Quote Box ArchiveGo to Past Quote Boxes

Oct 27, 2009

The Stimulus Resort Town

Politicians like the idea of stimulus spending because it justifies taxing, borrowing, and spending. Spending is always pleasant and gains friends and support. They claim that stimulus spending will make us prosperous because it multiplies wealth in the economy.

The Obama team claimsEasyOpinions: Let's counterfeit our way to wealth that each $100 of government spending creates $150 in new wealth, so everyone wins, and it doesn't matter on what it is spent.

Craig C's comment at Mises.org gives an analogy commonly used to illustrate how stimulus loans or spending multiplies production and trade. I repeat it here, revised.

People start in gridlock. A stimulus loan breaks the gridlock. They resume working and trading, and end up happy. The money involved is a true stimulus; it unlocks the local economy and is paid back. This is a vivid and amazing example. But, it is contrived and unreal, like finding five dominoes ready to fall by pushing just the first one.


Stimulus Story

It is rainy and quiet in a small resort town. It is a tough time. Everyone is in debt and lives on credit.

A government official enters a restaurant, lays a $100 bill on the counter, and tells the owner Frank that it is a stimulus loan.

  • Frank takes the $100 and runs to pay his debt to the butcher.
  • The butcher pays his debt to the farmer.
  • The farmer pays his debt to the supply store.
  • The supply store pays its debt for newspaper advertising.
  • The newspaper pays its debt to Frank at the restaurant.
  • Frank lays the $100 bill back on the counter.

The official smiles at all of the good he has done. He remarks that this is the Keynesian Multiplier in action; $100 in new money promoted $500 in production and trade. He takes back his $100 and leaves town. The town is now without debt and looks optimistically to the future.

That is supposedly how the Stimulus Plan works.


Reality

I like that story because it sets up a beautiful situation, just so. The government provides a "stimulus", the money flows around, everyone is happy, and it didn't cost anything, like a fairytale.

I like another version even more. Frank writes a bad check for $100. The check goes around the town and comes back to Frank, who tears it up. The check is illegal, but the government stimulus isn't needed. This version supports counterfeiting.

The less amazing, more realistic version of the story goes like this.

Restaurant owner Frank, impractical and desperate, owes everyone in town. He spent his last borrowed dollar rather than sell the restaurant to someone who could run it at a profit. He waits behind the counter for his creditors to call. He doesn't have $100 in the bank to pay the butcher.

Meanwhile, the butcher takes $100 out of his bank account to pay the farmer, and that $100 goes around the town. The newspaper pays Frank $100, and he pays the butcher.

We don't know why the butcher would extend credit to a restaurant with no money in the bank. Soon, Frank declares bankruptcy and sells the restaurant.

The Stimulus Story proposes a group of businesses all doing useful work for each other. They have already produced things and have traded among themselves. They only need to pay their bills. Any one of them can take $100 from his bank account to settle the chain of obligations. Usually, they all take $100 from their accounts to pay their bills.

In reality, a whole town is not caught in the trap of having no cash to exchange while selling to others on credit. A stimulus loan has little or no effect on current business transactions.

The flurry of payments settles $500 in past transactions, which makes it seem like the $100 has multiplied 5 times. It is a distraction from what the stimulus loan actually accomplishes.


The Real Stimulus Effect

The true value of a $100 loan is just the value given to restaurant owner Frank. Frank can buy an extra $100 of goods, pay debts, or save. (Paying debts or saving isn't so bad.)Click/Return to see below why this is not a burden on the economy.

If Frank is going bankrupt, he probably spends his loan, hoping for a miracle. If Frank is not desperate, he pays down his debts or saves the money. He is not going to risk the loan by expanding his business in a poor economy.

Say the money is a grant instead of a loan. Frank is even happier, but this doesn't lead to risky investment. It is his money now, and he doesn't want to lose it.


Government Spending

In a bad economy, people have debt and jobs are uncertain. It is natural for them to pay off their debts. What can a government do to "pump" money into the economy to buy goods for consumption? The government spends the money. (Note) If you must ruin an economy by artificially increasing spending on consumer goods, then government spending is about the only way to do it.
 Government claims this helps the economy. Instead, it pays politicians and supporters, and builds voting support. The claim of helping the economy is a cover story.
 The government must collect more tax from productive people to support these schemes.
.

It is true that a specific $100 in production may occur from an extra $100 in government spending. But, for every Frank who gets extra business, there is a Jim who has the money taxed from him. Jim buys $100 less of something, removing $100 of production which would have happened anyway.

The total effect of the stimulus spending is that Frank gets $100 more business, and Jim buys or saves $100 less. That fails to "jumpstart" an economy, no matter how big the amount which is taxed and spent by the government.


Government Borrowing

The government can borrow the $100 that it spends at Frank's restaurant. Frank is happy, and Jim doesn't seem to be affected, at first glance.

Frank is happy with the extra business. But, this is not a sustained flow of money, and Frank does not install more tables. He hires only temporarily or part-time, if he hires at all.

Business owners read the newsEconomists Surprised That People Read the Paper
-----
06/08/09 - Easy Opinions
  Leftist economists don't consider that people react to policy. People see the coming wave of taxes, regulation, and inflation, and they alter their behavior immediately. They stop investing and prepare for hard times.
. They know the government is temporarily increasing purchases. They can't know what part of their sales is from stimulus and what part is from an improving economy, so they delay expanding and hiring. Worse, they don't know how increased taxes will affect sales in the future.

Business owners are being rational. It is better to miss some business by expanding later, than to expand early and risk bigger losses if sales drop. Ironically, the stimulus interferes with the sales signals and market stability that would encourage businesses to expand. This slows expansion and reduces employment.

The current stimulus is being distributed over a period of years, so it will interfere with business decisions for years.

•  Jim prepares to pay

Jim knows that he will soon have to pay higher taxes to pay off what the government is borrowing. So, he lowers his spending and saves for that future expense. He overestimates; it is better to spend too little than too much. The government creates uncertainty by proposing many, confusing, new and increased taxes.

The result is that Frank gets an extra $100 in business. Jiim reduces his consumption spending by $100 or more, and instead buys safe investments. This does not improve the overall economy, but it does produce a different demand for goods, helping some businesses and hurting others. Unemployment rises as people must change jobs between businesses, and people must take jobs at lower salaries while they learn new skills.

Politicians arrange photo-opportunities with businesses that have government contracts. They don't advertise the many businesses that shrink or close because their sales have declined in a disrupted economy.

Politicians point to improved businesses and call for increased stimulus spending to stop layoffs at other businesses. This is clueless.


Creating Money

The government can "create the moneyClick/Return for detail below. All money is created by the Federal Reserve Bank. The government usually gets to spend it first." and seem to take value magically out of the air. The government first raises taxes and borrows, but that doesn't satisfy its desire to spend.

Creating more money causes all money to lose some value through "inflation". Prices go up as store owners notice they are selling all of their goods on hand. They raise prices following price increases by their suppliers. They wonder where the extra demand (money) is coming from, and why supplies do not increase to meet that demand. The answer is that government is increasing demand without producing much to increase available supplies.

This steals value silently from everyone with a job or a bank account, and it falls more heavily on the lower and middle classes. Their wages fall behind inflation and their savings are more in cash, bank certificates of deposit, and bonds, which lose value as prices go up.

So, Frank happily spends or saves an extra $100, and $100 is silently skimmed from the value of all money. The transfer of value is like a tax, but the result is more negative due to business uncertainties and dislocations.

Some business owners see increasing sales, and wonder if they are from a better economy (more production all around) or from inflation. Other businesses suffer as their customers buy different goods. Some people save more as they see prices going up, or possibly spend more to beat future price increases. Business becomes less predictable.

Notice that the government properly considers counterfeiting to be a serious crime. But, politicians call it "fiscal policy" when they create money out of thin air and spend it to promote projects for their supporters.


Disinvestment

People are productive because they have knowledge and tools, personally or through their employer. A person needs a hammer to build a house, and a power-nailer builds faster and at lower cost. A small shop can make a few hammers. It takes a large factory to make many hammers and power-nailers, and much effort to work out ways to make them better, safer, more durable, and cost less over time.

There is a big risk in building a factory, and many lose money. Sometimes, the owners become rich through knowledge, planning, management, and some luck. It is fascinating that these people become despised as "the rich", when their wealth comes mostly from practical achievements that help others to a productive and comfortable life.

Progressive tax rates04/2009 - Easy Opinions
  A comparison of the 2006 tax rates and total tax contributions by adjusted gross income.
take more money from high earners as a percentage of their income. The idea of a stimulus extends the idea that the rich should pay more of their lazy money to others who will spend it and create a growing economy.

Here is the problem. The rich are the major investors in companies, and so in factories. Money taken from them does not get to those investments. Instead, it goes to Frank, who buys more consumer goods or invests more conservatively in bank accounts. Investment that would create jobs is drained away to create some overtime for current workers.

"Soak the rich" is bad policy.

  • High productivity produces most high incomes. There is no moral basis for taking a higher percentage of that money from the people who have earned it; they aren't bank robbers. The government is acting like a bank robber, taking money from those who have it, as pure politics and power.
  • Taking that money removes it from the people who have the most judgment and ability to bear the risk of building new companies. The government is much worse at this.
  • "Soak the rich" puts the non-rich out of work or reduces their incomes. That isn't a good tradeoff.


Large Incomes, Skill, and Luck

You may think the rich are partly lucky, so they shouldn't keep all of their money. Do you also think that lottery winners should split their winnings? They are 100% lucky, and do much less to produce a productive society.

