Cognitive dissonance prevents further unraveling

I have been using the analogy of a wound ball of yarn unraveling to describe what is happening with Trump voters. The outer layers represent the more moderate and rational voters who have seen what Trump represents and their support is unraveling. As the ball gets smaller, the unraveling becomes more difficult as the yarn is coated with cognitive dissonance.

One dictionary defines cognitive dissonance as “the state of having inconsistent thoughts, beliefs, or attitudes, especially as relating to behavioral decisions and attitude change.” A definition I hold is calling the dissonance a “disharmony” that is upsetting to the person as it is at odds with what they believe.

When a person is confronted with facts that diminish their belief, they often run home to some source of information to tell them the facts are not true. This is s key reason people like watching pseudo-news sources that tell them what they want to hear. Some even rely on the President’s tweets as a source. But, that is not news – that is opinion from a biased source.

So, unraveling those inner layers is harder. The key to getting through is listening to them and asking follow-up questions. I have cited the example of how an African-American man was able to convince over 200 KKK members to cede their robes. He asked them questions, listened to their answers and followed-up with probing questions. This is as ardent a group of people as could be found, but even an object of their hate was able to reach them and alter their beliefs.

So, in this spirit, here are a few opening questions to pose to folks who disagree with your opinions. Then, listen and follow-up with more probing questions.

– What are your thoughts on placing tariffs on countries?

– What are your thoughts on the President’s meeting with Vladimir Putin?

– What are your thoughts on rolling back environmental regulations?

– What are your thoughts on the economy and our rising debt burden?

– What are your thoughts on the lack of efforts to rein in increasing health care premiums?

– What are your thoughts on better governing immigration issues?

These questions may not lead to opinion changes, but it may help gain some common ground and reveal the problem is more complex than being discussed. Some issues are not being discussed much at all.

Cognitive dissonance is a powerful coating  of protection. Emotion won’t crack it. It can only be unraveled through dialogue.

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A few select statements

A counterpoint response to my comment that the President needs to tell the truth more than he does not, might be “all politicians lie.” Yes, they do, but he laps the field at a 69% rate of untruthfulness per Politifacts.  But, he also makes decisions off his supporting lies.

One that gives me concern is “You can win a trade war.” History has shown this not to be true and we will soon be finding out as Canada just added their retributive tariffs to those of the EU and China. By the way, the lone constant in these three tariffs is the US. The impact is already showing up in economic decisions by companies,

Today he said “the tax cut is the reason for our economic miracle.” That is a stretch in that we are completing 108 consecutive months of economic growth today, which is the second longest in US history. He has only been President for a little more than 17 months and the tax cut has only been in effect for 6 months. As for the long term, I am worried about the tax cut increasing our huge and increasing debt. To be frank, the tax cut will help some short term, but hurt us in the long run.

Yesterday, he noted again “Russia said they did not meddle in our election,” to me implying his tacit support. But, the US intelligence asserts with high confidence that not only Russia did, but the Trump campaign benefited from it. Plus, they said the Russians are still influencing opinion and sowing seeds of discord. The question we must ask is why? Why say this? Why let it go on? Why is Congress not more assertive to get to the bottom of this? Why do you people believe him when he calls the investigation a witch hunt?

Finally, the Affordable Care Act is in need of stabilization and select improvements. Instead, it has been sabotaged at the expense of Americans, once by Congress in 2015 and just last summer by the President. When he defunded payments to insurers for copays and deductibles for families making less than 2 1/2 x poverty limit, he said “it would only impact insurer profits.” That is simply untrue. The CBO noted that the impact would increase the debt by $10 Billion. Why? As insurers raise premiums as a result of picking up this unfunded tab, the premium subsidies would climb by $10 Billion. That means it effects taxpayers by that amount.

The sad truth is there are numerous instances where lies and oversimplified problems and solutions have caused policy decisions. It is hard enough to solve problems when we use facts. It is nigh impossible when we don’t. The truth matters.

 

 

 

 

 

This zero-sum discourse needs to stop

What does zero-sum discourse mean? It means framing topics in terms of who wins and who loses. I fault politicians, pundits and reporters for this mindset. This mindset preceded the current White House incumbent, but he views most everything through a very short-term transactional lens. Did I win?

