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Ezra Klein: November 8, 2009 - November 14, 2009

Tab dump

1) The future is street food. 2) The right kind of 'security theatre.' 3) Even the centrist group Third Way thinks the Stupak amendment goes too far. 4) If conservatives want to propose the Dutch or Swiss health-care systems as...

By Ezra Klein  |  November 13, 2009; 6:36 PM ET  |  Permalink  |  Comments (6)
 
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Joint Tax Committee: Excise tax raises workers' wages by $313 billion

In our chat yesterday, economist Jon Gruber mentioned that the excise tax is projected to raise worker wages by $313 billion between 2010 and 2019. That seemed, well, high. But it checks out. The numbers come from the Joint Committee...

By Ezra Klein  |  November 13, 2009; 5:35 PM ET  |  Permalink  |  Comments (20)
Categories:  Health Economics , Health Reform  
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Why aren't the subsidies getting more attention?

Kevin Drum: I sure wish that overall subsidy levels in the current healthcare bills produced the same kind of uproar as abortion and the public option. In terms of real-world effect on real-world people, subsidies are the biggest issue by...

By Ezra Klein  |  November 13, 2009; 3:58 PM ET  |  Permalink  |  Comments (6)
Categories:  Health Reform  
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Peter Orszag makes the case for Germany

Conferences should have purple backdrops more often. "We don’t really have a jobs policy," writes Paul Krugman. "We have a G.D.P. policy." Unlike Germany, we have not prioritized keeping workers in their jobs. Instead, we've prioritized measures to increase economic...

By Ezra Klein  |  November 13, 2009; 3:50 PM ET  |  Permalink  |  Comments (6)
Categories:  Economic Policy  
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Senate skeptical of Stupak amendment

Planned Parenthood just blasted out a roundup of senators who have voiced doubts about the Stupak amendment. It's a more impressive, and moderate, list than I would have guessed: Sen. Majority Leader Harry Reid: “We’re going to continue to work...

By Ezra Klein  |  November 13, 2009; 2:58 PM ET  |  Permalink  |  Comments (6)
 
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Cutting the deficit

Peter Orszag lays out the administration's line on the short-term deficit: Of the $9 trillion in deficits projected over the coming decade, nearly $5 trillion comes as a result of failing to pay in the past for just two policies...

By Ezra Klein  |  November 13, 2009; 2:38 PM ET  |  Permalink  |  Comments (10)
Categories:  Budget  
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Lunch break

South Park takes on Glenn Beck:...

By Ezra Klein  |  November 13, 2009; 1:39 PM ET  |  Permalink  |  Comments (1)
 
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Some worrying signs out of the Senate

Health reform ain't easy. Expectations were that the Senate would get the CBO score for its health-care bill today. It didn't. Or, to be more precise, it didn't get the CBO score it wanted. The proposal Reid's office sent to...

By Ezra Klein  |  November 13, 2009; 1:35 PM ET  |  Permalink  |  Comments (6)
Categories:  Health Reform  
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Can John Thune save the Republican Party by being normal?

It's evidence, I think, of the sorry state of the Republican Party that David Brooks's column presenting Sen. John Thune as the Republican of the Future relies not on the fact that Thune has new idea or an interesting vision...

By Ezra Klein  |  November 13, 2009; 12:47 PM ET  |  Permalink  |  Comments (12)
 
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How Stupak's amendment could change the whole insurance market

Brian Beutler has a good post assessing the Stupak amendment's likely impact on the exchanges. "It is safe to say," he concludes, "that the vast majority of, if not all, women in the exchanges will not be allowed to have...

By Ezra Klein  |  November 13, 2009; 12:13 PM ET  |  Permalink  |  Comments (29)
Categories:  Health Reform  
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Medicare and Medicaid account for 80% of the entitlement problem

Page 11 from Doug Elmendorf's slides on “Aging and Health: The Challenges of Entitlement Growth."...

By Ezra Klein  |  November 13, 2009; 11:45 AM ET  |  Permalink  |  Comments (4)
Categories:  Budget , Charts and Graphs  
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CBO: Don't trust the CBO

It comes right there on the second page of CBO director Doug Elmendorf's presentation on the the long-term fiscal threat. The slide is titled "three reasons that the fiscal challenge is especially acute," and the first is that "current policy...

