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Javier E

The secret to Barack Obama's survival - The Plum Line - The Washington Post - 1 views

  • the Obama team also consciously built his reelection on a narrative designed to be as inspiring as the one that lifted him to victory in 2008, albeit in a different way. This year’s narrative turned on the sheer range and scale of obstacles Obama faced — the story of a leader who perseveres relentlessly in the face of extraordinary conditions to improve the future of the middle class.
  • Obama guru David Axelrod is a believer in the centrality of storytelling to politics — he has been described as “the keeper of Obama’s narrative.” Faced with terrible economic conditions and an implacable opposition, Obama’s brain trust knew Obama would only survive if he ran a scorched earth campaign designed to tear apart his opponent. But the Obama team also married this to an uplifting narrative about Obama that appropriated the very economic and political obstacles he faced.
  • Obama’s original victory was improbable enough. But consider the extraordinary hurdles he overcame to win reelection.
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  • The chosen storyline was dominant throughout. The Obama camp ran spots showing dramatic stills of him grappling early on with just how dire the economic crisis had become. It ran ads painting his willingness to battle GOP opposition as a sign of strength and character. It ran spots portraying his embrace of the unpopular auto-bailout to help struggling workers as an act of political heroism. The contrast with Romney “turning his back” on the auto industry was pure cinema.
  • The Obama team long believed that Republicans themselves were contributing to this storyline. By putting up unprecedented roadblocks at a time of national crisis, they may have only reinforced voters’ sense that whatever their disappointment with the recovery, Obama is the one who can ultimately be trusted to fight relentlessly on behalf of their interests.
Javier E

The Future of Sex - The European - 0 views

  • Consider the most likely scenario for how human sexual behavior will develop over the next hundred years or so in the absence of cataclysm. Here’s what I see if we continue on our current path:
  • Like every other aspect of human life, our sexuality will become increasingly mediated by technology. The technology of pornography will become ever more sophisticated—even if the subject matter of porn itself will remain as primal as ever.
  • As the technology improves, society continues to grow ever more fragmented, and hundreds of millions of Chinese men with no hope of marrying a bona-fide, flesh-and-blood woman come of age, sex robots will become as common and acceptable as dildos and vibrators are today. After all, the safest sex is that which involves no other living things…
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  • As our sexuality becomes ever more divorced from emotion and intimacy, a process already well underway, sex will increasingly be seen as simply a matter of provoking orgasm in the most efficient, reliable ways possible.
  • Human sexuality will continue to be subjected to the same commodification and mechanization as other aspects of our lives. Just as the 21st century saw friends replaced by Facebook friends, nature replaced by parks, ocean fisheries replaced by commercially farmed seafood, and sunshine largely supplanted by tanning salons, we’ll see sexual interaction reduced to mechanically provoked orgasm as human beings become ever more dominated by the machines and mechanistic thought processes that developed in our brains and societies like bacteria in a petri dish.
  • Gender identity will fade away as sexual interaction becomes less “human” and we grow less dependent upon binary interactions with other people. As more and more of our interactions take place with non-human partners, others’ expectations and judgments will become less relevant to the development of sexual identity, leading to greater fluidity and far less urgency and passion concerning sexual expression.
  • the collapse of western civilization may well be the best thing that could happen for human sexuality. Following the collapse of the consumerist, competitive mind-set that now dominates so much of human thought, we’d possibly be free to rebuild a social world more in keeping with our preagricultural origins, characterized by economies built upon sharing rather than hoarding, a politics of respect rather than of power, and a sexuality of intimacy rather than alienation.
Javier E

Kaiser Permanente Is Seen as Face of Future Health Care - NYTimes.com - 0 views

  • Kaiser has sophisticated electronic records and computer systems that — after 10 years and $30 billion in technology spending — have led to better-coordinated patient care, another goal of the president. And because the plan is paid a fixed amount for medical care per member, there is a strong financial incentive to keep people healthy and out of the hospital, the same goal of the hundreds of accountable care organizations now being created.
  • Kaiser has yet to achieve the holy grail of delivering that care at a low enough cost. He says he and other health systems must fundamentally rethink what they do or risk having cost controls imposed on them either by the government or by employers, who are absorbing the bulk of health insurance costs. “We think the future of health care is going to be rationing or re-engineering,”
  • the way to get costs lower is to move care farther and farther from the hospital setting — and even out of doctors’ offices. Kaiser is experimenting with ways to provide care at home or over the Internet, without the need for a physical office visit at all.
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  • lower costs are going to be about finding ways to get people to take more responsibility for their health — for losing weight, for example, or bringing their blood pressure down.
  • there are other concerns, such as whether an all-encompassing system like Kaiser’s can really be replicated and whether the limits it places on where patients can seek care will be accepted by enough people to make a difference.
  • Or whether, as the nation’s flirtation with health maintenance organizations, or H.M.O.’s, in the 1990s showed — people will balk at the concept of not being able to go to any doctor or hospital of their choice.
  • its integrated model is in favor again. Hospitals across the country are buying physician practices or partnering with doctors and health insurers to form accountable care organizations, or A. C.O.’s, as a way of controlling more aspects of patient care. Doctors are also creating so-called medical homes, where patient care is better coordinated.
  • The days when doctors, hospitals and other providers are paid separately for each procedure will disappear eventually, health experts say. Instead, providers will have financial incentives to encourage them to keep people healthy, including lump sums to care for patients or provide comprehensive care for a specific condition. “All of care is going to move down this path, and it has to,” Mr. Halvorson said. “Medical homes are doing it; the very best A. C.O’s are going to figure out how to do it.”
  • there are downsides to the creation of large health care systems that may be motivated by the desire to increase their clout in the market, making it easier to fill beds and charge the insurers more for care. “They become these huge local monopolies,”
  • “We have all the pieces,” said Philip Fasano, Kaiser’s chief information officer. “Anything a patient needs you get in the four walls of our offices,
  • its plans are typically at least 10 percent less expensive than others, especially where they control all the providers
  • Kaiser has also been using the information to identify those doctors or clinics that excel in certain areas, as well as those in need of improvement. The organization has also used the records to change how it delivers care, identifying patients at risk for developing bed sores in the hospital and then sending electronic alerts every two hours to remind the nurses to turn the patients. The percentage of patients with serious pressure ulcers, or bed sores, dropped to well under 1 percent from 3.5 percent.
Javier E

As LPL Financial Expands, Scrutiny of Its Practices Intensifies - NYTimes.com - 0 views