The dilemma in discussing who wins and loses on actions, speeches or tweets is it takes the focus away from the issues. Does this decision help or hurt the people, environment or region?

I heard a news discussion on whether the US pulling out of the Iran nuclear deal helps or hurts Trump’s image? That is the wrong question among many better questions. Does it make the US safer? Does it make the world safer? Are we harming our relationships with our allies? Are we making a fact based decision as other leaders are questioning the veracity of this decision? And, so on.

Whether it is healthcare, debt, taxes, environment, financial protection, etc., I do not care who wins or loses politically. When people care too much about winning or losing, I can tell you who gets screwed – it is the people they represent.

Americans want Congress to address healthcare, with the majority saying to fix Obamacare. Instead, the President and leaders in Congress have sabotaged it over the past three years making premiums even higher. They want to see it politically fail while screwing American people.

I am tired of the lack of collaboration. I am tired of the abuse of factual information. And, I am tired of this zero-sum discourse. To be frank, our leaders need to stop trying to keep their job and start doing their job.

My former party does not know much about healthcare

The Graham-Cassidy Bill seems to be on its last legs, but these bills are like Jason – just when you think you kill the serial killer, he remains alive. This latest effort may be the worst bill by my former party, which I left in 2006. It is apparent to me that Republican leaders don’t know much about healthcare and don’t care to know or take the time to know. That includes the man in the White House who just wants to sign something that negates something Obama did. “Who knew healthcare could be so complicated?” he asked earlier in the year. The answer “Everyone, but you.”

Every bill either put forth by the Senate this year or passed by the House has been scored poorly by the Congressional Budget Office (CBO), has been not appreciated in polls and has been denigrated by medical and hospital associations. Not involving women, Democrats, experts and due process in the planning revealed a haphazard approach to legislation.The Graham-Cassidy Bill is the worst of the bunch as it places the burden, and eventually all of the financing, on the states. In a nutshell, the bill says we cannot figure this out, so we are punting it to you.

In addition to the tens of millions of Americans negatively affected by these bills, if passed, the authors make a concerted effort to kick people in poverty and near-poverty in the teeth. Since we have a poverty problem in America, these bills are especially cold-hearted. And, Graham-Cassidy gives states the right to do away with pre-existing conditions, which was incorrectly refuted by Cassidy after being called on the carpet by Jimmy Kimmel. Seeing protestors in wheel chairs at the Senate was telling.

Further, I have shared with Senators, Congressional Representatives and the White House, these bills would be dilutive to the economy. Standard & Poor said yesterday in their global report the Graham-Cassidy would harm the American economy by $240 Billion through 2027 and cause 580,000 job losses. In a nutshell, when people in need no longer have insurance, the trade-off becomes between food/ rent and medicine. So, less is spent in the market place which dilutes the economy.

Yet, let me emphasize one thing that has been raised by more than a few state Medicaid Directors and Governors. Building a new healthcare delivery system will take longer than the time given. In my view, it will take longer than even these folks are thinking about. In business and government, leaders tend to vastly underestimate the complexity to set-up administration of things. As President Obama found out, setting up healthcare exchanges was hard and initially failed to deliver.

This is an important observation about the Affordable Care Act. It is in place. It is not in a death spiral and it is not broken. From the lens of fewer uninsured, it has been successful. Yet, it needs improvements, but first it needs to be stabilized. Part of the reason for the latter is the GOP’s efforts to hamstring its success by defunding subsidies for adverse selection to insurers. Coupled with slow funding of other subsidies, nineteen states who did not expand Medicaid and general naysaying, the law has not been given full opportunity to be successful.

So, this retired benefits actuary, consultant and manager recommends the ACA be stabilized under some version of the bipartisan Alexander/ Murray Bill. Then all members of Congress can spend more detailed and thoughtful time in deciding how healthcare can be delivered going forward. My recommendation is they improve the ACA.

The President and Congress own Obamacare

I have written often about the imperfect Affordable Care Act and ways to improve it. I have written often about the Republicans role in sabatoging the ACA making premiums even higher by not funding promised payments to insurers for adverse selection as well as naysaying the law and not expanding Medicaid in 19 states.

This sabatoge continues under this President who says the ACA is in a death spiral. It is hurting in many areas, but stabilizing in others. He said he wants to let it implode and then fix it.