By Ezra Klein  |  November 13, 2009; 11:25 AM ET  |  Permalink  |  Comments (6)
Categories:  Budget  
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I will suck your gruyere

Tyler Cowen on why people love vampire tales: Vampire stories offer a platform for exploring the theme of pure, limitless, and eternal desire, yet without encountering the absurdities that might result from planting that theme in a realistic, real world...

By Ezra Klein  |  November 13, 2009; 11:04 AM ET  |  Permalink  |  Comments (1)
 
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Who belongs to unions?

John Judis summarizes a report from the Center for Economic and Policy Research: [I]n the last twenty-five years, the proportion of unionized workers with college-degrees has gone from 20.4 to 37.5 percent. If you add workers who have attended but...

By Ezra Klein  |  November 13, 2009; 10:09 AM ET  |  Permalink  |  Comments (6)
Categories:  Unions  
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Did the invention of the airplane end the filibuster?

Whenever I write about ending the filibuster, the same question arises: Why doesn't Reid let the Republicans go at it? If you can't end the filibuster, you can at least make sure that the minority actually has to talk for...

By Ezra Klein  |  November 13, 2009; 7:13 AM ET  |  Permalink  |  Comments (14)
Categories:  Interviews , Senate  
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Tab dump

Chris Dodd, who released a major financial regulation package this week, shoots a coquettish glance at Mark Warner. 1) One of the perks of working at The Washington Post is access to their massive photo archive. Problem is, I'm limited...

By Ezra Klein  |  November 12, 2009; 6:23 PM ET  |  Permalink  |  Comments (4)
 
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Is the individual mandate constitutional?

Chuck Grassley: occasional defender of the Constitution, and of the individual mandate. In a conference call, Chuck Grassley raised the idea that the individual mandate is unconstitutional. He didn't endorse it, or embrace it. Just raised the question. Suggested it...

By Ezra Klein  |  November 12, 2009; 5:48 PM ET  |  Permalink  |  Comments (13)
Categories:  Health Reform  
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How dangerous is Baltimore?

Does the media give an accurate picture of crime statistics? One answer is very, very dangerous: Baltimore is, statistically, the second-deadliest city in the USA; only in Detroit are you more likely to be murdered. Last year there were 234...

By Ezra Klein  |  November 12, 2009; 4:46 PM ET  |  Permalink  |  Comments (13)
 
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Does health-care reform do enough on cost control?

Jon Gruber is a health economist at MIT. But that understates his influence in the field. He was one of the architects of the Massachusetts reforms. In 2005, he was elected a member of the Institute of Medicine. In 2006,...

By Ezra Klein  |  November 12, 2009; 4:32 PM ET  |  Permalink  |  Comments (18)
Categories:  Health Reform , Interviews  
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Reid looking at a new tax for health-care reform

The big HCR news today is that the AP reports that Harry Reid is considering a surtax for the rich in his health-care plan. And given that the Congressional Budget Office is currently estimating a final version of Reid's plan,...

By Ezra Klein  |  November 12, 2009; 3:00 PM ET  |  Permalink  |  Comments (8)
 
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The public option is not an entitlement

Karl Smith has a theory explaining how the public option could drive the government deeper into debt. The argument, essentially, rests on an analogy to Medicare and Medicaid. The problem here is that Medicare and Medicaid are entitlements. The public...

By Ezra Klein  |  November 12, 2009; 2:22 PM ET  |  Permalink  |  Comments (31)
 
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Too big to fail and zombies

The clever folks at the Daily Intel win the internet today. "You guys get this done for me, and I'll make sure I can take care of AIG and Merrill," Paulson replied. "I'm a little uncomfortable talking about Merrill with...

By Ezra Klein  |  November 12, 2009; 1:20 PM ET  |  Permalink  |  Comments (0)
 
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Chat transcript

Chapel Hill, N.C.: Once the House and Senate health insurance bills (assuming the Senate passes one) are combined in conference committee, can the conference bill be filibustered under current Senate rules? Ezra Klein: Yes. It's somewhat rarer, but yes. The...

By Ezra Klein  |  November 12, 2009; 1:15 PM ET  |  Permalink  |  Comments (2)
 
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Doc pay

A physician correspondent writes: Consider a posting about doc payment. It gets a lot of comments every day and you haven't addressed it very directly, by my memory. A few important points: - The biggest solution to saving money in...