  • Since the financial crisis hit in 2008, prominent firms like Merrill, which long catered to individual investors, have lost brokers and customers.
  • Many investors have turned instead to independent brokerage firms like LPL. Unlike employees of the industry giants, LPL brokers are essentially contractors. They get LPL e-mail addresses and come under LPL compliance but pay for office space and staff.
  • With overhead costs relatively low, the company can pass a large percentage of commissions and fees — upward of 80 percent — back to its brokers. LPL has said that such a model is also an advantage for investors because the company does not have its own investment products, like the mutual funds created by the big banks, that it wants to push onto its customers.
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  • Brad Hintz, an analyst at Sanford C. Bernstein, said that LPL’s management had done a good job expanding the company and improving its compliance technology, allowing brokers with high standards to do well. But he said the scattered nature of its offices was an Achilles’ heel that exposed the company to lawsuits and regulatory risks.
Javier E

What Americans Keep Ignoring About Finland's School Success - Anu Partanen - The Atlantic - 0 views

  • in recent years Finnish students have been turning in some of the highest test scores in the world.
  • The survey compares 15-year-olds in different countries in reading, math, and science. Finland has ranked at or near the top in all three competencies on every survey since 2000, neck and neck with superachievers such as South Korea and Singapore.
  • Compared with the stereotype of the East Asian model -- long hours of exhaustive cramming and rote memorization -- Finland's success is especially intriguing because Finnish schools assign less homework and engage children in more creative play
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  • "Oh," he mentioned at one point, "and there are no private schools in Finland."
  • Only a small number of independent schools exist in Finland, and even they are all publicly financed. None is allowed to charge tuition fees. There are no private universities, either. This means that practically every person in Finland attends public school, whether for pre-K or a Ph.D.
  • From his point of view, Americans are consistently obsessed with certain questions: How can you keep track of students' performance if you don't test them constantly? How can you improve teaching if you have no accountability for bad teachers or merit pay for good teachers? How do you foster competition and engage the private sector? How do you provide school choice?
  • Finland has no standardized tests. The only exception is what's called the National Matriculation Exam, which everyone takes at the end of a voluntary upper-secondary school, roughly the equivalent of American high school.
  • Instead, the public school system's teachers are trained to assess children in classrooms using independent tests they create themselves. All children receive a report card at the end of each semester, but these reports are based on individualized grading by each teacher.
  • "There's no word for accountability in Finnish," he later told an audience at the Teachers College of Columbia University. "Accountability is something that is left when responsibility has been subtracted."
  • what matters is that in Finland all teachers and administrators are given prestige, decent pay, and a lot of responsibility. A master's degree is required to enter the profession, and teacher training programs are among the most selective professional schools in the country. If a teacher is bad, it is the principal's responsibility to notice and deal with it.
  • "Real winners do not compete." It's hard to think of a more un-American idea, but when it comes to education, Finland's success shows that the Finnish attitude might have merits. There are no lists of best schools or teachers in Finland. The main driver of education policy is not competition between teachers and between schools, but cooperation.
  • Finally, in Finland, school choice is noticeably not a priority, nor is engaging the private sector at all.
  • Decades ago, when the Finnish school system was badly in need of reform, the goal of the program that Finland instituted, resulting in so much success today, was never excellence. It was equity.
  • Since the 1980s, the main driver of Finnish education policy has been the idea that every child should have exactly the same opportunity to learn, regardless of family background, income, or geographic location. Education has been seen first and foremost not as a way to produce star performers, but as an instrument to even out social inequality.
  • this means that schools should be healthy, safe environments for children. This starts with the basics. Finland offers all pupils free school meals, easy access to health care, psychological counseling, and individualized student guidance.
  • In fact, since academic excellence wasn't a particular priority on the Finnish to-do list, when Finland's students scored so high on the first PISA survey in 2001, many Finns thought the results must be a mistake. But subsequent PISA tests confirmed that Finland -- unlike, say, very similar countries such as Norway -- was producing academic excellence through its particular policy focus on equity.
  • the number of foreign-born residents in Finland doubled during the decade leading up to 2010, and the country didn't lose its edge in education. Immigrants tended to concentrate in certain areas, causing some schools to become much more mixed than others, yet there has not been much change in the remarkable lack of variation between Finnish schools in the PISA surveys across the same period.
  • Like Finland, Norway is small and not especially diverse overall, but unlike Finland it has taken an approach to education that is more American than Finnish. The result? Mediocre performance in the PISA survey. Educational policy, Abrams suggests, is probably more important to the success of a country's school system than the nation's size or ethnic makeup.
  • there were 18 states in the U.S. in 2010 with an identical or significantly smaller percentage of foreign-born residents than Finland
  • the goal of educational policy in the U.S. -- as articulated by most everyone from President Obama on down -- is to preserve American competitiveness by doing the same thing. Finland's experience suggests that to win at that game, a country has to prepare not just some of its population well, but all of its population well, for the new economy.
  • Finland's experience shows that it is possible to achieve excellence by focusing not on competition, but on cooperation, and not on choice, but on equity
  • The problem facing education in America isn't the ethnic diversity of the population but the economic inequality of society, and this is precisely the problem that Finnish education reform addressed. More equity at home might just be what America needs to be more competitive abroad.
Javier E

Frum On Pot - The Dish | By Andrew Sullivan - The Daily Beast - 0 views

  • check this section out from the study he cites: Marijuana intoxication can cause distorted perceptions, impaired coordination, difficulty with thinking and problem solving, and problems with learning and memory. Research has shown that, in chronic users, marijuana's adverse impact on learning and memory can last for days or weeks after the acute effects of the drug wear off. As a result, someone who smokes marijuana every day may be functioning at a suboptimal intellectual level all of the time.
  • At what point could this not be said of alcohol as well? And yet alcohol is far more addictive, far more related to social problems and violence, and daily drinking of large amounts can be dreadful for the liver (see graph above).
  • There's also what the study does not analyze: the whole point of marijuana use is to disrupt settled ways of thinking and feeling, to offer a respite, like alcohol, from the deadliness of doing. But for  reasons we don't quite yet understand, marijuana, like other essentially harmless drugs in moderation, can prompt imaginative breakthroughs, creative serendipity, deeper personal understanding, and greater social empathy and connection.
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  • Some of our greatest music was written under the influence: would David stop that? Jazz might not exist without it. All of our recent presidents were stoners at some point - and the current president in his teens was an enthusiast even by Hawaii standards in the 1970s. Does David think that the man who wrote Dreams From My Father suffered from impaired memory? Does he believe that Michael Phelps who smoked pot and became the most decorated Olympian of all time didn't do one of those two things? Can we not discuss drugs rationally, rather than with this vast super-structure of boomer-era culture-war synapses attached to it?
  • Here's the "drug abuse" site's description of how dreadful canabis dependency can be: Long-term marijuana abusers trying to quit report withdrawal symptoms including: irritability, sleeplessness, decreased appetite, anxiety, and drug craving, all of which can make it difficult to remain abstinent. These symptoms begin within about 1 day following abstinence, peak at 2-3 days, and subside within 1 or 2 weeks following drug cessation. How many alcoholics would kill for a two-week readjustment period after using a drug for a lifetime?
  • In saying his core point is to protect the vulnerable and poor, he also fails inexplicably to note how enforcement of petty marijuana possession laws in urban centers needlessly ruins countless lives, and does so with a racial disparity that is simply staggering. The first thing you'd do to improve the prospects of the young black men David rightly cares about is to stop incarcerating the black pot-smokers at rates white kids and their parents would not tolerate for a milli-second.
Javier E

