healthcare

Dumb and Dumber — Healthcare Goes Postal

by Bill O'Connell on August 22, 2009

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Dumb

Of all the analogies that he could have picked  to sell his idea of a public health care option, President Obama chose the U.S. Postal Service. See video ( UPS and FedEx are Doing Fine).  “UPS and FedEx are doing fine, it’s the Post Office that’s always having problems.”  Okaaaaaaaaay, so that is supposed to convince us that creating a health care system modeled on the post office is a good idea.  The interesting thing is that he prefaced that dumb statement by describing a public option that was “self sustaining.”  In other words, it was on an equal footing and not running deficits.  Excuse me, Mr. President, but the Postal Service is on target to lose $7 billion this year and the head of the postal service is in line for an $800,000 bonus.  Brilliant!

It also has appeared to escape the President’s notice that UPS and FedEx came into being to address the shortcomings of the postal service and the postal service has been struggling to be more like UPS and FedEx.  Express Mail, Priority Mail, does anyone believe those products would exist if FedEx didn’t exist?  The postal service was the problem, UPS and FedEx were the solution.  So Barack Obama wants to spend $1 trillion to create a problem to compete with the solutions.

Are there ways to improve healthcare? Absolutely.  Increase competition across state lines, outlaw frivolous lawsuits… hey, there’s an idea.  How about setting up a panel to decide if a lawsuit is real or frivolous?  If it is ruled frivolous hit the law firm that brought it with 3x the expenses of the other side.  You would kill two birds with one stone.  Sharply curtail or eliminate frivolous lawsuits and dry up donations to the Democrats who are dead set on having government run every detail of our lives.

Dumber

Just when you thought President Obama and the main stream media in his pocket could downplay the Biden-like  postal gaffe, along comes Jesse Jackson, Jr., to explain what Barack Obama really meant.  See video here (Jesse Jackson, Jr. explains).  How more scary can it be to think that someone so ignorant of the world around him and economics gets to vote on a government takeover of 1/6 of the U.S. economy.  Let me take it point by point.

  • “The public option is a stamp, it’s e-mail” – the last time I looked e-mail was private, not public, perhaps that’s why everyone uses it and it work’s exceedingly well.
  • “Because of e-mail and because of the postal system, it keeps DHL from charging $100 for an overnight letter” — er, no.  First of all e-mail, which is private Congressman, is a complementary service to overnight. You can overnight a cell phone to some one, you can’t e-mail it to them.  If you are legally required to have a handwritten signature, you can’t e-mail that.  Got it?  Second point, the lack of performance from the postal service is what created a market for DHL, UPS, and FedEx.  The stamp doesn’t keep DHL form charging $100 for an overnight letter, it is UPS and FedEx that keeps DHL from charging $100 for an overnight letter by charging less.  That is called competition, it is called capitalism, it is called a free economy.

He also said this, which is not in the video:

“The post office is universal. It reaches the rural areas. It reaches the urban areas. It reaches where DHL, and UPS, and Fedex will not go. And so in the barrios and the ghettos and the trailer parks of our nation…”

We don’t know if DHL, and UPS, and FedEx would go there because it is ILLEGAL to compete with the post office for first class mail.  Doesn’t he know this?  When facing more competition companies in a free economy tend to cut prices, but what has happened to the price of a first class stamp?  The price of a first class stamp has increased 440% since 1975.

Public Reaction

These two “sales pitches” alone should have you run screaming to the nearest town hall meeting or tea party event.  Pelosi says these town hall meetings are organized events?  Well I guess they are.  They are organized by the colossal stupidity of Pelosi, Reid, Frank, Schumer, Dowd, Obama, Jackson Jr., thinking they could slip this by unnoticed by the American people.  The American people are fed up with them and they are not going to take it anymore.

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Health Care You Can Believe In?

by Bill O'Connell on June 25, 2009

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If you look at President Obama’s record on what he says one day and one he says later when reality sets in, are we really ready to believe him when he says,

“Whatever plan we design upholds three basic principles,” he said. “First, the rising cost of health care must be brought down; second, Americans must have the freedom to keep whatever doctor and health care plan they have, or to choose a new doctor or health care plan if they want it; and third, all Americans must have quality, affordable health care.”

He told us we absolutely had to pass his $787 Billion stimulus package or the unemployment rate would hit 9%, but if the package passed, the unemployment rate would be held to 8%.  It didn’t work.  Unemployment is at 9.1% and climbing.  He said bankruptcy for the auto companies would be disastrous for the economy.  After pouring billions into the auto companies, where are they?  In bankruptcy.  It is estimated that his health care “solution” would cost between $1 and $1.6 trillion. Why should we believe it?  What has he told us he would do that has actually come to pass?  North Korea?  Iran?

