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April 21, 2014

Andrew Silow-Carroll: Passoverkill? Suggestions to make next year's seders even more culturally sensitive

Sara Israelsen Hartley: Seeking the Divine: An ancient connection in a new context

Christine M. Flowers: Priest's execution in Syria should be call to action

Courtnie Erickson: How to help kids accept the poor decisions of others

Lizette Borreli: A Glass Of Milk A Day Keeps Knee Arthritis At Bay

Lizette Borreli: 5 Health Conditions Your Breath Knows Before You Do

The Kosher Gourmet by Betty Rosbottom Coconut Walnut Bars' golden brown morsels are a beautifully balanced delectable delight

April 18, 2014

Rabbi Yonason Goldson: Clarifying one of the greatest philosophical conundrums in theology

Caroline B. Glick: The disappearance of US will

Megan Wallgren: 10 things I've learned from my teenagers

Lizette Borreli: Green Tea Boosts Brain Power, May Help Treat Dementia

John Ericson: Trying hard to be 'positive' but never succeeding? Blame Your Brain

The Kosher Gourmet by Julie Rothman Almondy, flourless torta del re (Italian king's cake), has royal roots, is simple to make, . . . but devour it because it's simply delicious

April 14, 2014

Rabbi Dr Naftali Brawer: Passover frees us from the tyranny of time

Greg Crosby: Passing Over Religion

Eric Schulzke: First degree: How America really recovered from a murder epidemic

Georgia Lee: When love is not enough: Teaching your kids about the realities of adult relationships

Cameron Huddleston: Freebies for Your Lawn and Garden

Gordon Pape: How you can tell if your financial adviser is setting you up for potential ruin

Dana Dovey: Up to 500,000 people die each year from hepatitis C-related liver disease. New Treatment Has Over 90% Success Rate

Justin Caba: Eating Watermelon Can Help Control High Blood Pressure

The Kosher Gourmet by Joshua E. London and Lou Marmon Don't dare pass over these Pesach picks for Manischewitz!

April 11, 2014

Rabbi Hillel Goldberg: Silence is much more than golden

Caroline B. Glick: Forgetting freedom at Passover

Susan Swann: How to value a child for who he is, not just what he does

Cameron Huddleston: 7 Financial Tasks You Should Tackle Right Now

Sandra Block and Lisa Gerstner: How to Profit From Your Passion

Susan Scutti: A Simple Blood Test Might Soon Diagnose Cancer

Chris Weller: Have A Slow Metabolism? Let Science Speed It Up For You

The Kosher Gourmet by Diane Rossen Worthington Whitefish Terrine: A French take on gefilte fish

April 9, 2014

Jonathan Tobin: Why Did Kerry Lie About Israeli Blame?

Samuel G. Freedman: A resolution 70 years later for a father's unsettling legacy of ashes from Dachau

Jessica Ivins: A resolution 70 years later for a father's unsettling legacy of ashes from Dachau

Kim Giles: Asking for help is not weakness

Kathy Kristof and Barbara Hoch Marcus: 7 Great Growth Israeli Stocks

Matthew Mientka: How Beans, Peas, And Chickpeas Cleanse Bad Cholesterol and Lowers Risk of Heart Disease

Sabrina Bachai: 5 At-Home Treatments For Headaches

The Kosher Gourmet by Daniel Neman Have yourself a matzo ball: The secrets bubby never told you and recipes she could have never imagined

April 8, 2014

Lori Nawyn: At Your Wit's End and Back: Finding Peace

Susan B. Garland and Rachel L. Sheedy: Strategies Married Couples Can Use to Boost Benefits

David Muhlbaum: Smart Tax Deductions Non-Itemizers Can Claim

Jill Weisenberger, M.S., R.D.N., C.D.E : Before You Lose Your Mental Edge

Dana Dovey: Coffee Drinkers Rejoice! Your Cup Of Joe Can Prevent Death From Liver Disease

Chris Weller: Electric 'Thinking Cap' Puts Your Brain Power Into High Gear

The Kosher Gourmet by Marlene Parrish A gift of hazelnuts keeps giving --- for a variety of nutty recipes: Entree, side, soup, dessert

April 4, 2014

Rabbi David Gutterman: The Word for Nothing Means Everything

Charles Krauthammer: Kerry's folly, Chapter 3

Amy Peterson: A life of love: How to build lasting relationships with your children

