Dick Armey: Fostering Hate with Deliberate Lies

I was absolutely stunned to read this quotation from Dick Armey, the former House Republican leader, in a speech he gave recently in North Carolina:

"Nearly every important office in Washington, D.C., today is occupied by someone with an aggressive dislike for our heritage, our freedom, our history and our Constitution."

It is inconceivable that Armey, who worked so long in Washington, actually believes this. Could he actually come up with some names of people that fit in that category? Probably not. So one can only conclude that Armey deliberately lied when he said this to a crowd of supporters in Hickory, N.C.

Since retiring from the House in 2003 has worked as a lobbyist for a big law firm, while also serving as chairman of a conservative nonprofit called FreedomWorks, which is opposed to "big government." A story on him, and how he "has taken his politics and ideas to the right-wing protest movement," appeared in the November 8 issue of the New York Times Magazine.

Later, in discussing the health care reform with a reporter, he admitted that he did not believe some of the extreme charges--for example, about "death panels"--but said that "if people want to believe that, it's O.K. with me."

This is demagoguery, fear- and hate-mongering that has no place in the U.S. political arena, though it is increasingly dominating and poisoning the political process, and American democracy. Armey should be ashamed of himself; instead, he seems to revel in the way his provocative lies stirs up the political pot.

President Obama called attention to this phenomenon in his Afghanistan speech on Wednesday night, where he called for a return to the spirit and values that unite us as Americans:

"we, as a country, cannot sustain our leadership, nor navigate the momentous challenges of our time, if we allow ourselves to be split asunder by the same rancor and cynicism and partisanship that has in recent times poisoned our national discourse."

"I refuse to accept," the President continued, "the notion that we cannot summon that unity again. I believe with every fiber of my being that we -- as Americans -- can still come together behind a common purpose. For our values are not simply words written into parchment -- they are a creed that calls us together, and that has carried us through the darkest of storms as one nation, as one people."

We can disagree about policies, and the role of government, and the rights of the individual vs. the needs of the community. That is all part of the political process. But we need to speak out against, and call to account, people like Dick Armey and Glenn Beck who deliberately lie and deliberately foster hate and division.

Global Debt Comparison

Britain's Economist magazine online has a very interesting and useful interactive map on global debt, showing the public debt levels of most countries in the world. One can slide the tabs to look at past years, or projections for future years. Pop up graphics also show public debt per capita and as a percentage of GDP.

A striking feature of the global map is that it is mostly the wealthy countries (North America, Europe and Japan) that have the highest debt levels worldwide. Some of the online commentary on this phenomenon point out that many of these countries are actually in worse shape than the U.S., in terms of government debt levels.

My friend and colleague Jeff Payne (who this semester is teaching a course using The End of the American Century as one of the texts), called my attention to this Economist site, and made the following observation:

It seems the US is indeed taking out extreme debt over the recession, but not in the same level of GDP as many other developed countries. So, among the most developed nations, we are not the worst - do not know if that is anything to celebrate. Yet, in relation to your research program I wonder what this means...is the American experiment exhausted, or is the entire Western world in that same situation?

My response would be that yes, most of the Western world has government debt problems. I see the U.S. situation as far more dire, though, for the following reason. Most of those other countries accumulated their debts while financing government programs that supported health care, social welfare, education, infrastructure and the environment. Most other wealthy countries are far ahead of the U.S. in all those dimensions, as I point out in my book. The U.S., in contrast, accumulated our huge debts largely by financing consumption and military spending. All the while, U.S. health care and education languished, poverty and inequality increased, the environment and infrastructure deteriorated. So at the starting gate of the new global order, the U.S. is way behind the rest of the developed world, and too broke to catch up.

Reality and Hope in the Obama Era

What follows is the first page from the new epilogue of the paperback edition of The End of the American Century, entitled "Reality and Hope in the Obama Era."

“What is required of us now is a new era of responsibility -- a recognition, on the part of every American, that we have duties to ourselves, our nation and the world." --President Barack Obama, January 20, 2009

Much has changed, for better and for worse, since the hardbound edition of this book first went to press in early 2008. Indeed, the publication of the book in October of that year coincided with both the exhilarating finale of the 2008 presidential elections, and the meltdown of the U.S. economy. The election of Barack Obama fulfilled the first criterion of the “best-case scenario” that I posed in Chapter 10: new political leadership. Both for who he is and what he says, Obama provides the best possible hope of restoring some of America’s domestic health and international reputation, after the catastrophic lost decade of the George W. Bush administration. President Obama wants to fix the many American problems enumerated in this book—health care, education, infrastructure, the environment among them—and in the first months of his administration had already initiated policies and legislation to do so. He also pledged from the outset to withdraw U.S. forces from Iraq, to abide by international law, and to be more cooperative and multilateral in dealing with other countries.

