Category Archives: Op-Eds and other opinions

The question mark fallacy

For the second third (behind Paul Krugman and Rush Limbaugh) most influential columnist in America, George Will, it seems politicizing things is now bad.  He writes:

"This is just the beginning," Yosi Sergant told participants in an Aug. 10 conference call that seems to have been organized by the National Endowment for the Arts and certainly was joined by a functionary from the White House Office of Public Engagement. The call was the beginning of the end of Sergant's short tenure as NEA flack — he has been reassigned. The call also was the beginning of a small scandal that illuminates something gargantuan — the Obama administration's incontinent lust to politicize everything. 

Incontinent lust?  Anyway, this argument, if you can call it that, suffers from the "question mark fallacy"–all of the premises end in question marks:

Did the White House initiate the conference call-cum-political pep rally? Or, even worse, did the NEA, an independent agency, spontaneously politicize itself? Something that reads awfully like an invitation went from Sergant's NEA e-mail address to a cohort of "artists, producers, promoters, organizers, influencers, marketers, tastemakers, leaders or just plain cool people."

They were exhorted to participate in a conference call "to help lay a new foundation for growth, focusing on core areas of the recovery agenda." The first core area mentioned was "health care."

Questions, your introduction to critical thinking teacher will tell you, are not statements.  They have no truth value.  Will is also guilty of the quotation mark fallacy–a signal someone has ripped a bunch of stuff out of context in order to make it look accurate (it's a quote!) and ominous (those are their actual words!).  This research, such as it is, is done by an assistant trolling the conservative blogosphere for the topic of the day.

Crap.  As for the quote itself, uou can read the actual email (in a screen capture) at the links in the quotation above; it's a call for people to get engaged in public service and volunteerism, which things, so it seems to Will, are political.  To suggest as much, I think, commits the everything-is-political fallacy: defining "political" so broadly that nothing does not qualify.  Of course, if that's the case, ergo, etc, as they say. 

This is Jonah Goldberg quality stuff here.  If Mr.Will keeps this up, he'll be lucky to be the thirty-fourth most influential pundit in America.

A minor spot in our debates

The Post has two people who write on the economy, George Will and Robert Samuelson.  Both of them are conservatives.  Both of them stink at it.  Not long ago Samuelson argued that investing in rail transit would be a waste of money, because it serves so little of the country.  He forgot to mention such notions as population density, etc.  

Today he writes about health care.  In classic Samuelson fashion, he argues that controlling costs is somehow logically impossible:

Americans generally want three things from their health-care system. First, they think that everyone has a moral right to needed care; that suggests universal insurance. Second, they want choice; they want to select their doctors — and want doctors to determine treatment. Finally, people want costs controlled; health care shouldn't consume all private compensation or taxes.

Appealing to these expectations, Obama told Americans what they want to hear. People with insurance won't be required to change plans or doctors; they'll enjoy more security because insurance companies won't be permitted to deny coverage based on "pre-existing conditions" or cancel policies when people get sick. All Americans will be required to have insurance, but those who can't afford it will get subsidies.

As for costs, not to worry. "Reducing the waste and inefficiency in Medicare and Medicaid will pay for most of this plan," Obama said. He pledged to "not sign a plan that adds one dime to our [budget] deficits — either now or in the future." If you believe Obama, what's not to like? Universal insurance. Continued choice. Lower costs.

The problem is that you can't entirely believe Obama. If he were candid — if we were candid — we'd all acknowledge that the goals of our ideal health-care system collide. Perhaps we can have any two, but not all three.

Baring the fictional–yes fictional–scenario where you get to chose your own doctor and your own care (your insurance company does so long as you "qualify," which means so long as you don't get sick), every other industrialized democracy in the world has solved this problem.  They get more than we do for half of the cost.  That's just true folks.  As Obama has argued over and over, one problem we suffer from here in our capitalist paradise is a lack of competition in health insurance.  There is simply no incentive to deliver it cheaper.  So you can have all three indeed.  We should have all three.  If we can't get all three, we will suck.

