In “Health Care Without End” The Pasty Little Putz babbles that Americans will still be arguing about Obamacare in 2030. He’s wrong again, but that’s nothing new. MoDo squeals “Bring Me My Dragons!” She’s been watching TV again, and of course manages to get in her de rigeur slap at Obama. Same old, same old… In “Sheldon: Iran’s Best Friend” The Moustache of Wisdom tells us how Sheldon Adelson and Iran are both trying to destroy Israel. Mr. Kristof tells us of a young woman with a lesson for graduates about the meaning of life in “Her First, And Last, Book.” Mr. Bruni ponders “The New Gay Orthodoxy” and says the ouster of Mozilla’s chief executive suggests a shrinking room for debate. Here’s The Putz:
So you think it’s finished? So you think now that enrollment has hit seven million, now that the president has declared the debate over repeal “over,” now that Republican predictions of a swift Obamacare unraveling look a bit like Republican predictions of a Romney landslide, we’re going to stop arguing about health care, stop having the issue dominate the conversation, and turn at last to some other debate instead?
You think it’s over? It’s never over.
I mean, O.K., it will be over in the event of a nuclear war, or a climate apocalypse, or if the robots eventually rise up and overthrow us. (Our capacity for self-destruction is a pre-existing condition that no insurance plan will touch.)
But for the foreseeable future, the health care debate probably isn’t going to get any less intense. Instead, what we’ve watched unfold since 2009 is what we should expect for years, decades, a generation: a grinding, exhausting argument over how to pay for health care in a society that’s growing older, consuming more care, and (especially if current secularizing trends persist) becoming more and more invested in postponing death.
In the near term, this debate will go on because Obamacare has stabilized itself without fully resolving any of its internal problems. The liberal victory lap last week was half-earned: It really was a victory, given the initial website catastrophe, to arrive at seven million enrolled, and that success almost certainly establishes a new coverage baseline for any future overhaul.
But that baseline won’t be anything like universal coverage, and it may fall short of universality by a much larger margin than the law’s supporters hoped. Around a million of the seven million probably won’t make their payments, and many had insurance previously. So even with the new Medicaid enrollees and the twentysomethings added to their parents’ plans, the number of newly insured could end up around three or four or even five million short of the 13 million that the Congressional Budget Office predicted for Obamacare’s first year.
At the same time, the law’s internal structure has been rendered extremely rickety by the administration’s attempts at damage control. Nobody knows what will happen with the various suspended and hollowed-out provisions — whether the employer mandate will ever take effect, whether the individual mandate will be enforced along the lines that its architects argued was necessary for the law to work. And nobody is sure what the pool of enrollees looks like (in terms of age and average health), and what it will mean for premiums next year and beyond.
These realities make it very likely that whatever position Republicans end up taking on a potential Obamacare replacement or reform, by the next presidential election there will be increasingly vocal Democratic constituencies for change — moderates who want to be seen as doing something about rate shock, and liberals looking for a reform (ahem, single payer) that doesn’t leave 30 million Americans uninsured.
Repeal may really be a dead letter, in other words, but don’t be surprised to wake up in 2020 to endless arguments about a reform of the reform of the reform.
And don’t be surprised, either, if the debate over Obamacare is merging, by then, into the yet-more-toxic argument about how to pay for Medicare.
The Medicare debate has been postponed, to some extent, by the recent fiscal consolidation and a slowdown in health care cost inflation. But inflation should rise again as the Obamacare money sluices into the system, and even with a lower rate it would be hard to envision a future for Medicare that doesn’t involve some combination of price controls, benefit reductions and tax increases — all on a much larger scale than the numbers involved in recent debates.
What’s more, the political salience of this debate will rise for the same reason that the costs of Medicare will be rising: because the country will be older over all, and health policy inevitably matters more to the old than to the young.
Which means that the future almost certainly holds more cries of “death panels,” more ads featuring Paul Ryan clones pushing seniors over a cliff, and no doubt as-yet-undreamt-of forms of demagogy. And it means, as well, that if it’s hard to get Washington to focus on other issues now — tax reform, education, family policy, you name it — just wait awhile: It will get much worse.
