Crunchy Con

Four conservatives to watch

Sunday July 12, 2009

Categories: Conservatism
Drake Bennett of the Boston Globe identifies four young conservative thinkers who might just revamp the moribund movement: Reihan Salam, W. Bradford Wilcox, Megan McArdle and Luigi Zingales. I'm tickled to know Reihan, and to link to his stuff. I...
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Comments
Reaganite in NYC
July 12, 2009 3:02 PM

Rod,

Thanks for drawing attention to these four. I saw Brad Wilcox on EWTN a few months and was impressed. He was the subject of a 30-minute interview on Colleen Carroll Campbell's outstanding program which is aired on EWTN, "Faith and Culture." Wilcox talked about some of his research findings and the inter-connections between faith, fatherhood and stable family life.

As for Luigi Zingales, I understand where he's coming from. The two most powerful politicians here in the NYC region are billionaires and former financiers who went into politics: NYC Mayor Mike Bloomberg and NJ Governor Jon Corzine. Neither are conservatives. Corzine is a liberal Democrat; and, Bloomberg, a liberal with loyalty to no party. And then look at how so many of the Wall Street types contributed mightily to Obama or Clinton. Very few of the folks I know who work in any of the large Manhattan-based multinational corporations are dyed-in-the-wool Republicans and even fewer are orthodox cultural conservatives.

steve
July 12, 2009 3:28 PM

I like Zingales a lot. Bright and has ideas other than just cut taxes. You should read him more if you think is he just out after a few billionaires who do not vote Republican. Not sure the base will like him. Post more on Wilcox if you can. Sounds like he might be worth listening to if he wants to spend real time on divorce and single parenthood rather than the sideshow issues. Suspect the base won't like him either, alas.

Steve

Charles Cosimano
July 12, 2009 3:32 PM

One taboo is dead and not going to be revived, and that is the divorce one. There is no social consequence to divorce and given its prevalence there is no way to recreate it.

AML
July 12, 2009 3:58 PM

Zingales: "I'm very strongly pro-market and very strongly against business".

I guess I'll have to read him more before I can understand how you could have any kind of market without business.

AML
July 12, 2009 4:01 PM

Zingales:
2008-2009 Templeton Grant (2008-2009)

2006 - 2007 Templeton Grant (2006-2007)

Larry
July 12, 2009 4:36 PM

how you could have any kind of market without business.

I suspect that by "business" he means corporations, particularly large corporations; compare how some use "capitalism" to indicate a system dominated by large corporations. It is very easy to see how you can have free markets without large corporations around, the hard thing to see is how you can have free markets _with_ them around.

Lord Karth
July 12, 2009 4:53 PM

(Please bear with me; this is a rather longish post, mostly because the ideas being treated with in this thread are by no means simple. Your indulgence, O readers, and Mr. Dreher, is gratefully appreciated.)

Thank you for the interesting post, Mr. Dreher, and for the attached links. The four newcomers you speak of sound intriguing. A critique, however, of both the philosophies of these newcomers and the strategic/tactical situations facing potential proponents of these ideas is, I believe, in order.

Luigi Zingales sounds promising. The State/Corporate alliance—that is, the cooperation between large forces in the economy and members of the upper levels of the political hierarchy, at the expense of or without regard for the interests of commoners---has been a signal part of virtually ALL Western or post-Western regimes for centuries. Historically speaking, Mr. Zingales is not proposing to cover any new conceptual ground.

As for Mr. Wilcox, what he is advocating is essentially the reconstitution of what used to be called the “bourgeoisie”; that is, families with actual economic and political authority over their offspring, along with the independence of means to enforce that authority. Reconstructing that will be difficult in the extreme, given the corporate sector’s ability to utilize mass media (including both broadcast, cable AND the Internet) to propagate its messages of individual behavioral license, as well as its ability to use State instrumentalities to inhibit, if not completely prevent, the formation of non-corporate pools of independent capital.

The major difficulty he will have in realizing his objectives is that what he advocates is essentially the repealing of the so-called “sexual revolution”. That change in social mores strikes directly at the heart of the SCA’s power, both economically and politically. Both the central government and its provincial subsidiaries have vested interests in inhibiting, if not outright preventing both family formation and independent family capital accumulation; remove the dependence fostered by entitlement programs (particularly SocSec and Medicare) and the concomitant seizure and usurpation of functions traditionally performed by families (provision of care for young and elderly dependent members), and large parts of the State’s apparatus become irrelevant.