On the other hand, as I cautioned even for the best case scenario, new leadership will not reverse or solve the problems of American decline. The problems facing this country are so systemic and deep seated—most of them long-preceding the Bush administration—that even radical changes will have only minimal impact on the trajectory of America’s decline. Furthermore, the debt-induced economic crisis that I presaged at the end of Chapter 1 is already well underway. Much of the country’s economic growth of the last twenty years was fueled by government and consumer debt, creating a giant country-sized Ponzi scheme that was bound to implode. President Obama’s well-intentioned and necessary—but enormous-- spending plans to fix things will only hugely inflate the country’s already unprecedented levels of debt. It is difficult to see how the country will extricate itself from this mess. Certainly the time frame is many years, perhaps a decade or more, and not the cheerful predictions of most economists and politicians that we will be out of the woods in a few months or years.

On the international scene, the events of the last year have been a good-news, bad-news story. The election of an African-American as President of the United States gave a huge boost to this country’s international reputation. Obama’s message of hope, reconciliation, humility and multilateralism was welcomed all across the globe, and promised to allay—at least somewhat—the ill will fostered by the Bush administration’s arrogance and belligerence. However, during America’s lost decade, much of the rest of the world had moved on, and beyond, the United States. Almost nowhere is the country still viewed as the “city on the hill” to be followed and emulated. Increasingly, foreign leaders and their populations have dismissed, criticized or mocked the U.S. and its policies. This tendency has accelerated as the rest of the world has had to bear the brunt of America’s economic and financial mismanagement. When the Chinese Prime Minister, for example, complained about “the unsustainable model of development characterized by prolonged low savings and high consumption,” there was no question which country he was referring to.

The End of the American Century Published in Paperbound

The End of the American Century is now available in paperback, with a newly added epilogue on the Obama Presidency, entitled "Reality and Hope in the Obama Era." (See the next post for the first page of the epilogue). The book is available from the publisher at the link at the top of this page, and also from Amazon, Barnes & Noble, etc.



(For readers who purchased the hardbound edition, and would like to see the epilogue, send me an email and I will provide you with that chapter.)

Dialogue and Forum on "The End of the American Century"

An extended "dialogue" on the themes of The End of the American Century has been posted on the website of the China-U.S. Friendship Exchange at this link. The interview with me was conducted by the organization's founder and president, Dr. Sheng-Wei Wang, who is based in Hong Kong. The interview focuses especially on America's changing global role and its relationship with China.

This November issue of the China-U.S. Friendship blog also includes two other essays on themes related to my book: "American Power in the 21st Century" by Harvard's Joseph Nye (author of Soft Power); and "Peace, Not War, the Best Strategy," by Professor of Geopolitics Madhav Das Nalapat at the Manipal Academy of Higher Education in India. Those two essays are accessible at this link.

My responses to those two essays will appear in the next (December) issue of China-U.S. Friendship.com.

Kolko's "The World in Crisis"

The American revisionist historian Gabriel Kolko has published a new book, The World in Crisis, with a subtitle that is the same as my book, The End of the American Century. The book is a collection of essays, written since 2004, most of which have appeared in print or online though often, according to the author, revised and updated for this publication. The common theme is "the decline of American power, the limits of its military technology, and the end of a century in which the United States had the pretension to lead the world." (p. 3).

These themes are similar to those of my own book, and Kolko concludes, as I do, that America's "century of domination is now ending." But there are substantial differences as well. First of all, while Kolko's first two chapters address America's financial crisis, the clear focus of the book is on America's foreign policy and global role. In The End of the American Century, I see the roots of America's decline as much in the domestic arena as in the global one, though they are closely linked. Secondly, Kolko sees the decline of American power beginning very early--as early as the Korean War in the 1950s, whereas I see the decline beginning in the 1970s, and mostly as a result of domestic factors: especially growing consumerism, individualism, poverty, inequality and debt.

Kolko's book is World in Crisis: The End of the American Century, published by Pluto Press in 2009.

U.S. Health Care Compares Badly to Others

In his address to Congress last week, President Obama decried the failures of the American health care system, and pointed out how poorly it fares in comparison to other wealthy countries. Millions of people in this country do not have health insurance and can’t afford necessary medical care. Tens of thousands die each year from lack of such access. We are “the only wealthy nation that allows such hardship for millions of its people,” observed the President.