John Ericson: Older Women: Save Your Heart, Prevent Stroke Don't Drink Diet

John Ericson: Why 50 million Americans will still have spring allergies after taking meds

Cameron Huddleston: Best and Worst Buys of April 2014

Stacy Rapacon: Great Mutual Funds for Young Investors

Sarah Boesveld: Teacher keeps promise to mail thousands of former students letters written by their past selves

The Kosher Gourmet by Sharon Thompson Anyone can make a salad, you say. But can they make a great salad? (SECRETS, TESTED TECHNIQUES + 4 RECIPES, INCLUDING DRESSINGS)

April 2, 2014

Paul Greenberg: Death and joy in the spring

Dan Barry: Should South Carolina Jews be forced to maintain this chimney built by Germans serving the Nazis?

Mayra Bitsko: Save me! An alien took over my child's personality

Frank Clayton: Get happy: 20 scientifically proven happiness activities

Susan Scutti: It's Genetic! Obesity and the 'Carb Breakdown' Gene

Lecia Bushak: Why Hand Sanitizer May Actually Harm Your Health

Stacy Rapacon: Great Funds You Can Own for $500 or Less

Cameron Huddleston: 7 Ways to Save on Home Decor

The Kosher Gourmet by Steve Petusevsky Exploring ingredients as edible-stuffed containers (TWO RECIPES + TIPS & TECHINQUES)

Jewish World Review Oct. 22, 2013 / 18 Mar-Cheshvan, 5774

Obamacare repair: It could become a crisis for modern liberalism

By Michael Gerson



http://www.JewishWorldReview.com | For liberals, it is a cruel twist of history that Harry Truman’s dream of universal health coverage, carried forward by generations of committed Democrats, should fall to the Obama administration for its fulfillment.

Barack Obama seems to have adopted this cause in January 2007 as a lastminute speech insert. “We needed something to say,” one adviser told Politico. “I can’t tell you how little thought was given to that thought other than it sounded good.” Eventually, the Affordable Care Act was passed by a partisan vote, draining the law of legitimacy outside the Democratic Party. Over the next three years, Obama proved incapable of explaining Obamacare’s virtues and its popularity fell. Then its implementation was entrusted to a Cabinet secretary, Kathleen Sebelius, who gratuitously alienated religious groups and massively bungled the law’s rollout.

Obamacare is a multiyear, multifaceted fiasco. It is a case study in how to alienate a country you intend to help. And it could become an intellectual crisis for modern liberalism.

The “glitches” are shockingly serious systemic failures, which were caused, in part, by a political calculation. Obamacare’s mandates and regulations drive up health insurance costs. Late in the planning process, the administration decided that it could not allow people on HealthCare.gov to see their raw price increases without also seeing their offsetting federal subsidies (for those who get them) — which means that consumers must provide their financial information before they can browse their insurance options. The techies objected that this would introduce needless complications and reduce eventual enrollments. The Obama administration insisted.



And these interface problems may be the easiest to solve. The new system requires the smooth transfer of information among massive databases. Even the trickle of enrollment files going from the government to insurance companies has been lumpy with errors.

The greatest risk in the implementation of Obamacare was always adverse selection — that the exchanges would not attract enough young and healthy people to make them economically viable. If there are too many sick people in an insurance system, premiums rise, further discouraging younger, healthier people from participating, resulting in higher premiums, etc. — the insurance “death spiral.”

No one even considered the scenario we are now seeing: a partially working system in which it is difficult to sign up but not impossible. This means that the most motivated consumers (the sickest) are likely to persevere in creating accounts, while the younger and healthier are more likely to skip an unpleasant process and risk a minimal fine. “If they don’t get the necessary volume and demographic mix in the exchanges,” Yuval Levin of National Affairs told me, “it could set off a catastrophic adverse-selection spiral that would not only render the exchanges inoperable but badly damage our large health care systems.”

This is possible, not certain. The administration could dramatically step up its game by year-end and reach the enrollment levels and demographic mix necessary for the system to function.

But the failed rollout has already raised ideological issues of broader significance. It has reinforced a widely held, preexisting belief that government-run health systems are bureaucratic nightmares. And it has added credence to the libertarian argument that some human systems are too complex to be effectively managed. Perhaps the problem with Obamacare is not failed leadership but rather the whole project of putting a federal agency, 55 contractors and 500 million lines of software code in charge of a health system intended to cover millions of Americans.

