E.J.Dionne, Plain Bad Arguments, Red Herring

Insured by Smith and Wesson

3 Comments

I think bringing guns to a town hall meeting about health care makes no sense at all (unless you're on your way to Afghanistan or Iraq, or police duty, or something like that, and have no where to put your gun(s).).  The people bringing the guns, however, seem to do so to make a point about freedom–freedom for guns, I suppose.  But we were talking about health care, so I don't get it.  Despite the ravings of several enumerated lunatics, a system of universal health care derived from obligatory taxes is (1) clearly not unconstitutional and (2) it has nothing to do with guns (other than fixing the wounds caused by them).  Finally, few people want to argue with the guy with an assault rifle.  Maybe that's the point.  If it is, poo-poo on the gun toters for trying to intimidate people.    

Having said that, Now here's a crappy argument from E.J.Dionne against the bringing of guns:

The Obama White House purports to be open to the idea of guns outside the president's appearances. "There are laws that govern firearms that are done state or locally," Robert Gibbs, the White House spokesman, said on Tuesday. "Those laws don't change when the president comes to your state or locality."

Gibbs made you think of the old line about the liberal who is so open-minded he can't even take his own side in an argument.

What needs to be addressed is not the legal question but the message that the gun-toters are sending.

[For the record, I can't find the transcript of this remark, so I can't tell what question was asked]  Dionne mocks Gibbs' (political) answer in one paragraph, and then affirms it in the second one.  It's not a legal question, obviously; the people with the guns were not violating the law (it's up to local law enforcement to maintain order, etc.).  As another political matter, by the way, Gibbs knows (I guess) that had he said, "shame on the gun people," we would be talking about that, and not, for instance, health care.  I can think of an example of where someone said something about a white guy with a gun and our liberal media changed the subject from health care (any subject but that) to the white guy with a gun–care to guess what I'm talking about anyone?

Along those lines, Dionne wants to do the same thing:

On the contrary, violence and the threat of violence have always been used by those who wanted to bypass democratic procedures and the rule of law. Lynching was the act of those who refused to let the legal system do its work. Guns were used on election days in the Deep South during and after Reconstruction to intimidate black voters and take control of state governments.

Yes, I have raised the racial issue, and it is profoundly troubling that firearms should begin to appear with some frequency at a president's public events only now, when the president is black. Race is not the only thing at stake here, and I have no knowledge of the personal motivations of those carrying the weapons. But our country has a tortured history on these questions, and we need to be honest about it. Those with the guns should know what memories they are stirring.

I remember seeing a black guy with an AR-15 (that's an assault rifle of sorts).  Besides, I wouldn't expect someone inclined to bring a gun to a debate about health care had in mind the vaguely relevant question of civil rights.  As in the other case, this is not what it seems.

The gun guys and gals, I imagine, want to change the subject from the content of the debate inside of the hall, to the fact that someone had a gun outside of it.  They're as silly as the ravings of the "Obama wants to ration toilet paper set."  Let's ignore them.

Begging the Question, Lack of Evidence, Op-Eds and other opinions, Plain Bad Arguments

Deny or disparage

7 Comments

This op-ed by John Mackey, CEO of whole foods, has caused somewhat of a stir.  A bunch of people decided to boycott his store (and use his website to do so).  I prefer the raw capitalism of buying from the actual grower–but I guess that makes me some kind of communist.  Anyway, this morning I ran across a couple of tepid defenses of Mackey's op-ed.  Here, Mary Schmich in the Chicago Tribune, and here the newly rejuvenated Kathleen Parker in the Washington Post.

Mackey lays out a series of proposals that address access to health insurance (but don't guarantee it); the only one aimed at reducing costs (aside from being healthy) is tort reform.  I think tort reform is a dubious strategy for a libertarian–if you have any rights at all, you have a right to sue people for contract breech or for failure to perform up to a certain standard.  There is empirical research of a kind on that point, however, which would at least address the question as to whether tort reform would have any effect on medical costs.  Once that question is resolved, however, one would have to balance one's right to sue an incompetent doctor against the communist benefits of lowering health care costs across the board.  

