairs could now serve for only six years).

.. President George W. Bush didn’t realize he was supposed to just be a passive bill-signing machine; he kept insisting that Republicans enact his priorities, which, often, were not very conservative—No Child Left Behind Act, steel tariffs, a tax cut with few supply-side elements. His worst transgression, for me, was the budget-busting Medicare Part D legislation, which massively expanded the welfare state and the national debt, yet was enthusiastically supported by a great many House conservatives, including Congressman Paul Ryan, who had claimed to hold office for the purpose of abolishing entitlement programs.

.. In the 14 years since then, I have watched from the sidelines as Republican policy analysis and research have virtually disappeared altogether, replaced with sound bites and talking points.

.. The Heritage Foundation morphed into Heritage Action for America, ceasing to do any real research and losing all its best policy experts as it transformed from an august center whose focus was the study and development of public policy into one devoted mainly to amplifying political campaign slogans.

.. Talk radio and Fox News, where no idea too complicated for a mind with a sixth-grade education is ever heard, became the tail wagging the conservative dog.

.. Reagan, who granted amnesty to undocumentedimmigrants in 1986

.. no workable concept that adhered to the many promises Republicans had made, like coverage for pre-existing conditions and the assurance that nobody would lose their coverage.

.. their intellectual infrastructure is badly damaged, in need of repair

.. what conservative intellectuals really need for a full-blown revival is a crushing Republican defeat—Goldwater plus Watergate rolled into one. A defeat so massive there can be no doubt about the message it sends that

.. Some conservative thinkers, such as the Washington Post’s Jennifer Rubin, speculate that Mitt Romney may emerge as the leader of a sane, modern, technocratic wing of an intellectually revitalized GOP

Israel to American Jews: You Just Don’t Matter

To the casual observer, Israel has never looked more secure and prosperous. Its Arab neighbors are in disarray. Iran’s nuclear program has been mothballed for a while. The Trump team could not be friendlier and the Palestinians could not be weaker. All’s quiet on the Tel Aviv front. …

Look again. In fact, the foundations of Israel’s long-term national security are cracking.

.. Israel is overstretching itself by simultaneously erasing the line between itself and the Palestinians — essentially absorbing 2.5 million Palestinians, which could turn Israel into a de facto Jewish-Arab binational state — and drawing a line between itself and the Jewish diaspora, particularly the U.S. Jewish community

.. Netanyahu is setting himself up to be a pivotal figure in Jewish history — the leader who burned the bridges to a two-state solution and to the Jewish diaspora at the same time.

.. I won’t waste much time on Bibi’s deft manipulation of President Trump to shift all the blame onto the Palestinian Authority leader Mahmoud Abbas for the absence of progress in the peace process. Bibi masterfully distracted Trump with a shiny object — a video of extreme statements by Abbas (with no mention of extremist actions by Israeli settlers).

“Bibi, you win every debate, but meanwhile every day the separation of Israel from the Palestinians grows less likely, putting Israel on a ‘slippery slope toward apartheid,’ as former Israeli Prime Minister Ehud Barak recently warned. Where is your map? What are you going to do with 420,000 Jewish settlers in the West Bank? Where is your imagination for how to reverse this trend that will inevitably lead to the end of Israel as a Jewish democratic state?”

.. About 75 percent of the 10 million diaspora Jews are non-Orthodox, mostly followers of the Reform and Conservative streams of Judaism.

.. Netanyahu bowed to the demands of the Orthodox parties and canceled a 2016 agreement to create a distinct egalitarian prayer space adjacent to the Western Wall of the ancient Jewish temple in Jerusalem — the holiest site of the Jewish faith — where men and women of the non-Orthodox movements could pray together. The Orthodox rabbis who control the Western Wall insist that men pray in one area and women in a separate, smaller area.

.. At the same time, Bibi caved and endorsed an Orthodox party bill in the Knesset that handed the ultra-Orthodox what amounts to a monopoly over conversions to Judaism in Israel “by pulling government recognition for private conversions” — basically those done by non-Orthodox rabbis

.. The Jewish Telegraphic Agency pointed out that Israel’s Orthodox parties and Chief Rabbinate essentially control “all Jewish marriage in Israel, and immigrants who wish to wed there must first prove they are Jewish according to Orthodox law. … The Chief Rabbinate’s antipathy to Reform and Conservative rabbis is well documented.”

.. Netanyahu “just gave the finger to a huge chunk of American Jews

.. After an outcry led by the American pro-Israel lobby Aipac, Bibi negotiated a six-month freeze on putting the conversion legislation in effect. But it is a time bomb.

.. “Does Israel view itself as the nation-state of Israelis or as the nation-state of the entire Jewish people — nearly 60 percent of whom live outside of Israel? Is the purpose of Israel to serve the continuing resilience, prosperity and existence of the Jewish people, as the founders of Zionism envisioned, or just its own well-being?

..Former Israeli ambassador to the U.S. Michael Oren  .. the machinations of Bibi and the Orthodox parties constituted an “abandonment of Zionism. The [Western Wall] belongs to the Jewish people as a whole.”

.. “For years the diaspora’s rabbis were not recognized by Israel’s government, but their political support was sought and their congregants’ money was requested. Israeli politicians who voted against the diaspora’s interests in the Israeli Parliament begged for the stage at the Aipac convention in Washington

.. Israelis have long taken for granted the fact that America — the world’s greatest superpower —

  • is a steadfast supporter of Israel in the U.N.,
  • looks the other way on settlements,
  • secures Israel’s technological edge over its enemies through defense systems like the Iron Dome, and
  • just promised Israel $38 billion in security aid over 10 years.

.. Most Israelis, said Grinstein, “are ignorant of the fact that this astonishing reality is the outcome of tireless work by hundreds of thousands of Jews — Democrats and Republicans, most of them non-Orthodox

.. Today, Israel’s very identity is at a crossroad:

  • Runaway Jewish nationalism threatens to meld Israel with the Palestinians in the West Bank, while
  • runaway Orthodox politics threatens to disconnect Israel from its most committed supporters.