Wednesday, February 10, 2010

Climate craps: Global warming and uncertainty (or what to say when you hear "the science is not settled!")

First was Snowpocalypse. Then Snowmageddon. And now the third major snowstorm to hit DC this year... Snowtf? I'm not even kidding, people are snowboarding down Lee Highway outside my window.


So naturally, it's time for a global warming post. And NYT journalist Andy Revkin's provided a good starting point, dropping an illuminating bit of insight in a post Tuesday evening:
But after reviewing the chapter myself just now, I have to say that at least one passage — as far as I can tell — did not contain a single caveat and did not reflect the underlying body of evidence and analysis at the time (or even now):
Human-induced warming of the climate system is widespread. Anthropogenic warming of the climate system can be detected in temperature observations taken at the surface, in the troposphere and in the oceans.
I have yet to see anyone provide definitive evidence — with no error bars — that the fingerprint of human-generated greenhouse gases (or other emissions or actions) is unequivocal. The only thing described as “unequivocal” in the report was the warming, not the cause, unless I really haven’t been paying attention for the last two decades.

The language around "no error bars" is what I wanted to call out here, because it reflects a widely held belief that there's a bright line between certain and uncertain - and more importantly, that it's prudent to wait until we're "certain" about something before taking any action. Indeed, it's this notion - that there's such a thing as "certainty" in science - which enables deniers and delayers to get away with spouting alarmist nonsense like, "the science is not settled!" and "we shouldn't risk trillions of dollars in GDP until we know for certain humans are causing global warming!"

The problem is, as any true skeptic knows, there's no such thing as certainty in science - at least to the degree that a scientific study could ever hope to show "no error bars." Remember, even something as obvious as gravity still has scientific uncertainty associated with it; Einstein proved that gravity's nature was different than how Isaac Newton imagined it, and even Einstein's theories are not reconciled with Quantum Mechanics.

This is especially true for climate science, which is intimately concerned with predicting the future. The earth is not a controlled experiment that allows scientists to add CO2 and empirically test the precise amount of warming that results. There are simply too many variables not in scientists' control. To predict the consequences of carbon emissions, we must therefore rely on climate models built from our best understanding of how the climate system works. And yes, those models are uncertain, with error bars greater than zero: as with any prediction of future events, you inherently can never be certain you're right until those events have already occurred. Certainty can only exist with hindsight.

But here's the kicker: once we're in a position to make hindsight judgments on CO2, once we've reached the point that we can empirically assess CO2's impact on climate in the real world, it will be too late to avert the effects. This is because once CO2 gets into the atmosphere, it takes several decades for the temperature to catch up with the new energy imbalance (see here, here, and here for explanations).  So even if you stopped all CO2 emissions today, there would still be warming left "in the pipeline."  Moreover, it's likely that once warming crosses a certain threshold, certain feedbacks will take over that drive continued warming regardless of what happens with CO2. Choices we make today commit us to consequences tomorrow.


Thus, as in any facet of life, we must make decisions today in a world of uncertainty, based on our best predictions of what will happen tomorrow; past a certain point, debating levels of certainty is a fruitless recipe for dithering and delay.  A businessman who waits for certainty that an investment will pay off will lose the opportunity to a bolder entrepreneur.

Similarly, by the time we've received empirical confirmation of how much humans are contributing to global warming, it will be too late to do anything about it. We can't be certain whether a doubling of CO2 will ultimately result in 1.1 degrees C or 6.4 degrees C of warming, but we can make a pretty good guess, and the latter end of that spectrum would result in a nightmarish world out of "science fiction."  It seems prudent, therefore, to invest a small amount of GDP as insurance against the risk of catastrophe.  (Indeed, as The Economist points out in making this argument, the investment required to curb global warming is less than the world spends on insurance every year). 73% of economists and the world's biggest re-insurance company agree with me.

The bottom line: Just because we are not certain whether or not bad events will happen in the future does not mean we should not take action to hedge against those risks. By definition, if your condition for acting on greenhouse gases is 100% certainty in the science, then we can never act in time to make an impact. If you want to gamble our future by continuing to emit greenhouse gases, the question becomes, do you feel lucky? Well, do ya punk?

Just don't expect the rest of us to play at your climate craps table.



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Friday, February 5, 2010

Snowmageddon!

Here's the view from my office window, looking out over the Key Bridge in Washington, DC about 5:00 Friday - just hours into the great Snowpocalypse of 2010.



