Employee Health Care Costs

September 4, 2010
Posted by Jay Livingston

It always seemed to me that the loud and vitriolic opposition to health care reform wasn’t really about health care. (My earlier post on this is here.) I found it hard to believe that so many people were so rapturously pleased with the current system and its direction and so angrily opposed to any changes. I had only two explanations based on rationality:

• Most people had no way to compare the current US system with the less expensive and often better health care in other countries
• People who got health care via their jobs could not see the true costs of those plans.

On the second point, Aaron Carroll at The Incidental Economist reprints some charts from the Kaiser Family Foundation annual survey of employee health benefits. Here are two of them.

(Click on the chart for a larger view.)

A huge increase in prices, and people rallying in the streets NOT to change it? As Carroll says, the true costs of this increase are not easy to see.

employees actually pay the full cost of premiums (including the “employer” share) in the form of slower wage growth. Nevertheless, few workers understand this. The perception is that only the employee share is paid by workers. But that’s gone up too, so perception and truth align. Employees are paying more.

With a BA in Sociology

September 2, 2010
Posted by Jay Livingston

“How much of what you do on your job did you learn in law school?” I asked.

Morning coffee on the porch of a small inn across from the boardwalk at Ocean Grove earlier this week. My fellow guest – our families had just met, there on the veranda – was a lawyer, in charge of licensing for a healthcare group that includes some important hospitals in New England. He smiled and shook his head.

“None of it.”

“On the job?” I asked.

He nodded.

Then he said, “What I learned in school was how to learn, how to think.”

Which is exactly what I tell students when they ask the inevitable question, “What kind of job can I get with a sociology degree?” I have a standard answer: “College is not trade school; it’s not job training.”

Montclair students usually don’t believe me, and I can’t blame them. They know that they need a college degree to get a good job, so they figure each major must teach something that employers find useful. Different majors, different employers. So I say, “Ask your parents where they got the skills and knowledge they need for their jobs. Chances are they learned 95% of it on the job.”

I used to make an exception for post-BA professional training – law school, med school, etc. Now I’ll have to revise even that.

“What you’re learning in college,” I say, “is how to learn, how to think, how to read, and how to write.” Then I add, “You can do that in any major, so you may as well choose the department with the ideas or courses or professors that you really like or where you’ll have the best time.”
Making important school choices based on the enjoyment of learning?? That probably clashes with just about everything in their experience of the previous twelve years. In any case, I usually get the feeling they still don’t believe me.

My colleague Yasmein Besen-Cassino, who sometimes teaches statistics, has a different and probably more effective strategy. “Go to Monster.com and enter ‘SPSS,’” she tells them.

Honor Not So Bright

August 31, 2010
Posted by Jay Livingston

“Restoring Honor” was the theme of Glenn Beck’s rally. No signs, no politics, no policies, just positive principles.

Honor is one of those values that we’re all supposed to cherish. But in most cases, I find it harder and harder to distinguish honor from narcissism and brittle pride, an overweening concern for what people might be thinking of you.*

When someone feels he has lost honor because of what he himself has done, the result can be a resolve to improve, or it can be depression, even suicide. But when he feels his honor has been lost because of what another has done, things can get nasty. Under those circumstances, people usually go about restoring honor not by doing something for someone else, but by doing something to someone else. Think “honor” killings.

I can’t see where our country has lost any honor since Obama took office. A lot of jobs and many houses, maybe some of our hope, optimism, and confidence. But not honor. Beck and his followers disagree. They feel we’ve lost our honor. I’m also sure that they do not see that loss of honor as stemming from anything that they themselves have done. Little surprise then that most Tea Party rallies seem to run on anger.

Ever since the anti-Obama forces fought so hard against healthcare reform, it seemed to me that what motivated them – more so than policies on healthcare, economics or anything else – was ressentiment. So despite the Beck rally awards for “Faith, Hope, and Charity,” despite Beck’s claiming to “reclaim the civil rights movement” (yes, that’s what he actually said), the theme of honor, especially coupled with the glorification of the military, suggests that what they want is something much less benign. They want revenge. As Paul Krugman wrote yesterday, “This is going to be very, very ugly.”


* For more skepticism about honor as a virtue, see my post on the Landon school.

Choosing My Confessions (A Sunday Post)

August 29, 2010 Posted by Jay Livingston

What happens to clergy who no longer believe?

It suddenly hit me: “growth” is a euphemism for “I don’t believe the same crap I did when I started my divinity school training.”

This quote at Missives from Marx provides one answer: they use psychobabble to turn apostasy into “growth.” But then what do they do? Who do they tell? Do they leave? How do they handle the contradictions?

The quote took me back to “Marjoe,” the 1972 documentary about Marjoe Gortner, child revivalist prodigy at age four. When we see him in the film, still preaching in his twenties, he has lost his belief. The film (go here for excerpts) follows him on his last tour.

I have used “Marjoe” in class to illustrate Goffman’s idea that what is crucial for a situation is the performance. Whether that performance is sincere or cynical is secondary or even irrelevant. Marjoe, alone in his motel room (alone except for the film crew), tells us that he doesn’t believe in God. But when he preaches – laying on hands, speaking in tongues, working the crowd, and generally doing a great job – we realize that his unbelief doesn’t matter.

It makes you wonder about the other preachers. They all have their gimmicks; after all, they do need to rouse the audience (and raise money). They may still believe strongly in God and Jesus and the Bible. Or they may not. There’s no way to know.

Here’s how I’m handling my job on Sunday mornings: I see it as play acting. I kind of see myself as taking on a role of a believer in a worship service, and performing. Because I know what to say. I know how to pray publicly. I can lead singing. I love singing. I don’t believe what I’m saying anymore in some of these songs. But I see it as taking on the role and performing. Maybe that’s what it takes for me to get myself through this, but that’s what I’m doing.

That’s not Marjoe 1972. It’s “Adam,” currently a minister in a Church of Christ congregation in South Carolina. The quote appears in “Preachers Who Are Not Believers,” by Daniel C. Dennett and Linda LaScola. Their sample is small (N=5), but that’s probably five more than anyone else has come up with as far as I know. Dennett and LaScola present the five as individual case studies, tracing both the institutional and internal aspects of their careers.

Nonbelieving preachers in 2010 have much in common with homosexuals (especially in earlier eras). For example, the authors note that “atheist ‘gaydar’ is not yet a well-developed sensitivity among the clergy”

Among their fellow clergy, they often develop friendships, and suspecting that their friends share their views, they gingerly explore the prospect, using all the ploys that homosexuals have developed over the centuries: “And I let on like I do have an uncle who’s a non-believer, and he always said, ‘You know, it’s…’”

An uncle -- yeah, right.

“Coming out” is difficult because of the web of institutions (work, family) that define them. So the preachers must devise strategies for handling their secret – practical strategies for dealing with others and psychological strategies for resolving the personal contradictions.

The article sounds much like Chicago sociology-of-deviance studies that go back nearly 100 years. Yet it was published in a journal called Evolutionary Psychology, though its links to that field remain hidden, at least to me. I guess evol-psych works in mysterious ways its wonders to perform.