Vermont Resort Pulls in Big Foreign Investments - NYTimes.com - 0 views

  • even more unusual than the size of the undertaking is the method by which Mr. Stenger and his business partner, Ariel Quiros, are financing it. They have tapped into a federal program that gives green cards, or permanent residency, to foreigners who invest at least $500,000 in an American business — the reward for the investment is a chance at United States citizenship.
  • Mr. Stenger and Mr. Quiros are putting up $90 million themselves. But even at $785 million, this is one of the single biggest projects in the country financed under the investor program.
  • Congress created the visa program in 1990 to help stimulate the economy. Because of a cumbersome process and complaints of fraud and corruption, it was long underused. But a confluence of events in recent years has led to its rather sudden revival: the program was improved; the financial crisis of 2008 made it hard for developers to get loans from commercial banks; and foreign nationals, especially in China, were accumulating vast wealth and were eager for their children to study and live in the United States.
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  • In 2006, the government issued just 802 of these EB-5 visas to investors and their families; this year, it granted 7,818. The program is now growing so rapidly that in the next year or two the number issued will probably reach the annual limit of 10,000. For the first time in the program’s history, applicants may be turned away.
  • Investors must put up $1 million for a visa, but if they invest in a rural area or one with high unemployment, that is reduced to $500,000.
  • Mr. Stenger dismissed criticism that the visa program simply allowed rich people to jump ahead of others in line for citizenship. “Yes, it’s true that the investment is getting them their green card,” Mr. Stenger said. “But to say they’re buying their way into the country — well, they’re investing in products and programs that are having a tremendously positive impact on the community.”
Javier E

Our Feelings About Inequality: It's Complicated - NYTimes.com - 1 views

  • In a poll released last year by the Pew Research Center, two-thirds of Americans agreed that there were “strong conflicts between the rich and poor” — up substantially from when the question was asked in 2009
  • Americans are increasingly worried about the gap between rich and poor, but are hesitant to have the government do anything about it.
  • Our work identified a possible explanation for this seeming disconnect, and it is a sad one: the more people focused on inequality, the less they trusted the government.
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  • Democrats and Republicans agree that America faces a long-run fiscal imbalance that in the coming decades will most likely require cutting social services, raising taxes or both — policies that directly influence income distribution. Who will bear the brunt of this rebalancing will depend on whether the government uses tax and other policies to counteract rising income inequality with greater redistribution.
  • Since the 1970s, income inequality in the United States has increased at a historic rate. In 1970, the richest 1 percent of Americans enjoyed 9 percent of total national pre-tax income. In 2011, by contrast, that share had risen to 19.8 percent. And this large increase in inequality has not been softened by more progressive tax policy. Tax rates on the top 1 percent of taxpayers have fallen over the same period.
  • Between 1991 and 2010, roughly 28 percent of Americans in the General Social Survey — a continuing survey of opinions and attitudes in the United States, conducted by the University of Chicago — agreed that the federal government should “improve the standard of living of all poor Americans.” (Forty-five percent were neutral, and 27 percent agreed that “it is not the government’s responsibility, and that each person should take care of himself.”) This was a sharp decline — 5 percentage points on average — in support for redistribution relative to those surveyed between 1975 and 1990.
  • The survey has also revealed that the share of respondents who believe that the rich should pay proportionally more of their income in taxes than the poor is substantially lower now than in 1987.
  • Those who saw our tutorial became 20 percent less likely to agree that government could be trusted at least “some of the time” — a surprisingly large effect. By emphasizing to respondents the level and growth of income inequality over the last several decades, our tutorial appears to have simultaneously undercut their trust in government’s ability to fix the problem. After all, if the government let things get this bad, respondents might logically conclude that it is also unable to do much to fix the situation.
  • confidence in government has dropped over the past 30 years. From 1976 to 1989, 23 percent of respondents, on average, reported having “hardly any” confidence in Congress. Since 1990, that number has risen by more than 11 percentage points. The survey has revealed an almost identical erosion of confidence in the executive branch of the federal government.
  • On one hand, liberals can take heart in the news that Americans are deeply troubled about the current level of income inequality. On the other hand, conservatives may be glad to hear that despite this concern, Americans have a healthy skepticism that government can be trusted to do much about it.
  • Proponents of greater redistribution can probably save their breath pointing out that inequality is a problem. Instead, they face what seems to be a much more difficult task: convincing them that their government is up to the task of addressing it.
Javier E

Obama's Big Deal - NYTimes.com - 0 views

  • Vice President Biden famously pronounced the reform a “big something deal” — except that he didn’t use the word “something.” And he was right.
  • I’d suggest using this phrase to describe the Obama administration as a whole. F.D.R. had his New Deal; well, Mr. Obama has his Big Deal. He hasn’t delivered everything his supporters wanted, and at times the survival of his achievements seemed very much in doubt. But if progressives look at where we are as the second term begins, they’ll find grounds for a lot of (qualified) satisfaction.
  • Progressives have been trying to get some form of universal health insurance since the days of Harry Truman; they’ve finally succeeded.
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  • experience with Romneycare in Massachusetts — hey, this is a great age for irony — shows that such a system is indeed workable, and it can provide Americans with a huge improvement in medical and financial security.
  • where the New Deal had a revolutionary impact, empowering workers and creating a middle-class society that lasted for 40 years, the Big Deal has been limited to equalizing policies at the margin.
  • That said, health reform will provide substantial aid to the bottom half of the income distribution, paid for largely through new taxes targeted on the top 1 percent, and the “fiscal cliff” deal further raises taxes on the affluent. Over all, 1-percenters will see their after-tax income fall around 6 percent; for the top tenth of a percent, the hit rises to around 9 percent
julia rhodes

