Small World


Bo and I drove down to Cerrillos that warm weekday afternoon to check out some land on which to potentially build our homes and studios. After walking the rolling hills to the property's corners, we drove down Goldmine Road and checked into Mary's Bar for a cold one. Mary's is one of those country bars that in spite of its' uniqueness seem ubiquitous here in New Mexico. There was an older Anglo, with salt and pepper beard and ponytail on the porch of the bar along with a couple of local vatos shooting the shit. We never saw Mary or anyone else in her employ that day. After selecting a couple of beers from the cooler, we left what we thought was an appropriate amount of cash on the bar, and went outside to drink with the others.

An animated conversation ensued with the longhair and myself leading the discussion. In time a joint was produced out of nowhere and passed around. We introduced ourselves, and our new friend reciprocated, telling us his full name, "Cornelius Joseph McFadden". It seemed a mouthful, but he added that we could call him Neal.

Stories were traded, with his side of the conversation spanning accounts of his small gold mining operation, to smuggling marijuana across the Mexican-American border decades earlier. That particular tale ended with Neal's incarceration in Leavenworth Federal Penitentiary, and his assertion that his then friend, Tim Leary, had sold the smuggling operation out in order to relieve some pressure which he was feeling from the feds as a result of his own legal problems. Neal had no soft spot in his heart for Leary.  Seven years in the Big House will do that, I suppose.  Then the discussion turned to Richard Alpert, aka Baba Ram Das, Tim's cohort at Harvard, Millbrook, and beyond and their exploration of the psychotropic benefits of LSD and human consciousness. Neal professed a love and respect for Ram Das, calling him "my guru". He was a powerful and interesting guy, and it was an afternoon that stuck with me. I vowed to look Neal up when I would finally move to New Mexico a couple of years hence.

Read more »

Business as Usual, PART 2: How to Improve your Sex Life, Make Money, and Lose Weight©


A continuation of my thoughts expounded yesterday on America and its relationship with Big Business.

 

When Adam Smith was forming seminal thoughts on markets, the business of business was producing better mousetraps more efficiently than competitors.  Since then we have grown into the most affluent society the world has known.  There is so much money sloshing around our economy that one can become rich exploiting human psychology by convincing people they need to own your product, even when they really don't.  Pet rocks are but a minor example of this.  The "science" of exploiting our psychology in order to generate sales is called marketing and it was birthed along with the advent of mass communication.  Marketing began with the rise of newspapers, but it really took wings in the 1940s and 1950s with the rise of the radio and television industries.

I've often thought that if you want to increase sales, you need to appeal to three basic human desires:  sex, wealth, and the wish to be physically attractive.  One need only peruse the articles and magazines in any supermarket check out line to grasp the veracity of this.  If I ever write a booklet to be sold in supermarket checkout lines, the title will be "How to Improve Your Sex Life, Make Money, and Lose Weight" ©. It has a certain cachet, and I suspect it will be a moneymaker if I can only come up with enough blather to fill its' pages.  Perhaps even you, erudite TPM reader, are perusing this blog as the title aroused your own curiosity, and in the end who wouldn't want to be richer, thinner, and have better sex?

 

Marketing stuff we don't really need has resulted in basements and garages across our country that store hundreds of thousands of 'home exercise systems' which have been used on average about 5 times before they were moved to the garage and listed for sale on Craigslist or Ebay.   Marketing has produced the pocket fisherman for those who might want to cast a line during a stroll through Central Park, but don't want to advertise their intent to the cops by carrying a full rod and reel.  Billy Mays and numerous over the hill athletes have made second careers from selling Americans products that they ultimately had little use for.  It's a big factor in why almost 70% of our economy consists of "domestic" spending. It may also account for the large percentage of credit cards that are cut up by bankruptcy courts each year.

