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Desert Storm after 25 years: Confronting the exposures of modern warfare


Event Information

June 16, 2016
3:00 PM - 5:00 PM EDT

SEIU Building
1800 Massachusetts Ave. NW
Washington, DC

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By most metrics, the 1991 Gulf War, also known as Operation Desert Storm, was a huge and rapid success for the United States and its allies. The mission of defeating Iraq's army, which invaded Kuwait the year prior, was done swiftly and decisively. However, the war's impact on soldiers who fought in it was lasting. Over 650,000 American men and women served in the conflict, and many came home with symptoms including insomnia, respiratory disorders, memory issues and others attributed to a variety of exposures – “Gulf War Illness."

On June 16, the Center for 21st Century Security and Intelligence at Brookings and Georgetown University Medical Center co-hosted a discussion on Desert Storm, its veterans, and how they are faring today. Representative Mike Coffman (R-Col.), the only member of Congress to serve in both Gulf wars, delivered an opening address before joining Michael O’Hanlon, senior fellow at Brookings, for a moderated discussion. Joel Kupersmith, former head of the Office of Research and Development of the Department of Veterans Affairs, convened a follow-on panel with Carolyn Clancy, deputy under secretary for health for organizational excellence at the Department of Veterans Affairs; Adrian Atizado, deputy national legislative director at Disabled American Veterans; and James Baraniuk, professor of medicine at Georgetown University Medical Center.

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The Future of Russia: Observations from the Tenth Annual Valdai Conference


The tenth anniversary meeting of the “Valdai International Discussion Club” –a forum that brings together foreign Russia experts with top Russian officials, politicians, journalists and academics—conveyed two strong messages from the Kremlin: Russia is fully back on the world stage seeking a leadership role; and Russia offers the world an alternative value system to that of the West, which has lost its moral compass. No one made these points more vigorously than Vladimir Putin himself, who has dined with the group for the past decade. He was in top form, exuding self-confidence and decisiveness. Yet the forum itself, though Kremlin-sponsored, also had discordant voices, including several vocal critics of the way Putin’s Russia is run.

The meeting this year took place in a picturesque resort on Lake Valdai, 250 miles from Moscow. It was the largest ever, with more than 200 participants. The official theme was “Russia’s Diversity for the Modern World” and focused on how Russia should define its national identity. In some ways, every Valdai meeting—and I have attended all ten—has had as its underlying theme the “whither Russia question”, even at the session in Siberia when we were discussing whether Russia was indeed an energy superpower. But this year the question of Russia’s uniqueness and its place in the world was the main focus.

Sergei Karaganov, one of the meeting’s co-organizers, was hardly upbeat. He began the forum on a cautionary note, saying that Russia had wasted the last twenty years and that the only idea that still unites Russians is their victory in World War Two.

Unlike in previous years, both the liberal and moderate nationalist political opposition was represented. Two of the most notable interventions were by Yevgeny Roizman, the controversial newly-elected major of Yekaterinburg and Ksenia Sobchak, daughter of Anatoly Sobchak, the liberal mayor of St. Petersburg who gave Putin his post-Soviet political start in the early 1990s. Roizman gave a spirited defense of the importance of ending politics as usual in the corrupt provinces. Sobchak made an impassioned plea for her generation of urban, educated 30 –somethings. Her message: we reject the traditional Russian political patronage model, we don’t want a president who addresses us as a father talks to his children, we want to be treated as independent adults responsible for the decisions they make and we don’t want to rely on the state. And, she added, we didn’t grow up in the USSR, we have no nostalgia for the Soviet Union, we don’t care about Russia being a great power and we reject anti-Americanism. Indeed, we like the West.

One of the eternal questions about Russia’s identity—whether Russia is European, Asian or Eurasian—was addressed in a day-long session at the Iversky monastery, founded in 1653 and elegantly restored in recent years. In a panel highlighting Russia’s role as a multi-ethnic, multi-confessional state whose inhabitants have for centuries included Orthodox Christians, Jews, Moslems and Buddhists, Metropolitan Hilarion delivered a strong message. Russian Orthodox Christians, he said, are the true harbingers of traditional Christian values, while Western Protestants have embraced liberal values on issues such as abortion, homosexual rights and gay marriage that undermine Christian morality. These views were reflected in President Putin’s prepared speech, when he reiterated that Russia supports traditional Christian morality and opposes same-sex marriage. Moreover, both Putin and the Russian clergy emphasized that Orthodox Christians and Moslems share a commitment to traditional morality, highlighting their common bonds – and differentiating them on common grounds from the West.