North Korea in the Dark - NYTimes.com - 0 views

  • North Korea is in the news again for the same old reason — nuclear tests
  • There is also another reason to take action on North Korea: It has possibly the worst human rights record in the world.
  • An estimated 200,000 people are in dire condition in North Korea’s prison camps, or kwan-li-so. Extreme torture, sexual violence, slave labor, starvation and execution are commonplace.
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  • He called on the United Nations to take up the case “at the pinnacle of the system” and urged the international community to “mobilize the totality of the U.N. to ... support processes which concretize responsibility and an end to impunity.” Until very recently, his calls fell on deaf ears.
  • For the first time, factors favorable to achieving this have come together, providing a window of opportunity. But that window is narrow.
  • Some may argue that an investigation would threaten any lingering hope of dialogue.
  • U.N. high commissioner for human rights, Navi Pillay, said that one year after Kim Jong-un took over there is “almost no sign of improvement,” and argued that “an in-depth inquiry into one of the worst — but least understood and reported — human rights situations in the world is not only fully justified, but long overdue.”
  • It is no longer a fringe issue.
  • Simply attaching the tag “crimes against humanity” — if that was the conclusion — might put pressure on Pyongyang to temper its behavior.
  • Late last year, 179 North Korean escapees wrote to foreign ministers of many countries, urging them to establish a commission of inquiry. Over 40 human rights organizations, including Amnesty International and Human Rights Watch, have backed the idea.
  • I have long advocated critical engagement, rather than isolation, because our objective should be to prise open the world’s most closed nation, not turn the key in the lock.
  • It is time to shine a light on one of the darkest corners of the earth.
julia rhodes

U.S. Policy Toward the Korean Peninsula - Council on Foreign Relations - 0 views

  • "despite the difficulty of the challenge, the danger posed by North Korea is sufficiently severe, and the costs of inaction and acquiescence so high, that the United States and its partners must continue to press for denuclearization." The United States cannot risk "the potential spread of nuclear weapons to rogue states, terrorist groups or others--especially in the Middle East."
  • spillover effects of possible North Korean instability while insisting that North Korea give up its destabilizing course of action
  • "any hope of resolving the North Korean standoff will depend on all parties cooperating with one another and being firm with North Korea." The report emphasizes that "Chinese cooperation is essential to the success of denuclearization on the Korean peninsula and to ensuring regional stability."
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  • Stop vertical proliferation:
  • Prevent horizontal proliferation:
  • Denuclearize: "The debate over nonproliferation versus denuclearization is a false choice; the United States and its partners can and must do both by containing proliferation while also pressing for denuclearization."
  • "The Obama administration should change long-standing U.S. policies blocking North Korea's participation in activities of international financial institutions,"
  • It also condemns North Korea's abysmal human rights record: "North Korea's shameful human rights situation and failure to meet the needs of its people is a human tragedy that should be addressed by U.S. humanitarian assistance and other measures to improve human rights conditions inside North Korea."
    • julia rhodes
       
      The human rights situation should be addressed by "US humanitarian assistance." I think it should really be addressed by more than just that, though.
Javier E

Stop climate change: Move to the city, start walking - Salon.com - 0 views

  • electric cars are currently a bit greener than gasoline cars — per mile. Driving one hundred miles in a Nissan Altima results in the emission of 90.5 pounds of greenhouse gases. Driving the same distance in an all-electric Nissan Leaf emits 63.6 pounds of greenhouse gases — a significant improvement. But while the Altima driver pays 14 cents a mile for fuel, the Leaf driver pays less than 3 cents per mile, and this difference, thanks to the law of supply and demand, causes the Leaf driver to drive more.
  • What do you expect when you put people in cars they feel good (or at least less guilty) about driving, which are also cheap to buy and run? Naturally, they drive them more. So much more, in fact, that they obliterate energy gains made by increased fuel efficiency.
  • The real problem with cars is not that they don’t get enough miles per gallon; it’s that they make it too easy for people to spread out, encouraging forms of development that are inherently wasteful and damaging … The critical energy drain in a typical American suburb is not the Hummer in the driveway; it’s everything else the Hummer makes possible — the oversized houses and irrigated yards, the network of new feeder roads and residential streets, the costly and inefficient outward expansion of the power grid, the duplicated stores and schools, the two-hour solo commutes.
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  • it turns out that the way we move largely determines the way we live.
  • gadgets cumulatively contribute only a fraction of what we save by living in a walkable neighborhood. It turns out that trading all of your incandescent lightbulbs for energy savers conserves as much carbon per year as living in a walkable neighborhood does each week.
  • “gizmo green”; the obsession with “sustainable” products that often have a statistically insignificant impact on the carbon footprint when compared to our location. And, as already suggested, our location’s greatest impact on our carbon footprint comes from how much it makes us drive.
  • study made it clear that, while every factor counts, none counts more than walkability. Specifically, it showed how, in drivable locations, transportation energy use consistently tops household energy use, in some cases by more than 2.4 to 1. As a result, the most green home (with Prius) in sprawl still loses out to the least green home in a walkable neighborhood.
  • because it’s better than nothing, LEED — like the Prius — is a get-out-of-jail-free card that allows us to avoid thinking more deeply about our larger footprint. For most organizations and agencies, it is enough. Unfortunately, as the transportation planner Dan Malouff puts it, “LEED architecture without good urban design is like cutting down the rainforest using hybrid-powered bulldozers.”
  • 10 to 20 units per acre is the density at which drivable suburbanism transitions into walkable urbanism.
  • “We are a destructive species, and if you love nature, stay away from it. The best means of protecting the environment is to
  • The average New Yorker consumes roughly one-third the electricity of the average Dallas resident, and ultimately generates less than one-third the greenhouse gases of the average American.
  • the American anti-urban ethos remained intact as everything else changed. The desire to be isolated in nature, adopted en masse, led to the quantities and qualities we now call “sprawl,” which somehow mostly manages to combine the traffic congestion of the city with the intellectual culture of the countryside.
  • New York consumes half the gasoline of Atlanta (326 versus 782 gallons per person per year). But Toronto cuts that number in half, as does Sydney — and most European cities use only half as much as those places. Cut Europe’s number in half, and you end up with Hong Kong
  • Paris is one place that has determined that its future depends on reducing its auto dependence. The city has recently decided to create 25 miles of dedicated busways, introduced 20,000 shared city bikes in 1,450 locations, and committed to removing 55,000 parking spaces from the city every year for the next 20 years. These changes sound pretty radical, but they are supported by 80 percent of the population.
  • increasing density from two units per acre to 20 units per acre resulted in about the same savings as the increase from 20 to 200.
  • New York is our densest big city and, not coincidentally, the one with the best transit service. All the other subway stations in America put together would not outnumber the 468 stops of the MTA. In terms of resource efficiency, it’s the best we’ve got.
  • most communities with these densities are also organized as traditional mixed-use, pedestrian-friendly neighborhoods, the sort of accommodating environment that entices people out of their cars. Everything above that is icing on the cake.
  • unless we hit a national crisis of unprecedented severity, it is hard to imagine any argument framed in the language of sustainability causing many people to modify their behavior. So what will?
  • The gold standard of quality-of-life rankings is the Mercer Survey, which carefully compares global cities in the 10 categories of political stability, economics, social quality, health and sanitation, education, public services, recreation, consumer goods, housing, and climate.
  • the top 10 cities always seem to include a bunch of places where they speak German (Vienna, Zurich, Dusseldorf, etc.), along with Vancouver, Auckland, and Sydney. These are all places with compact settlement patterns, good transit, and principally walkable neighborhoods. Indeed, there isn’t a single auto-oriented city in the top 50. The highest-rated American cities in 2010, which don’t appear until No. 31, are Honolulu, San Francisco, Boston, Chicago, Washington, New York, and Seattle.
  • Our cities, which are twice as efficient as our suburbs, burn twice the fuel of these European, Canadian, and Aussie/Kiwi places. Yet the quality of life in these foreign cities is deemed higher than ours by a long shot.
  • if we pollute so much because we are throwing away our time, money, and lives on the highway, then both problems would seem to share a single solution, and that solution is to make our cities more walkable. Doing so is not easy, but it can be done, it has been done,
Javier E

