OPINION 4A THE DAILY ASTORIAN • TUESDAY, MAY 12, 2015 Republicans climb on the clown bus Founded in 1873 STEPHEN A. FORRESTER, Editor & Publisher LAURA SELLERS, Managing Editor BETTY SMITH, Advertising Manager CARL EARL, Systems Manager JOHN D. BRUIJN, Production Manager DEBRA BLOOM, Business Manager HEATHER RAMSDELL, Circulation Manager Hospital raises its game B Columbia Memorial’s deal with OHSU brings cancer care here eing diagnosed with a serious illness and then confront- ing a 100- to 200-mile commute for radiation treatment ¿YHGD\VDZHHNIRU¿YHWRHLJKWWRZHHNVKDVEHHQDKDQGLFDS of living where we do. Cancer is bad enough without losing dozens of days away from family, home and employment. Building upon Clatsop County’s already impressive health care infrastructure, a partnership formally announced Saturday between Columbia Memorial Hospital and Oregon Health and Sciences University to create the Knight Cancer &ROODERUDWLYH ZLOO ¿OO PRVW RI this gap. The project is a new 18,000-square-foot comprehen- sive cancer treatment center and specialty clinic in Astoria. Construction will start in 2016. Creation of such an asset in a county with fewer than 40,000 people is a stellar achievement — the sort of community invest- ment that sets the stage for addi- WLRQDOSURJUHVV2+68RI¿FLDOV last week made clear their zeal IRUH[WHQGLQJWRSÀLJKWFDUHEH- yond OHSU’s hilltop location in Portland to the rest of the state. The partnership with CMH is a major step toward this goal. It has helped inspire similar talks with local healthcare providers in The Dalles and Coos Bay. The fact that Astoria is the ¿UVW WR EHQH¿W IURP WKLV RXW- reach is a tribute to the lead- ership of a number of local in- dividuals. Several years ago, CMH’s board and CEO Erik Thorsen made a positive effort to seek novel ways of address- ing health needs, correctly iden- tifying OHSU as the best place to go to obtain the specialties and depth of advanced care that were lacking here. Both knew n 2008, Mike Huckabee ran for president as a likable chucklehead who had lost 100 pounds. And you can, too! Now he’s running for president as a grievance-burdened theocrat who has lost his mind. In the in- terim, he lent his name to infomer- cials hawking a dubious di- abetes treat- ment of cinna- mon and some other concoc- tion, putting the Huckster in Huckabee. In 2005, Carly Fiorina was fired as Timothy chief execu- Egan tive officer of Hewlett-Pack- ard, after laying off nearly 30,000 people and overseeing the collapse of the company’s stock price. She left with a $21 million severance package. She then lost a Senate race in California by 1 million votes. Now she’s running for pres- ident. And why not? Rewarded for failure in business, she’s trying it in politics. Until 2013, Dr. Ben Carson was known mainly as a celebrated neu- rosurgeon, much in demand on the speaking circuit for his inspira- tional talks. But then he compared President Barack Obama to a psy- chopath, said expanding health care was the worst thing to hap- pen to this country since slavery, and claimed homosexuality was a choice, because “people go into prison straight — and when they come out, they’re gay.” Of course, he’s now running for the highest office in the land. As David Axelrod noted, poli- tics ain’t brain surgery. It’s harder. Last election cycle, the Re- publican presidential field was a clown car, holding the thrice-mar- ried Newt Gingrich lecturing about values, the pizza magnate Herman Cain fending off sexual harassment claims, and Michele Bachmann confusing John Wayne with a serial killer. That was just the front seat. This time around it’s a clown bus, with as many as 17 Republicans expected to com- pete. Most of them are unelectable, to say the least. But can any of them get out of the party’s win- nowing period without saying things they picked up in the far right netherworld? Probably not. As previous gaffe-a-matics have AP photos Carly Fiorina Mike Huckabee Sen. Ted Cruz shown, it pays to be crazy. And for eling by private jet and building many Republicans, crazy is the a palace in Florida. He suggested that military recruits should wait new mainstream. In Texas, the Republican gov- until Obama leaves office before ernor, Greg Abbott, is not sure joining the service. Huckabee, if simulated military maneuvers an ordained Baptist minister who planned for his state are routine learned his shtick on the travel- exercises by our men and women ing preacher circuit, has become in uniform, or a plot to take ev- an outright theocrat, attacking the eryone’s guns and enforce martial constitutional foundation against law. He’s ordered the state guard state-sanctioned religion. “You’ve got to understand, this to monitor his government’s sol- diers — just in case. Oh, and Wal- for me is not about the right side Mart is involved. Something about or the wrong side of history,” he tunnels beneath abandoned stores. said last year, regarding same-sex There is no ceiling for crazy in marriage. “This is the right side of Texas, nor political consequence. the Bible.” Ben