 

Read more »

Business as Usual


The Republican Party has been known for some time as the party of businessmen and business in general.  They have championed the deregulation of markets and the reduction of corporate taxes as well as reduced taxation of the wealthy in America with increased vigor in the last 28 years.  Now as we see Max Baucus & Co. doing their song and dance on Capitol Hill, we are beginning to see how the Democratic Party has come to be a protector of big business's interests as well.  The power of business is money, and business's financial resources are vast.  The lobbyists representing corporate interests in Washington D.C. know precisely how to administer it in order to get the wheels of democracy to turn if ever so slightly in the direction Big Business wants.

Today, the real opponents to reform in our country are likely not to be Republicans per se, nor the Democrats for that matter.  The real powers arrayed to subvert sound public policy that will benefit us all are the corporations, and more particularly the very large corporations.  Every law we write affects the status quo and the existing revenue streams staked out by big business as it navigates our labyrinthine tax code and public policy in search of financial enrichment.  These revenue streams are guarded with no less self interest than were the privately owned ferries and toll roads of yesteryear and we are not invited to cross before payment has been extracted from us.  One need only look at healthcare for which we pay twice as much as the rest of the world, and the corporate resistance to the kind of sweeping change our healthcare system so clearly demands.  It's worth taking some time to know an adversary that challenges any change to policies which might adversely impact corporate profits,  while instead favoring policies that further corporate self interest even at the expense of the public good.  If we take the writings of Sun-Tzu and Machiavelli at face value, we would be fools to do otherwise.

Proponents of Business's philosophy will make the case that America's own interests lie in conjunction with Business's interests.  It is true that we benefit from a strong economy in which business is expanding, and our system favors innovation in the marketplace which is all good, however the interests of business are not synonymous with the interests of Americans or those of mankind.    Business is at its' heart amoral, and it is only through the force of the personalities conducting business that it can ever be otherwise.  The recurring refrain we hear "that business is first and foremost accountable to its' shareholders" should be of concern to all of us not vested in these corporations as well as those who are shareholders.  Some of our largest corporations conducted 'business as usual' with the Nazi regime up to and even after the bombing of Pearl Harbor.  Morality was not a consideration of this support born of ideological disdain for Communism which business feared worse than the Nazi regime that brought us the Holocaust as well as up to 71M other deaths worldwide.  Business's products in general and armaments in particular have a way of finding their way to any and all conflicts and to all political factions regardless of moral or ethical position.  Unlike water seeking the lowest level, business's products seek all levels, as business is not bound by political, moral, and ideological apogees or perigees.  If there is money to be made, business will explore the avenues in which it can be made without concern for ethics or regard for social altruism.

Read more »

Memento


A diversion from the pressing politics and policies of the day.

I've been visiting my family in Southeastern Pennsylvania.  I navigate the country byways that once were so familiar, and now seem less so.  Names of streets, and neighborhoods that had once been hardwired into my memory can be elusive after spending years living away from my childhood stomping grounds.  In the end there may be only so much storage space on our aging cerebral hard drives.  I try to comfort myself with my knowledge of new arcane routes spread across the American West which now command the limited space once staked out by my knowledge of East Coast highways. 

 

Among the friends I've visited this week has been an old friend of mine and my family.  He's one of the smartest and funniest people I've had the pleasure of knowing.  With an I.Q. of 180, he helped write the software that made the Apollo space program a success, and then went on to a successful career in academia.  Whenever I have visited him over the years, he has been a font of information, displaying broad ranging interests from literature to electronics, to machining, to architecture, to home building.  His garage was home to oscilloscopes and milling machines.  He rebuilt autos and modified them with little regard for accepted mechanical protocols or social prejudices.  A generous man, he bequeathed to me one of his cars when I went to university, which lasted me till I got my first job following graduation.  I think he is as fond of me as I am of him.