Successful actors and athletes are admired because their abilities are on direct display. We like watching them, and we understand the basis for their incomes, even if there is some luck involved. We don't yell at them to take less money, because we understand that they are worth it. They would not have put in long years of training and sacrifice if they didn't have a chance to make it big.

The skills of successful businessmen/women are not directly on display. But, we can see that they produce products and they create jobs to make those products. Products and jobs provide for better lives. Yet, people are easily angered by the large incomes of some businessmen. We should understand that, like athletes, they are worth it. They would not have put in long years of training and personal risk if they didn't have a chance to make it big.


Details


Spending, Paying Debts, and Saving

We hear that 70% of the economy is consumer spending. The quick reaction is to 03/2009 - EasyOpinions: Cargo Cult Economics
 Government sees that people spend more during prosperous times, and wrongly concludes that higher spending causes prosperity
 I get it. People use umbrellas when it rains, so using umbrellas causes it to rain.
do something, anything, to increase this spending
. Government tells us that spending is good and saving is bad.

This has now moved to the strange idea that if the public won't spend enough, then the government will do it for them. This is the idea that the government can spend its way to our prosperity, taxing along the way.

Actually, paying debts, saving, and investing are all types of spending.

  • Paying debts is the completion of past spending. If spending is good for the economy, the debtor has already done his part. Paying off the debt prepares for future spending. Not paying the debt would cause economic disruption.
  • Saving lends money to a bank, which supports spending by other people. Credit card debt supports consumer spending. Housing and car loans support buying those durable goods. Loans to businesses help them produce more.
  • Investing is a high-powered use of resources at a higher risk. Investing directly supports new businesses, major business expansion, and the creation of jobs.

The amount spent on each of these is a personal decision. The "economy" is there to serve the individual, not the reverse. People should acquire the goods, savings, and investments that they understand and can support with their earnings.

Would it help the "economy" if the government forced you to take 10% of your savings and spend it on something? Only in the sense that "consumer spending" would go up. It would hurt you personally because it would disrupt your plans.

If you are saving money rather than buying a new car or a vacation trip, it is because you want the option of buying something more important in the future, maybe food and rent.

Go back


Creating Money

Is Money Worth Anything?

All U.S. dollars are printed or electronically distributed by the Fed, the United States Federal Reserve Banks. The Fed runs the U.S. Mint to print currency and stamp coins. It creates electronic money by sending authorizations to its member banks. Paper dollars are Federal Reserve Notes, literally small obligations of the Fed.

Each dollar is an obligation of the Fed to pay you a dollar. You are allowed to laugh at this. What does it mean to present a dollar to the government and be paid back that same dollar bill? Before 1935, the government would give you a definite amount of gold or silver, if you presented the dollar bill for payment. Since then, there is no obligation of the Government to give you anything for your dollar.

All dollars are created out of thin air, so why do they have any value?

  • There is an established market and price for trillions of dollars of real goods and services.
  • Dollars are defined by law as "legal tender". Any transaction can be valued in dollars for disposition by a court or for the collection of taxes.
  • The Federal Government levies taxes and you can use dollars to pay taxes.
  • The Federal Reserve has assets that are supposedly worth the dollars created.

There are trillions of dollars in private loans secured by tangible things, such as commodities, automobiles, and buildings. Some loans are secured only by future income, like credit card balances. All loans are obligations between people, and the supply of money represents these obligations, giving value to the money.

Inflation

The Federal Reserve Banks can abuse their power to create money, so that all money loses some value.

Inflation results when the Fed loans money to the US Treasury, creating money, which the government spends, without a resulting increase in tax revenues that can pay back these loans. Inflation is the loss of value in the money supply from bad loans made to the US Treasury.

The longer explanation of inflation requires knowing how a good bank can create trustworthy, electronic or paper money. This will wait for another post.

Go back


Links

-----
The Federal Reserve
Investopedia
An overview of the structure and duties of the Federal Reserve.

-----
Money Created Out of Thin Air
07/30/04 - Richard Benson, President Specialty Finance Group

[edited] Money is created in two ways. First, money creation comes from borrowing it and spending it. Second, it is simply printed up "out of thin air" by a central bank and used to buy something.

-----
The Record of the Federal Reserve
07/24/09 - LewRockwell.com by Erik Voorhees

[edited] The Federal Reserve System is fraudulent. Its effective purpose is to create a mechanism of deficit spending by politicians, through invisible taxation by monetary inflation. The Government buys services for its voters with created money at current prices. The voter's money buys less the following year, as the new money raises prices, and they are none the wiser.

From 1776 to 1912 (136 years):

  • A dollar would buy 11% more consumer goods in 1912 than in 1776.
  • $1,110 in 1776 bought the same bundle of consumer goods as did $1,000 in 1912, for comparable goods.
  • The dollar was a stable and slightly increasing store of value. You gained a little if you put it under your mattress.

The United States Federal Reserve (the Fed) was created in 1913 to "conduct the nation's monetary policy in pursuit of full employment and stable prices". "Stable prices" means that a dollar should buy about the same amount of consumer goods over time.

From 1913 to 2008 (95 years):

  • A dollar would buy 95% less consumer goods in 2008 than in 1913.
  • $50 in 1913 bought the same bundle of consumer goods as $1,000 in 2008, for comparable goods.
  • The dollar slowly sank in value. You retained only 5% of its value if you put dollars under your mattress during that time.

Americans should feel outrage about this. Yet, they are not very upset, and the vast majority has no clue. Americans are educated in Government schools, which barely teach basic accounting, let alone monetary theory. In public school, I was forced to memorize the names of every African country. There was no discussion of the nature of money or the economic principles which caused political turmoil in Africa.

-----
Keynes, Upside Down
02/02/09 - Richard Benson, President Specialty Finance Group

[edited] Too much borrowed money has left the private sector riddled with bankruptcy. Far too many loans were made on the probability of being refinanced, not on the ability to be repaid!

Bad loans could be refinanced into bigger bad loans while liquidity (willingness to lend) was flowing. Now, the refinancing has stopped. Millions of Americans and business owners are suffering and can't face the music.

Too many loans (liquidity) were made to people who could not pay them back. This caused mass insolvency. How can more loans and public borrowing be sold as the cure? It is government double talk. They are calling this insolvency a "liquidity trap" so they can print fresh money without guilt.

-----
Recipe for Economic Stagnation
07/21/09 - American Thinker by Andrew Foy and Brenton Stransky

[edited] John Maynard Keynes recommended government intervention. Milton Friedman recommended free markets and a predictable, boring economic policy.

The government followed Keynesian principles in response to the Great Depression. It created 15 agencies, increased spending by 220%, increased taxes by 68%, and increased the deficit to $24 billion.

Friedman proposed that government intervention prolonged the depression. His view has been validated over time. "Far from the depression being a failure of the free-enterprise system, it was a tragic failure of the government."

-----
Cargo Cult Economics
03/2009 - EasyOpinions

Government economists see that people spend more during prosperous times, and wrongly conclude that higher spending causes prosperity.

I get it. People use umbrellas when it rains, so using umbrellas causes it to rain.

-----
Let's Counterfeit Our Way to Wealth
02/2009 - EasyOpinions

The Obama team follows Keynesian economic principles. They claim that every dollar in government "stimulus" spending creates $1.50 in wealth.

The 1.5 wealth multiplier is part of the Keynesian myth that distributing money promotes a recovery. But, every dollar spent by government has to be collected as tax, sooner or later. Any money borrowed now takes resources now from some other, valuable use.

If the multiplier were true, then the government could license counterfeiting and we would all become rich. Actually, the government attitude toward printing money is very close to counterfeiting.

-----
Banks Create Money
08/09/09 - Ingri Mayne - CyberEconomics

[edited] For several centuries now most money has been in the form of bank debt. A checking account is merely money that the bank owes you, and paper money represents something that the Federal Reserve System owes you. (Try to collect this debt from the Federal Reserve, though, and see what you get.)

The creation and destruction of money is the creation and destruction of bank debt.

-----
Federal Reserve Ready To Buy Assets
07/29/09 - Telegraph Co UK - by James Quinn

[edited] The Fed may buy back U.S. Treasuries, support lending to small businesses, and support credit card and car loans. The Fed continues to buy large amounts of government-backed mortgage securities.

The Fed creates more money by buying assets. Usually, it limits itself to buying government debt, Treasury bonds. It is now directly buying other debt, such as bonds representing bundles of home loans (Mortgage Backed Securities).

If these debts are paid off, then the money created will not cause inflation. If not paid off, the losses show up as inflation, the decreased value of all money.

-----
Google Search: Money Creation Inflation

Oct 22, 2009

TV Commercial For Healthcare Reform

Healthcare reform is available now for the very affordable price of an $81 billion reduction in the U.S. debt! 1

Think of all the free healthcare you will get in the future.2 Support us now, and you will get your second and third medical tests FREE.

Your order has been entered, and there is no need to pay us now. We already have your credit card number.3  We always like to hear from you. Compliments only, please.

Delivery guaranteed in 30 days or double your money back.4

You have our unconditional guarantee.5

-----
1 Reform will cost a very affordable $829 billion, for which we will charge you only $710 billion, plus $200 billion shipping and $1,000 billion handling. The numbers may seem confusing. Don't think about them; they are going to change.

2 Subject to the participation and availability of doctors, hospitals, clinics, and midwives. Some copayments and bribes may be required.