By Ezra Klein  |  November 12, 2009; 12:34 PM ET  |  Permalink  |  Comments (9)
 
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What is 'waste' in medicine?

People tend to be skeptical that there's much waste in the health-care system. After all, these are profit-making companies. They might have a bit of fat, but presumably not too much. They're right. Sort of. As it stands, to a...

By Ezra Klein  |  November 12, 2009; 12:10 PM ET  |  Permalink  |  Comments (2)
 
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Back to your regularly scheduled blogging

Sorry for the slow blogging this morning. I, uh, locked myself out of my house. For three hours. Grr. Normal programming begins now, and I've got a live chat in 15 minutes, so throw your questions this-a-way....

By Ezra Klein  |  November 12, 2009; 11:38 AM ET  |  Permalink  |  Comments (5)
 
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Asymmetric warfare

China haz it: One day in late summer 2008, FBI and Secret Service agents flew to Chicago to inform Barack Obama's campaign team that its computer system had been hacked. ... The McCain campaign was hit with a similar attack....

By Ezra Klein  |  November 12, 2009; 7:24 AM ET  |  Permalink  |  Comments (9)
Categories:  China  
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Tab dump

1) David Leonhardt visits one of the best hospitals in America. 2) Lou Dobbs is leaving CNN. 3) Did Reagonomics bring higher growth? 4) The scientist who predicted global cooling explains what he got wrong, and how his work is...

By Ezra Klein  |  November 11, 2009; 6:51 PM ET  |  Permalink  |  Comments (3)
 
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Doug Elmendorf calls out the American people

David Wessel notices CBO director Doug Elmendorf giving a nice, single-sentence summation of our country's coming bankruptcy: The country faces a fundamental disconnect between the services the people expect the government to provide, particularly in the form of benefits for...

By Ezra Klein  |  November 11, 2009; 5:12 PM ET  |  Permalink  |  Comments (45)
Categories:  Budget  
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Four ways to end the filibuster

Steve Pearlstein wants to bring the filibuster back to its first principles: Ensuring unlimited debate. His suggestion is to kill the filibuster but promise the minority that debate can continue until "a bill is passed or defeated or Senators...

By Ezra Klein  |  November 11, 2009; 3:43 PM ET  |  Permalink  |  Comments (33)
Categories:  Congress , Senate  
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The populist politics of financial regulation

The more I think about Dodd's financial regulation bill, the more I think the politics are going to be surprising. Its biggest surprise, for instance, is how much power it takes from the Federal Reserve, and how much it...

By Ezra Klein  |  November 11, 2009; 2:43 PM ET  |  Permalink  |  Comments (8)
Categories:  Financial Regulation  
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Health-care reform fantasy draft

David Leonhardt is much more down on the House bill than I am. But I agree with all of his proposed improvements. I'd like to see a final bill that looks more like the House bill on the coverage and...

By Ezra Klein  |  November 11, 2009; 2:05 PM ET  |  Permalink  |  Comments (6)
 
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Why Pharma likes health-care reform

Want more evidence that Pharma stands to gain from health-care reform? Back in March, IMS Health, the consultancy that does a lot of the forecasting for the pharmaceutical industry, foresaw a slight contraction in the industry. Now IMS Health is...

By Ezra Klein  |  November 11, 2009; 1:25 PM ET  |  Permalink  |  Comments (8)
Categories:  Health Reform  
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Lunch break

Jon Stewart takes a look at the House's health-care reform debate. The Daily Show With Jon StewartMon - Thurs 11p / 10cThe Men Who Stare at Voteswww.thedailyshow.comDaily Show Full EpisodesPolitical HumorHealth Care Crisis Mmmm ... democracy .......

By Ezra Klein  |  November 11, 2009; 12:54 PM ET  |  Permalink  |  Comments (2)
 
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Do better school lunches help kids learn?

In 2005, British celebrity chef Jamie Oliver convinced London's Greenwich borough to let him remake their school-lunch system. Armed with some publicity, some private funding and some ideas about how school lunches should look, he began remaking the kitchens...

By Ezra Klein  |  November 11, 2009; 12:34 PM ET  |  Permalink  |  Comments (8)
Categories:  Food  
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'There is nowhere we are more honest than the search box'

The quote above comes from Ben Casnocha, and it's attached to a blog post looking at the differences between "smart" search phrasings and "dumb" ones. For instance: the most popular searches beginning with "how 2 ..." are "how 2 get...