Reinforcing the problem for those sharing Wilcox’s concerns is the fact that most Americans are fundamentally employees; the typical employee of a medium- or large-sized corporation does not have enough of a perspective on what the firm does to be able to develop a sense of control of, or even more than the sketchiest of knowledge of his own work. This, when combined with the expectations fostered in said individuals by the memetic matrices that permeate their lives (TV, entertainment media, etc.), produces more dependence. Essentially what we have seen in the USA over the last century or so has been the goaded production of a “middle class” that is really a proletariat, in a quasi- or neo-Marxist sense of the term; a propertyless class reliant on others for the means of survival.

From what I have seen and read of Mr. Salam, he is essentially advocating a policy of using State means towards traditionalist ends; specific government policies being redesigned to “benefit” American commoners. The primary problems I see with that are threefold: first, such a policy would do little, if anything, to actually restore family functions to the control of families. A subsidy or regulation giving support to commoner families at one time can be removed from families at another time by later State action. Second, the large corporations and their allies “got there first”, in terms of cementing their coalition with the State. Forcing the two groups apart is, in this social and political environment, virtually impossible, as more and more members of political-elite families are intermarrying with the families of economic elites. Finally, such a policy does not reflect underlying technological and mental realities in the target populations that, from where I sit, serve as part of the core problem, to wit: an excessive, pseudo-religious materialism conditioned by four generations of exposure to light-speed communications media of high “attractiveness” (radio and television) combined with a materialistic fascination with physical technology; the deliberate discouragement of independent thought (by those same media) in favor of a fluffy, non-sensical hypersentimentality and the encouragement of dependence on non-family institutions, particularly those that are relatively large in both size and scope.

In many respects, what the SCA is attempting to do (and, in no small part succeeded in doing) is create an arcology; an artificial environment, ostensibly made to remove all or almost all difficulties from the lives of the individuals living in it. (It is no accident, IMO, that the government part of the American SCA is trying to get more Americans to live in cities or urban environments, rather than in more rural locales where the SCA’s mechanisms of social control are less obvious and visible.) Such an environment, if perfected, would effectively render the Humans contained in it docile and easily (and permanently) controlled by the elites.

In the long term, however, it would also produce the collapse of that part of the Human race living within it. An environment that was such an effortless Arcadia would remove any need for the individuals residing in it to plan for the future and actuate it through the production and raising of children. Unless that arcology was truly world-wide in scope, population pressure from outside would overwhelm the regimes within each arcology within a few generations. We can see, for example, that this process is already well-advanced in America, Europe and Japan, where the native populations are either being displaced by new, unassimilated outsiders (Mexicans/Latin Americans in the USA, Muslims in Europe) or are simply dying off without anything replacing them (as in Japan).

It seems to me that we have a choice; either arrange matters to allow the re-emergence of a real, authentic bourgeoisie of functional families and intermediary institutions, with all the inequality, discrimination and suffering that would entail, or see what remains of our culture, if not the Human race as a whole, be displaced or die out outright. Our time for correcting the choice we seem to have already made is not of the longest, either.

I’d say that these “new conservative thinkers”, as well as those who are interested in supporting or emulating them, have their work cut out for them.

Your servant,

Lord Karth

Reaganite in NYC
July 12, 2009 4:54 PM

steve: "I like Zingales a lot. Bright and has ideas other than just cut taxes ... Not sure the base will like him. Post more on Wilcox if you can. Sounds like he might be worth listening to ... Suspect the base won't like him either, alas."


Well, I think I myself as part of the "base" (at least the 47% of the country back in November 2008 who distrusted all the hype about B.O. and voted for someone else) ... and yet I very much LIKE what Zingales and Wilcox have to say.

Of course, in the end it won't be these 4 intellectuals profiled by the Globe story that will be the determining factor in a revival of conservatism ... though they will bring intellectual consistency to any conservative platform.

Rather, it will be the inevitable collapse of liberalism from an over-reaching Congress and W.H. that will do it. B.O.'s domestic policies -- especially his mad and unsustainable budgets and stimulus plan(s) -- will lead to economic grief. The "misery index" will come back with a vengeance after a 30-year hiatus. And B.O.'s stance toward terrorists and our country's rivals abroad will lead to the needless deaths of innocent American civilians. And when all this happens watch and see how the country's adulation for this man will turn to fierce contempt.

