Obamacare–Dead So Soon?

November 21, 2013

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By now, just about everyone knows two things about the Affordable Care Act: The website that is supposed to sign people up isn’t working, and President Obama broke his promise that people could keep their existing health insurance if they wanted to. So far in the rollout of the new law, the program seems to be failing, both in political support and in actual success in getting people insured.

Medical metaphors seem irresistible. Obamacare is badly wounded, in critical condition, on life support–take your choice. Some commentators are talking as if it were already dead. Of course, many on the right already pronounced it a failure before the health exchanges even opened. Now they are joined by mainstream media who may not be rooting so hard for it to fail, but do tend to overreact to the latest events and miss the bigger picture.

My contrarian prediction is that the Affordable Care Act will turn out to be very hard to kill. The federal website will keep getting better, although that will take longer than the remainder of this month. More importantly, the benefits of the new law will become increasingly apparent in the states that are fully implementing it by setting up their own exchanges and expanding Medicaid. The success of the Massachusetts experiment, which was based on the same (conservative) principles as the ACA, is likely to be emulated in other states, and that will make it very hard to roll back the entire program.

Consider the basic logic of the ACA. The goal is to increase health insurance coverage both qualitatively and quantitatively–better coverage for more people–while keeping coverage affordable. Private insurers have to improve coverage by accepting people with preexisting conditions at no extra charge, observing federal caps on out-of-pocket costs, and providing a standard range of benefits. The mandates requiring individuals to carry insurance and large employers to offer it are supposed to generate enough premium payments from healthy people to cover improved benefits for the sick without raising premiums too high. The government helps by expanding Medicaid coverage to those with incomes between 100% and 133% of the poverty level, and by providing subsidies for those with incomes up to 400% of the poverty level.

Any assessment of the law must consider how it affects three groups of people:

  • the adequately insured, who already had good coverage through Medicare, Medicaid, employer group plans or relatively expensive individual plans
  • the minimally insured, who could only afford to buy plans with very few benefits
  • the uninsured, who lacked insurance either because they couldn’t afford it or believed they didn’t need it

The law was meant to have little impact on the adequately insured and the greatest effect on the uninsured. President Obama was probably thinking primarily of the first group when he said that people who liked their plan could keep it. That statement turned out to be more misleading and controversial for the second group, the minimally insured. They could be affected in various ways by the new higher standards of coverage:

  • A grandfather clause allowed holders of substandard policies to keep them, but only if they were issued before 2010 when the law was passed
  • People could drop substandard policies and shop for better policies in the exchanges, taking advantage of any federal subsidy that applied
  • People could receive a cancellation notice, often with an option for an upgraded policy at a higher rate

It was the very last group for which the President’s promise didn’t hold. Some people liked their minimal plans because they were cheap, and they didn’t mind or didn’t realize their limitations. They thought they could keep them and were upset when they received letters saying they couldn’t. The insurance companies helped mislead their customers by issuing new policies after 2010 without telling them that the policies wouldn’t qualify for grandfathering. Nor did they explain in the cancellation letters the possibilities for greater choices, better prices or subsidies in the exchanges.

As Jonathan Cohn has pointed out,  the debate over keeping existing coverage is primarily a battle for the right to keep the least popular form of insurance, and the one that has been associated with the worst company abuses, such as finding excuses to cancel policies if people actually get sick.

To sum up, lots of people losing coverage are losing policies they never liked much, that they would have dropped soon anyway, and that would have left them facing potential financial ruin if they got sick. Even those with truly good policies had no guarantees that in one year, let alone two or three, they’d still be able to pay for them.

President Obama has announced a temporary extension allowing insurers to continue substandard policies for one more year, but that may be hard for insurance companies and state insurance commissioners to implement on such short notice. Eight states have already announced that they will not allow it.

One other aspect of this debate deserves special mention. Many people are upset that they might have to pay higher premiums for coverage they don’t need, such as maternity benefits in policies purchased by men. This gets to the heart of what you think insurance is about. Is it like a retail store where you buy only what benefits you personally? Or is it a social system for making casualties more affordable by spreading the risks and costs among the many? Some of the same people who don’t want to pay for public goods through government want to extend their libertarian philosophy even further and avoid insuring people whose medical needs are different from theirs. True, men don’t get pregnant, but they do the impregnating and share the benefits of family life, not to mention the general social benefits of raising the next generation. What a hypocritical society we are if we celebrate motherhood while refusing the share the costs of maternal care!