One of Putin’s main foreign policy projects for his third term is his proposed Eurasian Union, a topic that provoked some lively discussion. Russian speakers argued that the Kremlin had “left the imperial paradigm behind”, and that this union would be an organization of equals akin to the European Union. Moldovan and Ukrainian speakers, by contrast, discussed the growing economic and political pressure that Russia is putting on them to reject the EU in the run-up to the Vilnius summit in November. Brussels is poised to offer Ukraine and Moldova Association Agreements that Russia claims would adversely impact both countries’ continuing economic ties to Moscow. Without Ukraine, the Eurasian Union will not fulfill the Kremlin’s ambition to create a grouping of post-Soviet states as a counterbalance to the European Union.

Russia’s growing global role in the wake of its Syria initiative was the main focus of discussions with the top officials who came to Valdai—Foreign Minister Sergei Lavrov, Defense Minister Sergei Shoigu and head of the Presidential Administration Sergei Ivanov. They were clearly buoyed by the fact that Russia had taken the initiative in organizing the agreement to rid Syria of its chemical weapons, and stressed that, they favor a strong, secular Syria. The Opposition, they claimed, was up to 75% controlled by Al Qaeda. There seemed to be agreement that not all of the chemical weapons would be found and destroyed, but that enough could be destroyed to accomplish Russian and American goals. And they repeated Russia’s claim that chemical weapons were used only by the Opposition and not by Assad’s own forces.

Shoigu addressed the question of military reform by quoting Russia’s pre-revolutionary Prime Minister Pyotr Stolypin who said “Give us money and time, and you won’t recognize our armed forces.” He expressed concern about the situation in Afghanistan after NATO’s withdrawal next year, and questioned who would form the next generation of leaders in Kabul. He reiterated that U.S. missile defense programs were ultimately aimed at Russia, not Iran or North Korea, but also suggested developing joint U.S-Russian ABM systems. NATO, he said, is a threat to Russia. What else was NATO enlargement, if not directed against Russia? His message to the group-no more new entrants to NATO.

In previous years, President Putin has met with foreign participants only in a private setting, but for this tenth anniversary the format of the Putin meeting changed. He sat on the stage with four discussants—former German Defense Minister Volker Ruehe, former Italian Prime Minister Romano Prodi, former French Prime Minister Francois Fillon and President of the U.S-based Center for the National Interest Dimitri Simes. They addressed foreign and Russian participants and the four-hour meeting was televised.

Putin gave a vigorous defense of Russia as the standard-bearer of traditional Christian morality, arguing that the United States and Europe had rejected the Christian roots that form the basis of Western civilization. Criticizing “excessive political correctness” he declared that the European multicultural project had failed. He also warned that attempts by un-named powers to revive the model of a unipolar world had also failed. Stressing Russia’s right to have a seat at the table on all decisions of major international importance, he invoked the times when Russia had made an important contribution to world peace—the Congress of Vienna in 1815 and the Yalta Conference in 1945. He warned that when Russia was excluded—for instance from the 1919 Treaty of Versailles—this led to war. His message on Syria was clear—Russia took the initiative and had helped the United States by proposing an agreement to rid Syria of its chemical weapons stockpiles. And it expects to continue to be respected as an indispensable global player.

For anyone who has followed the Kremlin’s fraught relationship with the Opposition since the December 2011 Bolotnaya demonstrations protesting the results of the Duma elections, Putin’s interactions with representatives of the Opposition appeared to represent a shift in policy. He answered their questions about the need for political reform and more individual freedom by suggesting that these issues will be examined in the future—without committing himself to any particular course of action. The fact that these exchanges were televised live gave the impression that the Kremlin feels confident enough that the Opposition represents no real threat that it can engage in a dialogue with its more mainstream representatives. After all, there were no extreme nationalists or hard-core socialists there. Opposition leader Alexei Navalny, who won 27% of the vote in the recent Moscow mayoral elections, was also absent, having apparently turned down an invitation to participate.

