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    <title>Ezra Klein</title>
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    <updated>2009-05-18T13:34:46Z</updated>
    <subtitle>All Klein, all the time.</subtitle>
    <generator uri="http://www.sixapart.com/movabletype/">Movable Type 4.01</generator>
 

<entry>
    <title>NEW ADDRESS.</title>
    <link rel="alternate" type="text/html" href="http://www.prospect.org/csnc/blogs/ezraklein_archive?month=05&amp;year=2009&amp;base_name=new_address" />
    <link rel="service.edit" type="application/atom+xml" href="http://blog.prospect.org/mt-atom.cgi/weblog/blog_id=25/entry_id=115152" title="&lt;b&gt;NEW ADDRESS.&lt;/B&gt;" />
    <id>tag:blog.prospect.org,2009:/blog/ezraklein//25.115152</id>
    
    <published>2009-05-18T13:33:22Z</published>
    <updated>2009-05-18T13:34:46Z</updated>
    
    <summary>The new address of this blog is http://voices.washingtonpost.com/ezra-klein/ The new RSS feed is: https://voices.washingtonpost.com/ezra-klein/fast.xml Come on over!...</summary>
    <author>
        <name>Ezra Klein</name>
        
    </author>
    
    <content type="html" xml:lang="en" xml:base="http://www.prospect.org/csnc/blogs/ezraklein">
        <![CDATA[<p>The new address of this blog is <a href="http://voices.washingtonpost.com/ezra-klein/">http://voices.washingtonpost.com/ezra-klein/</a></p>

<p>The new RSS feed is: https://voices.washingtonpost.com/ezra-klein/fast.xml</p>

<p>Come on over!</p>]]>
        
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<entry>
    <title>MY LAST POST AT TAP.</title>
    <link rel="alternate" type="text/html" href="http://www.prospect.org/csnc/blogs/ezraklein_archive?month=05&amp;year=2009&amp;base_name=my_last_post_at_tap" />
    <link rel="service.edit" type="application/atom+xml" href="http://blog.prospect.org/mt-atom.cgi/weblog/blog_id=25/entry_id=115089" title="&lt;b&gt;MY LAST POST AT TAP.&lt;/B&gt;" />
    <id>tag:blog.prospect.org,2009:/blog/ezraklein//25.115089</id>
    
    <published>2009-05-12T22:00:14Z</published>
    <updated>2009-05-12T22:08:49Z</updated>
    
    <summary>&quot;It&apos;s not a goodbye post,&quot; a friend just said to me. &quot;It&apos;s a &apos;see you later&apos; post.&quot; And that&apos;s probably true. This will be my last real blog post at The American Prospect. This site will go dark for the...</summary>
    <author>
        <name>Ezra Klein</name>
        
    </author>
    
    <content type="html" xml:lang="en" xml:base="http://www.prospect.org/csnc/blogs/ezraklein">
        <![CDATA[<span class="mt-enclosure mt-enclosure-image"><a href="http://blog.prospect.org/blog/ezraklein/0605.jpg"><img alt="0605.jpg" src="http://blog.prospect.org/blog/ezraklein/0605-thumb-250x328.jpg" width="200"  class="mt-image-right" style="float: right; margin: 0 0 20px 20px;"/></a></span>"It's not a goodbye post," a friend just said to me. "It's a 'see you later' post." And that's probably true. This will be my last real blog post at <em>The American Prospect</em>. This site will go dark for the rest of the week. On Monday, it will move to the <em>Washington Post</em> (the archives will remain at this address). The new URL will be <a href="http://voices.washingtonpost.com/ezra-klein/">http://voices.washingtonpost.com/ezra-klein/</a>. I'll see all of you then. It'll go by quick. Just you watch.

<p>But today does mark an end. I've been at <em>TAP</em> for almost four years. I moved to Washington, DC in September of 2005 to take the writing fellowship. The next year, I became a staff writer. The year after that, an associate editor. I've seen three editors, two offices, and four writing fellows. I've shared a cubicle with Matt Yglesias and a hotel room with Mark Schmitt. I've spent long nights at The Black Rooster. I have stolen candy from Richard Boriskin's candy bowl and I have stolen candy from Ann Friedman's candy bowl. I've written dozens of features, around a hundred columns, and thousands of blog posts containing literally millions of words. And there's not been a day that I haven't been proud to work here.</p>

<p>That's true, of course, because of the magazine's politics. But also because of its approach. The <em>Prospect</em> is one of the few unrepentantly wonkish outfits in existence. It's one of the few magazines where I could've pitched a <a href="http://www.prospect.org/cs/articles?article=numbercruncherinchief">profile</a> of Congressional Budget Director Peter Orszag -- this was before he became a star, mind you -- and been given the enthusiastic go-ahead. My editor's particular interest in the piece was the opportunity to explore the importance of the budget scoring process. In the editing process, we actually cut the glitzy stuff about Orszag's tilt towards behavioral economics.</p>

<p>Pause on that for a minute. The <em>Prospect</em>, to its credit, has always rejected the idea that readers wouldn't be interested in something even though it was important. To be fair, that's a product of our business model: A non-profit isn't dependent on advertising revenue, and so can take chances that a for-profit can't. But the <em>Prospect</em>'s model has not been disproven. Quite the opposite, I think. </p>