What confidence do we have that the government can do anything, other than national defense, better than private industry?  The postal service?  Amtrak? Farm subsidies? Earmarks? Speaking of healthcare what about Medicare and Medicaid?  In a report from March 2008:

“We need to act quickly and effectively to address Medicare’s fiscal health, including enacting the steps proposed in the President’s budget, which would postpone the insolvency date of the Part A trust fund for ten years,” said Health and Human Services Secretary Mike Leavitt.

A Modest Proposal

Before attempting to overhaul one-sixth of the U.S. Economy, why doesn’t the Obama Administration fix Medicare and Medicaid?  Show us your stuff Mr. President. Not your charm, not your winning smile. The campaign is over.   Prove that you can make these government programs work before you take on any more massive health care undertakings.

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Kennedy Shouldn’t Rush Health Care Reform

by Bill O'Connell on February 20, 2009

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Two Doctors Operating. A Lawyer, A Bureaucrat, and An Insurance Agent Oversee the Procedure

In the category, be careful what you wish for, Ted Kennedy should be careful about pushing through Universal Health Care reform.  It has been reported that this effort has taken on a sense of urgency because of Mr. Kennedy’s brain cancer.  But what if we already had national health care?

Would Kennedy Receive Treatment?

Ted Kennedy will be 77 on Sunday.  I wish him well.  However in an opinion piece by Betsy McCaughey, she quotes Tom Daschle, who nearly became the architect of health care reform before his tax problems derailed his nomination.

Daschle says health-care reform “will not be pain free.” Seniors should be more accepting of the conditions that come with age instead of treating them. That means the elderly will bear the brunt.

In other words, sorry Ted, since any treatment is not likely to significantly prolong your life such that the expense would be justified, no treatment will be paid for.  You will just have to pay it yourself or die.  I guess the good news is that Senator Kennedy, like Senator Dascle, and most of the ruling class who pass these commandments down from Mount Capital Hill, are rich enough to pay for private treatment, if it is allowed by law.  If not, they are rich enough to take a “vacation” to, say, India and while on vacation wander into a facility their for treatment by American trained Indian doctors.

But what about you and me?  Oh dear, you better get your affairs in order.

Health Care Reform You Can Believe In

As long as the treatment received by a patient is paid for by someone other than the patient, the patient really doesn’t care what it costs.  The liberal solution is to have the government take it over, and a bunch of bureaucrats will “act on your/our behalf” and make those decisions.  The outcome of which is that you better stay healthy.  Because if you don’t, you may not get treatment until you wait a very long time for your turn, or you may not get treated at all, if the bureaucrats rule the resultant quality of life is just not worth it.

Here’s what we should really look at doing:

  • Get the consumer of health care actively involved. How?  It’s being done today with high deductible health care plans coupled with a Health Savings Accounts.  The insurance company negotiates lower treatment costs and pays them only after a hefty deductible has been paid that year.  The patient is then in a position of shopping for the best health care and deciding on what treatments and tests, in conjunction with their doctor they will or will not have.  The Health Savings Account is where the patient can put funds, pre-tax, and then use those funds to pay the expenses not covered by the insurance.
  • Tort Reforms.  Get the Lawyers out of the Examining Room. Too many doctors, in my opinion, are practicing defensive medicine.  They think of every possible test so that if something does not go perfectly with the treatment they won’t get sued for the test they didn’t perform.  Let’s follow the British System — fixed fees for the attorneys instead of a percentage of the settlement, and loser pays.  There are too many cases of people getting a $12 million settlement or judgment for something stupid (think of the woman at McDonalds who spilled coffee in her crotch and sued McDonalds because the coffee was too hot).  In these cases the lawyers typically ask for no money unless they get a settlement and when they do they get 1/3 ($4 million in this example).  It’s like buying a lottery ticket.  Who wouldn’t take a free lottery ticket on a jackpot of millions?  But who really pays for all these law suits and settlements?  That’s right you and me in insurance premiums we cannot afford now.
  • Increased Insurance Competition. Right now most insurance is regulated by the states and in many cases policies available in one state are not available in others.  Let’s open up the competition.  If we have more insurance companies competing for our business, we are likely to get better and more creative policy choices.
  • More Tailored Insurance Policies If my wife and I are beyond the point of having children, then let me buy a policy that does not cover childbearing, birth control, well baby care.  If I am young and starting out and I want those things, there are other coverages that pertain to older people that I may not want at this stage in my life.  Let’s allowed tailored policies that reflect my actual insurance needs.
  • Immigration Control.  The same people who are pushing socialized medicine are, for the most part, the same people who favor open borders.  However, where do all the illegals go for the health care needs including having babies (new citizens)?  They go to the only health care provider they know, the local emergency room.  This is also probably the most expensive form of health care delivery and since they are illegal, they’re not paying for it, the rest of us are.  I think immigrants built this great country and almost each and everyone of us can point to our forebears who came here as immigrants.  I am in favor of immigration now and in the future.  I believe these are hard working and basically good people.  BUT, they have to come here legally and follow the process.  If they are not here legally, they should be deported.
  • Medicare Reform.  You probably want to sit down for this one, but shocking as it may seem this massive government programs loses billions upon billions of dollars every year to fraud.  Who pays?  Right!  You and me.  In higher payroll taxes, and in higher health care costs as doctors and hospitals have to make up the shortfall somewhere else to stay in business.

