Archive for the Health Care Category

Who Cares About Health Care? (Feb. 22, 2010)

Posted in Debt/Deficits, Global Climate Change, Health Care, Housing on February 22, 2010 by e-commentary.org

. . .

Z          “No one.  Think about it.  Everyone gets free health care today.  They just follow Bush’s suggestion and wander into the emergency room.  An emergency room is not designed to handle the consequences of deferred preventive medicine and other ordinary medical needs, yet the e.r. is the dumping grounds for the populace.  When the patients cannot pay, they file bankruptcy.  Then we pay.  We have inefficient and inequitable socialized and nationalized health care right now in America.  The coverage is codified in Title 11, the Bankruptcy Code, rather than Title 42, covering Public Health and Social Welfare, in the United States Code.”

Y          “So the real economic cost to the nation as a whole is not much more and not much less than the health care proposals.”

Z          “Not when you net all the costs.  Efficient health care is critical to the health of the nation, yet the public really does not care.  Right now, everyone wants a job to go to during the day and a house to come home to at night.  What is happening outside the house to the climate and the environment is not an immediate concern.  Health care, the national Debt and other issues are secondary.”

Y          “The people are still afraid and concerned, yet they are overwhelmed by the lies and the deception.”

. . .

Bumper sticker of the week:

Streamline national health insurance

The Double Ought (00) “Decadent Decade” (January 4, 2010)

Posted in Afghanistan, Bailout/Bribe, Bernanke, Bush, China, Congress, Debt/Deficits, Economics, Federal Reserve, Foreign Policy, Greenspan, Health Care, Housing, Iraq, O'Bama, Presidency, Supreme Court on January 4, 2010 by e-commentary.org

1999:  No major wars yet percolating problems in a dozen venues; budget deficit surplus of about 236 billion dollars, although Bush inherited about a 5.7 Trillion dollar National Debt; and a boiling but unstable and slowly cooling economy.

The decade that threatened to come in with a bang sauntered in with only the traditional fire works.  Y2K may have been such an epic universal non-event because everyone realized that it was a real deadline that could neither be disregarded nor overlooked.  It was not Y2.001K.  Problems were timely addressed in a timely manner in time.  That was not the attitude for the remainder of the decade.

An outwardly non-descript and largely unknown bumbling scion who had been shepherded by others for their own purposes through an uneventful life was appointed by the Supreme Court to run things.  The ship of state sailed uneventfully for a time.  A written invitation to impending disaster delivered to and disregarded by the White House in August, 2001 was honored in September, 2001 by a quartet of airships.  The course of action was simple.  Know who we are and remain faithful to who we are.  Stay our course.  Redouble our vigilance and redouble it again (and redouble it one more time).  Too many in power and influence in the country lost their heads.  Leadership was non-existent.

A perfect storm.  An obscenely incompetent President, a flagitious and arrogant vice-President, a smug, bungling and petulant Secretary of War/Defense (Rumsfeld), hamstrung Secretaries of State (Powell and Rice), a mendacious Secretary of the Treasury in the second term (Paulson), a marginal Attorney General (Gonzales) and their ilk were not the Dream Team.  The damage they inflicted in the decade will take decades to repair.

Bush proclaimed that WeMaD (Weapons of Mass Destruction) and almost everyone joined in the madness.  No one ever made a compelling case for the invasion of Iraq.  The national press (WP, NYT and so many others) yearned for war, any war, just give us a war with photo ops and film at eleven.  The major television networks (NBC, CBS, ABC, Faux) were thrilled and went wild with glee.  It was a time, the only time, to watch their coverage non-stop to bear witness in real time to the folly and the madness.  The few dissenting voices (Warren Strobel and Jonathan Landay with Knight Ridder’s Washington Bureau, Terry Gross and guests with NPR/Fresh Air, Walter Pincus with the WP and a few dozen other courageous individuals) did not reach a wide audience.  They were voices in the darkness.  The Iraq quagmire is the greatest foreign policy blunder in American history.

Deficit spending and economic looting became the national pastimes.  Almost everyone involved in directing and controlling the economy (Reagan, Gramm and Rubin in earlier decades with the assistance of Bush, Greenspan, Paulson, C. Cox, Geithner, Summers and others in this decade) almost without exception (Brooksley Born and a few others) were committed to undermining the American economy at every opportunity for the benefit of a few.  One must concede that they succeeded handsomely.  Although they are domestic economic terrorists, their activities never became the subject of the vaunted “war on terror.”  No one ever made a compelling case for the bribery and bailout of Wall Street.  Bernanke* remains the enigma, the outsider and the ultimate insider, who did not recognize what was obvious before and after he became Chairman in February, 2006 and disregarded the advice of his colleague Edward Gramlich.