In addition to offering these and other points, he runs some counter arguments against "socialism."  Since no one is offering socialism, or even socialized medicine (if you don't know that, step away from the microphone at the town hall, go to the local library [for free!] and read some newspapers) I can hardly applaud his courage.  

He runs a version of the "rights" argument as well.  I don't know where people pick up these arguments, but it's really silly.  For some reason people have framed this discussion as one about rights–namely about the rights they're losing in having greater access to health care.  Perhaps this explains why people show up at town hall meetings with guns.  As Wyatt Cenac on the Daily Show indicated yesterday, that makes about as much sense as showing up drunk (which is another thing you have a right to do).

Here, in any case, is Mackey's right's argument:

Many promoters of health-care reform believe that people have an intrinsic ethical right to health care—to equal access to doctors, medicines and hospitals. While all of us empathize with those who are sick, how can we say that all people have more of an intrinsic right to health care than they have to food or shelter?

Health care is a service that we all need, but just like food and shelter it is best provided through voluntary and mutually beneficial market exchanges. A careful reading of both the Declaration of Independence and the Constitution will not reveal any intrinsic right to health care, food or shelter. That's because there isn't any. This "right" has never existed in America.

Even in countries like Canada and the U.K., there is no intrinsic right to health care. Rather, citizens in these countries are told by government bureaucrats what health-care treatments they are eligible to receive and when they can receive them. All countries with socialized medicine ration health care by forcing their citizens to wait in lines to receive scarce treatments.

The idea that the Constitution and the Declaration of Independence (again–not a ruling legal document!) enumerate all of our "intrinsic" rights is silly.  It's silly because, as people should never tire of pointing out, the Constitution, on a careful reading (slightly more careful than Mackey's) says:

Amendment 9 – Construction of Constitution. Ratified 12/15/1791.

The enumeration in the Constitution, of certain rights, shall not be construed to deny or disparage others retained by the people.

There you have it folks.  A careful reading of the Constitution shows that you may have more rights than the Constitution says.

One more obvious point.  I think no one could seriously argue that the Constitution contains all intrinsic rights, such that their not being mentioned (see above, 9th Amendment) is evidence of their not existing.  That would be circular!

Academics, Ad hominem circumstantial, Slippery Slope

I can’t change my mind

5 Comments

Speaking of one of the weirdest op-eds I've ever seen, Bob Somerby (aka the Daily Howler) asks:

For years, we have asked why the professors don’t help us with our floundering discourse. When our journalists fail to serve, who don’t the professors step forward to help? Where are all the professors of logic, with their vast clarification skills? Why don’t the professors step in to straighten our broken logic?

The question is obviously rhetorical, but he continues to ask it, so here's an answer.  John Holbo, at Crooked Timber, is a professor of philosophy, and he has stepped up to the plate (as have many others).  Holbo recently addressed the very kind of argument Somerby was complaining about (here and here).  We talked about that here the other day.  But, just for fun, and because Bob wonders where the professors of logic are, and I'm one of those, let's have a look see at what he was talking about.  

The op-ed in question is by Danielle Allen, a professor at the Institute of Advanced Study (I'm not kidding).  She writes:

His administration now agrees with the analysts who argue that only by ensuring that no one games the system can reform be made to work. The mandate serves to ensure that individuals do not buy insurance only when they are ill. Other elements of the reform similarly serve to ensure that neither insurance companies nor employers will game the system. As Paul Krugman has argued in the New York Times, each of these strategies to prevent gaming is necessary to make the whole thing work. The point, though, is that the push for implementation has turned Obama's policies into something other than what he promised.

