Archive for May, 2013

Was the IRS scandal a surprise?

For all with eyes to see (except maybe some folks at The New Yorker) the IRS scandal has been hiding in plain sight for more than a year, I argue in a new Cato post. For example, this site briefly covered the Service’s ridiculously broad documentary demands on Tea Party groups — for things like transcripts of speeches and radio shows and the contents of Facebook and Twitter postings– in March and May of last year.

The Treasury Inspector General’s report on the affair, released yesterday, is here. (Coverage roundup: Paul Caron, TaxProf.) It makes clear that many groups were singled out because of their controversial political stances and then subjected to both objectively unreasonable document demands (e.g., for thousands of pages of documentation) and objectively unreasonable delays (e.g., for two years) in resolving their applications. (The Service seldom if ever actually denied applications from the singled-out groups, perhaps because its actions would then have come under more rigorous court review). Meanwhile, other groups with controversial views of a different political valence were waved through. It is not a question of whether applications for tax exemption should somehow be “approved without question,” as some have contended, but whether they should come under review that is even-handed and with no more delay and regulatory burden than is inherent to the process. At Time, Michael Scherer collects past examples that suggest IRS retaliation against political adversaries is something of a tradition in America. (Similarly: Cato video podcast).

P.S. Defending itself against the Inspector General’s report, the IRS says the applicants flagged for special scrutiny “included organizations of all political views.” It points to three such left-leaning groups — out of 471 in all singled out for extra screening. [Bloomberg via Newser] Much more: Gregory Korte, USA Today (“As applications from conservative groups sat in limbo, groups with liberal-sounding names had their applications approved … the liberal groups applied for the same tax status and were engaged in the same kinds of activities as the conservative groups.”) Meanwhile, L.A. Times columnist Michael Hiltzik is unafraid of going way out on a limb to defend what the Service did: if you don’t want to be harassed for your dissidence, it seems, you shouldn’t have sought (c)(4) status in the first place.

Yet more: Reuters has illuminating coverage of how the Service tried to break one of the year’s biggest stories on a Friday afternoon via a friendly question before a room full of tax lawyers. (“They made a bet that this would be the quietest way to roll it out,” [Eric Dezenhall] said of the IRS strategy. “It didn’t work.”) “Did Citizens United Critics Push the Agency To Misbehave?” asks my Cato colleague John Samples, while Tim Lynch adduces “Some Empirical Evidence of IRS Political Manipulation”. The BBC has a lexicon of political scandal euphemisms (“tired and emotional,” “hiking the Appalachian Trail,” etc.)

Donations please: Sebelius jawbones health care execs

“Health and Human Services Secretary Kathleen Sebelius has gone, hat in hand, to health industry officials, asking them to make large financial donations to help with the effort to implement President Obama’s landmark health-care law, two people familiar with the outreach said.” Congress had earlier turned down a White House funding request for the project, which among other objectives seeks to promote — sorry, “increase awareness of” — the new Affordable Care Act (ACA). Federal law sharply restricts cabinet members’ freedom to fundraise for non-profits while in office, but HHS spokesman Jason Young cited “a special section in the Public Health Service Act [which] allows the secretary to support and encourage others to support nonprofit groups working to provide health information and conduct other public-health activities.” In 2010 the Secretary, who holds wide discretionary power to make life unpleasant for health insurance companies, vowed strict measures against insurers that were undermining the ACA’s popularity by saying they were expecting the law to raise rates. [Sarah Kliff, Washington Post; Michael Cannon, Cato, and follow-up]

Matt Welch on Benghazi and speech

His latest. The Reason editor-in-chief has consistently focused on the Benghazi angle that should most concern libertarians, namely the Administration’s scapegoating of speech (I think I’ll go ahead and coin the term “speech-goating.”) Here he focuses on a David Brooks column seemingly intended as a defense of the process that led to the famed Benghazi talking points, but which winds up putting them in a bad light indeed:

…in the absence of a clear narrative, the talking points gravitated toward the least politically problematic story, blaming the anti-Muslim video and the Cairo demonstrations.

Why was it deemed “the least politically problematic” course to spread an untruth, already widely known to be such by many senior officials, that sought to focus public and world anger on private speech, and by implication on our First Amendment protection of free speech about religion?