<p>The Obama era has been a period of policy. Of substance. The drama is in the budget, the composition of the stimulus bill, the survival of the banking system, the inclusion of a public plan, the fight over climate change. It's not that we've put away childish things. Rush Limbaugh's name, for instance, is still in the news. But we've also learned to pay attention to adult things. The <em>Prospect</em> has been doing that for almost two decades now, and they provided me with a home to do the same. And the <em>Prospect</em> was <em>right</em>. Turns out that you can build an audience with charts and graphs and hearings and budget commentary. The words "reconciliation," "nationalization," and "community rating" do not scare readers away. Scatterplots do not harm your traffic. Indeed, the <em>Washington Post</em> is asking me to cover the same topics in the same way at their site. But I would never have had this opportunity, or been able to build this model, without <em>TAP</em> -- both the space it gave me and the guidance it provided me. I'll be forever grateful to it.</p>

<p>Which is why, even though I'm leaving, I urge you to stay. That's not to say you shouldn't <em>immediately</em> bookmark <a href="http://voices.washingtonpost.com/ezra-klein/">my new blog</a> and check it obsessively every day. It'll have that same great Ezra taste, but with more resources around to make my charts look pretty. But make sure <a href="http://www.prospect.org/csnc/blogs/tapped">Tapped</a> is on your blogroll, too. And make sure you're <a href="http://www.prospect.org/cs/subscribe">receiving</a> the <em>American Prospect</em> magazine at home. And make sure you're checking out the <a href="http://www.prospect.org/">homepage</a> every morning. Keep an eye on the place for me.</p>]]>
        
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<entry>
    <title>IS THE ADMINISTRATION AT WAR WITH ITSELF?</title>
    <link rel="alternate" type="text/html" href="http://www.prospect.org/csnc/blogs/ezraklein_archive?month=05&amp;year=2009&amp;base_name=is_the_administration_at_war_w" />
    <link rel="service.edit" type="application/atom+xml" href="http://blog.prospect.org/mt-atom.cgi/weblog/blog_id=25/entry_id=115088" title="&lt;b&gt;IS THE ADMINISTRATION AT WAR WITH ITSELF?&lt;/B&gt;" />
    <id>tag:blog.prospect.org,2009:/blog/ezraklein//25.115088</id>
    
    <published>2009-05-12T21:02:40Z</published>
    <updated>2009-05-12T22:00:42Z</updated>
    
    <summary>This morning, some conservative groups expended a lot of energy hyping a document that seemed to show the Office of Management and Budget -- and hence the Obama administration -- opposes the Environmental Protection Agency&apos;s decision to classify carbon as...</summary>
    <author>
        <name>Ezra Klein</name>
        
    </author>
    
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        <![CDATA[<p>This morning, some conservative groups expended a lot of energy hyping a document that seemed to show the Office of Management and Budget -- and hence the Obama administration -- opposes the Environmental Protection Agency's decision to classify carbon as a dangerous pollutant. That was a bad idea, because it's just given the OMB a high-profile opportunity to restate its support for the EPA's finding. Peter Orszag, the director of the OMB, <a href="http://www.whitehouse.gov/omb/blog/09/05/12/ClearingtheAir/">explains</a>. And he also links to this April 17th <a href="http://www.whitehouse.gov/omb/blog/09/04/17/ImportantEPAFinding/">post</a> where he calls the EPA's decision "important" and writes that "the proposed finding is carefully rooted in both law and science."</p>

<p>Either way, what actually happened today is that the OMB gave the EPA license to go forward with its reclassification of carbon. This would, in theory, give the EPA the ability to regulate carbon autonomously. If Congress fails to act on cap and trade, in other words, the EPA can do some of the job itself. And it may do it in ways that the energy industry finds less congenial. Orszag put this pretty explicitly back in April:<br />
<blockquote>The President has made it clear that he wants to move the nation toward clean energy, and that part of that effort involves a legislative approach to reducing greenhouse gas emissions under a "cap and trade" program.  Such a program would be more effective and efficient than most types of regulation.  While such a program is being debated in the Congress, however, the Administration is following both the science and the law with regard to the Clean Air Act.</blockquote></p>]]>
        
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<entry>
    <title>HAS THE BUSINESS COMMUNITY BOXED ITSELF INTO A CORNER ON LABOR LAW?</title>
    <link rel="alternate" type="text/html" href="http://www.prospect.org/csnc/blogs/ezraklein_archive?month=05&amp;year=2009&amp;base_name=has_the_business_community_box" />
    <link rel="service.edit" type="application/atom+xml" href="http://blog.prospect.org/mt-atom.cgi/weblog/blog_id=25/entry_id=115086" title="&lt;b&gt;HAS THE BUSINESS COMMUNITY BOXED ITSELF INTO A CORNER ON LABOR LAW?&lt;/B&gt;" />
    <id>tag:blog.prospect.org,2009:/blog/ezraklein//25.115086</id>
    
    <published>2009-05-12T21:00:06Z</published>
    <updated>2009-05-12T21:01:00Z</updated>
    
    <summary>I&apos;ve written often on the strategic mistake the unions made uniting behind the specific solution of card check rather than the general problem of unfair barriers to workers who want to organize. But I&apos;m starting to wonder if the business...</summary>
    <author>
        <name>Ezra Klein</name>
        
