Showing posts with label healthcare. Show all posts
Showing posts with label healthcare. Show all posts

Monday, December 23, 2013

This too shall pass

I came down with the flu a few days ago, and haven't felt like writing much.  Or reading.  Or breathing. 

Friday afternoon, I took a pass on my regular doctor, and went to CareNow - one of those Doc In A Box places. 

In and out with a steroid shot and a prescription for some antibiotics.  The visit goes against my deductible, plus a $15.00 copay on my pills.  Altogether, about $212.00 dollars. 

I have no point to make.  Just putting it down here for future reference. 

In the year of our Lord 2013, someone could see a doctor, get a shot, and get a round of antibiotics for $212.00. 

This too, shall pass. 

 

Friday, December 20, 2013

The Decline Of The U.S., As Seen In Propaganda Posters

Here's a Civil War-era recruiting poster for an outfit call the Manhattan Rifles. 

 
 
Here's a World War One navy recruiting poster. 
 


Here's something from World War II, featuring boxer Joe Louis. 


Here's what they used during the Korean War to recruit naval aviators. 


They had to get a little more creative during Viet Nam.  After all, they were going into the "Me Decade"....



Here's something from just a few years ago, designed to appeal to the whiz-bang, videogamer technology geek.....


And here's what Barack Obama And Company rolled out to encourage young adult males to talk to their families about Healthcare. 

 

Tuesday, December 3, 2013

Why ObamaCare is doomed

Now that things are becoming clearer....

Don't get distracted by the problems with Obama's Facebook Page Healthcare website.  Here is why Obamacare is doomed.  I've been preaching this same sermon for about two years.  Hit the Healthcare and Obamacare links to your right for more rants repeating the same tiresome thing, some longer, some shorter. 

Insurance guards you against the bad thing that hasn't happened yet.  If you pay a set amount of money to an insurance company every month or every quarter, they will make good your losses should the bad thing happen.  (Your house burns, you get a rare disease, or you wreck you car.)

We would never expect an insurance company to insure, and then pay for, a house that has already burned, or a car that has already been wrecked.  If that car that Paul Walker recently died it wasn't insured, no one is going to insure it now that it has been wadded into a heap of aluminum and burned.  But because the American Electorate has the collective intelligence of a pack of lemmings, we now expect insurance companies to blindly pay for a lifetime of medical treatment for anyone with one month's premiums in hand. 

If a homeowner's insurance company can't take a pass on someone whose home has already burned, they are no longer in the insurance business.  They are overseeing a wealth transfer. 

Obamacare declares that insurance companies can't turn away anyone with a pre-existing condition.  You can sign up for insurance in the freakin' ambulance. 

Therefore, insurance is now unnecessary.  No 25-year-old is going to sign up for it with his own money.  The fine costs less than a tenth of most insurance.   

I repeat....  Insurance is now unnecessary.  The kids aren't going to buy it.   

Second, things are more expensive when they are scarce, and they're less expensive when they are common.  Obamacare creates 16,000 new IRS agents, but no new doctors, nurses, or pill-producers. 

This is going to be a disaster of Biblical proportions. 

Hide and watch. 



 

Wednesday, November 20, 2013

An Alternative To Obamacare

When Libertarians criticize and ridicule Obamacare, they often get slammed for not providing an alternative, or for not caring about the poor, or for not having a plan at all. 

For a moment, please disregard the obvious reality of human action creating a spontaneous order, and the like.  Let's assume that someone has to write down a plan for the benefit of the Secular Theists out there. 

Here's a plan....

Designate a three-square-mile area south of Fort Worth TX as a "Free Market Healthcare Zone".  (Back in the early 80's, China designated four cities as "Free Trade Zones" as an alternative to having citizens starve to death.  These zones were wildly successful, led to the present success of the Chinese economy and standard of living, and everyone is still scrambling to get in.) 

In this Free Market Healthcare Zone, there would be no government regulations, only those regulations agreed to by the caregivers themselves (doctors, nurses, hospitals and pharmaceutical providers), and their customers.  Since the American insurance industry now has more government regulations than a nuclear waste dump, let's make this three-square mile area an Insurance Free Zone also. 

If you walk into a doctor's office or hospital in the Free Market Healthcare Zone, the first thing they'll ask you to do is sign a waiver promising not to sue if things go badly.  (These agreements are currently illegal, BTW.)  Yes, there is a sacred belief in the Libertarian mindset that if someone does you harm, you are entitled to compensation.  But there is another, equally sacred belief about honoring contracts.  Please hang with me for a few more paragraphs....

The second thing you'll do is see a nurse.  I've never known a nurse who didn't believe she could do 90% of what an M.D. can do.  If the nurse thinks you need some penicillin, she'll sell you some penicillin.  Or give you a morphine shot.  Or give you five stitches.  It's up to the nurse.  She might even call in a doctor.  After giving you whatever treatment she thinks you need, you'll walk up to a desk and write a check for the full cost of the visit. 

