Rep. McDermott Announces Federal Dollars Slated for Seattle
Earmarks Include Money for Environmental Projects, Affordable Housing, and Health Programs
January 13, 2010
WASHINGTON, DC—Today, Rep. Jim McDermott (D-WA) announced he helped secure several earmarks that will benefit the city of Seattle, including nearly $500,000 for an analysis of the Elliot Bay Seawall, $1.1 million for Puget Sound Community Health Centers, and $600,000 for West Seattle Rapid Ride and Hybrid Bus Program.
“These earmarks are for their true purpose: to direct federal dollars to valuable and necessary public projects,” Rep McDermott said. “This money will help Seattle build more affordable housing, bolster renewable energy research, and give countless students a head start in school.”
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Rep. McDermott Hails Boeing 787 Dreamliner’s First Flight
December 15, 2009
WASHINGTON, DC—Today, Rep. Jim McDermott (D-WA) issued the following statement congratulating Boeing on a successful first flight of its new plane, the 787 Dreamliner:
“Today I want to congratulate Boeing for doing such a remarkable job with the 787 Dreamliner. Seattle is a center for world-leading technology and product breakthroughs, and we have the best workers in the world at Boeing. Boeing’s dedicated workforce—from the engineers who designed the Dreamliner to the workers who put it together—deserve our thanks and congratulations for making such a groundbreaking airplane. I am so proud that Seattle played such an important role in making the Dreamliner a reality.
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Congressman McDermott Introduces Legislation to Extend Unemployment Benefits
December 3, 2009
Without extension, more than one million Americans set to lose unemployment assistance in January
WASHINGTON, DC— Yesterday, Congressman Jim McDermott (D-WA) introduced the Helping Unemployed Workers Act (HR 4183) which would extend emergency unemployment compensation through March 2011. The program is set to expire at the end of the year and without an extension, roughly one million Americans will lose their emergency benefits in January 2010. The bill would also continue other unemployment provisions included in the American Recovery and Reinvestment Act, such as the inclusion of an additional $25 per week in every benefit check. The unemployment rate rose in October to 10.2 percent and many economists are still predicting increases in 2010.
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Rep. Jim McDermott Praises GAO Decision to Reevaluate Move of NOAA Station from Seattle to Newport, OR
December 2, 2009
WASHINGTON, DC—Today, Congressman Jim McDermott (D-WA) lauded the Government Accountability Office (GAO) for upholding an appeal from the Port of Bellingham to evaluate the National Oceanic and Atmospheric Administration’s (NOAA) decision to move its Marine Operations Center-Pacific from Seattle to Newport, Oregon. “The GAO did the right thing in upholding this appeal,” McDermott said.
Rep. McDermott has consistently questioned NOAA’s decision for a number of reasons, including the impact the move would have on the station’s employees, environmental concerns, and the challenges NOAA will face hiring qualified mariner and engineers if the station moves to the much smaller city of Newport.
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Rep. McDermott Votes No on “Weak” Estate Tax Legislation
December 3, 2009
Congressman says bill didn’t get adequate debate, does too little
WASHINGTON, DC—Earlier today, Rep. Jim McDermott (D-WA) voted “no” on the Permanent Estate Tax Relief for Families, Farmers, and Small Businesses Act of 2009 (HR 4154). “I voted no because I can’t see why we would make such an important and permanent decision without the benefit of proper hearings,” Rep. McDermott said. “We needed to have had a broader discussion on fiscal policy in our country before voting on this.”
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Rep. Jim McDermott’s Statement on the President’s Speech on Afghanistan
December 2, 2009
“The President’s speech tonight did not convince me that his policy is worth supporting. Last week, I attended a memorial service for seven servicemen from the same striker brigade from Fort Lewis who were killed on the same day in Afghanistan. I will not vote to send another troop to Afghanistan until I’m convinced that this strategy will succeed.
“No matter how many troops we commit, the United States cannot bring about the change necessary to stabilize Afghanistan. This responsibility ultimately falls on the Afghani government and its people, and no outsider can force this change to occur.
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Newsroom
Progressive Caucus Selects Members for Health Care Reform Leadership Team
Reps. Jim McDermott, Donna Edwards, Jerrold Nadler, and Sheila Jackson-Lee
Will Work With Speaker, Others to Help Craft Health Care Legislation
Watch this floor speech
Rep. McDermott,
Rep. Lee, and Rep. Ellison speak on the House floor about healthcare. Click here for the full transript.
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May 21, 2009
The 80-Member Congressional Progressive Caucus (CPC) last night selected four of its Members to represent the CPC with House Leadership and help draft comprehensive health care reform legislation. They have recommended U.S. Representatives Dr. Jim McDermott (D-WA), Donna Edwards (D-MD), Jerrold Nadler (D-NY), and Sheila Jackson-Lee (D-TX).
The action came a few hours after the CPC met with the Speaker and Majority Leader of the House and key Committee Chairmen to underscore the need for health care legislation to include a robust public option provision. The importance of that provision was underscored in a follow-up letter sent to the Speaker today, which said in part: “…we look forward to working together in coming days and weeks to ensure that a robust public option that we can all be proud to support is included in the bill ultimately enacted and sent to President Obama for his signature.”
A Real Health Care Solution
March 10, 2009
Mr. Speaker:
For the first time in at least 15 years we have a real chance to solve America’s health care crisis. The stars are aligning in ways not seen before.
The American people want a solution; American businesses need a solution to stay competitive and retain their best employees; segments of the health care industry itself, such as doctors, want a solution; and the President and Congress have begun a national dialogue.