For contrast, here is something Nicholas Kristof got right:

After Al Qaeda killed nearly 3,000 Americans, eight years ago on Friday, we went to war and spent hundreds of billions of dollars ensuring that this would not happen again. Yet every two months, that many people die because of our failure to provide universal insurance — and yet many members of Congress want us to do nothing?

Here, by the way, is Samuelson's view on the affordability of the Iraq war:

Yes, that column made big mistakes. The war has cost far more than I (or almost anyone) anticipated. Still, I defend the column's central thesis, which remains relevant today: Budget costs should not shape our Iraq policy. Frankly, I don't know what we should do now. But in considering the various proposals — President Bush's "surge," fewer troops or redeployment of those already there — the costs should be a footnote. We ought to focus mostly on what's best for America's security. 

He is referring to a 2002 column where he argued we could "afford" the Iraq war, a war which, by the way, would cost more than any health care fix (I can't find the original article on the Post's website).  And indeed, who can disagree with this closing remark on that column?

But I am certain — now as then — that budget consequences should occupy a minor spot in our debates. It's not that the costs are unimportant; it's simply that they're overshadowed by other considerations that are so much more important. We can pay for whatever's necessary. If we decide to do less because that's the most sensible policy, we shouldn't delude ourselves that any "savings" will rescue us from our long-term budget predicament, which involves the huge costs of federal retirement programs. Just because the war is unpopular doesn't mean it's the source of all our problems. 

A minor spot, unless it's health care.

Propter hack

Michael Gerson, who liked George W. Bush and his notion of preventative war, does not like Barack Obama.  That's fine.  I don't know why the Washington Post has hired him to say as much however.  Gerson, Bush's former speechwriter, is a party operative, not a disinterested observer.  So when he remarks on how disappointing Obama's Presidency has been, you know something has gone right for Obama.  I remark on this not because I have it in for conservatives.  On the contrary, I'm keenly interested in actual conservative argument.  It's a shame, I think, that the Post hires such hacks (the same would go for Democratic party hacks, if there were any). 

Today Gerson writes:

In 1950, Lionel Trilling could write, "In the United States at this time liberalism is not only the dominant but even the sole intellectual tradition." In 1980, as the Reagan revolution was starting, Sen. Daniel Patrick Moynihan concluded, "Of a sudden, the GOP has become the party of ideas."

Where now is the intellectual center of gravity — the thrill of innovation, the ideological momentum — in American politics? Not in the party of Obama.

This failure of imagination was on full display during Barack Obama's address to Congress. In a moment that demanded new policy to cut an ideological knot, or at least new arguments to restart the public debate, Obama saw fit to provide neither. His health speech turned out to be an environmental speech, devoted mainly to recycling. On every important element of his health proposal, he chose to double down and attack the motives of opponents. (Obama was the other public official who talked of a "lie" that evening.) Concerns about controlling health costs, the indirect promotion of abortion and the effect of a new entitlement on future deficits were dismissed but not answered. On health care, Obama takes his progressivism pure and simplistic.

This, I think, is a specious allegation of fallacy–Obama did attack the motives of his opponents, after pointing out, in the cases mentioned above by Gerson, that they have lied relentlessly about the content of the bills working their way through the system.  When someone, such as Gerson and the people he sophistically defends, distorts the simple and obvious facts open to everyone's inspection, it is well justified to wonder about their motives.  I wonder, indeed, about Gerson's motives in writing such silliness.  He doesn't, you'll notice, even bother to justify either (1) the allegation that Obama was lying or (2) that he attacked anyone's motives–and not their facts.  This kind of sophistry, I think, is worse than lying.  Gerson, or at least the Post (I know, don't laugh) ought to know better. 

Truly hilarious, however, is the idea that Obama is some kind of wicked hardcore lefty, taking his "progressivism pure and simplistic" when in fact he (1) spent the entire summer (not on vacation) trying to negotiate with Republicans and (2) in the very speech in question brought together elements from John McCain and George W.Bush.  Gerson writes:

This is the most consistent disappointment of Obama's young term. Given a historic opportunity to occupy the political center, to blur ideological lines, to reset the partisan debate through unexpected innovation, Obama has taken the most tired, most predictable agenda in American politics — the agenda of congressional liberalism — and made it his own. Elected on the promise to transcend old arguments of left and right, Obama has systematically reinforced them on domestic issues. A pork-laden stimulus. A highly centralized health reform. Eight months into Obama's term, American politics is covered in the cobwebs of past controversies. Obama has supporters, but he has ceased trying for converts.