This change in Obama's position goes a long way toward explaining the objections to the new reforms that are being raised vociferously through grass-roots action by citizens on the right. The issue here is not that these citizens consider Obama untrustworthy — though they do. The issue, rather, is that they recognize that the stated goals and structure of a policy may not fully capture its full range of outcomes in practice. This is why these citizens, including professionally briefed participants such as Sarah Palin, can continue to maintain, in the face of a barrage of insistences to the contrary, that the reforms will (1) result in rationing and (2) establish "death panels."

Gee professor, as others have pointed out (here and here for examples), every one is justified in making the most outlandish slippery slope arguments since it is a fact of nature that the "stated goals and structure of a policy may not fully capture its full range of outcomes in practice."  And no, for the love of Mike, a change in a proposal does not open the door to that inference, as she suggests.  While perhaps not a fact of nature qua nature, I think moderate (or even extreme) changes in the positions one advocates are a normal reaction to the facts on the ground.

Think about this for a second.  Given the professor's argument, no policy maker (or person) can change a position without having her real motives stretched to include the most extreme and unlikely consequence.  So, take heed, policy people, if you change your mind ever so little then Danielle Allen will wonder whether you really want to turn old people into Soylent Green.

General discussion

Preventive scare

3 Comments

Charles Krauthammer is a doctor, the kind of doctor an insurance company would love:

How can that be? If you prevent somebody from getting a heart attack, aren't you necessarily saving money? The fallacy here is confusing the individual with society. For the individual, catching something early generally reduces later spending for that condition. But, explains Elmendorf, we don't know in advance which patients are going to develop costly illnesses. To avert one case, "it is usually necessary to provide preventive care to many patients, most of whom would not have suffered that illness anyway." And this costs society money that would not have been spent otherwise.

Think of it this way. Assume that a screening test for disease X costs $500 and finding it early averts $10,000 of costly treatment at a later stage. Are you saving money? Well, if one in 10 of those who are screened tests positive, society is saving $5,000. But if only one in 100 would get that disease, society is shelling out $40,000 more than it would without the preventive care.

In the very abstract, of course, that's not a ridiculous claim.  I think he's right to make the claim that preventive care is not the high road to lower health care costs (no one he cites seems to argue for that particular claim). He is also right to grant (as he does, a few paragraphs later) that there is a moral reason for preventive care–to limit suffering.  Nonetheless, I think there are two objections one could make here.

First, the economic calculation is the very one the insurance company makes–which, if I am not mistaken, is the problem.

Second, while Krauthammer is not wrong to say that preventive care is economically different from any other medical procedure (he does have an MD after all), he's allowing you to think that preventive care means everyone gets a series of costly tests every year, no matter how irrelevant or unnecessary.  He writes:

That's a hypothetical case. What's the real-life actuality? In Obamaworld, as explained by the president in his Tuesday town hall, if we pour money into primary care for diabetics instead of giving surgeons "$30,000, $40,000, $50,000" for a later amputation — a whopper that misrepresents the surgeon's fee by a factor of at least 30 — "that will save us money." Back on Earth, a rigorous study in the journal Circulation found that for cardiovascular diseases and diabetes, "if all the recommended prevention activities were applied with 100 percent success," the prevention would cost almost 10 times as much as the savings, increasing the country's total medical bill by 162 percent. That's because prevention applied to large populations is very expensive, as shown by another report Elmendorf cites, a definitive review in the New England Journal of Medicine of hundreds of studies that found that more than 80 percent of preventive measures added to medical costs.  

On the cost of an amputation, I'd say the surgeon definitely does not make that, but I think Obama means the total cost–which has to be somewhere around there (but I could be mistaken). 

But the "large populations" claim strikes me as odd, because not everyone will be a candidate for every preventive measure.  Besides, not every preventive measure is a 500 dollar test (which seems to be the basic idea of preventive care in the CBO study):

During a press briefing Tuesday, Thorpe said “the CBO focuses on one type of prevention, which is trying to detect disease through screenings. And some of those types of disease screenings can actually reduce costs, as in the case of colorectal cancer. And a lot of it is really not designed to reduce cost, it’s designed to get people medical intervention earlier,” he said. “So the intent of disease detection is not to save money, it’s sort of a straw man.” [Sorry for the format, but the original is behind a pay wall].