Yet, despite all these positive signs, we must not make the mistake of believing a solution is at hand, or that one will come easily. As a nation we stand at a crossroads: either sweeping reform or sweeping this crisis under the rug yet again.
We have to translate this national dialogue into legislation that makes access to affordable health care coverage what it must be in a free and Democratic society – a right and not a privilege.
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Three Cups of Tea
Mr. Speaker:
I’ve just returned from an official congressional delegation trip to Iraq and Afghanistan. There is a lot to reflect on after a trip like this, especially the wisdom in a book entitled Three Cups of Tea.
It relates to our military involvement – and misjudgments- first in Iraq and potentially now in Afghanistan.
Before I go any further, let me say that we cannot do enough to recognize and honor our soldiers, and their bravery, dedication and love of country.
For a few brief moments, we got a taste of what you endure every day. Every Member on the Codel was equipped with body armor and flack jackets, and you quickly realize the dangers and stress our soldiers endure every day.
We owe them our gratitude, our support when they return and the confidence in knowing that our government will only place them in harm’s way as a last resort.
We failed that responsibility in Iraq and many are asking whether we may fail again in Afghanistan.
We are the most powerful nation on earth but our bullets and bombs cannot penetrate the corridors of history.
And the book, Three Cups of Tea, provides a powerful reminder that we must silence the guns if we are to hear the voices of truth coming from history.
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HR 2, Children’s Health Insurance Program Reauthorization Act
January 14, 2009
Mr. Chairman, I rise in strong support for the CHIP reauthorization legislation and thank Speaker Pelosi for her leadership in bringing this bill to the floor. HR 2 clearly says that change has arrived for our country and our children.
Instead of the veto pen that was used last year by the outgoing president to deny health care to children, our new president will sign this legislation and in so doing begin to write a new chapter in America’s commitment to our children and our future.
HR 2 is a real down payment on our efforts to ensure universal access to affordable health care for all Americans. It builds on successful models that have expanded access to millions of children nation wide. Health care should be a right not a privilege for the rich in America.
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September 26, 2008 - Privatizing Social Security
September 23, 2008 - The Bad Old Days
September 16, 2008 - Free Enterprise is Not Free Anymore
Jim's Speeches
Rep. McDermott Honors Play about Murder of Matthew Shepard
Laramie Project: 10 Years Later Resolution Introduced Today
Rep. Jim McDermott introduced a resolution in the House of Representatives today to honor The Laramie Project: 10 Years Later, a play written by Moisés Kaufman and members of the Tectonic Theater Project about the reaction to the 1998 murder of University of Wyoming student Matthew Shepard, who was targeted due to his sexual orientation.
The critically acclaimed original play was based on hundreds of interviews conducted by the theatre company with inhabitants of the town, company members' own journal entries and published news reports. Ten years later, the playwright and members of the theater group returned to Laramie to conduct follow-up interviews with residents featured in the play. Those interviews were turned into a companion piece, entitled The Laramie Project: Ten Years Later.
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Rep. McDermott Leads on Salmon Solutions and Planning Act
August 4, 2009
Rep. Jim McDermott (D-WA) and Rep. Tom Petri (R-WI), joined by 23 other Members, introduced the Salmon Solutions and Planning Act just before Congress adjourned for the August district work period.
“The extinction of several species of salmon is not theoretical,” Rep. McDermott said. “Within the next 10 years, several species of Snake River salmon are expected to disappear forever unless we act now to restore and protect salmon and steelhead across the Pacific Northwest.”
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Rep. McDermott Introduces Legislation to Extend Unemployment Benefits
July 30, 2009
Beginning in September, hundreds of thousands of Americans will begin to exhaust their unemployment benefits every month unless Congress acts, and today Rep. Jim McDermott, chairman of the Income Security and Family Support Subcommittee, did just that. McDermott, whose subcommittee oversees the nation’s UI system, introduced legislation today, H.R. 3404, to extend UI benefits. It builds upon prior legislation by McDermott that was overwhelmingly passed on a bipartisan basis last year in response to the national economic crisis.
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Rep. McDermott Home Visitation Bill Incorporated into Historic Health Care Legislation
July 17, 2009
The historic health care reform legislation that was voted out of the House Ways and Means Committee early this morning includes Rep. Jim McDermott’s Early Support for Families Act that he introduced along with Rep. Danny Davis earlier this year. The bill is now Section 1904 of H.R. 3200, the America’s Affordable Health Choices Act of 2009.
The provision would provide $1.8 billion over ten years for grants to States, tribes and territories to establish or expand voluntarily home visitation programs for pregnant women and for families with pre-school children.
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Chairman Rangel’s Health Care Mark Includes Domestic Partner Benefits Bill
July 17, 2009
Rep. Jim McDermott announced this evening that House Ways and Means Committee Chairman Charles Rangel included McDermott’s domestic partners legislation (Tax Equity for Health Plan Beneficiaries Act, HR 2625), as a provision in the chairman’s mark of health care legislation before the full committee today and tonight.
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Rep. McDermott Introduces Legislation to Correct Injustice Against Philippine Community in Seattle
June 25, 2009
Rep. Jim McDermott today introduced the Justice for Wards Cove Workers Act, HR 3038, to correct an injustice against Philippine workers at a Seattle fish processing plant over a quarter century ago.
In the early 1970s Philippine workers at Ward’s Cove filed suit against their employer alleging discrimination. In the end, the Supreme Court ruled against the workers, which led directly to the enactment by Congress of HR 1, the Civil Rights Act of 1991. However, subsequent action by the Senate exempted these workers from the protections afforded by the Civil Rights Act. To date, these are the only workers who have been denied these protections. McDermott’s legislation would extend the protection of the Civil Rights Act of 1991 to the Seattle Philippine workers.
