Contributors

Showing posts with label Health care. Show all posts
Showing posts with label Health care. Show all posts

Monday, November 25, 2013

Sunday, November 24, 2013

Math Doesn't Lie

The main goal of the Affordable Care Act was to reduce the growth of health care costs and guess what? It's doing just that.

Take a look at the chart below.





















According to the report, the overall inflation rate for medical goods and services is at historic lows. The link above also has some very interesting information about readmission rates.

The conclusion?

The majority of experts now believe Obamacare is at least partly responsible for the slowdown. They think it is encouraging permanent, structural changes in medical care—the kind that will generate more and more savings over time. The slowdown's effects are largely invisible. They take the form of premium and tax increases that people will never have to pay. But the effects seem very real—and, if so, they constitute a bona fide policy success, the kind that even many experts once doubted was possible. It may not show up in the polls. But it will show up in people's wallets. 

And this would be exactly why Democrats should take Reince Priebus's advice and stamp Obamacare right to their forehead. 

Wednesday, November 06, 2013

Other Shoe=Dropped

I was wondering when the other shoe would drop in terms of the hysteria over "If you like your insurance, you get to keep it." It looks like it has.

"If you're an insurance company, you're trying to hang onto the consumers you have at the highest price you can get them," Laura Etherton, a health policy analyst at the U.S. Public Interest Research Group, told TPM. "You can take advantage of the confusion about what people get to have now. It's a new world. It's disappointing that insurance companies are sending confusing letters to consumers to take advantage of that confusion. The reality is that this could do real harm."

It never ceases to amaze me how folks like Mika Brzezenski get sucked in to the faux outrage. Why are they so insecure? Ah well, I used to be like that so maybe she will learn and become like Juan Williams over at Fox someday.

You should be blaming your insurance company because they have not been providing you with coverage that meets the minimum basic standards for health care. Let me put it more bluntly: your insurance companies have been taking advantage of you and the Affordable Care Act puts in place consumer protection and tells them to stop abusing people. The government did not “force” insurance companies to cancel their own substandard policies.The insurance companies chose to do that rather than do what is right and bring the policies up to code. This would be like saying the government “forces” chemical companies to dispose of toxic waste safely rather than dumping it in the river.

People should be angry that their insurance companies were not paying for these humane, common sense benefits all along. It baffles me that people are directing their anger at the ACA which rights these terrible wrongs.

There's nothing baffling about it. Our country is filled with adolescents who have problem with authority figures and would never think to blame insurance companies because they are filled with wealthy people who, by their very nature, are perfect and should be worshiped. Just blame the government...it's easy!!

So, what does happen to those people whose policies are "cancelled?"

Yeah, you'll have to excuse me if I don't fall for their bullshit again.

Monday, October 28, 2013

A Tale of Two Web Sites

Great piece on Bloomberg discussing how the state run sites are faring much better than those in the states who refused to set up their own exchanges.

Don’t tell Elisabeth Benjamin it’s tough to sign up for Obamacare. For two weeks, she has been enrolling uninsured people from her New York City office through an online marketplace created by the law.

Most recently, she helped a Bronx home-health worker in her 30s get health coverage for $70 a month. “By week two, the system was pretty smooth,” said Benjamin, who’s certified to assist people signing up for health insurance.

It does help if you live in a state that isn't actively trying to sabotage the ACA's efforts. Kentucky, the only southern state to set up their own exchange, is doing just fine.

Elizabeth Watts of Kentucky, which runs an independent exchange, had her application accepted at 12:04 a.m. on Oct. 1, making her one of the first to start the enrollment process. Because of a rare disorder, she has already had a heart attack and a stent put in place. She makes $220 a week working at a Shell service station. Previously, the only insurance she could find was for $300 a month, which was too much for her to afford. Using the exchange site, Watts learned she was eligible for Medicaid, the state-federal program for the poor that was expanded under the law and will cover most of her costs. “It’s been such a relief,” said Watts, 31. The last time she saw her heart doctor, “it took 15 minutes and cost $160.”

