Quotulatiousness

March 13, 2017

“It’s not really a debate over Obamacare, it’s a debate over Medicaid”

Filed under: Government, Health, Politics, USA — Tags: , , , — Nicholas @ 04:00

Robert Tracinski explains why the Republicans are having such a hard time with their oft-promised “repeal” of Obamacare:

House Republicans have released their proposed measure to “repeal and replace” Obamacare, and the whole enterprise is already losing steam right out of the gate. The measure is too small and incremental, less a repeal of Obamacare and more of a repair of it, keeping numerous basic features intact.

If you want to know why Republicans have bogged down, notice one peculiar thing about the Obamacare debate so far. It’s not really a debate over Obamacare, it’s a debate over Medicaid. That’s because Obamacare mostly turned out to be a big expansion of Medicaid. The health insurance exchanges that were supposed to provide affordable private health insurance (under a government aegis) never really delivered. They were launched in a state of chaos and incompetence, and ended up mostly offering plans that are expensive yet still have high deductibles. Rather than massively expanding the number of people with private insurance, a lot of the effect of Obamacare was to wreck people’s existing health care plans and push them into new exchange plans.

Ah, but what about all those people the Democrats are claiming were newly covered under Obamacare? A lot of them — up to two-thirds, by some estimates — are people who were made newly eligible for a government health-care entitlement, Medicaid. But shoving people onto Medicaid is not exactly a great achievement, since it is widely acknowledged to be a lousy program.

Conservative health care wonk Avik Roy explains why: “[T]he program’s dysfunctional 1965 design makes it impossible for states to manage their Medicaid budgets without ratcheting down what they pay doctors to care for Medicaid enrollees. That, in turn, has led many doctors to stop accepting Medicaid patients, such that Medicaid enrollees don’t get the care they need.” Partly as a result, a test in Oregon found no difference in health outcomes between those with access to Medicaid and those without.

“Intersectionality” as an Orwellian “smelly little orthodoxy”

Filed under: Politics — Tags: , , , , — Nicholas @ 03:00

Andrew Sullivan is still disturbed by the Middlebury College incident in Vermont, calling it “the latest in the assault on liberal democracy”:

But what grabbed me was the deeply disturbing 40-minute video of the event, posted on YouTube. It brings the incident to life in a way words cannot. At around the 19-minute mark, the students explained why they shut down the talk, and it helped clarify for me what exactly the meaning of “intersectionality” is.

“Intersectionality” is the latest academic craze sweeping the American academy. On the surface, it’s a recent neo-Marxist theory that argues that social oppression does not simply apply to single categories of identity — such as race, gender, sexual orientation, class, etc. — but to all of them in an interlocking system of hierarchy and power. At least, that’s my best attempt to define it briefly. But watching that video helps show how an otherwise challenging social theory can often operate in practice.

It is operating, in Orwell’s words, as a “smelly little orthodoxy,” and it manifests itself, it seems to me, almost as a religion. It posits a classic orthodoxy through which all of human experience is explained — and through which all speech must be filtered. Its version of original sin is the power of some identity groups over others. To overcome this sin, you need first to confess, i.e., “check your privilege,” and subsequently live your life and order your thoughts in a way that keeps this sin at bay. The sin goes so deep into your psyche, especially if you are white or male or straight, that a profound conversion is required.

Like the Puritanism once familiar in New England, intersectionality controls language and the very terms of discourse. It enforces manners. It has an idea of virtue — and is obsessed with upholding it. The saints are the most oppressed who nonetheless resist. The sinners are categorized in various ascending categories of demographic damnation, like something out of Dante. The only thing this religion lacks, of course, is salvation. Life is simply an interlocking drama of oppression and power and resistance, ending only in death. It’s Marx without the final total liberation.

It operates as a religion in one other critical dimension: If you happen to see the world in a different way, if you’re a liberal or libertarian or even, gasp, a conservative, if you believe that a university is a place where any idea, however loathsome, can be debated and refuted, you are not just wrong, you are immoral. If you think that arguments and ideas can have a life independent of “white supremacy,” you are complicit in evil. And you are not just complicit, your heresy is a direct threat to others, and therefore needs to be extinguished. You can’t reason with heresy. You have to ban it. It will contaminate others’ souls, and wound them irreparably.

French cleat storage system for hand tools

Filed under: Technology — Tags: , , — Nicholas @ 02:00

Published on 1 Mar 2013

A new method for storing my hand tools and allow me to get rid of my pegboard. I decided on using french cleats to hang screwdrivers, pliers and other items. It’s a really flexible system that lets you get creative customizing it.

QotD: The legacy of nineteenth century intellectualism

Filed under: Economics, History, Politics, Quotations — Tags: , , , — Nicholas @ 01:00

In the Nineteenth Century, intellectuals raised the argument that Western Civilization was wrong about all its major conclusions, from Christianity to Democracy to Capitalism, and that a rational system of scientific socialism should and would correct these errors and replace them.

This, over the next hundred years, was attempted, with the result that in a single generation the socialists and communists and national socialists of various stripes had killed more people and wrought more ruin than all world religions combined during all the previous generations of history.

Meanwhile, the visual arts were reduced to aberrant rubbish not merely ugly and untalented, but objectively indistinguishable from the work of schizophrenics; literature reduced to porn and tales of failure and decay; science was reduced from an honest and objective pursuit of truth to a whorish tool servicing political ends, particularly the ends of environmentalist hysterics, but creeping into other areas; universities degenerated from bastions of learning protected by traditions of academic freedom to the foremost partisans in favor of speech codes and political correctness; family life was and continues to be assaulted; abortion continues to carry out a slow and silent genocide of negro babies, girl babies, and other unwanted humanoids; law enforcement has been redirected from protecting the innocent because they are innocent to protecting the guilty because they are guilty; the Fair Deal and New Deal of the socialist philosophy at its height of intellectual respectability did nothing but prolong what should have been a ten month market correction into a Great Depression that lasted ten years; Welfare programs encouraged, exacerbated, and created a permanent and unelevatable underclass in America, ruining the very lives the programs were alleged to help; Affirmative Action has made race-hatred, accusations of racism, and race-baiting a permanent part of American life, despite that no less racist nation ever has nor ever could exist.

So the Left has not only failed in everything they attempted, and failed at every promise they made, they failed in an immense, astonishing, unparalleled, and horrifying way, a way so deep and so vast and so gross as to never have been seen before in history nor ever imagined before, not even by science fiction writers. Even Orwell did not foretell of a time when men would voluntarily adopt Newspeak and Doublethink and all the apparatus of oppression, freely and without coercion. Even he, the most famous writers of dystopia of all time, could not imagine the modern day. The failure of the Left is indescribable: one can only grope for words like ‘awe-inspiring’ or ‘astronomical’ to express the magnitude. If Lot’s wife were to look steadily at what the Left has done, she would turn to a pillar of salt, so horrifying, so overwhelming, so dazzling is the hugeness of failure.

Now, when your prediction and worldview and way of life and philosophy turns out to be an utter failure of epic, nay, apocalyptic proportions, you have one of two choices. The honest choice is to return to the drawing board of your mind, and recalculate your ideas from their assumptions, changing any assumptions that prove false to facts.

Pardon me. I have to stop typing for a moment. The idea of a Leftwinger actually doing this honest mental act is so outrageous, that I am overcome by a paroxysm of epileptic laughter, and must steady myself ere I faint.

John C. Wright, “Unreality and Conformity of the Left”, Everyjoe, 2015-07-05.

Powered by WordPress