It also snowed in DC, much less apocalyptically, just three days ago. With no wind blowing, the snow coated the tree branches in white. It was really quite beautiful.

 


 

With all this snow, I have no doubt that climate change deniers will be crowing that global warming is over.  Obviously if it snows in the middle of winter, global warming is a hoax.

Of course it's worth noting that while snow in summer would certainly be cause for concern, snow in the middle of winter is nothing unusual. Indeed, it is almost EXACTLY the middle of winter. Today, February 5, is 45 days after December 21, and 43 days before March 21.

I may be slightly off on the exact start dates for spring and winter, but you get the picture. Global warming does not mean that we will never see snow again, and snow in the middle of winter is certainly no reason to start fueling your furnace with dirty coal.

And this doesn't even mention the fact that we just experienced the warmest January on record according to the satellite dataset global warming deniers love to cite most.

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Tuesday, February 2, 2010

Calvin & Hobbes on how to solve the climate crisis

I'm with Calvin's dad on this one:



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President Obama the Destructor

If you haven’t seen President Obama’s address to the House Republican retreat in Baltimore last Friday, stop what you’re doing and watch it now. Then, email the Youtube videos or this post to everyone you know. It’s long—-a 20 minute speech and an hour long Q&A—-but it will be the best-spent hour and 20 minutes of picture-and-sound watching you’ll have in a long time. Immensely entertaining and eye-opening.


I don’t think the House Republicans will be inviting the President back anytime soon. Seen side by side in the same room, with the President’s willingness to engage on substance pitted against the stale Republican talking points, the President was revealed as a man among boys. It was like Michael Jordan playing basketball against a court full of middle school kids. Bad ones.





You can read the transcript here.


GOP leaders were no doubt expecting a chance to retell sob stories of the President's supposed rejection of their entreaties to him, and feign willingness to work with him in a bipartisan way. Instead, the retreat turned into a stage for the President to list all the Republican ideas he has already embraced, and shine the light back on the GOP's own refusal to cooperate. The President's central point was that he is, and always has been, open to good ideas from the other side - as long as they work (or can be expected to work based on analysis by independent experts).


House Republicans are doing their best at damage control, trying to spin their destruction as a victory. "We've been locked out in the cold for the past year," they moan. "Finally the President is showing he's willing to listen to us. Finally he admits we have ideas."


And incredibly, the mainstream media seems to have accepted this narrative (or at least had before Obama's performance Friday). The media tells the tale that President Obama moved too far left, ignoring Republicans' pleas to contribute, and has now been forced to move back to the center by the Boston Massacre of 2010. Writing in Forbes, Paul Howard of the Manhattan Institute advises:


Obama campaigned as a centrist who would draw on the best ideas of both parties, but he has governed by deferring to the liberal wing of his party and locking Republicans out of Democrats' backroom health care deals…


As a sign of his (new) good faith, the president should invite the Congressional leadership of the Republican Party to the White House, listen to their concerns and find ways to hash out policy compromises that will result in truly bipartisan health care reform.


Even the ordinarily astute Economist seems suckered, writing that "After the Democrats’ stunning loss, Barack Obama has no choice but to move back to the centre."


Am I missing something? Has the President been pursuing a leftist agenda and ignoring Republicans for the past year, only to reach out to them for the first time last Friday? In that address, the President pointed out that his health care bill is quite centrist, and claimed he's been keeping an open door all year, but is that anything more than politics?


The notion that the President has kept Republicans locked out all year struck me as absurd, but as a consultant, I understand the possibility that my own partisan feelings are clouding my thinking.


So I decided to find out. I did a news search in the database Factiva over the dates 01/20/2009 (the inauguration) to 10/01/2009 (roughly three weeks after the President’s health care address), using the unsophisticated search terms: “Obama,” “reach out,” and “Republican." There were 2,582 hits. Here was the first hit, and it's quite telling:


Title: Republican Lawmakers To Obama: Give Us A (Tax) Break


Source: CongressDaily/P.M., 27 January 2009, 533 words, (English)


Text: President Obama met with Republican lawmakers today to try to win support for the $825 billion economic stimulus plan, but even before he arrived, GOP House leaders urged members to oppose the package when it comes to a vote Wednesday...


The idea that the Obama administration has been "unilaterally and universally rejecting all Republican proposals" sounds preposterous given that just seven days into his presidency, those same House Republicans were busy rejecting the President's stimulus while he was on his way to meet with them.


