It never ceases to amaze me how the political class thinks they are so much smarter than the rest of us.  They think they can write a 2,000 page law that will really “fix” things and don’t believe that all the intellectual horsepower in America can’t disassemble their work in a matter of days.  Today’s political class is too dumb to realize Thomas Paine was right and still is, “that government is best that governs least.”

This is from Fox Business News.  Goldman Sachs has figured out a way to get around the Volker Rule’s restrictions on trading that was just enacted in the Dodd-Frank Act. It is doing this by changing its “risk taking- traders into asset managers.”

The move is designed to exploit a loophole in the Volker Rule, part of the recently signed financial-reform legislation named after presidential economic adviser and former Federal Reserve chief Paul Volcker. The Volcker Rule is supposed to scale back on Wall Street risk taking by ending what’s known as proprietary trading, where firms use their own ideas and capital to make market bets.

But by having the traders work in asset management, where they will take market positions while dealing with clients, Goldman believes it can meet the rule’s mandates, avoid large-scale layoffs and preserve some of the same risk taking that has earned it enormous profits, people close to the firm say.

This is really about the arrogance of those who have been breathing the heady air of Washington, DC for too long.  From way up in those ivory towers they can’t see that among those on the ground are the most brilliant minds in the world and before one of their lofty laws tossed from the tower hits the ground, the huddled masses will turn it into mince meat.  Why does Medicare/Medicaid lose $60 – $100 billion a year to fraud?  Because for every beltway pinhead writing a regulatory rule, there are 100,000 people reading that same rule and finding all the ways to get around it and how to use the same rule to tie the government in knots so it can’t stop them.

Are they really that arrogant?  When asked that question John Kerry sniffed and said, “Let them pay taxes.”  He then cackled, stepped on to his 74 foot yacht Isabel and sailed off into the sunset, quaffing champagne as he went.

I do not like to throw around a charge of mendacity without good reason particularly after listening to the mainstream media and liberal blogosphere accuse Bush of this all day long.  But the more I listen to what comes out of this administration and the actions they take it is getting harder to hold my fire.

Take for example the brouhaha over the immigration law that hasn’t even gone into effect yet in Arizona.  From the start the administration has falsely portrayed the law as racial profiling, but when asked if they had actually read the ten page law, both Attorney General Holder and Homeland Security Secretary Napolitano said they had not.  How do people in such senior positions in any administration make such a bold claim without reading what they are opposing?  It begs the question, do they know they are talking about?

The federal government has gone forward and is suing Arizona over the law claiming that it preempts federal law.  But here are some interesting questions:

• If the Arizona law preempts federal law and that is a bad thing, why does the federal government not sue San Francisco and other cities who have openly professed that they are Sanctuary Cities and immigration law will not be enforced therein?
• A recent news report is that there is a law on the books in Rhode Island that is virtually identical to the law in Arizona and it has withstood judicial challenge?  Why isn’t the federal government suing Rhode Island?
• The thrust of the federal government’s pique with the Arizona law is their claim that it is discriminatory.  But this same administration has just ordered that a case be dropped against a radical hate group, the Black Panthers, for putting armed thugs outside a polling place in Philadelphia on Election Day in 2008.  According to six career Civil Rights attorneys in the Justice Department, the case was a slam dunk and they had already gotten a default judgment from the court, but this administration chose to snatch defeat from the jaws of victory.  The Justice Department’s claim is that the facts did not fit the law.  Anyone who has seen the video of the incident knows that is a bald faced lie.  Is this administration for discrimination or against it?

The latest move by this administration against the rest of us is the recess appointment of Donald Berwick as the head of Medicare.  The lie in this case, is that the Republicans were stalling the appointment for “political purposes.”  Now other presidents have used recess appointments.  Both Clinton and Bush used them many times, however it was typically when they could not get the Senate to act on their nominee.  In this case, Max Baucus (D – MT), had not even scheduled hearings and eleven weeks after the nomination, the administration had not yet completed the nominating paperwork.  So was this action taken because of inaction on the part of the Senate or was the administration lying because they really didn’t want a public debate on Dr. Berwick?

Dr. Berwick has said he is, “Romantic about the National Health Service,” of Britain.  For all the false claims by the Obama Administration that if you are happy with your current health insurance you will be able to keep it, they stealthily appoint a socialized medicine disciple.  Dr. Berwick has also famously said:

 “The decision is not whether or not we will ration care – the decision is whether we will ration with our eyes open.”

Let’s see, the Obama Administration appoints Dr. Berwick head of Medicare.  Medicare is the health care program for the elderly.  Dr. Berwick is plain about health care rationing and suggests the way to do it is with our eyes open.  While the term “death panel” may have been used by Sarah Palin partially for its shock value to drive home her point, changing the name to a “rationing” panel would make it different in what way?

Here is the key distinction.  In the hands of the individual and their family, they can decide what kind of care they want to provide their loved ones.  They can decide when enough is enough or whether to press on.  In a free market, insurance policies would be true insurance not medical payment plans.  But regardless you would have the liberty to decide.  In this administration’s world, some bureaucrat makes the decision and after they have driven all the alternatives out of business, other than those available to the wealthy, you will have no choice but to succumb to the will of Big Brother.

