Topic: Cato Publications

George Will Quotes Cato Study Showing IPAB Is Even Worse than Romney Says

In Wednesday night’s presidential debate, Mitt Romney claimed that ObamaCare’s Independent Payment Advisory Board is  “an unelected board that’s going to tell people ultimately what kind of treatments they can have.”

President Obama officially denies it, yet he confirmed Romney’s claim when he said, “what this board does is basically identifies best practices and says, let’s use the purchasing power of Medicare and Medicaid to help to institutionalize all these good things that we do.”

In this excerpt from his column in today’s The Washington Post, George F. Will quotes my coauthor Diane Cohen and me to show that IPAB is even worse than Romney claimed:

The Independent Payment Advisory Board perfectly illustrates liberalism’s itch to remove choices from individuals, and from their elected representatives, and to repose the power to choose in supposed experts liberated from democratic accountability.Beginning in 2014, IPAB would consist of 15 unelected technocrats whose recommendations for reducing Medicare costs must be enacted by Congress by Aug. 15 of each year. If Congress does not enact them, or other measures achieving the same level of cost containment, IPAB’s proposals automatically are transformed from recommendations into law. Without being approved by Congress. Without being signed by the president.

These facts refute Obama’s Denver assurance that IPAB “can’t make decisions about what treatments are given.” It can and will by controlling payments to doctors and hospitals. Hence the emptiness of Obamacare’s language that IPAB’s proposals “shall not include any recommendation to ration health care.”

By Obamacare’s terms, Congress can repeal IPAB only during a seven-month window in 2017, and then only by three-fifths majorities in both chambers. After that, the law precludes Congress from ever altering IPAB proposals.

Because IPAB effectively makes law, thereby traducing the separation of powers, and entrenches IPAB in a manner that derogates the powers of future Congresses, it has been well described by a Cato Institute study as “the most anti-constitutional measure ever to pass Congress.”

Our paper is titled, “The Independent Payment Advisory Board: PPACA’s Anti-Constitutional and Authoritarian Super-Legislature.” It broke the news that, as Will writes, ObamaCare “precludes Congress from ever altering IPAB proposals” after 2017.

Privatization at Cato Unbound

Longtime Freeman editor Sheldon Richman leads this month’s Cato Unbound with a look at privatization – the transfer of assets and responsibilities from the government to private holders.

In the first part of his essay, Richman explains why we should want such a thing. As he points out, there are solid economic reasons to expect that governments will be worse than private actors at providing many different types of goods and services.

But how do you actually let go? Richman argues for a fairly absolutist position; for him, vouchers, charters, and contracting with private firms are no proper solution. “[W]hen a company becomes a monopoly government contractor,” he writes, “to that extent it is an arm of the state rather than a private firm.” When privatization ends here, things have not improved at all, and even the word “privatization” is misleading. Worse, whole swathes of the government’s work shouldn’t be done by anyone. We don’t make the war on drugs any better by putting it in the hands of a private contractor.

Is he right? Over the next week, we’ll have a series of response essays from Leonard Gilroy, Director of Government Reform at the Reason Foundation; Dru Stevenson, Professor of Law and the Helen and Harry Hutchins Research Professor at the Southern Texas College of Law; and Cato Senior Fellow Randal O’Toole.

Readers are encouraged to take up our themes and enter into the conversation on their own websites and blogs, or on other venues. We also welcome letters. Send them to jkuznicki at cato dot org. Selections may be published at the editors’ option.

Called it! Eleven Years Ago

What is this blog for, if not to let Cato scholars call out what smarty-pantses they are?

The Wall Street Journal reports on automobile license plates as the “new tracking frontier.”

For more than two years, the police in San Leandro, Calif., photographed Mike Katz-Lacabe’s Toyota Tercel almost weekly. They have shots of it cruising along Estudillo Avenue near the library, parked at his friend’s house and near a coffee shop he likes. In one case, they snapped a photo of him and his two daughters getting out of a car in his driveway. Mr. Katz-Lacabe isn’t charged with, or suspected of, any crime. Local police are tracking his vehicle automatically, using cameras mounted on a patrol car that record every nearby vehicle—license plate, time and location.

I didn’t have every detail, of course, but 11 years ago I noted the coming problem of license-plate tracking in testimony to a House Transportation subcommittee.

It was a little odd at the time, and still is, to talk about the privacy problem with license plates. But the emerging technology environment makes it essential to analyze and assess more carefully the information and identification demands that the government places on us.