I am not a libertarian who argues against the need for programs such as Medicare and Medicaid. But Friedrich Hayek has this much going for him: He understood that the challenge of technocratic planning is always limited information: “The peculiar character of the problem of a rational economic order is determined precisely by the fact that the knowledge of the circumstances of which we must make use never exists in concentrated or integrated form but solely as the dispersed bits of incomplete and frequently contradictory knowledge which all the separate individuals possess.”

Which is why planning tends to fail, particularly in highly complex systems. “This is not a dispute about whether planning is to be done or not,” Hayek said. “It is a dispute as to whether planning is to be done centrally, by one authority for the whole economic system, or is to be divided among many individuals.”

So maybe the problem is not Obama or Sebelius but rather a government program that requires superhuman technocratic mastery.

Every weekday JewishWorldReview.com publishes what many in the media and Washington consider "must-reading". Sign up for the daily JWR update. It's free. Just click here.

Comment on Michael Gerson's column by clicking here.



Previously:



10/04/13 The GOP should speed Obamacare's demise. Right now, it's not
10/03/13 The tea party's revolt
09/30/13 The end of compromise?
09/17/13 A state of paralysis: Congress, Obama need to act
09/12/13 In full retreat on Syria
09/10/13 Obama misunderstands wartime leadership
09/09/13 Rallying around a gesture
08/30/13 The preacher and the politician
08/27/13 Is Obama's oft-cited best-case scenario in Syria still even possible?
08/23/13 Jordan's wary welcome
08/20/13 The hardest goodbye: A parent letting go
08/16/13 For GOP, opposition shouldn't only mean obstruction
08/13/13 Crazy, humane determination creates breakthrough for millions
08/09/13 America's bubble of complacency
07/01/11 The GOP's ideal America
03/04/11 The last doughboy and the emergence of a great nation
03/01/11 Conservatives shouldn't be so surprised by freedom
02/22/11 The progression of pain
02/18/11 The seriousness primary
02/11/11 Do Egypt's protests mean American decline?
01/27/11 No-bend Obama
01/21/11 Two good arguments for civility -- and passion -- in politics
01/11/11 Obama's staff changes give him a second chance
01/11/11 Is Arizona shooting an empty search for meaning?
01/07/11 WikiLeaks gives dangerous ammunition to a tyrant
01/04/11 Michael Vick: Symbol of the second chance
12/28/10 Social Security reform is the answer to Obama's problems --- and the nation's
12/21/10 When foreign policy realism isn't realistic
12/17/10 When it comes to politics, Obama's ego keeps getting in the way
11/26/10 Libs resort to conspiracy theories to explain Obama's problems
11/19/10 With Holder at the helm, detainee policy is a disaster
11/12/10 Blue-state budget crises spell even more trouble for Dems
10/19/10 Obama the snob
10/12/10 Seeds of victory in Afghanistan
10/05/10 Believers' remorse
10/04/10 Pound-foolish on national security
09/28/10 Babylon on the Potomac
09/27/10 Our reluctant commander in chief
09/21/10 Blue strongholds are becoming Democratic graveyards
09/17/10 For the GOP, a bittersweet brew from the Tea Party
09/15/10: Insanity's great enablers
09/13/10: The lost communicator
09/08/10: Will 2010 midterms be 1994 all over again?
09/01/10: Obama's economic wandering
08/27/10: Miracles from abroad
08/25/10: Address these issues in order to strengthen the Tea Party
08/20/10: The lost promise of Barack Obama
07/23/10: Obama's greatest nightmare
02/04/09: The Reality of Innocence
01/07/09: The Risks in Obama's Ambitions
12/31/08: Support Obama Will Need
06/13/08: Prince Charles, Organic Conservatism Icon
06/11/08: No longer a bankrupt political joke but still overshadowed
04/23/08: McCain's anger management
04/10/08: A Country for Old Men
03/06/08: Does the America Need a Hug?
03/06/08: Obama's First 100 Days
02/29/08: Words Aren't Cheap
02/22/08: He Said, They Said
02/20/08: Dying silently in Zimbabwe
02/15/08: Hillary's Unappealing Path
02/13/08: NATO's Afghan Stumbles
02/08/08: Why McCain Endures
02/06/08: One surge that led to another
02/01/08: In North Korea, Process Over Progress
01/30/08: Compassionate to the end


© 2008, WPWG

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