We are currently surrounded by news of massive government failures in regulation in the areas of finance and the oil industry and we are to believe that they will be superb in running one-sixth of the economy.  Do you believe the lies?

The other day we read reports of Democratic Senators scrambling to create an oversight panel to prevent health care providers from dramatically increasing premiums over the next four years because, shockingly, costs are supposed to go down not up.

Yesterday, the Department of Health and Human Services released a report analyzing the effects of ObamaCare:

The sobering assessment by the Centers for Medicare and Medicaid Services concludes what Republicans had warned about during heated debate — that the double-counting of Medicare spending — as both savings and as a means to shore up the debt-ridden government fund for seniors’ health care — means the cost is unrealistic.

The analysis also found that the law falls short of the president’s twin goal of controlling runaway costs, raising projected spending by about 1 percent over 10 years, or $311 billion, up from the $222 billion previous estimated.

Excuse me, captain, but was that an iceberg we just hit?  We all know the Titanic sank on her maiden voyage, and it looks like ObamaCare is taking on water only weeks after being launched.  As Congressman John Boehner said:

“According to his own administration’s analysis, the health care law the president signed one month ago today would violate his pledge to ‘bend the cost curve’ and force millions of seniors off their current Medicare coverage. This is in addition to what we already know about how this new law is squeezing employers with job-killing tax hikes and leaving middle-class families to brace for higher premiums,” he said. 

When talk turns to repealing this law is Obama still smugly saying, “Bring it on”?

After receiving one too many e-mails, post cards and other marketing pitches to extoll the virtues of ObamaCare, I felt compelled to send the following letter to Congressman Tim Bishop.

Dear Congressman Bishop,

 Judging by the e-mails and mail pieces the marketing program now begins.  To tell the 50%-60% of Americans who adamantly opposed ObamaCare, now that it has been signed into law, what good medicine it really is.  Before I point out the areas on which we disagree, I would first like to call for a sense of honesty in the debate on healthcare.  I applaud you for such honesty where you say on your glossy postcard that it was prepared, published and mailed at taxpayer expense. I challenge you, however, on your opening sentence.

You begin your piece by stating, “On March 21^st, we stood up to big insurance companies and passed health care reform.”  Really?  How is using the full coercive power of the federal government to unconstitutionally force millions of Americans to buy the products of these big insurance companies, whether they want to or not, standing up to them?  I’ll bet Wal-Mart wishes you would get tough with them and require all Americans to shop there on Thursdays.  Are you next going to get tough with GM and Chrysler by passing legislation forcing us to buy a Malibu or a Ram pickup truck?  Of course you will probably smack them around and make them comply with tougher CAFE standards, but hey, that’s what big government is for, no?

I am still waiting to find out how spending $1-$2 trillion dollars results in reducing the deficit by $143 billion in the first decade.  This may be presumptuous but I have a suggestion on how to lower the deficit by $1-$2 trillion.  Repeal ObamaCare and start over.

Nothing in this legislation actually goes to the root cause of reducing the cost of delivering health care.  It’s all giant shell game about hiding whose pocket the money is coming from to really pay for the same old broken system.  Here are some of the “benefits” you point out in your mail piece:

•  Free Preventive Care Under Medicare – this eliminates co-pays and deductibles under Medicare. This doesn’t reduce what it costs medical professionals to deliver preventive medicine, it just lowers the price to consumers.  Economics 101 says when you decreases the price the demand goes up.  By eliminating co-pays and deductibles, someone has to make up this modest difference.  It is either the medical professional who has to eat the cost, driving up rather than reducing the cost of preventive care, or it will be subsidized by the rest of us through taxes.  You are betting that if every senior gets preventive care, more expensive treatments will be avoided later.  The real question is: how many seniors are not getting preventive care because they don’t have a $20 co-pay and of that group, how many turn out to have a serious disease that could have been prevented?  This is a much smaller group than all seniors.  You cannot make seniors go to the doctor for preventive care if they don’t want to, whether it is free or not. 
• Free Preventive Care Under New Private Plans– When I had my own small business, I provided our employees with healthcare.  I chose a plan that provided free preventive health care.  When I left that business and went out on my own, I tried to buy the same plan privately.  It had a high deductible, HSA account, and free preventive care.  Such plans are available, but not in New York unless you have poverty level income.  The marketplace has these plans available.  Government regulations prevent me from buying them.  Why do we need to spend $1-$2 trillion to give me a plan that the marketplace already provides if government will just get out of the way?
• Ensuring Value for Premium Payments – This is where you require plans to spend a certain percentage of premium dollars on medical services.  How does this control costs?  If the underlying costs increase 100%, does it make us feel warm inside that the 100% increase in premiums that will follow will go 80% toward medical expenses?  It’s still an increase in premiums of 100%.

 Let me stop analyzing your mail piece here.  Doctors are threatening to leave the medical practice because of this legislation which will lead to rationing. This plan does not address the underlying problem.

There is a simple way to reform health care by controlling the underlying cost of delivering medical care, rather than mandating more and more coverage and expense paid for by someone else.  We all pay in the end.  Here is a simpler way that does not cost $1-$2 trillion dollars but may take some of that courage you boasted about in your opening sentence. 

