The Daily Parker

The US and the UK share a common language, a common legal tradition, and a common scourge of right-leaning political parties trying to destroy anything that the government does better than private industry. Despite over a century of evidence that many public services are natural monopolies, and therefore will provide poor quality at inflated prices whenever personal profits get involved, the electorates of both countries keep believing the lie that "industry does it better."

That's why 13 years of Conservative rule has hollowed out the UK's National Health Service (NHS), and why 25 years of Republican obstructionism has allowed corporate mergers to gut US health care.

First the NHS. As journalist Sam Freedman recently explained, NHS administration plus the Tories cutting funding to the NHS repeatedly have left the UK almost as badly off as the US in health-care outcomes:

It is well known within health policy circles that the NHS is severely undermanaged compared to other systems. The UK spends less than half the OECD average on management and administration, which is why I bang my head against the nearest wall whenever I see a newspaper splash bemoaning fat cat managers, or yet another politician promising to get more resources to the “frontline”. It is, of course, the case that if frontline staff are not properly supported they end up becoming expensive admin staff themselves (see also policing). Meanwhile the number of managers per NHS employee has fallen by over 25% since 2010 due to deliberate policy decisions from the centre of government, particularly Andrew Lansley’s disastrous “reforms”.

Meanwhile the central bureaucracy has grown to manage all this complexity. There are fewer managers but more managers managing the managers. .... The lack of clarity as to what they are supposed to be achieving is concerning, and we’ve already seen the Secretary of State slash their funding, which can hardly help.

Overall though we are drifting further into crisis due to a stubborn refusal to accept the obvious. Doctors need to be paid more. There needs to be significantly greater capital investment – in beds, equipment and IT. We need more managers, with greater autonomy. Yes this all costs money but at the moment we are wasting enormous sums on a low productivity system.

Meanwhile, the ever-more-desperate search for higher returns has led private equity to invest heavily in US health care providers, even though (a) they know nothing about health care and (b) it elevates profit-seeking behavior to actual rent-seeking, not to mention driving doctors and nurses out of practice:

E.R. doctors have found themselves at the forefront of these trends as more and more hospitals have outsourced the staffing in emergency departments in order to cut costs. A 2013 study by Robert McNamara, the chairman of the emergency-medicine department at Temple University in Philadelphia, found that 62 percent of emergency physicians in the United States could be fired without due process. Nearly 20 percent of the 389 E.R. doctors surveyed said they had been threatened for raising quality-of-care concerns, and pressured to make decisions based on financial considerations that could be detrimental to the people in their care, like being pushed to discharge Medicare and Medicaid patients or being encouraged to order more testing than necessary. In another study, more than 70 percent of emergency physicians agreed that the corporatization of their field has had a negative or strongly negative impact on the quality of care and on their own job satisfaction.

Concerns about the corporate takeover of America’s medical system are hardly new. More than half a century ago, the writers Barbara and John Ehrenreich assailed the power of pharmaceutical companies and other large corporations in what they termed the “medical-industrial complex,” which, as the phrase suggests, was anything but a charitable enterprise. In the decades that followed, the official bodies of the medical profession seemed untroubled by this. To the contrary, the American Medical Association consistently opposed efforts to broaden access to health care after World War II, undertaking aggressive lobbying campaigns against proposals for a single-payer public system, which it saw as a threat to physicians’ autonomy.

Throughout the medical system, the insistence on revenue and profits has accelerated. This can be seen in the shuttering of pediatric units at many hospitals and regional medical centers, in part because treating children is less lucrative than treating adults, who order more elective surgeries and are less likely to be on Medicaid. It can be seen in emergency rooms that were understaffed because of budgetary constraints long before the pandemic began. And it can be seen in the push by multibillion-dollar companies like CVS and Walmart to buy or invest in primary-care practices, a rapidly consolidating field attractive to investors because many of the patients who seek such care are enrolled in the Medicare Advantage program, which pays out $400 billion to insurers annually. Over the past decade, meanwhile, private-equity investment in the health care industry has surged, a wave of acquisitions that has swept up physician practices, hospitals, outpatient clinics, home health agencies. McNamara estimates that the staffing in 30 percent of all emergency rooms is now overseen by private-equity-owned firms. Once in charge, these companies “start squeezing the doctors to see more patients per hour, cutting staff,” he says.

