Sunday, November 11, 2012

Lame-Duck Congress

Can this lame-duck Congress redeem itself and deal with the looming fiscal cliff?

The roles haven't changed: the Republicans still control the House, the Democrats the Senate, and President Obama was reelected to a second term. But perhaps, hopefully, the election sent a message to our elected officials that it's time to reach across the aisle and find bipartisan solutions to the nation's financial challenges.

In that spirit, today I sent the following email to my New Hampshire delegation, Speaker Boehner, Senator McConnell, and Senator Reid:
As you return to Congress following the 2012 election, I urge you to take the necessary steps to avoid the fiscal cliff, reduce the debt, and ensure the long-term viability of Social Security and Medicare. 
To accomplish this challenge, I believe spending must be reduced – defense included – and tax revenue increased. The latter should include increased tax rates, on the most financially fortunate Americans, and reductions in tax deductions.
No sacred cows or rigid ideologies. Please leave your political affiliation at the door and approach this vital work as an honest broker.

Saturday, November 10, 2012

A recap of the 2012 election

Before the echoes of the convention speeches, the attack ads, and the chattering television pundits fade to silence, I want to reflect on the election.

I voted to reelect President Barack Obama, overturn the Republican majorities in Congress and the New Hampshire House and Senate, and elect a Democrat to replace Governor John Lynch. While my goals weren't fully realized – the Republicans remain the majority in the U.S. House and New Hampshire Senate – I am pleased with the outcome and hope we will have a more effective government than the past two years.

This election is notable because I voted a straight party ticket for the first time in my life, although I still label myself an Independent. I have always weighed each race and voted for the candidate I felt would best fill the position. Until this election, that philosophy yielded a mix of Democrats and Republicans. Political parties have seemed a necessary evil and straight party voting has been anathema, so this election is an indication of a sea change in my view of the political landscape. So, before I forget, what drove my votes?

1. The Economy

The thesis of Mitt Romney's campaign argued that Barack Obama was responsible and accountable for the poor performance of the economic recovery, that the policies pursued by the Obama administration were ineffective – even hindered the recovery.

The steps taken by the Bush and Obama administrations at the beginning of the Great Recession, in the fall of 2008 and early 2009, decelerated the downward spiral and positioned the economy to recover. Government policies notwithstanding, I believe the slope of the recovery has been equally influenced by forces around the globe: the fiscal crisis in Greece, the malaise in Europe, the depressed housing market in the U.S., the caution of the banks as they seek to restore their balance sheets, and the bankruptcy and recovery of the auto industry.

I have no way to know whether a "pure" Republican response to the crisis would have yielded better results. However, I suspect that had GM and Chrysler not undergone a government-imposed bankruptcy and restructuring, the economies of Michigan and Ohio would be in far worse shape today. I don't believe the free market, as it was functioning in 2009, would have provided the capital, had the power to restructure the debt, nor moved as quickly to save the companies.

The growing U.S. debt is a concern and certainly must be addressed. Yet my college economics class and listening to various economists over the years leave me with enough belief in Keynesian theories to conclude that reducing debt by cutting government expenditures can stall an economic recovery. I think Britain and Greece are examples. Blaming the Obama administration for growing the debt during the past four years seems unfair. I suspect John McCain would be just as guilty, had he won the 2008 election.

Considering the state of the economy, I saw no basis to criticize President Obama's performance and vote for Mitt Romney.

2. Healthcare

Next to the economy, the Republican's second talking point was the repeal of Obamacare. Their original argument to "repeal and replace" simply changed to "repeal," with no discussion or, in my opinion, intent to replace.

The Affordable Care Act certainly has flaws, and the process that passed it exemplified the metaphor of making sausage. The very silver lining to that cloud, however, is we now have a framework for providing health care insurance to most Americans, with a balance to the historically punitive power of the insurance companies in the "free" market.

For very personal reasons, I'm not willing to start over; I have no faith that under a Romney administration we would see reasonable access for all Americans – even within my lifetime. That would be a moral failing, as the U.S. is the only developed country that doesn't provide comprehensive access to health care. Seeing the statistics on cost and medical outcomes, we can't even argue we have the best system for our society (meaning not just fortunate individuals).

President Obama overwhelmingly won my vote on this issue.

3. Social Values

I find it odd that while Republicans decry the role of government in our lives, they feel justified in defining the social values that everyone should live by.