1. Eliminate 3^rdparty payer.  If you invite me to dinner and you tell me that you’re picking up the tab and I am handed a menu with no prices on it, look out!  It’s gonna hurt.  Americans are smart consumers.  They will spend hours researching a car or flat screen TV before buying, because it’s coming directly out of their pocket.  They play a role in how much they pay.  That’s how markets work.  We do not have a free market in health care.  The way to do this is with high deductable insurance plans and Health Savings Accounts (HSA).  If you take the lower cost of the premium for the insurance piece and add the amount to fund the HSA, the costs are about the same as the premium alone on a traditional plan.  I went from a $10,000 annual premium for a traditional plan to a $5,000 premium cost for a high deductible with a $5,000 contribution to the HSA account.  If you want to help people with deal with the high deductable, help them fund the HSA accounts, but keep the buying decision in their hands.  Trust me, they will ask questions, they will shop around, because it’s their money and the less they spend, the more they keep.  Many HSA accounts have a provision to roll money over into an IRA if the account grows large.  This will take guts to implement because the public will have to be educated that they will come out ahead when they have the liberty to make their own choices.  You seem tough enough to ignore the will of the people to implement what you feel is good for them, why not implement something that will actually work?
2. Implement tort reform.  Not an experiment here or there.  If you want to show how tough you really are, stand up to the trial lawyers who fill Democratic coffers.  Implement the system they have in Britain.  No contingency fees and loser pays.  Maybe I’ll stop seeing commercials on my TV that promote a new drug, followed by a come on from a law firm to call them if you actually took the drug because, “you may be entitled to compensation.”  I have no problem with a person getting compensated when they have been harmed through the fault or negligence of a company.  Human life is not perfection.  We are all different.  Some of us can eat three eggs a day and never have a heart problem, others may look at a pat of butter and feel pains in their chest.  Lawyers shouldn’t get rich because humans are not perfect and companies can be bluffed into paying these extortionists rather than defending the case on the merits.  Lawyers  should get paid for the time they put into a case.  OB/GYN doctors are leaving the practice in droves because they cannot afford the malpractice insurance premiums.  Doctors are practicing defensive medicine ordering every possible test for fear they will be asked later, if a patient gets worse, why they didn’t order that other test.  When you add the cost of malpractice insurance on top of the cost of additional tests and procedures, it doesn’t get cheaper to deliver health care and you are not necessarily delivering better health care.  Let the doctors practice medicine, tell the lawyers to stop running a lottery.
3. Buy insurance across state lines.  As indicated previously, the plan I want to buy is available, but not in New York.  The market sees a need for such a product, I want to buy such a product, the government says no.  You want me to believe that now if we spend $1-$2 trillion the government will solve my problems.  Get the government out of my way, thank you very much.
4. Have more tailored insurance policies.  Why, as I approach the golden years, do I have to buy a health insurance policy that covers pre-natal care? In vitro fertilization? Sex change operations?  When I buy automobile insurance, I have about a dozen choices in every category about the kind of coverage I want.  How much deductible?  Do I want rental car reimbursement?  Roadside assistance?  Yet when choosing a health care policy, if I have a choice at all, it is a total package, take it or leave it.  Who decides what has to be included?  Is it me or the government regulators?  If I want to have free preventive care, fine let me choose that and adjust the premium accordingly.  If I want to pay the co-pay for free preventive care, give me that choice.  If we had more choices, as in a free market, costs will go down.  If the government says, everyone must take this, there is no competition and costs climb.
5. Control illegal immigration – If emergency room costs are driving up health care costs for all, and illegal immigrants use the emergency room as their primary care provider then it would follow if you controlled illegal immigration you would drive down health care costs.  Milton Friedman, the great economist, believed in open borders.  However, he also said you can’t have open borders and a welfare state.  It doesn’t work.
6. We need to have Medicare reform.  When Medicare passed the government projected that hospital coverage would grow to $9 billion by the early 1990s.  It actually grew to $66 billion a 700% error in their projection.  We hear again that we are going to crack down on Medicare and Medicaid fraud and this time we really, really mean it.  Estimated at nearly $100 billion per year in waste and fraud, why can’t this be done without spending $1-$2 trillion?

 What you and this Congress passed is a disaster.  If the projections on this monstrosity “miss” by 700% like they did on Medicare, where do we go for a bail out?  Who is going to bankroll that one?  Your children?  Your grandchildren?  The six items I laid out cost next to nothing, why not try them first?  You can always go back later and say we need to do more.  But with ObamaCare, it could be a runaway train that no one can stop.  It is a giant shell game.  It doesn’t address the underlying cost of providing medical care, it only hides whose pocket is getting picked to pay the bill.

Sincerely yours,

The marketing juggernaut is just getting warmed up, but instead of standing fascinated while your Congressman plays 3-card Monty, ask him or her the tough questions.  Ask them calmly, respectfully, and don’t let them dance.  If they dodge your question, ask it again.  If they don’t… fire them in November.

In an article titled, “An Article of Faith,” Charles M. Blow of the New York Times explains about Obama and Health Care.  I am glad he took the time to set down the statist’s case.  It much easier to expose them when they step into the sunlight.

“The Apostles of Anger {that’s us} in their echo chamber of fallacies have branded him the enemy. This has now become an article of faith. Obama isn’t just the enemy of small government and national solvency. He’s the enemy of liberty.”

