Remember that We Are Not Supposed to Worry about Any of This. At All.

So much for being able to keep your health care plan in the event that you like it:

United Parcel Service has told its white-collar employees that it will stop providing health care coverage to their spouses who can obtain coverage through their own employers, joining an increasing number of companies that are restricting or eliminating spousal health benefits.

U.P.S., the world’s largest package delivery company, said its decision was prompted in part by “costs associated with” the federal health care law that is commonly called Obamacare. Several health care experts, however, said they believed the company was motivated by a desire to hold down health care costs, rather than because of cost increases under the law.

In a memo addressed to employees, U.P.S. said, “Limiting plan eligibility is one way to manage ongoing health care costs, now and into the future, so that we can continue to provide affordable coverage for our employees.”

The memo also estimated that about 33,000 spouses were covered under its insurance plan for white-collar employees and that “about 15,000 of these would have health care coverage available through their own employers.”

Expect Obamacare advocates to focus their rage on the fact that UPS is behaving like a rational economic actor given the details of the Affordable Care Act. Details we had to pass the bill to learn about, according to Nancy Pelosi.

Say goodbye to high-deductible plans as well. As Walter Russell Mead points out, the elimination of high-deductible plans--and not the impending implementation of Obamacare--is the reason why health care premiums aren't spiking as much as they used to. As Mead also points out, certain people should not opt for high-deductible plans. But younger workers love them and will likely miss them. They too were assured during the health care debate that if they liked their health care coverage, they could keep it. And they too victims of the Obama administration's broken promises.

Is Egypt Really “Transition[ing] to Democracy”?

Walter Russell Mead notes President Obama's statement on the coup in Egypt, and the following passage from that statement in particular:

No transition to democracy comes without difficulty, but in the end it must stay true to the will of the people. An honest, capable and representative government is what ordinary Egyptians seek and what they deserve. The longstanding partnership between the United States and Egypt is based on shared interests and values, and we will continue to work with the Egyptian people to ensure that Egypt’s transition to democracy succeeds.
Quite properly, Mead pounces:
One hopes the President understands what drivel this is. It is not at all clear that Egypt is in the midst of a transition to democracy. It is in the midst of a crisis of authority and has been wallowing for some time in a damaging crisis of governance, but is Egypt really in a transition to democracy? And is democracy really what “ordinary” Egyptians want?

Right now one suspects that most Egyptians fear that the country could be in a transition to anarchy, and that what ordinary Egyptians (who are extremely poor by US standards and earn their bread by the sweat of their brow with very little cushion against illness or a bad day at the market) want most of all right now is security. They aren’t fretting so much about when they will have a government more like Norway’s as they are terrified that their country is sliding in the direction of Libya, Syria or Iraq.

As is often the case, Washington policymakers seem to be paying too much attention to the glibbest of political scientists and the vaporings of the Davoisie. Egypt has none of the signs that would lead historians to think democracy is just around the corner. Mubarak was not Franco, and Egypt is not Spain. What’s happening in Egypt isn’t the robust flowering of a civil society so dynamic and so democratic that it can no longer be held back by dictatorial power.

Virtually every policeman and government official in the country takes bribes. Most journalists have lied for pay or worked comfortably within the confines of a heavily censored press all their careers. The Interior Ministry has files, often stuffed with incriminating or humiliating information about most of the political class. The legal system bowed like a reed before the wind of the Mubarak government’s will, and nothing about the character of its members has changed. The business class serves the political powers; the Copts by and large will bow to the will of any authority willing to protect them.

And Americans should not deceive themselves. While some of Morsi’s failure was the result of overreaching and dumb choices on his part, he faced a capital strike and an intense campaign of passive resistance by a government and business establishment backed by an army in bed with both groups. Their strategy was to bring Morsi down by sabotaging the economy, frustrating his policies and isolating his appointees. Although Egypt’s liberals supported the effort out of fear of the Islamists, the strategy had nothing to do with a transition to democracy, and it worked.

This is not to say that Morsi or his movement had a viable alternative policy or governance model for Egypt. They didn’t. The Muslim Brotherhood had no clue how Egypt could be governed, and a combination of incompetence, corruption, factionalism and religious dogmatism began to wreck Morsi’s government from Day One.

If American policy toward Egypt is based on the assumption that Egypt is having a “messy transition” to democracy and that we must shepherd the poor dears to the broad sunny uplands, encouraging when they do well, chiding when they misstep, Washington will keep looking foolish and our influence will continue to fade. If that is the approach our foolishness compels us to take, look for more cases in which American good intentions just make us more hated—not because we are wicked, but because we are clueless.

Is Obamacare Affordable?

There has been some celebrating on the port side ever since stories like this one​ came out, indicating that premium costs associated with the Affordable Care Act--Obamacare--are, well, affordable. We are to believe that 

[b]ased on the premiums that insurers have submitted for final regulatory approval, the majority of Californians buying coverage on the state's new insurance exchange will be paying less—in many cases, far less—than they would pay for equivalent coverage today. And while a minority will still end up writing bigger premium checks than they do now, even they won't be paying outrageous amounts. Meanwhile, all of these consumers will have access to the kind of comprehensive benefits that are frequently unavaiable today, at any price, because of the way insurers try to avoid the old and the sick.

Paul Krugman is positively gleeful as he contemplates the political consequences that he expects to ensue should these findings hold up:

. . . think about the political dynamics. Because the Supreme Court decided to let states opt out of the Medicaid expansion, some states — notably Texas — will have a pretty dysfunctional version of Obamacare in 2014, although even those systems will provide significant benefits to many people. Still, the whole political calculus was supposed to be that Republicans in red states could point to the horrors of Obamacare and ride them to political victory. Instead, it looks as if we’re going to see blue-state residents reaping the benefits of a functional health care system, while red-state residents are denied many of those benefits, for what looks like no better reason than mean-spirited spite — because what’s going on is, indeed, mean-spirited spite.

Predictions that Obamacare will be a big political issue are probably right — but not in the way gleeful conservatives imagined.

Unfortunately for Krugman et al., these claims of triumph do not give us some very important details about the California findings. For those details, one must consult Walter Russell Mead:​

On Wonkblog, a pro-ACA outlet that cheered loudly when the California numbers came out, Sarah Kliff argues that success in the Golden State might not be replicable elsewhere. According to Kliff, California is one a few states to take an “active purchaser” approach to the ACA. This means that a state board has the power to select which plans will be available in the exchange, and can reject any plan whose rates are too high. Most other states, however, do it differently:

The vast majority of states…operate under a “clearinghouse model.” In that scenario, any health plan that meets a set of criteria gets approval to sell on the health insurance exchange. All 33 state exchanges that the federal government will run operate under this  clearinghouse model. So do 10 of the 18 state-run health exchanges (this includes the District of Columbia). Two states, Kentucky and New Mexico have not, according to Kaiser Family Foundation, addressed the issue yet.

In the final count, only six states are currently “active purchaser” states, so nationwide might not be as low as California’s projections suggest.

If that’s not enough to temper any lingering optimism, consider that the state had to make some significant tradeoffs to keep rates so low, as an 
LA Times piece reveals. Under the plans offered on the exchange, consumers will have access to far fewer doctors and hospitals. Blue Shield of California, for example, will give its exchange customers access to only 36 percent of its regular physician network . . .

Mead ends his piece with the following words: "With Obamacare, even the good news is often bad." Quite so.