As demonstrated repeatedly in public services as diverse as transport and drinking water, taking the profit (or rent-seeking) motivation out of the equation leads to better outcomes for everyone—except the private monopolists. But that's what governments are for.

Former UK Prime Minister and professional circus clown Alexander Boris de Pfeffel Johnson (Cons.—Uxbridge and South Ruislip) resigned his seat in Parliament this week ahead of a damning all-parties report recommending he be suspended for 90 days:

The death certificate for Boris Johnson’s career in politics read June 12th. A government statement appeared that evening appointing Alexander Boris de Pfeffel Johnson as “Steward and Bailiff of the Three Hundreds of Chiltern”, the title MPs accept, according to Britain’s absurd constitution, in order to resign. He went because an inquiry into whether Mr Johnson deliberately misled Parliament found that he had. Not only that, he’d also impugned the investigating committee and joined a campaign of abuse and intimidation against it. Mr Johnson faced suspension as an MP for a remarkable 90 days. Given forewarning of the report, the former prime minister quit.

Conservatives are losing everywhere. But support is falling fastest in the northern constituencies the party was so proud of winning. Across the country Labour enjoys a 14-point poll lead. In “Red Wall” constituencies, this rises to 23 points, according to one pollster.

Andrew Sullivan, who attended Oxford with Johnson, wishes the US Republican Party would treat their former leader the same way:

And now we have Donald Trump and Boris Johnson. This past week saw two official reports into the abuse of their respective offices, and their lavish lying about it. The Smith indictment alleges that Trump knew full well that the documents he took from the White House and stored haphazardly at Mar-a-Lago and Bedminster were highly classified and not his own. But rather than hand everything back, Trump ignored the best legal advice, lied to his own lawyers, ordered an underling to move boxes to conceal them from the FBI, and threw out his usual barrage of excuses, distractions and falsehoods.

In an eerily similar fashion, the British parliamentary committee set up to investigate whether Boris Johnson lied to the House of Commons about his breaking of social distancing rules during Covid, published its final report this week. It’s as authoritative as the Trump indictment — first-hand witnesses, photos, sworn testimony, due process. And it too focuses on a very basic fact: just as Trump knew he was not authorized to keep top secret documents, so Johnson knew that crowded office-parties were quite clearly banned across the UK. But this awareness of the rules did not stop either man from flagrantly breaking them — and then complaining of a “witch-hunt” when called to account.

And it would be “utterly incredible” — unless you had a pulse and two ears at the time, because the ban on workplace parties was incandescently clear to the entire country. When the Queen had to sit alone at the funeral of her husband, it was obviously not ok for the prime minister to have “bring your own booze” parties at Number 10.

And as with Trump and his bizarre behavior with “his boxes,” it’s very hard to see some profound, malign motive here in pursuit of something important. It’s just mindless egotism, married with an infinite capacity for deceit.

[T]here is almost nothing in the narrative of these men’s late careers that isn’t exactly replicated in every previous episode of their lives. A mature democracy will throw up these characters every now and again, and use them. But a healthy one will also test them, and cast them out if they threaten the integrity of the system as a whole. The Brits and Tories have done that, in the end, with Boris — and it speaks well of the remaining integrity of their democracy.

The GOP needs to do the same with Trump. And soon.

Oh, completely unrelated, of course: today is the 165th anniversary of Abraham Lincoln's address to the Illinois Republican Convention in Springfield, Ill., also known as the "house divided" speech. It's worth a re-read.

Coach US Senator Tommy Tuberville (R-AL), whose election to the Senate in 2020 coincided with the elections of Representatives Marjorie Taylor-Greene (R-GA) and Lauren Boebert (R-CO), has given those two a good race to the bottom of the IQ charts since all three took office. But I have to give him the "dumbest person in Congress" honors just on the basis of his current program of holding up all general officer promotions in the Senate.

Tuberville, who has never served in the military, explained his reasoning in April: "Experts have known for more than a decade that the military is top heavy. We do not suffer from a lack of generals," Tuberville said. "When my dad served in World War II, we had one general for every 6,000 troops. Think about that: one for every 6,000. Now, we have one general for every 1,400 enlisted service members."