And, no, it probably won't be a Palin leading us back but more likely a Bobby Jindal or a Paul Ryan (the Wisconsin Congressman) or an Eric Cantor. I think conservatives like Peggy Noonan and Joe Scarborough have it right when they urge conservatives towards a thoughtful and inclusive approach, although Scarborough is unduly dismissive of the concerns of cultural conservatives.

Hector
July 12, 2009 4:56 PM

Re: I guess I'll have to read him more before I can understand how you could have any kind of market without business.

Market =/= capitalism. Socialist Yugoslavia under Tito had a mostly market-based economy, with the means of production owned mostly be worker cooperatives as opposed to the state. That's an extreme example, of course, and I'm sure that isn't what Zingales advocates, but its important to realize that capitalism and the free market are two different things. One refers to who owns productive enterprises, and the other relates to such things as how wages and prices are set.

It's possible to have the market set prices, and also to have most enterprises owned by petty proprietors, by their employees, by cooperatives, by public institutions, or by a whole slew of other alternatives to private business.

stefanie
July 12, 2009 5:14 PM

Lord Karth: ... It seems to me that we have a choice; either arrange matters to allow the re-emergence of a real, authentic bourgeoisie of functional families and intermediary institutions, with all the inequality, discrimination and suffering that would entail, or see what remains of our culture, if not the Human race as a whole, be displaced or die out outright.

Extra points for being honest (re: bolded text.) However, since you're inviting people to experiencing discrimination, lack of rights, overweening authority (that many do not believe is *owed* to the "patriarch" of the bourgeoise family), how precisely do you plan to get the genie back into the bottle? I scarcely think that women (who would be the greatest sufferers under a "return to the 19th c. plan) are going to sit around and *let* conservatives stuff them back into the boxes from which they worked so hard to emerge in the first wave of feminism.

What exact laws do we want to repeal here? The suffrage? Employment discrimination? Regarding the autonomy of sons, shall we enforce Roman-style patriarchy, where the son had no authority until his father was dead?

I'm really curious to know how far one can go with this.

KateA
July 12, 2009 5:28 PM

Another vote for Zingales. I'm about to look for his book.

And Wilcox is promising, too. Although I don't have kids, I'm very much pro-family.

Not familiar with either of them.

JLF
July 12, 2009 5:39 PM

AML, I suspect the biggest surprise you'll have when you look at Zingales work is how obvious is his conclusion.

Free markets by definition refer to free entry to supply demanded goods and services. The greater the demand, then, the larger number of potential competitors. No business known to man wants competition, so any way to restrict entry decreases competition (and increases profit.) The larger the business, the greater the resources to buy barriers to entry. What Zingales notes is government's role in erecting these barriers on behalf of business benefactors. Therefore, business, particularly large business, is the enemy of free markets.

clark
July 12, 2009 6:42 PM
http://clarkstooksbury.blogspot.com

Larison?

the stupid Chris
July 12, 2009 7:01 PM

My comment was not lost...see?

PNWCC
July 12, 2009 9:13 PM

Karth Saith...:

Reinforcing the problem for those sharing Wilcox’s concerns is the fact that most Americans are fundamentally employees; the typical employee of a medium- or large-sized corporation does not have enough of a perspective on what the firm does to be able to develop a sense of control of, or even more than the sketchiest of knowledge of his own work. This, when combined with the expectations fostered in said individuals by the memetic matrices that permeate their lives (TV, entertainment media, etc.), produces more dependence.

I'm not in agreement with that at all. Well, I would agree that people who are cogs in a very large machine don't know the machine well, but it is a mistake to think that the vast majority of Americans are in that situation.

The emperical data suggets otherwise.

This data here:

http://www.census.gov/epcd/www/smallbus.html

Even at a cursory glance reveals a very large chunk of our population is either self employed, or works for companies with under 500 employees.

PNWCC
July 12, 2009 9:25 PM

Larry
July 12, 2009 4:36 PM
It is very easy to see how you can have free markets without large corporations around, the hard thing to see is how you can have free markets _with_ them around.
==========
I disagree completely. My business - a small partnership, is in direct competition with Quest, Charter, Verizon, and a couple others. I'm doing fine. Business is better this year, than any year previous, so far.