 

He appears physically healthy, although, he now resides in a nursing home, a sufferer from Alzheimer's disease.  His fecund mind did little to stave off the encroachment of beta amyloids in his cerebrum which have in turn diminished his short term memory.  For the most part our conversations now consist of his asking questions of me as I try to find new ways to answer them honestly, but differently from his previous identical queries, which too often transpired only a few minutes before.  I was dismayed when we first enacted this parody some years ago.  It bothers me less now and I strive to rephrase my answers in ways that will add more information for him while challenging my own verbal abilities.  He is a kind of temporally disjointed Bodhisattva.  Always cheerful, and happy for my companionship, while simultaneously being adrift in time, like Billy Pilgrim, immersed inexorably in the here and now, yet sadly absent a sense of the continuum  the rest of us naturally impose on our experience to help us make sense of our lives. 

Read more »

Meta-mucil/Blogger™ for Blogging Blockages


Dear fellow blogger:  Do you suffer from inhibitions as a result of meta blogs and comments instructing you in the fine art of proper blogging behavior, etiquette, and even quality?  Are you feeling a little reticent about sticking your toe in the water at your favorite blog site?  Have you heard how once, intellectual giants strode the electronic causeways of your favorite site?  You may feel like these titans of debate lost interest in frequenting the blog since it was overrun by the likes of you.  Perhaps you're finding it reasonable to ask why, these cerebral superpowers who so inexorably demonstrated their intellectual prowess prior to your involvement, should deign to discuss grown up topics with itsy-bitsy intellects such as yourself.  If you've begun to hold back, and pray that the real intellects will return should only the simpletons, (such as yourself), cede the field, then the chilling effect on your desire to write publicly, has all ready taken root. But take heart my friend.  Help is now available! 

If you are someone brimming with ideas but concurrently recognizing stasis, an inability to put those thoughts into binary code due to the influence of these meta critiques, put away your tin foil hat and listen up!   You may be one of the multitudes of blogger-sufferers who can benefit from Meta-mucil/Blogger.  An amazing new product for 21st century bloggers, that has been scientifically formulated to provide long lasting relief from 'self imposed' blogging inhibitions.

Read more »

Selling X-pensive Insurance to People Who Just Took a 3.6% Pay Cut. [Amended]


That queasy feeling you get when you reach for your wallet to buy that big ticket item, that you really need, but are not quite sure you can afford?  It's not just your financial prudence angels whispering in your ear.  The US Census Bureau just announced that that real median household income in the United States fell 3.6 percent between 2007 and 2008, from $52,163 to $50,303.  That press release also noted that

The number of people without health insurance coverage rose from 45.7 million in 2007 to 46.3 million in 2008.
I'm curious how much this drop in income will affect the middle class's desire to underwrite a healthcare 'reform' bill that is beginning to look very much like a windfall for the insurance and healthcare industries.  As many as 60% of Americans are predicted to receive healthcare subsidies should the bill pass, with the amount of the subsidy tapering off as the income level ascends.  That still leaves a lot of middle income Americans being asked to foot the bill for a reform that at this point does not seem to have any active mechanisms for controlling, let alone lowering our healthcare costs. 


Read more »

We're # 37, We're the USA... Yeah!


I think this sums up the pride, I feel oozing out of every pore in this American bod.  Best healthcare system on Earth! 





Can I get an 'Amen!'?  Anybody?

p.s.  The artist is Paul Hipp.      Righteous! 

The Cost of War


I started to look at the cost of conducting the war in Afghanistan, to see how expensive it has been to attain the current status quo in which we control about 2/3 of the country. 

Here are some interesting numbers:

1.  The annual GDP of Afghanistan is $9.358B and the cost of conducting the war in Afghanistan to date is around $225B.

2.  Spread over roughly 8 years that averages about $28B/year or approximately three times the whole country's GDP/YEAR.

3.  With a population of 27 million, that equates to $1037/person/year.

4.  The per capita income in the country was at $800/year in 2008, or roughly 3/4 of what we've spent per capita/year.

My guess is that we would have been able to control at least as much of this 250,000 square mile plot of land as we do now after 8 years, and WITHOUT all the deaths had we just bought these people out. It would be like coming to the United States, and saying rather than invading your country, we're going to give each and every one of your citizens, children, babies, and infirm $62,510, (1.33 X average US per capita income of $47k), for eight years if you'll just give up those terrorists.