In just a few weeks, Tuberville's obstinance will leave us without officers in the following positions:

• Army Chief of Staff
• Chief of Naval Operations
• Commandant of the Marine Corps
• and up to 650 other admirals and generals this year alone.

That's 3/5 of the Joint Chiefs of Staff, not including the Chair, who plans to retire soon. Also we will have several areas of the world where our allies or adversaries have 3- or 4-star officers that will have to interface with 2- or 3-star Americans, which is an astounding loss of face for us and an insult to them.

This also holds up promotions to lower-ranking service members, as O7 and higher officers must sign off on awards and assignments to the senior officer corps. This affects readiness as those officers can't plan to move their families to their new duty stations, and can't collect the pay they've earned for their promotions, until they formally "put on" their new ranks.

I'm also aware of service members overseas who can't visit their families because there isn't an admiral or general to sign off on them visiting certain countries (like the Philippines) or, in some cases, taking any leave at all. This is already having deleterious effects on morale and retention, in some of the most dangerous places in the world, like Korea.

Why is Tuberville doing this? Abortion, of course. And because he has no idea how the military actually works, or why we need proportionately more high-ranking officers than we did when we had 12 million men and women in the military. (Today we have about 1/4 that number.)

Just to get a handful of promotions through, including the Joint Chiefs of Staff, Democratic senators may have to hold roll-call votes on the Senate floor, which takes a lot of time. As of last week, Tuberville is blocking 221 promotions, and that number will continue to get larger as generals and admirals retire. So even with roll-calls on each nominee, there simply isn't enough time to get them all through.

When you elect clowns, you get a circus.

Televangelist and horrible person Pat Robertson has died, after a long career grifting true believers for billions:

Rev. Robertson, the son of a long-serving U.S. congressman and senator from Virginia, was among the first evangelists to take religion out of the realm of private belief and into the secular arena of politics. In large part through his influence, the Christian right became a potent force in American politics and culture.

Although he bristled at the term televangelist, Rev. Robertson was one of the most popular and influential religious figures of his time. For decades, he was the host of “The 700 Club,” a casual talk show that combined hard-right politics, faith healing and lifestyle news. Broadcast in dozens of languages and in more than 200 countries, the show made Rev. Robertson the world’s most-watched TV preacher.

In addition to his TV programs, Rev. Robertson made public appearances and produced dozens of books and videos as he built a business empire that brought in more than $300 million a year at its height.

“In the not-too-distant past, the charismatic and Pentecostal wing of American Protestantism saw political engagement as a ‘worldly’ and sinful activity,” the late Michael Cromartie, who was vice president of Washington’s Ethics and Public Policy Center and a longtime watcher of the evangelical movement, said in a 2011 interview with The Post. “Pat Robertson, perhaps more than anyone in the charismatic wing of conservative Protestantism, was pivotal in creating this paradigm shift.”

In Inferno, Dante described nine circles of Hell, each with its specific punishments for specific kinds of sin. I haven't read the whole poem, so it's not immediately clear to me whether Robertson would head down to the 8th Circle (fraudsters), possibly in the 6th Bolgia (hypocrites) or maybe he'd get off lightly in the 4th Circle (greed). 

In my imagination, he'll spend the next several thousand years apologizing to everyone he's hurt, either directly (for example, through stealing money under the guise of religion) or indirectly (for example, all the gay people his followers harmed at his urging).

As long as credulous people walk the earth, grifters like Robertson will be there to fleece them. But it's good when someone of his stature descends to his just reward.

As the right featherweights of the right wing of the Republican House delegation play chicken with the world economy, a Federal Court in Boston weighs a lawsuit demanding the President's chicken starts driving a snowblower*:

U.S. District Court Judge Richard Stearns set a May 31 hearing on a lawsuit filed by a federal workers union contending that the 14th Amendment empowers Biden and other officials to sidestep the standoff with Congress that has threatened a potential default.

Treasury Secretary Janet Yellen has said the so-called X-date for a default could come as soon as June 1, just one day after the scheduled arguments on the National Association of Government Employees’ request for a preliminary injunction requiring Yellen to keep paying bills — and salaries — as usual.