    </author>
    
    <content type="html" xml:lang="en" xml:base="http://www.prospect.org/csnc/blogs/ezraklein">
        <![CDATA[<p>I've written often on the strategic mistake the unions made uniting behind the specific solution of card check rather than the general problem of unfair barriers to workers who want to organize. But I'm starting to wonder if the business community hasn't made the same mistake in reverse. They've done a damn good job burying card check. But they haven't convinced anyone that unfair elections aren't a problem. </p>

<p>Last week, a massive coalition of business groups sent a "Dear Senator" letter that stated, "let us be clear and frank on this matter; there can be no acceptable 'compromise' on any issue of labor law reform due to the very real threat posed by EFCA." Huh. "That hardly sounds like bargaining in good faith," <a href="http://www.washingtonpost.com/wp-dyn/content/article/2009/05/10/AR2009051001931.html">sighed</a> the <em>Washington Post</em>. And the increasing perception of employer stubbornness is lending life to compromise proposals. One such idea is being floated by Arlen Specter, who desperately wants SEIU's help in his next election. He's backing a set of fixes that would speed elections -- the vote would come no more than three weeks after a request is filed -- and guarantee organizers "equal time under identical circumstances" to make their pitch to employees. So if management holds a captive audience meeting, then they have to give organizers the same opportunity. </p>

<p>The corporate community opposes this, too. But having predicated their assault on a principled belief in "workplace democracy," it's extremely hard for them to credibly oppose reforms that would help bring democracy to the workplace. Just as the unions chose poor ground when they centered their fight around card check, the business community has made a bad decision centering their counterattack around workplace democracy. </p>]]>
        
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<entry>
    <title>THE OTHER INSOLVENCY PROBLEM.</title>
    <link rel="alternate" type="text/html" href="http://www.prospect.org/csnc/blogs/ezraklein_archive?month=05&amp;year=2009&amp;base_name=the_other_insolvency_problem" />
    <link rel="service.edit" type="application/atom+xml" href="http://blog.prospect.org/mt-atom.cgi/weblog/blog_id=25/entry_id=115084" title="&lt;b&gt;THE OTHER INSOLVENCY PROBLEM.&lt;/B&gt;" />
    <id>tag:blog.prospect.org,2009:/blog/ezraklein//25.115084</id>
    
    <published>2009-05-12T20:30:09Z</published>
    <updated>2009-05-12T20:38:38Z</updated>
    
    <summary>The Annual Trustees Report is out today, telling us something akin to what we already knew: Medicare and Social Security are in bad shape, and getting worse. The headlines will emphasize the dates of insolvency. Medicare runs out of money...</summary>
    <author>
        <name>Ezra Klein</name>
        
    </author>
    
    <content type="html" xml:lang="en" xml:base="http://www.prospect.org/csnc/blogs/ezraklein">
        <![CDATA[<span class="mt-enclosure mt-enclosure-image"><a href="http://blog.prospect.org/blog/ezraklein/actuaryreports.jpg"><img alt="actuaryreports.jpg" src="http://blog.prospect.org/blog/ezraklein/actuaryreports-thumb-240x517.jpg" width="240" height="517" class="mt-image-right" style="float: right; margin: 0 0 20px 20px;"/></a></span>The <a href="http://www.ssa.gov/OACT/TRSUM/index.html">Annual Trustees Report</a> is out today, telling us something akin to what we already knew: Medicare and Social Security are in bad shape, and getting worse. The headlines will emphasize the dates of insolvency. Medicare runs out of money in 2017, two years earlier than anticipated by last year's report. Social Security falls in 2037, four years earlier than predicted in last year's report. But as the <em><a href="http://www.washingtonpost.com/wp-dyn/content/article/2009/05/12/AR2009051200252.html?hpid=topnews">WaPo</a></em> graph to your right shows, these estimates change year-to-year. The exact year might make the headlines, but it's the least reliable piece of the report.

<p>But even so, both programs face challenges. What probably won't make it into many stories, however, is the relative severity of the problems. The crude fix for Social Security actually sounds quite manageable: "Social Security could be brought into actuarial balance over the next 75 years with changes equivalent to an immediate 16 percent increase in the payroll tax (from a rate of 12.4 percent to 14.4 percent) or an immediate reduction in benefits of 13 percent or some combination of the two."</p>

<p>Conversely, the crude fix for Medicare -- and this is only the hospital insurance side of Medicare -- is more brutal. "The Medicare Report shows that the HI Trust Fund could be brought into actuarial balance over the next 75 years by changes equivalent to an immediate 134 percent increase in the payroll tax (from a rate of 2.9 percent to 6.78 percent), or an immediate 53 percent reduction in program outlays, or some combination of the two." To put it simply, imagine how much health care your grandparents can access. Now cut it by a bit more than half. They're not allowed to be in the hospitals on every odd day, or on holidays. There you go.</p>

<p>The relative urgency of Medicare's problem is pretty simple to explain. As the Trustees Report says, "While both programs face demographic challenges, rapidly growing health care costs also affect Medicare." In other words, Social Security is only affected by demographics. Medicare is also being buffeted by rising health care prices. If we can't get those under control, we can't fix Medicare. And if we can't fix Medicare, then it's not just the Medicare program that will be insolvent. It's the federal government.<br />
</p>]]>
        
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<entry>
    <title>BROTHER, CAN YOU SPARE $92,000?</title>
    <link rel="alternate" type="text/html" href="http://www.prospect.org/csnc/blogs/ezraklein_archive?month=05&amp;year=2009&amp;base_name=brother_can_you_spare_92000" />
    <link rel="service.edit" type="application/atom+xml" href="http://blog.prospect.org/mt-atom.cgi/weblog/blog_id=25/entry_id=115083" title="&lt;b&gt;BROTHER, CAN YOU SPARE $92,000?&lt;/B&gt;" />
    <id>tag:blog.prospect.org,2009:/blog/ezraklein//25.115083</id>
    