“When a few Seattle residents of Philippine decent are singled out from protection by the Civil Rights Act of 1991, every American is at risk,” Rep. McDermott said. “Either civil rights apply to every
American or they may not apply to any American.”
The legislation, which is attached, would remove the exemption and extend to the workers the protections of the Civil Rights Act of 1991.
McDermott Amendment Would Identify Conflict Zone Mines
June 25, 2009
Rep. Jim McDermott today introduced and the House passed his amendment to the National Defense Authorization Act of 2010 to address the mining of Coltan (columbite), a rare mineral used in virtually every cell phone, from conflict areas in the Democratic Republic of the Congo, DRC.
“We know that profits from these conflicts mines are fueling war and terrible human rights abuses in the Democratic Republic of the Congo (DRC),” McDermott said, “and I believe if we can identify, and publicize, where these mines are, companies that need this mineral to produce cell phones will purchase the resource from other sources.”
A copy of McDermott’s amendment is attached.
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Rep. McDermott Introduces Poverty Measure Legislation
June 17, 2009
Rep. Jim McDermott, chairman of the Income Security and Family Support Subcommittee, introduced legislation today that would update the way poverty is measured in the United States for the first time in half a century.
A copy of the legislation and an overview of its provisions are attached.
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House Passes Protecting Incentives for the Adoption of Children with Special Needs Act
Chairman McDermott Manages Debate
April 29, 2009
“The bipartisan bill eliminates a restriction that was inadvertently placed in the adoption incentive program by the Omnibus Appropriations Act of 2009.”
Rep. Jim McDermott (D-WA), Income Security and Family Support Subcommittee Chairman, managed House floor responsibility today for the passage of S. 735, the Protecting Incentives for the Adoption of Children with Special Needs Act of 2009.
The bill, which passed today in the House on the Suspension Calendar, removes a restriction that was mistakenly added in the Omnibus Appropriations Act of 2009 that would have reduced the amount of funding received by States that are able to increase the number of children adopted out of foster care.
Mr. McDermott’s remarks:
Mr. Speaker, last fall Congress passed bipartisan legislation that provided broad improvements to our nation’s child welfare system.
The legislation, the Fostering Connections to Success and Increasing Adoptions Act, won unanimous approval in both the House and the Senate last fall and was signed into law a short time later.
The landmark legislation represented the most significant reform in the child welfare system in over a decade.
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Amendment to Credit Cardholder's Bill of Rights that Would Cap Credit Card Interest Rates At 18 Percent
April 28, 2009
Washington, DC -- Congressman Maurice Hinchey (D-NY), Congressman Peter Welch (D-VT), Congressman John Tierney (D-MA), and Congressman Jim McDermott (D-WA) today announced that they will offer an amendment to the Credit Cardholder's Bill of Rights bill in the House this week that would cap interest rates on all credit cards at 18 percent. The House members will take their amendment to the House Rules Committee on Wednesday for procedural approval. They then intend to bring their amendment to the House floor for debate and a vote on Thursday when the chamber is expected to take up the Credit Cardholder's Bill of Rights and any relevant amendments.
"In the midst of such great economic peril, more and more Americans are being forced to use credit cards to pay for groceries, health care, gas, and other necessities. Credit card companies are exploiting the dire economic situation by increasing rates to exorbitant levels, which further compounds the financial woes of many Americans and drives them deeper into debt where they become even more beholden to the credit card companies and their abusive practices," Hinchey said. "Enough is enough when it comes to skyrocketing credit card rates. This amendment will help end the credit card trap and provide Americans with the comfort of knowing their credit card rates won't soar to eye-popping levels while still providing credit card companies with large enough margins to enjoy a profit."
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Rep. McDermott Introduces Breakthrough Legislation on Climate Change
March 24, 2009
Rep. Jim McDermott (D-WA) today introduced The Clean Environment and Stable Energy Market Act of 2009, which offers a practical and pragmatic solution to reducing greenhouse gas emissions into the atmosphere, and will reduce emissions by 80% by the middle of the century. The breakthrough proposed by the senior Member of the House Ways and Means Committee is for America to pursue a course of action that does not create a new problem in its wake.
Under McDermott’s bill, HR 1683, producers of products and resources that emit greenhouse gases would be required to purchase a Federal Emission Permit. The permits would be available in an increasingly limited supply and the price for a permit would be established by the Secretary of the Treasury and periodically calibrated to ensure that demand for the permits does not exceed an annual, national allocation. Simply put, McDermott’s legislation would reduce greenhouse gas emissions and avoid creation of a carbon derivatives market that could turn a potential energy solution into energy market chaos.
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A copy of the legislation is attached.
Rep. McDermott Introduces Universal Health Care Legislation
Single Payer – Individual Choice
February 12, 2009
Re-affirming his commitment to providing every American with access to affordable health care coverage, Rep. Jim McDermott today introduced HR 1200, the American Health Security Act. McDermott’s legislation would ensure that every American receives a minimum set of basic health benefits, publically funded but privately delivered and managed.
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Full Text for HR 1200
America Economic Recovery Legislation Includes $45 Billion From Rep. McDermott’s Subcommittee
January 16, 2009
Earlier this afternoon, Ways and Means Committee Chairman Charles B. Rangel (D-NY) introduced H.R. 598, legislation including components of the economic recovery bill under the Jurisdiction of the Ways and Means Committee. Rep. Jim McDermott (D-WA), chairman of the Income Security and Family Support Subcommittee joined Chairman Rangel as an original co-sponsor of this crucial legislation.