[Justice Department lawyer Alexander] Ely said he was not authorized to stake out a position on that question and he suggested that the department would argue that the union’s suit is not a proper vehicle to force DOJ to come to a legal conclusion.

“This requires high-level coordination among the U.S. government,” said Ely.

But an attorney for the union, Thomas Geoghegan, pointed out that the claims of an imminent cataclysm from a possible default originate with the very officials named as defendants in the suit.

Josh Marshall says the veritable excrement is inbound at high speed to the ventilation device:

There’s a really stunning report out from the Journal last night. Corporate bonds at some of America’s top-rated companies are now trading at a yield discount to Treasuries. This isn’t quite the same as investors thinking U.S. corporate debt is safer over time. It’s focused on the what happens over the next few months rather than where you put money over time. But it’s still a stunning development, cutting at the very architecture of the world financial system and the United States’ position as its gravitational center.

To put it in layman’s terms, if you need a place to put money over the course of this summer and you need it to be as safe as possible, investors are deciding Microsoft’s corporate bonds are more attractive than bonds issued by the U.S. Treasury.

It’s a clarifying perspective on the impact of GOP extremism and nihilism on the nation’s finances and global power.

Meanwhile, House Speaker Kevin McCarthy (R-CA) continues to pretend he has any actual sway over the arsonists in his caucus.

I'm going to be out of the country on June 1st. I sure hope the Government continues to pay air-traffic controllers and Customs officials until I get home...

* The metaphor works if you think about it, but yeah, it's gruesome.

If you haven't got plans tonight, or you do but you're free Sunday afternoon, come to our Spring Concert:

You can read these during the intermission:

• The National Association of Government Employees has sued President Biden and Treasury Secretary Janet Yellen—both of whom they support politically—to force the Administration to ignore the debt ceiling.
• Sci-fi author Ted Chiang, in a brutal essay, suggests a metaphor for AI: think of it "as a management consulting firm, along the lines of McKinsey & Company."
• Residents of Conshohocken, Pa., scored a rare win against two paleolithic transit agencies when they blocked construction (for now) of a parking facility that would add 400 spaces to an already under-utilized train station at a cost of almost $120,000 per space.
• National Geographic examines how prehistoric mammals got so big.

Speaking of huge animals, two amateur botanists kayaking on the Chicago River near Division encountered the biggest snapping turtle I've ever seen. Chicagoans have named the specimen Chonk, short for Chonkosaurus. I have to wonder what Chonk has been eating...

I did not watch the CNN town hall with the XPOTUS on Wednesday night. I do feel bad for the journalists who had to, starting with the Post's fact-checker Glenn Kessler:

For more than an hour, former president Donald Trump sent forth a torrent of false and misleading claims during a CNN town hall. Here’s a roundup of some of the more notable ones, arranged by subject matter.

“I took in hundreds of billions of dollars in taxes from China.”

Through the end of his presidency, Trump-imposed tariffs garnered about $75 billion on products from China. But tariffs — essentially a tax — are generally paid by importers, such as U.S. companies, who in turn pass on most or all of the costs to consumers or producers who use Chinese materials in their products. So, ultimately, Americans footed the bill for Trump’s tariffs, not the Chinese. Moreover, the China tariff revenue was reduced by $28 billion in payments the government made to farmers who lost business because China stopped buying U.S. soybeans, hogs, cotton and other products in response.

“I had every right to under the Presidential Records Act. You have the Presidential Records Act. I was there and I took what I took and it gets declassified … it says you talk, you negotiate, you make a deal. It’s not criminal, by the way.”

As Collins noted, this is not what the PRA says. Under the PRA, a president has a lot of leeway to deem something a presidential paper while he is president. But the possibility of such give-and-take ended when the clock struck noon on Jan. 20, 2021. “Upon the conclusion of a President’s term of office, or if a President serves consecutive terms upon the conclusion of the last term, the Archivist of the United States shall assume responsibility for the custody, control, and preservation of, and access to, the Presidential records of that President,” the law says.