Finally, he is also assuming the present (inflated) cost structure as a baseline.  Some have argued recently that the cost structure and the medical practice we are the problem.  Others have argued that the metric of the CBO study leaves out what really ought to be measured in the first place.  While neither of these demonstrates the cost-effectiveness of preventive care–they do at least point out that we should be minimally circumspect about the CBO's study.

 

Begging the Question, Equivocation, Op-Eds and other opinions, Straw Man

If only my friend Euthyphro were here

41 Comments

I wandered into this contribution on the Huffington Post.  It argues, in a comically bad fashion, that health care is not a "right."  It also argues that the government is bad.  In any case, you know your critical faculties will not be too challenged when you read:

Historically, the huge rise in health care costs began in the 1960s, when Medicare and other programs threw billions of dollars into the industry. Fiscally, Medicare is approaching monumental insolvency, with liabilities in the range of twenty-trillion dollars. To create another bureaucratic labyrinth now — which advocates are proud to say will cost only a trillion dollars over ten years — all but guarantees higher prices, and a greater crisis in the next decade.

Will the advocates of a "bureaucratic labyrinth," different from the bureaucratic labyrinth of the cable TV company or your own private health insurer, please raise their hands.  So no one does.  The fact that this guy had to weasel that one in there gives you the measure of the rest of the piece.

The major problem is yet to come:

The reason is that advocates of government medicine are upholding health care as a moral right. The moral goal of a "right" to health care is blinding people to the cause and effect relationship between government actions and rising prices.

But the very idea that health care — or any good provided by others — is a "right" is a contradiction. The rights enshrined in the Declaration of Independence were to life, liberty, and the pursuit of happiness. Each of these is a right to act, not a right to things. "To secure these rights governments are instituted," which means to secure the rights of each person to exercise his or her liberty in pursuit of his or her own happiness.

I would say in the first place that there is no evidence that the causal assertion here has any purchase on reality. 

Second, as the asinine invocation of the Declaration of Independence makes clear, the author of this piece doesn't care for a serious discussion of rights.  He's content to assert that the rights enshrined in that particular document are exhaustive.  I think that kind of begs the question.  It assumes, in other words, what is in need of proof.  But I also think his conception of what other people mean by rights suffers from a kind of equivocation.  Maybe they don't mean "rights" in the same way he does.  If they mean something else, which they most certainly do, then he's guilty of an equivocation.  

Does this mean that health care is a right?  No of course not.  Does it mean that it is not, not on this argument.  We deserve a better discussion about health care than the one we are currently getting.  This goes for everyone, of course, but in particular it goes for the opposition.

Ad hominem circumstantial, General discussion

You’re just saying that because it’s true

11 Comments

One day someone with more time than me will write about the various forms of meta debate.  By "meta debate" I mean, of course, discussions about the various forms and rules of "debate" (a word I don't like so much) or "discussion." Here's an example of a particularly pernicious form of meta debating (courtesy of Sadly,No!):

Pointing out that both sides engage in the same tactics, and that, in this case, one set of tactics seems to be unrelated to a substantive policy outcome neither presuppose the truth of one side of the debate nor does it presuppose that one side of the debate isn't actually, ultimately, right.  In the same way, it is illogical to assume that because one side distorts the debate far more than the other side, the debate itself ought to turn out in any prescribed way.  When I write things like this, it drives some partisans absolutely crazy. They don't like where the I'm drawing the "truth" line, and instead of reading the judgments that I've made — the Right is appealing to anger and fear and is distorting the debate more — they focus on the link that I won't then make — the link that I have no expertise to make — the link that, if I were to make it, I would be guilty of an offense against democracy — the link between what IS and what OUGHT to be. 