    <published>2009-05-12T20:00:34Z</published>
    <updated>2009-05-12T19:59:51Z</updated>
    
    <summary>The White House released some new numbers on the stimulus today. The one that&apos;s getting the most attention is $92,000. That&apos;s how much it will cost to create or preserve each stimulus-related job. Do I even need to relay the...</summary>
    <author>
        <name>Ezra Klein</name>
        
    </author>
    
    <content type="html" xml:lang="en" xml:base="http://www.prospect.org/csnc/blogs/ezraklein">
        <![CDATA[<p>The White House released some new numbers on the stimulus today. The one that's getting the most <a href="http://voices.washingtonpost.com/economy-watch/2009/05/white_house_92k_to_create_new.html?wprss=rss_blog">attention</a> is $92,000. That's how much it will cost to create or preserve each stimulus-related job. Do I even need to relay the snarky rejoinder to this?</p>

<p>But the number is more complicated than it seems. Building a bridge creates a certain number of jobs. But it also requires you to buy a lot of cement. Cutting taxes for small businesses helps preserve jobs. But it does that by helping them pay the rent. Pumping billions into Pell grants helps kids secure better jobs because they can graduate from college. But it really just replaces tuition that would otherwise be paid by richer families. </p>

<p>The stimulus was primarily, but not only, a job creation package. It also spread broadband and strengthened universities and built trains and helped schools. Much of the fear in a recession is that investments important to tomorrow's economy stop happening. Fewer students go to college and fewer roads get repaired. The stimulus spent quite a bit paying for the ongoing investments that mean <em>tomorrow's economy</em> will have jobs, and many of them will even be good jobs. </p>]]>
        
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<entry>
    <title>THE POWER OF POPULARITY.</title>
    <link rel="alternate" type="text/html" href="http://www.prospect.org/csnc/blogs/ezraklein_archive?month=05&amp;year=2009&amp;base_name=the_power_of_popularity" />
    <link rel="service.edit" type="application/atom+xml" href="http://blog.prospect.org/mt-atom.cgi/weblog/blog_id=25/entry_id=115082" title="&lt;b&gt;THE POWER OF POPULARITY.&lt;/B&gt;" />
    <id>tag:blog.prospect.org,2009:/blog/ezraklein//25.115082</id>
    
    <published>2009-05-12T19:15:01Z</published>
    <updated>2009-05-12T19:20:11Z</updated>
    
    <summary>One of the reasons I like reading Patrick Ruffini is he has a tendency to grapple with, rather than downplay, troublesome evidence. Here he is, for instance, on Obama&apos;s personal popularity: Obama&apos;s personal popularity stayed remarkably stable throughout the course...</summary>
    <author>
        <name>Ezra Klein</name>
        
    </author>
    
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        <![CDATA[<p>One of the reasons I like reading Patrick Ruffini is he has a tendency to grapple with, rather than downplay, troublesome evidence. <a href="http://feedproxy.google.com/~r/TheNextRight/~3/CtbWNJEy6dc/grappling-with-obamas-huge-personal-popularity">Here he is</a>, for instance, on Obama's <em>personal</em> popularity:<br />
<blockquote><p>Obama's personal popularity stayed remarkably stable throughout the course of the campaign, and the average unfavorable rating barely ever cracked 35%. Obama the campaigner looks downright polarizing compared to Obama the President, who now sports a 65/25 fav/unfav in the Pollster.com average.</p>

<p>Why is this important? Republicans right now haven't the slightest idea of how to reduce the President's appeal because they've never actually done it before. It would be one thing if Obama had become a controversial figure during the campaign, like Bill Clinton did in 1992, providing fodder for a comeback once he did get into office, but that possibility scarcely exists today.</p>

<p>While personality may not be everything, and real-world policy outcomes provide opportunities for inflection points, it rarely ever works out that a President's policy agenda is unsuccessful while he remains personally popular. Yes, there are weird situations where a President might be personally loathed (Clinton post-Monica) but politically successful, but not (that I know of) the other way around.</blockquote><p><br />
This sort of thing is particularly important when passing complicated pieces of policy. In general, it's very hard for voters to evaluate health care legislation or a cap and trade plan. So they often evaluate the politicians associated with the legislation. If a politician they trust stands on a podium and tells them a particular bill is a good idea, and a politician they don't trust stands on the other podium and says the bill is a bad idea, they go with the politician they trust. That, obviously, is a stark hypothetical. But it's a pretty good description of the current situation. The American people trust Obama. There is no high-profile GOP spokesperson with similarly high approval ratings.</p>

<p>Put slightly differently, in 1994, the Republican Party had Bob Dole. Who do they have today? In 1994, the GOP used Whitewater to erode public trust in Bill and Hillary Clinton. What do they have today? The problem for the Republican Party is not simply that they lack popular leadership. It's that the Democratic Party doesn't share their dilemma.</p>]]>
        
