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Note to Readers

I am taking a bit of a hiatus in order to spend more time outside hiking, fishing & climbing with my family. Therefore the format of this blog is changing for the next couple months. I will resume regular posting in the fall. Enjoy your summer everyone!

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Thursday, June 25, 2009

How does this guy keep getting elected?

From The Business Insider:
Of all the things you could say about Fannie Mae (FNM) and Freddie Mac (FRE), too-strict lending standards probably wouldn't come to mind.

Afterall, the companies have been backstopped to the tune of $400 billion, which has to mean their standards were too loose.

But powerful Congressman Barney Frank, in a desperate attempt to reflate the old bubble, says the two GSEs are being too stingy, particularly with respect to condos.

Can't get Something For Nothing...

...but that seems to be what Americans want. According Amy Walter over at National Journal a swath of recent polls tell a similar story. "Americans know that the system is broken and would like to see it fixed. But the more a potential fix affects them personally, the less interested they are in supporting it."


Monday, June 22, 2009

Revolutionizing Health Care

Milton Friedman, recipient of the 1976 Nobel Memorial Prize for economic science, was a senior research fellow at the Hoover Institution from 1977 to 2006. He passed away on Nov. 16, 2006. He was also the Paul Snowden Russell Distinguished Service Professor Emeritus of Economics at the University of Chicago. Eight years ago he wrote a piece entitled "How to Cure Health Care." With the current debate raging over the Obama administration's new proposals it serves as a timely reminder of how we could really revolutionize health care if we chose to. The following are Friedmans conclusions, bold added is mine; for the entire article click here.

Conclusion: Medical Savings Accounts and Beyond

The high cost and inequitable character of our medical care system are the direct result of our steady movement toward reliance on third-party payment. A cure requires reversing course, reprivatizing medical care by eliminating most third-party payment, and restoring the role of insurance to providing protection against major medical catastrophes.

The ideal way to do that would be to reverse past actions: repeal the tax exemption of employer-provided medical care; terminate Medicare and Medicaid; deregulate most insurance; and restrict the role of the government, preferably state and local rather than federal, to financing care for the hard cases. However, the vested interests that have grown up around the existing system, and the tyranny of the status quo, clearly make that solution not feasible politically. Yet it is worth stating the ideal as a guide to judging whether proposed incremental changes are in the right direction.

Most changes made in the final decade of the twentieth century were in the wrong direction. Despite rejection of the sweeping socialization of medicine proposed by Hillary Clinton, subsequent incremental changes have expanded the role of government, increased regulation of medical practice, and further constrained the terms of medical insurance, thereby raising its cost and increasing the fraction of individuals who choose or are forced to go without insurance.

There is one exception, which, though minor in current scope, is pregnant of future possibilities. The Kassebaum-Kennedy Bill, passed in 1996 after lengthy and acrimonious debate, included a narrowly limited four-year pilot program authorizing medical savings accounts. A medical savings account enables individuals to deposit tax-free funds in an account usable only for medical expense, provided they have a high-deductible insurance policy that limits the maximum out-of-pocket expense. As noted earlier, it eliminates third-party payment except for major medical expenses and is thus a movement very much in the right direction. By extending tax exemption to all medical expenses whether paid by the employer or not, it eliminates the present bias in favor of employer-provided medical care. That too is a move in the right direction. However, the extension of tax exemption increases the bias in favor of medical care compared to other household expenditures. This effect would tend to increase the implicit government subsidy for medical care, which would be a step in the wrong direction.

Before this pilot project, a number of large companies (e.g., Quaker Oats, Forbes, Golden Rule Insurance Company) had offered their employees the choice of a medical savings account instead of the usual low-deductible employer-provided insurance policy. In each case, the employer purchased a high-deductible major medical insurance policy for the employee and deposited a stated sum, generally about half of the deductible, in a medical savings account for the employee. That sum could be used by the employee for medical care. Any part not used during the year was the property of the employee and had to be included in taxable income. Despite the loss of the tax exemption, this alternative has generally been very popular with both employers and employees. It has reduced costs for the employer and empowered the employee, eliminating much third-party payment.

Medical savings accounts offer one way to resolve the growing financial and administrative problems of Medicare and Medicaid. It seems clear from private experience that a program along these lines would be less expensive and bureaucratic than the current system and more satisfactory to the participants. In effect, it would be a way to voucherize Medicare and Medicaid. It would enable participants to spend their own money on themselves for routine medical care and medical problems, rather than having to go through HMOs and insurance companies, while at the same time providing protection against medical catastrophes.

A more radical reform would, first, end both Medicare and Medicaid, at least for new entrants, and replace them by providing every family in the United States with catastrophic insurance (i.e., a major medical policy with a high deductible). Second, it would end tax exemption of employer-provided medical care. And, third, it would remove the restrictive regulations that are now imposed on medical insurance—hard to justify with universal catastrophic insurance.

This reform would solve the problem of the currently medically uninsured, eliminate most of the bureaucratic structure, free medical practitioners from an increasingly heavy burden of paperwork and regulation, and lead many employers and employees to convert employer-provided medical care into a higher cash wage. The taxpayer would save money because total government costs would plummet. The family would be relieved of one of its major concerns—the possibility of being impoverished by a major medical catastrophe—and most could readily finance the remaining medical costs. Families would once again have an incentive to monitor the providers of medical care and to establish the kind of personal relations with them that were once customary. The demonstrated efficiency of private enterprise would have a chance to improve the quality and lower the cost of medical care. The first question asked of a patient entering a hospital might once again become "What’s wrong?" not "What’s your insurance?"

Thursday, June 18, 2009

Will Obama Care Bring us Togther?

Regular readers of this site will know by now that I favor a meeting of the minds between moderate Democrats & moderate Republicans on many issues. I feel that the nation is essentially center-right and that is where the majority of the governing should take place. Now it seems that perhaps the Obama administration has pushed hard enough from the left to make such a meeting possible. From The Hill:
Centrist House lawmakers from both sides of the aisle are working together privately on healthcare reform.

The talks have been so secretive and politically sensitive that some members interviewed by The Hill refused to name other legislators involved in the bipartisan effort. Members of the centrist GOP “Tuesday Group,” the New Democrat Coalition and the 52-member Blue Dog Coalition have been discussing both the policies and politics of moving their middle-of-the-road ideas in a body of Congress usually dominated by liberal or conservative ideology.

Those centrist factions are wary of the proposals their respective leaders will introduce this month. Blue Dogs are leery of the so-called public option in the healthcare reform bill that is expected to hit the House floor this summer. Meanwhile, GOP centrists opted to release their own healthcare plan a day before House GOP leaders are scheduled to unveil their reform package.

Wednesday, June 17, 2009

What Media Bias?

From The Drudge Report:

ABC is refusing to air paid ads during its White House health care presentation, the DRUDGE REPORT has learned, including a paid-for alternative viewpoint!

The development comes a day after the network denied a request by the Republican National Committee to feature a representative of the party’s views during the Obama special.

Conservatives for Patients Rights requested the rates to buy a 60-second spot immediately preceding ‘Prescription for America’.

Tuesday, June 16, 2009

Conservatives Trounce Liberals....in priniciple anyway

From Gallup:
Thus far in 2009, 40% of Americans interviewed in national Gallup Poll surveys describe their political views as conservative, 35% as moderate, and 21% as liberal. This represents a slight increase for conservatism in the U.S. since 2008, returning it to a level last seen in 2004. The 21% calling themselves liberal is in line with findings throughout this decade, but is up from the 1990s.
Hopefully this is the Obama-effect. The more to the left he pushes, the more common sense Americans will move to the center-right.