“This recovery package will help restore confidence for American families and businesses and grow the economy so that we can recover from the current downturn,” said Ways and Means Committee Chairman Charles B. Rangel (D-NY). “We will provide relief directly to families who are hurting, helping those who have lost their jobs and their health care to rebuild and recover their lives. We have also crafted a targeted package of benefits to businesses large and small to jumpstart investments in new technology and new jobs to help our economy turn around.”
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Rep. McDermott Introduces Unemployment Insurance Reform and Stimulus Initiative
January 8, 2009
“Today, millions of hard-working Americans who lost their job during this economic crisis face a second crisis when they try to obtain their unemployment insurance compensation and discover that they do not qualify because the system that was created in the economic reality of 1935 is unable to match the needs of the labor market of the 21st century,” Rep. McDermott said.
McDermott explained that 1935’s America relied largely on full-time, male workers, yet America’s 21st Century economy relies upon millions of part-time workers, which are disproportionately women.
McDermott said: “Low-wage and part-time workers often fall through the cracks of the UI system, and the impact is particularly hard on families that rely on the income of a low-wage worker or a mother’s part-time job. Low-wage and part-time workers, who contribute to the unemployment insurance system, are a larger portion of the workforce than they used to be, yet they are half as likely to qualify for unemployment benefits as other workers.”
The Unemployment Insurance Modernization Act would make $7 billion available from the federal Unemployment Insurance Trust Fund to state governments in exchange for modest reforms to their unemployment insurance programs. These reforms would enable more low-wage and part-time workers to qualify for the unemployment insurance compensation they earned. The unemployment insurance program is a joint, federal-state program that is administered by state governments.
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Jim's Bills
Official Letters
THOMAS
Jim's Subcommittee
Ways and Means Committee
How Jim voted this week

We are watching the planning of the AF-PAK strategy and I feel more and more uneasy. I have many contacts in Central and South Asia and the Middle East but none who I think understands more than Col. Khan. He was among the very first handful of people who went into Afghanistan after 9-11. He is Pakistani-American who speaks both Pashtu and Urdu so he can talk to the folks on the ground.. He resigned from his beloved Marine Corps because of his distress with the planning and execution of the war. His is an important voice to hear as we plan the American future in AF-PAK.
-jim
AFPAK Underlying Issues – Not Addressed
Lt. Col Asad Khan, USMC (Ret.)
28 October 2009
While events in Afghanistan and Pakistan continue to unravel, there is a great on-going national debate on what should our new strategy be – should we increase the number of troops, should we secure the population centers only, who will win the elections, what is the end state, how long will the American public continue to support a seemingly losing proposition, is the military option the right solution, do our military leaders know what they are doing, do we have a strategy and what are the enemies strategies. Amongst the ongoing debate, there are underlying issues that have not made it into this very important discussion:
1. Saving the Next Generation.
2. Regional Pressure Points.
3. Unity of Effort – Who is in charge?
4. Strategic Success depends on execution.
Saving the Next Generation – A Strategy for Madrassas – All madrassas are not bad, but we need to make sure that they are ALL good. By some estimates, there are approximately 20,000 madrassas (religious schools) operating in Pakistan and Afghanistan – providing education to over 2 million students. Let’s conservatively assume that only 20 percent of these madrassas preach intolerance – that is a significant source or recruits – while the remaining may not believe in intolerance, but they certainly become a source of indirect support.
Over the last eight years, our focus has been on providing aid to primarily secular schools which model their education on western school systems. This is the wrong approach; ignoring the madrassas is not going to make them go away. In 2001, when I first recommended this as a central pillar to our strategy, we estimated that there were 10,000 madrassas, over the last eight years, the numbers have doubled.
At the end of the day, this is an ideological fight; so we need to focus our efforts on the madrassas to connect with the next generation. We will never bomb an ideology into submission; we need to compete with better ideas.
How can we compete amongst the 20,000 madrassas? Simply put, if the mullah’s offer the Harvard version of madrassas, then with all our resources, we should be able to offer the Yale and Princeton alternatives. If they have a two room madrassa, we should provide one with four rooms. If they give two meals a day, we should give not only three meals a day but also provide a snack. If they provide paper and pen, then we should provide a laptop with free internet access – to the world. The point being is that we need to be able to compete / partner with the madrassas – not shy away from them. While teaching the Quran and Islamic studies is central to the madrassas, nothing says that we cannot also teach science and math – if we go back in Islamic history to the 8th Century, Islamic scholars and scientists made many contributions which to this day play a significant role in our daily lives (http://en.wikipedia.org/wiki/Islamic_Golden_Age).
The bottom line is this, if we don’t address how to deal with the madrassas, any strategy or troop surge will ultimately fail because the enemy will continue to have an endless supply of recruits. I hear the generals when they say we need to protect the population – I get it; but, how about if we first save the children from being inculcated with an ideology of intolerance, hatred and a warped rationale for violence?
Regional Pressure Points – There are many underlying regional issues which fuel the rallying cry for the enemy. Two pressure points around which the main street galvanizes around are Kashmir and Israel / Palestine. We need to make these central to our strategy – we cannot ignore them. The longer these issues fester, the greater the chance that any strategy we choose will fail.
These issues reflexively bring out much emotion – not only in the US but also in the region. Many will lead you to believe that these issues do not play a significant role in what is going on in Afghanistan and Pakistan (and Iraq). They are dead wrong – listen to the enemy propaganda. These festering issues create the impression that the US has a double standard – in only cherry picking those issues that suit our interests while ignoring others which have been perceived as a source of oppression for Muslims for over five decades.