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<entry>
    <title>THE CASE FOR BORROWING BIG, AND QUICK.</title>
    <link rel="alternate" type="text/html" href="http://www.prospect.org/csnc/blogs/ezraklein_archive?month=05&amp;year=2009&amp;base_name=the_case_for_borrowing_big_and" />
    <link rel="service.edit" type="application/atom+xml" href="http://blog.prospect.org/mt-atom.cgi/weblog/blog_id=25/entry_id=115081" title="&lt;b&gt;THE CASE FOR BORROWING BIG, AND QUICK.&lt;/B&gt;" />
    <id>tag:blog.prospect.org,2009:/blog/ezraklein//25.115081</id>
    
    <published>2009-05-12T18:33:43Z</published>
    <updated>2009-05-12T18:50:09Z</updated>
    
    <summary>There&apos;s some evidence that demand for Treasury debt might be waning. That makes sense on a number of levels: Deficits look bad and so the risk of default -- though quite small -- inevitably inches upwards. There are signals that...</summary>
    <author>
        <name>Ezra Klein</name>
        
    </author>
    
    <content type="html" xml:lang="en" xml:base="http://www.prospect.org/csnc/blogs/ezraklein">
        <![CDATA[<p>There's some <a href="http://www.ft.com/cms/s/0/1f492c74-3b68-11de-ba91-00144feabdc0.html">evidence</a> that demand for Treasury debt might be waning. That makes sense on a number of levels: Deficits look bad and so the risk of default -- though quite small -- inevitably inches upwards. There are signals that other markets are stabilizing and their products may once again be worth investing in -- and may even be extremely good deals. International investors aren't quite so terrified and so aren't essentially trying to hide their money beneath the United States' mattress. </p>

<p>We're probably at the beginning of the period when it becomes more expensive for the government to borrow. Since the recession began, it's been uncommonly cheap. As the recession ends, it'll normalize. So if the government is planning to borrow a whole bunch of money in the near future, it might be a good idea to lock it in now, while 30-year rates are low, rather than later, when they rise again.</p>]]>
        
    </content>
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<entry>
    <title>DO WE REALLY NEED TO DEFEND THE VERY CONCEPT OF &quot;EVIDENCE?&quot;</title>
    <link rel="alternate" type="text/html" href="http://www.prospect.org/csnc/blogs/ezraklein_archive?month=05&amp;year=2009&amp;base_name=do_we_really_need_to_defend_th" />
    <link rel="service.edit" type="application/atom+xml" href="http://blog.prospect.org/mt-atom.cgi/weblog/blog_id=25/entry_id=115078" title="&lt;B&gt;DO WE REALLY NEED TO DEFEND THE VERY CONCEPT OF &quot;EVIDENCE?&quot;&lt;/B&gt;" />
    <id>tag:blog.prospect.org,2009:/blog/ezraklein//25.115078</id>
    
    <published>2009-05-12T17:40:49Z</published>
    <updated>2009-05-12T18:22:20Z</updated>
    
    <summary>I don&apos;t really like writing defenses of &quot;comparative effectiveness review.&quot; It makes me despair for our country. We&apos;re literally talking about the process of gathering evidence so we know how well various medical treatments work. It&apos;s worth saying, however, that...</summary>
    <author>
        <name>Ezra Klein</name>
        
    </author>
    
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        <![CDATA[<p>I don't really like writing <a href="http://www.washingtonmonthly.com/archives/individual/2009_05/018133.php">defenses</a> of "comparative effectiveness review." It makes me despair for our country.  We're literally talking about the process of gathering evidence so we know how well various medical treatments work. It's worth saying, however, that there are two types of objections to gathering evidence, and they're being unfortunately conflated.</p>

<p>The first is the <em>ideological</em> objection. Some conservatives <a href="http://www.heritage.org/press/commentary/ed042909e.cfm">worry</a> that the "the type of information collected by CER could eventually be used inappropriately if a 'Federal Health Board' was created to decide which types of treatment would be available to whom and when." It's worth parsing this for a moment: The apparent fear here is that the evidence from comparative effectiveness will be, well, used to make treatment decisions. But that can't be quite right. We use evidence all the time. Your insurer won't pay for a leg amputation when your symptom is a headache. Medicare doesn't cover a wheelchair if you're diagnosed with acute constipation. No one whines about that.</p>

<p>The fear, rather, is that the existence of more evidence will somehow qualitative change the way government uses evidence. The government will decree, in other words, that their testing shows back surgery ineffective, and back surgery is now illegal. Put slightly differently: </p>

<p>Step 1: Comparative effectiveness review.<br />
Step 2: ????<br />
Step 3: Authoritarian medical system</p>

<p>It's sort of what would happen if you applied <em>The Road to Serfdom</em> to the comparative effectiveness debate. </p>

<p>The industry's fear is quite different: This is the <em>profit</em> objection. Right now, most research on, say, drug effectiveness is funded by the pharmaceutical industry. That presents obvious advantages for them and problems for us. The concern here is that if they cease controlling the flow of evidence, then new studies will show that certain treatments don't work. For instance: Claritin goes off patent. Generic versions emerge. They're very cheap. Claritin's manufacturer changes the chemical composition slightly and comes up with Clarinex. They apply for a new patent. They sell it at a heavy mark-up. But it probably doesn't work much better. If there's credible evidence out there <em>showing</em> that it doesn't work much better, that's the end of that business strategy. </p>