You might want to go only to a doctor who has been to a traditional medical school, one who will  have a little diploma on the wall stating that he's graduated, and has Rick Perry's permission to be a doctor in Texas.  Or you might be content to go to a doctor who has only been to DeVry.  Your choice.  Your life, your rules.   

But what if someone, or some institution, consistently provides bad service with poor outcomes?  How would the FW TX FMHZ possibly deal with that problem?  It would be done in the same way that we deal with bad grocery stores, bad mechanics, Betamax cassettes, Yugos and failed TV sitcoms.  People would stop purchasing those services. 

Things you will not have to pay for:  1) the involvement of a doctor, unless necessary, and 2) keeping the doctor and nurses safe from lawyers, and 3) a trip to the pharmacist, and 4) insurance overhead, and 5) Barack Obama's fantasies and delusions of being relevant to your health and well-being. 

I have a good friend who is a Marine medic.  If I get cut by a piece of rusty sheet metal, I can get him to give me a tetanus shot and five stitches, as long as we're in the lawyer-free, insurance-free, regulation-free Obama-free Fort Worth, Texas, Free Market Healthcare Zone.  It's none of Barack Obama's business.  Or Rick Perry's.  Or the law firm of Screwem Goode and Harte's. 

The same rules apply if I want to consult with some other dude who doesn't know much about stitches, but he's watched all of the YouTube videos.  I belong to me, you belong to you, and it really is none of your business. 

At this point, no one in the United States can tell you what it costs to treat a broken arm.  It depends on your insurance.  Chances are, no one in the U.S. with a broken arm has personally paid for the treatment in the last ten years.  The check was written by an insurance company or by the government, or the care was provided for, at no charge, by a hospital that can't legally turn anyone away.  Prices will never, ever drop as long as the user isn't negotiating the payment for the service. 

Would this Free Market Healthcare Zone concept cut America's healthcare expenses in half if every city had one?  Yes. 

Would one day in the hospital go back to a level where it equaled about two day's pay?  I bet it would.

Would it force the American Medical Association to start training more doctors?  Yes.  (BTW, things are more expensive when they are scarce, and the AMA creates an artificial scarcity by only releasing so many doctors into the market every year.) 

Would the level of innovation in these Free Market Zones possibly triple that of the current system?  Let's see... Risk wouldn't be punished, regulations wouldn't get in the way, and creativity would actually be rewarded.  I believe that's a yes.  There might even find a cure for cancer in that environment.   

Would more poor people be able to afford healthcare?  You betcha. 

Would more and more doctors and nurses be able to go back to treating indigent patients at no charge?  I bet they would. 

This would be so beautiful, and IMHO, so easy.  Give up the right to sue.  Stop worrying about whether the doctor or nurse has a certification from Rick Perry.  Get the insurance bureaucracy out of the way. 

We could do it next year, but we're just too compassionate to give up the trial lawyers, the insurance execs, and the Department Of Health And Human Services.....

Matthew McConaughey is starring in a new movie that'll be released in December called "Dallas Buyers Club", about a guy with AIDS who battled the bureaucracy to create something of his own very similar to a Fort Worth Free Market Healthcare Zone.  All of it illegal, of course.  Can't wait to see it. 


 

Thursday, November 7, 2013

Own it, Democrats. Own it.

From Pro Publica:

San Francisco architect Lee Hammack says he and his wife, JoEllen Brothers, are “cradle Democrats.” They have donated to the liberal group Organizing for America and worked the phone banks a year ago for President Obama’s re-election.

Since 1995, Hammack and Brothers have received their health coverage from Kaiser Permanente, where Brothers worked until 2009 as a dietitian and diabetes educator. “We’ve both been in very good health all of our lives – exercise, don’t smoke, drink lightly, healthy weight, no health issues, and so on,” Hammack told me.

“From all of the sob stories I’ve heard and read, ours is the most extreme,” Lee told me in an email last week.

Hammack and Brothers apparently didn't know that a healthcare scheme concocted by a president with no medical, business, insurance or reality experience, then finger-f***ed by a Congress selling freebies for votes, and then implemented by contractors with nothing on their resumes but political connections....  Well, they just thought the idea would somehow work. 

Hammack recalled his reaction when he and his wife received a letters from Kaiser in September informing him their coverage was being canceled. “I work downstairs and my wife had a clear look of shock on her face,” he said. “Our first reaction was clearly there’s got to be some mistake. This was before the exchanges opened up. We quickly calmed down. We were confident that this would all be straightened out. But it wasn’t.”

Sweet, sweet little rabbits.  Let me explain the world to you.  If you hand over control of your life to other people, they're not going to concern themselves with what you need.  Their concern will be for 1) the needs of themselves and their families, 2) the needs of their supporters, and finally 3) your needs.  It's always been that way.  You can look it up. 

I asked Hammack to send me details of his current plan. It carried a $4,000 deductible per person, a $40 copay for doctor visits, a $150 emergency room visit fee and 30 percent coinsurance for hospital stays after the deductible. The out-of-pocket maximum was $5,600.