3 Members of Congress, current and former federal employees, preferred union members, and Designated Important People (DIPs) are excluded from this offer, because they get all of these benefits and additional benefits FREE.

4 Shipped in 30 days, or up to 3 years, whichever happens.

5 All promises, representations, estimates, and deadlines are subject to increase, decrease, alteration, and/or revocation for any reason, contradictory reasons, or no reason whatsoever. Send any complaints to the U.S. Congress. We'll get back to you.


Seriously

The Hypocrites Are Trying To Pass a Doozy
10/15/09 - PJTV Video 3 min
Dr. Peter Weiss talks about the bad impact of the Baucus senate healthcare bill.

-----
More Healthcare Spending - More Taxes
10/10/09 - EasyOpinions

Quip: Reduced deficit. Yay!   By increasing taxes. Boo!   And $829 billion more spending. Bummer!

The Senate healthcare bill promises to reduce the deficit by $81 billion while spending $829 billion more. How? By raising taxes and fees by $910 billion.

-----
Obamacare Bails Out Medicare
09/2009 - EasyOpinions
"Healthcare Reform" is a huge tax hike plus rationed medical services.

-----
ObamaCare and the Doctor
08/08/09 - EasyOpinions

Dr. Zane F. Pollard tells about the frightening current reality of Medicaid, and by extension the future ObamaCare.

Medicaid pays for medical services to the poor, and in this case to poor children who face vision impairment or blindness. Regardless, Medicaid denies and delays their care.

Consider that Medicare/caid are intentionally underpaying for the medical care that they mandate.

The government is proud of how they are negotiating lower prices for Medicare/caid, but these are still going bankrupt due to exploding costs.

Hospitals are caught in the middle. They survive by raising prices on the insured sick, who can pay. Then, the government blames the insurance companies for raising premiums to cover the increasing prices for insured hospital care. Doctors are forced to refuse treating Medicare patients because they actually lose money on each patient while becoming subject to bureaucratic control for receiving Medicare payments.

-----
Boston Medical Center Sues Massachussetts Medicaid
07/16/09 - The Boston Channel

Boston Medical Center says the state is underfunding the hospital by $181 million annually by failing to cover the cost of care for Medicaid, Commonwealth Care, and uninsured patients.

Boston Medical Center CEO Elaine Ullian: "This institution was and remains an enthusiastic supporter of the state's health care reform law. But it should not and cannot be financed on the backs of the poor. We hope our suit serves as a cautionary tale to federal policymakers as they take up national health care reform."

-----
Health-Care Reform: A Better Plan
08/7/09 - Washington Post by Charles Krauthammer

Krauthammer proposes a practical approach to reforming healthcare regulation.

[edited] Our healthcare system is extremely high-quality, but inefficient, and therefore expensive. Today's ruling Democrats propose to fix it with 1,000 pages of complexity.

They promise that this massive concoction will lower costs. Their solution is mandates on employers, individuals, and insurance companies; allocation formulas; political payoffs; and myriad regulations and interventions. It creates a Rube GoldbergFrom the link: Rube Goldberg (1883-1970) was a Pulitzer Prize winning cartoonist, sculptor, and author. He is famous for his cartoon contraptions using an elaborate set of arms, wheels, gears, handles, cups, and rods, put in motion by balls, pails, boots, bathtubs, paddles, and animals. These contraptions do a simple task through an extraordinarily complicated sequence of interactions. system that multiplies current inefficiencies and arbitrary rules. This will produce staggering deficits, less choice, and lower-quality care. That's why the administration can't sell Obamacare.

My plan. Strip away current inefficiencies before remaking one-sixth of the U.S. economy. There are just two parts: radical tort reform, and severing the link between health insurance and employment.

I disagree that U.S. healthcare is inefficient. High costs are the result of:

  • Too much testing due to the legal liability lottery.
  • Cost-shifting onto the insured to pay for those who won't or can't pay. The government won't fully pay for its health mandates, forcing up costs and insurance rates for everyone.

Oct 14, 2009

Blunting the Costs of Healthcare Reform

States of Personal Privilege
10/09/09 - WSJ Opinion by by Kimberley A. Strassel

Quip: This bill is vital to our country and will save a lot of money. We just don't want to depend on it.

[edited]

Powerful senators have avoided the most costly provisions of healthcare reform for their own states. They want "reform" for the nation, so long as it doesn't disadvantage the people who support or vote for them.

  • The Baucus bill vastly expands state Medicaid programs, requiring the states to pay an additional $37 billion.

    Senate Majority Leader Harry Reid of Nevada is worried about losing his seat next year. He has arranged for the federal government to pay Nevada's increased Medicaid expenses for the next five years. This applies to only three other states: Oregon, Rhode Island, and Michigan, because they "are suffering more than most."

  • The Baucus bill would tax expensive insurance plans at 40%, so that those with "luxury" health insurance help to pay for the poor. But states like New York and Massachusetts have a lot of those plans, having a lot of union members with great benefits, and high-cost insurance mandated by state regulations.

    New York Sen. Chuck Schumer didn't want angry, overtaxed voters, so he and other similarly situated Democrats carved out a deal to reduce the tax on 17 states, mostly with Democratic politics.

  • The Baucus bill taxes pharmaceutical companies, on the principle that they are filthy rich and involved in health care.

    But, New Jersey boasts it is the "global epicenter" of the drug industry, where "15 of the world's 20 largest pharmaceutical companies have major facilities." Its Sen. Menendez has a deal for a $1 billion tax credit for companies investing in drug R&D.

  • Many Dems assure us that the Baucus bill will "bend down" the health-care cost curve. Michigan Sen. Debbie Stabenow and Massachusetts Sen. John Kerry aren't counting on it. They included $5 billion in the bill to reduce costs for union members.

So, health-care "reform" is good, smart, and necessary, so long as it isn't fully applied to the states of the senators who are pushing it.

Most senators are saving up their special demands for the Senate floor. Then, we'll know how much change Democrats truly believe in.

-----
Baucus Bill Bull: The Hypocrites In DC Are Trying To Pass a Doozy
10/14/09 - PJTV: Medically Incorrect (video 3 minutes)

A video opinion of the Baucus bill by Dr. Peter Weiss.

Dr. Weiss is an OB/GYN at Cedars Sinai Medical Center in Los Angeles, the Medical Director of Rodeo Drive Women's Health Center and Rodeo Drive Dermatology and Aesthetics, and an Assistant Clinical Professor at the UCLA School of Medicine.

-----
Obamacare Bails Out Medicare
09/12/09 - Easy Opinions by Andrew Garland
"Healthcare Reform" is a huge tax hike plus rationed medical services.

Oct 10, 2009

More Healthcare Spending - More Taxes

CBO report: New taxes will pay for Senate health care bill
10/08/09 - OpenMarket by Fran Smith

[edited] The Congressional Budget Office reports that the Baucus healthcare bill in the Senate would reduce federal budget deficits by $81 billion during 2010-2019. Supporters were ecstatic.

The government and most news reports emphasize deficits. But, it is the SPENDING that matters. This healthcare bill gigantically increases spending. It reduces the deficit by increasing taxes and fees by more than the increased spending. Further, past healthcare programs have been 5 to 10 times more expensive than estimated at the time they were enacted.

A clearer statement would be:
"Healthcare legislation will raise government spending by at least $829 billion. But don't worry, it will raise taxes and fees by $910 billion, providing an extra $81 billion to the Treasury."

The major problem for the Baucus healthcare bill has been to hide the massive tax increases on people. It pretends these taxes are on businesses and insurers. But, all of these "business taxes" will be passed on to the people, at all levels of income.

The savings included in the bill are unrealistic. They are there only to get a good score from the Congressional Budget Office. The CBO must assume that those savings will be there, because the bill says they will be there.

Businesses organize work. They aren't a magic piggy bank. Taxes on private health insurance companies must be paid by charging more for insurance. So, the company writes the check, but the customers pay those taxes.

Taxes on employement must be paid out of the total productivity of the employees. Employee salaries are what is left over. The government wants to charge companies 8% of salaries to support government health insurance. That 8% actually would be paid by employees as a reduction in salaries.

----------
The truth about the Baucus bill - Part Two
10/12/09 - Washington Examiner Editorial

[edited excerpts] The Baucus bill generates revenue or shifts costs in many ways:
  • Cuts to Medicare and Medicare Advantage - $426 billion
  • Fines imposed on those who do not purchase insurance - $4 billion
  • Levies on health insurance companies providing high-end health insurance plans - $201 billion
  • New taxes on medical devices and drugs - $180 billion
  • New income taxes on individuals - $83 billion
  • New taxes on employers - $25 billion
  • Reductions in Medicare reimbursements to hospitals, which will require more cost shifting from such facilities to their patients

Price Waterhouse Coopers has released a study done for the health insurance industry.

  • Average family health insurance is now $12,300.
    This will be $18,400 by 2016 doing nothing.
    Baucus will make it $21,300.
  • Individuals average $4,600.
    This will be $6,900 by 2016 doing nothing.
    Baucus will make it $7,900.
  • Obamacare advocates say that higher costs will be largely offset by tax credits for lower-income families. But, tax credits only shift the burden of payment from Peter to Paul [from the middle class to the poor].

----------
Memo - Health Plan Deficit Reduction
09/2008 - EasyOpinions Outlink

A (fictional) memo has surfaced revealing the thought guiding healthcare policy.

Excerpt: "The estimated deficit for our health reorganization plan is causing us trouble in the press. President Obama has promised not to raise taxes on the middle class, and not to increase the deficit. Unfortunately, we have to live with this until the plan passes Congress."