<p>But this is the debate. Supporters of comparative effectiveness reform want information on whether medical treatments work. Some conservatives are worried that the government will take that evidence and use it to craft a totalitarian health care system. They are worried about <em>anything</em> that could further empower government. Some members of the medical device and pharmaceutical industry are worried that the existence of that evidence will reduce their profit margins. They are worried about <em>anything</em> that would hurt profits. But what's important about these objections is that they have nothing to do with comparative effectiveness review. Conservatives don't want to empower government. Industries don't want to sacrifice profits. This is an argument over principles that's simply taken the form of an argument over policy.</p>]]>
        
    </content>
</entry>

<entry>
    <title>FUN WITH STRESS TESTS.</title>
    <link rel="alternate" type="text/html" href="http://www.prospect.org/csnc/blogs/ezraklein_archive?month=05&amp;year=2009&amp;base_name=fun_with_stress_tests" />
    <link rel="service.edit" type="application/atom+xml" href="http://blog.prospect.org/mt-atom.cgi/weblog/blog_id=25/entry_id=115076" title="&lt;b&gt;FUN WITH STRESS TESTS.&lt;/B&gt;" />
    <id>tag:blog.prospect.org,2009:/blog/ezraklein//25.115076</id>
    
    <published>2009-05-12T16:56:50Z</published>
    <updated>2009-05-12T17:02:37Z</updated>
    
    <summary>The Wall Street Journal has a very cool interactive graphic today allowing you to compare the stress test results for different banks. I&apos;m not sure what you actually gain from the exercise -- all these banks seem certain to survive...</summary>
    <author>
        <name>Ezra Klein</name>
        
    </author>
    
    <content type="html" xml:lang="en" xml:base="http://www.prospect.org/csnc/blogs/ezraklein">
        <![CDATA[<p><em>The Wall Street Journal</em> has a very cool <a href="http://online.wsj.com/article/SB124182311010302297.html#mod%3DtestMod%26project%3DSTRESS0409%26articleTabs%3Dinteractive">interactive graphic</a> today allowing you to compare the stress test results for different banks. I'm not sure what you actually gain from the exercise -- all these banks seem certain to survive the downturn, and Feds insure individual deposits anyway -- but it's a good way to waste a few minutes.</p>

<p>The attached <a href="http://online.wsj.com/article/SB124182311010302297.html#mod%3DtestMod%26project%3DSTRESS0409%26articleTabs%3Darticle">article</a> sheds some more light on the negotiations between bank presidents and the government's stress testers. Particularly worrying is the government's decision to switch from measuring tangible common equity to Tier 1 common capital. Tangible common equity is the more traditional measurement, but if it had been used, the banks would have had to raise an additional $68 billion. Aside from that, there's not been an explanation offered for the change. </p>

<p>The article also suggests that some banks are rather more persuasive than others. Citigroup managed to knock the government's final judgment from $35 billion in needed capital to a paltry $5.5 billion in needed capital. Bank of America, conversely, could only get from $50 billion to $33.9 billion. Impressive, but nothing like Citigroup's all-star performance.</p>]]>
        
    </content>
</entry>

<entry>
    <title>JANET NAPOLITANO FOR SUPREME COURT?</title>
    <link rel="alternate" type="text/html" href="http://www.prospect.org/csnc/blogs/ezraklein_archive?month=05&amp;year=2009&amp;base_name=janet_napolitano_for_supreme_c" />
    <link rel="service.edit" type="application/atom+xml" href="http://blog.prospect.org/mt-atom.cgi/weblog/blog_id=25/entry_id=115072" title="&lt;b&gt;JANET NAPOLITANO FOR SUPREME COURT?&lt;/B&gt;" />
    <id>tag:blog.prospect.org,2009:/blog/ezraklein//25.115072</id>
    
    <published>2009-05-12T16:00:27Z</published>
    <updated>2009-05-12T16:28:00Z</updated>
    
    <summary>I know that Janet Napolitano is floating around on the White House&apos;s short list. I don&apos;t really understand why: She&apos;s neither very liberal nor a great legal thinker nor armed with radically different life experiences than most members of the...</summary>
    <author>
        <name>Ezra Klein</name>
        
    </author>
    
    <content type="html" xml:lang="en" xml:base="http://www.prospect.org/csnc/blogs/ezraklein">
        <![CDATA[<p>I know that Janet Napolitano is floating around on the White House's short list. I don't really understand why: She's neither very liberal nor a great legal thinker nor armed with radically different life experiences than most members of the governmental elite. Rather, she was an effective moderate politician and, before that, an apparently skilled attorney general. But nevertheless, she'd be an enormously controversial nominee on the Court itself. Her early rise to prominence <a href="http://www.prospect.org/csnc/blogs/tapped_archive?month=05&year=2009&base_name=janet_napolitano_on_scotus">came</a> as the attorney for...Anita Hill. So I guess what you can say about her is that there's probably no nominee in the country who would do more to piss off Clarence Thomas.</p>]]>
        
    </content>
</entry>

<entry>
    <title>FINANCING HEALTH CARE REFORM.</title>
    <link rel="alternate" type="text/html" href="http://www.prospect.org/csnc/blogs/ezraklein_archive?month=05&amp;year=2009&amp;base_name=financing_health_care_reform" />
    <link rel="service.edit" type="application/atom+xml" href="http://blog.prospect.org/mt-atom.cgi/weblog/blog_id=25/entry_id=115069" title="&lt;b&gt;FINANCING HEALTH CARE REFORM.&lt;/B&gt;" />
    <id>tag:blog.prospect.org,2009:/blog/ezraklein//25.115069</id>
    
