For years, I’ve wrestled with the ultimate political question, “Are conservative wonks really that ignorant or are they simply forced to pretend to be because of their ideological necessities?” I think I’ve come down on the side of, “They’re really that ignorant.” In modern America, just following the facts makes one a liberal. Conservatism is an ideology; liberalism no longer is. Thus, the only people left to do the conservative wonkery are ideologues who are not interested in the facts except in as far as they substantiate their ideology.
Consider healthcare reform. The solution that we finally got with only Democratic votes is a conservative one that depends upon the existing insurance market system. Liberals looked at the available proposals and went with the one they thought they could get passed. Conservatives, on the other hand, start with the idea of everything that healthcare reform cannot be. For example, it could not be a single payer system. And in the end, it could not even be their own conservative plan. We see this over and over again in other areas: first comes ideology and any solutions to problems must pass that hurdle first.
Friday night, Holman Jenkins wrote, The Medicare-for-All Diversion. In it, he boldly takes on the oft repeated (true) claim by liberals that Medicare is better than private insurance because it has far lower administrative overhead. Medicare has 2% overhead costs while private insurance has 20%. Aha, Jenkins notes, “Much of Medicare’s overhead is hidden on the books of other agencies.” Q-E-fucking-D! Except… Not so much.
Austin Frakt at The Incidental Economist provides, Facts on Medicare Administrative Costs. It turns out that, contrary to what every conservative just knows, the government is pretty good at just about everything it does. And that is especially true of accounting. The Treasury Department applies the work that the IRS and HHS does for Medicare to Medicare. In other words, and not to put too fine a point on it: Holman Jenkins is just wrong.
But this isn’t even Jenkins’ main point. He must know deep down that he doesn’t know what he’s talking about. (That would require research!) So he argues that the reason Medicare is so efficient is because its members are so unhealthy. Really! Get this:
So private insurer administration costs are higher because they are keeping their members so healthy. Or something. That might make some sense if he were talking about profits. But he isn’t and health insurance profits are really quite low. It is all that money they spend trying not to pay for care that eats up the money. If insurance companies paid out no money to members because they were all so healthy, administration costs wouldn’t go up, profits would. And, of course, then insurance costs would go down. Blah blah blah. Leave it to a conservative to understand absolutely nothing about how business works.
He ends by making another totally bogus claim that his own column contradicts, “Look, if Medicare had cracked the secret of administering large sectors of the economy more efficiently than the private sector can, we’d be wise to hand the entire economy over to Medicare. We don’t hear too many making this argument.” We actually do have data that shows just that. And the fact that healthcare in the US costs about double what it does in other advanced economies also shows that. But the facts never get in the way of a conservative making an argument against what they see as socialism. It is disingenuous in the extreme for a Wall Street Journal columnist to say that he would follow the facts to the best policy. That just isn’t true. Even if you could convince him of the facts, he would still be against the policy because, “Freedom!”
Afterword
Holman Jenkins is a real charmer. Here, via Gawker, is what he wrote about Stop & Frisk:
At Slate on Friday, Dave Weigel published an interesting interview with Joe Scarborough,
On Friday, Brian Beutler wrote a much discussed article with a great headline,
The great Ukrainian painter
Yesterday was the 50th anniversary of the assassination of John F Kennedy. There has been something on my mind about it, but it seemed wrong to bring it up—even though it isn’t disrespectful. Obviously, the murder of Kennedy was a great tragedy—for those who knew him and more generally for the country. But in the long term, I think his death was helpful. In particular, it’s not at all clear to me that he would have been able to get the Voting Rights Act passed.
I’ve written a lot around here about the distinction between a critic and an
On this day in 1859, famed outlaw 
Timothy Egan wrote a really good article over at the New York Times last night,
As one of the more hysterical of the filibuster reform proponents, I’ve been itching to talk about yesterday’s historic change to the Senate rules. For those of you who have been in a coma, the filibuster was changed so that it now only applies to Supreme Court nominations and legislation. But even that is only temporary. The next time there is a filibuster of consequence on these matters, it too will die. But we aren’t likely to see anything for a while because there won’t be a Supreme Court vacancy for a while, nor will there be any important legislation as long as we have divided government. So the filibuster change is about as big as it could possibly be.
On this day in 1819, the great English writer
Hey folks. I’m out of town all day today (again actually) and so no more posts until this evening. I look forward to seeing you then. But until then:
I really like this: actual stories of Obamacare successes. Because here’s the thing: that’s the rule, not the exception. If the mainstream media want to present stories of people losing crummy healthcare policies and being forced to pay more for good policies, fine. But don’t present them as typical of what’s going on. In the two biggest states in the union, people are getting better insurance at lower prices. That’s the story. Leave the “Obamacare is destroying America” stories to Fox News and right wing hate radio. Because that isn’t news; that’s just propaganda.