This is not actually that bad of a disclaimer (save for the confused "is-ought" business at the end.  Nonetheless, where this fellow's observations fall on rocky soil (I just heard that phrase the other day) is earlier in the piece.  He writes:

The field of cognitive neuroscience has all but given up trying to distinguish between emotion and reason, but political debate evidently lags far behind the science. Some observers of health care politics, particularly on the left, tend to accuse their opponents of trying to trigger emotional panic points rather than argue dispassionately about the facts. The implication is that the Right doesn't have any facts, so it looks to exploit voters' fears. There is something to be said for this argument, but it's not what proponents would have you believe. In policy debates where the target voter claims an independent identity, the side that's proposing something usually has a set of normative facts, and the side that's against something always appeals to that which most powerfully undercuts a fact. Democrats and Republicans both use emotion, but they use it differently, and use it to achieve different goals. 
 
The pro-reform side is appealing to emotion, too — albeit a wholly different emotion — the self-satisfaction one feels when one believes one has rationally deliberated something and meaningfully contributed to an important public debate.  This is called a solidary incentive. It's a powerful — and often completely ignored — sentiment, one that the Obama presidential campaign found, capitalized on, and won the election by exploiting.

As an empirical matter, I think this observation is just plain false.  Both "sides" (there are more than two for Pete's sake), appeal to facts.  The screaming Mimis at the town hall meetings (who are largely opposition types) come harmed with "facts" that have produced "emotions" although emotions of a decisively negative kind (relative to the things being proposed).  Let me put that another way: given the facts as they know them, they really hate the proposals.  The degree of their hatred of the proposals does not (for a careful observer) accentuate or diminish the basic factual assertions some of them seem to make.  In other words, they're not wronger or righter because they're screaming.  Maybe they're just jerks for that.  But that's a different question.

The real idiocy here of course consists in the claim that the side whose appeal is primarily factual (in the silly description offered here) is also appealing to emotion–the satisfaction one gets from doing the right thing.  I mean, again, for Pete's sake.  This is the lowest form of ad hominem argument: attacking someone because they're eager to have the correct position.  There's no defense against this.

I don't mean to allege that the screaming Mimi opposition doesn't have the right answer.  I think they think they do.  This author's analysis here is too shallow and too facile to bother with such weighty questions.  Instead, we are treated to the silliest form of meta debate analysis.  Everybody poops.

General discussion

Slippery herring

6 Comments

I may have used this title (we are, after all, heading into year six on August 23rd), so I reserve the right to change it.  Today I think it would be worth it to think about the slippery slope fallacy.  Inspired by this post by John Holbo at the always worth reading (save for the occasional comment trolls) Crooked Timber.  Here in any case is a representative paragraph:

Hypocrisy is the tribute that vice pays to virtue. And slippery slope arguments, arguments from unintended consequences and the paranoid style generally are the tribute conservatism pays to the deep appeal of progressive and liberal values. They are all attempts to outflank all that without engaging it. These are methods for getting off the hook of saying there’s something wrong with what liberals/progressives want. You pretend your opponent isn’t really a liberal/progressive but some secret radical. That’s method one. You pretend the results of liberal/progressive policies wouldn’t be truly liberal/progressive (because we would slip past all that or otherwise end up elsewhere than intended.) That’s method two. That’s pretty much it.

My informal sense (driven by an examination of the categories here on the left of this page) is that the real favorite of conservative types (at least the ones explicitly covered here) is that they prefer the straw man.  The straw man is a fallacy of relevance, a subject-changer in other words: don't attack the opponent's strong argument, go for the weak one (and then claim to have beaten the strong one).  Well that's one form of it, at least.  

But this seems to me to be what Holbo has in mind above anyway.  And I think he's certainly not wrong to notice the relevance issues brought about by slippery slopes.  It's important, to me at least, to keep the two questions distinct–though they may overlap in the mind of the fallacy employer.

In the first place, I think the slippery slope is a variety of causal fallacy–it alleges causal series where none will likely be the case.  So, if we do x (have national health care), in a few disastrous steps we'll be euthanizing the elderly.  Not bloody likely, as someone might say.