----------
The Real Tax Burden
01/2009 - EasyOpinions

The real tax burden is current government spending. Government borrowing and delayed taxes are merely finance. It won't be just "the other guy" who will pay. The middle class and rich will pay in dollars. Poorer citizens will lose employment.

----------
Company Paid Health Insurance is Part of Your Salary
12/2008 - EasyOpinions

You generate all of the wealth that pays your salary and the taxes associated with your employment. The employer writes the check, but you earned that money, and it would be part of your take-home pay if the burden did not exist on the employer. Competition for skills would arrange that outcome.

In the same way, when a company pays for your health insurance, it is merely writing the check with part of your earnings, earnings that you never see, but could control yourself.

Oct 3, 2009

Better Through Creative Statistics

Reagan's Unemployment Numbers
10/03/09 - DonSurber's blog - Comment by John D.

[edited]

John D:  I am a little confused when I see unemployment numbers from the Reagan years compared to unemployment since 1993.

I believe that the Clinton Administration changed the formula for figuring unemployment to make the numbers smaller. They stopped counting the long term unemployed and those that had quit looking for employment.

Are the Reagan numbers being compared to numbers using the new method, or have the Reagan numbers been recalculated?

Surber:  They are not recalculated. Good point.

Don't believe government statistics and historical comparisons.

The Democratic President Clinton changed the unemployment computation to make his administration look better compared to Reagan and Bush the father. Bush the son didn't change it back; doing so would have made him look worse.

So, now we have unemployment statistics that specifically leave out the long term unemployed and those not looking regularly for work. People who are in part-time jobs are naturally left out, even if they consider this a fallback from former full-time employment.

This is fine for government, which claims that things are just as good as 20 years ago. This supposed progress is a result of manipulating the numbers.

This distortion builds over time as the definitions change to make things look better. The numbers become more unreal, leaving us ignorant about how effective our policies are.

----------
USA Healthcare is First - Infant Mortality is Low
01/08/09 - Easy Opinions by Andrew Garland

Health statistics are intentionally misrepresented to argue for socialized medicine. The major argument is that the US spends more than Europe, but lags behind in health outcomes. So, US healthcare is both expensive and inefficient. Actually, government administration hides much of the socialized cost, and the USA has better health.

----------
Consumer Price Index -
Things You've Suspected But Were Afraid to Ask

10/01/06 - Shadow Stats by Walter J. Williams (John Williams)
Via 11/05/08 - Alpha Dominance

[edited] Inflation, as reported by the Consumer Price Index (CPI) is understated by roughly 7% per year, due to recent redefinitions of the numbers and flawed methods, particularly adjusting prices for changes in quality.

The CPI was designed to help everyone adjust their financial planning to the impact of inflation. Since the early 1980's, these statistics have changed to meet demands from miscreant politicians. Politicians were and are intent upon stealing income from social security recipients, without public discussion or Congressional approval.

The Clinton Administration changed the CPI to significantly understate inflation, along with changes in the late-Carter and early Reagan Administrations. This has reduced current social security payments by roughly half from where they would have been otherwise.

Anyone who receives payments adjusted by the CPI has been similarly damaged. On the other side, the government makes out like a bandit making payments adjusted by this lowered CPI.

Sep 17, 2009

Memo - Health Plan Deficit Reduction

From:   Chairman [redacted] of the [redacted] Committee
To:        Healthcare Reform Drafting Group II
Re:        Finessing the Health Plan Deficit

( This is a Class I rice-paper memo. )

The estimated deficit for our health reorganization plan is causing us trouble in the press. President Obama has promised not to raise taxes on the middle class, and not to increase the deficit. Unfortunately, we have to live with this until the plan passes Congress.

After passage, we will spend what it takes, just like the last times.

Please hold off on more complexity. I asked for enough boards, committees, commissions, and regulators to confuse things and distract our opponents. You went overboard, but that is not a big problem. Just don't add more.

(Jim, that advisory commission on do-it-yourself birthing is out. I know it would save money, but it is out for now.)

Here is how we will handle the cost. Pick a big cost to convince people that we are serious. Too small looks like we might be hiding things. (If they only knew.) Keep it under $1 trillion over 10 years. That seems to be the right psychological price point for the public.

Now, this is how we will "pay for it". Assign whatever fees (not taxes!) you want against insurance companies, big businesses, and "private" doctors. Make the fees big enough to cover the entire added cost of the plan. Yes, even if you think we can't raise that much money from those fees.

The Congressional Budget Office will score the plan based on the fees we say we will raise. They will find that the plan is covered, and that is all we care about. We have convinced the public that only deficits matter, not the actual cost.

Our opponents will express doubt that we can collect all of the money we say we will. But, that is just their opinion, and the CBO will go along with us.

So, we will have a plan that does not increase the deficit, and there are no taxes on the middle class, only fees on evil companies and rich doctors.

To Fred: Yes, the fees will be passed through, and effectively would be a tax on employees and patients. I appreciate your insight. Forget about it. We will be rearranging everything in any event, after the bill is in effect for a while.

Good work everyone. Just a few more all-nighters, and we will get this thing passed. Remember that there are enough boards, committees, commissions, and regulators to provide plum assignments for all of you.

__________
This is a rice-paper memo, distributed on edible paper and written in edible ink (raspberry). Please eat this memo after reading.

Nutrition Label: Fat 0g   Protein 0g   Carbohydrate 4g
Dietary Fiber 1g.  Free of gluten and tree nuts.

US Printing Office G5-034 236 Washington D.C.


==========
The Real Tax Burden
The amount of tax that a government imposes is the amount it spends. The timing and amount of tax collections is merely finance.

Econ 201: The Myth of the Economic Multiplier
Government spending doesn't multiply anything. It takes resources from taxpayers and applies them to government projects. You get a bridge or some paperwork, that is it.

Sep 14, 2009

Obamacare Bails Out Medicare

Obamacare is really the Medicare bailout
09/12/09 - Daily Mail by Don Surber

Medicare Is No Model for Health Reform
Many doctors refuse Medicare patients because payments are so low.
09/11/09 - WSJournal
  by Grace-Marie Turner and Joseph R. Antos

Medicare And Social Security Unfunded Liabilities
03/24/04 - Parapundit by Randall Parker


Bailout

I agree with Don Surber that "Democrats need the trillion-dollar [taxation and spending of] Obamacare to mask the truth that Medicare is a failure."

The rush for "healthcare reform" is driven by the fact that Medicare and Medicaid are broke. Democratic politicians are trying to scurry for political cover to avoid blame. They have promised benefits for 30 years that they can't deliver to the current population of baby-boom retirees.


Medicare Fact List

Turner and Antos [edited]:

  • Medicare is going bankrupt, with unfunded promises of $38 trillion (38,000 billion).
  • Private payers are subsidizing Medicare. The average family in a private plan pays $1,788 a year to compensate for Medicare/Medicaid underpayments. This is a hidden tax of $89 billion per year on the insured.
  • Expansion of entitlement programs threatens our economic security.
  • Low administrative costs are a myth. Medicare's administrative expenses would be twice as high if costs for revenue collection, personnel, and enforcement were properly included. Plus, private insurers provide many services that Medicare does not.
  • Medicare is rife with fraud. 3-10% of all medicare spending is wasted.
  • Medicare does not provide comprehensive coverage. It covers only 50% of senior's health costs, and most pay for supplemental "medigap" insurance.
  • The Medicare model is obsolete, frozen in bureaucratic rules set in 1965.
  • Many physicians do not accept new Medicare patients because payment rates are so low. Medicare almost always imposes price-controls to lower costs, rather than promoting innovation and efficiency.
  • Medical decisions are made in Washington. Medicare has cut funding for the cancer drug EPO, implantable cardiac defibrillators, and virtual colonoscopies. Providers battle with politicians, while patients and doctors can only watch from the sidelines.
  • No one is running the show. The Obama administration has not yet nominated an administrator for the Centers for Medicare and Medicaid Services.
  • Medicare does guarantee health coverage, even if not as good as advertised. But, it will not be able to pay all the hospital bills that will come due in eight years.


Going Broke

"Going broke" means that current medicare taxes of 2.9% on wages are not enough to pay for Medicare. The shortfall for Medicare alone is about $61.6 trillion ($61,600 billion). Not a typo. Medicaid is mostly a mandate on the states with federal matching funds from general taxes, also going broke.

The total production of the U.S. in 2008 was about $14.25 trillion ($14,250 billion). Total tax payments by "the rich" are currently about $1 trillion ($1,000 billion).

The total picture is even worse, as reported by NCPA Senior Fellow and Social Security/Medicare Trustee Thomas R. Saving (via Parapundit Mar 2004):

  • Social Security's unfunded liability is $10.4 trillion ($10,400 billion).
  • Medicare's unfunded liability is $61.6 trillion ($61,600 billion). [An estimate above is $38 trillion].
  • The prescription drug benefit is underfunded by $16.6 trillion ($16,600 billion).
  • By 2020, the combined deficits in these programs will consume more than 1/4 of all federal income taxes.
  • 2030 is about the midpoint of baby boomer retirement. Combined deficits will consume more than 1/2 of all federal incomes taxes.
  • Today's college students will reach retirement age in 2050. Combined deficits will consume more than 3/4 of all federal incomes taxes, just to pay benefits currently promised.

The unfunded liabilities above add to $88.6 trillion. The total 2008 production of the U.S. was $14.25 trillion, about 1/6 th of those unfunded promises.