Carson, like Huckabee, This year, the Lone Star State’s most odious export is Sen. Ted sees the secular world through Cruz, who also has some con- Scripture. He makes much of his cern about the nefarious designs standing as a Seventh-day Adven- of our military, and those Wal- tist, those nice people who show Mart tunnels. He couldn’t just up at your door with pamphlets, say, as the Pentagon did, that our prompting little kids to ask, troops would soon be conducting “What’s a Seventh-day Dentist?” But the Adventists, to their a long-planned field operation, called Jade Helm 15. He had to credit, are distancing themselves dog-whistle to the mouth frothers. from Carson. After his presiden- “I understand a lot of the con- tial announcement, the church cerns raised by a lot of citizens released a statement that the pul- pit should remain about Jade Helm,” neutral in politics, said Cruz. “It’s a based on “our his- question I’m get- For many torical position ting a lot, and I of separation of think part of the Republicans, church and state.” reason is we have crazy is So in the past seen, for six years, week Republicans a federal govern- the new have gained two ment disrespecting people whose po- the liberty of citi- mainstream. litical philosophy zens.” Dwight Ei- could find a home senhower — look him up, Texans — is rolling over among Iran’s governing ayatol- lahs, and a failed chief executive in his five-star grave. If you don’t think the inability who thinks driving a great compa- to distinguish a military exercise ny into the ground is a good busi- from a totalitarian takeover dis- ness model. All are featured prom- qualifies you from leading the free inently in conservative media. This shows that if you’re on world, Fox News has a hosting chair for you. That’s where Mike TV long enough, you start to think Huckabee promoted his brand of you’d make a good president. Or Gomer Pyle politics over the last perhaps it’s that if you run for few years, building a following president as a Republican, you for quack health remedies and can ensure that you’ll be on TV. One reinforces the other, and ul- Christian victimhood. Since moving out of the Fox timately influences the nominee. nursing home, he’s gone ever And that’s when the rest of us start deeper and darker, all while trav- paying attention. The Wall Street vampires wait to strike again seems to be yielding real There’s a lot of evidence results, in fact, more than WKDW RYHUVL]H RYHUSDLG ¿- many supporters expected. nancial industries — like As I’ve just suggested, ours — hurt economic too big to fail doesn’t quite growth and stability. Even get at the problem here. the International Mone- What was really lethal was tary Fund agrees. the interaction between But what really makes that, but I have my reasons, which size and complexity. Fi- the word apt in this con- nancial institutions had text is that the enemies I’ll explain in a bit. become chimeras: part of reform can’t withstand Paul For now, however, let’s just note bank, part hedge fund, part sunlight. Open defenses Krugman that these days Wall Street, which insurance company, and so of Wall Street’s right to go used to split its support between on. This complexity let them evade EDFNWRLWVROGZD\VDUHKDUGWR¿QG the parties, overwhelmingly favors regulation, yet be rescued from the When right-wing think tanks do try the GOP. And the Republicans who consequences when their bets went to claim that regulation is a bad thing came to power this year are return- bad. And bankers’ ability to have it that will hurt the economy, their ing the favor by trying to kill Dodd- both ways helped set America up for hearts don’t seem to be in it. For ex- ample, the latest such “study”, from )UDQN WKH ¿QDQFLDO UHIRUP HQDFWHG disaster. in 2010. Dodd-Frank addressed this prob- the American Action Forum, runs to And why must Dodd-Frank die? lem by letting regulators subject all of four pages, and even its author, Because it’s working. ³V\VWHPLFDOO\ LPSRUWDQW´ ¿QDQFLDO the economist Douglas Holtz-Eakin, owned by an absentee land- This statement may surprise pro- institutions to extra regulation, and sounds embarrassed about his work. lord who fell into that category. What you mostly get, instead, gressives who believe that nothing seize control of such institutions at Moviegoers routinely brought VLJQL¿FDQW KDV EHHQ GRQH WR UHLQ LQ times of crisis, as opposed to simply is slavery-is-freedom claims that blankets, because the owner did runaway bankers. And it’s true both bailing them out. And it required that reform actually empowers the bad that reform fell well short of what we ¿QDQFLDO LQVWLWXWLRQV LQ JHQHUDO SXW guys: for example, that regulating QRW¿[WKHIXUQDFH should have done and that it up more capital, reducing both their too-big-and-complex-to-fail insti- Because the Liberty was on really hasn’t yielded obvious, measurable incentive to take excessive risks tutions is somehow doing wheel- the National Register of Historic triumphs like the gains and the chance that er-dealers a favor, claims