Mr. President, that is not good enough. You are threatening to cease further promised payments to insurance companies which will harm people. You see, what you and Congress fail to realize is you own Obamacare. If it fails, it is on your watch. And, to be frank the significant majority of Americans and the press do not recognize the role you played in hamstringing the imperfect law.

My strong advice is to do what is necessary thinking of its patients and users. Those Americans out there deserve your best efforts to help them. Watching the ACA fail after you greased the skids is extremely poor form and uncaring. It is that simple. Fix the ACA. That is what is done to laws that need it to help people.

Sunday sermon-ettes, the sequel

Good Sunday morning all and enjoy the day. A few tidbits have been bouncing around in my head, so I will commit them to writing for your review and critique. The tidbits are light on religious tone.

Guns and butter: For some reason, in the US we spend more time discussing protecting the right to own a 34th assault weapon than feeding 34 people. We have far too many food deserts in our country where the closest food is a convenience store. Far too many in our country are undernourished. Yet, pick up any local paper on any day of the week, and you will find multiple gun killing stories. Better gun governance is essential, but it is a nonstarter with the NRA who is more interested in gun sales. I think our priorities are off.

Kicking poor people in the teeth: Along those same lines, our President is pushing the Republicans in the Senate to vote on whether to kick 22 million Americans in the teeth or 34 million, many of whom are in poverty or near poverty. It should be noted the President said he would not touch Medicaid. I guess that detail escapes him in his desire to have a photo op of him signing something.

Brexit is a hard pill to swallow: The word Brexit sounds like one of those new fangled drugs to cure something you did not know you should worry about. I think voters were not told the whole story and many are wishing they had a do over. As foretold, the financial companies who based their EU regional business in London, are making definitive plans to move. Bank of America just announced a move to Dublin, Citigroup is moving folks to Frankfurt and other places, and Japanese banks are doing likewise. While I  understand the desire to fully govern your future, the UK is harming its future growth. That is not just my opinion, but that of financial experts.

Shrinking to greatness is not a good strategy: Speaking of financial growth, limiting relationships with other countries is not conducive to growth. And, a venture capitalist noted that what creates jobs is customers. Plus, when we discuss global trade, we need to reflect the whole picture and that is the foreign owned companies who make things here with American workers. Why? Selling big durable products is more cost effective and less risky if they are not shipped from abroad. Just ask BMW, Toyota, Husqvarna, Michelin, Mercedes, Volvo, Mitsibishi, etc. about their plants here in the US.

The bible says many things: There is a minister who upsets a few applecarts by preaching that the bible should not be cherry-picked to support points of view. His obvious example is in Genesis where God tells Adam and Eve to go forth and multiply and then gets mad at them when they like being naked with each other. The question is how did they know how to go forth and multiply? The minister’s premise is we should take away the overarching messages that are taught therein and remember the context of when the bible was written.

So, on that note, go enjoy your day, whether you choose to practice your multiplication tables or not.

 

Ides of July – the heat is on

Summer is in full force here in the Northern Hemisphere. If I don’t get my yard work started before Noon, it is not happening. I worked through 12:30 pm today and am a worn out camper.

Speaking of heat, the Senior and Junior Donald are feeling the heat right now. More than a few conservative reporters, pundits and legislators are concerned over Junior’s zeal to collude with Russia and his evasive storytelling. As Charles Krauthammer noted in his column, the ability for Senior to claim this is a media and Democrat witchhunt is now over.

Continuing with the theme of heat, a large chunk of Antarctica sea ice fell into the ocean. The fact that it was the size of Rhode Island should be a wake up call. Melting sea ice won’t directly increase sea level, but the buffer it provided to land ice is gone. And, as land ice melts, it will become a problem for sea levels. The best description I heard is the sea ice melting is like losing the white edge of your finger nail exposing the more painful parts.

Finally, please provide more heat on Republican Senators before they pass one of the more unpopular and damaging pieces of legislation to repeal and replace the ACA. Not only will the CBO score this poorly, but it is opposed by the National Governors Association, the American Hospital Association, Blue Cross and Blue Shield, the American Cancer Society and AARP to name a few. I encourage these Senators to work with Democrats to improve the ACA, which is the preferred choice of the American public.

If the Republicans pass this into law, they have not seen the heat it will bring on their party. This law will harm Americans and the party who passes it.