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Anyway, what I find more disjointed isn't the claim about Massachusetts – I largely agree with that one. What I find inconsistent is Krugman's rush to a national public plan at all in light of problems at the state level still. The most recent post on my blog is one about exactly this – letting the states take the initiative on health reform the way they did with welfare reform. To the extent that any states perform especially well, those best practices can be applied elsewhere. Some things can and should be done nationally this year: eliminating the tax priveleges of employer coverage, adjusting Medicare fee-for-service, and perhaps expanding Medicaid somewhat if that seems appropriate. But I don't understand the logic of the rush to the national public plan. One thing I actually did find refreshing and different in this morning's article was that for once Krugman somewhat silenced the public plan drumbeat and outlined in broader terms what needs to be accomplished.

I'm amazed that Krugman, as the preeminent Keynesian today when it comes to macro policy, completely ignores Keynes's advice on reform:

"You are engaged on a double task, Recovery and Reform;–recovery from the slump and the passage of those business and social reforms which are long overdue. For the first, speed and quick results are essential. The second may be urgent too; but haste will be injurious, and wisdom of long-range purpose is more necessary than immediate achievement… even wise and necessary Reform may, in some respects, impede and complicate Recovery."

Good post Don – have a good weekend everybody.