The first African-Irish-American was elected President.  There were a few things they did not tell him before he got elected that he learned quickly after he got elected.  He re-nominated Bernanke* to run the Federal Reserve which may be the only option given the limited economic talent in America.  His appointments to date are adequate, yet the administration is still seeking traction and direction.  Health care is becoming his domestic economic quagmire.  Although it is not really the job of the government to provide jobs and/or homes, the populace wants a job to go to during the day and a house to come home to at night.

About the House.  And the Senate.  Congress could be declared a natural disaster area.  The Republicans are useless, the Democrats are not particularly useful.  Forty-five percent of Americans respond to and are motivated by fear and loathing; the Republicans know and stoke their base.  The Republicans may make great strides in the November elections.  The party committed to destroying government may again be given that opportunity.

The nine members of the Supreme Court are more myopic and narrow-minded than just about any other Court in the history of the Republic.  The Court sports two religions (with one exception), two schools (with one exception), and two (mas o menos) schools of thought (with a few exceptions), yet it has two women, too.  The war at the Court and for the Court continues.  O’Bama may have an impact, although the impact of the economy on O’Bama’s future will greatly impact his impact on the Supreme Court.

The profit-maximizing universities in America should be part of the solution, but they are part of the problem; they may be more accurately described as part of the process and the processing.  They recruit, train and drill the next McNamaras and Rumsfelds.  To their credit, they adhere to a thirty-year business plan rather than the three-month strategy pursued by other businesses.

The information made public in the National Intelligence Reports over the decade patiently and exhaustively chronicles the decline of America’s role in the world after six decades of preeminence.  America has done much wrong during that time, yet America has done far, far, far more good, often with resentment and usually without thanks.  On balance, everyone is better off with the United States as the dominant superpower.  This is China’s century.

Now:  Multiple wars, battles, skirmishes and police actions with two major foreign base camps (Iraq and Afghanistan); massive and growing deficits and about a 12.3 Trillion dollar National Debt; zero private-sector employment gain and zero economic gain for the average family over the decade; and no industry to inflate other than the federal government industrial complex.

[See the “e-ssays” dated Jan. 5, 2009 titled “The Millennium to Date”; dated October 6, 2008 titled “A Bleak Day:  The Trillion Dollar Tragedy”; dated September 29, 2008 titled “Futile Efforts”; dated May 4, 2009 titled “Picking the Supreme Beings”; dated May 14, 2007 titled “Term Limits”; and dated Jan. 30, 2006 titled “Greenspan’s Legacy:  Apres moi, Le Meltdown.”]

Bumper stickers of the week:

The Recession is Over.

The Recession is Over; Let the Depression Begin

Halcyon Ano Nuevo

Cell Phones On The Line Again (August 24, 2009)

Posted in Cell Phones, Health Care on August 24, 2009 by e-commentary.org

Some suggest that implanting a cell phone against the side of one’s head may produce brain tumors in the intermediate run.  Try this.  Place a cell phone next to the computer speakers and dial a call.  The speakers hum like a Geiger counter.  Something does not seem right.  Enough studies are raising concerns.  Will the cell phone enter the pantheon of pernicious products along with lead paint and asbestos brakes?

The remedy is cheap.  Cheap remedies are appealing.  Use an ear piece and keep the cell phone away from the brain.  And all the while you look like a secret agent or an international spy.

Bumper stickers of the week:

A word to the wise; a few words to the less wise

This is your brain on a cell phone

He’s Doin’ Okay (July 20, 2009)

Posted in Economics, Health Care, O'Bama on July 20, 2009 by e-commentary.org

O’Bama ran as a moderate and is running the country as a moderate.  Six months into his first term, he’s doin’ okay.

O’Bama is trying to unwind World War III.  Those who want America constantly at war are furious.  America was once regarded as the “city upon a hill” by people and by peoples who had never heard of the notion of the “city upon a hill.”  Talk to citizens overseas.  In past years, they said that they liked individual Americans but not America.  Now they like America.  That sentiment may keep individual Americans from getting killed.

O’Bama is trying to right a wrong economy.  Neither he nor his advisors recognize how thoroughly eviscerated the economy is today.  Paul Krugman is getting a lot of air time contending that the country should spend, spend, spend, spend and spend.  The country should not and cannot continue to spend, spend, spend, spend and spend without any real or realistic goal or strategy.  The economy is far more intractable than they acknowledge.  The Depression II is inevitable.  The growing number of long-term unemployed will impact O’Bama’s employment.  The undoing of the economy could be O’Bama’s undoing.

O’Bama has a healthy attitude toward health care reform.  The cost of doing something is a concern, yet the cost of doing nothing is an even greater concern.  He has not yet brought his trademark “Change” to the challenge of global climate change.  In time, one assumes.  He does seem inclined to reform such laws as the Mining Law of 1872 which has done much to ravage the environment.  Little things are revealing.