The sorry and disgraceful state of the American system of health care is documented in The End of the American Century (pp. 48-53), and was also the subject of a post I made on this blog a year ago (US Ranks Low on Health Care). Since then, there is a mounting pile of evidence documenting how badly America fares in health care, on multiple dimensions. This is true both in terms of general overall statistics, like infant mortality, maternal mortality, and average lifespan (reported by organizations like the World Health Organization and the United Nations), but also in more specialized areas, like survival rates for disease, patient access to physicians, and public satisfaction with health care in different countries.

The highly regarded Commonwealth Fund, for example, conducts periodic studies of such issues, comparing the United States to other wealthy countries. One such study on patient access to primary-care physicians found that Americans wait longer to see their doctors than patients in Britain, Germany, Australia, or New Zealand, Holland or France—all countries with strong public-health systems. Almost a quarter of Americans reported waiting six days or more for an appointment, compared to just 14% in the UK and 18% in France, for example.

Another study on “preventable deaths” found the U.S. ranking dead last of the 19 countries in the study. These are deaths that could have been prevented with timely and effective health care--which of course is often unavailable to millions of American citizens. The U.S. ranking on this scale actually declined from 1997 to 2003, from 15th place to 19th place. Number one in the ranking? France.

Yet another study compared five-year survival rates for various diseases in the U.S. Canada, Australia, New Zealand, and England—all of whom spend far less on health care than the U.S. Of the five diseases, on only one of them (breast cancer) did the U.S. have the best five-year survival rates.

The veteran journalist T.R. Reid has just published a new book, The Healing of America, in which he compares health care systems around the world. In a summary of the book in Newsweek ("No Country for Sick Men"), Reid observes that in health care:

“The United States is the odd man out among the world’s advanced, free-market democracies. All the other industrialized democracies guarantee health care for everybody—young or old, sick or well, rich or poor, native or immigrant. The U.S.A., the world’s richest and most powerful nation, is the only advanced country that has never made a commitment to provide medical care to everyone who needs it.”

Consequently, according to Reid,

“about 22,000 of our fellow Americans die each year of treatable diseases because they lack insurance and can’t afford a doctor.”

Many Americans express concern about the “rationing” of health care in a government-supported system. But has Reid observes, the U.S. already rations health care. It is “rationing care by wealth.” While this may seem natural to Americans, he says, “to the rest of the developed world, it looks immoral.”

The immorality of this is particularly callous in its effects on children. A study from the National Center for Health Statistics reports that poor children are 3.6 times more likely to have poor health than children from affluent families. As I point out in my book, “The United States is the only developed country in the world where children suffer poor health and die simply because their parents are poor or unemployed.” (p. 52).

One also hears concern in the current debates about the potential costs of a system of universal health care—legitimate concerns in the face of unprecedented government deficits and debt. But the U.S. already has the most expensive health care system in the world, no matter how you measure it. As a share of GDP (2006), health care constituted over 15% in the U.S., compared to 11% in France, 10% in Canada and 8% in England—all of them with universal coverage for their citizens (OECD). On a per-capita basis, the U.S. also outspends every other country in the world, by a long shot.

Many Americans assume that the largely private medical care in the U.S. is more efficient, less bureaucratic and less costly than the government-run programs in other countries. In fact, administrative costs in the U.S. are higher in for-profit hospitals than in public ones, and overall administrative costs are higher in the U.S. than in countries with government-run programs. Compared to other countries, the U.S. also comes up high on administrative costs in health care. A 2003 study in the New England Journal of Medicine estimates that administrative costs absorbed 31 cents of every health care dollar in the U.S. compared to only 17 cents in Canada, which has a universal health insurance plan paid for by the government.

By all of these statistical measures, the U.S. health care system looks bad. But what it really comes down to is not statistical comparisons but fairness, compassion and justice. And the outcome of health care reform will depend as much on these American values more than anything else. President Obama himself recognized this in his address to Congress, where he appealed to the “large-heartedness” in the American character—“that concern and regard for the plight of others.”

“It, too, is part of the American character -- our ability to stand in other people's shoes; a recognition that we are all in this together, and when fortune turns against one of us, others are there to lend a helping hand; a belief that in this country, hard work and responsibility should be rewarded by some measure of security and fair play; and an acknowledgment that sometimes government has to step in to help deliver on that promise.”

Much of the opposition to health care reform has come from people who are worried about how the changes will affect themselves and their families. Perhaps this self-interest is normal, and part of human nature. But our fate and health as a country is as much dependent on the health and safety of others as it is on our own. Re-establishing a sense of community and common purpose—and of the American tradition of large-heartedness—is an essential ingredient in the prescription for the ailing American health care system--and in restoring the United States as a great power.