Ms. Watts is a fantastic example of why the Right are shitting themselves right now. They know that once people like her in other deep red states start to sign up, they lose votes.

And then, they lose power.

Wednesday, October 23, 2013

Own It

I thought it was the right move for the president to hold a presser about the problems with the ACA web site but he needs to go even further. Jeffrey Zients (aka Mr. Fixit) should hold daily briefings on the progress towards all the fixes and debugging. In short, the administration needs to own it more than they are right now.

Another thing that needs to be pointed out that people keep forgetting is that this is only affecting about 10 percent of Americans. The rest of us already have health care plans that work just fine and aren't going to change. Even if the problems with the web site persist, most people are not going to care because it doesn't affect them. Look for conservatives to (again) overplay their hand and continue to obsess (see: sore losers) about the law while completely losing focus on what the majority of Americans care about which is the economy and jobs.

One final note on the ACA, I caught this story this morning and am wondering if the fix is as simple as it was for Randall Bennett.

Bennett's solution was to open a Google Chrome browser in incognito mode, which allows users to browse the Internet without recording the website and download history. It also deletes cookies, or information storage, after a window is closed. “I was using it for debugging in my software to try something out, as if I were a fresh user," he said. Bennett said he happened to go back to HealthCare.gov and logged in. The white screen then redirected him to the main page. Now he, his wife and 2-year-old son are ready for Jan. 1, when their new insurance will go into effect.

And he lives in deep red Utah...whoda thunk it?:)

Monday, October 14, 2013

Inhaling Inelastic Demand

The Times had a great piece in yesterday's paper which illustrated yet again how the relative inelasticity of demand in many health care markets leads directly to unfair pricing and erosion of consumer surplus.

Unlike other countries, where the government directly or indirectly sets an allowed national wholesale price for each drug, the United States leaves prices to market competition among pharmaceutical companies, including generic drug makers. But competition is often a mirage in today’s health care arena — a surprising number of lifesaving drugs are made by only one manufacturer — and businesses often successfully blunt market forces.

Exactly right. With only one manufacturer, the sole supplier can set his price way above the natural equilibrium of the market. That's why in cases like this the government needs to step in to improve market efficiency.

Of course, as Stiglitz points out many times in his book, the government doesn't actually do that and, instead, makes the problem worse.

Thanks in part to the $250 million last year spent on lobbying for pharmaceutical and health products — more than even the defense industry — the government allows such practices. Lawmakers in Washington have forbidden Medicare, the largest government purchaser of health care, to negotiate drug prices. Unlike its counterparts in other countries, the United States Patient-Centered Outcomes Research Institute, which evaluates treatments for coverage by federal programs, is not allowed to consider cost comparisons or cost-effectiveness in its recommendations. And importation of prescription medicines from abroad is illegal, even personal purchases from mail-order pharmacies

“Our regulatory and approval system seems constructed to achieve high-priced outcomes,” said Dr. Peter Bach, the director of the Center for Health Policy and Outcomes at Memorial Sloan-Kettering Cancer Center. “We don’t give any reason for drug makers to charge less.” 

And taxpayers and patients bear the consequences.

In trying to find common ground in this day and age of hyperpartisanship, we should look to the very simple solution of government actually doing its job as opposed to succumbing to special interests. This is where critics on the right always misread the left and it has to stop. As a Democrat, I don't want "bigger" government. I simply want better government and that means no more lobbying.

Let's just do that first and then we can worry about the size of government.

Wednesday, July 31, 2013

Busting Obamacare Myths

Politico has a great piece up about the myths (see: lies) about the Affordable Care Act. It caught my eye because of a little tidbit that came up recently came up in comments about Indiana's rates rising by 72 percent.

Two states are playing starring roles in Republicans’ “Obamacare rate shock” warnings: Ohio, which said its health insurance rates for individuals will go up 88 percent, and Indiana, which estimated its individual rates will rise by 72 percent.

There’s just one problem: Both states’ insurance departments tell POLITICO that people’s premiums won’t necessarily go up by that much.