This plan was ending, Kaiser’s letters told them, because it did not meet the requirements of the Affordable Care Act. “Everything is taken care of,” the letters said. “There’s nothing you need to do.”

The letters said the couple would be enrolled in new Kaiser plans that would cost nearly $1,300 a month for the two of them (more than $15,000 a year).

And for that higher amount, what would they get? A higher deductible ($4,500), a higher out-of-pocket maximum ($6,350), higher hospital costs (40 percent of the cost) and possibly higher costs for doctor visits and drugs.

This couple's old plan was what they wanted. 
Barack Obama knows what they really need. 

Here's some Rolling Stones. 

You can't always get what you want.  But if you vote for Obama, you'll get what you need.



 

Tuesday, November 5, 2013

Canada has a lottery to determine who gets to see the local doctor

Here's some good stuff about Canada's healthcare system, and I can't believe that Republicans didn't make more of it during the ObamaCare enactment tragedy of several years ago. 

All of the "civilized" nations have universal healthcare, right? 

It seems that Canada has a doctor shortage.  Canada's healthcare system is run by the government. 

To quote the great Milton Friedman,  "If you put the federal government in charge of the Sahara Desert, in five years there'd be a shortage of sand."  That probably applies on both sides of the U.S. northern border. 

There are places in Canada that have a freakin' lottery to determine who gets to have a family doctor. 

There are places in Canada that have a freakin' lottery to determine who gets to have a family doctor.

There are places in Canada that have a freakin' lottery to determine who gets to have a family doctor.

There are places in Canada that have a freakin' lottery to determine who gets to have a family doctor.

Ok, that's out of my system.  Why a lottery?

As of 2007, there were 12,000 Canadian docs practicing in the USA. 
In 2006, 1 in 9 Canadian-educated physicians practised in the United States. If physicians who were born in the United States are excluded, this number is reduced to 1 in 12. This accounts for just over half of the net loss of physicians from the Canadian-trained physician workforce. Collectively, this is equivalent to having 2 average-sized Canadian medical schools dedicated to producing physicians for the United States. Canada is the second largest source of immigrant physicians to the United States, second only to India.
People go where they can get a better return for their labor.  Doctors do it, I do it, and you do it. 

No one smart enough to get through medical school wants to be at the mercy of some charismatic, photogenic idiot who managed to get elected by claiming that a doctor's time and labor is a basic human right. 

So Canada now has a doctor shortage, especially in rural areas.  So do they turn healthcare over to the free market? 

No.  That wouldn't be "fair". 

Do they open more medical schools and train more doctors?  Do they allow nurses to handle more of the medical treatment load (which every nurse I've ever known claims that she could do....)? 

No.  That would be giving up central control. 

Canada has a lottery to see who gets a family doctor. 



Within 20 years, the USA will have a lottery system for family doctors. 

Enjoy the decline! 

Friday, October 18, 2013

Schadenfreude - Fun Quotes On A Miserable Failure

Here are a few of Politico's best quotes on the ObamaCare website.  Go here for the complete collection.  (And BTW, I love the "snipping tool" for photos that comes with the Windows 7 package.)













And here's my favorite, and I don't know where I found it. 
They no longer have the "countdown to deadline" feature on the site, do they?  LOL. 


 

Monday, September 23, 2013

ObamaCare in two charts

Here's your first chart, explaining how much your premiums will likely rise.  It was put together by the Society of Actuaries.  (You can go here to read what the sent to the Wall Street Journal editors about our upcoming healthcare debacle.  Good stuff.) 


Here's the 2nd chart, explaining WHY your premiums are likely to rise.  It was put together by some Republican Congressman's staff.  And I bet they had a great time doing it. 


I hope these help.  Don't get sick. 

Wednesday, May 22, 2013

Our employees just found out "what's in the bill"

Joy.  Bliss. 

About 500 employees at my workplace, Jukt Micronics, recently found out "what's in the bill" (to quote Nancy Pelosi).
 


This questionnaire went out to each shop, just to kinda get a feel for how the employees felt about things. 

Here's how the thing was worded:

**************************

Starting in 2014, the US government is enacting a law which requires every person to have health insurance or be charged an additional tax.  As a requirement of this law, Jukt Micronics will be providing a plan that you may join.  We need to get an idea of how many employees might be interested in this coverage.  there will be a cost to us as employees with these options. 

* Option 1:  Pay approximately $1,800.00 per year (this breaks down to $150.00 per month or $34.00 per week) for company-provided health care coverage with an estimated deductible of $3,000.00 per individual.

* Option 2: Pay a government fine or tax of $95.00 for the first year or 1% of your annual income, whichever is greater.  (If you made $18,000.00 in box 2 of your W-2 last year, 1% of $180 - just move the decimal point over two places.) 

*Option 3: Obtain insurance coverage through the individual market, i.e. Blue Cross, Aetna, or some other "family plan". 