It’s important to note, of course, that this “worse” will be the result of betterment: our political debates will be consumed by health care because of all that medicine can do for us, and we’ll be arguing about how to sustain what earlier generations would have regarded as a golden age.
But there’s a reason that golden ages can diminish into twilight — because the demands of the present can crowd out the needs of the future, and because what’s required to preserve and sustain is often different, in the end, from what’s required to grow.
He’s such a putz, and so very, very, very predictable. Now, FSM help us, here’s MoDo:
I’d been hoping to get the flu.
I hadn’t had it in years, and there were so many TV series I’d never seen — “The Wire,” “Breaking Bad,” “House of Cards,” “True Detective” — that required an extended convalescence.
When I finally succumbed to a fever and crumpled in bed a couple of weeks ago with saltines and Gatorade, I grabbed the clicker, murmuring, “Alright, alright, alright.” The only celebrated series I had no interest in was “Game of Thrones.”
I’m not really a Middle-earth sort of girl.
I’d read about George R. R. Martin, the author of “A Song of Ice and Fire,” the fantasy epic about a medieval-style land of Seven Kingdoms and beyond that is the basis of the HBO show. The bearded, portly 65-year-old, raised in Bayonne, N.J., and living in a modest house in Santa Fe, N.M., has been dubbed “the American Tolkien” by Time.
I had no interest in the murky male world of orcs, elves, hobbits, goblins and warrior dwarves. If I was going to watch a period drama, I usually favored ones with strong women in intriguing situations, like “Mad Men,” “The Americans” and “Masters of Sex.”
Besides, “Game of Thrones” sounded too dense and complicated for someone suffering from zombie brain.
How could I fathom the agendas and plotlines of all the plotting lords and ladies and whores and bastards and sellswords of Westeros when even Martin himself has had to sometimes check with one of his superfans to make sure he’s keeping the feuding factions straight?
A 2011 New Yorker profile described the nutty passion of Martin’s fans, how they mercilessly mock him on Web forums for not writing faster, and how they keep track of every word to the point where the author has become paranoid about mistakes, such as when a character’s eyes shift from green to blue.
“My fans point them out to me,” he told the magazine. “I have a horse that changes sex between books. He was a mare in one book and a stallion in the next, or something like that.” He added, “People are analyzing every goddamn line in these books, and if I make a mistake they’re going to nail me on it.”
But after I finished tromping around the bayou with Woody Harrelson and Matthew McConaughey, I decided to watch one “Game of Thrones” to see what the fuss was about. It is not only the most pirated show on the Internet, but one of President Obama’s favorites — although he hasn’t picked up any good tips about ruthlessly wielding power, either from “Game” or from Maggie Smith’s Countess of Grantham on “Downton Abbey,” another show he raves about.
After a marathon of three seasons of “Game” and the beginning of the fourth, starting this Sunday, I’m ready to forgo reality for fantasy.
Who wants to cover Chris Christie’s petty little revenge schemes in New Jersey once you’ve seen the gory revenge grandeur of the Red Wedding?
Who wants to see W.’s portraits of leaders once you’re used to King Joffrey putting leaders’ heads on stakes?
Who wants to hear Hillary Clinton complain about a media double standard for women once you’ve gotten accustomed to the win-don’t-whine philosophy of Cersei, Daenerys, Melisandre, Margaery, Ygritte, Brienne and Arya? As it turns out, the show not only has its share of strong women, but plenty of lethal ones as well.
It all seems so tame and meaningless in Washington after Westeros. Ted Cruz and Rand Paul wouldn’t survive a fortnight in King’s Landing. Charles Dance’s icy Tywin Lannister, ruling over a kingdom more interested in dismemberment than disgruntled members, would have the Rains of Castamere playing as soon as he saw those pretenders to the throne. As for House Republicans, or should that be the House of Republicans, life would be mercifully short.
I fell so deeply into the brocaded, overripe, incestuous universe — dubbed “ ‘Sopranos’ meets Middle-earth” by showrunner David Benioff — I couldn’t climb out.
I fell hopelessly in love with Peter Dinklage’s sexy dwarf, who is a schemer but a noble one by Lannister standards.
When friends would ask me what they could get me in the way of sustenance while I was sick, I would yell: “BRING ME MY DRAGONS!”