This should surprise no one. Obama did not rise on Bill Clinton's political path — the path of a New Democrat, forced to win and govern in a red state. Obama was a conventional, congressional liberal in every way — except in his extraordinary abilities. His great talent was talent itself, not ideological innovation. And given the general Republican collapse of 2006 to 2008 — rooted in the initial unraveling of Iraq, the corruption of the Republican congressional majority and the financial meltdown — Obama did not need innovation to win. Only ability and the proper tone.

Not even close.  Notice, however, how Gerson does not bother anywhere in the piece to justify his whacky assertions.  It's as if he did not even see the speech. 

Can’t get no satisfaction

Equivocation occurs when you fudge on the meaning of a key term.  Say, for instance, you want to say that there is no war in Afghanistan because "wars" must be declared, therefore, etc.  If you wanted to apply similarly twisted logic to the health care crisis, you might argue as Michael Gerson has done:

And so Barack Obama's address to Congress on health care, at a minimum, must answer the question: What is the crisis? When individuals can't get needed health care, it is certainly a crisis for them. This, Obama might argue, creates moral responsibilities for the rest of us to help. But this would argue for a more incremental approach, adding coverage for the working poor instead of remaking the American health system for everyone.

The overwhelming majority of Americans, by the definition of denied care, do not face a health-care crisis. Most polls show that about 80 percent are "very" or "somewhat" satisfied with their health plans. Those in the greatest need are often the most satisfied — 90 percent of insured Americans who suffered serious illnesses are satisfied with their health care. According to a study published by the Cato Institute, a very small percentage — even of the uninsured — are "dissatisfied or highly dissatisfied" with the health care they get in other ways. On health care, the American public brims with satisfaction — though most are concerned about rising costs.

So perhaps this is the crisis: rising costs that will eventually overwhelm state and federal budgets and consume more and more of individual paychecks. But this is precisely the area where current Democratic approaches are least credible. Obama abandoned his pledge to reduce the government's health costs long ago; now he aims only at budget neutrality. But every pending health-reform bill in Congress would increase both short- and long-term deficits, failing even on Obama's modified terms. Americans get the joke. While Obama has made cost control a centerpiece of his public message, only about 20 percent of Americans, in one poll, believe Obama will keep his promise not to increase the deficit with health reform.

This is very very confused.  According to Gerson, a "crisis" means when people are "dissatisfied" with their health care.  People may indeed be satisfied with their health care on an individual level–they like the nurses and doctors who take care of them–but that is rather different from whether the system, the way health care is paid for, packaged, and delivered is in crisis or not.  That's not a question of perception at the individual level.  Most people seem to understand that and support health care system reform.

Indeed, had Gerson read the article he cites as evidence for his position, he would have noticed the following:

The reason for the apparent paradox is that even though most people are satisfied with their insurance, they harbor deep concerns about losing their coverage or their ability to afford it and medical care if costs continue rising. 

I have to wonder whether this shift in focus in the debate is not intentional.  Every adult knows what the issue at hand is.  It's not whether people like their doctors, or whether they like their current insurance coverage (when they have it).  

We have been talking about this issue for almost one hundred years in this country.  Other countries have figured out that you can get more, pay less, not euthanize your grandmother, and continue to maintain access to clinics that do not allow poor people.

Vengeance is Richard Cohen’s

Few places lend themselves to blood lust like the pages of our nations op-ed pages.  Want to know why so many have been thrust asunder in Iraq?  Go back to the winter of 2003, and read the op-ed pages of the New York Times and the Washington Post.  You'll find Thomas Friedman, noted Middle East expert, advancing the notion that the Middle East needs to be slapped around a bit with a war or that they need to see the mocking genitalia of American servicemen and women

Richard Cohen, on the other hand, is a kind of poor-man's Tom Friedman:

And yet revenge also suggests a proper concern for the dead. The people who died on Sept. 11, 2001, cannot simply be dismissed, erased — as if they had not been killed in a huge crime. It's not just that bin Laden is still at large. So are the Taliban members who sheltered him and stayed with him after Sept. 11. This should not be complicated: The killers of Americans ought to pay for what they've done. It is good foreign policy.