Like it or not, at the end of the day, our strategy has to include a component that seeks to aggressively solve these issues in a manner that is fair to all parties – there are no easy answers, but the consequences are greater than the issues themselves and must be resolved. This will require active US leadership and participation. The previous administration chose to ignore these regional pressure points while the current administration came in with great promise of change – appointing envoys; but to date, results have been lacking.
As a result, the US is rapidly losing credibility and if we miss the boat in addressing these core issues, I am afraid, success in Afghanistan and Pakistan is not going to be achieved regardless of the number of troops we put in or the billions that we spend.
Unity of Effort - Can anyone articulate who is actually responsible for developing the AFPAK Strategy and its execution? Is it Holbrooke, Eikenberry, Patterson, Petraeus or McChyrstal?
Back in 2001 – 2002, we made a critical error by putting in three major commands in Afghanistan: CFC-A, CJTF and ISAF. We failed to recognize the importance of Pakistan and relegated military to military contact through a CENTCOM Liaison Cell (which I was part of). The consequence of this decision was lack of coordination (UBL and others slipped away) and serious mistrust between the Coalition and the Pakistan Military. To date we have not really solved this issue resulting in a very narrow Afghan centric approach to a much wider problem.
All planning begins with command and control. We not only need to sort out who really is in charge at the strategic and operational levels of AFPAK but also look at the gaps at the tactical level, especially in the border areas.
The border area on both sides of the Afghan and Pakistan border should be treated as one separate Area of Operations (AO). This AO has unique challenges which the rest of Afghanistan and Pakistan don't necessarily have. By treating the border area as parts of greater Afghanistan and Pakistan, our activities and results are not synchronized. For example, USAID in Afghanistan builds a school on the Afghan side, the population from the Pakistan side crosses over. Similarly USAID on the Pakistan side builds a clinic then the population from the Afghan side crosses over. This increases cross-border movement. Massive aid and development needs to be focused on the border region - more than the rest of Afghanistan and Pakistan. This aid should not be funneled through traditional means. It should be through the tribal and village elders and not through multinationals and consultants who walk away with vast profits while the people, for whom the aid was meant, get driblets.
Incredibly, just twenty percent of our tax-payers aid gets to the people of Afghanistan; the remaining 80 percent leaves the country. No wonder the last eight years have been wasted. The question is what will the next eight years bring.
Strategic Success Depends on Execution - Once all the debates, PowerPoint briefs and NSC papers are written, the new strategy must be converted into a plan, resourced and then executed. Execution requires the right people; otherwise, the best written plans will fail – the dustbins of history are full of well written plans – poorly executed.
It is imperative that we get people who know what they are doing, understand the culture and are willing to invest the next ten years of their lives in the region. One year assignments are not going to solve the problem. This region is a lot deeper than the military reading list or a conference on COIN.
Unfortunately, we lost the last eight years and failed to develop the right caliber of military and civilian talent who understand and can successfully execute in this complex region. We need to go out and find these people and put them to work – now. How many first generation South Asians and American Muslims have we recruited? They better understand the dynamics and the nuances. America has millions of them – get them in the game. In my experience, they are a force multiplier and can help us navigate through the shark infested waters.
Afghanistan – Ideas From The Outside
LtCol Asad Khan, USMC (Ret.)
October 2009
While there is an on-going debate on Afghanistan and the need for more troops (or not), it is imperative that we look at other options which are critical for the long term solutions – troops by themselves will not succeed. These observations came about from a recent journey along the Ring Road and discussions with local Afghans (outside Kabul) – where the perspective is far different than Kabul, DC or a FOB.
RING ROAD: The Ring Road and other major routes are key to determining the future of Afghanistan. Recently, I travelled the Ring Road and it was evident that this artery is the strategic boundary between the opposing sides. The Ring Road, peppered with mine craters was still busy with buses, trucks and private cars bravely navigating the dangers to get to their destination. I noticed limited ANA and ANP presence patrols along the route providing over watch to a convoy of over a thousand tractor trailers heading south from Kabul. Keeping it open is vital to the economy.
We cannot secure all of Afghanistan, it is militarily impossible. Therefore, Coalition Forces with ANA / ANP / APPF and Private Security Companies should secure the Ring Road and other major routes along with surrounding population centers. This will increase commerce and economic opportunity for the locals. Once the security for the major commerce arteries is established, the focus should then be to expand outward towards the borders and inwards to the Central Provinces.
While the focus is on the major arteries, special operations / strike forces can operate in other areas to disrupt the enemy and engage high value targets.
CALL TO ACTION: Recruit successful International businessmen to help grow the Afghan Economy by mentoring existing businesses and providing business executive education classes focusing on entrepreneurship, financial management, business development and corporate compliance. If Afghan companies join this mentorship program they would be eligible to compete for USG contracts and Afghan Small Business Loans.
TRADE & INVESTMENT MISSIONS: Encourage American and European Companies to partake in such missions to Afghanistan. There is no point in holding conferences in Dubai or DC to which an average Afghan has no access. We need to go where we are most effective. Recently there was a major COIN conference held in DC where they talked about Afghanistan. What better place to hold it than Afghanistan -- and invite the locals and ask them how to defeat the insurgency.
AFGHAN FIRST INITIATIVE: This can’t be a bumper sticker – we need to implement this now! For the past eight years international companies have made huge profits from the aid money. Nearly 80 percent of all aid money never stays in Afghanistan. This frustrates the Afghans when they see the “expats” getting higher salaries and standard of living from the aid money meant for the Afghan people. We need to stop breast feeding the Afghan people. They are very industrious and can figure out how to do things much quicker. In fact most of the hands on construction is done by Afghans while international companies provide the managerial oversight and drawing the high salaries and profits. By allowing the Afghans to do the work directly we will get more bang for the buck and create greater economic stimulus.