By Ezra Klein  |  November 11, 2009; 12:23 PM ET  |  Permalink  |  Comments (7)
 
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The $900 billion mistake

Barack Obama has not given much in the way of specifics for health-care reform. Few policies have been nonnegotiable and virtually none have been dictated. The exception is a number that was neither nonnegotiable nor dictated, but was received...

By Ezra Klein  |  November 11, 2009; 12:14 PM ET  |  Permalink  |  Comments (60)
Categories:  Health Reform  
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A future of financial crises

Felix Salmon recaps an interesting argument he had with Robert Pozen, author of the new book Too Big to Save: I’m also not fully convinced by one of Pozen's big ideas, which is that banks should have small and professional...

By Ezra Klein  |  November 11, 2009; 10:48 AM ET  |  Permalink  |  Comments (4)
Categories:  Financial Regulation  
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Fair and balanced and weird

This is some uncommonly smart, measured health-care reform commentary from Fox News. What's weird, however, is that it's coming from Mick Foley, better known as the professional wrestler "Mankind."...

By Ezra Klein  |  November 11, 2009; 10:29 AM ET  |  Permalink  |  Comments (1)
 
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Will Olympia Snowe switch parties?

Commenter Andrew Long pushes back against the idea that Olympia Snowe will switch parties: Given her policy positions, the only issues she'll ever have a chance of "nailing" Obama on are the budget and taxes. The budget is deeply unsexy,...

By Ezra Klein  |  November 11, 2009; 9:01 AM ET  |  Permalink  |  Comments (9)
Categories:  Senate  
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Chris Dodd's financial regulation bill

Felix Salmon likes it. Kevin Drum likes the parts that Felix doesn't like (namely, a systemic risk regulator that isn't the Federal Reserve). And Mike Konczal offers more in the way of details. I haven't had the time to...

By Ezra Klein  |  November 11, 2009; 8:17 AM ET  |  Permalink  |  Comments (15)
 
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Tab dump

1) Why employment might not recover until 2013. 2) Chris Dodd looks to strip the Federal Reserve of some of its power. 3) Michael Tomasky makes a bunch of Olympia Snowe puns. 4) There is a connection between "political correctness"...

By Ezra Klein  |  November 10, 2009; 6:35 PM ET  |  Permalink  |  Comments (1)
 
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Will Olympia Snowe get Scozzafava'd?

New polling out of Maine shows that a solid 59 percent of likely Republican voters would back a primary challenge to Olympia Snowe. "This means that when you’re thinking about whether Snowe will support a bill or not, the...

By Ezra Klein  |  November 10, 2009; 6:03 PM ET  |  Permalink  |  Comments (8)
 
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Lieberman opposes trigger, too

Earlier today, Joe Lieberman was asked whether there was any "wiggle room" in his pledge to filibuster a bill that includes a public option. What about a trigger, the reporter suggested. "I don't feel like wiggling," Lieberman replied. On the...

By Ezra Klein  |  November 10, 2009; 5:47 PM ET  |  Permalink  |  Comments (7)
 
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What should we learn from Nidal Hasan?

"If we grant that Hasan was motivated by religion, what does that actually tell us?" asks Ta-Nehisi Coates. "What is there beyond the fact that people will, at times, interpret religion as a justification to commit heinous acts. ... What...

By Ezra Klein  |  November 10, 2009; 5:42 PM ET  |  Permalink  |  Comments (7)
 
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The social skills of great journalists

Gabe Sherman's profile of New York Times Wall Street savant Andrew Ross Sorkin has some pretty incredible anecdotes. The book party for Too Big to Fail was a window into Sorkin’s world. No one tends to love a journalist after...

By Ezra Klein  |  November 10, 2009; 3:13 PM ET  |  Permalink  |  Comments (8)
Categories:  Journalism  
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Senate leadership hoping for a health-care reform bill next week

With health-care reform safely through the House, all eyes are now on the Senate. And the Senate is ... waiting. Today, Bill Clinton visited the Democratic Caucus lunch. The meeting was closed, but it's a pretty safe bet that the...