Of the three groups–adequately insured, minimally insured, uninsured–the minimally insured are the smallest, consisting of no more than 5% of the population. Of those, the ones who are truly better off keeping their existing policies than shopping in the exchanges are a minority of a minority. Yet they have received far more media attention than the 50 million uninsured who stand to gain from Obamacare. The refusal of the Republican-run states to extend Medicaid hurts far more people, but it doesn’t provide the “gotcha” feature of catching the President in a lie.

The recent debates over the website and the President’s promise by no means seal the fate of the Affordable Care Act, although they do raise some red flags. The success of the program depends on getting a lot of the uninsured and the minimally insured to sign up, especially those healthy and wealthy enough to pay at least as much in premiums as they take out in benefits. The program could fail if too many of them fail to enroll because the website is dysfunctional, or because they are permitted to keep a cut-rate policy that doesn’t meet the new standards. Even if they cannot repeal the legislation, the opponents of the bill can help it fail by fighting for the “right” to be uninsured or minimally insured, strange as that may seem to true health insurance reformers. Some groups are running ads trying to persuade the uninsured not to sign up, although the law is primarily for their benefit.

However, the opponents are going to have a hard time getting the ACA to fail in all of the states. About half the states are participating in the Medicaid expansion, and fourteen states have set up their own insurance exchanges and websites, the best of which are in New York, California, Connecticut and Kentucky.  The states that are rejecting Obama’s proposal to allow insurers to extend substandard policies for another year are not primarily Republican states, but Democratic states that are trying very hard to implement the new law in its totality.

What I expect to happen is that resistance to the law continues in Congress and in many of the states while implementation proceeds in others. That could be a good thing, because it will give the country a chance to conduct an experiment and compare the outcomes. The large number of people who get adequate and affordable insurance for the first time should outweigh the number who had to give up a cheap policy they liked. Even if the opponents were to repeal the federal law, more states would probably proceed with their own reform, as Massachusetts already did. The idea of improving coverage through a combination of government incentives and private insurance will probably be with us for some time. No alternative is in sight, besides going back to the national scandal of massive coverage gaps or forward to a more radical “Medicaid for all” approach.


Two Nations Indivisible (part 3)

November 18, 2013

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Fears that Mexican immigration and free trade are costing U.S. citizens jobs and good wages appear exaggerated. Some losses do occur, but the studies cited by Shannon O’Neil indicate that they are offset by economic gains due mainly to the expansion of Mexican and Mexican-American markets for U.S. goods and services. However, another fear helps sustain divisions between the two countries–fear of lawlessness arising from drug-related violence and political corruption south of the border. While the violence and corruption are real, O’Neil reports a general movement toward democracy and the rule of law in Mexico. She believes that trying to maintain walls between the countries will impede rather than assist this movement.

Democratization

The Institutional Revolutionary Party (Partido Revolucionario Institucional or PRI) held power in Mexico for the last 71 years of the twentieth century, maintaining its one-party rule through a patronage system that traded economic benefits for loyalty. Opposition to the PRI developed after the 1982 debt crisis and 1985 Mexico City earthquake overwhelmed its ability to provide economic security. The party managed to cling to power for a time, with the help of some electoral irregularities, a temporarily improved economy and support from the United States. Then another financial crisis in 1995 forced the devaluation of the peso, resulting in runaway inflation and high unemployment. The PRI suffered large losses in the 1997 midterm elections, and lost the presidency in 2000 to Vicente Fox of the National Action Party (PAN). The 1996 electoral reform had already created a more independent Federal Electoral Institute. Now other reforms followed, especially a freedom of information law and some police and judicial reforms. “By the second decade of the twenty-first century, Mexico’s electoral democracy was firmly established. On nearly every comparative international measure of democracy, Mexico ranks in the upper tiers.” The country has moved to a competitive three-party system with an independent judiciary and press.

Mexican democracy is not without its limitations. Some local states and municipalities still have entrenched political leaders with limited accountability, sometimes using their offices for their own enrichment. The distribution of economic rewards is extremely unequal, with monopolies and oligopolies controlling many sectors, and wealthy individuals and corporations paying very low taxes by international standards. “Perhaps the greatest challenge to Mexico’s democracy today is its weak rule of law. Mexico suffers still from the twin evils of corruption and impunity. These benefit not only hardened criminals, but also Mexico’s connected families and prominent politicians–as might often overcomes right.”