Enemy, noun, persons that are hostile to one another.

Sounds like Mr. Blow is onto something there.  Let’s see poll after poll has the American people opposed to ObamaCare by around 55% to 60%.  President Obama shows his hostility to the American people by saying he doesn’t care what they think, he, President Obama, knows what’s best for them and will ram this thing through by gimmicks such as reconciliation rather than the normal approval process.  Yes, I guess that makes him an enemy, but it was accomplished through his own actions, not by talk radio or Fox News.

Liberty, noun, freedom from arbitrary or despotic government or control.

Again, it looks like Mr. Blow nails it.  We have the government under ObamaCare telling us we have to buy insurance or pay a tax or go to jail for non-payment of taxes.  Sounds pretty arbitrary and despotic to me.  So President Obama has decided to act in a way that makes us his enemy.  I guess Mr. Blow is trying to say we are to be faulted for recognizing it?

“This underscores the current fight for the soul of this country. It’s not just a tug of war between left and right. It’s a struggle between the mind and the heart, between evidence and emotions, between reason and anger, between what we know and what we believe.”

Uh-oh, here it comes folks the statist is about to point out how stupid we are for not going along like sheep to slaughter.  Notice the word order first it’s left then right.  If you follow that order Mr. Blow is trying to say that the left stands for the mind, the evidence, reason and what we know, while the right stands for heart, emotions, anger, and beliefs.  I am sure Mr. Blow will now use his superior intellect to explain this all to us knuckle dragging troglodytes.

“This conflict was captured in a tit-for-tat between Obama and Rush Limbaugh. In an interview with CBS this week, Obama complained about the “vitriol” coming from the likes of Limbaugh: ‘I think the vast majority of Americans know that we’re trying hard, that I want what’s best for the country.’

“Limbaugh shot back on Friday, “I and most Americans do not believe President Obama is trying to do what’s best for the country.”

That’s pretty weak.  So despite 55% to 60% of the American people, for months on end, saying or should I say screaming NO! this is not what we want, Mr. Obama is saying as if to a small child, “There, there now, take your medicine, I know what’s best for you.”  Where Mr. Limbaugh is humble  enough not to claim god-like omniscience that he knows what people think, just that based on his observations of the polls, what he believes they think.  It sounds like Mr. Blow is making a case for Mr. Obama being the most arrogant president in our history.  Please continue.

“And there it was. Obama’s language focused on what people “know,” or should know. He seems to find comfort in the empirical nature of knowledge. It’s logical. Limbaugh’s language focused on what he thinks people “believe.” Beliefs are a more complicated blend of facts, or lies, and faith. And, they can exist beyond the realm of the rational.”

Really?  Is Mr. Blow serious?  Does he believe this or does he know this?  Of what knowledge are you speaking Mr. Blow, in which President Obama takes warm comfort?  Is it the empirical knowledge that estimates of what Medicare would cost when it was passed turned out to be understated by 700%?  Is it the empirical knowledge that the model for ObamaCare up in Massachusetts has not stopped costs from increasing and health care is being rationed?  Of course, when Mr. Blow speaks of the right and their beliefs he has to work “lies” into the formula of the “complicated blend of facts, lies and faith.”

“According to another Quinnipiac poll released last week, Republicans were far more likely than Democrats to say that they follow public affairs most of the time. But how? They listen to people like Limbaugh, and they’re more likely than others to watch Fox News.”

Let me call your Quinnipiac poll and raise you one.  In its daily poll on the president Rasmussen finds that while 53% of likely voters disapprove of the job President Obama is doing, 55% of the media write favorable articles about him and that is on a downward trend!  So if people want the truth, who should they turn to for their news, the New York Times perhaps?  I think your article just answered that question.

“But invectives are not information. For example, a poll released on Wednesday by the Pew Research Center found that most Republicans say that they still don’t understand how the new health care reform will affect them and their family.”

Republicans still don’t understand???  Nobody understands it, Mr. Blow, because nobody read it before it passed Congress.  At over 2,500 pages, if you did nothing else but read the bill in the seventy two hours it was posted in the internet, it is not likely you could have read it.  No sleeping, no eating, no lavatory breaks, just three straight days of reading it and you would be hard pressed to get all the way through.  Since you are such a fan of empirical evidence, when major companies announced billions in write-offs because of the bill and the legal requirement to so report, Congressman Henry Waxman appeared shocked and called for hearings.  When Congressman Anthony Weiner said the IRS would not be checking on whether or not you had health insurance, he couldn’t explain why the law funds 16,000 more IRS agents.  This circus is only starting my friend.

And so, my fellow imbeciles, Mr. Blow has spoken with a scathingly inept defense of all things Obama, making the case for a strong turnout at the Tea Parties on April 15 at the very same time. If you want to know the news watch Fox, if you believe you want to house train your dog, get the New York Times.

“We have to pass the bill so that you can find out what is in it” – Nancy Pelosi 

The White House claimed, incredibly, that most Americans support ObamaCare.