For comparison, an income of $50,000 would require that you pay about $300,000 toward these unfunded promises. Is that going to happen?


Economic Reality

I think politicians know that they can't raise taxes enough to fund the Medicare/Medicaid promises, and want a way to hide their responsibility for the coming denial of services.

One way is to put everyone into the medical care pot. We then all get equal amounts of services at whatever high tax rate the government can levy. The young must be coerced into this system, to extract as much money as possible to serve the old.

Of course medical services will be meager under "health reform", with rationing and slow delivery for everyone. The government has promised $88.6 trillion in unfunded services. Politicians now find that just $1 trillion in increased cost during the next 10 years is politically unacceptable. That is the center of the healthcare debate. So, $88 trillion in promised services are not going to be delivered in the next 75 years, more than $1 trillion per year. This would also kill any progress in medical care, as we all stew in the rationed system that covers over the fraud of the mostly Democratic politicians.

The alternative is more fair but also ghastly. The government made promises to the now-old that it can't keep, and the now-old did not pay enough for their own care or retirement, relying on the wishful-thinking or lies of the government.


Morality

The moral question: Are the now-old responsible for the choices of the politicians who provided wishful-thinking or lied to them? I think that they mostly are. Everyone who supported and voted for these government programs deserves a lot of the problems that they are going to have.

The government is supposed to be a wise planner, arranging for a future that is beyond the calculation of most people. Instead, it has acted selfishly and wastefully, taking the money (resources) that the now-old could have used more wisely, and squandering it so that it is not now available.

The younger portion of the population should watch out. They fancy themselves to be caring people. The government is going to hold them to that vision by extracting very high taxes, or trying to. It will be interesting to see if that caring attitude holds up against 30-40% taxation.


Real Tax Rates

Above, I said that the medicare tax rate on wages is 2.9%. But, the government says that the rate on the worker is only 1.45%, with the employer paying an equal amount. The same claim is made for Social Security taxes of $6.2% on your gross wages, up to a wage limit of $106,800 in 2009. The employer pays a matching amount, sending a total tax collection of 12.4% to Social Security.

Wake up. You generate all of the wealth that pays your salary and all of the taxes associated with your employment. The employer writes a 1.45% + 6.2% check, but you produced that value, and it would be part of your take-home pay if the burden did not exist on the employer. Competition for skills would arrange that outcome.

In the same way, when a company pays for your health insurance, it is merely writing the check with part of your production. That value doesn't show on your pay stub, but you could receive that value in salary if the employer did not pay that expense on your behalf.

You may object that your employer is not now providing health insurance to you. In this case, your productivity does not support that expense for the employer. If the government decides to force the employer to provide health insurance, that cost will either come out of your current pay (the employer will offer less salary to you), or you will be fired.

-----
Government-Run Health Care Works So Well! All that recordkeeping. Who would have thought that we needed even more.
12/25/09 - Advice Goddess Blog by Amy Alkon
Amy Alkon has my thanks for linking to my post. That is probably why you are reading this. (amg)

[edited] "New York's Medicaid system, the state's largest single expense, lost at least $92 million to improper payments, billing errors, and poor recordkeeping during the last five years."

-----
20-Somethings Will Pay for Big Government Pay up. Your elders know better what to do with your money.
09/16/09 - Cato@Liberty by Daniel Griswold

Younger workers are healthier than the general population, and many choose rationally not to buy comprehensive health insurance. Drafting young adults into health-care reform is crucial to pay for it. They would subsidize older, sicker people by paying premiums much larger than needed to cover themselves.

-----
Six Ways the U.S. Won't Escape Its National Debt
08/25/09 - Scrivener.net

[edited] The US national debt plus unfunded promises for Medicare, Medicaid, Social Security, and federal employee/military pensions, is staggeringly, unsustainably large at $69 trillion by the end of 2009.

The seven possibilities discussed by Arnold Kling are: Muddle through, Technology to the rescue, Policy changes, Inflation, Hyperinflation, Wealth tax, and Default.

In fact, the ONLY solution for financing these promises is increasing taxes or cutting the amount actually paid, or both. It must happen. The numbers make nothing else possible, so it will happen.

-----
USA Healthcare is First - Infant Mortality is Low

Health statistics are intentionally misrepresented to argue for socialized medicine. The major argument is that the US spends more than Europe, but lags behind in health outcomes. So, US healthcare is both expensive and inefficient. Actually, the USA has better health.

-----
Company Paid Health Insurance is Part of Your Salary We'll tell them that we are taxing the employer. They won't figure it out.

Your productivity supports all taxes and expenses that your employer sees as part of employing you. If those expenses become too great, then the employer cannot offer that job to you.

-----
Medicare Myth: Low Administrative Cost We have millions of administrators in government, with more on the way

Medicare claims 3% administrative overhead, compared to 12% for private insurance. But, Medicare doesn't count all of its expenses, and private insurance is burdened with taxes that are part of its "overhead". Medicare overhead per patient is actually 25% more than for private insurance.

-----
Healthcare Posts

Sep 13, 2009

Google Analytics for the Last Few Days

I use Google Analytics to track activity on my blog. I am usually interested in the last two days or last few days of activity.

I reduced the work of checking Analytics by setting a Favorites entry to be the URL for my Analytics page. I would change the From-To dates in the Analytics URL string to cover yesterday and today. Then, I could bring up the Analytics page by clicking on the Favorites entry.

This required manually changing the URL each day.

I now have a startup page in IE7 that uses JavaScript to construct these URL's. Some of the techniques are interesting in themselves.

This is what my startup page shows:
____________________
Google

Easy Opinions   Posts   Layout

  Analytics - 1 day   2 days   3 days   7 days
____________________

"Google" links to the Google search page.
"Easy Opinions" links to my blog.

"Posts" and "Layout" link to the posting and layout pages of my blog. These are inactive here.

"1 Day" ... "7 Days" link to Google Analytics for my blog, automatically using a URL that selects for so many days of results ending today. These are inactive here.


The template page you can use is Startup Analytics.htm. The code is documented internally. Click on the link, choose to download this file to a directory, and edit it.

The page becomes completely useable when you substitute the identifiers for your blog and Google Analytics accounts.

Post your questions or suggestions as comments, or email me.

----------
W3 Schools - HTML
W3 Schools - JavaScript
I like these references for HTML and JavaScript.

Sep 8, 2009

Leading the People

Leading The People
If You Don't Agree Now, You Will Later

08/30/08 - EasyOpinions by Andrew Garland

My post from a year ago still applies. Here are two excerpts:

Brad said that his movement would become stronger, and eventually I would agree with him. I asked, what if I didn't agree with him, even later? He flashed anger and told me that if I didn't agree on my own, he would make me agree. I saw that as the end of the discussion.

Brad's Friends want to be elected, then use that power to make your life better, and you better, whether you agree or not. Brad's Friends are not motivated by respect for their fellow citizens or a regard for the truth. They want to produce a grand experiment to make a better world. Eventually, they will make you agree with them.

Sep 5, 2009

Van Jones: What's New?

To President Obama:

Van Jones is your Green Jobs Czar, a position of importance and power in deciding how to restructure US industry. He has recently been in the news for his speeches and petitions. He signed a petition asking that the US Government, then under President Bush, be investigated for complicity in the 9/11 attacks on the World Trade Center and the Pentagon.

He declared that he became a Comunist in his recent past. He stated that black high school students might shoot another black student, but that they had never tried to shoot many people at once, as two white students did in the Columbine tragedy.

It seems that you will announce soon that he has resigned, or that you have fired him, or that you are going to keep him in your administration.

Whatever you do, please tell me, what is new to you about this information? If you already knew about these aspects of his history, then why should you now fire him or ask him to resign?

If your actions are based on recent information, new to you, then what's new?

----------
What Van Jones Signifies
09/05/09 - PowerlineBlog by Scott Johnson

[edited] Do not write off Van Jones as a one-off nutjob in the Obama administration. He signifies. The Obama team sought him out and signed him up for his job as green jobs commissar precisely because of who he is.

He is a self-proclaimed Communist. A vulgar Marxist twice over. A supporter of cold-blooded cop killer Mumia Abu Jamal. A 9/11 Truther. A racist hater, whose hatred extends to the United States. And, insofar as his current job is concerned, we have a man who sees the "green jobs" con as a tool for overthrowing capitalism.

He is the complete, left-wing, nightmare package.

I will add that he seems to me to be a well-dressed, fit man, with energy and personal charisma. He speaks very well, simply and with good phrasing, if you ignore the content. He reminds me entirely of President Obama.

----------
Van Goes Under The Bus -- Updated
09/05/09 - PajamasMedia by Ed Driscoll

A collection of links and comment about Van Jones, who he is, what he said, and how people are reacting.

Jennifer Rubin said in Commentary Magazine:

[edited] The immediate issue is that the White House is harboring such a figure. It is under siege for its leftward lurch, and is battling the tag that the president is out of touch with ordinary Americans. It's hard to believe that Van Jones isn't a fictional character dreamed up by Obama's conservative critics. Unfortunately no, Jones is very real.

----------
Where is the policy paper?
07/26/09 - Easy Opinions by Andrew Garland

Obama and Congress must have thoroughly investigated before writing down new law to change all of healthcare. Where is it? Let's see it.

Or, are they legislating off of a cocktail napkin?