Neither state was actually talking about premiums — they were talking about the basic cost of providing health insurance.

Neither state tried to distinguish between the four different levels of Obamacare coverage. They just mashed all of the costs together, so a casual customer would have no sense that some plans will be cheaper than others.

What this clearly demonstrates is that when conservatives make an accusation, the rest of the country should just sit back and wait for it to implode. They don't have anything other than adolescent outbursts that are full of sound and fury, signifying nothing.

Sunday, July 28, 2013

Six Reasons

AmericaBlog has a good piece up about why the ACA is going to be good for entrepreneurs. It's important to have this sort of information out there to combat all the propaganda the Right is spewing about how the new health care law is going to destroy America.

The ones that jumped out at me were....

2. Cost containment But there’s so much more. Before Obamacare, if you decided to leave your job – or lost your job – and went to work on your own, you went back to zero with the insurance companies. Let me explain. A good friend decided to move from DC to Arizon. He was paying $250 a month for his HMO here. When he moved to Arizona, the same insurance company, Kaiser Permanente, told him they were upping his monthly premiums to $1200 a month because of various pre-existing conditions. Mind you, it’s the same company. But because he was leaving his job on the Hill, and moving to Arizona to work for himself, he lost his health insurance and had to start over again from scratch, which means paying exorbitant rates because the insurance companies treat you as “new” and basically gouge people who work for themselves.

A much overlooked point. If your work for yourself, you pay an insane amount in health insurance. No longer...

5. No more worries about annual limits I work for myself, and have the best self-employed PPO I could get from Blue Cross when I bought it in 1998 or so. Since that time, my monthly premium has nearly quadrupled. But another interesting thing happened. I found out that I have an annual limit on my prescription drug coverage – CareFirst BCBS will only pay $1500 a year for my prescriptions, and after that I’m on my own. That wasn’t such a big deal when I was younger. But nowadays, even though I don’t have any “grave” conditions, my annual prescription drug costs are far beyond the $1500 that BCBS is willing to pay for (my monthly asthma drugs alone cost around $450). Oh but it gets worse. In the past 15 years or so, when my monthly premiums have gone up 400%, how much do you think BCBS raised my annual $1500 prescription drug limit? Zero. And if I kept this plan for another 20 years, they’d still only pay $1500 a year. That’s criminal. Under Obamacare, annual limits are gone. Sadly, I need to switch to another plan that’s a good $250 a month more if I want to take advantage of Obamacare’s no-annual-limits, but I’m hoping that once the DC exchange kicks in, that price will go down.

Another overlooked point. Everyone on the Right is waiting for rates to go up but completely missing the point that they have always been going up and now will likely go down due to the increase in customers.

It's going to be very interesting to watch this law roll out. It's likely to achieve a moderate degree of success at the very least and then you can say buh-bye to what has been the foundation for the Right in the last five years. What will they do when it doesn't fail? Pretend that it did?

Sunday, June 30, 2013


Monday, June 17, 2013

Thursday, April 04, 2013

19 Years Later

Say the word "Rwanda" and the first thought that comes into your head after that is usually genocide. But recent gains in health care in the tiny African country are so staggering that I'm hoping the first thought will now be of a more healthy nation.

19 years later, however, Rwanda is on pace to become the only country in sub-Saharan Africa to meet all of its health-related Millennium Development Goals, and the tiny pocket of Central Africa has posted some of the world’s most staggering health gains in the past decade, outpacing nations that spend far more per capita on healthcare.

In the past decade, deaths from HIV have fallen 78 percent – the single largest decline in the world during that time frame – while tuberculosis mortality has dropped 77 percent, the most significant decrease in Africa. 


Between 1994 and 2012, they wrote, the country’s life expectancy climbed from 28 years to 56 and the percentage of the population living in poverty dropped from 77.8 percent to 44.9 percent. 

Amazing! But how did this happen?

The government took the aid that was pouring in and put it directly into social programs and enacted universal health care for the small nation. In addition to the numbers of above, the chances today that a child in Rwanda will die by the age of five has fallen 70 percent.