In fact, the bigger they get, the easier it is to compete against them. It is much harder to compete with another small business. Size does not make perfectly competitive. It's a simple U curve... As you grow, there's a strength and economics advantage, until you reach a certain point, and then your size advantage dwindles and eventually works against you.

Kevin J Jones
July 12, 2009 9:50 PM
http://kevinjjones.blogspot.com

"The issue, as he sees it, is not a matter of preserving traditional moral values, but of insuring equality of opportunity... Marriage needs defending, in other words - not because of what it represents, but because of who it protects."

This writer can't even use "ensure" correctly, but as written he makes traditional moral values appear like something irrelevant to conservatism and to society. Representation is very important in all societies, so marriage can't be dismissed as "merely symbolic."

I doubt Wilcox is blind to this. I think he is on to something in his efforts to expand notional "family values" into actual "family policy." A sound family policy approach can help clear away the anti-family measures in welfare and tax policy, like the No Man in the House welfare rule. Family policy would show the concrete differences between liberationist and familial attitudes.

Unfortunately, the Dems are the only ones with a history of doing family policy, and that history has been crushed and demonized by feminists and other radicals who now dominate the party's mindset.

Observer
July 12, 2009 10:47 PM

Overwhelmingly, he points out, it is poor and working-class families who are grappling with the effects of divorce and single parenthood.

I'm not sure which direction the cause/effect link runs here. Both, probably. Single parenthood certainly contributes to poverty, but we also see larger proportions of poor women having children without being married than rich women. (Though unfortunately the trend is up in both populations.)

Lord Karth
July 13, 2009 12:13 AM

PNWCC @ 9:13 PM writes:

“Even at a cursory glance reveals a very large chunk of our population is either self employed, or works for companies with under 500 employees. “

I suspect that the loss-of-control/lack-of-perspective problem kicks in at between 100 and 250 workers per firm. I will also concede that that point is probably different for people in different fields. Construction work often involves a considerable level of control over how one does one’s appointed task, while line work in a factory does not. Even if it kicks in when the firm in question has 250 or more workers, that’s still perhaps 60 percent of all workers, according to the information in the link you posted (assuming I read it properly, of course). That is still a considerable percentage.

Your servant,

Lord Karth

Aquari
July 13, 2009 1:11 AM

Re: Wilcox - yes and no. Yes, children do far better when they have more than one permanent caregiver. But that's not necessarily an argument for one such caregiver being married to the other - in fact, I'd say it's a point against it, given the inherent instability of love matches. Many societies successfully work around this by drawing the other caregivers from the mother's immediate family - stepfathers may come and go, but uncles are forever. Ditto aunts and grandparents. 'Family values' could benefit from remembering the rest of the people, besides mothers and fathers, who are called 'family'.

It's also true that married people are more prosperous, and that this is both chicken and egg. On the one hand, people benefit from pooling their resources and efforts with another person. Marrying for financial stability has fallen into disrepute - it's considered cold-blooded at best, dishonest at worst - but perhaps it's an idea worth rehabilitating? On the other hand, as some commentators have already pointed out, that poverty makes it harder to get married and harder to stay married. I've seen marriages not happen, or be strained to the breaking point, by the difficulty of two people finding sufficiently gainful employment in the same city.

Re: Zingales - very much yes. A large corporation is an 800lb gorilla - its size means it tends to get its own way in everything. I'm sure that if they were ranked by wealth and population on the same list as nations, some of the nations would be smaller. Their behaviour ought to be subject to the same kind of scrutiny.

the stupid Chris
July 13, 2009 2:54 AM

What I don't see in any of these new voices is an understanding of the human condition. Absent that, they're just right-liberals hoping to re-engineer the world to their liking.

Old conservatives used to know that mankind was fallen, that given the opportunity even the best of us would lie, cheat and steal, and that absent governance we would devolve back to the brutes in the caves. No longer. Now the assumption is that we're on our way to perfection and the only question is what the best mechanism to perfection might be. The fundamental consideration is liberal, not conservative.

Most family values people are liberals, they wish not to govern what is but to engineer what is not. Most free-marketeers are liberals, they posit that a mechanism created by men is more pure than the men who created it.

So I look for a real conservative, someone who will say "This is how things are, and this is how we should keep them from wrecking havoc." not "This is how things should be, and this is how we should recreate humanity to get there."

