Journalists in general get away with a lot. When reading a report about an incident or process that they have no direct knowledge of, most people assume that the report is basically accurate--otherwise, someone would notice, right? These guys are professionals, they must know what they're talking about
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Krugman starts by saying that "actually paying for your health care is a loss from an insurers’ point of view". Well, kind of. Actually delivering a car is a loss from an automaker's point of view. Actually making your cable work is a loss from a cable company's point of view. Krugman is presenting as unusual and scurrilous a pressure that every operation, whether private or public, experiences. In practice, this pressure to minimize operating costs is balanced by a need to keep customers paying into the system. It is true that expenditures on medicine are uniquely complicated for many reasons, some intrinsic and others historical, but Krugman presents the details in a deceptive way. A lot of the complexities of health insurance are analogous to the problems of automobile insurance, and we have pretty functional market there ( ... )
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Krugman is an op-ed columnist. Is that a subtype of "journalist"? I would have thought not. My impression is that they are more-or-less explicitly a subtype of "propagandist".
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Wikipedia abuse reveals that op-ed was invented explicitly as an entertainment feature: "It occurred to me that nothing is more interesting than opinion... and thereon I decided to print opinions, ignoring facts."
Op-ed columnists are (notionally, at least) unaffiliated with the newspaper, and typically have no journalism background (as far as I know). Frequently they are lobbyists, with disclosed or undisclosed funding. (See the Wikipedia footnotes re NYT op-ed transparency and the case of Robert Bryce.)
Maybe this is all off-topic, because your actual point is that Krugman is a mendacious demagogue, which I agree with!
On the other hand, he's *paid* to be a mendacious demagogue. He's just doing his job, and he's good at it. The problem here isn't Krugman as such, it's structural.
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