CONTRACTUAL OBSTACLES: US Government Contractual Regulations are too cumbersome and not effective in an environment where the illiteracy rate is 90%. We need to streamline these to the important task at hand – sending out request for proposals where the first 60 pages cover the Federal Acquisition Regulation is absurd - Afghans can’t digest it. For that matter, most educated people can’t either. One can make the point that these are designed to ensure compliance and minimize corruption. If so, we failed in Iraq and are failing in Afghanistan. We need rules that allow people to make decisions, ensure local compliance and help the Afghan contractors succeed – not navigate failure.
MORE CIVIL CONSTRUCTION: The general perception by the locals is that all we are doing is pouring the aid money into military FOBs and Facilities at the expense of the people. Driving around Afghanistan, one can see why. We need to turn the equation around and focus more on the people’s need – not the ANA / ANP or our FOBs – which provide the comforts and meals of back home (combat is not meant to be comfortable).
FOCUS ON GOVERNANCE: Right now the perception is that the Taliban are actually protecting the people from corrupt government officials, ANA and ANP – and in some cases the Coalition Forces. The notion that we are protecting the people is miscued as many believe that the coalition forces are now protecting the people from their own missteps – while corruption rules the day. We need to change this by holding those we fund accountable to a higher standard than the Taliban. We have no option but to earn back the trust of the people. Afghanistan, like many countries in the region, has an endemic corruption problem which has become part of its cultural fiber. Afghans by themselves cannot succeed in fighting corruption. This will require outside intervention from us - whereby we hold officials accountable because we pay them and they are misusing our money.
NATIONAL ACCOUNTABILITY: A National Accountability Bureau should be established under international supervision and authority to investigate allegations of corruption against government, military and police officials. Those found to be corrupt or misusing their authority should be held accountable.
DRUG TESTING: A large portion of the ANA and ANP are using drugs. This needs to be stopped through vigilant drug testing programs similar to the one that the US military has. There have been reports of coalition troops trading military equipment for drugs (like the Soviet troops used to do) – we should implement an aggressive drug testing program for coalition troops in Afghanistan as well – after all 90% of the world’s heroin supply comes from there.
TALIBAN PAYS MORE: Despite the recent pay increase to ANA and ANP, an Afghan can make more money by joining the Taliban through direct pay and Zakat – plus he stays in his local area so the Taliban does not have an AWOL or a morale problem.
REGIONAL REGIMENTS: The ANA is generally not well received by the locals – especially in the South if it has Tajiks and Uzbek soldiers. Aside from the corruption and drug issues, the locals don’t like other ethnic groups coming into their homes. In trying to make the ANA ethnically balanced we have created public animosity and a rally cry for the Taliban. We should follow the British Raj model and have Provincial / Regional Regiments consisting of troops from the region where they serve.
CONTINUING EDUCATION: Afghanistan is severely lacking college seats for the young and upcoming Afghans. We need to fund / encourage universities from the US / Europe and neighboring countries to open satellite campuses. These need to be established in all the major cities. We can’t afford to lose another generation. Similarly, we need to fund scholarship programs for worthy Afghan men and women within Afghanistan and overseas.
MICRO AIRPORTS: In the 1960s, Pakistan could not afford modern infrastructure and roads into remote regions. So to open up the country, they built micro airports – 3000 foot runway and a tower to allow small propeller passenger airplanes to land and take passengers to larger international airports. This allowed labor to go to the Middle East and work. In return they sent foreign exchange back home which created a demand for goods and services and subsequently generated revenue for the government to build roads and other infrastructure. Same needs to be done in Afghanistan. A country of its size and remoteness cannot function with only seven airports; each province needs a small airport linking it to Kabul, Kandahar, Mazar and Herat. These airports can be built for approximately $5 million a piece. This entire program would be approx $150 million and would open up the country, linking the provinces to the central government and allowing the people to participate in a broader economy.
AFPAK: The path to success in Afghanistan is through Pakistan. The two are inseparable given the nearly 40 million Pashtuns between the two nations – and their common history, language and culture. For the past eight years we failed to link the two while allowing the blame game to take over broader strategic interests. We need to stop this childish blame game about who should control the border and who is training whose Taliban. Both should control the border and Taliban are entrenched on both sides. We need to look for quick solutions targeting the border areas and the tribes on both sides (not long drawn out USAID Programs that take years to materialize and make a difference). We should consider the border area as a separate area of operations where by military, law enforcement, civil and commercial actions are coordinate – as one – on both sides.
CLOSING THOUGHTS: At the end of the day, the Afghan people must want it more than we do – for them. They must tackle the hard issues and want to improve their lives and institutions – rather than accept the status quo and addiction to aid money as a panacea to their problems. As much as the World wants to help Afghanistan, we need to do so in a manner that allows the Afghans to get back on their feet rather than continue to become dependent on foreign aid. In the last eight years we have made progress which is clearly evident along the Ring Road and the flow of commerce – however the recent reemergence of the Taliban has primarily been due to the people outside of Kabul losing faith in their government officials to protect them – to the contrary, the people have become victims of the corrupt government, military and police officials. The notion of servitude and respect for the population does not exist. Government officials have very little regard for the general public – the ANA and ANP treat the people with little dignity or respect. Affluent Afghans have embraced a VIP culture of Land Cruisers and Kalashnikovs – whereby they operate above the norms of society further alienating the population. This fragmentation has allowed the Taliban to fill the vacuum by creating shadow governments in the provinces and districts - they are more responsive to the needs of the people while also providing the illusion of protection.