**************************

Work kinda ground to a halt as everyone digested this. 

But let's say you're a low-income worker, making $8.50 per hour.  You're going to pay the fine.  Every time.  They can't turn away pre-existing conditions.  If you get cancer or if you accidentally saw your leg off, you can sign up for insurance in the ambulance (or in my case, the helicopter) on the way to the hospital.  The damn fools wrote it where insurance companies can't turn away anyone with a pre-existing condition. 

Ok, how about high-income workers? 

Same thing.  The only people who will pay $1,800.00 per year with a $3,000.00 deductible are those with incomes higher than $180,000.00
Otherwise, they're better off paying the fine.  (Yeah, the fines go up each year after 2014, but there's no penalty for getting a good deal the first year!!)
They can't turn anyone away from insurance coverage, so signing up for it after you've gotten sick seems to be the only rational response to the law.
As I wrote multiple times during the debates about this madness, no one will stay in the business of insuring the houses that have already caught on fire, but that's what The Teleprompter Jesus has asked insurance companies to do.

As our cleaning guy said, "This thing kinda sounds like slavery." 

I'll be writing more (with some input from our H.R. department) as the questionnaires come in. 

Friday, March 8, 2013

From the people who are about to take over healthcare....

Here's a Justice System Update, courtesy of Instapundit:
Man Left in Solitary Confinement for 2 Horrific Years … for Suspected DUI. “After Steven’s arrest on suspicion of DUI and driving a stolen car, he was placed in solitary confinement because because officers felt he might be ‘suicidal.’ There, he was essentially forgotten about by the legal system. He was given no health care. His toenails grew so long they curled around his feet. He developed bed sores. A fungus grew on his skin after being denied showers. He lost a ton of weight. His hair grew long and shaggy — he looks like he just got off a desert island. He descended into madness. And his dental problems grew so severe that he was forced to pull out one of his rotting teeth by himself. Eventually, after 22 months, Steven was released after all charges against him were dismissed.”

The poor guy is now batshit crazy, but has won 15.5 million in a lawsuit.  

"His mental health has been severely compromised from the time he was in that facility. That continues to be the same. No amount of money will bring back what they took away from him," Matt Coyte, Slevin's Albuquerque-based attorney, said on Wednesday. "But it’s nice to be able to get him some money so he can improve where he is in life and move on."

And the people who were running the prison?  Still employed there.
The people who paid the fine?  The citizens of New Mexico.

Wait until the same mindset takes hold in our intensive care wards.
Go here to read occasional updates on Britain's National Health Service.  
Go hear to read about the recently formed political party opposed to any NHS reforms!  (Kinda like postmen forming a union to retain 6-day letter delivery in Merigold MS in the age of email.)
Hey, anybody can make a mistake, right?  

Monday, February 11, 2013

The ObamaCare Poster Contest Winner

This one is beautiful, ain't it? 
Go here to see the other contestants. 
Go here to see what that photogenic idiot is likely to accomplish for medicine in California. 


Wednesday, January 16, 2013

Fascism: 3 Definitions And 1 Example

From The Library Of Economics And Liberty:
"Where socialism sought totalitarian control of a society’s economic processes through direct state operation of the means of production, fascism sought that control indirectly, through domination of nominally private owners. Where socialism nationalized property explicitly, fascism did so implicitly, by requiring owners to use their property in the “national interest”—that is, as the autocratic authority conceived it. (Nevertheless, a few industries were operated by the state.) Where socialism abolished all market relations outright, fascism left the appearance of market relations while planning all economic activities. Where socialism abolished money and prices, fascism controlled the monetary system and set all prices and wages politically. In doing all this, fascism denatured the marketplace." 
From Lew Rockwell, director of the Ludwig Von Mises Institute:
Everyone knows that the term fascist is a pejorative, often used to describe any political position a speaker doesn’t like. There isn’t anyone around who is willing to stand up and say: "I’m a fascist; I think fascism is a great social and economic system."

But I submit that if they were honest, the vast majority of politicians, intellectuals, and political activists would have to say just that.
Fascism is the system of government that cartelizes the private sector, centrally plans the economy to subsidize producers, exalts the police State as the source of order, denies fundamental rights and liberties to individuals, and makes the executive State the unlimited master of society.
From Whole Foods Market founder John Mackey:
The CEO of Whole Foods Market said President Obama's healthcare law is more like "fascism" than "socialism," a parallel he drew in 2009, to some backlash.

John Mackey made the remark in an interview Wednesday with NPR.
"Technically speaking, it's more like fascism," Mackey said of the Affordable Care Act. "Socialism is where the government owns the means of production. In fascism, the government doesn't own the means of production, but they do control it, and that's what's happening with our healthcare programs and these reforms."

 

Monday, November 12, 2012

If we have televangelist Robert Tilton, who needs ObamaCare??