It looks to me like the only group who's getting what they want out of this conflict are the armament manufacturers.

I don't get it.

Tough Guy.


Barack Obama's inherited two wars, one of which is now the second longest war in American history.   Now he's faced with trying to end them without proving to the hawks that Democrats, (and he in particular), are soft on defense.  Obama recently signaled a hawkish front which will be hard to contradict later, when he described the war in Afghanistan as a "war of necessity". 

The Afghan presidential election was conducted on August 23 and things look pretty dismal from where I'm sitting.  First off the incumbent, Hamid Karzai was hand picked by the US before coming to office in the previous election in 2004 and suffers from the image of being a puppet in the eyes of our enemies on the ground, as well as most objective thinkers around the globe.  He had two Vice Presidential candidates, (as did the other candidates), as perhaps the Afghan parliament assumes a high probability of issues arising from succession due to catastrophic circumstances.  Karzai replaced his second VP nominee with a Tajik former warlord blamed by human rights groups for mass civilian deaths during the Afghan Civil War.  The same candidate is alleged to be heavily involved in drug traffiking according to CIA reports dating from 2002. 

Forty one candidates registered prior to the election.   According to human rights groups, at least 70 candidates with links to "illegal armed groups" were on the ballot list in the election. 

While the electoral law disallowed candidates with links to "illegal armed groups", and the Karzai-appointed Independent Election Commission had barred 56 other candidates that it identified as being commanders or members of illegal militias, many of the bigger warlords, including current parliamentarians and provincial council members elected in 2004 and 2005, simply bypassed this by registering their militias as private security companies or by having the right political connections

Al Qaeda called upon Afghanis to boycott the elections, as well as vowing to prevent those who want to vote from participating in the elections.   Later Al Qaeda vowed to cut the ink stained finger from any Afghani they caught participating in the American sponsored elections.   This man had his nose and ear cut off for casting a vote last week.




Fifteen of the candidates for president have declared the election results invalid, alleging fraud as well as improper procedures.







Read more »

Republicans, Democrats, Brain-Eaters, Zombies, and Neck-Incising Pods from Outer Space


Just an experiment to see if I can get more than fifty recommends from our 'silent majority' of new and anonymous readers for a catchy title and a blog with no intrinsic value. This is not to say that all other blogs which received many recommends have no value, but certainly some of them were real stinkers, IMO.

At the suggestion of Sweet Molly, I've updated this blog with an unusual, and gratuitous video.





Bonus video:  Sigourney Weaver and pals torching the alien pods might be viewed as the analogue to Americans in favor of real healthcare reform, that will act to reduce our overall healthcare costs, while the followup team of firemen might be viewed as the corporate apologists who want to derail any proposal that would restrict profiteering on the nations sick.


Insurance Companies Lied to Congress About 'Rescission' being Rare.


This excellent blog at Taunter Media, titled 'Unconscionable Truth', examines the Insurance executives claims before the House committee that the practice of 'Rescission', or canceling policyholders policies due to inaccuracies on applications, is rare.  Don Hamm, (CEO of Assurant), stated in prepared testimony that:

Rescission is rare. It affects less than one-half of one percent of people we cover. Yet, it is one of many protections supporting the affordability and viability of individual health insurance in the United States under our current system.
Taunter makes a cogent case that in fact the practice is "amazingly common".  In order to understand why, you need to understand a little mathematics, in particular some basics of conditional probability.  I will not go into the depth that Taunter does in his blog, which I highly recommend you read, but will try to summarize his conclusions.

1.  Insurance companies don't examine all their policy holders applications for errors looking for ways to exclude them from coverage.