“If you take the last 12 independent polls, and you throw out four by Rasmussen, whose results the White House doesn’t like, and you throw out six others that show a wide margin of opposition, then you have two polls with results consistent with the Washington Post poll showing a fairly small margin of opposition to the Democrats’ national health care plan. And that is Benenson’s case. By the way, the headline of his article? “Most Americans want health care reform.”  – Byron York, National Examiner

Governor Ed Rendell of Pennsylvania, gushed on Fox News last night, about how ObamaCare was good for Pennsylvania.  Why?  Well, he said, today Pennsylvania is only reimbursed 50% for Medicare while under ObamaCare Pennsylvania will be reimbursed 90%.  Very cool.  Er, who’s picking up the tab for that extra 40%?  That question goes to the heart of the Liberal/Progressive movement which is basically you are too damn stupid to recognize a shell game when you see one.

Unless the plan is to have ObamaCare paid for with the profits from GM and Chrysler, the only thing the government does for a profit, it is all a giant shell game.  The giddy governor of Pennsylvania knows that this is a shell game and that extra 40% will either come out of Pennsylvanians federal tax pocket instead of their state tax pocket or it will be subsidized by citizens in other states through their taxes.  Oh wait, no, there is always those evil drug and medical device companies to tax.  But where do they get their money?  That’s right taxes are built into the price of their products, so expect drugs and medical devices to cost more.

The Evil Health Insurance Company Myth

Obama & Co. jumped all over a 39% premium increase by Anthem Blue Cross in California as Exhibit A justifying their takeover of the health care industry.  This is not going to be fixed with ObamaCare but only made worse.  An example is given by a doctor who says for the last seven years he has been reimbursed $50 for an office visit under Medicare.  In that time his expenses have risen 30%. (Quick check — if the good doctor gives his staff a 4% raise each year for 7 years that comes out, compounded, to about 30%).  Under ObamaCare they are proposing a 21% reduction in Medicare reimbursement, so the doctor will now get a $40 reimbursement for an office visit.  The doctor can do one of two things.  He can stop seeing Medicare patients, or he can charge his other patients more to make up the difference.  If he chooses the latter course of action, then private insurance companies, like Anthem, will have to pay for the increase.  How do they recover their costs?  That’s right by increasing premiums.

Just like you never hear statists blaming government polices of HUD, Fannie Mae, and Freddie Mac for the housing bubble that triggered the financial crisis and recession (it was all those greedy, evil bankers), you won’t hear them mention their policies regarding Medicare as triggering the premium increases.  It was all about greed.  So government will need to step in and make sure those greedy insurance companies cannot increase prices like they have.  So expenses rise, premiums are capped, insurance companies fold, and voila you have a public option, which becomes the only option.  Next to keep expenses from rising, health care will have to be rationed because there are no market mechanisms in ObamaCare to actually reduce costs.  No tort reform.  No elimination of 3rd party payers.  No true insurance that protects against catastrophic costs while you pay for the routine, like all other insurance.  Just government fiat.  Obama can no more order health care costs to decline than he can turn off gravity. 

News flash to people around the world living under socialized medicine who travel to the United States for critical care when they need it, that door will soon be closed.

Who Is Really Stupid?

Statists believe the average American is too stupid to make decisions, or should I say the right decisions, about their lives, health, safety, etc.  We need the really, really smart people in government to tell us what is good for us and follow their instructions.  Or…in November we can send them the message that they were really, really stupid to ignore what the American people were screaming at them, STOP!!!! If Jefferson, Madison, Washington, Adams, Hamilton, et al, thought Americans were smart enough to look out for their own best interests, who are Pelosi, Reid, Waxman, Boxer, Rangel, Schumer, Dodd, et al, to say otherwise?

As President Obama said while campaigning to be President of the United States, “You can put lipstick on a pig, but it’s still a pig!”  How true.  Yesterday President Obama reached for the lipstick to dab on four proposals suggested by the Republicans to the massive pig of a health care proposal clinging to life.  The four proposals are:

1. Use undercover medical professionals to conduct investigations to fight waste and fraud in Medicare, Medicaid and other Federal programs.
2. “Demonstrations of Alternatives” to the current malpractice mess.
3. Increasing doctor reimbursement for Medicare.
4. Expanding Heath Savings Accounts (HSA).

The pig smiled.  She thought she looked beautiful.  Just don’t try to put a bikini on her because, as President Obama famously said, she’s still a pig.  Let’s look at the President’s magnanimous attempt at bipartisanship in detail.

1)  Undercover Medical Professionals to Uncover Fraud

It is estimated that somewhere in the neighborhood of $100 billion is lost or stolen each year from Medicare and Medicaid.  This program has been in place for 40 years.  If those numbers are consistent over that period, that’s $4 TRILLION.  Gone. Stolen from you and me.  How much better shape would we be in if we had that money back?  That’s government efficiency for you.

The President of the United States is the chief law enforcement officer in the country.  The amount of Medicaid and Medicare losses each year are four times the entire budget of the Department of Justice.  How’s this for a proposal?  Create a Medicare/Medicaid fraud unit within the FBI and fund it so that we can stop these losses.  If you stop the fraud, it’s free money.  What you save in fraud should more than pay for the FBI funding.  Why take medical professionals and give them law enforcement duties.  Are you going to ask police to operate on you?  Mr. President it’s your job to enforce the laws and prevent this widespread fraud.  You don’t need a new act of Congress.  Just Do It!

