Re: Health Care: Beyond Prisoner’s Dilemma

At the risk of wading in above my head here, I’m going to try to play out this thing a bit more. Thinking of the health care vote in game-theoretical terms is an interesting thought exercise, and while the lighthouse story is a good way of conceptualizing the predicament in the House in the simplest way possible, I would note some further wrinkles that make the situation a lot more complicated:

A quick note on how to classify the game: I don’t think it’s a Volunteer’s Dilemma because there’s a “sucker’s payoff” — cooperating when others defect is worse than everyone defecting. I’d say it is essentially a n-player Prisoner’s Dilemma (see also: Diner’s Dilemma), but with a few tweaks.

How do we rank the payoffs? As Karen said, the best payoff for many fence-straddling House Dems is to vote “no” and have the bill pass. For those same lawmakers, the sucker’s payoff would surely be a “yes” vote while the measure fails. In a classic Prisoner’s Dilemma, mutual cooperation is better than mutual defection, but I’m not sure that translates uniformly to this situation. Each congressman is different, and some may ultimately prefer voting against a bill that goes down to supporting legislation that makes it through.

Commenter mfbattle noted the lighthouse never got built in his experience, and defection is always the rational choice in a single game of Prisoner’s Dilemma. But this scenario is not an isolated one; serving in Congress is a series of “iterated” dilemmas. Past experience or future expectations may well affect the outcome.

To oversimplify a bit, two of the most successful strategies in an iterated Prisoner’s Dilemma are “tit-for-tat” and “win-stay, lose-switch” (also known as Pavlov.) Tit-for-tat takes cooperation as a baseline position and only defects in retaliation. If we consider last year’s vote on the House bill to be the last iteration, players using tit-for-tat would cooperate (vote “yes”) this time around. With Pavlov, a player simply uses what worked last time or switches if their strategy failed. In this case, the players in question using Pavlov would defect (vote “no”) because it worked out fine for them on the last vote.

Regardless, the n-player Prisoner’s Dilemma frequently results in something known as the Tragedy of the Commons. Individuals use up a commonly desirable resource (in this case, “no” votes) to the detriment of everybody involved (the bill doesn’t get passed.) But rather than being an inevitability, this is where political pressure and gamesmanship comes into play.

There is not “perfect information,” by which I mean the players don’t necessarily know what strategy others are pursuing or who has promised to do what. Players must depend on the word of other players or the leadership to determine if their cooperation is absolutely needed. All parties have an incentive to say they will defect (vote “no”) — it puts pressure on others to cooperate, increasing their own chances of getting the best payoff (voting “no” and having the bill pass.) At very least, players will not want to give away their position too soon (as evidenced by Reps. Adler, Altmire and Baird on the Sunday shows today.)

In reality, there are an incalculable number of lurking variables at play — promises from the president or Speaker Pelosi, new polling from their districts that changes perceptions of re-election prospects, the appeal of legacy votes for retiring Dems, etc. And that says nothing of the power of a moral argument; anti-abortion Democrats who believe the Senate language is insufficient or representatives that see the bill in terms of saving human life on a grand scale may not act in their own political self-interest.

Bottom line: There are (currently) 37 Democrats who voted “no” on the House bill, a handful of liberals unhappy with certain elements of the Senate bill, as well as Stupak’s anti-abortion bloc all trying to win concessions while contemplating the future of the Democratic Party and their own political needs in November.

If our little detour into game theory geekishness tells us anything, it’s that Pelosi and company have an immensely complex equation to solve and little time to do it. They’re just hoping one of these scenarios will add up to 216.

Related Topics: 2012 Election, Barack Obama, Congress, Democratic Party, Health Care, Miscellany, Nancy Pelosi
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  • http://phd9.blogspot.com Paul Dirks

    If our little detour into game theory geekishness tells us anything, it’s that Pelosi and company have an immensely complex equation to solve and little time to do it.

    Fortunately (or unfortunately) humans are equipped with emotional apparatus that serves to perform the necessary calculations without concsious intervention. Conceps such as ‘honor’ and ‘betrayal’ are all tied in to our efforts to conceal the actual logic behind our actions.