I even toyed with the idea of getting the flying, fire-breathing dragon on the cover of the new Hammacher Schlemmer catalog. The description is irresistible: “This is the remote controlled jet-powered dragon that soars through the air at up to 70 m.p.h. and belches propane-powered flame when on the ground. Proving its prowess before takeoffs or after successful raids, the dragon’s LED eyes can be commanded to glow red while it emits a fiery 3-foot blast of flame from a cleverly concealed propane tank and igniter built into its toothy maw. A miniature turbine engine built into the beast’s chest provides thrust that exits the rear at 500 m.p.h., and uses 1/2 gallon of jet aircraft fuel or kerosene for 10 minute flights. With a head that swivels in the direction of turns, the dragon can climb and dive via wing ailerons and elevators built into its V-tail rudder.”
Of course, no one who knows me thinks I should be in possession of propane gas. And the other impediment to joy, and bar to being the khaleesi and mother of dragons, was the price tag: $60,000. As Daniel Mendelsohn pointed out in The New York Review of Books, “People often talk about Tolkien as Martin’s model, but the deep, Christianizing sentimentality of the worldview expressed in ‘Lord of the Rings’ is foreign to Martin, who has, if anything, a tart Thucycididean appreciation for the way in which political corruption can breed narrative corruption, too.”
Martin’s larger Hundred Years’ War theme echoes Shakespeare. As he has pointed out, “Believe me, the Starks and the Lannisters have nothing on the Capets and Plantagenets.” And as Mendelsohn writes, it is “the way in which the appetite for, and the use and abuse of, power fragments societies and individuals; in a world ruled by might, who is ‘right’?”
When a flattering adviser warns Cersei, the queen regent, that “knowledge is power,” she makes a feint
to cut the man’s throat and then informs him, “Power is power.”
In the new season, Tywin Lannister explains to his grandson what makes a bad king: spending all your time whoring, hunting and drinking; being so gullible you don’t recognize the evil around you; being so pious you fast yourself into an early grave; and assuming that winning and ruling are the same thing.
“A wise king knows what he knows and what he doesn’t,” Tywin explains to the boy. “You’re young. A wise young king listens to his councilors and heeds their advice until he comes of age. The wisest of kings continue to listen to them long afterwards.”
Words to die by.
Don’t ask me why she (or the Times) put in that paragraph break in the middle of a sentence… Next up we have The Moustache of Wisdom:
It occurred to me the other day that the zealously pro-Israel billionaire Sheldon Adelson and Iran’s supreme leader, Ayatollah Ali Khamenei, actually have one big thing in common. They are both trying to destroy Israel. Adelson is doing it by loving Israel to death and Khamenei by hating Israel to death. And now even Gov. Chris Christie of New Jersey inadvertently got drawn into this craziness.
What’s the logic? Very simple. Iran’s leaders want Israel destroyed but have no desire, in my view, to use a nuclear bomb to do it. That would expose them to retaliation and sure death. Their real strategy is more subtle: Do everything possible to ensure that Israel remains in the “occupied territory,” as the U.S. State Department refers to the West Bank, won by Israel in the 1967 war. By supporting Palestinian militants dedicated to destroying any peace process, Tehran hopes to keep Israel permanently mired in the West Bank and occupying 2.7 million Palestinians, denying them any statehood and preventing the emergence of a Palestinian state that might recognize Israel and live in peace alongside it. The more Israel is stuck there, the more Palestinians and the world will demand a “one-state solution,” with Palestinians given the right to vote. The more Israel resists that, the more isolated it becomes.
Iran and its ally Hamas have plenty of evidence that this strategy is working: Israel’s 47-year-old occupation of the West Bank has led it to build more settlements there and in doing so make itself look like the most active colonial power on the planet today. The 350,000 Israeli settlers in the West Bank reinforce that view by claiming their presence in the West Bank is not about security but a divinely inspired project to reunite the Jewish people with their biblical homeland.
The result is a growing movement on college campuses and in international organizations to isolate and delegitimize the Jewish state because of this occupation. This “B.D.S. movement” — to boycott, divest from and sanction Israel — is gaining adherents not only among non-Jews on American campuses but even within some Hillels, campus Jewish centers.