Same-sex marriage most resonates with me, as I see it as a human rights issue, comparable to the civil rights struggles that played out on the TV screen of my youth. The Republican majority in the New Hampshire House unsuccessfully attempted to overturn same-sex marriage this year, arguing that the prior legislature had no right to make it legal. Of course, that was based on the religious belief that same-sex marriage is "wrong," that marriage should only recognize a relationship between a woman and a man. The 2012 Republican platform also states this position.

That's not my religious belief, and I don't want that imposed on the same-sex couples I know and respect and love. I don't want that sanctified loving relationship, nor the legal protections it affords, denied to any gay or lesbian couple.

Other values were debated during the campaign, including abortion, access to contraceptives, funding for Planned Parenthood. On all of them, I sided with President Obama and the Democratic candidates running for Congress and offices in New Hampshire.

4. Candidate Mitt Romney

No doubt Mitt Romney is a smart and decent man, despite portrayals of him being an unfeeling oligarch. I do respect his business experience and success, and the pragmatism that requires. That's not what concerned me.

Rather, I couldn't determine his political leanings from the course of his campaign. During the primaries, he tacked to the most conservative side of the party, calling himself a "severely conservative Republican governor" during one of the debates. Once he had the nomination, though, he tacked back toward the center, sounding like the most moderate person in the first debate with President Obama.

Who was the real Mitt Romney and how would he lead the nation? I wasn't willing to take a chance voting for him, with a hope that he would govern as a moderate. On this point, I voted against Mitt Romney.

5. Bipartisanship and Compromise

Washington has been in gridlock the past two years, since the Republicans assumed control of the House following the 2010 election. There's no better example of this than the bickering over the debt and raising the debt ceiling, the failed Congressional debt commission, and the resulting fiscal cliff that looms at the end of the year.

I am critical of President Obama for not adopting the work of the Simpson-Bowles Commission as a baseline plan to address the debt. Politically, I recognize that had he embraced their dramatic approach, he would have created a target for the Republicans, whose mantra is spending cuts with no increase in taxes.

Despite the possible missed opportunity, the President and House Speaker John Boehner almost crafted a deal, until it was scuttled by the conservative members of the House. That led to the failed Congressional debt commission and now the ticking time bomb of sequestration, which I've heard the New Hampshire Republican delegation repeatedly decry. Ironically, sequestration is linked to their own unwillingness to compromise on increasing tax revenue – which would violate their pledge to Grover Norquist.

While I'm not so naive that I would argue the behavior of the Democrats in Congress is pure, I find greater fault with the Republicans. Senate Minority Leader Mitch McConnell's admonition rings loudly in my ears:
The single most important thing we want to achieve is for President Obama to be a one-term president.
I think the Republicans in the House and Senate have worked to that end, employing the strategy articulated as just say no, and betting they would win the Presidency.

President Obama won my vote by the Republican Congress losing it. However, I struggled a bit voting against Charlie Bass. I respect his independence and willingness to vote against his party on various issues. He's a model for all of our elected representatives. Unfortunately, he's only one voice among many Republicans who don't seem to share his philosophy. So I voted for Ann McLane Kuster.

The Outlook

I'm very encouraged by the outcome of the election in New Hampshire: the House has flipped from Republican to Democratic majority and Democrat Maggie Hassan will replace John Lynch. I think we will have a more balanced agenda.

During the President's second term, we'll see the implementation of Obamacare and can begin to address the inflating cost of health care. I'm not worried about backtracking on social issues. I hope, fervently hope, that we'll see the bipartisan statesmanship to truly address the debt and long-term viability of Social Security and Medicare.

With President Obama reelected, Mitch McConnell's goal is no longer relevant, making me hopeful that Congress can break the partisan gridlock, despite the same majorities in the House and Senate. The most pressing issue is dealing with the fiscal cliff. I urge the lame-duck Congress to address this and not kick the proverbial can to the next Congress.

These next six weeks should be very interesting.

Sunday, August 05, 2012

Romney compliments Israeli health care

On his recent international trip to demonstrate his foreign policy credentials, Mitt Romney, the assumed Republican presidential nominee, complimented Israel's health care system — at least the cost and outcome. As reported by the Washington Post's Wonkblog, Governor Romney said
Our health care costs are completely out of control. Do you realize what health care spending is as a percentage of the GDP in Israel? 8 percent. You spend 8 percent of GDP on health care. And you’re a pretty healthy nation. We spend 18 percent of our GDP on health care. 10 percentage points more. That gap, that 10 percent cost, let me compare that with the size of our military. Our military budget is 4 percent. Our gap with Israel is 10 points of GDP. We have to find ways, not just to provide health care to more people, but to find ways to finally manage our health care costs.
Ironically, the Israeli health care system is funded through taxes, imposes a mandate for everyone to participate (through taxes), provides access to all citizens (regardless of employment or income), and controls health care costs with government involvement in physician contracts and capping hospital costs.