belied by risk-taking would lead the desperate efforts of such insti- Places, its owner got a tax break in insurance thanks to The tutions to avoid the “systemically Obamacare. to bankruptcy. from the state of Oregon. The But Wall Street All of this seems to important” designation. The point is enemies State Historic Preservation hates reform for a rea- be working: “Shadow that almost nobody wants to be seen 2I¿FH PDGH LW FOHDU WKDW KLV son, and a closer look of reform banking,” which created as a bought and paid-for servant of bank-type risks while WKH ¿QDQFLDO LQGXVWU\ OHDVW RI DOO tax break was in jeopardy if he shows why. For one thing, the evading bank-type regu- those who really are exactly that. can’t didn’t maintain the building. And this in turn means that so far, Consumer Financial lation, is in retreat. You Suddenly the theater’s own- Protection Bureau — withstand can see this in cases like at least, the vampires are getting a er responded to purchase offers the brainchild of Sen. of General Elec- lot less than they expected for their sunlight. that tric, a manufacturing money. Republicans would love from Robert Jacob. After Jacob Elizabeth Warren — is, all accounts, having ¿UP WKDW WXUQHG LWVHOI to undo Dodd-Frank, but they are, and his partner, Rosemarie by a major chilling effect on abusive LQWRD¿QDQFLDOZKHHOHUGHDOHUEXWLV rightly, afraid of the glare of publici- Paavola, purchased the theater, lending practices. And early indica- now trying to return to its roots. You ty that defenders of reform like War- WKH\ VROG LW WR WKH QRQSUR¿W tions are that enhanced regulation can also see it in the overall numbers, ren — who inspires a remarkable RI ¿QDQFLDO GHULYDWLYHV ² ZKLFK where conventional banking — which amount of fear in the unrighteous — Liberty Restoration Inc. played a major role in the 2008 crisis is to say, banking subject to relatively would shine on their efforts. Putting buildings into the — is having similar effects, increas- strong regulation — has made a come- Does this mean that all is well hands of motivated, caring own- ing transparency and reducing the back. Evading the rules, it seems, isn’t RQ WKH ¿QDQFLDO IURQW" 2I FRXUVH not. Dodd-Frank is much better than as appealing as it used to be. HUV LV WKH EHQH¿W RI WKH '%2 SUR¿WVRIPLGGOHPHQ nothing, but far from being all we :KDWDERXWWKHSUREOHPRI¿QDQ- %XWWKHYDPSLUHVDUH¿JKWLQJEDFN Astoria continues to see the val- cial industry structure, sometimes OK, why do I call them that? need. And the vampires are still lurk- ue of the City Council’s accom- RYHUVLPSOL¿HG ZLWK WKH SKUDVH ³WRR Not because they drain the economy LQJLQWKHLUFRI¿QVZDLWLQJWRVWULNH plishment. big to fail”? There, too, Dodd-Frank of its lifeblood, although they do: again. But things could be worse. Astoria’s Derelict Building Ordinance aids another property transfer ith names and location removed, here is a cur- rent example of how Astoria’s Derelict Buildings Ordinance is having a positive effect on the town’s housing stock. A woman years ago spotted a Victorian home she liked. The house was vacant, but the owner would not respond to the wom- an’s offers to purchase. But once the owner was con- fronted by demands that were trig- gered by the Derelict Buildings Ordinance (DBO), he had an in- centive to sell the home that had been vacant and neglected for years. The woman purchased the home and is in the midst of giving the Victorian a makeover. This is only the most recent of many examples of the DBOs EHQH¿FLDOLQÀXHQFH Incentives motivate neglect- ful landlords. Some 15 years ago the Liberty Theater was I they weren’t interested in acqui- sition and merger — the default outcome of most talks between rural and large urban hospitals. Aided by then-Mayor Willis Van Dusen and other civic lead- ers, ways have been found to help OHSU and CMH achieve their goals. Defying stereo- types, this series of transac- tions proves once and for all that Clatsop County people can “play well with others.” Transforming our county into a regional hub for health care, CMH and Providence Seaside in different ways both manage to overcome geography and institutional politics by cap- italizing on Portland’s prox- imity and expertise instead of fighting it. Even smaller institutions, like Ocean Beach Hospital in Ilwaco, can look at the CMH/ OHSU model for the best ways to serve patients — building collaborations that neither du- plicate nearby services nor needlessly step on toes. There is still money to be raised to bring the Knight Cancer Collaborative to reality. As its name implies, the generosity of the Knight family facilitates OHSU’s ability to think big. But By PAUL KRUGMAN it will be up to us to raise anoth- New York Times News Service er $1.7 million of the $3 million ast year the vampires of in required capital funds — not ¿QDQFH ERXJKW WKHPVHOYHV easy, but attainable. It is a small price to pay to provide cancer a Congress. I know it’s not nice to call them care here at home. Incentives work on neglectful owners W By TIMOTHY EGAN New York Times News Service L