Drugs and violence

O’Neil calls Mexico’s rising insecurity “a real illness with the wrong prescription.” Violence is all too common, but its causes and remedies are often misunderstood. Much of it is confined to specific cities south of the border and related to the drug trade–not just to the drug trade in general but to some particular directions it has taken in recent years.

One thing that happened was that crackdowns on the drug trade elsewhere created new opportunities for Mexican criminals:

During the 1980s and 1990s,…the United States poured billions into securing the southeastern seaboard through the Caribbean. It also began working more closely with Colombia— going after well-known drug kingpins and dismantling the large cartels on their home turf. And so the trade and transit shifted to Mexico.

In addition, Mexican political reforms upset the cozy relationships that sometimes existed between PRI officials and drug dealers, creating opportunities for new dealers to fight for their piece of the action. The results were an intensification of drug-related violence and the emergence of new Mexican drug cartels that now dominate the flow of drugs to the U.S.  In 2006, President Calderon launched a military crackdown that may ultimately reduce the traffic, but in the short run added to the violence. Gradual police and judicial reform will also help, but so far the rule of law remains relatively weak, and major crimes are often prosecuted less vigorously than petty crimes.

O’Neil sees the United States as part of the problem as well as part of the ultimate solution. Surveys of drug use establish the U.S. as the world’s largest consumer of marijuana and cocaine. Most of what the country spends to combat drugs goes to curb the supply, although studies show that reducing demand through treatment programs is more cost-effective. Drug traffickers rely heavily on businesses north of the border to launder their drug proceeds, as well as on U.S. arms merchants to provide them with guns. About 70% of Mexico’s illegal guns come from the U.S.

Mexico needs the cooperation and assistance of the United States to investigate criminal activity, curb drug demand as well as supply, regulate the flow of weapons, and continue to foster mutual economic development so that disadvantaged youth have alternatives to participation in the drug business.

O’Neil’s Two Nations Indivisible encourages us to see beyond the latest sensational headlines to the deeper economic and political changes that may be creating a strong new democracy on our border. Someday we may have no more reason to fear the Mexicans to the south than the Canadians to the north.


Two Nations Indivisible (part 2)

November 15, 2013

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In reflecting on Shannon O’Neil’s account of U.S.-Mexican relations, I was struck by the similarity between the choices facing international policymakers and those facing investors. Financial planners have often identified two enemies of sound investment–fear and greed. Fear leads an investor to flee from the ups and downs of the market by sticking to only the safest and most predictable of investments, thus settling for too low a return. Greed leads an investor to chase extravagant returns that often turn out to be illusory. Most sensible investors neither bet the farm on the latest hot stock, hoping to make a killing, nor run for the exits at the first sign of trouble. They maintain a diversified portfolio of assets with calm confidence that they will receive their fair share of a growing economy’s benefits.

Fear and greed have often characterized U.S. attitudes towards Mexico and Mexicans. Those who would close the door to migration and trade are afraid that Mexicans will take our jobs, undermine our culture, or become a burden on taxpayers. And some of those who advocate more open policies are greedy for one-sided economic relationships in which businesses exploit Mexican laborers and take advantage of their lack of rights. Having a poorer country with a weak democracy so near can be profitable, as U.S. businesses learned in the nineteenth century. Employing Mexican migrants in the U.S. while keeping them undocumented and vulnerable to deportation has also been profitable. With greater confidence in the future of both countries, we could base policies on the expectation that our peoples can prosper together, and that their relationship can be a win-win instead of a loss for one side or the other.

Mexican immigration

Compared to the brief spurts of immigration from countries like Ireland, Germany and Italy, Mexican immigration has been going on for a long time. Among the forces driving it have been “economic needs, demographic trends, and deep family and community connections on both sides of the border.” O’Neil says that a particularly large wave of immigration has occurred since the 1980s, but “this wave is already receding, and is unlikely to ever rise again.” Net immigration reached zero in 2011, with the U.S. economy still suffering from high unemployment, but the reasons for tapering immigration go deeper.

One cause of the recent wave of immigration was the 1982 Mexican debt crisis and its aftermath, which left unemployment higher in Mexico than the United States. A return to economic stability and growth, especially since the late 1990s, has alleviated the pressure to migrate. Another temporary factor was demographic. As in most developing nations, health improvements brought down the mortality rate–especially the infant mortality rate–and the surviving children were too numerous for the labor force to absorb. More recently, this population explosion has been slowed by a dramatic decline in the birth rate, with the average number of children per family dropping from about six to two since the 1970s. O’Neil also notes that as fewer young adults enter the Mexican labor force, the large baby-boom generation will be leaving the U.S. labor force, so migrant laborers may be seen as less of a threat and more of a blessing.