Iran could not be happier. The more Israel sinks into the West Bank, the more it is delegitimized and isolated, the more the world focuses on Israel’s colonialism rather than Iran’s nuclear enrichment, the more people call for a single democratic state in all of historic Palestine.
And now Iran has an ally: Sheldon Adelson — the foolhardy Las Vegas casino magnate and crude right-wing, pro-Israel extremist. Adelson gave away some $100 million in the last presidential campaign to fund Republican candidates, with several priorities in mind: that they delegitimize the Palestinians and that they avoid any reference to the West Bank as “occupied territories” and any notion that the U.S. should pressure Israel to trade land for peace there. Both Newt Gingrich and Mitt Romney took the money and played by Sheldon’s rules.
In case you missed it, the R.J.C., the Republican Jewish Coalition, held a retreat last weekend at an Adelson casino in Las Vegas. It was dubbed “the Sheldon Primary.” Republicans lined up to compete for Adelson’s blessing and money, or as Politico put it: “Adelson summoned [Jeb] Bush and Govs. Chris Christie of New Jersey, John Kasich of Ohio and Scott Walker of Wisconsin to Las Vegas. … The new big-money political landscape — in which a handful of donors can dramatically alter a campaign with just a check or two — explains both the eagerness of busy governors to make pilgrimages to Las Vegas, and the obsession with divining Adelson’s 2016 leanings.”
Adelson personifies everything that is poisoning our democracy and Israel’s today — swaggering oligarchs, using huge sums of money to try to bend each system to their will.
Christie, in his speech, referred to the West Bank as “occupied territories” — as any knowledgeable American leader would. This, Politico said, “set off murmurs in the crowd.” Some Republican Jews explained to Christie after he finished that he had made a terrible faux pas. (He called something by its true name and in the way the U.S. government always has!) The West Bank should be called “disputed territories” or “Judea and Samaria,” the way hard-line Jews prefer. So, Politico reported, Christie hastily arranged a meeting with Adelson to explain that he misspoke and that he was a true friend of Israel. “The New Jersey governor apologized in a private meeting in the casino mogul’s Venetian office shortly afterward,” Politico reported. It said Adelson “accepted” Christie’s “explanation” and “quick apology.”
Read that sentence over and contemplate it.
I don’t know if Israel has a Palestinian partner for a secure withdrawal from the West Bank, or ever will. But I know this: If Israel wants to remain a Jewish, democratic state, it should be doing everything it can to nurture such a partner or acting unilaterally to get out. Because, I’m certain that when reports about the “Adelson primary” reached the desk of Supreme Leader Khamenei in Tehran, a big smile crossed his face and he said to his aides: “May Allah grant Sheldon a long life. Everything is going according to plan.”
And now we get to Mr. Kristof:
Two years ago, Marina Keegan’s life brimmed with promise. She was graduating with high honors from Yale University, already a precocious writer about to take up a job at The New Yorker.
She had a play that was about to be produced. She had sparked a national conversation about whether graduates should seek meaning or money.
In keeping with that early promise, Keegan’s first book, “The Opposite of Loneliness,” is scheduled to be published in a few days. The title comes from an essay that she wrote in the graduation issue of the Yale newspaper; it was viewed online more than one million times.
The book is a triumph, but also a tragedy — for it’s posthumous.
“I cry because everything is so beautiful and so short,” Keegan wrote in one of her poems. As a senior, she wrote an aching protest on the website of The New York Times about the rush of students into well-paying jobs on Wall Street — not because of innate interest but because that route was lucrative and practical. One-quarter of Yale graduates entering the job market were going into finance or consulting, and Keegan saw this as a surrender of youthful talents and dreams to the altar of practicality.
“Standing outside a freshman dorm, I couldn’t find a single student aspiring to be a banker, but at commencement this May, there’s a 50 percent chance I’ll be sitting next to one,” she wrote. “This strikes me as incredibly sad.”
Keegan recalled being paid $100 to attend a recruiting session at Yale by a hedge fund: “I got this uneasy feeling that the man in the beautiful suit was going to take my Hopes and Dreams back to some lab to figure out the best way to crush them.”