2.  They do examine the most expensive policyholders once they have been diagnosed with a critical/expensive condition.

3.  It is when you examine the 99th percentile of Americans with regard to health expenditures that you see the truly sick and consequently expensive Americans for an insurance company to underwrite a healthcare policy.  This group accounts for individual costs of over $35k/year and collectively account for 22% of all of our healthcare costs in the country. 

4.  This top 1% of the population is the group that is targeted by the insurance companies for errors on applications and other forms as a means to exclude the policyholder from coverage, and the company from financial liability.

5.  In Taunter's own words:  "If the top 5% is the absolute largest population for whom rescission would make sense, the probability of having your policy cancelled given that you have filed a claim is fully 10% (0.5% rescission/5.0% of the population).  If you take the LA Times estimate that $300mm was saved by abrogating 20,000 policies in California ($15,000/policy), you are somewhere in the 15% zone, depending on the convexity of the top section of population.  If, as I suspect, rescission is targeted toward the truly bankrupting cases - the top 1%, the folks with over $35,000 of annual claims who could never be profitable for the carrier - then the probability of having your policy torn up given a massively expensive condition is pushing 50%. One in two.  You have three times better odds playing Russian Roulette."

6.  Got that?  If you get really, really sick, the probability of having your policy rescinded due to errors on your application could be 50%.  All this from the misleading testimony of health insurance executives.

Conditional probability is tough for the human brain.  We tend to think of things as either completely correlated (once the market tanked, McCain had to lose) or completely uncorrelated (coin tosses).  To a certain extent, we make the calculations in everyday speech: when someone says that pancreatic cancer is exceptionally lethal, he doesn't mean that it is likely to kill an enormous number of people; he means it will kill an enormous percentage of the people who contract pancreatic cancer

So working that in reverse, when Don Hamm of Assurant says recission only affects 0.5% of insurance policy holders, what he's not telling you is that if you get really sick, and really need that great insurance coverage you're so pleased with now, your chances of losing your coverage could be approaching 50%.

The insurance industry has a bit of a historical difference, in that pretty much everything in health insurance is similar to a liar loan.  I tell the company if I have been sick, just like stating an income on a mortgage application.  For a host of administrative and medical privacy reasons, the insurance industry has not historically wanted a comprehensive inventory of medical records before taking a client.  Few people could probably deliver such a record even with the best of intentions.  

It is in the health insurer's interest to have application fraud, not only because it saves time and expense on the front end, but also because it lets them get out of any policy that isn't going well for them. If the health insurer had to verify the information - if, in essence the insurance company had to behave as an accredited investor with adequate expertise to make a decision without reliance - it wouldn't have the opportunity to bail out.  It would catch more genuine liars, but many of these liars would have turned out to be healthy, profitable customers, and what the carrier really wants is a population devoid of expensive claims, not devoid of liars.

Bernie Madoff made people promises, and people believed them, because was it really possible that the former chairman of the NASD was running a scam?  Come on.  But he was, and his reputation was no more a shield to the defrauded than the huge balance sheets of the health insurance companies mean an individual claimant is going to get covered.  The minute he began transferring money from one account to another and then raising external capital to try to square the numbers, he knew exactly where this was going.  The insurance companies know too; they just know well enough to avoid outrunning the law.

Update:  My apologies for basically covering Obey's first point in his excellent blog the other day.  I'm going to leave this up as I think it adds some more to the case in point.

The Republicans and Blue Dogs are Right: Your Healthcare Insurance Policy IS Going to Change.



A recent New York Times/CBS poll shows Americans support for healthcare reform is being eroded by fears that the proposed changes will limit their ability to choose doctors and treatment.