Putin was evasive about his future plans. When asked if he would run for office again in 2018, he did not rule it out. He noted approvingly that Angela Merkel was about to win a third term, as he had last year. He certainly gave the impression of being fully engaged, with ambitious—albeit undefined-- plans for Russia. The Russian economy may be experiencing low growth rates, but the main Valdai message was that Putin’s Russia is eager to engage the world, offering an alternative to a troubled West that has rejected major tenets of its own civilizational heritage.

Authors

Image Source: © POOL New / Reuters
      
 
 




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The Advantages of an Assertive China: Responding to Beijing’s Abrasive Diplomacy

Over the past two years, in a departure from the policy of reassurance it adopted in the late 1990s, China has managed to damage relations with most of its neighbors and with the United States. Mistrust of Beijing throughout the region and in Washington is palpable. Observers claim that China has become more assertive, revising…

       




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The Economics of the Cross-Strait Services Agreement

On March 30, 2014, 500,000 Taiwanese, according to some observers, gathered in a rally against the hasty ratification of the contentious Cross-Strait Services Trade Agreement (CSSTA). The rally marked the climax of the recently concluded 24-day student-led sit-in protest inside Taiwan’s Legislative Yuan (LY). Some considered the protest’s rationale plausible and others did not; regardless, a sound resolution…

       




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Strengthening Medicare for 2030 - A working paper series


The addition of Medicare in 1965 completed a suite of federal programs designed to protect the wealth and health of people reaching older ages in the United States, starting with the Committee on Economic Security of 1934—known today as Social Security. While few would deny Medicare’s important role in improving older and disabled Americans’ financial security and health, many worry about sustaining and strengthening Medicare to finance high-quality, affordable health care for coming generations.

In 1965, average life expectancy for a 65-year-old man and woman was another 13 years and 16 years, respectively. Now, life expectancy for 65-year-olds is 18 years for men and 20 years for women—effectively a four- to five-year increase.

In 2011, the first of 75-million-plus baby boomers became eligible for Medicare. And by 2029, when all of the baby boomers will be 65 or older, the U.S. Census Bureau predicts 20 percent of the U.S. population will be older than 65. Just by virtue of the sheer size of the aging population, Medicare spending growth will accelerate sharply in the coming years.


Estimated Medicare Spending, 2010-2030



Sources: Future Elderly Model (FEM), University of Southern California Leonard D. Schaeffer Center for Health Policy & Economics, U.S. Census Bureau projections, Medicare Current Beneficiary Survey and Centers for Medicare & Medicaid Services.

The Center for Health Policy at Brookings and the USC Leonard D. Schaeffer Center for Health Policy and Economics' half-day forum on the future of Medicare, looked ahead to the year 2030--a year when the youngest baby boomers will be Medicare-eligible-- to explore the changing demographics, health care needs, medical technology costs, and financial resources that will be available to beneficiaries. The working papers below address five critical components of Medicare reform, including: modernizing Medicare's infrastructure, benefit design, marketplace competition, and payment mechanisms.

DISCUSSION PAPERS

  • Health and Health Care of Beneficiaries in 2030, Étienne Gaudette, Bryan Tysinger, Alwyn Cassil and Dana Goldman: This chartbook, prepared by the USC Schaeffer Center, aims to help policymakers understand how Medicare spending and beneficiary demographics will likely change over the next 15 years to help strengthen and sustain the program.
  • Trends in the Well-Being of Aged and their Prospects through 2030, Gary Burtless: This paper offers a survey of trends in old-age poverty, income, inequality, labor market activity, insurance coverage, and health status, and provides a brief discussion of whether the favorable trends of the past half century can continue in the next few decades.
  • The Transformation of Medicare, 2015 to 2030, Henry J. Aaron and Robert Reischauer: This paper discusses how Medicare can be made a better program and how it should look in 2030s using the perspectives of beneficiaries, policymakers and administrators; and that of society at large.
  • Improving Provider Payment in Medicare, Paul Ginsburg and Gail Wilensky: This paper discusses the various alternative payment models currently being implemented in the private sector and elsewhere that can be employed in the Medicare program to preserve quality of care and also reduce costs.