I love this guy. 
This is Televangelist Robert Tilton.  If it sounds like he's speaking gibberish, it's because he is.  He thinks that he has the gift of "tongues", spoken of in the book of Acts.  If you have the gift of discernment, you can interpret his gibberish, and use it as a guide for your life.  Or something. 

This video is only 40 seconds long. 

If you can make it from the .20 to the .30 mark without laughing out loud, you're a better person than me. 


Monday, October 1, 2012

Ryan Sheffield's 12 Political Compromises

My Bar Friend Ryan Sheffield has put a list of "12 Political Compromises" on Facebook.  This is his governmental wish list. 

As a side note, Ryan is one of those creative people who can do just about anything he wants to do.  Go here to view (and purchase) some of his artwork, mostly drawings of authors that incorporate their quotations.  I think I've used the Twain and the Hunter S. Thompson to liven up posts on this site a few times. 
Go here to download (no purchase required) his two e-books.  I've read some of his stories, and they're good stuff. 

IMHO, Ryan is very close to the Kingdom Of God, i.e., the Libertarian Party, with this list.  My additional commentary is in italics.  Here goes:

1. Repeal Citizens United. You would be hard-fought to find any normal citizen who thinks it’s a good idea for corporations, labor unions and special interest groups to have an unfettered cashflow into political campaigns. It doesn’t matter what “side” you are on, you should probably oppose Big Money syndicates controlling the election process and fueling the obnoxious TV commercials you are being bombarded with every day.

Why do we have big corporations and super-pacs giving a rip who gets elected?  Well, to produce a successful product, you have to convince millions of citizens to purchase the product.  That's the hard way.  The easy way is to get Congress to mandate the use, purchase, or monopolization of the product.  Corporations want protection from competitors.  In a nation with a massive government, it's far more effective to purchase one Congressman that to sell to 330 million Americans.  Here's something from the Cato Institute:
The proper answer to large expenditures for speech is either more speech or, if the existing system proves unworkable, a constitutional amendment. As for money, it's just a symptom. We have a big money problem because we have a big government problem. By restraining the regulatory and redistributive powers of the state, we can minimize the influence of big money. Restoring the Framers' notion of enumerated, delegated, and limited federal powers will get government out of our lives and out of our wallets. That's the best way to end the campaign-finance racket, and root out corruption without jeopardizing political speech.

In other words, if it really matters who wins the elections, your government has gotten too big.  If governments can mandate profits for favored corporations, government has gotten waaaay too big. 

2. Close the “Revolving Door” and shut lobbyists out of government. This is an extension of number 1. Again, no one wants these organizations, right or left, buying and bribing politicians or running their own regulatory agencies. Politicians work for us, not the highest bidder.

Once again, lobbyists are just a symptom.  They're not the disease.  If the government matters enough to justify the hiring of lobbyists, the government has gotten too big. 

3. End the “War on Drugs.” This doesn’t mean we have to legalize EVERYTHING, but this “war” is a bottomless money pit and a failed experiment. It is the reason the violent cartels exist and the reason your idiot son is snorting bath salts in your basement.

Precisely.  Exactly.  Ever since Nixon began the War On Drugs in 1970, the only drug whose use has declined is....tobacco.  That's because tobacco is legal and no longer cool.  
There are a few antibiotics that should possibly be restricted because unfettered use causes viruses to mutate and grow stronger.  
Everything else?  Well, ask yourself which currently illegal drugs you want the Mexican and Afghan Drugs Lords to have a monopoly on. 

4. Stop treating the environment as a partisan issue. The environment SHOULD be something we all agree on. It affects us all equally. As long as free enterprise exists, there must be checks & balances on pollution, deforestation and animal cruelty. This is not “socialism.” It’s the necessary price business owners must pay for the ability to run operations that affect our natural surroundings and resources. The beautiful but unrealistic Libertarian idea that simply boycotting polluters will solve the problem is a pipe dream. Especially if the public is unaware they are polluting in the first place (or simply doesn’t care.) We need to agree on what “facts and science” are and deal with the problems accordingly. Present “free market” alternatives. That is healthy and good. But accept science before you make suggestions. Economic freedom doesn’t make toxic waste taste any better.

The environment is a classic economic "externality".  You want to purchase powder-coated metal parts from me, so I powder-coat the parts.  You give me money.  I give you painted parts.  We're the only two people involved in the deal.  But not if I dump a lot of leftover zinc and iron-phosphate into the Trinity River.  Then a lot of other people become a party to our deal.  That's called an "externality". 

The classic Anarchist position in this case is to boycott the polluters.  The classic Libertarian position, however, is to sue the shit out of them if they have done YOU harm.  (Plus, all environmental regulations should be voted on by Congress, not enforced by appointees.)  Go here and here for two more excellent Cato downloads on how we could help the environment, lower the bureaucratic costs, and also let manufacturing businesses prosper. 

5. Audit the Federal Reserve and, preferably, abolish it. A private banking organization with no oversight or accountability should NOT be in charge of the nation’s economy. Central banks were never a good idea. But private and secret central banks are even worse.