Things are beginning to happen in the healthcare reform that's working its way through congress like a peccary through a python.  It's hard to tell just what shape the legislation will be in when it emerges for vote on the floor of the House or Senate, but we can be assured that our voices will be in strong competition with special interests trying to protect their own financial interests.  There's a lot of money to be made, or lost, depending on your perspective.  The forces of the status quo are arrayed against us as consumers of medical goods and services.  We've all ready seen how the healthcare and insurance industry have donated over $133M in the second quarter alone of this year to our elected representatives.  One physician owned hospital, made famous in Gawande's New Yorker article for its' disproportionately high costs, has contributed over $500K  to the Democratic Senatorial Campaign Committee, and over $800K  to the House's counterpart, the Democratic Congressional Campaign Committee, according to disclosure reports.  That's one hospital contributing over $1.3M to just the Democrats in an effort to influence the shape of whatever bill emerges from congress.  By the way, while these types of donations are made to no specific Senator, those managing these funds usually keep an unofficial tally of individual senators and congressmen, who raised these monies.  These senators and congressmen usually get a say in how and to whom in the party that money is dispensed, much as the lord of the manor might, for colleagues in need.  Politics is power after all, and nothing displays power quite like a campaign war chest brimming over with treasure.  

It's almost funny that a senator who represents less than 0.33% of the people in this country is going to control the form of the bill that emerges from the Senate.  He's not alone either.  The "Gang of Six" senators who seem to be most opposed to a strong public option in their spirit of 'bipartisanship', collectively represent only about 2.74% of our population.  The economic forces of the status quo are aligned against meaningful reform, and the senators from poor, rural states look like the most likely to deliver the most bang for the buck to those corporations wanting to keep things just the way they are.  

Keep in mind that the size of America's healthcare sector is as large as Britain's entire economy.  That's an enormous economy in and of itself, and its no wonder those invested in it are scrambling to protect their financial interests.  Money will be lost regardless of how the legislation is shaped.  The only question is whether it will be lost by those with economic interests in the status quo of the healthcare sector, or by the rest of us who are held hostage to high healthcare costs.  Americans now spend about a 20% of the average wage earner's income on health insurance.  The average cost of medical insurance for a family of four now exceeds the yearly income of a minimum wage worker.  Our healthcare insurance  costs have doubled in the past decade, and if congress is unable to pass legislation that will help slow or reverse that trend, our Medicare costs will bankrupt the nation, and our personal insurance costs will bankrupt each and every one of us who is not well above average with regard to our incomes.  What all this means is that none of our current insurance policies are going to look the same ten years from now regardless of whether meaningful legislation is passed or not.  Employers will not be able to afford to provide the same level of benefits in the future if costs continue to escalate as predicted, and insurance companies will be forced to restrict access in order to accommodate the financial reality of business and private party alike. 

So when you hear the fear mongers decrying attempts to reform our healthcare system, as they try to scare those of us who have an insurance program that we're satisfied with into believing our policy will be inexorably altered by healthcare reform that includes a strong public option, know that they are right.  Know also that your policy will change, and for the worse, if nothing is done to curb our spiraling healthcare costs.  So make your choice wisely, and when weighing the arguments put forth by the Republicans and Blue Dogs, always follow the money.  It's generally leaving a trail of campaign contributions to their doors.  Our decision boils down to whether we want our healthcare insurance changed for the worse by the greed and inefficiencies of our current 'system' as we price ourselves out of affordable coverage over the next ten years, or will we attempt to change that system for the better by controlling costs via a meaningful healthcare reform act of congress which includes a strong public option?  Call your senators and congressmen and demand they support a viable public option that's allowed to pay Medicare rates, and that's allowed to negotiate lower prices for drugs and services, (unlike the Republicans' Medicare reform Act of 2003, which effectively raised Medicare drug costs by disallowing such sensible negotiations as well as locking in subsidies for the insurance industry).  On top of all this is the reality that reducing our per capita healthcare costs depends on our coverage of all our citizens in whatever plan emerges from congress.  Contrary to the diatribes against universal coverage by pundits who maintain healthcare to be a privilege as opposed to a right, insuring all Americans is a necessary part of a program that will effectively reduce our healthcare costs. 