By Ezra Klein  |  November 10, 2009; 2:03 PM ET  |  Permalink  |  Comments (8)
Categories:  Health Reform  
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Trashing the ocean

I'd like to tell you this comes from Pixar's soon-to-be-released prequel to Wall-E. Instead, it's in the New York Times: Light bulbs, bottle caps, toothbrushes, Popsicle sticks and tiny pieces of plastic, each the size of a grain of rice,...

By Ezra Klein  |  November 10, 2009; 1:20 PM ET  |  Permalink  |  Comments (10)
 
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Adverse selection in the credit card market?

It's been a bad year for the credit card business. A sharp recession means consumers aren't paying back their loans. New regulations mean old avenues for profit are blocked off. The result, as the New York Times reports today, is...

By Ezra Klein  |  November 10, 2009; 1:09 PM ET  |  Permalink  |  Comments (5)
Categories:  Economy  
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Reviewing Zagat

I made some jokes about Zagat's increasingly awkward stylistic conventions yesterday, but Tim Carman really goes to town on the venerable dining guide's bizarre methodology in this piece....

By Ezra Klein  |  November 10, 2009; 12:45 PM ET  |  Permalink  |  Comments (1)
 
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Lunch break

Imogen Heap covers Michael Jackson's “Thriller”:...

By Ezra Klein  |  November 10, 2009; 12:38 PM ET  |  Permalink  |  Comments (3)
 
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Rahm Emanuel: 'The goal isn't to see whether I can pass this through the executive board of the Brookings Institution'

Obama's chief of staff is annoyed at all the critics who like to imagine a better health-care reform bill but have no idea how to pass such a thing: “Let’s be honest,” Rahm Emanuel said in a recent interview. “The...

By Ezra Klein  |  November 10, 2009; 12:36 PM ET  |  Permalink  |  Comments (22)
Categories:  Health Reform  
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Is a flawed health-care bill better than no bill at all?

Marcia Angell, a single-payer supporter and former editor of the New England Journal of Medicine, doesn't believe the House bill is better than nothing. She thinks, instead, that it "throws more money into a dysfunctional and unsustainable system, with only...

By Ezra Klein  |  November 10, 2009; 11:43 AM ET  |  Permalink  |  Comments (26)
Categories:  Health Reform  
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Obama skeptical of Stupak amendment

Barack Obama is hinting that he wants to see the Stupak amendment revised. “There needs to be some more work before we get to the point where we’re not changing the status quo," he said to ABC News. Congress needs...

By Ezra Klein  |  November 10, 2009; 11:42 AM ET  |  Permalink  |  Comments (2)
 
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Are homeowners better people?

One of the reasons for subsidizing homeownership is the widely held belief that homeowners are good citizens. Ten years ago, Denise DiPasquale and I wrote a paper investigating the links between ownership and civic behavior. Controlling for income, education,...

By Ezra Klein  |  November 10, 2009; 9:31 AM ET  |  Permalink  |  Comments (7)
Categories:  Economic Policy , Housing Crisis  
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Pro-health-reform groups outspend opponents

Aaron David and Ben Pershing report: The battle of the airwaves has already seen more than $150 million spent this year on television ads related to the health-care debate, according to the Campaign Media Analysis Group. As of Friday, about...

By Ezra Klein  |  November 10, 2009; 9:15 AM ET  |  Permalink  |  Comments (5)
 
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Tab dump

1) Does D.C. have any dishes as legendarily hot as "pork on fire"? 2) Could Obama have done more to protect choice? 3) Proof of America's poor train infrastructure: "Even Amtrak’s self-declared high-speed Northeast Corridor between Boston and Washington does...

By Ezra Klein  |  November 9, 2009; 7:02 PM ET  |  Permalink  |  Comments (13)
 
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The point of a congressional majority is to use it, not to keep it

Tim Fernholz recommends Jonathan Martin's autopsy of Creigh Deeds's failed campaign for the Virginia governorship. "The lessons couldn't be clearer," Fernholz says. "Equivocation doesn't win votes. Campaigning on a real agenda does. Running away from President Obama isn't the...

By Ezra Klein  |  November 9, 2009; 6:33 PM ET  |  Permalink  |  Comments (17)
Categories:  Democrats  
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Can Zagat survive the rise of electronic communication?

The fine folks at Zagat sent me an early copy of their latest little red book. It's friendlier than Mao's effort, but it's beginning to feel similarly dated. The problem is that the book sounds like it's making fun of...