The question is, can the Afghans, on their own, turn things around or does it require a greater role on our part. My assessment is that we need to first address the core issues without which no matter how many troops we put in country – as long as the population is alienated, we will not succeed. Therefore, we need to intervene where the Afghan Government has failed – to police its own. Although we must respect the Afghanistan’s sovereignty, we must also understand its failures, lack of institutions and credible leadership to succeed. The respect for sovereignty should not be a cover for allowing rampant corruption, lack of accountability and lack of respect for the Afghan people by the custodians of the nation – who to succeed must earn back the trust of the people from the Taliban.
Asad Khan is a retired United States Marine Corps officer with over 25 years of experience in South Asia and the Middle East. He was a Foreign Area Officer, and he has fought twice in Afghanistan in 2001 and 2004. In 2004, he commanded 1st Battalion 6th Marines during sustained combat operations in central Afghanistan. He authored Genghis-6 about his experiences in Afghanistan from 2001-2004, and he continues to work in the Middle East, Afghanistan and Pakistan in various capacities.

Friends,
We are at an unprecedented phase in reforming our health care system. We are poised to make changes to a system that has not been modified in substantial form for nearly a generation. We will soon have a bill that makes changes to our health care system to guarantee coverage to all individuals and to align incentives for providers to promote quality of care for patients rather than simply rewarding providers for the quantity of care provided.
This blog is my attempt to loop in my constituents to certain policy issues that touch and inform the health reform debate. I seek to provide thoughtful commentary on issues of interest that affect this discussion that we are having here inside the Beltway. I invite you to send along your thoughts and comments to mcdermotthealthcare@mail.house.gov . I hope that you find this blog helpful and that you will visit often.
-Jim
November 20, 2009
What’s In It for Me?
Yet Another Reason We Need Universal Health Care
November 9, 2009
November 4, 2009
October 27, 2009
October 13, 2009
October 6, 2009
November 20, 2009
What’s In It for Me?
The House and the Senate have both laid down a marker in an effort to guarantee all Americans high quality, affordable health care. As you know, the House passed HR 3962, the Affordable Health Care for America Act, on November 7. It is likely that the Senate will begin Floor debate on its legislation in about a week. Many have asked about the particulars in each bill. The following link provides responses to several frequently asked questions regarding both bills.
http://www.kaiserhealthnews.org/Stories/2009/November/19/consumers-guide-health-reform.aspx
Yet Another Reason We Need Universal Health Care
A recent study suggests a link to insurance status and likelihood of death from trauma. The study found that, after controlling for several factors, including severity of injury, uninsured patients are more likely to die if they are in a car accident or experience some other sort of trauma, when compared with insured patients. This is yet another reason to support high quality, affordable, guaranteed health care for every American. For those who suggest that this is someone else’s problem, trauma cases are among the most expensive to treat. They require the resources of many medical professionals, including trauma surgeons, emergency department physicians, and many others. If a trauma patient is uninsured, we end up paying for that patient’s care in the form of increased premiums among the insured population.
http://health.usnews.com/articles/health/healthday/2009/11/17/uninsured-trauma-patients-more-likely-to-die-study.html
November 9, 2009
Top Immediate Investments in Health Reform
We are now at the finish line, about to achieve comprehensive health reform that will provide high quality, affordable, health care to all Americans. As you may know, some of the most significant changes included in reform will not take effect until 2013 and beyond - but others will take effect immediately. Noted here are several important reforms that take effect as soon as the bill is signed into law.
http://waysandmeans.house.gov/media/pdf/111/hcare/top14.pdf
Remarks on the Republican Alternative
Yesterday, the Republicans introduced an alternative health care proposal. The reviews are in: this plan will cover few, will cost billions, and will allow insurers to continue to deny coverage due to pre-existing conditions. Analysis and assessment of the Republican plan reveal its glaring flaws and shortcomings .
http://voices.washingtonpost.com/ezra-klein/2009/11/congressional_budget_office_th.html
http://cbo.gov/ftpdocs/107xx/doc10705/hr3962amendmentBoehner.pdf
Rumors and Myths Don’t Stand Up to Fact
We’ve all heard the rumors and misinformation about how real health reform will cut billions of dollars from Medicare and harm seniors. That is completely unfounded. Today, we can point to two additional endorsements for the health care reform legislation: one from the American Medical Association and one from AARP.
http://www.aarp.org/aarp/presscenter/pressrelease/articles/affordable_health_care_act_endorsement.html
http://www.ama-assn.org/ama/pub/health-system-reform/ama-supports-house-bills.shtml
November 4, 2009
Top Immediate Investments in Health Reform
We are now at the finish line, about to achieve comprehensive health reform that will provide high quality, affordable, health care to all Americans. As you may know, some of the most significant changes included in reform will not take effect until 2013 and beyond - but others will take effect immediately. Noted here are several important reforms that take effect as soon as the bill is signed into law.
http://waysandmeans.house.gov/media/pdf/111/hcare/top14.pdf
Remarks on the Republican Alternative
Yesterday, the Republicans introduced an alternative health care proposal. The reviews are in: this plan will cover few, will cost billions, and will allow insurers to continue to deny coverage due to pre-existing conditions. Analysis and assessment of the Republican plan reveal its glaring flaws and shortcomings .
http://voices.washingtonpost.com/ezra-klein/2009/11/congressional_budget_office_th.html
http://cbo.gov/ftpdocs/107xx/doc10705/hr3962amendmentBoehner.pdf
Rumors and Myths Don’t Stand Up to Fact
We’ve all heard the rumors and misinformation about how real health reform will cut billions of dollars from Medicare and harm seniors. That is completely unfounded. Today, we can point to two additional endorsements for the health care reform legislation: one from the American Medical Association and one from AARP.