Oh yes, yes, yes, Mr. Sheffield.  Yes, yes, yes.  And when we End The Fed, let's level all their buildings and plow salt into the earth where they stood so nothing will ever grow there again. 
The Fed was founded in 1913 to stabilize the money supply.  Since 1913, the dollar has lost 97% of its value. 

6. Legalize gay marriage. It doesn’t affect you. Just let it happen, move on, and turn your attention to issues that actually affect us all.

Yeah.  If God doesn't like gay people, why does he keep making so many of them? 

7. Disrupt and destroy the partisan divide. We are all screwed if this extreme partisanship continues to divide us. The culture of the American media has made it impossible for us to discuss issues and make progress. The main source of this problem? Pigeonholing. If someone asks you if you support the Affordable Care Act (or Obamacare, for the other partisans), your answer should be nuanced and thought-out and should NEVER place you squarely in a political party. The common practice of assuming what “side” someone is on based on a single opinion is the MOST destructive aspect of our modern political culture.

In my opinion, we have so much extreme partisanship and a partisan divide because the only choice we have is between two partisans.  You can pick the Crips or the Bloods.  I've commented on this dozens of times elsewhere, but let's say the Crips and Bloods are the only parties to hold office for the last 75 years.  They both advocate slavery, puppy torture, and poor dental hygiene.  But the Bloods have a better position on Healthcare. 

So you always support the Bloods.  Otherwise the Crips will win.  If a 3rd gang (The Libertarians) comes along advocating an end to slavery, puppy torture, and are pro-brushing and flossing, they're written off as a wasted vote.  They might help the dreaded Crips win !!  So what's the solution?  How do we end all of this partisanship of Us vs Them? 

Through a system of approval voting.  Go here for an explanation.  It would allow most of us to comfortably step outside the Us and Them boxes and safely try out some other points of view. 

8. Recognize that gun control is like drug control. They will always exist and banning them only makes them more dangerous. People have a Constitutional right to arm themselves and threatening to take that right away only makes the loony “patriot” gun nuts all the more rabid and frothing at the mouth for their insurrection fantasies. Compromise: Don’t sell assault rifles at K-Mart. Gun store owners are always going to be more scrutinizing than a 16-year-old making minimum wage at a big box store.

I became a rabid 2nd Amendment nutcase when one of my co-managers brought in plans for a WWI-era machine gun that we could make at the shop.  I totally understood those blueprints, and I'm a borderline mechanical idiot.  Ryan is correct.  Guns aren't going away if someone like me can make one. 
I don't have insurrection fantasies, but do have the fears.  I now sometimes carry a gun, because cops are too dang heavy. 

9. Remove the words “socialism” and “capitalism” from the healthcare debate. It should be universally considered the “noble” goal to provide affordable healthcare for all American citizens. The road to that goal is (and SHOULD be) up for debate, but the endgame should not. The question is how to pay for it and how to ensure that quality of care (and personal decision-making power) do not decrease. It’s going to be difficult to sort out, but it’s hard for me to believe that there is anyone in America who does not think it’s a positive thing for everyone to have healthcare. “Healthcare is not a right.” You’re correct. Now let’s sit down and figure out how to make it one in a way that we can all agree on. If your opinion on healthcare is little more than “I support the President because he’s a Democrat like me” or “I dang’ol hate commies!,” you should probably stop voting.

I think that true Capitalist Healthcare has never been tried.  Here's my modest proposal.  If this became the system in an 8-block Free Market Zone someplace south of downtown, people would be flying in from all over the state for treatment.  And I think this would meet Ryan's criteria of a noble solution for a noble goal.  Hit the link. Please. 
But I do like the word "capitalism", because when regulators and Nanny-Staters allow unbridled acts of capitalism to take place, capitalism usually works.  Lap Band surgery and Lasik eye surgeries have become 80% less expensive, mostly because Medicare, Medicaid and insurance policies don't cover them. 

10. All censorship is wrong. A message to the left wing: All speech must be permitted, even what most would consider “hate.” I’m sorry. Free speech is an “all or nothing” issue. We can never open the door for authority to tell us what we can and can’t say or express. A message for the right wing: Seriously, just think about it. Is it really worse for your kid to see a naked lady than it is for them to witness a mass murder? Obviously not, if you’ve ever watched primetime TV. Get your priorities straight.

Here's a Ryan Sheffield print.  It's gonna be the first one I order:


11. Recognize that nearly every one of those infographics, chain emails, or biased news articles you share with your friends is chock-full of misinformation, omission, and partisan agendas. Yes, even the ones that agree with your position. “There are lies, damned lies, and statistics.” – Mark Twain

That's why I probably won't watch the (ahem) debate between The Obamneys.  Much truthiness will be thrown around that's half-right, half-wrong, manipulated, and taken totally out of the original context.
 
My questions about the infographics, chain emails, news articles and partisan agendas usually come down to this...  a) Does this person want to leave me and everyone else alone? b) Does this person's agenda promote or discourage ethnic, racial, or national Tribalism?
Nothing else matters. 