Obama's Green Jobs Snake Oil

Obama's Green Snake Oil
Obama ignores the cost of his global warming plan.
01/28/09 - Reason Online by Jacob Sullum

[edited]  Obama says that his plan to reduce global warming is actually a way of stimulating the economy. The plan immediately spends for weatherizing buildings, alternative energy production, and more power transmission. He ignores the enormous cost of reducing carbon dioxide emissions. He falsely portrays this economic burden as a boon.

Consider this to see the fallacy: If Obama could snap his fingers and make global warming disappear, should he do it? By his logic, no, because then we'd lose all those wonderful green jobs that will help pull us out of the recession.

Obama: "Climate change could result in violent conflict, terrible storms, shrinking coastlines, and irreversible catastrophe." Does Obama's cap-and-trade proposal make sense? We need to know how likely are those outcomes, how costly they would be, and whether his plan would prevent them.

Critic Bjorn Lomborg wrote "Cool It: The Skeptical Environmentalist's Guide to Global Warming." He argues that adapting to climate change is much less costly than trying to prevent it. Prevention is unlikely to have any measurable impact. I'd like to hear why Obama thinks this criticism is wrong.

----------
Dispelling the Global Warming Myth

There is a close correlation between global temperature and solar output. See the graph.

Aug 12, 2009

Legislative Language

3.7(b)(2):
No funds shall be used for pork roasting within any federal facility except in accord with the provisions of 12.14(f)(4).

12.14(f)(4):
Notwithstanding the language in 3.7(b)(2), pork roasting is approved in any amount, anywhere.

----------
5.   Restrictions

5.1   The President's authority under this bill is strictly limited to the explicit provisions of this bill, narrowly considered and constructed.

5.2   The sense of this section 5.2 is constructed from combining the language of sections 5.13 through 5.17 after striking out the words "dog", "cat", and "fish" wherever they appear in those sections.
. . .
5.13   The dog cat President fish
5.14   is fish hereby cat cat
5.15   cat dog empowered dog to cat
5.16   dog dog do dog dog anything cat
5.17   fish dog he fish cat wants. dog fish

--------
The Partial Veto In Wisconsin
January 2004 - Wisconsin Legislative Reference Bureau

[edited]:  In 1930, Wisconsin voters approved an amendment to the Wisconsin Constitution giving the governor authority to approve appropriation bills “in whole or in part”. Overrides of such vetoes have been rare, requiring a 2/3rds vote of both the Wisconsin House and Senate.

Governors have steadily increased the number of partial vetoes, and have have become progressively more creative.

In 1931, Governor Philip La Follette vetoed parts of a bill as small as a statutory paragraph. Two vetoes in 1935 affected individual sentences. In 1961, the governor vetoed part of a sentence. In 1965, the chief executive deleted one figure that appeared in a bill. Later governors have vetoed individual digits and letters, have edited the text to change its meaning, reduced appropriation amounts by crossing out one figure and writing in another, and altered the direction of an appropriation.

Digit Veto

Governor Lucey in 1973 reduced a $25 million highway bonding authorization to $5 million by striking the digit “2”. Objections failed, leading to the establishment of this type of veto.

Editing Veto

Governor Lucey in 1975 vetoed the word “not” in the phrase “not less than 50%”, changing a 50% floor on cooperative advertising to a 50% ceiling. The Wisconsin Supreme Court affirmed that the governor can change legislation in this way.

In 1977, Acting Governor Schreiber changed a law in a way that the legislature had expressly rejected. The legislature specified that a taxpayer could add $1 to his taxes to go toward public funding of political campaigns.

Schreiber’s partial veto changed the addon to a checkoff. The $1 would be paid from the state’s general fund rather than collected through individual tax returns. The Wisconsin Supreme Court upheld.

Pick-a-Letter Veto

In 1983, Governor Earl arranged that appeals of Public Service Commission rulings would be handled by the courts rather than the PSC. His veto reduced a paragraph of 121 words into one sentence of 22 words. The legislature overrode this veto in this case.

Reduction Veto

In 1993, Governor Tommy G. Thompson crossed out nine dollar figures and wrote in smaller numbers. The Wisconsin Supreme Court upheld this use of the veto.

In 1995, Thompson reduced a revenue bond limit for transportation projects. The Wisconsin Supreme Court overruled because that amount was not an "appropriation".

This is madness. The ongoing interpretation of the Partial Veto converted a legislative process into an unlimited contest of political interests. The governor was enabled to change any legislation at the stroke of a pen. The only limits on a Wisconsin governor's power are the interests of his cronies and broad public sentiment. Restated, the only limits are those that apply in a tyranny.

The Wisconsin Supreme Court was content to make rulings around the edges, never bothering to limit the Governor's power to something close to the common meaning of a Partial Veto.

We see the same effects in 2012, where the continuing interpretation of the Commerce Clause of the US Constitution allows our federal government to do almost anything short of telling us what color underwear to put on.

----------
Ignorance is bliss! But see (hhh)(1) Subject to paragraphs (3) and (4)
08/11/09 - Classical Values by Eric

[edited] I finally understand why the Congressmen who are pushing the healthcare bill HR3200 have not read it, and have come up with something unreadable. It's quite deliberate.

If people could actually read it, they might learn too much. If they learned that a new cancer drug would not be available, or that their father's heart surgery would not be covered, millions and millions of ordinary people would be outraged and up in arms, and it would be very bitterly personal, like Mike Sola, the guy whose son has cerebral palsy and who learned he wouldn't be covered.

----------
A Few Words About Policy
Would Obama try to legislate from some scribbles on a cocktail napkin? Would he think "give me anything, we'll rearrange it later to do what we want"?

Join me in the demand to "Show me the policy paper!" If any politician refuses or says that it doesn't exist, then mock him with "Show me the cocktail napkin!"

Aug 11, 2009

ObamaCare May Save Social Security

ObamaCare Saves Social Security
08/11/09 - InsureBlog by Henry Stern

[edited] The healthcare bill we reference is "America’s Affordable Health Choices Act of 2009, Revised Standard Edition". It has the potential to save Social Security from bankruptcy:
Page 425. "The term ‘advance care planning consultation’ means a consultation between the individual and a practitioner [doctor] ... if ... the individual involved has not had such a consultation within the last 5 years."

So, seniors are encouraged to have these consultations at least every 5 years. What are they?

Page 432. "For purposes of reporting data on quality measures for covered professional services furnished during 2011 and any subsequent year, to the extent that measures are available, the Secretary shall include quality measures on end of life care and advanced care planning that have been adopted or endorsed by a consensus-based organization, if appropriate. Such measures shall measure both the creation of and adherence to orders for life sustaining treatment."  (note)Can you imagine 1000 pages of this language?

So, a "consensus based organization"The End of Life Quality Treatment Board will come to order. All in favor of 'Non-Heroic Treatment Plan 103' say Aye. The plan is approved by 8 votes to 1. I declare this a consensus. We are adjourned."" will determine advanced care planning. It will create orders for life sustaining treatment that will be measured for compliance. It could order anything from a pain pill to life saving surgery, depending on whatever utilitarian measures it wants. And, that will be that. Are you reassured?

This implements social justice. Rich and poor will be prescribed the most cost-effective lifesaving or pain-numbing treatment, according to expert guidelines.

If you are a federal politician, federal employee, or approved union member, you are not covered by this act. You have other, nicer choices for your care, provided by private insurance companiesAren't the insurance companies supposed to be the spawn of the Devil? arranged for you by your union or the federal government.

Social Security will save a lot as most people's lives end on a more rational basis.

----------
This prompted my comment (sarcasm warning):

It is shortsighted to bring quality of life issues into discussion only because of explicit costs for healthcare at the end of life.

It is obvious that we cannot support useless members of the tribe who are no longer able to work.

What is less obvious, and much more important, is to factor in carbon use. This is also a cost to society, and to Gaia herself.

We should accept that when our personal carbon footprint goes up past our productivity, then we need a talking to.

When an individual can no longer bicycle to work, it may be better to accept the end rather than be a carbon burden on us all.

It is inescapable. Some must continue on in the cycle of life so that others may live without damaging the Earth.

Aug 10, 2009

Cuban Health and Economic News

Cuba must replace tractors with oxen
07/02/09 PDF Info Bulletins Cuba by Will Weissert (AP)
  (search: oxen)

[edited] President Raul Castro suggested expanding a pilot program, giving private farmers unused government land to cultivate.

"For this program we should forget about tractors and fuel, even if we had enough. The idea is to work basically with oxen. An increasing number of growers have been doing exactly this with excellent results."

The agricultural ministry proposed increasing the use of oxen to save fuel. Factory closings and turning off air conditioners at government offices has saved oil. The ministry said it had more than 265,000 oxen "capable of matching, and in some cases overtaking, machines in labor load and planting."


Cuba is running out of toilet paper
08/10/09 - Reuters by Nelson Acosta and Esteban Israel

[edited] An official with state conglomerate Cimex said: "The corporation has taken all the steps so that at the end of the year there will be an important importation of toilet paper."

The shipment will enable the state-run company "to supply this demand that today is presenting problems." Cuba both imports toilet paper and produces its own, but does not currently have enough raw materials to make it.

- 09/04/10 - Comment by JC DeCardenas at Cafe Hayek

[edited]  Ha, ha. I left Cuba in 1994. It is like time has frozen in the island. They must be talking about toilet paper for the foreign currency shops or the hotels. Cimex is a military run corporation that manages imports and hotels.

When I was a child in the 1960's we got a ration of toilet paper every now and then that was never enough. Most people supplemented it with newspapers. Wiping on Castro's pictures compensated somewhat for the roughness. Even that ration disappeared years later.