Many readers may be surprised to read that “nearly all economists agree that immigration presents a net benefit for the U.S. economy and for U.S. wages.” The harm that migrants may do by taking low-wage jobs may get most of the attention, but everything migrants add must be factored into the equation:

[T]he U.S. job market is not a zero-sum game. Immigrants and their families help spur growth and new jobs by buying groceries, going out to dinner, and shopping at the local mall. Also, long-time locals and new arrivals gravitate toward different jobs. U.S.-born workers are more likely to serve food in restaurants, check out shoppers as retail clerks, check in families at hotel front desks, hold manufacturing jobs, or manage construction or janitorial crews that have less-than-perfect English. In fact, study after study shows that foreign-born and native workers more often complement than substitute for one another.

States with large immigrant populations do not generally have either lower wages or higher unemployment than other states. Some groups of workers may be hurt by immigrant competition, especially men with a high school education or less, but the impact on wages is generally small.  And where wages are held down, the solution may be to upgrade the status and rights of workers rather than trying to get rid of them.

Academics also find that the pressure on low-skill wages stems not from immigration per se, but from the illegal nature of so many of today’s arrivals, which allows unscrupulous employers to underpay, undercut, and underprotect employees. One such study suggests that if immigrants were legalized, wages for all workers— citizens and noncitizens alike— on the bottom educational rungs would increase rather than fall.

O’Neil also debunks the claims of some cultural conservatives that Hispanic immigrants are less assimilable than earlier waves of immigrants. She finds the Mexican story similar to those of other ethnicities: the first generation struggles and clings to many of its traditions, while the next generations quickly adapt. Ninety percent of second-generation Hispanics speak English very well, and educational attainment approaches the national average by the third generation. Assimilation weakens many other traditions too, such as the close-knit Hispanic family: “Native-born Hispanics now divorce their partners just as frequently as native-born whites (three times the rate of recent immigrants.” (Not everyone’s idea of progress, but at least it shows assimilation!)

O’Neil concludes that recent immigration policy has been based too heavily on unfounded fears. The benefits of trying to exclude immigrants are too meager and the costs too high. Now that the border has been “hardened,” many immigrants who might have made the crossing more easily still manage to get here anyway, but with the aid of organized crime. The proportion of immigrants who settle here permanently instead of temporarily has risen, perhaps because border enforcement has made traveling back and forth too difficult. Economic studies have concluded that rounding up and deporting undocumented workers would be extremely expensive, and would actually shrink the economy of any state that accomplished it.

O’Neil would maintain the distinction between legal and illegal immigration, and even enforce laws against the employment of undocumented workers more strictly. However, she would allow more immigrants into the legal category, for example by making it easier for relatives of Mexican-Americans to be admitted. She would also provide more avenues to citizenship for migrants who are working here legally.

Free trade

O’Neil regards the North American Free Trade Agreement (NAFTA) as a “net win for both countries.” Since its approval, Mexico’s exports to the United States have increased by a factor of five, but U.S. exports to Mexico also increased by a factor of four. Mexico is now second only to Canada as an importer of U.S. products.

The free trade agreement made it much easier for U.S. firms to invest in Mexican production and then import the products back to the United States. That aroused the fear voiced by presidential candidate Ross Perot of a “giant sucking sound” as jobs were lured south of the border. While many manufacturing jobs did go south, they were offset–maybe a little more than offset–by jobs created by U.S. production for the expanding Mexican market. And while more Mexicans did find jobs in booming border cities, workers in small-scale farming and other traditional employment lost work as markets became more open to international competititon.

If the impact on overall employment has been modest, the benefits for economic growth, income and consumption have been large, especially in Mexico. Mexican per capita income more than doubled between 1996 and 2011, while the new flood of manufactured goods dramatically reduced the cost of consumer goods.

The main effect of free trade has been to closely integrate the two economies in processes of production and distribution. For many products, the distinction between “made in America” and “made in Mexico” is no longer meaningful because workers in both countries do the making. “The Chevy Malibu sold in Omaha, Nebraska, may have crossed the border not once but multiple times, as parts combine into components, components into systems or modules, and finally modules into cars. Every Ford Fiesta sold in Guanajuato, Mexico, is no different.”