Here's another one. On the day after President Obama's inauguration, the New York Times wrote:


President-elect Barack Obama is set to visit a gathering of House Republicans. The incoming White House chief of staff, Rahm Emanuel, is in running cellphone contact with his former Congressional adversaries. Some Republicans say they hear more from the Obama team than they ever did from the Bush administration.


As Mr. Obama prepares to move into the White House, he and his top advisers are making a visible effort to engage Congressional Republicans, hoping to show they are serious about Mr. Obama's commitment to bipartisanship and to try to enact an economic recovery measure with solid support from both sides in the crucial early going.


The outreach has gone beyond the phone calls that Mr. Obama, Mr. Emanuel and others routinely make, though the influence of that personal contact should not be underestimated. More substantively, though, the House Republican leadership has accepted Mr. Obama's invitation to put together its own ideas for economic recovery and said it will initially offer them as a part of the economic recovery package, not as an alternative as has been the usual practice.


...


Mr. Emanuel said ideas from House Republicans on the economic recovery package will get serious consideration. "There is not just one way to create jobs," he said.


He and Lawrence H. Summers, Mr. Obama's economic adviser, met privately with Senate Republicans on Wednesday afternoon before Thursday's vote on freeing the remaining $350 billion in bailout money. Even Republicans who were not persuaded by the consultation said they were impressed by the candor of the two men.


"I think they have been pretty impressive," said Senator Mitch McConnell of Kentucky, the Republican leader. "They are saying all the right things, and I think they did themselves some good in the briefing."
(Source: Hulse, Carl. "Obama Team Makes Early Efforts to Show Willingness to Reach Out to Republicans." New York Times, 1/20/2009. Found on Factiva)


In other words, not only had President Obama met with Republicans from day one, Republicans had also agreed to submit their ideas with the understanding that they would be incorporated into the broader package, not as the sort of all-or-nothing alternative proposals they've been offering since.


On health care, the story is equally telling. I went back and edited the search terms to include "health care," and found some interesting stories from the first nine months of the administration.


For example, on July 27, 2009, Adam Nagourney wrote in the International Herald Tribune:


The decision by Senate Democratic leaders last week to devote more time to winning Republican support for a health care overhaul has allowed President Barack Obama to keep alive the possibility of bipartisanship on one of the most contentious issues on his agenda.


Why did hopes for bipartisanship subsequently fail? Was it because President Obama and Democrats had locked Republicans out and ignored their ideas? To the contrary: two months later, Kaiser Health news (of the non-partisan not-for-profit Kaiser Family Foundation) found that as the final Senate bill was unveiled, "Republicans are denouncing the Democrats' latest health care proposal, even though some Republican ideas are embedded in the plan." The article explains that the Senate health reform bill contains several "Republican-inspired" provisions, including:
  • Cross-state sales of insurance to individuals and small businesses: The Baucus bill would allow two or more states to form "compacts" that would allow individuals to buy policies from insurers in the other states. The insurers would be subject only to the laws and regulations of the states in which the policies were written. In a separate measure, insurers could create national policies with uniform, federally set benefits that could be sold in any states in which the companies are licensed. The policies would be exempt from state benefit rules.
  • Medical malpractice: The legislation says Congress should consider creating state demonstration programs to evaluate alternatives to the current litigation system. Republicans had called for creating special malpractice courts and limits on damage awards.
  • High-risk pool for people with pre-existing medical conditions: Within a year of the enactment of the legislation, a high-risk pool would be set up for people with pre-existing conditions. The pool would continue until 2015, when the new state insurance exchanges would be up and running and insurers would be required to sell policies to all who apply, regardless of their medical conditions.
  • Prevention and wellness incentives: Medicare beneficiaries would become eligible for annual "wellness visits" with their doctors, paid for by the government program. They no longer would have to pay out of their pockets for certain tests and treatments, such as flu vaccinations or diabetes screening. Financial incentives also would be offered to beneficiaries who completed certain "healthy lifestyle" programs targeting risk factors such as high cholesterol, diabetes or smoking. This isn't just from the Republicans; Democrats embrace the idea as well.
(Source: Pianin, Eric and Julie Appleby. "Republican attacks on Baucus health plan ignore its GOP ideas." Kaiser Health News, McClatchy Washington Bureau, 9/17/2009, found on Factiva)


So when you hear someone complain that President Obama has refused to consider Republican ideas like tort reform and allowing the purchase of insurance across state lines, you can tell them that THEY'RE IN THE BILL.