Environmentalism and its proposals always remind me of the hardships in Cuba, everything from using rags for personal hygiene, using the same cloth bags for groceries, and bicycles for moving around.


CNN reports Cuba is a model for a U.S. healthcare plan
08/10/09 - American Thinker by Humberto Fontova

[edited] The CNN report included clips from Michael Moore's "Sicko". CNN's Morgan Neill reported on location from a Havana hospital. "Cuba's infant mortality rates are the lowest in the hemisphere, in line with those of Canada!"

According to 2009 UN figures for infant mortality per 1000 live birtihs, Canada ranks 23rd best at 4.8, Cuba ranks 28th at 5.1, and The U.S. is 33rd with 6.3.  [My link and figures -ag]

Other statistics and reports question the truth of Cuba's rank.

  • According to the Association of American Physicians and Surgeons, the mortality rate of children aged one to four years in Cuba is 11.8, 34% higher than the 8.8 U.S. rate.

    This statistic doesn't figure into UN and World Health Organization spotlighted "infant-mortality rates", so there is no pressure to fudge these figures.

  • Dr. Juan Felipe García, MD, of Jacksonville, Fla., in April 2001, interviewed several doctors who recently defected from Cuba:

    "The official Cuban infant-mortality figure is a farce. Cuban pediatricians constantly falsify figures for the regime. If an infant dies during its first year, the doctors often report he was older. Otherwise, such lapses could cost him severe penalties and his job."

  • The maternal mortality rate per 1000 births is Cuba at 33, 3.9 times the U.S. at 8.4 .

The comparison to the U.S. is too strange. Many more Cuban mothers and children aged 1-4 die in Cuba, but the statistic reported to the UN for "infant mortality" (age under 1 year) shows the same health as in much wealthier countries.


- -
The film Sicko depicts a "mythical" Cuban healthcare system
12/17/10 - Guardian UK by Amelia Hill   (via Samizdata)

[edited]:  Sicko is Michael Moore's 2007 documentary. It attempted to discredit the US healthcare system by comparing it to the excellence of the socialist Cuban system.

WikiLeaks has revealed a confidential US embassy cable. Cuban authorities criticized the film for painting a mythically favourable picture of Cuba's healthcare system. They feared it could lead to a popular backlash by showing facilities that are clearly not available to the vast majority of Cubans. A group of Cuban doctors saw the film. Some left the room, disturbed at the blatant misrepresentation of healthcare in Cuba.

Sicko showed the Hermanos Ameijeiras hospital in October 2007. It was built in 1982 and newly renovated. This was prsented as evidence of the high-quality of healthcare available to all Cubans.

But according to the cable, Cubans may only access this hospital by offering bribes or using contacts inside the hospital administration. "Cubans are very resentful that the best hospital in Havana is off-limits to them."

The cable says the Calixto Garcia Hospital gives a more accurate view of the average Cuban's healthcare experience. This dilapidated hospital was built in the 1800s, and reminds one of a scene from some of the poorest countries in the world.

The Cuban ruling elite seeks serious medical care outside of Cuba.


- -
Useful Idiots at PBS
12/28/10 - PowerLine Blog by Scott Johnson

He describes a recent, naive PBS story, and collects accounts of how terrible Cuban healthcare really is.

Jay Nordlinger provides a realistic and shocking account.

[edited]:  Hospitals and clinics are crumbling. Conditions are so unsanitary that patients may be better off at home. If they go to the hospital, they must bring their own bedsheets, soap, towels, food, light bulbs, and toilet paper. In Sicko, even sophisticated medications are plentiful and cheap. In the real Cuba, an antibiotic will fetch a fortune on the black market.

A nurse reported: "We have nothing. I haven't seen aspirin in a Cuban store for more than a year. If you have any pills in your purse, I'll take them. Even if they have passed their expiry date."

Socialist Cuba spends almost nothing on healthcare by American standards. Then, they make up great statistics and convince the true believers that they are achieving more with so much less. The only way to match Cuba is to adopt a socialist system in the US and make up our own statistics.


- -
The truth about Cuba’s healthcare
12/20/10 - Fausta's Blog &emsp (Via Instapundit)

A PBS story by Ray Suarez applauds Cuba for having great healthcare for such a poor country. This has produced detailed criticism of his naive story.

Fausta [edited]:  Suarez forgets to mention that the statistics for these claims are provided by the Cuban government. That government has refused permission to any independent, outside organization to examine the statistics, the criteria for the data, or how the statistics are gathered. Suarez can’t seem to realize that any statistics put out by a totalitarian regime in a closed society are to be questioned.
The Miami Herald reports details from a US foreign service cable describing the healthcare experience for the Cuban populace [edited].
Some medical institutions are reserved for Cuba’s ruling elites and foreigners who pay in hard currencies. These institutions are hygienically qualified and have a wide array of diagnostic equipment, a full complement of laboratories, well-stocked pharmacies, and private patient suites with cable television and bathrooms.

Hospitals and clinics used by average Cubans don’t come close. The Hermanos Ameijeiras Hospital is partly reserved for foreign patients, and was featured in Sicko. There, a “gift” of $22 to the hospital administrator helps average Cubans obtain better treatment.

The exterior of the Ramon Gonzalez Coro OB-Gyn hospital was dilapidated and crumbling, and its Newborn Intensive Care Unit was using a very old `Bird’ infant respirator, a model used in the U.S. in the 1970s.


- -
USA Healthcare is First - Infant Mortality is Low

Health statistics are intentionally misinterpreted to argue for socialized medicine. The major argument is that the US spends more than Europe, but lags behind in health outcomes. So, US healthcare is both expensive and inefficient.

Actually, the USA has better health when you consider sociological differences, such much higher auto accident fatalities in the USA.

Aug 8, 2009

ObamaCare and the Doctor

ObamaCare and Me
08/06/09 - American Thinker By Zane F. Pollard, MD

I quote here this clear and frightening article describing Medicaid, and by extension ObamaCare. Medicaid pays for medical services to the poor, and in this case to poor children who face vision impairment or blindness.

Regardless, Medicaid denies and delays their care.

I have edited for clarity and added subtitles. See also the excellent comments at the original article, many by doctors.
----------

Medicaid in Atlanta

I want to explain many of the problems of nationalized healthcare from my perspective as a doctor. I have practiced for 35 years in Atlanta, Georgia, in the only group there offering pediatric ophthalmology services to Medicaid patients.

The government has involved very few of us physicians in the healthcare debate. The American Medical Association favors Obama's plan, but remember that the AMA represents just 17% of American physicians.


Delay and Denial of Antibiotics

In the past 6 months, I have cared for three young children on Medicaid who had corneal ulcers. Blindness almost surely results if the cornea perforates from the infection. In all three cases, the required antibiotic was not on the Medicaid list.

I was told each time to fax Medicaid for the approval forms. The form came back to me in 48 hours, which I then immediately filled out and faxed back. They told me that I would have my answer in 10 days. By then, each child would have been blind in the affected eye. Each time, I personally provided the antibiotic.

Anyway, each request was denied. This is rationing of care.


Delayed Approval Causes Disability

I have cared for over 1000 children born with congenital cataracts. In older children and in adults, we insert an intra-ocular lens. In newborns, we use very expensive contact lenses. It takes Medicaid over one year to approve a contact lens after cataract surgery. By that time, the child would be close to blind from not focusing his eyes during early development.

Again, this is extreme rationing. I have a foundation supported 100% by private funds which supplies these contact lenses for free to my Medicaid and illegal immigrant patients.


Rationing in Sweden

I saw the child of an American who lives and works in Sweden for a big corporation. The child had developed double vision 3 months before and was unable to function normally. They had money, but would have waited 8 months to see an ophthalmologist in Sweden. Then, if the child needed surgery, they would wait 6 months more.

The mother called me, and I saw her that day. The child had accommodative esotropia (crossing of the eyes) and responded to corrective glasses within 4 days, so no surgery was needed.


Surgery Would Be Denied Due to Age

Last month, I operated on a 70 year old lady with double vision present for 3 years. She responded quite nicely and now is symptom free.

I also operated on a 69 year old judge with vertical double vision. His surgery went very well, and now he is happy as a lark.

I have been told that the current healthcare bill would deny these people surgery because of their age. They would be told to wear a patch over one eye to alleviate the symptoms of double vision. Obviously, cheaper than surgery.


Rationed Care in the Military

I served two years in the US Navy during the Viet Nam war, and I was well treated by the military. But, there was tremendous rationing of care. We were told specifically which things the military personnel and their dependents could have, and which things they could not have.

While I was in Viet Nam, my wife Nancy got sick and received essentially no care at the Naval Hospital in Oakland, California. She went home and went to her family's private internist in Beverly Hills. While it was expensive, she received an immediate workup.


When Stents Are Indicated

This bill in its present form might be lethal for people over 65. People over age 59 in England cannot receive stents for their coronary arteries. The U.S. government wants to mimic the British plan. If you are younger, it will still restrict the care that you and your children receive.


Paying Doctors Less

99% of physicians chose medicine because we love medicine and the challenge of helping our fellow man. But, economics are still important. My rent goes up 2% each year, and the salaries of my employees go up 2% each year. Twenty years ago, ophthalmologists were paid $1800 for cataract surgery. Today it is $500, a 73% decrease in our fees. Few jobs in America have seen this sort of decrease.