http://www.aarp.org/aarp/presscenter/pressrelease/articles/affordable_health_care_act_endorsement.html
http://www.ama-assn.org/ama/pub/health-system-reform/ama-supports-house-bills.shtml
October 27, 2009
Gaining Momentum
Recent polls suggest that, despite concerted efforts by opponents of a public plan to ensure universal coverage, the public plan is gaining support among the American people. The most recent Washington Post/ABC News poll found that 57% of Americans now favor a public insurance option—a sound majority of Americans. We must have a public option in the final legislation to assure access to coverage and to keep the private insurers honest.
http://www.washingtonpost.com/wp-dyn/content/article/2009/10/19/AR2009101902451.html
Costs Rising, Quality Stagnant
A recent report from the National Committee for Quality Assurance (NCQA) finds that health care quality as reflected by several key measures is not improving. The NCQA report examined the performance of 979 managed care plans that voluntarily submitted information on quality of care, access to care, and member satisfaction. In total, these plans cover about 116 million Americans. Despite the fact that quality is not increasing, premiums certainly are. A recent Commonwealth Fund study illustrates the rapid rise in premiums over the past several years, as well as the projections for significant increases in the coming years.
http://money.cnn.com/2009/10/22/news/economy/healthcare_insurers_reportcard/index.htm?postversion=2009102214
http://www.commonwealthfund.org/Content/News/News-Releases/2009/Aug/Employer-Sponsored-Health-Insurance-Premiums-Increase-119-Percent.aspx
October 13, 2009
Health Reform and Its Impact on Physician Practices
In the current health reform debate, lawmakers are emphasizing the importance of “delivery system reform.” New methodologies are likely to be phased in, including “bundled payments” and “accountable care organizations.” We must move away from the traditional fee-for-service payment structure because it does nothing to encourage providers to render low cost, high quality care. However, we must be mindful of how care is currently being provided to ensure that these new structures will have lasting impact. Accountable care organizations require providers to join together and coordinate their services with one another to provide overall care to patients. We must recognize that not all providers practice in large multi-specialty practices with access to the latest electronic health records and other expensive resources; indeed, nearly 50% of U.S. physicians practice in groups of five or fewer physicians. We must make sure these smaller practices do not get lost in the shuffle as we work to reform the health care system. More valuable information about U.S. physicians is found here:
http://hschange.org/CONTENT/1078/
Health Care is Currently “Rationed”
In the effort to enact significant health care reform, we have heard the cries that health reform somehow represents “rationing” of care. The following article succinctly illustrates how care is already rationed and emphasizes that there is an insurance gatekeeper between each of us and our physicians.
http://www.washingtonpost.com/wp-dyn/content/article/2009/08/03/AR2009080302235.html
October 6, 2009
Putting Physicians on Salary: Been There, Done That?
During the 1990s, hospitals sought to increase market share by acquiring physician practices. When practices were acquired, physicians became hospital employees and were paid a flat salary. Compensating physicians in this manner did nothing to increase (or maintain) physician productivity and the model was abandoned. Despite the failure of the salary model some are proposing that the solution in the health reform debate is returning to a salary-based compensation model. But if we move the pendulum totally in this direction, we may return to a situation where we are drastically overpaying physicians who have little incentive to be productive. Hospitals have already figured it out. Though hospitals are increasingly returning to the employment model, they are coupling physician salaries with other methodologies. Physician salary is coupled with other methodologies designed to impact productivity such as RVU-based productivity compensation, physician co-management models, and the like. This article reminds us what went wrong during the 1990s.
http://www.mdcompliancealert.com/cgi-bin/article.cgi?article_id=290
Moreover, proponents to putting physicians on salary insist that salaries must be fair market value for personally performed services by a physician. Recently, a health system in Iowa paid $4.5 million to the federal government to settle charges that the salaries paid to the physicians were excessive, in violation of federal law. The government argued that the salaries were excessive in order to reward physicians for referrals. Again, putting all physicians on salary is not the only answer to the complex problem of revising the inappropriate incentives in our existing health care system.
http://www.healthleadersmedia.com/content/238053/topic/WS_HLM2_COM/Covenant-Medical-Center-Pays-45M-to-Settle-Stark-Law-Violations.html
Expanding Medicaid
Under all versions of the various health reform bills, Medicaid will be expanded. This is a good effort towards increasing access to health care. However, with providers increasingly declining to accept Medicaid, I am skeptical that this program will guarantee access to health care for those in need if providers do not accept Medicaid as a form of insurance. This article on access to providers is illustrative and suggests that Medicaid patients may have difficulty accessing care—even though they carry a card that is a form of insurance.
http://www.merritthawkins.com/pdf/mha2009waittimesurvey.pdf
Access to Medicare Physician Services
As you know, I am a strong supporter of a robust public option. I support the House Ways and Means Committee’s proposal for a public option tied to Medicare rates for a period of time, in order to save billions of dollars which can be used to expand access to health care. Many complain that tying public option reimbursement to Medicare rates will limit the ability of Medicare beneficiaries to access health care services. A report released on September 28 by the U.S. Government Accountability Office (GAO) suggests that Medicare beneficiaries, for the most part, are not having trouble accessing physician services. Research from the Center for Studying Health System Change appears to confirm the GAO information.
http://www.fiercehealthfinance.com/story/study-most-physicians-still-accepting-medicare-patients/2009-09-08
http://www.gao.gov/new.items/d09559.pdf