For my part (and Keegan probably would have agreed), I think that we need bankers and management consultants as well as writers and teachers, and there’s something to be said for being practical. Some financiers find fulfillment, and it’s also true that such a person may be able to finance far more good work than a person who becomes an aid worker. Life is complicated.
Yet Keegan was right to prod us all to reflect on what we seek from life, to ask these questions, to recognize the importance of passions as well as paychecks — even if there are no easy answers.
A young man named Adam Braun struggles with similar issues in another new book that complements Keegan’s. Braun began working at a hedge fund the summer when he was 16, charging unthinkingly toward finance, and after graduation from Brown University he joined Bain Consulting.
Yet Braun found that although he had “made it,” his heart just wasn’t in his work. He kept thinking of a boy, a beggar who had never been to school, whom he had met on a trip to India. Braun asked the boy what he wanted most in the world.
The boy replied, “a pencil.”
Braun quit his job to found Pencils of Promise, a nonprofit that builds schools around the world. His new book, “The Promise of a Pencil,” recounts “how an ordinary person can create extraordinary change.”
I hope this year’s graduates will remember the message in the books by Keegan and Braun about seeking fulfillment, zest and passion in life. This search for purpose in life is an elemental human quest — yet one we tend to put off. And we never know when time will run out.
For Marina Keegan, that was just five days after graduation. Her boyfriend was driving her to her father’s 55th birthday party on Cape Cod. Though he was neither speeding nor drinking, he fell asleep at the wheel. They both were wearing seatbelts, but her seat was fully reclined so that the seatbelt was less effective.
The car hit a guard rail and rolled over twice. The boyfriend was unhurt; Keegan was killed.
Her mother, Tracy Keegan, combed the wreckage. Marina’s laptop had been smashed, but the hard drive was extracted to mine the writings so important to her — and now preserved in her book.
After the crash, Marina’s parents immediately forgave and comforted her boyfriend, who faced criminal charges in her death. They asked that he not be prosecuted for vehicular homicide — for that, they said, would have broken their daughter’s heart. Charges were dropped, and the boyfriend sat by her parents at the memorial service.
The book has been lovingly edited by Anne Fadiman, who taught Keegan writing at Yale. “Every aspect of her life,” Fadiman says, “was a way of answering that question: how do you find meaning in your life?”
Fadiman says that Marina would be “beyond thrilled” at having a book published, but would add: “Please pay attention to my ideas. Don’t read this book just because I’m dead.”
And last but not least we have Mr. Bruni:
To appreciate how rapidly the ground has shifted, go back just two short years, to April 2012. President Obama didn’t support marriage equality, not formally. Neither did Hillary Clinton. And few people were denouncing them as bigots whose positions rendered them too divisive, offensive and regressive to lead.
But that’s precisely the condemnation that tainted and toppled Brendan Eich after his appointment two weeks ago as the new chief executive of the technology company Mozilla. On Thursday he resigned, clearly under duress and solely because his opposition to gay marriage diverged from the views of too many employees and customers. “Under the present circumstances, I cannot be an effective leader,” he said, and he was right, not just about the climate at Mozilla but also, to a certain degree, about the climate of America.
Something remarkable has happened — something that’s mostly exciting but also a little disturbing (I’ll get to the disturbing part later), and that’s reflected not just in Eich’s ouster at Mozilla, the maker of the web browser Firefox, but in a string of marriage-equality victories in federal courts over recent months, including a statement Friday by a judge who said that he would rule that Ohio must recognize same-sex marriages performed outside the state.
And the development I’m referring to isn’t the broadening support for same-sex marriage, which a clear majority of Americans now favor. No, I’m referring to the fact that in a great many circles, endorsement of same-sex marriage has rather suddenly become nonnegotiable. Expected. Assumed. Proof of a baseline level of enlightenment and humanity. Akin to the understanding that all people, regardless of race or color, warrant the same rights and respect.
Even beyond these circles, the debate is essentially over, in the sense that the trajectory is immutable and the conclusion foregone. Everybody knows it, even the people who still try to stand in the way. The legalization of same-sex marriage from north to south and coast to coast is merely a matter of time, probably not much of it at that.