2) Tort Reform –No; “Demonstrations of Alternatives” — Yes

Trial lawyers are one of the biggest contributors to the Democratic Party.  Do you think such “Demonstrations of Alternatives” will amount to anything other than hush money?  “Shut up , we’re looking into tort reform.”  The counter argument is that Americans have a right to their day in court when they have been injured.  True enough, and I am reluctant to arbitrarily limit their awards through a fixed dollar limit.  I would take aim squarely at the lawyers.

John Edwards, one-time Senator and presidential candidate, was involved in about 63 cases as a personal injury attorney and amassed a fortune of about $70 million.  In one particular case, he stood before the jury and took on the persona of a child in the womb crying out for oxygen to appeal to the emotions of the jury and win the case.  Oddly enough he voted against a ban on partial birth abortion.  Gee, in the once case it’s a child who can actually speak while still in the womb!  But on the other hand it is just a mass of tissue at birth that can be disposed of with the trash.  We have learned a lot about the moral character of John Edwards.  He is the poster boy for the old joke, “How do you know a lawyer is lying?  His lips are moving.”

Here is a simple solution to tort reform.  Fixed fees for attorneys and loser pays.  The lawyers should set their hourly rate and bill according to hours worked, not how much they can squeeze out of the jury.  The award should be for the benefit of the injured party, not the lawyer.  The second part is to prevent frivolous lawsuits.  The loser pays the legal fees of the winner.  The argument here will be that the tables will be turned and no one will sue corporations for damages because of the risk of paying their legal fees.  Right now lawyers are running a lottery fishing for lawsuits of any kind because they know that most corporations will settle for less than it would cost to defend the suit, even if they know they are right.  All customers of that corporation pay more for their products (e.g., drugs, medical devices) and the lawyer gets rich.  I am sure that if such a proposal as this gets passed a new market for “legal fee insurance” will open up where a plaintiff with a strong case can buy insurance to cover the cost of the other sides legal fees if they do lose.

3) Increasing Doctor Reimbursement for Medicare

So much for bending the cost curve down.  The real way to curtail spending on health care is to eliminate 3rd party payers.  (see It can be done).

4)  Increase Health Savings Accounts

These plans exist today, however, they are not all available across state lines (see It can be done).  I had such a plan in New York while employed by a company, but when I went out on my own I could not buy the same plan in New York State.  We don’t need ObamaCare, we just need states to allow these plans to exist within their borders or allow individuals to buy across state lines.

The Pig Lives!

Three of the  four Republican proposals that President Obama likes don’t cost anything.  But he $1 trillion to $2 trillion health care catastrophe is still alive and until we slay that beast and start over we will go from a serious health care problem to a fiscal crisis and end up with both.  If you don’t believe me, read how the model for ObamaCare is working in Massachusetts.

In baseball they call it a brush back pitch, a high hard one.  It lets the batter know that they don’t own home plate, and if they try to get too comfortable there they may be inviting a little “chin music.”  Jim Bunning, Republican Senator from Kentucky and a Hall of Fame baseball pitcher with a perfect game on his resume, just gave the Democrats a brush back and they don’t like it one bit.

Out of Control Spending

You would have to be Rip Van Winkle not to know that spending is out of control  and America is speeding toward bankruptcy.  President Obama and Nancy Pelosi have tried to hoodwink the country by implementing what is called “Paygo” short for Pay As You Go.  The idea is that you cannot spend money without first funding it either through cutting spending somewhere else or raising taxes.  The last element is the real reason Democrats support it, so that they would be “forced” to raise taxes.  Here is how the Wall Street Journal described Paygo back in June.

The truth is that paygo is the kind of budget gimmick that gives gimmickry a bad name. As Mr. Obama knows but won’t tell voters, paygo only applies to new or expanded entitlement programs, not to existing programs such as Medicare, this year growing at a 9.2% annual rate. Nor does paygo apply to discretionary spending, set to hit $1.4 trillion in fiscal 2010, or 40% of the budget.

The Democrats passed Paygo to appear fiscally responsible.  Jim Bunning merely called them on it.  He is not opposed to spending the money.  He has the courage, though, to stand up and say, Mr. President we’re broke, and we are accountable to the American people to be good stewards of the money they give us to run this government.

“If we can’t find $10 billion to pay for something that we all support, we will never pay for anything on the floor of this U.S. Senate,” he said. – Jim Bunning, Floor of the U.S. Senate, 3/1/2010

Immediately was heard much wailing an gnashing of teeth, that the lone Republican, had the temerity to challenge the “flexibility” of the Democrats to apply their rules willy nilly to tighten their grip on their power while trying to appear like the kindly nannies they really are.  Rules are passed to much fanfare in front of the cameras and then ignored with a scoff or a sneer, when they really mean something.

Gimmicks Instead of Guts

Democrats have proved incapable of controlling their spending.  With the mad push of profligacy that came with winning the Presidency and both houses of Congress with large margins, they now find themselves unable to dial it back without an intervention or a rehabilitation program.  So they pass Paygo, and ignore it; convene a debt reduction commission and name Andy Stern of the SEIU union to it.  If that is not a clue to what’s coming I don’t know what is.  What does a labor union president know about reducing debt?  All they know how to do is take someone else’s money and put it in their own pockets, so you can bet their solution to the debt problem is taxing you to the eyeballs.