The Extraordinary Science of Addictive Junk Food - NYTimes.com - 0 views

  • Today, one in three adults is considered clinically obese, along with one in five kids, and 24 million Americans are afflicted by type 2 diabetes, often caused by poor diet, with another 79 million people having pre-diabetes. Even gout, a painful form of arthritis once known as “the rich man’s disease” for its associations with gluttony, now afflicts eight million Americans.
  • The public and the food companies have known for decades now — or at the very least since this meeting — that sugary, salty, fatty foods are not good for us in the quantities that we consume them. So why are the diabetes and obesity and hypertension numbers still spiraling out of control? It’s not just a matter of poor willpower on the part of the consumer and a give-the-people-what-they-want attitude on the part of the food manufacturers. What I found, over four years of research and reporting, was a conscious effort — taking place in labs and marketing meetings and grocery-store aisles — to get people hooked on foods that are convenient and inexpensive
  • the powerful sensory force that food scientists call “mouth feel.” This is the way a product interacts with the mouth, as defined more specifically by a host of related sensations, from dryness to gumminess to moisture release.
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  • the mouth feel of soda and many other food items, especially those high in fat, is second only to the bliss point in its ability to predict how much craving a product will induce.
  • He organized focus-group sessions with the people most responsible for buying bologna — mothers — and as they talked, he realized the most pressing issue for them was time. Working moms strove to provide healthful food, of course, but they spoke with real passion and at length about the morning crush, that nightmarish dash to get breakfast on the table and lunch packed and kids out the door.
  • as the focus swung toward kids, Saturday-morning cartoons started carrying an ad that offered a different message: “All day, you gotta do what they say,” the ads said. “But lunchtime is all yours.”
  • When it came to Lunchables, they did try to add more healthful ingredients. Back at the start, Drane experimented with fresh carrots but quickly gave up on that, since fresh components didn’t work within the constraints of the processed-food system, which typically required weeks or months of transport and storage before the food arrived at the grocery store. Later, a low-fat version of the trays was developed, using meats and cheese and crackers that were formulated with less fat, but it tasted inferior, sold poorly and was quickly scrapped.
  • One of the company’s responses to criticism is that kids don’t eat the Lunchables every day — on top of which, when it came to trying to feed them more healthful foods, kids themselves were unreliable. When their parents packed fresh carrots, apples and water, they couldn’t be trusted to eat them. Once in school, they often trashed the healthful stuff in their brown bags to get right to the sweets.
  • This idea — that kids are in control — would become a key concept in the evolving marketing campaigns for the trays. In what would prove to be their greatest achievement of all, the Lunchables team would delve into adolescent psychology to discover that it wasn’t the food in the trays that excited the kids; it was the feeling of power it brought to their lives.
  • The prevailing attitude among the company’s food managers — through the 1990s, at least, before obesity became a more pressing concern — was one of supply and demand. “People could point to these things and say, ‘They’ve got too much sugar, they’ve got too much salt,’ ” Bible said. “Well, that’s what the consumer wants, and we’re not putting a gun to their head to eat it. That’s what they want. If we give them less, they’ll buy less, and the competitor will get our market. So you’re sort of trapped.”
  • at last count, including sales in Britain, they were approaching the $1 billion mark. Lunchables was more than a hit; it was now its own category
  • he holds the entire industry accountable. “What do University of Wisconsin M.B.A.’s learn about how to succeed in marketing?” his presentation to the med students asks. “Discover what consumers want to buy and give it to them with both barrels. Sell more, keep your job! How do marketers often translate these ‘rules’ into action on food? Our limbic brains love sugar, fat, salt. . . . So formulate products to deliver these. Perhaps add low-cost ingredients to boost profit margins. Then ‘supersize’ to sell more. . . . And advertise/promote to lock in ‘heavy users.’ Plenty of guilt to go around here!”
  • men in the eastern part of Finland had the highest rate of fatal cardiovascular disease in the world. Research showed that this plague was not just a quirk of genetics or a result of a sedentary lifestyle — it was also owing to processed foods. So when Finnish authorities moved to address the problem, they went right after the manufacturers. (The Finnish response worked. Every grocery item that was heavy in salt would come to be marked prominently with the warning “High Salt Content.” By 2007, Finland’s per capita consumption of salt had dropped by a third, and this shift — along with improved medical care — was accompanied by a 75 percent to 80 percent decline in the number of deaths from strokes and heart disease.)
  • I tracked Lin down in Irvine, Calif., where we spent several days going through the internal company memos, strategy papers and handwritten notes he had kept. The documents were evidence of the concern that Lin had for consumers and of the company’s intent on using science not to address the health concerns but to thwart them. While at Frito-Lay, Lin and other company scientists spoke openly about the country’s excessive consumption of sodium and the fact that, as Lin said to me on more than one occasion, “people get addicted to salt
  • the marketing team was joined by Dwight Riskey, an expert on cravings who had been a fellow at the Monell Chemical Senses Center in Philadelphia, where he was part of a team of scientists that found that people could beat their salt habits simply by refraining from salty foods long enough for their taste buds to return to a normal level of sensitivity. He had also done work on the bliss point, showing how a product’s allure is contextual, shaped partly by the other foods a person is eating, and that it changes as people age. This seemed to help explain why Frito-Lay was having so much trouble selling new snacks. The largest single block of customers, the baby boomers, had begun hitting middle age. According to the research, this suggested that their liking for salty snacks — both in the concentration of salt and how much they ate — would be tapering off.
  • Riskey realized that he and his colleagues had been misreading things all along. They had been measuring the snacking habits of different age groups and were seeing what they expected to see, that older consumers ate less than those in their 20s. But what they weren’t measuring, Riskey realized, is how those snacking habits of the boomers compared to themselves when they were in their 20s. When he called up a new set of sales data and performed what’s called a cohort study, following a single group over time, a far more encouraging picture — for Frito-Lay, anyway — emerged. The baby boomers were not eating fewer salty snacks as they aged. “In fact, as those people aged, their consumption of all those segments — the cookies, the crackers, the candy, the chips — was going up,” Riskey said. “They were not only eating what they ate when they were younger, they were eating more of it.” In fact, everyone in the country, on average, was eating more salty snacks than they used to. The rate of consumption was edging up about one-third of a pound every year, with the average intake of snacks like chips and cheese crackers pushing past 12 pounds a year
  • Riskey had a theory about what caused this surge: Eating real meals had become a thing of the past.
  • “We looked at this behavior, and said, ‘Oh, my gosh, people were skipping meals right and left,’ ” Riskey told me. “It was amazing.” This led to the next realization, that baby boomers did not represent “a category that is mature, with no growth. This is a category that has huge growth potential.”
  • The food technicians stopped worrying about inventing new products and instead embraced the industry’s most reliable method for getting consumers to buy more: the line extension.
  • He zeroed right in on the Cheetos. “This,” Witherly said, “is one of the most marvelously constructed foods on the planet, in terms of pure pleasure.” He ticked off a dozen attributes of the Cheetos that make the brain say more. But the one he focused on most was the puff’s uncanny ability to melt in the mouth. “It’s called vanishing caloric density,” Witherly said. “If something melts down quickly, your brain thinks that there’s no calories in it . . . you can just keep eating it forever.”
  • Frito-Lay acquired Stacy’s Pita Chip Company, which was started by a Massachusetts couple who made food-cart sandwiches and started serving pita chips to their customers in the mid-1990s. In Frito-Lay’s hands, the pita chips averaged 270 milligrams of sodium — nearly one-fifth a whole day’s recommended maximum for most American adults — and were a huge hit among boomers.
  • There’s a paradox at work here. On the one hand, reduction of sodium in snack foods is commendable. On the other, these changes may well result in consumers eating more. “The big thing that will happen here is removing the barriers for boomers and giving them permission to snack,” Carey said. The prospects for lower-salt snacks were so amazing, he added, that the company had set its sights on using the designer salt to conquer the toughest market of all for snacks: schools
  • The company’s chips, he wrote, were not selling as well as they could for one simple reason: “While people like and enjoy potato chips, they feel guilty about liking them. . . . Unconsciously, people expect to be punished for ‘letting themselves go’ and enjoying them.” Dichter listed seven “fears and resistances” to the chips: “You can’t stop eating them; they’re fattening; they’re not good for you; they’re greasy and messy to eat; they’re too expensive; it’s hard to store the leftovers; and they’re bad for children.” He spent the rest of his memo laying out his prescriptions, which in time would become widely used not just by Frito-Lay but also by the entire industry.
  • Dichter advised Frito-Lay to move its chips out of the realm of between-meals snacking and turn them into an ever-present item in the American diet. “The increased use of potato chips and other Lay’s products as a part of the regular fare served by restaurants and sandwich bars should be encouraged in a concentrated way,”
  • the largest weight-inducing food was the potato chip. The coating of salt, the fat content that rewards the brain with instant feelings of pleasure, the sugar that exists not as an additive but in the starch of the potato itself — all of this combines to make it the perfect addictive food. “The starch is readily absorbed,” Eric Rimm, an associate professor of epidemiology and nutrition at the Harvard School of Public Health and one of the study’s authors, told me. “More quickly even than a similar amount of sugar. The starch, in turn, causes the glucose levels in the blood to spike” — which can result in a craving for more.
  • If Americans snacked only occasionally, and in small amounts, this would not present the enormous problem that it does. But because so much money and effort has been invested over decades in engineering and then relentlessly selling these products, the effects are seemingly impossible to unwind.
  • Todd Putman, who worked at Coca-Cola from 1997 to 2001, said the goal became much larger than merely beating the rival brands; Coca-Cola strove to outsell every other thing people drank, including milk and water. The marketing division’s efforts boiled down to one question, Putman said: “How can we drive more ounces into more bodies more often?”
Javier E