More Liberty Under Fire

The government in proposing universal health care wants to mandate that everyone must have health care coverage.  You will not have the liberty to choose.  The government demands that you comply:

“comprehensive health care legislation should include a requirement that every American carry insurance.”

That’s the requirement, now comes the heavy hand of government:

“The ideas discussed include a proposal to penalize people who fail to comply with the “individual obligation” to have insurance.”

You must obey!  The government has spoken!

Here’s a novel idea.  How about implementing the above points first and fix the broken system that we have before we throw it out and install another new, massive, government program.  After all we can always go to the government solution in the end, confident in the knowledge that these programs work extremely well and efficiently. (e.g., Fannie Mae {bankrupt}, Freddie Mac{bankrupt} , Social Security {bankrupt}, Medicare {bankrupt}, US Postal Service {$6 billion deficit, while CEO get $850,00 salary}).

What Would the Founding Fathers Say?

A Constitution of Government once changed from Freedom, can never be restored.  Liberty, once lost, is lost forever. – John Adams

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Not Very Stimulating

by Bill O'Connell on January 10, 2009

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At 06:00 this fine Saturday morning, the Obama folks released an analysis by their economic team of how their economic stimulus package is supposed to work (see full text here).  Quite frankly, I think there would be more stimulus from handing out coupons to Starbucks for a good shot of Joe, than this stimulus plan suggests.

Among the first things to catch my eye was the following statement:

“It should be understood that all of the estimates presented in this memo are subject to significant margins of error.”

There’s nothing like a good caveat to start off an explanation of how you’re going to spend nearly $1 trillion.  It brings to mind the old economic joke of how economists have successfully predicted eight out of the last five recessions.  While I understand the need to explain that these economists don’t have a crystal ball, you wish they were sitting at the table with a much smaller pile of our chips.

The thrust of the plan calls for “ substantial investments in infrastructure, education, health, and energy. “  To me that translates into bigger government than we have now.  Infrastructure is largely government owned.  There is also a significant lag effect in infrastructure projects.  Education is also government run.  After over $1 trillion in spending by the Department of Education, our education system is no better and probably worse than when it started.  Teacher employment has skyrocketed with the goal of making class sizes smaller with no demonstrable improvement in learning.  So, let’s pour more money into that arena and make sure we saddle communities with higher property taxes for years to come.  Sounds great!  Where do I sign up?  But, it does make the teacher’s unions happy.

Another chunk of the stimulus packages is to provide:

“State fiscal relief designed to alleviate cuts in healthcare, education, and prevent increases in state and local taxes.”

In other words, let’s take money from one government entity and give it to another, the reason being so that they don’t have to run a deficit at the state level.  Instead, we’ll run a deficit at the federal level.  Brilliant!

When you look at the charts, here’s where it really gets interesting.  The plan says it will take 5 years for unemployment to return to a 5% level, which is higher than pre-recession levels and it will reach this level with or without a stimulus package.  The difference is that the stimulus package will provide faster relief in the intervening period.  Their forecast is that unemployment will peak at 8% in 3Q09 with the stimulus, and at 9% in 2Q10, without the stimulus.  So we are to spend ¾ of a trillion dollars for a 1% improvement in the unemployment rate, for four years.  That’s an additional $193 billion a year for four years to get us to the same place we would be without the stimulus.  What the analysis doesn’t show is the stimulative impact on the economy of not having a $775 billion dollar deficit to pay off after the economy recovers.