Perhaps I could rephrase a bit: the killers of Americans, and people near the killers of Americans, and future Americans who die in future revenge attacks for our very general notion of revenge, ought to pay for what they've done.   

Serious Breaches of Trust

David Broder argues today that while he supports accountability for illegal acts and serious breaches of trust, he does not support investigating illegal acts and serious breaches of trust.  I have trouble putting these two claims together:

First, we should investigate and hold accountable the guilty:

My friend and fellow columnist Eugene Robinson has written a characteristically passionate and well-reasoned piece commending Attorney General Eric Holder's decision to name a special counsel to examine possible law-breaking by interrogators of terrorist subjects during the last administration.

But I think he is wrong.

First, let me stipulate that I agree on the importance of accountability for illegal acts and for serious breaches of trust by government officials — even at the highest levels. I had no problem with the impeachment proceedings against Richard Nixon, and I called for Bill Clinton to resign when he lied to his Cabinet colleagues and to the country during the Monica Lewinsky scandal.

I'm all for that as well.  Now the second claim:

Cheney is not wrong when he asserts that it is a dangerous precedent when a change in power in Washington leads a successor government not just to change the policies of its predecessors but to invoke the criminal justice system against them. 

Illegal acts.  The policies of the previous administration may have involved–may have involved–illegal acts.  Their being policies of an administration does not remove them from the realm of legal and illegal.  At least I hope it does not.  Broder continues.

I think it is that kind of prospect that led President Obama to state that he was opposed to invoking the criminal justice system, even as he gave Holder the authority to decide the question for himself. Obama's argument has been that he has made the decision to change policy and bring the practices clearly within constitutional bounds — and that should be sufficient

Accountability for illegal acts.  Now for some self-congratulation:

When President Ford pardoned Nixon in 1974, I wrote one of the few columns endorsing his decision, which was made on the basis that it was more important for America to focus on the task of changing the way it would be governed and addressing the current problems. It took a full generation for the decision to be recognized by the John F. Kennedy Library Foundation and others as the act of courage that it had been. 

It's hard for me to understand the logic of this argument.  If Broder took the position that Clinton should have been impeached for lying in a civil deposition (lying to the country and his cabinet colleagues was not the crime in question, I think) about the character of an adult consensual relationship with a former employee, then how does it not follow that much more serious crimes (such as torture, murder, conspiracy, etc.) deserve at least to be investigated by the criminal justice system? 

If you like it so much

This episode has been repeated all over the place, but I'll repeat it here, just because it is so absolutely emblatic of the dismal state of our public discourse on health care.  Maria Bartiromo, a CNBC financial reporter (no really), played the role of a health care pundit yesterday, asking New York Democratic Congressional Representative Michael Weiner, 44, why he wasn't on medicare if he liked it so much.  Here is their conversation:

REP. WEINER: Listen, Carlos talks about Canada. You talk about Europe. Let's talk about the United States of America, Medicare —

MS. BARTIROMO: You have to look at where there are public plans.

REP. WEINER: No. No. The United States of America, 40 percent of all tax dollars go through a public plan. Ask your parent or grandparent, ask your neighbor whether they're satisfied with Medicare. Now, there's a funding problem, but the quality of care is terrific. You get complete choice and go anywhere you want. Don't look at —

MS. BARTIROMO: How come you don't use it? You don't have it. How come you don't have it?

REP. WEINER: Because I'm not 65. I would love it.

MS. BARTIROMO: Yeah, come on.

Now this is an obvious attempt, I stress "attempt" at ad hominem tu quoque.  For those who are new to fallacy analysis, and ad hominem argument is one where you discount a person's view because of irrelevant (that's important) facts about that person.  There are a few ways of doing that.  One way is to call their character into question, assail them with insults, and so forth: "your view is wrong because you have a weight problem!"  Another way–a very common one among small children–is to charge irrelevant hypocrisy.  So if your doctor says smoking is bad, yet she smokes, challenging the truth of the view with the fact of her smoking is irrelevant.  The doctor means that smoking is bad for anyone–including herself.  Indeed, one of the reasons it is bad is because it's addictive.