Pages and pages of this follow. That poor reporter. Tom Nichols sees a silver lining:

Watching Trump for any extended period of time is enervating and deeply uncomfortable. The man is a quivering bag of weird verbal and physical tics. And when he gets rolling, listening to a Trump speech is like standing nearby while someone throws a match into a box of cheap bottle rockets: When the fusillade of annoying noise, misfires, duds, and smoke is over, all that’s left is a general stink in the air.

This discomfort is exactly my point: If you want to stop Donald Trump from returning to power, putting him on TV is the way to go. But doing so requires either that you hand him a microphone and let him immolate himself, or that you sit him down with a reporter who will not let up on calling out his lies and fantasies until he melts down.

Last night, however, CNN chose one of the worst possible options. Instead of a candidate interview, CNN Chairman Chris Licht apparently thought it would be a great idea to cast Trump in a remake of The Jerry Springer Show, complete with vulgar jokes, hooting fans, and a mild-mannered host—in this case, the CNN correspondent Kaitlan Collins—stuck with the thankless of job of trying to intervene in the shouting and angry finger-pointing. Instead of an important one-on-one interview with a dangerous and malevolent demagogue, CNN presented another episode of Trump’s ongoing reality show.

The Economist's Lexington agrees:

And so american politics came to this: the day after a jury concluded in a civil case that Donald Trump had committed sexual abuse and then defamed his victim, he preened on national television as the front-runner for the presidential nomination of the party of family values and law and order, of American greatness and American pride. Mr Trump’s gall should not surprise anyone, of course, not after his success for seven years in defining Republican values down. Yet what a degrading spectacle it was.

But, unfiltered by his aides, Mr Trump damaged himself in the town hall for purposes of a general-election campaign. Mr Biden was fundraising off the event as it ended (“Do you want four more years of that?” he asked on Twitter) and within half an hour his team released an ad interleaving Mr Trump’s musings about the beauty of January 6th with images of violence that day. Should Mr Trump win the nomination, his boasts about overturning abortion rights would haunt him, along with many other remarks, some of which may also enhance his growing legal jeopardy.

The Times expands on that last point:

Mr. Trump described for Ms. Collins how he had apparently taken materials from the White House not only on purpose, but in plain view of the public.

“When we left Washington, we had the boxes lined up on the sidewalk outside for everybody,” he said. “People are taking pictures of them. Everybody knew we were taking those boxes.”

Mr. Trump’s attempts to play down or explain away his handling of the documents came at a moment when Mr. Smith’s office was increasingly homing in on the key question of whether the former president sought to hide some of the documents in his possession after the Justice Department issued a subpoena last May demanding their return.

Finally, James Fallows indicts CNN for its complicity in this nonsense:

—The least cynical explanation for why CNN offered Trump this opportunity is that they are trying to ingratiate themselves with Trump and his GOP. Perhaps a “re-centered” CNN could occupy the space opened by chaos at Fox?

—The more cynical explanation is that for CNN’s leadership the difference between spectacle and news was meaningless. A live Trump show would draw an audience and make headlines. Which is part of the defense its new CEO, Chris Licht, reportedly offered on a staff call today.

Fallows includes a bit from his 2016 interview with primatologist Jane Goodall, which really sums up the CNN town hall and, in fact, anything that the XPOTUS does in public:

“In many ways the performances of Donald Trump remind me of male chimpanzees and their dominance rituals,” Jane Goodall, the anthropologist, told me shortly before Trump won the GOP nomination. “In order to impress rivals, males seeking to rise in the dominance hierarchy perform spectacular displays: stamping, slapping the ground, dragging branches, throwing rocks. The more vigorous and imaginative the display, the faster the individual is likely to rise in the hierarchy, and the longer he is likely to maintain that position.”

In her book My Life With the Chimpanzees, Goodall told the story of “Mike,” a chimp who maintained his dominance by kicking a series of kerosene cans ahead of him as he moved down a road, creating confusion and noise that made his rivals flee and cower. She told me she would be thinking of Mike as she watched the upcoming debates [between Trump and Hillary Clinton].

Yes. The XPOTUS has normalized chimpanzee behaviors in American politics.

So, who else is excited for the 2024 election?