    The tragedy of Commons however represents a real danger. The actions that seem the most advantageous to individual players are actually detrimental to all when considered as a unit. This of course helps explain why Stupak has found it necessary to wade into utter dishonesty in order to defend an otherwise incomprehensible position.

  • http://patricksartor.wordpress.com patricksartor

    KT,
    I can see why John Forbes Nash had serious mental problems after figuring out so many game theory problems.

    As for the diner’s dilemma, I’ll have the Lobster, a large salad, the baked potato- I forgot the appetizer and the wine…

    So, this might be, if there were such a thing, a iterated diner’s dilemma.

    The best two scenarios are:
    Vote Yes and the bill passes and vote no and the bill fails. Voting no and the bill passing is inferior to voting yes and the bill passing. Voting yes but the bill failing is the worst possible outcome.

    So far you have not included that not all constituents are informed and, therefore, the ones who know who voted for or against it will only vote for the Democrat if it both passes and if that particular Democrat voted for it if the voter is on the fence.

    I am not familiar enough with game theory to know if anything matches this, but, a Democrat will get more mileage out of it passing with their vote than they would it passing with their voting no.

    Hence… I have no idea.

    My hopes are that, both to get more mileage out of it passing and for the fact that it is an incredibly sound concept as well as a reasonably good bill, it will pass.

  • http://patricksartor.wordpress.com patricksartor

    Correction “So far you have not included that not all constituents are informed”

    Change to So far you have not included that not all constituents are UNinformed…”

    An informed voter would not give the candidate for reelection credit for a bill passed by the party if the candidate had not backed it.

    An uninformed voter would.

  • formerlyjames

    An informed constituency supportive of the congressperson makes it real easy for a no vote in every case. The bill is flawed from both standpoints. Left leaning constituencies will understand that the bill is not reform at all. Right leaning ones will accept the need not allow Obama a win, even though it would be in their interests more than his. I am left leaning in a right win district. My rep can’t lose. I support his no vote, not that it would matter, even though I don’t support his rationale for it.

  • http://patricksartor.wordpress.com patricksartor

    What’s your objection?
    Also, do you foresee if this fails if there will be a fresh start even if the Democrats maintain the majority or that we will have to wait another eighteen years or longer before ANY proposals make it before congress?

    I believe it will be AT LEAST 2028 before we have ANY health care reform proposals if this one does not pass.

  • formerlyjames

    No I don’t think it will be 18 years to bring up reform of the insurance industry again because they continue to foul their nest each progressive year. This bill subsidizes abuse. Let it fail, let the middle class get a little more miserable with the system, reform will occur.

  • formerlyjames

    I recognize the minor improvement the bill provides as far as some regulation. But single payer is the only way to really heal the sick system.

  • square1

    Completely agree. The bill sucks. The public (which is not nearly as stupid as D.C. insiders believe) are fully supportive of legitimate reform.

    If those who truly want real reform had the courage to sink this bill, we’d see something far superior passed within 4 years.

  • destor23

    I can’t believe you’re all so wrapped up in this discussion. Anyone who votes against the bill while hoping it passes anyway is fundamentally dishonest and needs to be called out on that. Anyone who hopes the bill will fail but votes for it anyway is also fundamentally dishonest.

    The job of our press is to keep politicians honest and while explicating the scenarios that would explain why a representative would make a dishonest vote is useful it’s not the main mission here. The citizens represented by these people have the right to know what their reps believe. Let’s have a list of health care reform supporters who plan to vote against it and vice versa.

    Also, in the future when you’re covering people who voted dishonestly you need to make note of it. Nobody should be able to get the “cover” of only voting against something because it passes anyway.

  • jcapan

    Square, agreed that this bill sucks but “something far superior passed within 4 years”? How can you envision that coming about? It’s not like the dems are going to grow their party this Nov.

  • iamsource

    Wow.., I am thoroughly amazed at how complex we seem to be willing to make the semantics and the political engineering in order to justify the most despicable aspect of our governing system. “What will get me and my buddies re-elected?”
    .
    As if doing the right thing for the people has no barring on the whole matter at hand.
    .
    This would constitute revolution alone, and we just keep doing it.