Of course, the fact that these Republican-inspired provisions are in the Democratic health care bills will not stop Republicans from saying they are not. And it certainly won't stop them from voting against the bill. After all, all 40 Senate Republicans just voted "no" to pay-as-you-go legislation. They filibustered defense appropriations 37-3. These are Republican bread-and-butter issues - deficits and defense - and yet the GOP is voting against them. As Steve Benen points out, "GOP lawmakers are so reflexive in saying 'no' to everything, they end up opposing ideas they support, and at that point, reason has no meaning."


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Yes, government creates jobs

Friday, January 29, 2010

Yes, government creates jobs

Erick Erickson at the right-wing blog Red State made Keith Olberman's "worst person in the world" list Thursday night, but what he rants here is far worse:
After reflection on Barack Obama’s State of the Union address, I am left with one overarching conclusion... Barack Obama’s State of the Union address was a declaration of war on the free market.

Barack Obama said, “Now, the true engine of job creation in this country will always be America’s businesses.”

But prior to that, he said, “Because of the steps we took, there are about two million Americans working right now who would otherwise be unemployed. 200,000 work in construction and clean energy. 300,000 are teachers and other education workers. Tens of thousands are cops, firefighters, correctional officers, and first responders. And we are on track to add another one and a half million jobs to this total by the end of the year.”

Review the list. Every job listed is either a government job or a job so connected to government that it would not exist but for government. The clean energy industry? It would not exist, but for government subsidy. Construction? He is talking about roads and other infrastructure — jobs that will go away once the project is done and the whole way through is dependent on the government.

All of these are government jobs.

Hmmm, yes, it's bad to create government jobs - a war on the free market even. Jobs like firefighters, teachers, police officers, scientists. Everyone knows correctional officers and first responders are the bulwark of socialism.

Here's a question for Erickson: Without these government jobs, who will protect private property from fire and theft? Who will teach our children to invent the technologies and build the companies that create jobs 10-20 years from now? Private companies are the engine of growth, but government is the foundation.

There are few left in the GOP who understand such ideas, simple though they be. Since purging intellectuals from the party, the GOP has lived in a magical fantasy land in which businesses will solve all our problems, if only the government would get out of the way. The base has descended into boorish binaries: that Government and Business are opposing forces and never partners, that everything good comes from the private sector and government action always kills growth. If an infant industry depends on government support, it must be a war against the free market; since the market is always perfect, the government is stopping it from finding more efficient uses for capital.

For example, Erickson bashes the clean energy industry because "it would not exist, but for government subsidy." But can he name a single industry created in the last 100 years that was not jump-started by government subsidy, research, protection, or infrastructure? The automotive industry could not have gotten rolling without government-built roads. Power lines and water pipes would not have been laid without government backing up private investment. Today's high-tech firms would not exist even in our imaginations were it not for the government-created Internet. Indeed for almost any tech firm around today, its latest top-selling technologies stand on the shoulders of discoveries made 20-30 years before in government-funded research labs - research which would never be funded by private capital because the payoff is too uncertain and far away.

And just what does Erickson think will happen to American business when our infrastructure crumbles to the point that goods can't move quickly across the country? After all, the federal government subsidized the railways and built the interstate highways. Maybe infrastructure jobs wouldn't exist "but for government subsidy," but they're the lifeblood of commerce.

The bottom line is, government and business need each other. The way the economy works is that the government lays the foundation upon which private companies build, and corrects externalities that result from market breakdowns. Government-employed police officers allow businesses to operate without fear of theft or intimidation. Government regulators enforce property rights that allow investors to create jobs without fear that their investments will be damaged by others (Republicans ostensibly support property rights, but they aren't doing much to protect my property right to a clean atmosphere). Government-subsidized hospitals help the working poor get better and get back to work. Government-employed teachers educate tomorrow's inventors and job-creators, while government scientists conduct crucial basic research - research that's not commercializable on any kind of investment time frame, but which lays the groundwork for the next 50 years of growth. And yes, government environmental regulations prevent companies from dumping waste into our drinking water and polluting our air - kindof important services, don't you think?

This is the narrative liberals need to tell, the counter to the brutish but intuitive thinking of "taxes bad, regulation bad, markets good." Low taxes increase profits on iPads and iPhones, but it took government-educated brains to create them.

Thursday, January 28, 2010

State of the Union smackdown, plus Republicans' hilarious plan for health care reform


Like I said earlier, Wednesday was a big day.  First, Apple unveiled its iPad tablet computer (on which I think Congress should model its health care bill).  Hours later, President Obama gave his first State of the Union address.