You Don't Need a Weatherman to Know Which Way the Wind Blows.


"Intelligent discontent is the mainspring of civilization. Progress is born of agitation. It is agitation or stagnation."   Eugene Debs

I've been thinking about the lack of anger at what's transpired in the US and the world regarding the banking crisis.  A crisis in which America's and the world's middle class lost trillions of dollars from their retirement portfolios and pension funds to unregulated gambling by the kingpins of the financial world.  To add insult to injury, one firm that profited by selling the market short as it began its descent received massive amounts of cash from those taxpayers who had lost fortunes in the collapse as did another firm that invented the investment vehicles that led to the downfall.  Perhaps worst of all, the same rubes who lost all that net worth were asked to bail out those firms that precipitated the crisis in the first place. All the while, the legislature wasn't legislating protections, the regulators weren't regulating, the auditors weren't auditing, and the rating agencies were feathering their own nests while fouling ours.  We should all be pissed.  But I'm not seeing much anger, just quiet resolution, shoulder to the wheel, nose to the grindstone, as the lathe of heaven sculpts the future of our parents, ourselves, and our children.




Read more »

Healthcare Reform - What's Next?


We've had some spirited debate as to the shape of healthcare reform.  Should it be a single payer system, or a combination of the public option alongside private insurers subject to heavy regulation?  Some have even argued an unfettered free market as the solution to our soaring healthcare costs, although that idea has been considered all but defunct since economist, and Nobel Prize winner, Kenneth Arrow published his seminal work "Uncertainty and the Welfare Economics of Medical Care" some 40 odd years ago, coincidentally giving birth to the field of Health Economics.  His work looked at the effects of 'information asymmetry in the healthcare field.  This is the fact that in most healthcare transactions, one party, (usually the seller), has more information than the other, (usually the consumer).  The upshot of his work is that due to these information asymmetries, the healthcare market should be subject to third party regulation in order to ensure fair and even market distribution of the goods and services not realizable through reliance on a free market norm.  No one who has seriously considered his findings has been able to refute them, yet we have allowed a virtual free market to exist in our healthcare sector despite its' cost eroding our national wealth, impacting our competitiveness in world markets, and failure to offer affordable health insurance to all of the citizens of the wealthiest country on the face of the earth.  So something has to be done, and the question is what, exactly, is that to be?

I'm setting aside, (for the most part), my personal preference for a single payer system in this blog and am going to concentrate on how we get from where we are now to a more streamlined healthcare system that efficiently and economically delivers those needed services to all Americans.  This blog draws heavily from this study done by two highly respected economists for the think tank, Center for American Progress which attempts to set out guidelines for implementing the changes Americans seek in healthcare in a 'revenue neutral' manner.  In other words how do we make these changes pay for themselves, so as to not increase the economic load on the country and its' citizens?  In the author's own words,  "Increasing coverage and saving money requires a complex combination of short- and long-run policies".  Such reforms extend well beyond the so called healthcare reform currently under consideration, which really amounts to 'health insurance reform'.  The way we will get medical costs under control are manifold, and not just limited to the insurance industry.


Read more »

Top Ten Reasons the US Can Never Have Universal Health Coverage or a Single Payer System


In no particular order:

1.    Taxing the rich to pay for the coverage of the poor will cause all capitalists to fold their tents and stop producing goods and services.  This is a version of the "I'll take all my toys and go home syndrome" so common to those who are used to getting their own way.  Once all those uninsured are out of a job, they'll wish they never heard of universal healthcare.

2.    Being uninsured is character building.  The idea of charging one portion of society, (the haves), to pay for another's, (the have-nots), runs counter to the American spirit.  Those with health insurance worked hard to get their insurance, and so should everyone else.  Bootstraps Baby!  On the count of three!