Scientists See Advances in Deep Learning, a Part of Artificial Intelligence - NYTimes.com - 0 views

  • Using an artificial intelligence technique inspired by theories about how the brain recognizes patterns, technology companies are reporting startling gains in fields as diverse as computer vision, speech recognition and the identification of promising new molecules for designing drugs.
  • They offer the promise of machines that converse with humans and perform tasks like driving cars and working in factories, raising the specter of automated robots that could replace human workers.
  • what is new in recent months is the growing speed and accuracy of deep-learning programs, often called artificial neural networks or just “neural nets” for their resemblance to the neural connections in the brain.
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  • With greater accuracy, for example, marketers can comb large databases of consumer behavior to get more precise information on buying habits. And improvements in facial recognition are likely to make surveillance technology cheaper and more commonplace.
  • Modern artificial neural networks are composed of an array of software components, divided into inputs, hidden layers and outputs. The arrays can be “trained” by repeated exposures to recognize patterns like images or sounds.
Javier E

The Employer Mandate News | National Review Online - 0 views

  • a delay won’t fix the real problem or unwind the consequences already seen: a pile-up in lost hours worked for modest-wage earners.
  • A delay to 2015 is not long at all, since many employers acted to curb hours in the spring of 2013, well before the original 2014 start date. Thus, the delay is unlikely to provide comfort to workers already impacted — or to Democrats ahead of the 2014 mid-terms.
  • Obama needed the mandate to get Obamacare passed because it would reduce participation in the exchanges and therefore the law’s overall costs. One of his key selling points for the law was that it would cut the deficit. Now that the law has passed, his administration is freer to pursue changes that will raise Obamacare’s cost to taxpayers but improve its effects on the economy.Delaying the employer mandate, perhaps indefinitely, is one way to do that.
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  • the delay might accelerate the unraveling of employer-sponsored health coverage:If you like Obamacare, and you want it to work, you don’t need the employer mandate. Democrats put the employer mandate in Obamacare because the President was worried that, without a mandate, employers would dump coverage, violating his oft-repeated promise that “if you like your plan, you can keep it.
  • (the “American Job Protection Act”) is that one can very easily imagine it being taken up by left-wing Democrats as well as right-wing Republicans, albeit for different reasons.
  • delaying the employer mandate could lead, ultimately, to its repeal, which would do much to transition our insurance market from an employer-sponsored one to an individually-purchased one.
  • If the employer mandate were to ultimately be repealed, or never implemented, today’s news may turn out to be one of the most significant developments in health care policy in recent memory.
  • Even if the Obama administration’s delay lasts for only one year, that delay will give firms time to restructure their businesses to avoid offering costly coverage, leading to an expansion of the individual insurance market and a shrinkage of the employer-sponsored market.
  • If we transition from employer-provided coverage to tightly-regulated state-based insurance markets, it is possible that the insurance business will become even more rigid than it already is — this is why I’ve called for a national exchange as a kind of escape hatch. And of course if the private insurance market becomes more dysfunctional, a single-payer, Medicare-for-all alternative will become more politically attractive. 
Javier E