One should note carefully Ken White’s powerful argument at Popehat that the arrest of filmmaker Nakoula Basseley Nakoula wasn’t in fact legally irregular because Nakoula had clearly violated the terms of his supervised release and revocation of his release was par for the course under the circumstances.

Even so, the questions remain. The Administration sent Susan Rice out to five talk shows on the weekend of the attacks, where she pressed the line that outrage about the video fueled the attack. Brooks makes the case that interagency rivalries and secrecy got in the way of telling a fuller story. Maybe so. But why should American free speech be left as the “least politically problematic” thing to blame after a terrorist attack?

Medical roundup

  • Hit by stray bullet, wakes from anesthesia fighting, hospital told to pay $17 million [Georgia; Insurance Journal]
  • Study: physician’s previous paid claims history has no impact on odds of catastrophic med-mal payout [Bixenstine et al, JHQ via PoL] Overall, med-mal payouts have fallen steadily in past decade; $3.6 billion figure last year follows strongly regionalized pattern with top per capita figures all in Northeast [Diederich analysis of annual payouts via TortsProf] Florida law now requires that testifying medical witness be in same specialty as defendant [Business Week]
  • In lawsuits alleging “wrongful birth,” what’s the measure of damages? [Gerard Magliocca, Concurring Opinions]
  • ObamaCare exchanges in D.C., California and Connecticut declare smoking “pre-existing condition,” say insurers can’t base higher rates on it [Kevin Williamson, NR]
  • “The Crime of Whitening Teeth with Over-the-Counter Products” [Caleb Brown, Bluegrass Institute]
  • How not to die: Jonathan Rauch on end-of-life overtreatment [The Atlantic]
  • “I’m going to start a rumor that Sudafed is an abortifacient. Then the feds will finally have to allow reasonable access to it.” [me on Twitter]

Want to cut the line at the Disney park? Call my disabled friend

It got started with the handicapped parking placards that in California and elsewhere made their way into the possession of not-so-disabled drivers. Then there were the reports of abuse of airport wheelchair attendant service, which can get you past security fast and which (to avoid litigation, embarrassment, or both) airlines often dispense on request without inquiring into need. Now comes the rentable disabled person to help your kids cut lines at Disney World. Disney allows parties of up to seven to enter attractions separately when one of the party is disabled. According to the New York Post, some affluent Manhattan mothers are happy to pay for the convenience: “The ‘black-market Disney guides’ run $130 an hour, or $1,040 for an eight-hour day.” [Tara Palmeri, “Rich Manhattan moms hire handicapped tour guides so kids can cut lines at Disney World,” New York Post]

P.S. Too good to check? Commenter Marco and Christopher Robbins at Gothamist both have their doubts on whether the hazily sourced accounts might be embellished or worse.

P.P.S. And quite a lot more skepticism about the story from Lesley at XOJane. But (update) an NBC News investigation finds there does seem to be something to the story.

“Alarm fatigue”

Trying to order medications for a heart attack victim using electronic medical records, White Coat is frustrated to run into screen after screen preventing him from completing the order without addressing unlikely allergy issues (and thus protecting the hospital from liability):

For those of you who don’t know what alarm fatigue is, think of a car alarm. The first time you hear it going off, you run to your window to see who’s breaking into a car. Maybe you run to the window the second time and the third time, too. By the tenth time the alarm goes off, you’re thinking that the alarm is broken and someone needs to get that fixed. After about thirty false alarms, you’re feeling like going out there and busting up the car yourself – especially if the car alarm wakes you when you’re asleep.

It’s a concept with many applications beyond the emergency room setting, too, product warnings being just the start.

P.S. Dr. Westby Fisher has some related thoughts about the limits of trying to engineer physician responsibility through electronic records design.

“Keep Calm and Carry On” copyright controversy

You’d think if anyone owned the phrase, it would be Her Majesty’s Government or, failing that, the bookselling couple in the North of England who brought the W.W. II-vintage poster back from obscurity. But one former TV producer has different ideas, and would like to own the rights. [CBS News (autoplays; I’ve removed the previously embedded video because I couldn’t disable autoplay); earlier]

Feds unveil new, drastically restrictive, campus speech regime

FIRE, Hans Bader, Eugene Volokh and other free speech advocates are sounding the alarm about remarkable and extreme guidelines on university discipline emanating from the Department of Justice Civil Rights Division and Education Department Office of Civil Rights. I’ve got more details at Cato at Liberty. Earlier here, here, etc.

May 14 roundup