3.    Government is inefficient at everything it attempts to accomplish.  One need only look at the US Postal Service to see the truth in this.  The corollary to this is the efficiency of the marketplace that is so obvious in the way medical goods and services have become so much more affordable in the US compared to all the other OECD nations that already have universal health coverage.

4.    Healthcare is a privilege, not a right.  For some insecure people of privilege, offering the same benefits to those less fortunate, detracts from their sense of self satisfaction, and entitlement.  Many Americans blessed with financial security remain convinced that they deserve their advantages as a result of indefinable qualities they possess.  In the words of the Church Lady:  Isn't that 'special'?

5.    We just can't afford universal health care.  The cost of such a program, last estimated to be about $100Billion/year over the next 10 years), will bring America's economy to its knees.  Especially after we spent $ trillions bailing out the investor class by funding the financial sector in their latest get rich quick schemes.

6.    We just don't want to insure the poor.  It somehow empowers those of us who can afford adequate health insurance to know that there are the less fortunate out there who can't help but envy us.  This mantra should be repeated twice a day for 15 minutes in a quiet environment.  Everyone:   "I've got mine, I've got mine, I've got mine, I've got mine.".  Feel better?  I know I do.

7.    There is no way the healthcare and insurance industries can continue to reap astronomical profits by inflating the cost of goods and services, through their own version of 'churning' the market once all those poor people have been brought onto the public tit.  That public tit is there to feed Defense and other corporate sucklings.  If room is made for all those poor people the corporatocracy will suffer.

8.    America is the land of opportunity.  It's like a great game.  Each of us has the opportunity to be rich or poor, (ask Bernie Maddoff).  Where's the fun in taking the worrying about our health or financial security due to escalating medical costs out of the equation?

9.    There will be poor always.  Jesus said it.  Even though he didn't say there will be the sick always, we get his drift.  Speaking of anointing with oil, I've got to get to my massage at the spa.

10.    Medical goods and services are 'products' just like any other product.  The fact that no one can predict his or her medical future doesn't change a thing.  Those products should be subject to one of the central axioms of capitalism, and cost "what the market will bear".  In this instance, where access to those products and services can be a matter of life and death, 'what the market can bear' can be quite a lot.  Having the proprietary rights to these products is akin to owning the sole toll road or ferry to get to where you want to be, (as in * healthy *).  Can I get a 'Ka-ching $$$$'?  Anybody?


miguelitoh2o

user-pic

Following: 185
Followers: 83

Posts
Comments & Recommends


  • Location Rocky Mountain states
  • Party WORLD
  • Politics Hmmm...

Favorites

  • Favorite Blogs http://www.talkingpointsmemo.com/ http://www.shavemyyeti.com/
  • Favorite Books Authors: Robertson Davies, Isaac Asimov, Bill Bryson, Margaret Atwood, Michael Connelly, Salmon Rushdie.
  • Favorite Quotes A good traveler has no fixed plans, and is not intent on arriving. Lao Tzu Every now and then when your life gets complicated and the weasels start closing in, the only cure is to load up on heinous chemicals and then drive like a bastard from Hollywood to Las Vegas ... with the music at top volume and at least a pint of ether. - Hunter S. Thompson There are only two things in life, but I forget what they are. - John Hiatt No man remains quite what he was when he recognizes himself. - Thomas Mann None are more hopelessly enslaved than those who falsely believe they are free. Johann Wolfgang von Goethe To me, boxing is like a ballet, except there's no music, no choreography, and the dancers hit each other. - Jack Handey "If everything seems under control, you're just not going fast enough" - Mario Andretti

Bio

Since I was a kid, I've always favored dogs and more especially, underdogs. Career in the arts by way of biology/pharmaceuticals. Currently trying to make my way in the world by making balloon animals, although the competition is fierce now that the official unemployment rate has topped 10%.

All Reader Posts
How to use myTPM

Advertise Liberally
Share
Close Social Web Email

"To" Email Address

Your Name

Your Email Address