There was a well known ophthalmologist in Atlanta who charged $2500 for a cataract surgery. He had a terrific reputation. In fact, he operated on my mother's bilateral cataracts, with a wonderful result. She is now 94 and has 20/20 vision in both eyes. People would pay his $2500 fee.

Then the government said that any doctor that does Medicare work cannot accept more than the government-allowed rate, now $500. The government made it illegal, subject to fines, to accept more. Those of you who are well off will not be able to go to the head of the line under this new healthcare plan, as no physician will be willing to go against the law to treat you.

I trained for 10 years after college to become a pediatric ophthalmologist, plus two years in the Navy to total 12 years. A neurosurgeon spends 14 years after college, and possibly 2 years in the military, to total 16 years.

The new plan calls for all physicians to receive the same fees. I assure you that medical students will not go into neurosurgery, leading to a tremendous shortage.

The top neurosurgeon at my hospital has just quit. He is in good health and only 52 years old. 49% of children under the age of 16 in the state of Georgia are on Medicaid, and he felt he just could not stand it any more, working with the bureaucracy.

Furthermore, how could you trust a physician who works under these draconian conditions controlled by the state? I certainly could not.


Physician Shortages

This new healthcare plan will create a tremendous shortage of physicians. Here are the estimates. About 5% of physicians will quit under this new system, and another 5% shortage will occur because fewer people will want to go into medicine.

For the past 15 years, the government has required gender equity in medical school admissions. 49% to 51% of each entering class are women. This is also true of private schools, because they all receive federal funding.

The average career of a woman in medicine now is only 8-10 years, and her average work week is only 3-4 days. I have trained 35 fellows in pediatric ophthalmology. By far the best was a woman that I trained 4 years ago. She now practices only 3 days a week.

As mostly male physicians retire, it will be difficult to replace their working contribution, given the gender balance and working preferences of new physicians. -ag


Needs and Results

We are being lied to about the uninsured. They are getting care. I operate on at least 2 illegal immigrants each month who pay me nothing. The children's hospital at which I operate also charges them nothing. This is true not only of Atlanta, but of every community in America.

I urge all of you to contact your congressmen/women and senators to defeat this bill. I promise you that you will not like rationing of your own healthcare.


----------
Health-Care Reform: A Better Plan
08/07/09 - Washington Post by Charles Krauthammer

[edited] Today's ruling Democrats propose to fix our extremely high-quality (but inefficient and therefore expensive) health-care system with 1,000 pages of curlicued complexity.

They promise that this massive concoction will lower costs. Their solution is employer mandates, individual mandates, insurance company mandates, allocation formulas, political payoffs, and myriad other regulations and interventions

This is all quite mad. It creates a Rube Goldberg system that multiplies current inefficiencies and arbitrary rules. This will produce staggering deficits, less choice, and lower-quality care. That's why the administration can't sell Obamacare.

The administration accuses critics of being for the status quo. Nonsense. Candidate John McCain and a host of other Republicans have offered alternatives.

Let me offer my plan. Strip away current inefficiencies before remaking one-sixth of the U.S. economy. There are just two parts: radical tort reform, and severing the link between health insurance and employment.

--------
Eight Years of U.S. Military Healthcare
03/13/10 - Comment by LisaM at NeoNeocon

Read the whole thing. Here is an edited summary. All of the rules and attitudes operate to ration care while hiding that policy.

Motto: We care for everyone who calls us. You just have to call at the right time.

I used the U.S. military medical system for 8 years as a family member. The doctors were great and they were only interested in treating patients. However, the infrastructure around them was maddening and dangerous.

You could only call at 7:00 AM on the first Tuesday of the month to schedule an OB/GYN appointment. While trying to call, all appointments were taken by 7:10, and you had to try again the following month.

My sister had ovarian cancer and needed 6 month checkups. She was called selfish when she tried to make more than one appointment per year. She would be dead now if she had not paid personally for extra civilian screenings.

I was at the Portsmouth Naval hospital. They sent me to the lab on the 8th floor. The elevator was broken. They called my name while I was trudging up and down the steps, and I missed my turn. Too bad for me.

I waited 4 hours at the pharmacy for a prescription. I noted that the medication was different than written. They told me I was lucky to get that.

The day I escaped government-run health care was a very happy day indeed.

--------
19 Years of Army Medicine
03/13/10 - Comment by Gray at NeoNeocon

[excerpts] Strep throat. Diagnosed as strep, but only given 7 days of antibiotics: “that is how we do it, soldier.” Violent recurrence with sepsis. Week of IV antibiotics. “Thought we almost lost you there.”

Pneumonia. Incorrectly diagnosed as allergies: “You need plenty of physical training and water. Try some triaminic cough syrup for those allergies.” 103deg fever. Passed out at my desk taken to Army hospital. Days of delerium. IV antibiotics. “Thought we almost lost you there.”

At Kimbrough (nicknamed Killbro) hospital at FT Meade, Maryland, they killed my units’ Sergeant Major following surgery for diverticulitis. He was 40 and passed out during a run, after his ill-sutured bowel leaked into his body. Peritonitis.

Jul 30, 2009

Plants Make Natural Pesticides

07/29/09 - Via M.D.O.D by 911Doc

Organic foods are not more nutritious than conventional foods, but what about the pesticide residues?

Study Finds Organic Food Is Not Healthier
07/29/09 - Reuters by Ben Hirschler

[edited] A review of 162 scientific papers published in the last 50 years finds no significant difference in nutritional or health benefits between organic and ordinary food.

Alan Dangour: "A small number of differences in nutrient content were found between organic and conventional food, but these are unlikely to be of any public health relevance. There is no evidence to prefer organic over conventional foods based on nutrition."


Plants Produce Natural Pesticides
5/24/1989 - FortFreedom - Paper by Bruce N. Ames, Chairman of Biochemistry at U.California Berkeley

[edited] The bad news is that our plant foods contain carcinogens, natural pesticides that cause cancer in rats. Examples are basil, broccoli, Brussels sprouts, cabbage, carrot, cauliflower, celery, fennel, grapefruit, mushroom, mustard, orange, parsley, parsnips, pepper, pineapple, and raspberry.

These chemicals are present at levels ranging from 70 ppb (parts per billion) to 4 parts per thousand. These levels are enormously higher than the amounts of man-made pesticide residues in plant foods.

The good news is that the risk of cancer is negligible at levels far below the maximum tolerated dose given to rats. I am not even very concerned about the risk from allyl isothiocyanate, a natural carcinogen present in cabbage at 40,000 ppb and in brown mustard at 900,000 ppb. Most leading scientists and I are very skeptical about making worst-case, low-dose extrapolations from high-dose animal tests.

Here is an example of a low-dose extrapolation. We might observe that 95% of adults will be legally drunk after drinking 6 beers in an hour, 12 ounces each. We might extrapolate that 1.3% (1/72nd) of those people will be drunk after drinking one ounce of beer.


10 Poisonous Foods We Eat Every Day
03/28/2011 - Foodista

[edited] These fruits, vegetables, and beans contain chemicals that are toxic to humans and animals. Often the fruit is perfectly safe, but beware of the leaves and seeds. Be careful of that apple-a-day. Just a few undercooked red kidney beans will send you to the hospital.

Lima Beans, Yuca (Cassava/Manioc Root), Nutmeg, Kidney Beans, some types of Almonds, Tomatoes, Cherries, Apricots, Peaches, Plums, Rhubarb, green Potatoes, and Apple seeds.


Organic Pesticides Fail EU Safety Review
03/30/09 - OpenMarket by Greg Conko

The European Food Safety Authority (EFSA) has rejected 13 of 27 commonly used "organic" pesticides. That organic carrot doesn't look as good any more.

Some of the organic pesticides might be dangerous, so it is reasonable to test them. But as above, the risks from pesticides are probably highly exaggerated.


Synthetic vs Natural Pesticides
06/06/2007 - NYTimes By John Tierney

[edited] About 99.9% of the chemicals humans eat are natural. The amount of synthetic pesticide residues are insignificant compared to the natural pesticides produced by the plants. 99.99% of dietary pesticides are natural. Plants produce these chemicals to defend themselves against fungi, insects, and other animal predators.

Average Americans eat 5,000 to 10,000 natural pesticides and their breakdown products. Each eats 1,500 mg (1/3 teaspoon) of natural pesticides each day, about 10,000 times more than the 0.09 mg of synthetic pesticide residues.

Natural pesticides make up 99.99% of the pesticides in our diet, and synthetic pesticides are the remaining .01%. These pesticides are equally likely to be cancer-causing, but it does not follow that they are causing human cancer.

Dr. Bruce Ames and Dr. Lois Swirsky Gold believe most of these natural or synthetic pesticides don’t present problems because the exposures are very low compared to the high doses given to rodents in lab tests.

Dr. Ames: "Everything you eat in the supermarket is chock full of carcinogens, but most cancers are not due to parts per billion of pesticides. They’re due to causes like smoking, bad diets, and obesity."


Dietary Pesticides are 99.99% All Natural
07/19/1990 - At JStor - by by Bruce N. Ames, Margie Profet and Lois Swirsky Gold

[edited] We examined the toxicological significance of exposure to synthetic chemicals compared to naturally occurring chemicals. 99.99% by weight of the pesticides in the American diet are produced within plants to defend themselves. Only 52 natural pesticides have been tested in high-dose animal cancer tests; about half (27) are rodent carcinogens present in many common foods.

We conclude that natural and synthetic chemicals are equally likely to be carcinogenic in animal tests. We also conclude that the comparative hazards of synthetic pesticide residues are insignificant at the low doses of typical human exposures.