Not a bad start, O’Bama.

(This is the 40th anniversary of mankind landing and walking on the moon.  The “space race” may have been a continuation of diplomacy using other means.  NASA followed the Biblical directive to turn military rockets into civilian space ships.  The populace watched with awe and wonder at an awesome and wonderful achievement.)

Bumper sticker of the week:

One small step . . .

Health Care Again (July 6, 2009)

Posted in Health Care on July 6, 2009 by e-commentary.org

America is engaged in a civil war between those who are already wounded and those who are inflicting additional pain and suffering on the injured and infirm.  Health insurance companies are the greatest contributors to the grief.  A company whose business plan is to deny all claims is not the proper entity to be reviewing and covering proper claims.  The companies are mustering their considerable resources to work from the inside to preclude and prevent a comprehensive national solution.

America is spending an increasing percentage of a decreasing gross domestic product (GDP) on health care and receiving less prevention and treatment of illness.  The constituency for national health care reform grows each day with every valid claim that is wrongfully denied.  Those who are not covered at all seek coverage.  The cost of comprehensive coverage admittedly appears capable of bankrupting the country; the cost of no and limited coverage is bankrupting the individual citizens of this country.

What happened to a single-payer system?  Although the consensus seems to be that this is not the right time for sweeping reform, it is the time.   A single-payer system is the most efficient system.

[See the “e-ssay” dated February 25, 2008 entitled “’American Medicine’ Not ‘Socialized Medicine’” and the one dated October 23, 2006 entitled “Efficient Health Care: Making American Business More Competitive.”]

Bumper stickers of the week:

Above all, do harm

–America’s health insurance companies

Press “1” to hear your claim denied in English; press “2” to hear your claim denied in Spanish; press “3” to hear your claim . . .

Eat healthy; Exercise

The Play For Our Age (June 8, 2009)

Posted in Economics, Health Care, Housing, Society on June 8, 2009 by e-commentary.org

The play to define and describe our generation is set in a mock up of a blighted and unkempt McMansion surrounded by an unlandscaped dirt yard.  The first floor is exposed on the stage, the basement is below and out of sight, and the second floor is partially revealed.  Each floor is stratified by age – the grandparents hide upstairs, the parents cope on the first floor, and the children/grandchildren exist in the basement and escape through their own side stairwell.

No generation can afford to live in the cave alone.  The grandparents cannot afford any end-of-life convalescent care and must pass away at home.  The parents transition from periods of employment to underemployment to unemployment and back.  The kids cannot find steady employment and work part-time and odd jobs to contribute some rent.

The dialogue revolves around and keeps returning to the elusive American Dream and the ever-present American Reality.  (Insert here:  Witty and mordant asides, pithy and painful dialogue and trenchant and truculent commentary.  Use incidents, comments and details to reveal and elucidate Truth.)

[See the “e-ssay” dated April 24, 2006 entitled “McMansions and the (Extended) Family of Tomorrow.”]

Bumper sticker of the week:

Life in the land of the freeway and the home of the Wave

“American Medicine” Not “Socialized Medicine” (February 25, 2008)

Posted in Health Care, Market Solutions on February 25, 2008 by e-commentary.org

The only thing almost as bad as not having health insurance is having health insurance.  Get injured and try to compel an insurance company to cover a valid claim.  Insurance company representatives are drilled to deny or at most pay in part a claim as standard operating procedure.  Most people accept the answer and go home.  Only those who persist stand a chance of obtaining more complete coverage.

“Sir, you do have a $10,000 deductible policy and then 100% co-pay for expenses after that.  Why are you calling your health insurance company about this medical bill?  And there will not be a premium increase for another three months.”

“Sir, you do not have coverage for an injured rider.  You should have purchased a rider policy to cover a rider.  In fact, you should consider purchasing a riders rider to cover all riders in the vehicle, except those excluded or exempted for other reasons.”

“Sir, you do have ‘theft and fire insurance,” but the theft did not occur while your house was on fire, did it?  No it didn’t.  You should have purchased our ‘theft or fire insurance’ policy.”

“Sir, why didn’t you have a friend use a straight razor and a bottle of whiskey to save on the cost of the surgeon and anesthesiologist?”

“Sir, your secretary noted that you are a member of Congress.  Your spa treatments in Tahiti are fully covered under your plan.”