  • http://www.kellogg.northwestern.edu/faculty/directory/baliga_sandeep.aspx sandeep

    I am a professor of economics and game theory and teach at Northwestern University. I have blogged about your game theory posts at my blog

    http://cheeptalk.wordpress.com/2010/03/07/strategic-voting-puzzle-from-time-magazine/

    I think the game Chicken provides a fruitful way to think about the situation facing reluctant Democrats in Congress. See my blog for details.

  • square1

    jcapan:
    .
    Let me begin by saying that I have no faith that the Dems are smart enough to leverage a temporary failure into a more permanent success.
    .
    Having said that, there is no reason why Dems should have allowed a legislative setback to translate into electoral failure. Health reform is popular. The public option is popular. The smartest thing the Dems could do is to scuttle the Senate Bill. Force a vote on the public option. Let it fail. Then head into November with a message that it is the GOP standing between America having popular HCR. (The premise of these game theory posts has been that Dem legislators really want to pass a bill but that the public doesn’t want them to. The opposite is true.)
    .
    So, what will happen? The Dems will pass a crappy, industry-written HCR bill that forces Americans to buy insurance from some of the least popular companies in America.
    .
    Then, over the next two electoral cycles, the GOP will be fired up to roll the bill back. A fractured, uninspired Democratic base will put up no resistance. Once the GOP takes power, they will begin dismantling “Obamacare”.

  • http://patricksartor.wordpress.com patricksartor

    I look at voting to get reelected as Linden Johnson did.

    Johnson was very progressive on almost every issue except civil rights when he was in congresss.

    He could not help either poor whites nor blacks (who were far more likely to be poor) if he was not in office and was replaced by somebody more conservative.

    So, Johnson knew that if he cast a vote for civil rights before he was president, it would be the last vote he would ever cast.

    We know how Johnson really felt about civil rights when he was president.

    So, although less dramatic, for all of these congressmen, they want to participate in voting for many things which they believe in in addition to health care reform. They can’t do it if they are no longer in office.

    I don’t see this as so awful.
    I see this as real.

    I think the game theory parts are over most of our heads (and, now, is over mine – other than a game of chicken, which I grasp having seen it in movies) but, I think understanding how elected officials must think is important.

  • http://patricksartor.wordpress.com patricksartor

    In 1994 the Republicans took both houses of congress for the first time since the Truman administration after health care reform lost in another all Democratic government.
    If this less popular version does not get passed, I see 1994 through 2008 (possibly with another George W Bush – like president) happening all over.

  • stuartzechman

    This is why liberals must make centrist Democrats own this bill, and not us.
    .
    The more liberals try to get fired up about passing ths legislation, the more we own it, and the more center will run away from it when it fails. They’ll be the first in line to roll back “unaffordable” subsidies for all of those “45,000 people who die each year we don’t pass health care reform” that are holding bleeding heart liberals hostage to the bad bill now.
    .
    We got nothing. We know it’s bad. The strongest arguments for it all involve “it’s the best we’re being given from those in charge.” We knew what kind of reform would work, and what wouldn’t. We were told to shut up and let the wise centrists work it out. We were told that we were “f*cking retards” for sticking our noses in where we didn’t belong.
    .
    And now we’re here.
    .
    We don’t own this. They tried to get Republicans to share the blame, but no dice. If they are allowed to hang this failure on liberals, the disaster is complete.
    .
    Don’t let them get away with this last attempt to pass off the blame to others. Don’t let them put this political anchor around our necks.
    .
    Make the New Democrats own this, not us.

  • jcapan

    Thanks for the clarification Square. I see that you were prognosticating on the ludicrous basis that our dem. leadership might, errr, lead (i.e. satire).
    .
    And SZ, we’re all democrats right? Other than the netroots or inside the beltway conversations, there is no distinction in the public mind about this kind or that kind of dem. it makes us feel better to vote for less-evil candies in general elections, but American voters (other than the sliver of the engaged pie that we represent) are never going to get their heads around your raison d’être. If Obama the DLC wunderkind redux fails, liberalism in America fails. Period. Dark f’ing days lie ahead my friend, irrespective of Rahm’s victory.