12. Talk to each other. Stop being so goddamn clique-y with your politics. Talk to someone who disagrees with you without letting the debate devolve into a talking points recitation contest. We need more open minds, less partisan cheerleading. I feel like I’m watching a word-war between Crips and Bloods who haven’t yet realized that the only thing dividing them is the color of bandana they wear.

Sorry, I’ll shut up now.  

Some of my responses were old talking points and some were new. 

Sorry about breaking Ryan's post down into a word-war between Crips and Bloods and Libertarians. 

The LP bandana is red and blue with porcupines on it.  

I'll shut up too.  At least until tomorrow morning.  

Be sure to hit the links at the top for Ryan Sheffields art and stories !!   

Wednesday, August 22, 2012

I'm not saying the government is too big, but....

I'm not saying the government is too big, but....

if it really is too big, what would it look like? 

Here's the Samizdata quote of the day -

What if we have reached a point where the scale and scope of government have become absurdly large? What you would observe is a growing gap between the theories used to justify government expansion and its practical impact. You would observe the cost of education and health care rising, without commensurate benefits. You would observe stimulus programs that increase employment according to computer models but not in reality. You would observe crony capitalism. You would observe budgets distorted by public-sector unions. You would observe fraudulent accounting that shifts costs for pensions onto future generations.


- Arnold Kling

Well, if you're going to put it that way....


Picture of bloated guy came from here. 

Saturday, March 24, 2012

Why Markets Are Miraculous

I'm browsing through a new hardback called "Why Good People Are Divided By Politics And Religion", by Jonathan Haidt.  Haidt is a psychology professor at the University of Virginia.  He also teaches Business Ethics at New York University. 


This is good stuff.  Here's a snippet called "Markets Are Miraculous", where he looks at the Libertarian mindset on a few issues:

"In 2007, David Goldhill's father was killed by an infection he caught while in the hospital.  In trying to make sense of this unnecessary death, Goldhill began to read about the American health care system, which kills about 100,000 people annually buy such accidental infections.  He learned that the death rate can be cut by two-thirds when hospitals follow a simple checklist of sanitary procedures, but most hospitals don't adopt the checklist. 

Goldhill, a businessman (and Democrat), wondered how it was possible for any organization to pass up a simple measure that yielded such massive payoffs.  In the business world, such inefficiency would soon lead to bankruptcy.  As he learned more and more about the healthcare system, he discovered just how bad things get when goods and services are provided without a properly functioning market. 

In 2009, Goldhill published a provocative essay in The Atlantic Monthly titled "How American Health Care Killed My Father".  One of his main points was the absurdity of using insurance to pay for routine purchases.  Normally we buy insurance to cover the risk of a catastrophic loss.  We enter an insurance pool with other people to spread the risk around, and we hope never to collect a penny.  We handle routine expenses ourselves, seeking out the highest quality for the lowest price.  We would never file a claim on our car insurance to pay for an oil change. 

The next time you go to the supermarket, look closely at a can of peas.  Think about all the work that went into it - the farmers, truckers, and supermarket employees, the miners and metalworkers who made the can - and think how miraculous it is that you can buy this can for under a dollar.  At every step of the way, competition among suppliers rewarded those whose innovations shaved a penny off the cost of getting that can to you.  If God is commonly thought to have created the world and then arranged it for our benefit, then the free market (and its invisible hand) is a pretty good candidate for being a god.  You can begin to understand why libertarians sometimes have a quasi-religious faith in free markets. 

Now let's do the devil's work and spread chaos throughout the marketplace.  Suppose that one day all prices are removed from all products in the supermarket.  All labels too, beyond a simple description of the contents, so you can't compare products from different companies.  You just take whatever you want, as much as you want, and you bring it up to the register.  The checkout clerk scans in your food insurance card and helps you fill out your itemized claim.  You pay a flat fee of $10.00 and go home with your groceries.  A month later you get a bill informing you that your food insurance company will pay the supermarket for most of the remaining cost, but you'll have to send in a check for an additional $15.00.  It might sound like a bargain to get a cartload of food for $25.00, but you're really paying your grocery bill every month when you fork over $2,000.00 for your food insurance premium. 

Under such a system, there is little incentive for anyone to find innovative ways to reduce the cost of food or increase its quality.  The supermarkets get paid by the insurers, and the insurers get their premiums from you.  The cost of food insurance begins to rise as supermarkets stock only the foods that net them the highest insurance payments, not the foods that deliver value to you. 

As the cost of food insurance rises, many people can no longer afford it.  Liberals (motivated by Care - you'll have to read the entire book to get that part - TWS) push for a new government program to buy food insurance for the poor and the elderly.  But once the government becomes the major purchaser of food, then success in the supermarket and food insurance industries depends primarily on maximizing yield from government payouts.  Before you know it, that can of peas costs the government $30.00, and all of us are paying 25 percent of our paychecks in taxes just to cover the cost of buying groceries for each other at hugely inflated costs. 