The insurance market is not working and is impacting American competitiveness.  [See the e-ssay dated October 23, 2006 entitled “Efficient Health Care:  Making American Business More Competitive”].  The solution is simple.  Adopt the “American Medicine” plan not some loathsome “Socialized Medicine” plan.  Health care may be a fundamental right under the Constitution (“life” and “liberty”).  One universal insurance program modeled on the program that currently protects our United States Senators and Representatives in Washington should suffice.  The citizens do not get any greater coverage than our elected officials.  In addition, the citizens should not be provided any less coverage.  The “American Medicine Plan.”

Bumper sticker of the week:

“American Medicine” Not “Socialized Medicine”

Pax (December 24, 2007)

Posted in Health Care, Society on December 24, 2007 by e-commentary.org

Pax

Bumper sticker of the week:

Why was Jesus born in a manger?  Because Joseph and Mary were enrolled in an HMO.

Efficient Health Care: Making American Business More Competitive (October 23, 2006)

Posted in Health Care, Market Solutions on October 23, 2006 by e-commentary.org

Charles Wilson, the General Motors executive who became a Secretary of Defense in the Eisenhower Administration, was asked if as Secretary he could make a decision adverse to the interests of his then-current employer.  He answered affirmatively but added that he could not believe that he would confront such a situation “because for years I thought what was good for the country was good for General Motors and vice versa.”  The response has been translated into the popular observation: “What’s good for General Motors is good for the country.”

What’s bad for GM is bad for the country.  The cost of health care is crippling American business.  The lack of health care is crippling individual Americans and undermining the family.  Resorting to bankruptcy in the face of overwhelming medical bills imposes a tremendous cost on society.  To make American companies competitive with companies in other countries, American companies should be relieved of providing and paying for health care.  This proposal represents a major departure from the settled practice since the end of World War II.  However, the market has failed.  The six or seven hundred private insurance companies deliver inadequate health care coverage to an insufficient percentage of the population.  The inefficient government is the most efficient provider.

In debates over free trade, some commentators note that foreign nations are assisting their domestic corporations by providing health care.  This competitive advantage rarely is calculated into discussions about tariffs and trade policy.  The Democrats should unite with GM to provide a rational and efficient national health care program.  Imagine the reaction if the United States Chamber of Commerce proposed an efficient national health care program?  Imagine.

Bankruptcy Deform Is A Year Old (October 16, 2006)

Posted in Bankruptcy, Health Care on October 16, 2006 by e-commentary.org

Bankruptcy reform is now celebrating the one-year anniversary of the effective date of its major provisions on October 17.  The legislation is implicitly premised on the assumption that the debtors’ attorneys were engaged in systematic fraud.  The legislation is also implicitly premised on the assumption that the Bankruptcy Judges were aiding and abetting the systematic fraud.  The assumptions are often not unfounded.  No matter how often Congress changes the Bankruptcy Code, however, it cannot change the Bankruptcy Courts.  The “Forum for Fraud” responds by developing new practices and folkways to circumvent the new rules and provisions.  Bankruptcy judges soon may bestow the “Judge Lifland Award” on the bankruptcy judge who is able to delivery the largest percentage of estate assets to the debtors bankruptcy counsel in a calendar year.  Congress responded by disregarding the input of bankruptcy judges and bankruptcy law professors.  This is not all good.  Everyone should be heard.

Congress capitulated to the wishes of the credit industry which substantially created the problem by mainlining credit to individuals who were and are not credit-worthy.  Easy credit is the crack cocaine of the middle class.  In addition, the credit crack dealers bury many  provisions in the fine print that are like improvised explosive devises designed to explode in the face of a consumer who makes one financial misstep.

The Founding Padres included an express provision to create some undefined bankruptcy protection because of concerns about debtors prisons then in existence in England.  The Republic needs a Code to address the debts of the honest but unfortunate debtor.  Uninsured medical expenses, loss of a job, or a divorce overwhelm even two pay check households that are often one missed pay check away from financial abyss.  America has an extremely inefficient national health insurance program codified in Title 11 of the United States Code, namely the Bankruptcy Code.  National health insurance with a single payer should be codified in Title 42 addressing health and welfare issues.  As a country, America is getting out of the business of producing anything which results unsurprisingly in the loss of American jobs.  Getting married is a money-saving undertaking; getting divorced is an expensive ordeal.  As they say, marriage is grand; divorce is one hundred grand.  The troika of troubles can swamp anyone.

The New Code passed by the Republicans is intended simply to make the process more bureaucratic and expensive; why more bureaucratic?  The New Code makes it more expensive for those individuals with no money to file bankruptcy.  The New Code is tied to some Internal Revenue Code provisions.  No new legislation should be tied to the IRS Code in any way because it requires major overhaul.  The last major revision of the Bankruptcy Code was undertaken in 1978.  With all the other growing problems, Congress is not likely even to pass some technical corrections to the New Code in the next ten years.  The safety net is shredded.

Bumper sticker of the week:

Happiness is a positive cash flow.