Authors

Publication: The Brookings Institution and the USC Schaeffer Center
     
 
 




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What America’s retirees really deserve


Social Security faces a financial shortfall. If Congress does nothing about it, current projections indicate that benefits will be cut automatically by 21 percent in 2034. Congress could close the gap by raising revenues, lowering benefits, or doing some of both. If benefits seem generous, Congress is likely to lean toward benefit cuts more than revenue increases. If they seem stingy, then the reverse.

Given the split between the two parties on whether to cut benefits or to raise them, evidence on the adequacy of benefits is central to this key policy debate. Those perceptions will help determine whether Social Security continues to provide basic retirement income for workers with comparatively low earnings histories and a foundation of retirement income for most others or it will become just a minimal safety-net backstop against extreme destitution?

Down-in-the-weeds disagreements among analysts often seem too arcane for anyone other than specialists. But sometimes they are too important to ignore. A current debate about the adequacy of Social Security benefits is an example.

The not-so-simple question is this: are Social Security benefits ‘generous’ or ‘stingy’? To answer this question, people long looked to the Office of the Social Security Actuary. For many years that office published estimates of something called the ‘replacement rate’—that is, how high are benefits paid to retirees and the disabled relative what they earned during their working years. A 2014 retiree with median earnings had average lifetime earnings of about $46,000. That worker qualified for a benefit at age 66 of about $19,000, a replacement rate of about 41%. Replacement rates vary with earnings. Dollar benefits rise with earnings, but they rise less than proportionately. As a result, replacement rates of low earners are higher than replacement rates of high earners.

As you might suppose, there are many ways in which to compute such ‘replacement rates. Because of analytical disputes on which method is best, the Social Security trustees in 2014 decided to stop including replacement rate estimates in their annual reports.

In December 2015, the Congressional Budget Office (CBO) offered what it considered a better measure of the generosity of Social Security. It estimated that replacement rates for middle income recipients were about 60%–dramatically higher than the 41% that the Social Security Trustees had estimated.

The gap between the estimates of CBO and those of Social Security is even larger than it seems. To see why, one needs to recognize that to sustain living standards retirees on average need only about 75% to 80% as much income as they did when working. Retirees need less income because they are spared some work-related expenses, such as transportation to and from work. Those are only average of course; some need more, some less.

If one believed the SSA actuaries, Social Security provides median earners barely more than half of what they need to be as well off as they were when working. Benefit cuts from that modest level would threaten the well-being for the majority of retirees who are entirely or mostly dependent on Social Security benefits—and especially for those with large medical expenses uncovered by Medicare.

On the other hand, if one accepted CBO’s estimates, Social Security provids more than three-quarters of the retirement income target. Against that baseline, benefit cuts would still sting, but they would pose less of a threat, and not much of a threat at all for most retirees who have some income from private pensions or personal savings.

When the CBO estimates came out, conservative commentators welcomed the findings and cited CBO’s well-established and well-earned reputation for objectivity. They correctly noted that many retirees have additional income from private pensions, 401ks, or other personal savings, and asserted that there was no general retirement income shortage. By inference, cutting benefits a bit to help close the long-term funding gap would be no big deal. Social Security advocates were put on the defensive, hard-pressed to challenge the estimates of the widely-respected Congressional Budget Office.

But earlier this year, CBO acknowledged that it had made mistakes in its Decameter estimates and revised them. The new CBO estimate put the replacement rate for middle-level earners at around 42%, almost the same as the estimate of the Social Security actuaries, not the much higher level that had sent ripples through the policy community. One conservative analyst, Andrew Biggs, who had trumpeted the initial CBO finding in The Wall Street Journal, promptly and honorably retracted his article.

Two aspects of this green-eyeshade kerfuffle stand out. The first is that policy debates often depend on obscure technical analyses that are, in turn, remarkably sensitive to ‘black-box’ methods to which few or no outsiders have ready access. The second is that CBO burnished its reputation for honesty by owning up to its own mistakes — in this case, a whopping overestimate of a key number. Such candor is all too rare; it merits notice and praise.

But there is a broader lesson as well. Technical issues of comparable complexity surround numerous current political disputes. Is Bernie Sanders’ single-payer plan affordable? Will Marco Rubio’s tax plan cause deficits to balloon? To vote rationally, people must struggle to see through the rhetorical chaff that surrounds candidates’ favorite claims. There is, alas, no substitute for paying close attention to the data, even if they are ‘down in the weeds.’