    <published>2009-05-12T15:30:47Z</published>
    <updated>2009-05-12T15:28:28Z</updated>
    
    <summary>I&apos;m having an enjoyably wonky morning watching the Senate Finance Committee roundtable on options for funding health care reform. You can stream the meeting here. But for a clear and straightforward look at the ideas and issues involved, this bit...</summary>
    <author>
        <name>Ezra Klein</name>
        
    </author>
    
    <content type="html" xml:lang="en" xml:base="http://www.prospect.org/csnc/blogs/ezraklein">
        <![CDATA[<p>I'm having an enjoyably wonky morning watching the Senate Finance Committee roundtable on options for funding health care reform. You can stream the meeting <a href="http://finance.senate.gov/sitepages/hearings.htm">here</a>. But for a clear and straightforward look at the ideas and issues involved, this <a href="http://www.cbpp.org/cms/index.cfm?fa=view&id=2810">bit of testimony</a> from the Center for Budget and Policy Priorities is as good an introduction as you'll find. I'm expecting the final compromise to look a lot like what they've offered. Note in particular their emphasis on "health-related excise taxes." Those discussions are happening in Congress and the administration, too. It's really looking like tobacco, alcohol, and sugared sodas are likely to get a bit more expensive after health reform. Polling around these policies is proving them more popular than most wonks expected, and they have the secondary benefit of being dual-purpose: They raise money <em>and</em> make Americans healthier. </p>]]>
        
    </content>
</entry>

<entry>
    <title>A REAL LIFE CARBON TAX.</title>
    <link rel="alternate" type="text/html" href="http://www.prospect.org/csnc/blogs/ezraklein_archive?month=05&amp;year=2009&amp;base_name=a_real_life_carbon_tax" />
    <link rel="service.edit" type="application/atom+xml" href="http://blog.prospect.org/mt-atom.cgi/weblog/blog_id=25/entry_id=115067" title="&lt;b&gt;A REAL LIFE CARBON TAX.&lt;/B&gt;" />
    <id>tag:blog.prospect.org,2009:/blog/ezraklein//25.115067</id>
    
    <published>2009-05-12T15:00:20Z</published>
    <updated>2009-05-12T15:07:59Z</updated>
    
    <summary>I&apos;ve argued before that you can compare a perfect-world carbon tax to a perfect-world cap and trade proposal, or a realistic carbon tax to a realistic cap and trade proposal, but you can&apos;t compare a perfect-world carbon tax to a...</summary>
    <author>
        <name>Ezra Klein</name>
        
    </author>
    
    <content type="html" xml:lang="en" xml:base="http://www.prospect.org/csnc/blogs/ezraklein">
        <![CDATA[<p>I've argued before that you can compare a perfect-world carbon tax to a perfect-world cap and trade proposal, or a realistic carbon tax to a realistic cap and trade proposal, but you can't compare a perfect-world carbon tax to a realistic cap and trade proposal. Today, Kevin Drum <a href="http://www.motherjones.com/kevin-drum/2009/05/taxing-carbon-part-5">draws</a> that argument out at length:<br />
<blockquote><p>Cap-and-trade is a real-world program for reducing pollutants.  We used it successfully with sulfur emissions in the 90s.  Europe is already doing it with carbon.  The northeastern states are doing it with RGGI.  The Waxman-Markey bill is a real piece of legislation that's hundreds of pages long and festooned with a hundred different compromises that will (we hope) allow it to survive the legislative sausage grinder.</p>

<p>And all of these variations of cap-and-trade are complicated.  When you read about them, you're immediately bombarded with jargon: auctions vs. allocations; caps, floors, offsets, and banking; upstream vs. downstream; how the exchange should be set up; how often permits should be sold; etc. etc.  Those are all real-life questions, and in any real-life plan they have to be addressed.  And they're confusing.  And yes, they all provide potential toeholds for special interests to game the system — something we should fight like banshees to keep to a minimum.</p>

<p>Tax advocates have no such worries.  They propose that we simply tax various fuels based on their carbon content, and voila!  We're done.  Simple and easy.</p>

<p>Ironically, though, the only reason they can get away with this is because of the very fact that a tax is a political nonstarter, which means there are no real-world taxes on the table.  But if there were, they'd have all the same questions as a cap-and-trade plan, plus a whole bunch of new ones.  Should it be levied upstream or downstream?  Can it be tax sheltered offshore?  Are you allowed to apply a tax-loss carryforward to your carbon tax levy?  How do you harmonize the tax with other countries?  Can I get a tax credit for reducing carbon emissions?  How are the revenues going to be distributed?  Should midwestern states that rely more on coal-fired plants get treated differently than, say, California?  What would it take to make a carbon tax on foreign oil compatible with WTO rules?</p>

<p>Rhetorically, tax advocates can pretend that none of these questions exist.  They're able to contrast the genuine messiness of a real-world cap-and-trade plan with a Platonic, whiteboard version of a tax plan.</p>

<p>But that's not how it would work.  If cap-and-trade goes down, we're not going to get a tax instead.  And if we do eventually get a tax instead, it's not going to be a clean and simple tax.  It's going to be a thousand-page monster with every paragraph the subject of a slugfest between a dozen different special interests lobbying half a dozen different congressional committees.  That's reality.</blockquote><p><br />
It will look, in other words, very much like our actual tax code. Which is not to say that there's no argument for a carbon tax. But you can't simply argue that a <em>theoretical</em> carbon tax is more elegant than <em>existing</em> cap and trade legislation. The difference there is not between an apple and an orange. It's the difference between something you dreamed last night and something you might actually do today.</p>]]>
        