Measured by two outcomes — child mortality and life expectancy — Israelis do better than Americans.

Given all the bashing of Obamacare, particularly following the Supreme Court ruling, it's ironic that Mitt Romney would choose to highlight Israeli healthcare. Their results surely reflect the construction of their system.

During the development of what became the Affordable Care Act, the Christian Broadcasting Network produced this profile of the Israeli health care system. It provides a good overview of the key attributes and notes pros and cons compared with the American counterpoint.

If you want more on Mitt Romney's remarks and the resulting reaction, here's another article.

Saturday, June 30, 2012

More on health care

A few more thoughts about the Supreme Court ruling on the Affordable Care Act:

This gentleman called in to Diane Rehm's Friday News Roundup yesterday to describe the difficulty of obtaining health insurance under the present system and why the Affordable Care Act offers hope. His story is touching and compelling and the core issue our Senators and Representatives should be solving.

This family's story isn't the only example.

A colleague is getting divorced and is concerned that his soon-to-be-former wife won't be able to get health insurance. She doesn't work and likely has what the insurance companies would consider a pre-existing condition.

I recently explored forming my own consulting company and getting health insurance for my family. The state's major insurance company said they would not underwrite my daughter until 10 years past her last surgery.

Those against Obamacare seem largely focused on the supposed government takeover of the health insurance industry — such claims seem hyperbole to me — and what the government can and cannot tell citizens to do. I just wish they would be as passionate about the moral issue of ensuring access to health insurance for all Americans.

Friday, June 29, 2012

Supreme Court upholds the health care law

I was pretty sure the Supreme Court was going to strike down the Affordable Care Act, given the uproar about the provision or mandate requiring people to buy health insurance coverage. That the Court didn't and that Chief Justice John Roberts joined — nay wrote — the majority opinion brought tears to my eyes when I heard the breaking news yesterday morning.

We live in a politically polarized country, so it is not a surprise that those who oppose the health care law — dubbed Obamacare — immediately called for the law's repeal. House Majority Leader Eric Cantor promises a vote on July 11, when the House returns from recess. And House Majority Leader John Boehner is almost apoplectic in arguing that the only reasonable course is for the law to be "ripped out by its roots."

While it's far from perfect — can anything designed by committee be even close to perfect? — the Affordable Care Act is a positive step forward in successfully addressing the major health-care issue this country faces: access to health insurance. And it attempts to limit the rising cost of health care.

I think we need to give it a chance to work and then improve it. And I felt compelled to say so to my Republican Senator and Representative:
Congress passed the law. The President signed it. The Supreme Court upheld it. 
Now let us see how it works and then make improvements based upon experience – not hypothetical concerns or political ideology. 
To state that you want to repeal the law without offering a specific, comprehensive alternative is irresponsible, in my opinion. The Affordable Care Act, despite its shortcomings, provides a means for Americans to have health insurance without denied coverage due to preexisting conditions and the risk of rescission, with serious illness. To help address the increasing cost of medical care, the law contains several provisions, including emphasizing preventative care and limiting the amount insurance companies can spend on administration and marketing. 
Rather than hurting economic growth, I believe ready access to health care that is not tied to employment will actually stimulate entrepreneurial activity, new business creation, and job growth. 
It’s a travesty that America is the only developed nation without universal access to health insurance. I believe we have a moral obligation as a country to solve that problem – which the free market has been unable to do on its own. 
So let’s suspend the rhetoric and give the law a fair chance to work.
Read the Supreme Court's full ruling here.

Tuesday, February 14, 2012

The role of management

I like this blog post on the role of management by Joel Spolsky, author of the blog Joel on Software and the CEO of Stack. I like it because Joel's inverted pyramid reinforces my idea of servant leadership.

In my view, the role of the leader is to articulate the vision, recruit a talented team that is passionate about achieving the vision, and then help the team surmount the barriers on their quest for the vision.

Leadership is not about power and feeding the ego. Leaders approach their role with humility. As stated in The Tao of Leadership,
Enlightened leadership is service, not selfishness.