Continued


Two Nations Indivisible

November 14, 2013

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Shannon K. O’Neil. Two Nations Indivisible: Mexico, the United States, and the Road Ahead. New York: Oxford University Press, 2013.

The title gets straight to the heart of the matter. The author’s thesis is that Mexico and the United States have become irrevocably interconnected, although neither public opinion nor public policy have entirely come to terms with that fact. They stand to gain more than they lose from acknowledging their ties and working together on the economic and political issues that affect them both. “Perhaps no other nation affects the United States on a day-to-day basis as much as Mexico. Geography, environment, companies, supply chains, people, communities, beliefs, and cultures bind together the two nations and their futures.”

Shannon O’Neil is Senior Fellow for Latin America studies at the Council for Foreign Relations.

Mexico is a country of 116 million people, the second largest (after Brazil) in Latin America as well as the second largest (after the U.S.) in North America. Public opinion in the U.S. may focus primarily on Mexico’s problems–poverty and drug-related violence–but that misses the bigger picture: “Mexico’s real story today is one of ongoing economic, political, and social transformation led by a rising middle class, increasingly demanding voters, and enterprising individuals and organizations working to change their country from the inside.” O’Neil is not saying that Mexico’s future is assured, but only that it has come far enough to have a decent shot at democracy and prosperity. She describes the country as being at a crossroads, facing two possible futures: “It could evolve into a highly developed democracy such as Spain, or it could deteriorate into a weak and unreliable state, dependent on and hostage to a drug economy, an Afghanistan.”

Which would we rather have as a neighbor sharing a thousand-mile border, a Spain or an Afghanistan? On the one hand the U.S. could have the security of an alliance with a strong democracy and the financial rewards of trade with a strong economy. On the other hand it could have larger waves of poor migrants pouring into the country and prohibitive security expenses. “The troops and resources required to secure the U.S.-Mexico border from drug traffickers, migrants, and terrorists would far outstrip those sent to Afghanistan or Iraq.” O’Neil considers policies based on fear alone unrealistic and counterproductive. Trying to wall ourselves off from Mexico geographically, economically and politically will make it harder for Mexico to become the kind of country the U.S. would prefer it to be.

Historically, the United States has had a very troubled relationship with Mexico, often characterized by political and military dominance, uneven economic benefits, and mutual suspicion. After Mexico’s independence from Spain in 1821, the U.S. took advantage of its political weakness to acquire large chunks of its territory, including the border states of Texas, New Mexico, Arizona and California, as well as parts of Colorado, Utah and Kansas. The U.S. intervened in Mexican affairs on a number of occasions, partly to protect its economic interests against interventions from European nations. Mexico was especially open to U.S. investment during the Porfiriata, the long rule of General Porfirio Diaz (1884-1911), resulting in substantial U.S. control over Mexico’s resources, with profits primarily for U.S. businesses and a small Mexican elite. After the civil war that began in 1910, Mexico struggled to regain domestic control over its resources, culminating in the nationalization of the oil industry in 1938.

For much of the twentieth century, relations between the two countries were rather distant and mutually suspicious. The United States allowed Mexicans into the country when it needed their labor, as it did during and after World War II, but excluded them when jobs were scarce, as in the Great Depression. In Mexico, the ruling political party for over seventy years, the PRI, “justified its own excesses as necessary for defending the nation against the ‘Yanquis’ next door.” And yet the forces that would eventually strengthen interconnection were already operating. Mexico relied on U.S. capital investments to modernize the economy. Rapid population growth and displacement from traditional occupations encouraged Mexicans to seek jobs to the north. The bracero guest-worker program (1942-64) allowed millions of Mexicans to establish a foothold in the U.S., which encouraged many others to follow legally or illegally.

The recent history of U.S.-Mexican relations includes new forms of cooperation, but also new insecurities and resistance to closer ties. The Immigration Reform and Control Act of 1986 (IRCA) created a path to citizenship for over two million undocumented immigrants. The North American Free Trade Agreement (NAFTA) signed in 1992 reduced trade barriers, with complex and controversial results to be discussed later. Since 2000, however, security concerns and economic fears have come to the forefront, and U.S. public opinion about Mexico has turned more negative. The comprehensive immigration reform proposed by George W. Bush failed to get through Congress [and the one proposed by Barack Obama also faces serious opposition]. Positions on these issues don’t divide neatly along party lines. On immigration reform, pro-business Republicans are more supportive than culturally conservative Tea Partiers. On free trade, “blue-dog” Democrats are more supportive than pro-labor Democrats concerned about the potential loss of domestic jobs.