By Ezra Klein  |  November 9, 2009; 5:40 PM ET  |  Permalink  |  Comments (3)
Categories:  Food  
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Jon Stewart does Glenn Beck

This is getting a bit confusing. First there was Jon Stewart. Then there was Stephen Colbert imitating what Stewart was doing, at least in spirit. Then came Glenn Beck to imitate Colbert. And now Stewart is imitating Beck. And he...

By Ezra Klein  |  November 9, 2009; 5:37 PM ET  |  Permalink  |  Comments (9)
 
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In a world with a broken Congress ...

Fred Hiatt's column today calls the House's health-care reform bill "a step closer to bankruptcy." But he's not really talking about the House's health-care reform bill, which he admits the Congressional Budget Office has assessed as not only deficit neutral...

By Ezra Klein  |  November 9, 2009; 4:58 PM ET  |  Permalink  |  Comments (20)
Categories:  Health Economics  
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Better free-throw shooting through science

"Two North Carolina State University engineers" have "used hundreds of thousands of three-dimensional computer simulations" to produce a peer-reviewed paper with recommendations for shooting better free throws. I love science, particularly since I've been playing a bit of basketball lately...

By Ezra Klein  |  November 9, 2009; 4:28 PM ET  |  Permalink  |  Comments (2)
 
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Chairman George Miller: The 'numbers were pretty close'

George Miller chairs the Education and Labor Committee and is one of Nancy Pelosi's closest allies in the House. We spoke today about the mechanics of the vote, the problems with Stupak's compromise and what comes next for health-care...

By Ezra Klein  |  November 9, 2009; 4:00 PM ET  |  Permalink  |  Comments (4)
Categories:  Health Reform , Interviews  
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Europe rising

Foreign Policy's Annie Lowrey* takes note of some big news across the pond: Something that might augur a truly titanic shift in foreign affairs happened this week. It involves possibly sweeping foreign-policy changes in two of the world's five official...

By Ezra Klein  |  November 9, 2009; 3:32 PM ET  |  Permalink  |  Comments (8)
Categories:  Europe  
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Why public policy stinks in '09

It's the Senate: It’s worth taking a moment to appreciate the fact that in a unicameral United States of America, we would now have passed both a comprehensive health care reform bill and also the most important piece of environmental...

By Ezra Klein  |  November 9, 2009; 2:27 PM ET  |  Permalink  |  Comments (22)
 
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The Stupak amendment: As much about class as about choice

Rep. Bart Stupak's amendment did not make abortion illegal. And it did not block the federal government from subsidizing abortion. All it did was block it from subsidizing abortion for poorer women. Stupak's amendment stated that the public option cannot...

By Ezra Klein  |  November 9, 2009; 1:48 PM ET  |  Permalink  |  Comments (24)
 
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Rep. Jim Cooper: House health care bill was 'one of the best votes I ever cast'

Rep. Jim Cooper (D-Tenn.) knows as much about health-care policy as anyone in Congress. He teaches the subject back home in Tennessee, promoted his own plan (to the anger of many Democrats) in 1994, and has been both a vocal...

By Ezra Klein  |  November 9, 2009; 12:49 PM ET  |  Permalink  |  Comments (12)
Categories:  Health Reform , Interviews  
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Nancy Pelosi's risky cap and trade strategy

During an interview in late July, Speaker Nancy Pelosi explained her legislative philosophy to me. "You get the votes," she said, balling one hand into a fist, "and you take the vote," and she punched her other hand. "Because...

By Ezra Klein  |  November 9, 2009; 11:55 AM ET  |  Permalink  |  Comments (1)
Categories:  Climate Change  
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Lieberman will filibuster health-care reform 'as a matter of conscience'

Joe Lieberman went on Fox News last weekend to give viewers some insight into his thinking on health-care reform. LIEBERMAN: A public option plan is unnecessary. It has been put forward, I’m convinced, by people who really want the government...

By Ezra Klein  |  November 9, 2009; 11:35 AM ET  |  Permalink  |  Comments (34)
 
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Counting the votes for health-care reform

In case you missed it, the big news this weekend was that the House passed health-care reform. But the mild surprise was that it barely passed health-care reform. In the final tally, 220 congresspeople voted for the bill --...

By Ezra Klein  |  November 9, 2009; 10:35 AM ET  |  Permalink  |  Comments (6)
Categories:  Health Reform  
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