These are all truly remarkable accomplishments that demonstrate how real results can be achieved very easily within a generation if government corruption is kept to a minimum and level headed leaders are put in charge. The rest of the countries in Africa should follow this model and bring their nations into the increasingly prosperous global marketplace.

Monday, February 25, 2013


Saturday, February 23, 2013


Sunday, February 03, 2013




Monday, January 28, 2013

The Good News Keeps Rolling In

For all the talk about how broken our health care system is, the world as a whole is actually doing much better than in the past. Some examples.

  • Dr. Benn singles out Rwanda as an example of stunning progress: More than 90 percent of eligible Rwandans were receiving ART by the end of October. "This is fantastic ... historical. That is beyond our expectations from a couple of years ago," Benn says. 
  • Kazakhstan is the site of another moment of global public health progress this year. In March, it was certified malaria-free by the World Health Organization, joining only four other malaria-endemic countries with that designation. 
  • Nigeria heads the pack of 17 countries poised to eliminate malaria. Their antimalaria agenda includes a $50 million bed-net program, underwritten by The Global Fund, which hopes the country will offer two bed nets per household. 
  • The Republic of the Congo, meanwhile, has made massive strides in combating maternal mortality. The number of women dying in childbirth dropped 60 percent between 2010 and 2011, from 740 deaths per 100,000 live births to 300 deaths.

There are many more examples like this happening around the world and the best part about all of it is that it is happening exponentially. Juxtapose this with the sharp reduction in extreme poverty and it's clear that we are heading in something more than the "right direction." 

Honestly, it's becoming more and more apparent every day that we are heading towards that Star Trek vision of the future and it's largely due to the leadership of the United States. 

Friday, January 11, 2013

Happy!

Get used to a new word for 2013: reshoring.

Conventional wisdom says that American jobs are flying like crazy over to China. But a recent piece in the Christian Science Monitor says otherwise.

There's no official tally of the number of jobs returning, but Harry Moser, director of the Reshoring Initiative, which aims to bring manufacturing jobs back to the United States, estimates that 50,000 jobs have returned in the past three years. He bases his estimate on a close read of the media and on reports his organization receives. If that number is accurate, reshoring would account for 12 percent of the manufacturing jobs the Bureau of Labor Statistics reports returned to the American economy since 2010. 

The Boston Consulting Group, a global management consulting firm, in a September report projected that returned manufacturing could bring 5 million new jobs by 2020 and add $90 billion in US exports to the economy.

Wow.

Why is this happening?

Rising wages in China, unpredictable supply-chain problems, oil prices, and the risk of intellectual property theft are making manufacturers more wary of producing overseas, analysts say.

That's the beauty of the free market, in this case the labor market. Eventually, workers start to demand more money and everything evens out as the labor market adjusts in its growth. But this isn't even the best part.

It's not just that it's getting more expensive to produce overseas. It's also getting cheaper to produce back at home. "It's the shale gas revolution," says Kevin Swift, chief economist and managing director of the American Chemistry Council. "There are low-cost, abundant sources of energy [here] now." Mr. Swift says that's a game changer for his industry: "We were being written off as being noncompetitive. It's completely changed. There's significant investment on the books ... 50 [planned] projects valued at over $40 billion."

Yes, indeed. Things are looking up for our country and it makes me quite happy!


Tuesday, January 08, 2013

Planet Earth

For all of my crabbing on here, the world is actually getting to be a much better place in which to live. There's a lot of good news out there and if are diligent, you can find it. The best place to start is The Christian Science Monitor as they are usually very unbiased and shy away from sensation. The last issue, for example, had a plethora of good news and I'm going to be highlighting some of their stories over the next week or so. This, by the way, keeps my promise to put up more world news content as well:)

The first one that caught my eye was this story on poverty. I had to read it twice before I believed that it was real. Extreme poverty in the world has been...cut by half?!?

In fact, the rate of decline in extreme poverty everywhere in the world has more than doubled in the past decade, Ravallion says. That's after adjusting for China, whose sheer size makes it an outlier.

Simply amazing.