Whether the United States stands to gain or lose from closer ties with Mexico depends on what Mexico is believed to offer. If it offers only drugs, violence, economic dependency and subsistence wage labor, then the losses might outweigh the gains. But in O’Neil’s view, that is not the Mexico that is coming to be:

Ask most Americans— and not a few Mexicans— about Mexico and they will emphasize poverty, corruption, and violence. Though not patently false, these views are misleadingly incomplete. Poverty continues, but the middle class now outnumbers the poor. Corruption is widespread, but Mexico is more transparent today than at any time in its past. Violence, though widespread, is still concentrated, and Mexico is taking steps that, if they continue, will stabilize and deepen its democratic rule of law— the building blocks for long-lasting security. Lost in the headlines, Mexico’s real story today is one of fundamental political, economic, and social transformation: from authoritarianism to democracy, from a closed to an open economy, and from a poor society to a middle class nation. Mexico’s hard-fought changes are creating a very different country on the southern U.S. border.

Later posts will explore several aspects of U.S.-Mexican relations in more detail: immigration, economic development, democratization and drug-related violence.

Continued


America’s Right (part 3)

October 25, 2013

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Robert B. Horwitz analyzes the Tea Party as the latest expression of anti-establishment conservatism, a political force that has been around for a long time but has gained support since the decline of the postwar liberal consensus in recent decades. Two particular movements discussed in the previous post–the new religious right and neoconservatism–had largely taken control of the Republican Party by 2000, and their ideas were especially influential in the George W. Bush administration. However, “the Bush presidency…left the country with two long-running, unfinished wars on its hands, a colossal rise in the federal debt, and the worst economic crisis since the Great Depression.” In 2008, the election of Barack Obama gave control of the White House and both houses of Congress (briefly) to the Democrats. The Tea Party emerged in 2009 as an outraged response on the part of extreme conservatives to this sudden change of fortune.

The Tea Party reacted especially strongly to several of the new administration’s policies that they saw as “socialist”: the Troubled Asset Relief Program that lent money to shaky financial institutions (actually initiated under the previous administration), the American Recovery and Reinvestment Act that spent $787 billion to create jobs and stimulate the economy, and the Patient Protection and Affordable Care Act to subsidize health insurance for uninsured Americans. The Tea Party was successful in electing more Republicans in the 2010 midterm election, many of whom openly identified with Tea Party positions.

Demographically, Tea Party supporters are more likely than most voters to be white, male, over 45, evangelical Protestant, Southern or Western, and either Republican or independent. Many have been small business owners. Ideologically, they seem to draw primarily on the libertarian strain in conservative thinking, strongly critical of taxation and business regulation. Tea Party candidates “advocated the continuation of the Bush tax cuts, the repeal of the estate tax, and the replacement of the progressive income tax with a flat tax or national sales tax.” (The “Tea” in Tea Party is also an acronym for “Taxed Enough Already.”) Sometimes they question the very legitimacy of taxation, suggesting that taxing personal income for anything but the most basic government functions amounts to criminal theft. Sometimes they reject modern government agencies–such as the Federal Reserve Board and the Environmental Protection Agency–as unconstitutional, since the Constitution doesn’t specifically authorize them.

Horwitz warns against focusing on Tea Party libertarianism to the point of missing the religious element in the movement. “Accompanying the Tea Party plea to restore genuine capitalism is also a call to restore genuine Christianity.” Tea Partyers are attracted to the writings of W. Cleon Skousen, popularized by Fox News host Glenn Beck. Skousen claims that the inspiration for American principles of limited government came primarily from the Bible, not from the European Enlightenment, with the implication that the modern expansion of government is a deviation from the divinely ordained social order. Senate candidate Sharron Angle said, “Entitlement programs…make government our God.” (She lost, suggesting that associating Social Security with sin is a little much for most voters.) A more popular moral argument against Big Government is that dependency on government undermines personal responsibility.

Although the Tea Party does fuse libertarianism and moral traditionalism to a degree, the movement has not shown much support for the neoconservative moral crusade to bring democracy to other countries. “Neoconservatives are largely in eclipse in the current Tea Party movement,” which is mainly focused on domestic issues.