In a secondary way, however, such specious causal chains make us argue against the crazy thing–systematic government euthanasia programs–rather than the actual thing (some kind of moderate national health insurance system).  

This–the fact that you have two distinct logical issues–makes the fallacy hard to answer.  You have to answer each part separately, but, unfortunately, by then everyone has lost interest (if they had any to begin with).

hollow man, Ross Douthat

Easy moralism

10 Comments

Two quick things about this op-ed by Ross Douthat. First, he has an extremely shallow view of liberalism's moral theory:

Don’t laugh. No contemporary figure has done more than Apatow, the 41-year-old auteur of gross-out comedies, to rebrand social conservatism for a younger generation that associates it primarily with priggishness and puritanism. No recent movie has made the case for abortion look as self-evidently awful as “Knocked Up,” Apatow’s 2007 keep-the-baby farce. No movie has made saving — and saving, and saving — your virginity seem as enviable as “The 40-Year Old Virgin,” whose closing segue into connubial bliss played like an infomercial for True Love Waits. 

I know, liberalism doesn't have a specific moral theory.  But it does involve moral stuff, etc.  Douthat seems to think it's all about hooking up.  Really.  Now having said that, he also doesn't get the joke he just set up:

Both “Knocked Up” and “The 40-Year-Old Virgin” were designed to hit this worldview’s sweet spot. There were threads of darkness in both stories, but for the most part they made their moralism look appealing by making it look relatively easy.

Still a virgin in middle age? Not to worry — you’ll find a caring, foxy woman who’s been waiting her whole life for an awkward, idealistic guy like you. Pregnant from a drunken one-night stand? Good news — the oaf who knocked you up will turn out to be a decent guy, and you’ll be able to keep the baby and your career as a rising entertainment-news anchorwoman. Frittering away your life on porn and pot? Fear not — your wasted twenties won’t stop you from being a great dad.

Seems like that's part of the joke, I mean, the easy moralism–it's fun and funny to watch the stoner try to be a dad, but seriously folks, that's the joke (sorry stoners–no offense).

Ad Hominem Abusive, Ad hominem circumstantial

Would I lie to you?

8 Comments

In the department of distinctions, today we have the following (via Steve Benen):

There are a lot of angry nuts on my side of the aisle [the right].  They simply can’t believe that Barack Obama somehow got elected president and they feel powerless right now.

But here’s the thing:  There’s plenty of crazy to go around.  Remember Bush Derangement Syndrome?  The 9/11 conspiracy theorists who thought Bush and Cheney were in on the whole thing?  The Diebold plot to steal the 2004 election?  Should we judge the Left by the whackos that show up at the anti-trade rallies?  PETA?  Greenpeace?  Of course not.  Almost by definition, the people motivated and available enough to show up in the middle of the day to express their outrage about something are not like you and me.

"Bush Derangement Syndrome" was shorthand (invented by Charles Krauthammer, of all people) for the (fallacious) ad hominem tactic Bush supporters used to malign critics of all things Bush.  So, saying, "Remember Bush Derangement Syndrome" as evidence of the wrongness of your opponent is like saying, "Don't you remember how I used to lie about you, didn't that show you were wrong?"

 

Things that are false

Arthur Laugher

3 Comments

One reason it's very difficult to have a meaningful discussion about health care reform is that people do not seem to have a basic grasp of certain facts.  Enter economist Arthur Laffer, someone who ought to know better:

"If you like the Post Office and the Department of Motor Vehicles and you think they're run well, just wait till you see Medicare, Medicaid and health care done by the government."

The government already runs those things–and people like them.  In any case, maybe I don't always get my copy of Good Housekeeping on time every week, but for very little cost (and I think I'm ripping this off from Jon Stewart) someone delivers it to my front door.  Besides that, the DMV seems to work fine as well.  For me, the most difficult consumer experience of any kind I've ever had is with the cable company–and that was when I was trying to have cable installed.

via Steve Benen.

Your argument is invalid