Paul Starr

Paul Starr is co-editor of the The American Prospect. His most recent book is Remedy and Reaction: The Peculiar American Struggle over Health Care ReformClick here to read more about Starr.

Recent Articles

Detoxifying the Debate

As an art form, caricature is fun. The caricature of ideas, however, does not have the same appeal. And when the caricaturists seek to arouse fears and anxieties by distorting unfamiliar ideas into misshapen and threatening images of insidious evil and betrayal, they do public debate and even their own case a great disservice.

Delivering Health Reform

Can the Clintons find the votes for health care reform without wrecking the logic of universal coverage, cost-control, and managed competition?

The Social Security Act in its final form was far from a perfect piece of legislation. In important respects it was actually weaker than the Wagner Lewis bill of the year before. It failed to set up a national system and even failed to provide for effective national standards. It left to the states virtually every important decision and thus committed the nation to a crazy- quilt unemployment compensation system. . . .

For all the defects of the Act, it still meant a tremendous break with the inhibitions of the past. The federal government was at last charged with the obligation to provide its citizens a measure of protection from the hazards and vicissitudes of life.

What Happened to Health Care Reform?

Republicans killed it. The White House strategy misfired. Reformers couldn't unite. The center failed. And the moment was lost.

It was one year from euphoria to defeat. On the evening of September 23, 1993, I sat in the gallery of the House of Representatives for President Clinton's speech introducing the administration's Health Security plan. For those of us who had worked on it, this was the climax of a long, intense, and not always easy collaboration. I had been one of about ten people on the health policy team in the White House who had written and rewritten the plan after the cast of hundreds had left. Now the president had the nation's attention focused on ideas we deeply believed in, and he spoke with tremendous force.

How Low Can You Go?

THE SOCIAL BENEFITS OF PREMATURE DEATH

One argument for a sharp increase in tobacco taxes is that it would force smokers to pay for the increased medical costs they generate. But some economists say higher medical costs are only half the story. Peter Passell wrote last July in the New York Times that "a full accounting must also include the savings from smoking. Yes, savings: the reduced cost of private pensions, Social Security and nursing home care for smokers who die before their time." And on a full accounting, according to studies cited by Passell, the social costs of smoking may be too small even to justify current taxes, much less an increase.

The Martian Plan

Newt Gingrich thinks Americans need
a new frontier to explore. He also believes in paying bounties
to promote public objectives. Hence the proposal prepared at his
invitation by space entrepreneur Robert Zubrin for a federal bounty
of $20 billion payable to the first private organization that
puts someone on Mars and brings that man or woman back to earth
alive. The proposal is detailed in Zubrin's book,
The Case for Mars: The Plan to Settle the Red Planet and Why
We Must
(Free Press), and at
the "Headquarters for the
Mars Direct Manned Mars Mission" on the Web site, www.magick.net/mars/.

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