We finally have a real May-appropriate day in Chicago, with a breezy 26°C under clear skies (but 23°C closer to the Lake, where I live). Over to my right, my work computer—a 2017-era Lenovo laptop I desperately want to fling onto the railroad tracks—has had some struggles with the UI redesign I just completed, giving me a dose of frustration but also time to line up some lunchtime reading:

• Both Matt Ford and David Firestone goggle at how stupidly US Rep. George Santos (R-NY) ran his alleged grift, considering he had so many legal ways to scam his constituents thanks to the Roberts Court.
• In a desperate bid to win over Fox News viewers, CNN attempted a Town Hall with the sexual predator XPOTUS yesterday, which went about as you'd expect.
• Julia Ioffe looks at how much Russia and China are enjoying our own-goal-producing debt ceiling crisis even as neither has any chance of supplanting our currency dominance in the near future.
• Chicago-based Groupon, the Internet darling of 2009, has started its final death rattle after issuing a "going concern" warning to investors yesterday.
• A pop-up bar in Chicago will raffle off Taylor Swift tickets that one hopes they didn't buy on Ticketmaster.
• Bruce Schneier sees a tremendous market for trustworthy AI, but large corporations won't build it because of the inherent conflict of interest.

Finally, today marks the 30th anniversary of Aimee Mann releasing one of my favorite albums, her solo debut Whatever. She perfectly summed up the early-'90s ennui that followed the insanity of the '80s as we Gen-Xers came of age. It still sounds as fresh to me today as it did then.

US Representative George Santos (R-NY) surrendered to Federal authorities this morning, charged with 13 counts of fraud and related offenses:

Prosecutors said the charges resulted from “fraudulent schemes and brazen misrepresentations” designed to mislead donors, enrich Mr. Santos and win a seat in Congress as a Republican from Queens.

• The bulk of the charges relate to what prosecutors said was a 2022 scheme in which Mr. Santos solicited at least $50,000 in donations from political donors for a fake super PAC and then pocketed the money for personal expenses, including luxury goods and designer clothing.
• As part of that arrangement, prosecutors accused Mr. Santos of committing five counts of wire fraud when the candidate and an unnamed political consultant he directed told potential donors in emails and text messages that their contributions would “exclusively” support the Republican campaign and pay for TV ads.

The charges leave some tantalizing questions unanswered. For example, prosecutors say that he falsely certified that he earned $750,000 from his company, the Devolder Organization, and that he had received between $1 million and $5 million in dividends from Devolder. In their news release, prosecutors note: “These assertions were false. Mr. Santos had not received from the Devolder Organization the reported amounts of salary or dividends.”

The Times has a posted copy of the indictment, as have other news sources.

Rep. Santos has already announced his re-election campaign. Only two of his fellow Republicans have called on him to resign.

Let me repeat that: Former President Donald Trump sexually abused at least one person, not "allegedly," but "really." A jury has said so:

A verdict has been reached in the E Jean Carroll v Trump trial, according to a court spokesman. It [was] delivered at 3 p.m. today in the courtroom. The jury began deliberating today shortly before noon.

The jury has found that Carroll did not prove Trump raped her, but they did determine that he had sexually abused her. The jurors also found that Trump had defamed Carroll when he called her accusations false. They awarded her $5 million damages.

As a matter of law, a jury verdict establishes the allegations as facts. And as truth is an absolute defense against a libel accusation, that means we can all go ahead and repeat the horrible truth that the former president almost raped someone in a changing room at a department store.

This demented thug remains the head of the Republican Party.

So, if you vote for this horrible person, you're basically saying you have no objection to his conduct. You're saying it's OK that the person you voted for stuck his fingers inside someone without permission in public. You're saying that you wouldn't mind if he did it to someone else. Someone like you, or your spouse, or your parent.

We all knew what kind of person he was, but until a few minutes ago, at least Republicans had a tissue-paper-thin defense that no one had ever "proven" it. That defense has dissolved now. The Republican Party now owns this asshole completely.

If you don't like the Democratic party, and don't want to vote for us, that's fine. But please: form a new party that doesn't have people in it who endorse this man or his actions. We need a real opposition party in this country, not the right-wing looney bin that endorses sexual abuse. Because at this point, if you stay in the Republican Party, you're showing everyone where you stand on this behavior.