Now in this circumstance, Bartiromo, who I am not kidding is a financial reporter for a major US business cable channel, alleges that Rep.Weiner is a hypocrite for not opting for a health plan (medicare) he is not eligible for.  That means he can't even be a hypocrite.  Now all of this is even more silly from the point of view of the public option–where the government would offer a low cost alternative to private insurance.  It's a public option–not a public requirement.

When I hear this stuff–which is all of the time–and then I hear the likes of Michael Gerson, former speechwriter for George W. Bush (think, "axis of evil" and other belligerent pro-life Christian phrases) pronounce:

The incompetence of President Obama's health-care reform effort is undeniable, and unexpected. 

No amount of competence could counter the massive lies, distortions, scare tactics, and sheer ignorance of what calls itself "opposition to health care reform."  That is the premise of Obama's "defeat."

The ____r is now the ____d

Richard Cohen watches too many movies.  For the basis of his op-ed on torture is the ticking time bomb scenario:

Call him Ishmael.

Call him a terrorist or a suicide bomber or anything else you want, but understand that he is willing — no, anxious — to give his life for his cause. Call him also a captive, and know that he works with others as part of a team, like the Sept. 11 hijackers, all of whom died, willingly. Ishmael is someone I invented, but he is not a far-fetched creation. You and I know he exists, has existed and will exist again. He is the enemy.

Now he is in American custody. What will happen? How do we get him to reveal his group's plans and the names of his colleagues? It will be hard. It will, in fact, be harder than it used to be. He can no longer be waterboarded. He knows this. He cannot be deprived of more than a set amount of sleep. He cannot be beaten or thrown up against even a soft wall. He cannot be threatened with shooting or even frightened by the prospect of an electric drill. Nothing really can be threatened against his relatives — that they will be killed or sexually abused.

He knows the new restrictions. He knows the new limits. He may even suggest to his interrogators that their jobs are on the line — that the Justice Department is looking over their shoulders. The tape is running. Everything is being recorded. He is willing to give up his life. Are his interrogators willing to give up their careers? He laughs.

This is really beginning to sound like a joke: the uber terrorist (played, believably, by Maori actor, Cliff Curtis), who knows our legal system and its "rights" so that his sneering makes Cohen's blood run cold.  What about that guy, he wonders, what about that guy?  

Well, I'll tell you what about that guy.  He is the basis of Cohen's "hard case" moral lesson.  A "hard case" should you wonder is a notion used by philosophers of law to think about the limits of general rules and such.  But it also sounds like the title of a legal-themed adult movie, which is closer to Cohen's point anyway.  Here's the moral lesson:

This business of what constitutes torture is a complicated matter. It is further complicated by questions about its efficacy: Does it sometimes work? Does it never work? Is it always immoral? What about torture that saves lives? What if it saves many lives? What if one of those lives is your child's?

Deep thinking.  What if blowing up a planet deep in space with creatures uniquely able to suffer pain infinitely saved your child?  Would you do it?  Well, would you?

In case you weren't shocked by your own willingness to torture people to save "many lives" or "your baby," maybe you'll be impressed by a little bit of absurd moral equivalence:

Attorney General Eric Holder has named a special prosecutor to see whether any of the CIA's interrogators broke the law. Special prosecutors are often themselves like interrogators — they don't know when to stop. They go on and on because, well, they can go on and on. One of them managed to put Judith Miller of The New York Times in jail — a wee bit of torture right there. No CIA interrogator can feel safe. The interrogators are about to be interrogated. 

No seriously, I didn't alter that at all.  He really wrote that.  We have reached new levels of badness here.  Skipping to the end:

The questions of what constitutes torture and what to do with those who, maybe innocently, applied what we now define as torture have to be removed from the political sphere. They cannot be the subject of an ideological tug of war, both sides taking extreme and illogical positions — torture never works, torture always works, torture is always immoral, torture is moral if it saves lives. Torture always is ugly. So, though, is the hole in the ground where the World Trade Center once stood.  