And it was a good one.

I have to admit, I was worried.  Over the last week, for the first time since his 2004 Convention speech, I had less than total faith in Barack Obama.  It wasn't Scott Brown's election in Massachusetts: as I've explained, there's no logical way to interpret it as a rejection of President Obama or his policies.  Rather, it was the President's own actions.  First, his apparent refusal to push Congressional Democrats to pass health reform immediately seemed morally indefensible and politically baffling.  Second was his out-of-character about face to put a three-year freeze on discretionary spending; what disconcerted me was not so much the policy implications of the spending freeze, but that it seemed so reactive to events - a rare break from his brand of calm steadfastness.

Before this evening, I genuinely feared that the President might say in his State of the Union, "I came to this office to bring change to America, but the American people are telling me I'm moving too fast--and I'm listening."

Thank God that did not happen.  With this speech, Barack is back.  [UPDATED: Mostly back.  A couple people have pointed out that the President did not explicitly endorse cap-and-trade, which is a major concern.  For the moment, I'm relieved by the speech, but no longer quite reassured.  If the President really wants to lead, I'll need to see him sticking his neck out for a cap on carbon, not just the easy rhetoric on green jobs.]  Several points reassured me that he still is the man he said he was, and that there's still Hope to bring change to Washington - and America.  For now, I want to focus on one: health care.

On that issue, which has consumed my thoughts for the past two weeks, I thought the President made it absolutely clear where he stands: pass the damn bill.
After nearly a century of trying, we are closer than ever to bringing more security to the lives of so many Americans. The approach we've taken would protect every American from the worst practices of the insurance industry...
Our approach would preserve the right of Americans who have insurance to keep their doctor and their plan. It would reduce costs and premiums for millions of families and businesses. And according to the Congressional Budget Office the independent organization that both parties have cited as the official scorekeeper for Congress our approach would bring down the deficit by as much as $1 trillion over the next two decades.
Still, this is a complex issue, and the longer it was debated, the more skeptical people became. I take my share of the blame for not explaining it more clearly to the American people. And I know that with all the lobbying and horse-trading, this process left most Americans wondering what's in it for them.
But I also know this problem is not going away. By the time I'm finished speaking tonight, more Americans will have lost their health insurance. Millions will lose it this year. Our deficit will grow. Premiums will go up. Patients will be denied the care they need. Small business owners will continue to drop coverage altogether. I will not walk away from these Americans, and neither should the people in this chamber.
As temperatures cool, I want everyone to take another look at the plan we've proposed. There's a reason why many doctors, nurses, and health care experts who know our system best consider this approach a vast improvement over the status quo. But if anyone from either party has a better approach that will bring down premiums, bring down the deficit, cover the uninsured, strengthen Medicare for seniors, and stop insurance company abuses, let me know. Here's what I ask of Congress, though: Do not walk away from reform. Not now. Not when we are so close. Let us find a way to come together and finish the job for the American people.

This is the closest Obama has come to articulating express support for a specific health reform proposal, and he's urging Congress across the goal line.  True, he didn't say, "I want the House to pass the Senate version of the bill, and the Senate to pass House-friendly Amendments A, B, and C."  But it doesn't take a prophet to read the writing on the wall.  Four times the President refers to "the approach we've taken," "our approach," "the plan we've proposed," "this approach."  Those are all past tense, describing an object that already exists: he's expressing that he's in favor of some close version of what's already been written.  The basic elements common to the House and Senate bills - the five pillars of insurance regulation, an individual mandate, subsidies, taxes + spending cuts, and competition, together in a comprehensive package - constitute the plan he wants everyone to calm down and "take another look at."

The President does of course say that he's willing to consider "a better approach" from either party, and he urges Congress to "come together and finish the job."  But in context, surrounded by the language of urgency, those don't seem like exhortations for Democrats to work with Republicans to develop a compromise.  Rather, he's calling the Congressmen's bluff who say there's no rush, who advise that we should put on the brakes until we find a better approach.  He's saying, "I haven't seen anything that makes me think that any of you out there have something better than what we've got.  Prove me wrong, I dare you.  But if you can't do it - and fast - we're not waiting any longer."  Thus when he says, "come together and finish the job," I think he's talking about the House and Senate coming together, not Democrats and Republicans.

Now, one Republican says he does have a "better approach."  In the GOP response, my current state's governor Bob McDonnell asserts:

Republicans in Congress have offered legislation to reform healthcare, without shifting Medicaid costs to the states, without cutting Medicare, and without raising your taxes.