Geoff G.
July 13, 2009 3:04 AM

The threat for Wilcox is not gay marriage, but two old taboos that have lost much of their force in modern America: divorce and single parenthood. He suggests creating tax and welfare incentives to make marriage more financially attractive than mere cohabitation. He is also a believer in "social marketing" - billboards encouraging parents to make sure the family eats dinner together, or prime-time TV commercials about how divorce affects kids.

You mean I'm not responsible for everything from Gov. Sanford's hottie in Argentina to the near double digit unemployment rate to every single combat death in Iraq? Darn...all that hard work on the homosexual agenda for nothing!

But seriously, this guy expects to reverse the trend with "Just Say 'I Do'" advertising? Like that monumental success that is the War on Drugs? Besides, doesn't the LDS church already do that?

And the tax code already gives hefty bonuses to families with one parent working and one parent staying at home with the kids. That worked out so well that two income families are now the norm and so we get complaints about a "marriage penalty".

***

Aquari:

It's also true that married people are more prosperous, and that this is both chicken and egg.

I've often heard it stated that the people who settle down and stick with a marriage through thick and thin do better in life. This is somehow turned into an argument that a solid marriage is a prescription for prosperity.

I'd suggest that the converse is at least as likely to be true: that the kind of people who do well in life are also the type of people who will stick to their marriages as well. We really don't know if a good marriage is a cause of prosperity or a symptom of it (or more correctly, a symptom of being the kind of person that tends to be prosperous).

Geoff G.
July 13, 2009 3:17 AM

One point on the size of firms: current domestic policies actually push people into working for larger firms and away from being entrepreneurs or working for small companies.

Case in point: health insurance. My rather large employer has generous benefits (including domestic partner benefits), which is a huge incentive to keep working for the same company. My partner, on the other hand, works for a small three-man operation where he gets nothing but a paycheck. Health insurance is simply far too expensive for his employer to provide (much as he'd like to).

Retirement benefits are a similar issue. I have access to a 401(k) with a match from my employer. Smaller companies tend not to offer such things, leaving their employees entirely responsible for their own retirement (aside from social security of course).

Lord Karth made the observation that what government giveth, government can take away. However I would say that, in a democracy, even an imperfect one, benefit programs that large segments of the population rely on tend to be very hard to alter (except to expand). In these cases, government is at the mercy of interest groups (like AARP) rather than the other way around.

Hence the ongoing difficulties with the reform of Social Security, which date back decades. Any reform we may see will happen around the margins.

steve
July 13, 2009 3:47 AM

Geoff- Good point on the health care. That is the stuff that we need to look at. What can we do to make markets really work efficiently. The right has become so enamored of the government cannot do anything right, that they forget large corporations also have a pretty awful track record. It is at the interface of big business and government that we have the most corruption and the most distortion of our system. Things we can do that will reduce this interaction are to our long term benefit.

Separating health care from employers should allow people to more freely take entrepreneurial risks. I would also do away with federal business taxes. This would reduce the constant lobbying for favors for reduced taxes. Yes, it would mean higher individual taxes, but it would be worth it. we already pay those indirectly anyway.

Steve

Connie Connie in Wisconsin
July 13, 2009 9:28 AM

Not sure why McArdle is included in this list. She's pro-same sex marriage, reluctantly pro-choice, not apparently religious, and calls herself a libertarian.

Observer
July 13, 2009 10:34 AM

steve,

Fabulous post!! I think I remember that you are a physician, not a tax lawyer or an economist, and I certainly don't want to diss medicine, but I wish more tax professionals and economists had your understanding of what's really going on here.

In practice in this country the refusal to give government much of a role in, for example, health care, has resulted in control of that area by large, profit-driven enterprises like Blue Cross. I am far from convinced that such organizations have my welfare first on their list of priorities, or on their list at all. And unlike government, I don't even have a vote. (Don't tell me that my health care premium is a "vote" since most of us - the lucky ones who can even get health insurance - have little choice in the matter.)

Doing away with federal business taxes is another fabulous insight. A "corporation" is a legal "person" for most purposes, including the purpose of taxation, but we need to remember that in fact a corporation is not a person. The whole thing is a legal fiction. Corporations do not pay taxes, in fact. No corporation says, "Oh, I have to pay my income tax so no vacation in Maui." Corporate taxes are merely tacked onto the price of the product. The customers pay those taxes, and/or the shareholders, who are real persons. Except that it's a hidden tax.

I think taxes should be out in the open so we can see them.

