I was not really hip to her My Bad. Just saw her on a Kara Swisher PIVOT episode. Her new book is very, very nice. Update: I just finished it. Well worth my time. She reminds me somewhat of CNN alum Laurie Segall. I particularly like the frank personal life revelations in both of their memoirs. (As I did in geologist Marcia Bjornerud's autiobiography. We exchange emails now & then. I always call her "Dr. Smarty-Pants." It was her line.)
One impressive woman. Doctorate in PolySci from the London Scholl of Economics. Humane, clear thinker. Encourage you to watch the foregoing in its entirety.
Also, watch her recent podcast interview with Kara Swisher.
I GUESS I MIGHT QUALIFY AS A "RAGING MODERATE."
''eh, Ma?
______
FOLLOW-ON NOTE
At the end of her book, Jessica lays out a short list of policy reform and interpersonal attitude adjustment ideas:
- Medicare for All / Single Payer Healthcare
- National High Speed Rail
- Merit-Based Immigration
- Actually Drain the Swamp
- Reverse Learning Loss (e.g., COVID upshot)
- Rehire Veterans
- Career Opportunities for the non-College Educated
- Zero Interest Home Loans
- Talk Openly & Neutrally About Religion
- Stop Being Reflexively Offended / Aggrieved
Interesting.
JESSICA ON MEDICARE FOR ALL
I’ve never typed those words before. At least not in the context of expressing my own sentiments. But considering how unaffordable and unsatisfactory American health care is, the time for incrementalism is behind us. Fighting to merely restore Obamacare subsidies that still leave Americans with a huge bill just isn’t fair. When I was writing this, I asked my mom if she thought we should have a single-payer system. It was the fastest she’s ever responded to a question. “Yes, of course.” She continued, “I’ve been on so many different plans: employer insurance, COBRA, and Medicare. Medicare is leagues better. Health care is part of the social contract.” Then we talked about how my dad used to say that the job of the government is to alleviate as much anxiety as possible. What are Americans afraid of? Crushing health care costs. Two thirds of them, according to KFF. Nearly 60% can’t afford a surprise thousand-dollar medical expense, and 95% of insured adults worry about hospital bills from an emergency. The cost of Medicare for All isn’t as high as people think: Many businesses and working-class Americans would pay additional taxes but come out ahead because they’re no longer paying for insurance, copays, or deductibles. It’s also not some fringe, socialist cause. Congresswoman Debbie Dingell is as pragmatic and bipartisan as they come, and even she backs the bill, saying, “Every American has the right to health care, period.” I know getting this to sixty votes in the Senate is an enormous hurdle. But it would save nearly seventy thousand lives each year and give all Americans the confidence to get treated when they’re sick. That is change worth fighting for.Tarlov, Jessica. I Disagree: Winning Arguments Without Losing Friends (pp. 211-212). (Function). Kindle Edition.
I can only speak personally and as a relative SME to her #1, having been a Medicare Peer Review analyst (and repetitive next-of-kin acute caregiver). From my 1994 grad school Single Payer "argument analysis" paper.
ABSTRACTNotwithstanding public misgivings about making significant public policy driven changesin the U.S. health care industry, there is extensive and persuasive empirical evidence of costly inadequacies in the system-such as lack of access/coverage, uneven levels of quality of service and outcomes, market-driven rather clinical priorities, waste and duplication, etc.-that can best be corrected by a unified approach to improvement driven by a scientific focus on quality issues (broadly defined) rather than those of short-term cost-control, competition, and piecemeal regulatory strategies and tactics. A single-payer health care system reformed byn implementation of the ten principles detailed herein would at once extend medical access to all, reduce costs, improve clinical outcomes of the sick and injured, and elevate the overall health stafus of the nation, resulting in win-win consequences for providers and citizens alike.
I got a dad-gumbed 100 hours in that one paper. 28 years hence, we've not made all that much sustained, systematic progress. See my 2015 "Shards" post.
Go, Jesse...


