Rather than the scorn that is being heaped upon him, Senator Bunning deserves our thanks.  Find the money first, then spend it.  Enough of the IOUs.  We cannot afford this liberal spending binge.

Stand strong, Senator, the Tea Party Patriots hear you and help is on the way.

When will our President come to the realization that the government does not have any money save that which is provided by its citizens?  If he understood that, he wouldn’t have said this:

“Just as it would be a terrible mistake to borrow against our children’s future to pay our way today, it would be equally wrong to neglect their future by failing to invest in areas that will determine our economic success in this new century,” Mr. Obama said at the White House.

Let me posit a translation: we shouldn’t borrow against our children’s future, so we should borrow against our children’s future.  And let me add another pet peeve and that is how the statists have redefined the word “invest”.  What they really mean is spend, but invest sounds so much more grown up.  However, most intelligent people understand invest to mean when you put your money into something with the belief you will get all your money back plus a premium.  You don’t invest in the stock market with the idea you will never see your money again and will subsequently put more money into it next year.  You invest in a house with the idea that you will sell it later for more money.  You don’t invest in a house if you expect it to go down in value.  But our elected representatives would have you believe that pouring money down a rat hole is an investment.

Immature and Irresponsible

Like a child caught standing over his mother’s prized china lying shattered on the floor, President Obama wants us to believe it’s not his fault, no, we are going to have trillion dollar plus deficits for the next ten years because of Bush and the Republicans.  He is one year into his presidency.  This is his budget, not Bush’s.  If he can’t handle the job he should resign and turn it over to, er, Biden?  Check that.  Perhaps he can just go watch television in the White House for the next three years and leave the rest of us alone.  Doing nothing would cause less damage than what he has planned.  He jacked up spending 24% and then “courageously” instituted a freeze on that spending for three years.  Think about it.  If I gave you a 24% raise on Monday and then came back on Friday and said, “Gee, I’m really sorry to have to do this, but times are really tough.  I’m going to have to freeze your new salary for the next three years.  Can you ever forgive me?”  Could you not burst out laughing?

We’re Going to Make Some Tough Decisions…Next Year

We are in a fiscal crisis, but don’t think for a moment you are going to see any tough decisions in an election year, particularly when so many Democrats are in danger of having to find jobs in the real world.  So this year is tough talk.  Next year we get busy!

Democrats or Republicans or maybe the Tea Party movement is going to have to act, sooner rather than later.  Here is how the federal government breaks down:

• Medicare and Medicaid — 33%
• Social Security — 21%
• Interest on the Debt — 8%
• Defense — 20%
• Non-Defense Discretionary — 18%

The first three items continue to grow with no signs of slowing and interest will really take off when the Fed stops the easy money program.  Defense can shrink as Iraq and Afghanistan stabilize, but not a lot as this is still job number one for the federal government.  So do you see the problem?  You can thank Democratic President Lyndon Baines Johnson for the first ticking time bomb above.  You can thank Democratic President Franklin Delano Roosevelt for the second ticking time bomb.  You can now thank President Barack Obama for what is becoming the third ticking time bomb and that is without his Health Care, and Cap and Trade.

So how is President Obama going to “solve” this problem?  By tinkering with the last item, Non-Defense Discretionary spending.  But don’t worry, he will also tax those evil rich and make sure they pay their fair share.  But before he goes too far down that path I have a suggestion for him:

1. Listen closely to the Beatles song “Taxman“
2. Ask yourself why the members of the band moved to the United States?

High tax states like New York and California are finding that a significant number of their wealthy citizenry are moving to lower tax states, exacerbating those states’ fiscal problems.  If you look at the percentage of the population that pays the lion’s share of the taxes you will quickly see that if a relatively small percentage of the population, who can afford to live anywhere, actually decide to leave the United States of Tax the Rich, the resulting fiscal problem will be very, very severe. Obama can only poke his tax stick in that cage so long before he gets a nasty reaction.

We’re All Standing On the Third Rail

Social Security has been called the third rail of politics, but the reality is that we are all standing on the third rail trying to keep our balance and if anyone slips and touches the ground, we’re all fried.  We have to suck up the courage to address Social Security, Medicare, and Medicaid.  If we can’t slow the growth of these programs so that they take a smaller amount of the budget pie each year, we are toast.  None of those programs is in the Constitution, but the liberals/progressives created them with empty promises of benefits without costs.  This should have been the first clue:

“Ida May Fuller worked for three years under the Social Security program. The accumulated taxes on her salary during those three years was a total of $24.75. Her initial monthly check was $22.54. During her lifetime she collected a total of $22,888.92 in Social Security benefits.”

Ida May Fuller was the first recipient of monthly S.S. checks when she retired in 1940. She lived to be 100.

She almost got paid back in full with her first check. She got 926 times more than what she paid in. That’s a 92,600% return on “investment.” Not bad, huh?