[T]he requirement in all fifty states that cars must exhibit license plates linked to their owners is “anti-privacy” law, as would be a law requiring people to wear name tags in order to walk on public sidewalks. Mandatory license plates prevent citizens from exhibiting the expectation of privacy that Justice Harlan wrote about in Katz. Roughly speaking, they require people to expose their identities to police as a condition of driving on our roadways.

I expanded on “anti-privacy” law in my 2004 Cato Policy Analysis, “Understanding Privacy—and the Real Threats To It.”

We’re still grappling with the problem of privacy “in public.” The Supreme Court’s decision on GPS tracking in the Jones case is the most significant recent iteration of that. (Cato brief and related blog post; pre-decision posts: 1, 2, 3; post-decision posts: 4, 5, 6.) The latest Cato Supreme Court Review (also available digitally) includes an article of mine on the case. My latest thinking on Fourth Amendment privacy can by found in Cato’s brief in Florida v. Jardines.

It is possible to think systematically about privacy. Privacy is not just a morass of feelings about advancing technologies. Once one understands privacy (in its strongest sense) as the exercise of power to control information about oneself, one can see a decade ahead that license plates create privacy problems.

Pretty smart, huh? Yeah.

ObamaCare Is Pro-Market Like the Berlin Wall Was Pro-Migrant

Today’s New York Times features an opinion piece by J.D. Kleinke of the conservative American Enterprise Institute. Kleinke’s thesis is that ObamaCare’s conservative opponents should stop complaining. “ObamaCare is based on conservative, not liberal, ideas.”

If one defines conservative ideas as those that emphasize free markets and personal responsibility, there is zero truth to this claim.

  • Free markets require freedom, like the freedom to control your own property, to enter markets, and to negotiate prices and other contractual terms. ObamaCare mandates how people must dispose of their property, imposes tremendous barriers to entry into markets, and imposes price controls and myriad other terms on ostensibly private contracts.
  • Market prices are the lifeblood of a market economy. Kleinke considers them a “flaw” that ObamaCare uses “market principles” to “correct.”
  • As I have written elsewhere, ObamaCare “promotes irresponsibility by allowing healthy people to wait until they get sick to buy coverage. It creates that free-rider problem, which has been known to make insurance markets collapse. Supporters of the law could have taken personal responsibility for this instability they introduced into the market—say, by volunteering to pay the free riders’ premiums. Instead, they imposed a mandate, which attempts to stabilize the market by depriving others of their money and freedom. Forcing others to bear the costs of your decisions is the opposite of personal responsibility.”
  • Employers are hardly “free to decide” under a law that penalizes them for not offering government-designed health benefits.
  • Kleinke is apparently unaware that half of the $2 trillion of new government spending in this “pro-market” law comes from a massive expansion of a tax-financed, government-run health insurance program that crowds out private markets – Medicaid.

I could go on.

Even if one adopts the more forgiving definition that conservative ideas are whatever ideas conservatives advocate, there still isn’t enough truth to sustain Kleinke’s point. Yes, the conservative Heritage Foundation trumpeted ObamaCare’s regulatory scheme from 1989 until around the time a Democratic president endorsed it. But as National Review’s Ramesh Ponnuru writes, accurately, “The think tankers were divided, with the Heritage Foundation an outlier. It was an outlier, too, in the broader right-of-center intellectual world.” Kleinke even flubs the paternity of the individual mandate, which he says is “an idea forged not by liberal social engineers at Brookings but conservative economists at the Heritage Foundation.” In fact, the idea originated with Randall Bovbjerg of the left-wing Urban Institute.

Kleinke has done insightful work. This oped is just nutty, and emblematic of the lack of intellectual rigor among the Church of Universal Coverage members residing in both left-wing and right-wing think tanks.

‘I Haven’t Raised Taxes’

Why am I only hearing about President Obama’s gob-smacking “I haven’t raised taxes” claim today, and from Reason?

On CBS News’s “60 Minutes” Sunday night, President Obama said, “Taxes are lower on families than they’ve been probably in the last 50 years. So I haven’t raised taxes.”

As of Monday morning, neither the Washington Post’s Pinocchio-awarding Fact-Checker, nor the Annenberg Public Policy Center’s FactCheck.org, nor the Tampa Bay Times’ Pulitzer-Prize-winning Politifact.com had risen to this opportunity…

Unbelievable. I just checked those websites, and they still haven’t.

