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Paul Ryan, Individual Liberty, and the Fate of Medicare
Just as Mitt Romney appears to be wrapping up the Republican nomination for the presidency, congressional Republicans are taking steps to set up their own political framework for the 2012 election. In short, the future of Medicare is on the line and a Romney vs. Obama match-up will surely address this contentious issue.
A brief recap: last spring rising political star and GOP budget chairman Paul Ryan of Wisconsin unveiled what quickly became known as the Ryan Plan. While the Ryan Plan called for spending cuts across the board, the most notable aspect of the agenda called for replacing Medicare with subsidies for private insurance, pegged considerably below projected health care cost increases. Essentially, the Ryan Plan called for phasing out Medicare in favor of far less generous government subsidies.
Ryan’s Medicare proposal was controversial, to say the least, but was nonetheless embraced by the GOP at large, despite the overwhelming popularity of the Medicare program. Perhaps not coincidentally, an ABC News/Washington Post poll in January found that approval for the United States Congress had hit an all-time record low:
Just 13 percent of Americans . . . approve of the way Congress is handling its job, while 84 percent disapprove – its worst rating in poll results since 1974. Sixty-five percent disapprove “strongly,” a vast level of high-intensity criticism.
According to the poll, Republican congressman were at only a 20% approval rate, one point up from a record low set in December 2011. To be sure, there are many contributing factors to this guttering public perception, but it would be difficult to argue that proposed radical changes to Medicare have not taken their toll.
Which brings us back to the present moment; Talking Points Memo reports that Congressional Republicans are doubling down on the Ryan Plan in 2012, albeit in a slightly altered form:
It’s shaping up to be spring 2011 redux. Just under a year ago, Republicans . . . passed a budget that called for phasing out Medicare over the coming years and replacing it with a subsidized private insurance system for newly eligible seniors.
The backlash was ugly. But Republicans seem to have forgotten how poisonous that vote really was, and remains…because they’re poised to do it again. This time they’re signaling they’ll move ahead, with a modified plan — one that, though less radical, would still fundamentally remake and roll back one of the country’s most popular and enduring safety net programs.
“We’re not backing off any of our ideas, any of our solutions,” GOP budget chairman Paul Ryan said last week in an interview with Fox.
So there we have it: facing record-high disapproval, the GOP-controlled House will make a renewed push to drastically reform Medicare, this time with a provision included to maintain a public option of sorts for eligible seniors to buy into, not unlike the insurance exchanges created by the Affordable Care Act.
That’s the House GOP’s angle, but where does Mitt Romney, their all-but-ordained presidential standard bearer, come down on the Ryan Plan as he shifts gears toward a general campaign against President Obama?
Greg Sargent of the Washington Post put it thusly in December 2011:
“One of the key stories of the day — perhaps the one that will have the greatest long term political impact — has to be that Mitt Romney has now fully embraced Paul Ryan’s Medicare plan.
After previously hedging on the Ryan plan, Romney is now fully declaring his support for it, as a way to wound the surging Newt Gingrich among conservative voters . . . . and is suggesting he’d sign it into law as president, in order to portray himself as the only true conservative in the race.”
What does this mean for you in the nine months between now and the 2012 presidential election? It means you’re going to be hearing a lot more about Medicare and our priorities as a country, as libertarian-leaning elements of the body politic make their voices heard. What’s at the center of the debate is the notion of individual liberty, most clearly articulated by the Harvard philosopher Robert Nozick in his seminal book Anarchy, State, and Utopia.
Certain critics of Medicare believe that providing free health care for senior citizens is a breach of individual liberty, and the same extends to all state-provided health care in general. And in an era of record US deficits, the question of individual liberty and the responsibility of the state is coming to the fore in a way that is hasn’t for decades.
But what do we mean by individual liberty? Tamar Gendler, in an excerpt from her Floating University lecture, gives a succinct overview of the 'Individual Liberty Trumps All' position (though she is not endorsing it here, just explicating):
Andy Samberg and Cristin Milioti get stuck in an infinite wedding time loop.
- Two wedding guests discover they're trapped in an infinite time loop, waking up in Palm Springs over and over and over.
- As the reality of their situation sets in, Nyles and Sarah decide to enjoy the repetitive awakenings.
- The film is perfectly timed for a world sheltering at home during a pandemic.
China moves to Russia and India takes over Canada. The Swiss get Bangladesh, the Bangladeshi India. And the U.S.? It stays where it is.
What if the world were rearranged so that the inhabitants of the country with the largest population would move to the country with the largest area? And the second-largest population would migrate to the second-largest country, and so on?
A recent analysis of a 76-million-year-old Centrosaurus apertus fibula confirmed that dinosaurs suffered from cancer, too.
- The fibula was originally discovered in 1989, though at the time scientists believed the damaged bone had been fractured.
- After reanalyzing the bone, and comparing it with fibulas from a human and another dinosaur, a team of scientists confirmed that the dinosaur suffered from the bone cancer osteosarcoma.
- The study shows how modern techniques can help scientists learn about the ancient origins of diseases.
Centrosaurus apertus fibula
Royal Ontario Museum<p>In the recent study, the team used a combination of techniques to analyze the fibula, including taking CT scans, casting the bone and studying thin slices of it under a microscope. The analysis suggested that the dinosaur likely suffered from osteosarcoma, a type of bone cancer that affects modern humans, typically young adults.</p><p>For further evidence, the team compared the damaged fibula to a healthy fibula from a dinosaur of the same species, and also to a fibula that belonged to a 19-year-old human who suffered from osteosarcoma. Both comparisons supported the osteosarcoma diagnosis.</p>
Evans et al.<p style="margin-left: 20px;">"The shin bone shows aggressive cancer at an advanced stage," Evans said in a <a href="https://www.rom.on.ca/en/about-us/newsroom/press-releases/rare-malignant-cancer-diagnosed-in-a-dinosaur" target="_blank">press release</a>. "The cancer would have had crippling effects on the individual and made it very vulnerable to the formidable tyrannosaur predators of the time."</p><p style="margin-left: 20px;">"The fact that this plant-eating dinosaur lived in a large, protective herd may have allowed it to survive longer than it normally would have with such a devastating disease."</p><p>The fossilized fibula was originally unearthed in a bonebed alongside the remains of dozens of other <em>Centrosaurus </em><em>apertus</em>, suggesting the dinosaur didn't die from cancer, but from a flood that swept it away with its herd.</p>
Dinosaur fibula; the tumor mass is depicted in yellow.
Royal Ontario Museum/McMaster University<p>The new study highlights how modern techniques can help scientists learn more about the evolutionary origins of modern diseases, like cancer. It also shows that dinosaurs suffered through some of the same terrestrial afflictions humans face today.</p><p style="margin-left: 20px;">"Dinosaurs can seem like mythical creatures, but they were living, breathing animals that suffered through horrible injuries and diseases," Evans said, "and this discovery certainly makes them more real and helps bring them to life in that respect."</p>
Join the lauded author of Range in conversation with best-selling author and poker pro Maria Konnikova!
UPDATE: Unfortunately, Malcolm Gladwell was not able to make the live stream due to scheduling issues. Fortunately, David Epstein was able to jump in at a moment's notice. We hope you enjoy this great yet unexpected episode of Big Think Live. Our thanks to David and Maria for helping us deliver a show, it is much appreciated.