Horwitz’s analysis and critique of the Tea Party draws on the earlier work of Richard Hofstadter, who described a “paranoid style in American politics” in his effort to understand the popularity of Joe McCarthy and Barry Goldwater. Hofstadter suggested that their supporters were suffering not from real economic deprivation but from “status anxiety,” described in Horwitz’s words as “the psychological sense of loss of rank and place, of an intense feeling of victimhood, and the need to find and punish those responsible for this.” Hofstadter saw the roots of that status anxiety in a transformation of the American liberal tradition:

The New Deal…marked a striking departure from the Populist-Progressive heritage, in Hofstadter’s view. If the old liberalism had been Protestant and ideological, rooted in a backward agrarian ideal, the new liberalism was urban, ethnic, hospitable to non-Protestants, forward-looking, and results-oriented.

The status anxiety experienced by many rural Protestants was often accompanied by anti-intellectualism. Modernization meant new ideas, and new ideas called into question the authority of rural tradition, especially religious tradition. This current of anti-intellectualism surfaces today in the rejection of scientific views on evolution and climate change, and in the moralistic rejection of healthcare reform without regard to its actual consequences. Any number of recent social movements and trends could generate status anxiety in a typical Tea Partyer, such as an older, white, Southern, male, evangelical Protestant small business owner. How about the election of a younger, half-black, northern, liberal Protestant lawyer and community organizer?

Horwitz accepts much of Hofstadter’s analysis, but finds it incomplete. Anti-establishment conservatives may indeed suffer from status anxiety, but that doesn’t entirely explain their success in creating a movement that impacts political culture and decision-making. As a sociologist, Horwitz wants to focus on social institutions, not just psychological dispositions.

A starting point for this analysis is “the structural nature of political power within a mixed capitalist economy.” American society has a real power structure that arouses legitimate populist concerns about individual liberty. Yet participants in populist movements often misunderstand that structure, for example underestimating how much business and government cooperate to maintain a particular kind of capitalism. The Tea Party blamed “socialist” government for the bailout of the banks, but were remarkably forgiving of the financial institutions for the risky policies that brought them to the brink of bankruptcy in the first place. Tea Partyers largely overlook the possibility that modern government has to be big enough to regulate capitalism and protect citizens from the misadventures of the wealthy and powerful.

The bias of the state toward capitalist institutions is both structural and a mainstay of political culture….In times of grave economic crisis, during which the state acts to protect the socio-economic order through an unusual degree of intervention on behalf of capitalist institutions, some significant portion of the American citizenry becomes unnerved about individual autonomy–even when that intervention guards against further economic instability and even depression.

Horwitz’s institutional analysis also focuses on the institutions that anti-establishment conservatives built in order to spread and implement their ideas. These include fundraising networks, conservative media such as Fox News (encouraged by the Reagan administration’s abandonment of the Fairness Doctrine), and many political organizations. Here too, the neoconservatives and religious right prepared the way, especially by recruiting corporate contributors to the cause. Horwitz regards the Tea Party as a legitimate grassroots movement–not just “astroturf”–but it is heavily bankrolled by wealthy businessmen with their own pro-business/anti-government agenda, people who stand to gain from reductions in taxes and regulation. As a result, Tea Party policies “primarily serve the interests of corporate capitalism and the very wealthy,” although they are framed as supporting traditional American individualism.

Finally, Horwitz describes the dogmatism and utopianism of anti-establishment conservatism, which he regards as troublesome for a democratic society. In their zeal to defend their religion from evil government, some religious conservatives would erase the boundary between church and state and try to establish an overtly Christian state. For Horwitz, democracy requires striking a delicate balance between the sacred and the secular:

Democracy insures that people can practice religion freely; democracy must require the separation between church and state to be a democracy. That is the balance that must be struck in a democratic system: individuals can articulate religious arguments in the informal political public sphere, but as those arguments move into the formal institutional political realm they must be translated into secular, reasoned terms, in language and epistemic structure that are in principle accessible to all citizens.

Neoconservatism has also displayed dogmatism and utopianism, especially in its advocacy of global democracy established through American militarism. “The Iraq War was nothing if not a utopian project.”

The particular political phenomenon known as the Tea Party may be a temporary burst of outrage. The greater concern is the larger anti-establishment movement from which it came, and the dogmatic style that it brings to our politics. That style is more suited to opposing government than actually governing. And that, I might add, may explain a lot about today’s Republican Party.