The Best Damn Reason Ever to Get the Hell Out of Afghanistan

Via Politico:

Prominent conservative foreign policy thinkers and activists who backed the Iraq war are circulating a letter to President Obama supporting his engagement in Afghanistan against criticism from left and right, and urging him to stay the course.

At least they're not calling it a cakewalk.

Seriously, it's time for this nation to have a very serious, sane discussion of our intervention in Afghanistan. The conservatives challenge Obama to "...free Afghans from the chains of tyranny, and keep America safe...to fully resource this effort, do everything possible to minimize the risk of failure, and to devote the necessary time to explain, soberly and comprehensively, to the American people the stakes in Afghanistan, the route to success, and the cost of defeat."

I, too, challenge the president to explain, soberly, comprehensively and realistically what America gets for all that blood and treasure. Maybe he should read this book in preparing his explanation. He is indeed dealing with "the logic of human messiness" which is seldom amenable to change by force of arms.

Holy Contradiction!

Roman Catholic bishops are weighing in on the health care finance debate. Not surprisingly they want proscriptions on abortion funding and protection for conscientious objection to abortion among medical proviers. Some are also warning against "socialization" and "monopolizing" and big government. They assert the Catholic social teaching of "subsidiarity" - essentially, that decisions are best made at the lowest level possible.

It's a most attractive idea--very American--but certainly ironic in a religion that boasts an authoritarian heirarchy and rule by decree of a supposedly infallible bishop selected from a small coterie.

Just sayin'

A Very Model Practice

Washington Post today has a story about Group Health Cooperative, the Washington State health care system that has served this area for the past 60 years. The cooperative, which is both insurer and provider, is often mentioned as an alternative to the public option in reforming health care finance. Group Health has a good reputation and the number of complaints is minuscule compared to other insurers. The description of care at Group Health reads much like the VA practice model:

Everything at Group Health's 26 clinics are integrated. So when a patient meets with their doctor, all their records with any other Group Health specialist is immediately available. Patients are encouraged to make appointments online, and e-mail or call their physicians with questions, keeping them from having to make frequent office visits for easily answered concerns. Group Health says that it saves more than $12 million a year by resolving routine patient questions through a 24-hour phone line that is staffed by nurses and doctors.

I don't know if the VA saves $12 million a year with its 24/7 phone line. I do know that I can speak with a nurse at any time if I have a concern.

What the Group Health and VA practice models tell me is that cost-effective health care is possible. What's best is that these models emphasize primary care, a service that is increasingly scarce in the contemporary fee-for-service model.

Neither may be a panacea but both are models should be strongly encouraged in the way we pay for health care.

William Calley, My Lai and Lockerbie

Over at Tom Dispatch Nick Turse has probably the most insightful take on William Calley's remorse for My Lai.