That, says Goldhill, is what we've done to ourselves.  as long as consumers are spared from taking price into account - that is, as long as someone else is always paying for your choices - things will get worse. 

In the U.S., 84% of our healthcare checks are written by someone else - Uncle Sam or an insurance company - TWS

We can't fix the problem by convening panels of experts to set the maximum allowable price for a can of peas.  Only a working market can bring supply, demand, and ingenuity together to provide health care at the lowest possible price.  For example, there is an open market for LASIK surgery (a kind of laser eye surgery that removes the need to wear contact lenses).  Doctors compete with one another to attract customers, and because the procedure is rarely covered by insurance, patients take price into account. 

Have you ever heard a radio ad about a doctor who will fix a broken arm better and cheaper than anyone else?  I haven't.  How about LASIK surgeons?  They advertise as much as McDonald's.  - TWS. 

Competition and innovation have driven down the price of the surgery by nearly 80 percent since it was first introduced.  (Other developed nations have had more success controlling costs, but they too face rapidly rising costs that may become fiscally ruinous.  Like America, they often lack the political will to raise taxes or cut services.) 

When libertarians talk about the miracle of "spontaneous order" that emerges when people are allowed to make their own choices (and take on the costs and benefits of those choices), the rest of us should listen.  Care and compassion sometimes motivate liberals to interfere in the working of markets, but the results can be extraordinary harm on a vast scale.  (Of course, as I said above, governments often need to intervene to correct market distortions, thereby making markets work properly. - I believe he's talking about externalities, etc. - TWS)    Liberals want to use government for so many purposes, but health care expenses are crowding out all other possibilities.  If you think your local, state, and federal governments are broke now, just wait until the baby boom generation is fully retired. 

I find it ironic that liberals generally embrace Darwin and reject "intelligent design" as the explanation for design and adaptation  in the natural world, but they don't embrace Adam Smith as the explanation for design and adaptation in the economic world.  They sometimes prefer the "intelligent design" of socialist economics, which often ends in a disaster from a utilitarian point of view. 

I can't wait to read the rest of this book. Greatness. 

Wednesday, March 14, 2012

Corrupt Insurance Company DOUBLES Bills After Signing Up Customers !!!

From The Washington Examiner comes an expose of unscrupulous healthcare providers quoting a low price for medical treatment and then DOUBLING the amount charged to the customer. 
I look forward to breathless editorials from the New York Times, the Washington Post and 60 Minutes condemning this practice and those who oversee it. 

President Obama's national health care law will cost $1.76 trillion over a decade, according to a new projection released today by the Congressional Budget Office, rather than the $940 billion forecast when it was signed into law.

Raise your hand if you are shocked.  Anyone?  Anybody?  I didn't think so. 

Democrats employed many accounting tricks when they were pushing through the national health care legislation, the most egregious of which was to delay full implementation of the law until 2014, so it would appear cheaper under the CBO's standard ten-year budget window and, at least on paper, meet Obama's pledge that the legislation would cost "around $900 billion over 10 years." When the final CBO score came out before passage, critics noted that the true 10 year cost would be far higher than advertised once projections accounted for full implementation.

The 2014 date also got Obama past the 2012 elections and also gets some distance between the 2008 Congress and the inevitable consequences of this mess. 
This graph is old and out of date, but it's the most recent one I could find.  Like the Democrats, I like to post eye-popping charts of disastrous consequences.  In this case the chart isn't horrible enough, and I apologize. 


Today, the CBO released new projections from 2013 extending through 2022, and the results are as critics expected: the ten-year cost of the law's core provisions to expand health insurance coverage has now ballooned to $1.76 trillion. That's because we now have estimates for Obamacare's first nine years of full implementation, rather than the mere six when it was signed into law. Only next year will we get a true ten-year cost estimate, if the law isn't overturned by the Supreme Court or repealed by then.

Texas Republican Senator John Cornyn has said that ObamaCare will never be repealed.  That's why you need to start voting for Libertarians. 
Mitt Romney was the John The Baptist for ObamaCare.  He will be the Republican nominee for president.  That's why you need to start voting for Libertarians. 
Fort Worth's Trinity River Vision Authority has had similar cost overruns without accomplishing much of anything but marketing.  They're trying to build a massive lake downtown that will be known to your granchildren debtors as "Lake Granger", after the family of Republican Congresswoman Kay Granger.  That's why you need to start voting for Libertarians. 


Given that in 2022, the last year available, the gross cost of the coverage expansions are $265 billion, we're likely looking at about $2 trillion over the first decade, or more than double what Obama advertised.
UPDATE: I've done another post with additional details from the CBO report.

These are the numbers from the Congressional Budget Office.  I don't think the Congressional Budget Office could properly predict the winner of a New York Giants vs. Little Sisters Of The Blind wager in the Super Bowl. Their predicted cost is very, very low.  Hide and watch.