The historian Arnold Toynbee observed that civilizations that attempted to reform far flung outposts on the periphery of their empires tended to fail and decline. Societies that renewed themselves, on the other hand, stood a better chance of succeeding and being ascendant powers.
Toynbee’s observation is extremely pertinent as the Obama administration contemplates a possible expansion of troops in Afghanistan. Proponents of increasing American forces to counter a resurgent Taliban contend that the so-called surge option turned the tide of the Iraq War in America’s favor, so why shouldn’t a similar counterinsurgency strategy work in Afghanistan?
To begin with, Afghanistan is a country five times the size of Iraq with some of the most inhospitable territory in the world. To compound matters, Afghanistan has never had an effective central government and the administration of Hamid Karzai, the partner in any nation building efforts in Afghanistan, is notoriously corrupt and therefore despised by much of the population.
Given enough time, say a decade, a counterinsurgency effort in Afghanistan might succeed. But defeating the Taliban and those resisting America’s presence in Afghanistan will likely have a limited strategic impact on the broader campaign against terrorism. Put simply, terrorism is an ideology that defies borders. Waging a battle for territory in Afghanistan is futile or beside the point if America’s enemies can simply flee to ungovernable regions in neighboring Pakistan.
The Bush administration’s strategy against terrorism boiled down to reducing the pool of ‘bad guys’ who are ideologically disposed towards attacking the United States. One limitation of this approach, of course, is that inevitable collateral damage tends to breed new jihadists. As even Don Rumsfeld noted, we can’t be sure we’re killing them faster than they are being created.
The “War on Terror” concept is proving self-defeating in other ways. It costs approximately $250,000 to field a single soldier in Afghanistan per year. Escalating the war in Afghanistan is going to cost the United States Treasury some $173 billion a year going forward. The Obama administration has an ambitious agenda to reform healthcare, repair America’s ailing infrastructure, and invest in the alternative energy sources of the future. However, at some point America’s creditors, particularly China, will have to ask the question: will the United States ever be able to repay the vast sums it is borrowing?
Experts agree that China is a rising power. Increasingly, America’s economic fate is tethered to China’s willingness to lend us money. The more the United States borrows the more leverage China will have over America’s economic and political future. For instance, if the United States does not curb its appetite for debt, then one day Chinese bankers might decide that they require a higher level of interest to compensate for their risk. A failure of America’s elected officials to raise taxes and cut services in order to pay for the servicing of our national debt could precipitate a run on the dollar.
Military success in Afghanistan may be less central to our national security than has been generally assumed. America cannot quit Afghanistan entirely. But our adventure in Iraq should have taught us something about the limits of military force. After all, the “success” of the so-called surge was something of a pyrrhic victory; the surge merely succeeded in mitigating the disastrous consequences of the Bush administration’s ill-advised invasion. Yogi Berra once said, “When you come to a fork in the road, take it.” Unfortunately, the United States no longer has the resources to do nation building abroad and at home. America must make a choice.
Showing posts with label Barack Obama. Show all posts
Showing posts with label Barack Obama. Show all posts
Friday, November 6, 2009
Thursday, November 5, 2009
Healthcare: Universal Coverage vs. Insurance Mandates
Universal health coverage is an admirable goal. The aim of reforming America’s ailing healthcare system should be threefold: 1) delivering better coverage, 2) expanding access to all of America’s citizens, 3) reducing costs. Sound contradictory? It need not be, assuming a healthier society will require less healthcare.
Obama’s proposal to reform healthcare has been characterized as “socialized medicine.” Ironically, if anything the current insurance-based fee for service model represents socialized medicine at its worst. After all, in the current system opacity regarding the costs of medical services makes true comparison shopping and competition impossible. Further, when third-party middlemen are responsible for paying the bulk of medical claims, then there is little incentive for medical providers or consumers to worry about costs. Hence, medical costs are skyrocketing while devouring and ever greater share of the nation’s GDP.
Today, America’s healthcare system, at least as in so far as it is financed through employer funded insurance programs, embodies Marx’s dictum: from each according to his ability, to each according to his need.”
Obama is right to insist that the current system is unsustainable. Simply put, the current system does not contain checks and balances that incentivize cost containment. Further, our healthcare system is perversely incentivized to treat disease rather than promote wellness. No wonder, then, that America spends twice as much per person on healthcare as many industrialized countries, but achieves far lower levels of public health as a result.
The so-called “public option” plan would create genuine competition for insurance companies, which should drive prices down. Not surprisingly, the insurance companies claim a public option would constitute an unfair government advantage. However, this is a tacit admission that their corporate dogma, that private enterprise is always more effective and more efficient than government, is largely self-serving hooey.
However, conservative opposition to Obama’s reform efforts have zeroed in on a deeply troubling facet of the Democratic legislation making its way through Congress. Put simply, any mandate that requires citizens to purchase health insurance from private companies is blatantly unconstitutional.
The United States was founded as a government of limited powers. Powers not specifically enumerated in the Constitution are retained by the people. Penalizing otherwise law abiding citizens for failing to engage in certain economic activities or livelihood choices would represent a dangerous extension of government power. Universal healthcare is an admirable goal, but the way we pay for that end must be consistent with the ideals embodied in the Constitution. A national sales tax would be one potential method of funding universal coverage.
As a candidate, President Obama rightly expressed skepticism about insurance mandates. No doubt, the president’s background as a Constitutional scholar kindled his reservations. America needs universal coverage, but subverting wise Constitutional principles would be too high a price to pay for achieving that aim.
Obama’s proposal to reform healthcare has been characterized as “socialized medicine.” Ironically, if anything the current insurance-based fee for service model represents socialized medicine at its worst. After all, in the current system opacity regarding the costs of medical services makes true comparison shopping and competition impossible. Further, when third-party middlemen are responsible for paying the bulk of medical claims, then there is little incentive for medical providers or consumers to worry about costs. Hence, medical costs are skyrocketing while devouring and ever greater share of the nation’s GDP.
Today, America’s healthcare system, at least as in so far as it is financed through employer funded insurance programs, embodies Marx’s dictum: from each according to his ability, to each according to his need.”
Obama is right to insist that the current system is unsustainable. Simply put, the current system does not contain checks and balances that incentivize cost containment. Further, our healthcare system is perversely incentivized to treat disease rather than promote wellness. No wonder, then, that America spends twice as much per person on healthcare as many industrialized countries, but achieves far lower levels of public health as a result.
The so-called “public option” plan would create genuine competition for insurance companies, which should drive prices down. Not surprisingly, the insurance companies claim a public option would constitute an unfair government advantage. However, this is a tacit admission that their corporate dogma, that private enterprise is always more effective and more efficient than government, is largely self-serving hooey.
However, conservative opposition to Obama’s reform efforts have zeroed in on a deeply troubling facet of the Democratic legislation making its way through Congress. Put simply, any mandate that requires citizens to purchase health insurance from private companies is blatantly unconstitutional.
The United States was founded as a government of limited powers. Powers not specifically enumerated in the Constitution are retained by the people. Penalizing otherwise law abiding citizens for failing to engage in certain economic activities or livelihood choices would represent a dangerous extension of government power. Universal healthcare is an admirable goal, but the way we pay for that end must be consistent with the ideals embodied in the Constitution. A national sales tax would be one potential method of funding universal coverage.
As a candidate, President Obama rightly expressed skepticism about insurance mandates. No doubt, the president’s background as a Constitutional scholar kindled his reservations. America needs universal coverage, but subverting wise Constitutional principles would be too high a price to pay for achieving that aim.
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