What if We're Looking at Inequality the Wrong Way? - NYTimes.com - 0 views

  • By defining income as “post-tax, post-transfer, size-adjusted household income including the ex-ante value of in-kind health insurance benefits,” Burkhauser and his co-authors achieved two things: a diminished degree of inequality and, perhaps more important, a conclusion that the condition of the poor and middle class was improving
  • Burkhauser has come up with statistical findings that not only wipe out inequality trends altogether but also purport to show that over the past 18 years, the poor and middle classes have done better, on a percentage basis, than the rich.
  • You get different answers depending on whether you measure income before or after taxes and transfers, whether you count fringe benefits (mainly health insurance), and whether you look at families or households, and whether you count the big hitters as the top 20% or the top 1 percent. Counting health care mutes the increase in inequality, but that really means that most of the increase in working class incomes has been siphoned off to medical providers. Looking at households has the same effect.
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  • In his 2013 paper, Burkhauser and his two co-authors have completely upended the thrust of Figures 1 and 2.
  • Burkhauser’s 2011 methodology worked to make the pattern appear far less extreme, as illustrated by Figure 2:
  • First, take a look at Figure 1, a 2011 Congressional Budget Office chart showing significant inequality in the distribution of income gains from 1979 to 2007. Many on the left consider work done by the C.B.O. to be the gold standard of inequality measurement:
  • The Burkhauser approach does a number of things. First, it spreads and flattens income from capital gains over the duration of ownership. For a wealthy individual who makes a huge killing selling stock or a businesses, his or her income does not spike in the year of the sale, but emerges instead as a series of yearly incremental gains.
  • If Burkhauser’s approach was accepted, it would render moot the basic political and philosophical tenets of the Obama presidency
  • Not only would Burkhauser lay waste to a core liberal argument — inequality is worsening — but his claim that a declining share of income is going to the wealthy could be used to justify further tax cuts for the affluent in order to foster top-down investment and growt
  • Burkhauser et al. achieve their reversal of past income distribution data by amending the definition of income developed in their 2012 paper — “post-tax, post-transfer, size-adjusted household income including the ex-ante value of in-kind health insurance benefits” — to incorporate another accounting tool: “yearly-accrued capital gains to measure yearly changes in wealth.”
  • it is a game changer.
  • Burkhauser attempts to measure the year-to-year increase in taxpayers’ assets — stocks and bonds, housing and privately held businesses – and to count those annual increases as income. Increases in the value of such assets do not show up in tax data because they are taxed by the federal government only when the asset in question is sold and the increased value is realized as taxable gains.
  • If — a virtually impossible if — the economic and policy-making community were to reach even a rough consensus in support of Burkhauser’s 2013 analysis, the victory for the right would be hard to overestimate.
  • For assets that have been held for a long time, the Burkhauser system effectively backdates much of currently realized capital gains onto earlier years. This is especially significant in calculating income gains from the current sale of assets purchased in the 1980s and 1990s, since much of the added value was acquired in those earlier decades.
  • I raised the following question: Is it a fair measure of a person’s well-being to include unrealized capital gains? Their house or other assets may have increased in value, but their standard of living has not changed.
  • The unfairness of Burkhauser’s approach is clearly acute at the bottom and middle of income distribution. The most common large asset for those on the bottom rungs is a house. Burkhauser would increase the income of those below the median lucky enough to own a home by the annual appreciation in the value of the home through 2007. For many of these families, however, selling their home is not an option. In Burkhauser’s view, their income goes up even if their living conditions remain unchanged.
  • Burkhauser is respected by his peers; his critics, including some friends, do not accuse him of ideological bias. In addition to A.E.I, he has received support from such center-left institutions as the Pew Foundation, Brookings Institution and the Russell Sage Foundation.
  • the “problem is that in such things, especially when it is a difficult task based on lots of new data sources, the devil is in the details. It’s pretty hard to judge those details without doing a substantial amount of work.” Acemoglu’s conclusion: “Bottom line: conceptually there is a valid point here, and this is a serious paper. The rest is to be determined.”
  • “Rich Burkhauser’s work is really the state of the art — the most important research on inequality being done, in my view,” Scott Winship, of the Brookings Institution, e-mailed me. Winship voiced some concern over the reliability of the statistical data used by Burkhauser, but concluded:All that said, I think Rich’s paper is incredibly disruptive for many fields of research in labor economics and other social sciences, and potentially it could change our entire view about rising inequality over the past few decades.
  • Burtless continued:The problem with the authors’ estimates of accruing capital gains is that those numbers are wholly made up based on a prediction that everyone is equally successful in finding homes, stocks, bonds and other assets to invest in.  But they’re not:  Some people are wildly successful, and get into the 1%; others are horribly unsuccessful and become paupers (or receive foreclosure papers); and most earn mediocre returns that are — surprise! — a bit lower than the economy-wide average.
  • Burkhauser et al. measure the period from 1989 to 2007 because those are both peak years in the business cycle. This timing results in a failure to account for the consequences of the 2008-9 financial crisis and the subsequent struggle toward recovery accompanied by persistent high levels of unemployment.
  • During the post-crisis years 2009-11, according to the Pew Center, the wealthiest mean of the nation saw the value of their assets grow by 28 percent, to $3.17 million from $2.48 million, while the bottom 93 percent saw their net worth drop by 4 percent, to $133,816 from $139,896.
  • Wealth trends since the 2008 crash, shown in Figure 5, demonstrate an extraordinary growth in inequality, suggesting that Burkhauser’s findings — restricted to his carefully tailored definition of income — are fatally flawed as an instrument to assess the current real-world position of the poor and middle class compared with the very rich:
  • A key purpose in measuring both wealth and income is to determine what kind of standard of living is possible for those at the top, the middle and the bottom. Do individuals, families and households have enough to provide for themselves, perhaps most importantly for their children? Do they have the financial resources to enter the highly competitive global marketplace?On that score, Burkhauser’s use of “yearly accrued capital gains” fails the test of measuring what is most significant to know in policy making and in assessing the true quality of life in America.
Javier E

Why Today's Mobile Devices Are Doomed Like the Dying PC | MIT Technology Review - 0 views