Now, the article does go on to say that there is still a great deal of poverty in the world but we are heading in the right direction. With the changes seen in China (as noted in the article), the direction we are heading as a world is very, very positive. In fact, I think the prediction that Bono made a year or two ago is going to come true: within 50 years, there will be no more hunger on this planet. Barring some unforeseen catastrophe, there will be no going back to "Live Aid" days. (Note: this includes climate change, incidentally, which is actually quite "foreseen" and will be eventually dealt with in an appropriate fashion).

So, why has this happened? Well, mainly, it's because of us. Our country has spread prosperity around the world in the form of liberal economic theory. Communism is gone and capitalism and free markets are spreading everywhere. If countries don't want to be a part of this (and there aren't many left out there), they will find themselves on the outside. Our new world certainly is not perfect and we have had some growing pains but the increased prosperity has no other explanation. Everyone on the planet wants an iPhone.

And, as the countries of the world begin to need less aid, we are going to see greater wealth in the Global North countries. In fact, my children will likely live in a time where there will be no delineation between the Global North and the Global South.

It's simply going to be Planet Earth.

Wednesday, May 23, 2012


Friday, March 30, 2012

Fox Friday!

Boy oh boy, has Fox News changed lately. The right has become increasingly frustrated with its move to at least attempt to be more fair and balanced. Many are moving towards CNN where the likes of Erick Erickson and Ari Fleischer wax poetic on a daily basis.

But this recent column really takes the cake!

5 reasons ObamaCare is already good for you

Fox Fucking News...Whoda thunk it? Here's my favorite of her five points because it addresses some most unwelcome childish dishonesty that has inserted its shriveled penis into the lexicon.

4. The Congressional Budget Office recently cut health care reform’s cost estimates. 

Conservatives have relied on apples-to-oranges accounting gimmicks to suggest the Congressional Budget Office (CBO) recently doubled the cost estimates for the Affordable Care Act. In fact, the CBO adjusted its estimates to say the Affordable Care Act will cost less than originally projected. Moreover, the CBO has said that repealing the Affordable Care Act would increase the deficit by $210 billion.

So much for being concerned about the deficit...as long as they WIN!!!

Saturday, March 10, 2012

Not In Their Best Interests

A recent piece by Alexandra Pelosi (daughter of Nancy) doesn't really do much to relieve my somewhat permanent state of confusion as to why people in deep red states go against their best interest and vote Republican. In fact, she sort of makes me more perplexed.

Dominated by conservative politicians, Mississippi has the lowest tax burden in the nation but ranks fourth in per capita federal aid. Mississippi is also a leader of the GOP effort to gut Medicaid but ranks first in the percentage of its Medicaid program that is funded by federal matching funds. 

Seriously, WTF???

It gets worse.

In a state that wants to repeal "Obamacare," Mississippi leads the nation in a number of health care problems. It has the highest rate of heart disease and the second highest rate of diabetes in the country. Mississippi's cardiovascular disease mortality rate is the highest in the nation. Some counties in Mississippi rank among third world countries when it comes to life expectancy-they have the shortest life expectancies in the nation and many Mississippi residents suffer from a lack of health care access (some counties don't even have hospitals). It is ironic that the states suing to prevent the implementation of the Affordable Care Act are the ones whose residents need it most. Still, Republicans poll best in places where healthcare is worst.

And yet they are so stubborn as to refuse the solutions that would certainly help them.

Here's another bit of irony.

When it comes to education, adults in Mississippi have the highest rate of low literacy in the nation. On the National Assessment of Adult Literacy conducted by the U.S. Department of Education, 30 percent of adults scored "Level 1" (less than fifth-grade reading and comprehension skills). In 2011, only 21 percent of Mississippi eighth graders scored proficient in reading and 19 percent scored at least proficient in math. 

So, the state whose policies are dominated by Republican politics has positively horrid statistics when it comes to education.  Could it be that there are reasons other than the communist takeover of our schools that are more significant?

Ms. Pelosi offers this video as an explanation as to why the state continues to vote Republican.




Wow.