Fortunately, Ira Stoll has. He leaves out a number of taxes President Obama has enacted, though, including raising the Medicare payroll tax on high-income earners, applying the Medicare payroll tax to non-payroll income for high-income earners, limiting the tax exclusion for flexible spending accounts, increasing the penalties on certain health savings account withdrawals, the “Cadillac tax” on high-cost health plans…

Oklahoma Challenges Obama’s Illegal Employer Tax

Yesterday, the attorney general of Oklahoma amended that state’s ObamaCare lawsuit. The amended complaint asks a federal court to clarify the Supreme Court’s ruling in NFIB v. Sebelius, but it also challenges an IRS rule that imposes ObamaCare’s employer mandate where the statute does not authorize it: on employers in the 30 to 40 states that decline to implement a health insurance “exchange.”

Here are a few excerpts from Oklahoma’s amended complaint:

The Final Rule was issued in contravention of the procedural and substantive requirements of the Administrative Procedures Act…; has no basis in any law of the United States; and directly conflicts with the unambiguous language of the very provision of the Internal Revenue Code it purports to interpret…

Under Defendants’ Interpretation, [this rule] expand[s] the circumstances under which an Applicable Large Employer must make an Assessable Payment…with the result that an employer may be required to make an Assessable Payment under circumstances not provided for in any statute and explicitly ruled out by unambiguous language in the Affordable Care Act.

Plaintiff believes…that subjecting the State of Oklahoma in its capacity as an employer to the employer mandate would cause the Affordable Care Act to exceed Congress’s legislative authority; to violate the Tenth Amendment; to impermissibly interfere with the residual sovereignty of the State of Oklahoma; and to violate Constitutional norms relating to the relationship between the states, including the State of Oklahoma, and the Federal Government.

As for the latest claim to be made in defense of the IRS rule – that an Exchange  established by the federal government under Section 1321 is an Exchange “established by the state under Section 1311” – the complaint says this:

If the Act provides or is interpreted to provide that an Exchange established by HHS under Section 1321(c) of the Act is a form of what the Act refers to as “an Exchange established by a State under Section 1311 of [the Act],” then Section 1321(c) is unconstitutional because it commandeers state governmental authority with respect to State Exchanges, permits HHS to exercise a State’s legislative and/or executive power, and otherwise causes the Exchange-related provisions of the Act…to exceed Congress’s legislative authority; to violate the Tenth Amendment; to infringe on the residual sovereignty of the States under the Constitution; and to violate Constitutional norms relating to the relationship between the states, including the State of Oklahoma, and the Federal Government.

Oklahoma does not yet list any private-sector employers as co-plaintiffs, but that may change.

Since this IRS rule also unlawfully taxes 250,000 Oklahomans under the individual mandate – a tax that in 2016 will reach $2,085 for a family of four earning $24,000 – the attorney general has an awful lot of individual Oklahomans that he could add to its plaintiff roster.

Jonathan Adler and I first wrote about President Obama’s illegal taxes on employers in the Wall Street Journal and again in the USA Today. Since parts of those opeds have been overtaken by events, I recommend reading our forthcoming Health Matrix article, “Taxation Without Representation: The Illegal IRS Rule to Expand Tax Credits Under the PPACA.” Yes, all 82 pages of it.

It’s Roy Childs Week!

Over at Libertarianism.org, we’re celebrating our old friend Roy Childs, once the anarchist enfant terrible of the mostly Objectivist libertarian movement, later a Cato foreign policy analyst, editor of Libertarian Review, and editorial director of Laissez Faire Books. Libertarianism.org has published its first ebook, Anarchism and Justice, a collection of Roy’s essays on anarchism available in book form for the first time. And they’re posting never-before-seen videos, including this one on the history of the libertarian movement from the Cato Summer Seminar in Political Economy:

Today I posted my own reminiscences about Roy at the Libertarianism.org blog, Free Thoughts:

When I got involved in the tiny libertarian movement back in the early 1970s, I had the impression that its two leading intellectuals were Murray Rothbard and the much younger Roy Childs. Rand, Mises, and Hayek were out there as great thinkers; Milton Friedman was regarded with some skepticism as a “Chicagoite”; but the fledgling movement seemed centered around Rothbard and Childs….

In two stints as editor of Libertarian Review and as editor of Laissez Faire Books, Roy brought his keen insight and radical vision to a dazzling range of topics: the nature of rights, neoconservatism, foreign policy, Third World land reform, Iran, Ayn Rand’s influence on libertarianism, and much more. He seemed to have read everything and to know how it fit into his overall worldview. And he knew everybody. What fun it would be to read his correspondence – or better yet, listen to his phone calls – with Rothbard, Friedman, Nathaniel Branden, Barbara Branden, Thomas Szasz, and Robert Nozick. You can read his formal interviews with some of those people in the Libertarian Review archives….

Watch for more videos this week.