Lord Karth
July 13, 2009 11:03 AM

Observer: As an economist (originally) and a tax practitioner, I am well aware of the quirk in our tax codes that made health insurance an employer-funded responsibility. It dates back to World War 2 and a certain court decision that allowed health insurance to be paid by an employer and not treated as income.

One thing that both you and Steve miss, however, is that the health-care sector of our economy is already a largely central-government-run enterprise. Medicare and Medicaid in and of themselves probably account for more than half of all health-care spending.

The rest of that industry is so riddled with regulations on both the central- and provincial-government levels (provincial laws regarding mandated benefits in insurance plans, for example) that to say it has more than a passing and unintentional resemblance to a free-market system is to commit comedy.

Your servant,

Lord Karth

Geoff G.
July 13, 2009 12:52 PM

One thing that both you and Steve miss, however, is that the health-care sector of our economy is already a largely central-government-run enterprise. Medicare and Medicaid in and of themselves probably account for more than half of all health-care spending.

The rest of that industry is so riddled with regulations on both the central- and provincial-government levels (provincial laws regarding mandated benefits in insurance plans, for example) that to say it has more than a passing and unintentional resemblance to a free-market system is to commit comedy.

This is largely true, but I really don't see the opportunities for the kind of comprehensive reform that would result in either an entirely state-run system or a more free market system that nevertheless found ways to cover everyone (and I think the latter would be more attractive too).

I think our system of government has a lot to do with this. Look at most Commonwealth parliamentary democracies. In countries like Canada and the UK, governments have far, far more control over their MPs than the parties here in the US have over their Congressmen. It's relatively rare that an MP is permitted to vote against his or her caucus, while that happens all the time here.

In effect, you essentially tend to elect a dictatorship with a five year term (unless you end up with a minority government like you currently have in Canada). The government can push through pretty much anything they'd like, although they do have to keep an eye on the electorate. This has the result of creating far more comprehensive and coherent legislation.

Here in the US, by contrast, every vote is a free vote. People in the parties do tend to vote with members of their own caucus but there's generally quite a bit of action at the margins. This is good in the sense that representatives more accurately resemble their districts but bad in the sense that any reform tends to be piecemeal with lots of exceptions thrown in to buy off votes by ones and twos. Hence the vast patchwork mess that is federal health care legislation.

Contrary to popular belief, this isn't caused by the individuals participating in the process or by excessive (or insufficient) partisanship. Rather it's inherent in the system itself. Absent a catastrophe, a real overhaul is nearly impossible.

Geoff G.
July 13, 2009 1:03 PM

And speaking of children supporting their parents in old age, here's an article that ought to make conservatives jump for joy.

A brief summary:

A elderly woman racks up about $8000 in a nursing home.

She refuses to pay the bill despite have both a $1434 a month pension and social security.

Since pensions and social security cannot be garnished, her income is effectively off limits, so she gets off scot-free.

So the nursing home sues her estranged son (he was largely raised by his grandparents) under a law that obliges children to provide for their aged parents.

He just had been laid off, couldn't afford a lawyer to fight it and now is stuck with her $8000 bill. Which means he now has a lien on his home and a messed up credit rating.

And any slim chance at family reconciliation is pretty much shot.

***

Should she have been a better mother? We don't know her side of the story here, but probably. Might he have volunteered to help her if she needed the assistance, in a spirit of charity? Again, we don't know the full family history, but probably. In an ideal world, would this have worked out? Perhaps so.

But we don't live in an ideal world. Oblige children to support their parents and you're guaranteed to end up with situations like this.

Observer
July 13, 2009 1:35 PM

One thing that both you and Steve miss, however, is that the health-care sector of our economy is already a largely central-government-run enterprise. Medicare and Medicaid in and of themselves probably account for more than half of all health-care spending.

The rest of that industry is so riddled with regulations on both the central- and provincial-government levels (provincial laws regarding mandated benefits in insurance plans, for example) that to say it has more than a passing and unintentional resemblance to a free-market system is to commit comedy.

So....your conclusion would be, that if we turn the big health insurers loose, unregulated, they will at that point magically stop cherry-picking customers (as they do now), be willing to do what insurance companies are supposed to do, spread risk, not minimize it, and offer near-universal coverage of reasonable benefits at reasonable cost.

Wow. Tell me another fairy tale.

steve
July 13, 2009 1:36 PM

Observer-Yes, I am a physician.