She got back almost everything she paid in with her first check.  Instead of ringing alarm bells all over the country, politicians patted themselves on the back for the great system they created.  We sent Bernie Madoff to jail, why should Congress be exempt?  What Bernie Madoff did was child’s play in comparison.  Where he fell short was that he couldn’t force people to participate through payroll taxes, and he couldn’t print money.  So why is what he did criminal and what Congress is doing not?  He had to get his participants to voluntarily turn over their money.  He promised returns of 40% per year.  Ida may got 92,600% return on her investment.

Burn the Ships

There is the story of a general who landed on a beach to face an formidable enemy.  He ordered that the ships that brought them there be burned.  By doing so, he knew his men would fight ferociously because there was no escape, either they fought to win or they died.  Perhaps we should do the same with Congress and President Obama.  Fix Social Security and Medicare/Medicaid or you join Bernie Madoff in Cell Block “C”, for running a massive Ponzi scheme.  What has kept Congress from fixing this in the past is the fear of not getting reelected.  Let’s raise the stakes so that not getting reelected would pale in comparison to incarceration.  It’s time our elected officials started paying attention to the people and not their perks.  The disaster train is going downhill and picking up speed, headed for a cliff.  It’s time ALL politicians put the country first and fixed this problem that, after all, they created.  It’s fun to give out the goodies, but this is a crisis that cannot be shunned.  It must be dealt with head on.

In the midst of the financial meltdown the government and financial pundits argued that they had to rescue the big banks because they were too big to fail.  If we don’t save them, they could bring down the entire U.S. economy and in  turn the economy of the entire world.  Ignoring the history and responsibility for how they got there, that could be a true statement that the government had to do something to avoid a worldwide panic.

The panic averted, many banks paid the money back with interest, are in the process of paying out massive bonuses and the Obama administration is twisting itself in self-righteous knots to tax them into humility.  Good luck with that.  While they target the banks, they are hands off on Freddie Mac and Fannie Mae, GM and Chrysler because to tax those basket cases would just be taking money from the left taxpayer pocket and moving it to the right taxpayer pocket.  If you look to the root of the problems of the fiscal meltdown you will find the government’s hand in almost every corner, but don’t expect this administration to try to get to the bottom of it.

Back Up, Go Ahead

There was an old Abbot and Costello routine where Abbot was guiding Costello in parking a car.

Costello asked what he should do and Abbot said, “Back up.”

Costello confirmed, “Back Up?”

To which Abbot replied, “Yeah, go ahead.”

“Go ahead?”

“No. back up.”

“Back up?”

“Yeah, go ahead.”

I don’t know if the Obama administration is Abbot or Costello, but they are telling banks, “Lend more money.”  Then they tell the banks, we are going to raise taxes and take your money away.  Then they ask the bank, “Why aren’t you lending more money?”

Programs You Can Believe In

Medicare

It is estimated that Medicare loses about $60 Billion ANNUALLY in fraud.  That’s right about $60 billion of your tax dollars are stolen every year from this program.

“If you want to find Medicare fraud, the first place you should look is South Florida, where 60 Minutes and correspondent Steve Kroft were told it has pushed aside cocaine as the major criminal enterprise.” – 60 Minutes – Medicare Fraud: A $60 Billion Crime

While the Obama Administration pushes their health care program one of the ways of funding the program is through savings in Medicare fraud.  However, no one has been able to stop it.  Not Republicans.  Not Democrats.

First Time Home Buyer Credit

This wonderful new program was designed to help first time home buyers achieve the American Dream.  Unfortunately, it doesn’t take a genius to also achieve that criminal American Dream, fleecing the government.

It’s hard not to laugh when viewing the results of the federal first-time home-buyer tax credit. The credit, worth up to $8,000 for the purchase of a home, has only been available since April of last year. Yet news of the latest taxpayer-funded mortgage scam has traveled fast. The Treasury’s inspector general for tax administration, J. Russell George, recently told Congress that at least 19,000 filers hadn’t purchased a home when they claimed the credit. For another 74,000 filers, claiming a total of $500 million in credits, evidence suggests that they weren’t first-time buyers. – WSJ – First Time Fraudsters, 10/29/2009

The  IRS even had to admit that in an investigation they found 53 cases where IRS employees filed “illegal or inappropriate” claims for the credit.

Too Big To Govern

A new president is elected once every four years, but the vast government bureaucracy remains.  It is said that a president will only be able to address 3-4 top priorities in their term.  By the time they appoint executive department heads and the Senate approves them and they set about to figure out the departments they are in charge of, it is an enormous undertaking to try to make significant changes.  To try to curb fraud, to overcome the inertia of the entrenched bureaucrats who know they will outlast the appointee, and their friends in Congress who will probably be there as long, is just too tall an order to accomplish in a four year cycle.  Every time a new liberal takes over, their first order of business is to make the bureaucracy larger.  It does not work.  It will not work.

The Only Solution

The only solution is to make the federal government smaller.  It must be bold.  It must be dramatic.  Tweaking it at the margins will fail.  Entire departments must be shut down.  The Constitution should be the blueprint for this.  If the power is not explicit in the Constitution, shut it down and allow the states or local governments to take it up if they choose.  Then drastically cut taxes accordingly.  Let people keep their money and decide at the local level if they want that service or not.  Let every state try their own solution and each state can learn what works and what doesn’t from each other.  But this idea of pushing every solution up to the federal and let one size fits all be forced on everyone is, quite simply, madness.  We need less government and more liberty.