  • grape_crush

    Eeesh. Try thinking of it as an iterative non-zero-sum (or win-win) game where if everyone cooperates, everyone ends up coming out ahead…the StuPack, Blue Dogs, etc. are operating under the idea that they need to rack up as many ‘wins’ as possible to get re-elected, even if it’s at the expense of other Democrats or all Americans in general.

    The point is that poor cooperation among the Dems leads to winners and losers, retaliation back and forth, and, ultimately, everyone ends up losing when health care, financial reform, and whatever else fails and the Repubs are voted back into power, writing and passing bad legislation.

  • stuartzechman

    JC:
    .
    Somehow Obama managed to successfully differentiate himself from the Democrat who voted for the Iraq invasion, and was rewarded by the country for it.
    .
    It doesn’t always have to work the way in which we get screwed by their failures.
    .
    If he can do it, why can’t we?

  • redraven937

    Let it fail, let the middle class get a little more miserable with the system, reform will occur.

    By “get a little more miserable,” you of course mean “let another 45,000 Americans die each year” right? (link)
    .
    I mean, we’ll have to run out of sick people eventually, yeah?

  • jcapan

    SZ, I’ll have you know I’m grinning from ear to ear when I say:
    .
    “KNOW HOPE”
    .
    Two words in response: Howard Dean
    .
    But, hey, I vicariously dig your optimism.

  • calkate

    I’m guessing that’s easy for you to say. Me, this bill would change my life. For the better. A lot for the better.

  • http://twitter.com/ktumulty Karen Tumulty

    Awesome! See the post above this one.

  • http://patricksartor.wordpress.com patricksartor

    stuartzechman,

    Do you really believe Democrats kill this bill as the Republicans have been begging for, call that a victory because it does half or maybe less than half of what people want from health care, have Democrats run out and campaign that killing their own bill is a victory when a huge majority of Democratic congressmen have personalities like a cardboard box but less interesting and not be completely decimated in this election.

    Kill this bill and kill this midterm for Democrats.

    Pass this bill and if there ANY noticeable improvement in health care, people will trust Democrats to rebuild health care. Then all of the repairs can be made bit by bit.

    Can you really see some of these Democrats who have speeches like they are librarians on sedatives will pull off explaining why killing a Democratic bill as the biggest accomplishment of the last congress is a victory?

    Are you THAT optimistic or are you THAT repulsed by this bill?

  • iamsource

    OK.., if this becomes the rule, i.e. taking the safe path for re-election, then when do you actually stop doing it and support actions of honor?

  • iamsource

    Playing game simply means that someone else will have to find a way to manipulate things into their favor, which ALWAYS constitutes dishonest intent, and ultimately, actions. What good is any policy or Government that functions with dishonesty? What value is there in that legacy for anybody? Bringing things to light is the most useful aspect of resolving, planning and creating.

  • iamsource

    “I think understanding how elected officials must think is important.”
    .
    They are people. They think just like you do. They simply may have different goals.
    .
    Our aim to know should not be HOW they think, but WHAT they think. Any variation in HOW someone thinks is nothing more than a WHAT-they-are-thinking that modifies another WHAT-they-are-thinking.

  • http://patricksartor.wordpress.com patricksartor

    Picking battles well is something elected officials must do.

    Linden Johnson’s situation was extreme, but, therefore, a good example.

    Each and every member of congress has their own internal list of priorities. If voting for this will cost them their career, then all of the other things they wished to do are sacrificed.

    So, for those who are on the fence, it is clear that each and every one of them has something else they want to accomplish they consider more important than this. Either that or several things combined they deem more important than this.

    So, this is a way to figure out what they will do if they have this in mind.

    Politics is filled with examples of this.

    That’s one of many reasons why we don’t have hundreds of people every two years seeking to become congresspeople.

    If it was like being a CEO without having to make compromises in the same way, Congressperson would be an amazingly good and easy job if you could afford it.

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