First you get a little bit of the "who's to say. . . in this complex modern world of ours" argument–call it the self-serving pseudo skeptical argument.  Then Cohen converts it into a full-tilt "both sides" are wrong, there must be some middle ground.  Top this off with an almost full tilt ever since 9/11 I've been enraged by Chappaquiddick

The long argument

There seem to me to be a number of good arguments for a health care system not unlike one that works.  Ours it not one that works at its primary job–delivering health care.  It seems rather its primary job is restricting it and rationing it on the basis of employment, wealth, or oddly, extreme (and undesirable) poverty.  That leaves people in a bind, of sorts.  If they're extremely wealthy (against all misfortune), it doesn't matter; if they're extremely poor or above the age of 65, they're covered (partially);  If they get a job that pays enough, they go off medicaid, and so become poor in a different way again; if they aren't rich and old, they will still live with severely restrictive costs; for everyone else, the wheel of fortune (employment) turns round and round: don't even think about starting your own business (you'll lose your benefits!), getting fired, working for an innovative start-up company with no benefits, living in an area with no access to quality health care (it's true folks), or, worst of all, don't even think of getting sick, for you may still go bankrupt anyway.  So those are reasons–sufficient I think–to change our system.  Every other industrialized nation in the world has (1) better health care outcomes; (2) pays not nearly what we already pay per person; (3) covers everyone.  Those are fairly straightforward facts.  The level of direct government involvement in each of these systems varies: a lot in the case of Britain; little in the case of Germany and Switzerland.  It has been established by crushing, boring, Al Gore-style reality, that such systems exist, work, and few of the citizens in those countries would dream of switching them for what we have.  What does this mean?  It means that when folks like Tom Coburn, Senator of Oklahoma, say that it's false that government is the solution, it is right to wonder what the evidence for that view is.  The government has been the solution for everyone else.

Normally here we don't make arguments.  We criticism them.  That of course opens us to the (immature) objection: if you're so smart, etc.  This is not an answer to that criticism–which is too silly to be answered.  Rather, in light of the enormous weight of the evidence in favor of a health care system not unlike one that works (and there many examples of them), we in America have to have a conversation about things like the following:

Obamacare Version 1.0 is dead. The 1,000-page monstrosity that emerged in various editions from Congress was done in by widespread national revulsion not just at its expense and intrusiveness but also at the mendacity with which it is being sold. You don't need a PhD to see that the promise to expand coverage and reduce costs is a crude deception, or that cutting $500 billion from Medicare without affecting care is a fiction.  

Yes, a red herring.  Back in 1993–I remember it well–a criticism of the Clinton plan was that it involved "very long" and "complicated" legislation.  Here is James Fallows' comment (in 1995!) on this argument:

To say that the resulting package of proposals was "too complex" is like saying that an airplane's blueprint is too complicated. The Medicare system is complex. So is every competing health-care-reform plan. Most of the 1,342 pages of Clinton's Health Security Act (which I have read) are either pure legal boilerplate or amendments to existing law. Conventional wisdom now holds that the sheer bulk of the bill guaranteed its failure. The Nafta bill was just as long, and so was the crime bill that passed last summer. If the health bill had been shorter and had not passed, everyone would know that any proposal so sketchy and incomplete never had a chance.

As for the "long" argument:

So I did some number crunching. I threw all my old Technician newspaper columns into Word, removed all paragraph breaks and titles, 12pt. Times New Roman double-spaced and came out to be 342 words/page. I took some representative samples of reports with natural paragraph breaks and section titles, also 12pt. Times New Roman double-spaced, and got between 270 and 300 words/page. Online you’ll find that an average book has between 200 and 250 words/page. I even went and compiled some quick and dirty statistics on the Harry Potter books, which average 255 words/page [no, I didn't control for publishing format, just wanted some quick numbers].

For H.R. 3200, I went and found the number of words per page for 20 random pages throughout the bill. The numbers ranged from 104 word/page to 215 words/page, for an average of about 159 words/page for the 1,036 page health care bill.

If we take these figures for more commonly found page formatting (342, 300, 270, 255, 250 words/page) and translate that to the health care bill, we’d have a bill that is between 485 pages to 663 pages, for an average length of 592 pages.