Editor's note: This piece originally appeared in Fortune.

Authors

Publication: Fortune
Image Source: Ho New
      
 
 




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Universal Service Fund Reform: Expanding Broadband Internet Access in the United States


Executive Summary

Two-thirds of Americans have broadband Internet access in their homes.[1] But because of poor infrastructure or high prices, the remaining third of Americans do not. In some areas, broadband Internet is plainly unavailable because of inadequate infrastructure: More than 14 million Americans – approximately 5 percent of the total population – live in areas where terrestrial (as opposed to mobile) fixed broadband connectivity is unavailable.[2] The effects of insufficient infrastructure development have contributed to racial and cultural disparities in broadband access; for example, terrestrial broadband is available to only 10 percent of residents on tribal lands.[3]

Even where terrestrial broadband connectivity is available, however, the high price of broadband service can be prohibitive, especially to lower income Americans. While 93 percent of adults earning more than $75,000 per year are wired for broadband at home, the terrestrial broadband adoption rate is only 40 percent among adults earning less than $20,000 annually.[4] These costs also contribute to racial disparities; almost 70 percent of whites have adopted terrestrial broadband at home,   but only 59 percent of blacks and 49 percent of Hispanics have done the same.[5]

America's wireless infrastructure is better developed, but many Americans still lack wireless broadband coverage. According to a recent study, 3G wireless networks cover a good portion of the country, including 98 percent of the United States population,[6] but certain states have dramatically lower coverage rates than others. For example, only 71 percent of West Virginia's population is covered by a 3G network.[7] Wireless providers will likely use existing 3G infrastructure to enable the impending transition to 4G networks.[8] Unless wireless infrastructure expands quickly, those Americans that remain unconnected may be left behind.

Though America is responsible for the invention and development of Internet technology, the United States has fallen behind competing nations on a variety of important indicators, including broadband adoption rate and price. According to the Organization for Economic Cooperation and Development's survey of 31 developed nations, the United States is ranked fourteenth in broadband penetration rate (i.e. the number of subscribers per 100 inhabitants); only 27.1 percent of Americans have adopted wired broadband subscriptions, compared to 37.8 percent of residents of the Netherlands.[9]

America also trails in ensuring the affordability of broadband service. The average price for a medium-speed (2.5Mbps-10Mbps) Internet plan in America is the seventeenth lowest among its competitor nations. For a medium-speed plan, the average American must pay $38 per month, while an average subscriber in Japan (ranked first) pays only $22 for a connection of the same quality.[10]

The National Broadband Plan (NBP), drafted by the Federal Communication Commission and released in 2010, seeks to provide all Americans with affordable broadband Internet access.[11] Doing so will not be cheap; analysts project that developing the infrastructure necessary for full broadband penetration will require $24 billion in subsidies and spending.[12] President Obama’s stimulus package has already set aside $4.9 billion to develop broadband infrastructure,[13] and some small ongoing federal programs receive an annual appropriation to promote broadband penetration.[14] However, these funding streams will only account for one-third of the $24 billion necessary to achieve the FCC's goal of full broadband penetration.[15] Moreover, developing infrastructure alone is not enough; many low-income Americans are unable to afford Internet access, even if it is offered in their locality.

To close this funding gap and to make broadband more accessible, the National Broadband Plan proposes to transform the Universal Service Fund – a subsidy program that spends $8.7 billion every year to develop infrastructure and improve affordability for telephone service – into a program that would do the same for broadband Internet.



[1] Federal Communications Commission, Connecting America: The National Broadband Plan 23 (2010) [hereinafter National Broadband Plan].
[2] Id. at 10.
[3] Id. at 23.
[4] Id.
[5] Id.
[6] Id. at 146.
[7] Id.
[8] Id.
[9] Organization for Economic Cooperation and Development, OECD Broadband Portal, OECD.org, (table 1d(1)) (last accessed Jan. 28, 2011).
[10] Id. (table 4m) (last accessed Jan. 28, 2011).
[11] National Broadband Plan, supra note 1, at 9-10.
[12] Id. at 136.
[13] Id. at 139.
[14] Id.
[15] Id.

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Authors

Image Source: Donald E. Carroll
      
 
 




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