    </content>
</entry>

<entry>
    <title>THE OPPONENTS OF HEALTH CARE REFORM.</title>
    <link rel="alternate" type="text/html" href="http://www.prospect.org/csnc/blogs/ezraklein_archive?month=05&amp;year=2009&amp;base_name=the_opponents_of_health_care_r" />
    <link rel="service.edit" type="application/atom+xml" href="http://blog.prospect.org/mt-atom.cgi/weblog/blog_id=25/entry_id=115064" title="&lt;b&gt;THE OPPONENTS OF HEALTH CARE REFORM.&lt;/B&gt;" />
    <id>tag:blog.prospect.org,2009:/blog/ezraklein//25.115064</id>
    
    <published>2009-05-12T14:33:33Z</published>
    <updated>2009-05-12T14:33:40Z</updated>
    
    <summary>It&apos;s good to be lucky in your friends, but it&apos;s better to be lucky in your enemies. And as Rachel Maddow argues, Obama seems increasingly lucky in his enemies: Visit msnbc.com for Breaking News, World News, and News about the...</summary>
    <author>
        <name>Ezra Klein</name>
        
    </author>
    
    <content type="html" xml:lang="en" xml:base="http://www.prospect.org/csnc/blogs/ezraklein">
        <![CDATA[<p>It's good to be lucky in your friends, but it's better to be lucky in your enemies. And as Rachel Maddow argues, Obama seems increasingly lucky in his enemies:</p>

<div><iframe height="339" width="425" src="http://www.msnbc.msn.com/id/22425001/vp/30691278#30691278" frameborder="0" scrolling="no"></iframe><p style="font-size:11px; font-family:Arial, Helvetica, sans-serif; color: #999; margin-top: 5px; background: transparent; text-align: center; width: 425px;">Visit msnbc.com for <a style="text-decoration:none !important; border-bottom: 1px dotted #999 !important; font-weight:normal !important; height: 13px; color:#5799DB !important;" href="http://www.msnbc.msn.com">Breaking News</a>, <a href="http://www.msnbc.msn.com/id/3032507" style="text-decoration:none !important; border-bottom: 1px dotted #999 !important; font-weight:normal !important; height: 13px; color:#5799DB !important;">World News</a>, and <a href="http://www.msnbc.msn.com/id/3032072" style="text-decoration:none !important; border-bottom: 1px dotted #999 !important; font-weight:normal !important; height: 13px; color:#5799DB !important;">News about the Economy</a></p></div>

<p>The opponents of health reform are, at this juncture, entirely isolated. Industry is adopting an attitude of relentless positivity. Republicans are grudgingly attempting to appear cooperative. The only straight opposition is coming, as Maddow and Howard Dean say, from Rick Scott, a disgraced former hospital executive whose company was convicted of defrauding the federal government in the largest ever case of its kind. </p>

<p>You can say, of course, that the traditional opponents of reform will rapidly find their voice when the bill emerges. But they're lagging. The difference between this year and 1994 is that in 1994, it was the opponents of reform who spent the preceding year massing their forces and organizing their grassroots. This year, it's Health Care for America Now and SEIU and MoveOn.org and Obama for America who have spent the last 12 months building out their organizational capabilities. The campaign on behalf of reform, in other words, is significantly farther along than the campaign against reform. That's true even on the simplest level: Supporters of reform know who they are. Opponents of reform, as of yet, do not. And by the time they come to clarity on that, it may be too late.</p>]]>
        
    </content>
</entry>

<entry>
    <title>IS CAP AND TRADE ENOUGH? (NO.)</title>
    <link rel="alternate" type="text/html" href="http://www.prospect.org/csnc/blogs/ezraklein_archive?month=05&amp;year=2009&amp;base_name=is_cap_and_trade_enough_no" />
    <link rel="service.edit" type="application/atom+xml" href="http://blog.prospect.org/mt-atom.cgi/weblog/blog_id=25/entry_id=115063" title="&lt;b&gt;IS CAP AND TRADE ENOUGH? (NO.)&lt;/B&gt;" />
    <id>tag:blog.prospect.org,2009:/blog/ezraklein//25.115063</id>
    
    <published>2009-05-12T14:09:09Z</published>
    <updated>2009-05-12T14:14:50Z</updated>
    
    <summary>This gets a bit wonky, but Dave Roberts has a good post explaining why cap and trade -- or a carbon tax -- may not be enough to really move us over to renewable energy. Simply slapping a price on...</summary>
    <author>
        <name>Ezra Klein</name>
        
    </author>
    
    <content type="html" xml:lang="en" xml:base="http://www.prospect.org/csnc/blogs/ezraklein">
        <![CDATA[<p>This gets a bit wonky, but Dave Roberts has a <a href="http://www.grist.org/article/2009-05-07-mandate-renewables-carbon-cap/">good post</a> explaining why cap and trade -- or a carbon tax -- may not be enough to really move us over to renewable energy. Simply slapping a price on carbon might be a sufficient answer if the only failure in the market was that carbon sat lonely and unpriced. But it's not. Roberts <a href="http://www.grist.org/article/2009-05-07-mandate-renewables-carbon-cap/">explains</a>.</p>]]>
        
    </content>
</entry>

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