Really?  You mean Republicans haven't just been obstructing the President's agenda for obstructionism's sake, but have had a plan of their own all along?  Where might I find this mysterious document?  Fortunately, Gov. McDonnell told me:
In fact, many of our proposals are available online at solutions.gop.gov
Ah, so that's why no one in the GOP can ever seem to talk about their solutions: they've been hiding on the Internet!  Naturally, I looked up the GOP health care plan to see what Gov. McDonnell was talking about.  Here's the summary of it:





You mean the Republicans put so little effort into their health care plan that they couldn't even change the formatting from the Microsoft defaults?   The three zeros in the "Scorecard" at the bottom of the page are also a nice touch.  The GOP thinks it can give everyone in the US affordable health care with zero tax increases, zero Medicare cuts, and zero job losses - and not even an asterisk next to those zeros to provide the source of the info?  Who's putting their trust in naive hope now?  


And there's more comedy to be had.  Check out the very first plank in the plan:







That's right: the GOP plan for "lowering health care premiums" is to...... pass a "plan [that] will lower health care premiums"!



The non-partisan CBO score already showed that the GOP health plan was a joke, but surely the existence of this document is the best proof I have that the GOP is doomed in the long-term, utterly bereft of ideas.  And in the short-term, I don't think President Obama should wait up for "a better approach."


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iPads and iPolitics: the Apple approach to health reform



What's next?

iPads and iPols

Wednesday was a big day.  While President Obama was preparing his State of the Union address, Steve Jobs was announcing Apple's new tablet computer: the iPad.  And I have to say, I wasn't exactly blown away.  


As numerous bloggers have pointed out, it seems basically like a giant iPod Touch.  Perhaps more shockingly, Steve Jobs didn't sell me on it either (you can watch his presentation here).  "It's thin," he says.  Ok, so what?  "If you rotate it, the screen rotates too, so it doesn't matter which way you're holding it."  Yeah, the iPhone does that too.  


Beyond its features, I don't understand the niche for it.  What does it do that you can't do with a Kindle or laptop?  The Kindle lets you read books without burning your eyes out.  A laptop is easier to type on.  And if you already have these devices, why buy an iPad?  


Despite these questions, I have little doubt that the iPad will sell.  Apple's loyal early adopters will line up outside Apple stores to buy them.  The media will cover the lines outside the stores, causing more people to think, "this must be a great product," and line up behind the early adopters.  It's a self fulfilling prophecy.



More importantly, while the iPad itself hardly seems revolutionary NOW, I have no doubt that the subtle changes it ushers in today will have major follow-on impacts on business, technology, and the way we live our lives.  Most obviously, the iPad fundamentally changes the way we interact with computer content: from manipulation of physical devices (e.g. keyboard, mouse) to control the content, to manipulation of the content directly.  It seems small now--maybe even inconvenient (I imagine the keyboard is nowhere near as effective as a physical one)--but who knows what innovations will be built on the shift the iPad has initiated?  20 years from now, will computers be Minority Report style interfaces where we whisk icons, graphics, and text through the air with a hand flick?  Based on the difficulties of interfacing with MS Office software, that doesn't seem like such a bad future.


The other important thing to note is that whatever the iPad lacks now, it's only version 1.0.  Apple doesn't presume it can anticipate all the device's flaws and potentialities in advance and bake those into a perfect, final product: it lets the device evolve over time.  Based on flaws it finds in the field and suggestions solicited from users, Apple will no doubt have version 2.0 out in 6 months that fixes flaws and adds new features.  Moreover, Apple understands that creative iPad users will figure out new ways to use the device so much better than Apple can, and therefore farms the job of improving the device out to the users themselves.  If there's a problem, a developer will write an app to fix it.  If a developer spots an unrealized capability the device has enabled, well there'll be an app for that too.


Which makes me think, why can't we take an approach like that to health care?  Why can't Congress work more like the App Store?  The House can pass the current Senate bill that does five basic things, then have the Senate develop "apps" to fix bill 1.0 through the reconciliation process.  Even better, allow health reform's users (e.g. doctors, nurses, patients, scientists, economists) to write "app legislation" to solve problems they spot as they go about their business, and make those "apps" available in a market in which smaller institutions (states, localities, hospitals, companies) can shop for ones that solve their own unmet problems as needed.


Call it the Apple approach to health care reform.  Of course, the second half of that is just a little unconstitutional, but I don't see why the House and Senate can't act as hardware manufacturer and app developer.


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