  • In many ways mobile devices belong more to the dying PC model than to the real future of computing.
  • I’m talking about a diffuse and invisible network embedded in our surroundings. Chips and sensors are finding their way into clothing, personal accessories, and more
  • The next wave of computing devices will be different because they won’t wait for our instructions. They will feel more like natural extensions of what we do in our lives. The hardware and software technologies behind this ubiquitous-computing model will become the focus of a radically changed computing industry.
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  • how will these intertwined systems of hardware and software be designed to meaningfully add to our lives and to society?
  • the idea that we are beginning to instrument our bodies and make them nodes on the network opens the opportunity to truly improve how we manage our health, how we assist the elderly, and how we express ourselves socially.
  • they can be activated by more subtle means such as tapping on objects or speaking. Or a device could recognize objects on its own and react accordingly.
  • they are simplifying tasks to their essence and creating new styles of interaction. For example, a function might be executed by tapping and speaking at the same time, or through natural gestures such as near-field “waving.”
  • The result should be a world where we have more pervasive access to computers yet fewer moments in our lives where we have to stop what we’re doing and operate a computer terminal. Essentially, we hope to take the computers out of computing.
Javier E

Why Partisans Can't Explain Their Views - NYTimes.com - 1 views

  • we have grown so accustomed to this divide that we no longer flinch at the brazen political attacks on either side — even when the logic underlying these attacks is hard to fathom.
  • attack ads work, in large part, because we don’t understand them. Statements take advantage of a fact about human psychology called the “illusion of explanatory depth,” an idea developed by the Yale psychologist Frank Keil and his students. We typically feel that we understand how complex systems work even when our true understanding is superficial.
  • it is not until we are asked to explain how such a system works — whether it’s what’s involved in a trade deal with China or how a toilet flushes — that we realize how little we actually know.
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  • asking people to justify their position — rather than asking them to explain the mechanisms by which a policy would work — doesn’t tend to soften their political views. When we asked participants to state the reasons they were for or against a policy position, their initial attitudes held firm. (Other researchers have found much the same thing: merely discussing an issue often makes people more extreme, not less.)
  • The real surprise is what happens after these same individuals are asked to explain how these policy ideas work: they become more moderate in their political views — either in support of such policies or against them. In fact, not only do their attitudes change, but so does their behavior
  • we report on experiments showing that people often believe they understand what is meant by well-worn political terms like the “flat tax,” “sanctions on Iran” or “cap and trade” — even when they don’t.
  • asking people to “unpack” complex systems — getting them to articulate how something might work in real life — forces them to confront their lack of understanding.
  • rarely is anybody — candidate or voter — asked to explain his or her positions. American political discourse, in short, is not discourse at all.
  • The answer implied by our research is not that we should all become policy wonks. Instead, we voters need to be more mindful that issues are complicated and challenge ourselves to break down the policy proposals on both sides into their component parts. We have to then imagine how these ideas would work in the real world — and then make a choice: to either moderate our positions on policies we don’t really understand, as research suggests we will, or try to improve our understanding. Either way, discourse would then be based on information, not illusion.
  • whether or not we citizens make this effort, our leaders should. We should demand that Mr. Obama and Mr. Romney explain how in addition to why.
  • We have a problem in American politics: an illusion of knowledge that leads to extremism. We can start to fix it by acknowledging that we know a lot less than we think.
Javier E

Beware of Romneycare : The New Yorker - 0 views

  • In most areas of the economy, free-market principles insure that products and services keep improving, and that consumers get better and better deals. But the free market, though it may be the best way of allocating new TVs and cars, falters when it comes to paying for bypass surgery or chemotherapy. The reasons for this were established nearly fifty years ago, by the economist Kenneth Arrow, in a classic article entitled “Uncertainty and the Welfare Economics of Medical Care.” Arrow showed that health care is distinctive in ways that limit the power of the market. Because people don’t have the expertise to evaluate doctors, hospitals, or treatments, it’s hard for them to comparison-shop. Because they can’t pay for major care out of pocket, they must rely on insurance, thereby often losing the final say in what to buy or how much to spend. More fundamentally, markets work only when consumers have the power to say no if the price isn’t right. Yet it’s very hard for people to say no in the case of things like end-of-life care or brain surgery.
  • the truth is that, despite the rhetoric, Romney’s main concern isn’t to bring down over-all health-care costs. In fact, he has regularly attacked one of the Affordable Care Act’s most aggressive cost-cutting measures—the independent board that can make binding recommendations on how to cut Medicare spending. What he wants is just to have the government less involved in health care. Insofar as his plans would lower federal health-care spending, it’s not because of the power of the free market; it’s because a Romney Administration would simply have the government do less. Romney would eliminate the Obamacare subsidies for health insurance. He would turn Medicaid into a block grant to the states and trim its annual budget, with the result that its funding would lag behind the rise in health-care costs. And, if he adopts his running mate Paul Ryan’s premium-support plan for Medicare, he would make Medicare recipients pay higher premiums. With these changes, the government would spend less, but only because it would provide less, and Americans would get less. It’s like saving on defense by protecting only two-thirds of the country.
  • The real issue, come November 6th, isn’t about who has the best ideas for controlling health-care costs. It’s about who has the right idea of what government should do. ♦
Javier E

Obama's Best-Kept Secrets - NYTimes.com - 0 views

  • While I don’t know how Obamacare will turn out, I’m certain that my two favorite Obama initiatives will be transformative.
  • His Race to the Top program in education has already set off a nationwide wave of school reform, and his Race to the Top in vehicles — raising the mileage standards for American-made car and truck fleets from 27.5 miles per gallon to 54.5 m.p.g. between now and 2025 — is already spurring a wave of innovation in auto materials, engines and software.
  • they are the future of progressive politics in this age of austerity: government using its limited funds and steadily rising performance standards to stimulate states and businesses to innovate better economic, educational and environmental practices.
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  • his races to the top in schools and cars are both based on one brutal fact: “The high-wage, medium-skilled job is over,” as Stefanie Sanford, a senior education expert at the Gates Foundation, puts it. The only high-wage jobs, whether in manufacturing or services, will be high-skilled ones, requiring more and better education, and Obama’s two races to the top aim to produce both more high-skill jobs and more high-skilled workers.
  • Though never perfect, No Child Left Behind was still a game-changer for education reform because it gave us the data to see not only how individual schools were doing but how the most at-risk students were doing within those schools. Without that, educational reform based on accountability of teachers and principals could never start.
  • 46 states submitted reform blueprints — and only the 12 best won grants from $70 million to $700 million, depending on the size of their student populations — even states that did not win have been implementing their proposals anyway.
  • because 45 states and the District of Columbia adopted similar higher academic standards (known as the “common core”) for reading and math, “for the first time in our history a kid in Massachusetts and a kid in Mississippi are now being measured by the same yardstick,” said Duncan
  • Obama’s doubling of vehicle mileage by 2025, led by his Environmental Protection Agency and Department of Transportation, it’s already driving more innovation in Detroit, as each car company figures out how it will improve mileage by 5 percent every year.
  • Yes, the costs for cars with higher miles per gallon will rise a touch, but the savings will be manyfold that amount. The Environmental Protection Agency projects families will save $1.8 trillion in fuel costs and reduce oil consumption by 2.1 million barrels per day by 2025, which is equivalent to one-half of the oil that we currently import from OPEC countries every day
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