L. Karth- Medicare has all the old, sick people. Medicaid picks up long term care costs. They should cost more than the private insurance population to cover. Do you have any citations for these regulations the private insurance companies work under. When I talk with our insurance people they claim it has mostly to do with how they manage their money and keep up reserves. The areas where I know they have gotten specific mandates is in women's care, especially OB. After trying to limit women to one day in the hospital after a vaginal delivery, they got a lot of bad feedback. Some legislatures responded by requiring insurance companies pay for 2 or 3 days. I suspect this would still happen in a "perfect" free market system.

Do you have any free market models in health care you could point to which have successfully held down health care costs?

Steve

Lord Karth
July 13, 2009 1:41 PM

I read the article; it concerned a little-known Pennsylvania “support of indigents” statute that apparently actually does mandate support in this kind of situation.

From where I sit, the son does have a moral obligation to support his mother; certainly more of an obligation than a generic, unknown taxpayer or set of taxpayers does. He apparently also has a legal one.

It seems to me that if, as the article says, the mother has had a history of problems with money, the son should consider applying to a Surrogate’s Court (or Pa. equivalent) for guardianship over his mother’s pension and SSI check. It’s not (conceptually) difficult, at least according to practitioners in the field that I’ve consulted about similar matters here in NY. Once he has obtained such guardianship, any money his mother receives can be applied to her outstanding bills, and this lawsuit against him could probably have been either avoided or settled.

As to “family reconciliation”, that’s a red herring and a bagatelle. It’s a matter of obligations, and obligations trump emotions every time. Just ask any father being hit up for child support once the blood-test results come back. I’d really rather be out doing the whole “wine, women and song” thing, myself, but I’ve got five kids, a wife and a mother-in-law. That means “beer, pretzels and Mama” instead. Oh, well.

“Home is the place where, when you go there, they have to take you in.” It’s too bad about the son’s situation, but honor and ethics require that HE step up (along with whatever other siblings he has) along with the rest of the family, and take care of this woman. It is, simply put, far more appropriate for the family to take care of its members than outsiders—and I speak as someone with two siblings and an aging mother with similar issues.

Time for this Pa. laddie to suck it up and take care of business. Better luck next life.

"Suppose you let ME tend to my knitting, and YOU can tend to yours."

Your servant,

Lord Karth

Lord Karth
July 13, 2009 4:56 PM

steve @ 1:36PM writes:

"Do you have any citations for these regulations the private insurance companies work under ?"

Since I live in New York, I will speak to New York rules. There are several sections of the New York Code of Rules and Regulations that apply. Google or Bing "new york health insurance law".

To summarize, New York law requires that private insurance companies provide a whole host of procedures. They also, if my memory serves, have a "community rating" rule; differentiation among ratepayers based on pre-existing conditions and such is not allowed. I found this out the hard way a few years back when I investigated the prospect of obtaining private coverage on my own. (I am self-employed.) There was only ONE firm providing coverage to people in my situation, and at a rate that was, frankly, outrageous.

Your servant,

Lord Karth

steve
July 13, 2009 7:56 PM

Thanks much, will look that up later. The single person trying to get coverage for themselves has always been very expensive. In 1990, as I was getting out of the service, I healthy and so were my wife and child, family coverage for us outside of a plan was about $2000 per month. Fortunately, I got into a group quickly. The rates were about the same amongst the five insurance companies in our area that sent back responses.

As president of my group of about 50, we are facing a 26% increase in rates. Insurance companies make a good bit of their money off of their investments rather than their premiums. I predict big increases coming for many people.

Steve

Jon
July 14, 2009 6:48 AM

Re: The single person trying to get coverage for themselves has always been very expensive.

I'm not so sure about that. It depends on age and health. In 2002 my COBRA benefits ran out and I bought insurance on my own, from BCBS' Anthem. It was a good policy and included office visits and Rx coverage, for just $90 a month, half what I was paying for COBRA. I was in my mid-30s without much adverse health history.
(Once you hit 40 though the rates skyrocket.)

AML
July 15, 2009 1:13 PM

Zingales: http://www.city-journal.org/2009/nytom_wall-street.html

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Rod Dreher is an editorial columnist for the Dallas Morning News, and author of "Crunchy Cons" (Crown Forum), a nonfiction book about conservatives, most of them religious, whose faith and political convictions sometimes put them at odds with mainstream conservatives. The views expressed in this blog are his own.

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