The analysis then addresses the effect of tax stimulus:

“It is important to note that the jobs effects of temporary broad-based tax cuts would probably be considerably smaller. Large proportions of temporary tax cuts are saved, blunting their stimulatory impact on output and employment. The prototypical recovery package only provides for the first two years of the Making Work Pay tax cut. Our analysis assumes that households treat the tax cut as permanent in determining their short-run spending.” {emphasis added}

I would take that argument a step further.  As we saw earlier in 2008, there was a minimal stimulative effect from the $300-$600 tax credit that was issued.  Given a finite dollar amount, as the proposal states, most people are inclined to save rather than spend it.  I would argue that tax relief of any fixed dollar amount, that would be realistic as we can’t give everyone a check for $1 million, is going to have a limited stimulative effect on the economy.  However, when you cut tax rates, the stimulative effect is genuine and long lasting.  Why?  In the Obama plan, the tax relief is $500 or $1000, depending on if you file individually or jointly.  If I know that I am getting $500, regardless of how much I work, the stimulative effect of the $500 depends on what portion of my income that is. But like the $300, it is likely going to be used in these times for saving or paying down debt.  The fact that I may, and I repeat, may get another $500 next year, isn’t likely going to make me splurge on a new car.  However, if I know that my taxes will be lower on every dollar I earn, because of lower tax rates,  I am encouraged to produce more, work more, keep more, and spend more.

From an article in Reason this past Monday before Obama’s speech:

“Lets break this down. Its nice to see that the change we can believe in won’t alter the way Washington plays games with taxpayer money. We can give Obama the benefit of the doubt until we hear from him later this week, but if “officials” are really committed to “historical and empirical evidence” of how to get out of a recession, they won’t stimulus spend. Japan spent 10 years–its “lost decade”–trying to spend its way out of recession and wound up doubling unemployment and increasing the debt level above GDP. “Historically” real tax cuts for the wealthy and business world increased productivity and national growth, but they aren’t politically savvy, so we’re unlikely to see those too.”

So the search is for “popular” tax cuts, not effective tax cuts.

If you ask someone today which president is most responsible for the Great Depression, the answer will likely be Herbert Hoover.  However, Hoover was president for only three years of the Great Depression, while Roosevelt was president for eight of those years.  So while Hoover, without question, make some key errors that made the situation worse, Roosevelt couldn’t find his way out of the problem for almost three times as long, and yet the Democrats are using Roosevelt as a model but saying we have to do it bigger.  Are you getting a little concerned now?

Obama can use this to his advantage.  Just like Roosevelt and Hoover, Obama can and will blame the economic problems all on George W. Bush, for as long as Obama remains in office.  No matter what he does or fails to do, he can point to Bush and then to the Great Depression and say, hey, these things take a long time to fix.

Another point the Reason article makes is that recipients of the Obama tax cuts are very likely to be people who do not pay income taxes:

“While Americans know better what to do with their money than the federal government, many people got those checks who didn’t pay taxes in the first place, so they got other people’s money back. That redistributory system doesn’t encourage growth, it just hands out money.”

Americans do know better what to do with their money.  So here’s my prescription for the economic problem:

  • Make the Bush tax cuts permanent
  • Explore making the tax cuts deeper, going back to the rates that Reagan put in place starting the longest peacetime expansion in history.  Face it folks, if you want to get the economy moving, you have to give tax relief to people who actually pay taxes.  That’s were the money is, and it will be put to work to invest in businesses and create jobs, not to pay off the credit cards.
  • Start dismanteling the federal government.  It is too big, it spends too much money, programs that start never end, and it is eating up too much of the economy.
    • Why is education a federal issue?  Kill the Department of Education
    • Why is the Department of Agriculture as big as it is when only 2%-3% of the population work in agriculture
    • Why are food stamps a federal program rather than being at the state or local level?
    • Why can’t we fix Social Security and Medicare.  The average return on Social Security investments is about 1%-2% per year, which is dismal
    • Why was the Grace Commission report, prompted by Reagan and finding about $400 billion in savings, largely ignored?
    • Why is our tax code, that is estimated to cost taxpayers $200 billion per year to comply with, not replaced with a flat tax?
  • Kill the uncertainty overhanging the economy.  Tell businesses that the bailout window is CLOSED. Go back to running your businesses like you should, or face the consequences of your actions.  Government should clearly state what it will do and what it won’t do.  Without that, everyone will sit on the sidelines waiting for the other shoe to drop.

Once people stop waiting to hear what the government plan is, they will set about doing what they have to do for themselves.  Many of the problems that got us into this mess were caused by the government (Fannie, Freddie, Community Reinvestment Act, bailing out this company but not that one, keeping interest rates too low for too long, enormous deficit spending).  How any sane person thinks that “only the government” can get us out of it, escapes me.  This great country has enjoyed tremendous growth and prosperity through much of its history, with government playing a very small role.  But government programs and initiatives (New Deal, Great Society) have saddled us with a host of problems that we will be dealing with for many years to come.  It’s time that when the doorbell rings and we open it to hear, “I’m from the federal government, and I’m here to help you,” that we slam the door and follow the age old advice, “If you want something done right, do it yourself.”

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