There will surely be setbacks, holdouts, tantrums like the one in Arizona, whose Legislature in February passed a bill that would have allowed discrimination against gays and lesbians on religious grounds. (Mississippi enacted a vaguely similar measure last week.) Arizona’s governor of course vetoed the legislation, after being pressured by corporate leaders, and their lobbying underscored the larger and more lasting story. At least beyond the offices of Chick-fil-A, it’s widely believed — no, understood — that being pro-gay is better for business than being antigay. Hence the inclusion of a same-sex couple in the famous faces-of-America commercial that Coca-Cola unveiled during the Super Bowl. Hence a more recent television spot, part of the Honey Maid food company’s “This is Wholesome” ad campaign. It showed two dads cuddling their newborn.
The Mozilla story fits into this picture. Eich was exiled following not just employee complaints but signs and threats of customer unrest: The online dating site OkCupid was urging its users to boycott Firefox.
The business community has in fact been a consequential supporter of marriage equality. Wall Street firms lined the coffers of the campaign for marriage equality in New York, and 20 major financial service companies pay substantial membership dues to belong to and underwrite Out on the Street, an industry group that advocates for L.G.B.T. equality.
“You want to talk about a sea change?” Todd Sears, the group’s founder, said to me. “Fourteen financial services companies signed onto an amicus brief in the Edie Windsor case.” That was the one that asked the Supreme Court to strike down the Defense of Marriage Act, which the court essentially did last June.
The language in the high court’s ruling “demolished every argument put forward to justify marriage discrimination,” said Evan Wolfson, the founder and president of the advocacy group Freedom to Marry. And that ruling, he added, helped to pave the way for all the court victories — in Utah, in Oklahoma, in Texas — since. This coming Thursday, the United States circuit court in Denver will hear an appeal of the decision by a federal judge in Utah to allow gay and lesbian couples there to wed. The case could have a sweeping effect on a region of the country not typically considered progressive. It could also wind up at the Supreme Court and give the justices a chance to do what they stopped short of last year: decree marriage equality nationwide.
Wolfson noted a fascinating angle of the recent court rulings and of the blessing that Eric Holder gave in February to state-level attorneys general who didn’t want to defend bans on gay marriage. Both invoked racial discrimination in the country’s past, casting bans on same-sex marriage in that context.
Increasingly, opposition to gay marriage is being equated with racism — as indefensible, un-American. “What was once a wedge issue became wrapped in the American flag,” said Jo Becker, a Times writer whose sweeping history of the marriage-equality movement, “Forcing the Spring,” will be published this month. Becker mentioned what she called a rebranding of the movement over the last five years, with two important components. First, gay marriage was framed in terms of family values. Second, advocates didn’t shame opponents and instead made sympathetic public acknowledgment of the journey that many Americans needed to complete in order to be comfortable with marriage equality.
There was no such acknowledgment from Mozilla employees and others who took to Twitter to condemn Eich and call for his head. Writing about that wrath in his blog, The Dish, Andrew Sullivan said that it disgusted him, “as it should disgust anyone interested in a tolerant and diverse society.” A leading supporter of gay marriage, Sullivan warned other supporters not to practice “a fanaticism more like the religious right than anyone else.”
I can’t get quite as worked up as he did. For one thing, prominent gay rights groups weren’t part of the Mozilla fray. For another, Mozilla isn’t the first company to make leadership decisions (or reconsiderations) with an eye toward the boss’s cultural mind-meld with the people below him or her. And if you believe that to deny a class of people the right to marry is to deem them less worthy, it’s indeed difficult to chalk up opposition to marriage equality as just another difference of opinion.
But it’s vital to remember how very recently so many of equality’s promoters, like Obama and Clinton, have come around and how relatively new this conversation remains. It’s crucial not to lose sight of how well the movement has been served by the less judgmental posture that Becker pointed out.
Sullivan is right to raise concerns about the public flogging of someone like Eich. Such vilification won’t accelerate the timetable of victory, which is certain. And it doesn’t reflect well on the victors.
Crap, Mr. Bruni. He was shit-canned because he was bad for business. He’s still perfectly free to exercise his rights of free speech to decry same sex marriage.