The last five books in the Harry Potter series have page lengths of roughly 448, 752, 870, 652, and 784. Jared Diamond’s Guns, Germs, and Steel hardcover clocks in at 512 pages. War and Peace is over 1200. Atlas Shrugged is about 1200 pages too.

Take that Randians–Atlas Shrugged is longer than the health care bill!  Who could possibly be expected to read it?

In the end, I think it would be nice to have a conversation about reality, but perhaps in the meantime, we can avoid debating about whether a bill is "complicated" (of course it is to some degree, but geez), or "long".  Those are just silly red herrings.

Meretricious

Since George Will thought to write a eulogy for Kennedy which included the term "meretricious," we thought it might be entertaining to take a trip back in time.  Here, via Hullabaloo via Somerby, is an excerpt from a 1995 James Fallows' article about Bill Clinton's 1993 attempt at health care reform:

Much of the problem for the plan seemed, at least in Washington, to come not even from mandatory alliances but from an article by Elizabeth McCaughey, then of the Manhattan Institute, published in The New Republic last February. The article's working premise was that McCaughey, with no ax to grind and no preconceptions about health care, sat down for a careful reading of the whole Clinton bill. Appalled at the hidden provisions she found, she felt it her duty to warn people about what the bill might mean. The title of her article was "No Exit," and the message was that Bill and Hillary Clinton had proposed a system that would lock people in to government-run care. "The law will prevent you from going outside the system to buy basic health coverage you think is better," McCaughey wrote in the first paragraph. "The doctor can be paid only by the plan, not by you."

George Will immediately picked up this warning, writing in Newsweek that "it would be illegal for doctors to accept money directly from patients, and there would be 15-year jail terms for people driven to bribery for care they feel they need but the government does not deem 'necessary.'" The "doctors in jail" concept soon turned up on talk shows and was echoed for the rest of the year.

These claims, McCaughey's and Will's, were simply false. McCaughey's pose of impartiality was undermined by her campaign as the Republican nominee for lieutenant governor of New York soon after her article was published. I was less impressed with her scholarly precision after I compared her article with the text of the Clinton bill. Her shocked claim that coverage would be available only for "necessary" and "appropriate" treatment suggested that she had not looked at any of today's insurance policies. In claiming that the bill would make it impossible to go outside the health plan or pay doctors on one's own, she had apparently skipped past practically the first provision of the bill (Sec. 1003), which said,

"Nothing in this Act shall be construed as prohibiting the following: (1) An individual from purchasing any health care services."

It didn't matter. The White House issued a point-by-point rebuttal, which The New Republic did not run. Instead it published a long piece by McCaughey attacking the White House statement. The idea of health policemen stuck…

Through most of 1993 the Republicans believed that a health-reform bill was inevitable, and they wanted to be on the winning side. Bob Dole said he was eager to work with the Administration and appeared at events side by side with Hillary Clinton to endorse universal coverage. Twenty-three Republicans said that universal coverage was a given in a new bill.

In 1994 the Republicans became convinced that the President and his bill could be defeated. Their strategist, William Kristol, wrote a memo recommending a vote against any Administration health plan, "sight unseen." Three committees in the House and two in the Senate began considering the bill in earnest early in the year. Republicans on several committees had indicated that they would collaborate with Democrats on a bill; as the year wore on, Republicans dropped their support, one by one, for any health bill at all. Robert Packwood, who had supported employer mandates for twenty years, discovered that he opposed them in 1994. "[He] has assumed a prominent role in the campaign against a Democratic alternative that looks almost exactly like his own earlier policy prescriptions," the National Journal wrote. Early last summer conservative Democrats and moderate Republicans tried to put together a "mainstream coalition" supporting a plan without universal coverage, without employer mandates, and without other features that Republicans had opposed. In August, George Mitchell, the Democratic Party's Senate majority leader, announced a plan that was almost pure symbolism–no employer mandates, very little content except a long-term goal of universal coverage. Led by Bob Dole and Newt Gingrich, Republicans by September were opposing any plan. "Every time we moved toward them, they would move away," Hillary Clinton says.

Another demonstration of "the merely contingent connection between truth and rhetorical potency."