…ject in social engineering. “Is there an end to bin Ladenism?” asks Gerecht in The Islamic Paradox. An end to bin Ladenism may require an end to History, a difficult engineering project indeed. Social peace is the default setting of modern liberal democracy, where crime and war are considered anomalous. In the stateless setting of Middle Eastern tribes, on the other hand, feud is the only sanction for crime, and peace is the anomaly…. Read More.
Reforming Medicare Integrated Care: An Alternative to the Obama Administration’s Accountable Care Organizations
The most celebrated “bend the curve” idea from the Patient Protection and Affordable Care Act (PPACA) is the Medicare accountable care organization (ACO). ACOs are intended to be integrated health plans, with hospitals, physicians, and other health services providers working together in a coordinated patient delivery system. The Obama administration and the law’s strongest proponents repeatedly cited ACOs both during consideration of the law and… Read More.
…edom was enshrined in the US constitution, defended in the face of the Victorian moralists by John Stuart Mill, and upheld in our time by my dissident friends. We take this freedom so much for granted that we regard it as the default position of humanity – the position to which we return, if all oppressive powers are removed from us. But my experience of communist Europe convinced me of the opposite. Orthodoxy, conformity and the hounding o… Read More.
A few weeks ago, while pondering the upcoming sapphire anniversary of Pope Paul VI’s Humanae Vitae (Of Human Life) and the continuing controversy over the “birth control encyclical” throughout both Church and society, I came across the following, in an essay the Polish Nobel laureate Czesław Miłosz wrote shortly before his death in 2004: “Increasingly the institution of marriage is being replaced by simply living together, which has followed upo… Read More.
…reign-policy establishment that religious freedom is in in fact important for individuals and societies” (a skepticism that reinforces the faux-realist view that religious freedom is not “real foreign policy”) will remain the default position in the Foreign Service. Which leads us to another, related structural problem. The Office of International Religious Freedom was established in the State Department by congressional mandate; State’s permanen… Read More.