Coyote Blog

Nancy Pelosi said this the other day (emphasis added)

I'm very pleased that our Chair of our Democratic Congressional Campaign Committee and member of the leadership will be talking too about the immoral profits being made by the insurance industry and how those profits have increased in the Bush years. We all believe in the profit motive; we all want to reward success.  But having that success come at the expense of America's working families "” have that success come by withholding care, when a person becomes ill, is just not right and we're going to take this issue in a new direction.

In the past, other leftish pundits have been even more direct:

It means the health insurance industry is scared that we might actually do something in 2009 and they want to be seen as something other than completely obstructionist. That means only one thing: they've shown fear, and now it's time to bore in for the kill and gut them like trouts. Let's get to it.

I don't have time to redo the analysis, but for the third quarter 2008 (the last quarter of the dreaded Bush years that increased insurance profits so much) I looked up on Google Finance the profit margins of major health care insurers, providers, and HMO's.  I am not sure who the Democrats would consider the real Satan of health insurance (ala ExxonMobil or Wal-Mart) but if I left a key company off you are welcome to suggest it in the comments.  Anyway, 3Q08 profit margins were:

Cigna: 3.50%

United Health Group: 4.56%

Aetna: 3.64%

WellCare:  4.08%

Amerigroup: 3.51%

Humana 2.56%

WellPoint: 5.49%

So, if you are a business owner (and that includes those of you who own equities, which are ownership shares), be very afraid.  Look at your company or your favorite stockholding.  If they have margins of 2.5% or more of revenues (and that includes just about every profitable company in America -- I think the industrial average is in the eights) then Nancy Pelosi and the Democrats consider your profits immorally high and they intend to gut you like a trout.

Update: OK, I had a bit of time to update numbers, so I took Cigna, which is the first on the list, and looked at their net profit margin over 4 years:

2005:  7.6%

2006:  7.0%

2007:  6.4%

2008:   1.5%

Hmm, not sure I see the profits increasing in the Bush years -- looks like they are going down to me.  I would also observe that they never in the last four years even rise to average for a large American public company.

Some cops just abuse power, and make up rules as they go along.

Gordon Haire, a former newspaper reporter and former police officer, was sitting at a table on the campus of the University of Texas Medical Branch at Galveston when he snapped a photo of a university police officer strolling towards him.

Officer Tim Wilson then came up to him and told him he was not allowed to photograph the Galveston National Library, which apparently is so top secret that only a Google search will reveal its true appearance.

Wilson told him it was against the law to photograph the building because it is a security threat.

Haire, 66, told Wilson he did not believe him.

Sensing the impending terrorist threat, Wilson asked for Haire's identification.

But having lost his drivers license, Haire was only able to produce a Medicare card (he had arrived by bus for a doctor's appointment).

The cop then asked for his full name and date of birth, then relayed that information to a dispatcher through his collar microphone.

"He's giving me a hard time," the cop said to the dispatcher, according to Haire.

The cop finally left, but not before informing Haire that it was illegal to even photograph the sidewalk.

People often use terrible, specious logic when arguing things political.  I have particularly seen this over the last 6 months.  The argument typically goes like this:

1. I make a critique of a policy in the Obama administration, say on health care
2. Sometimes as an opening response, or sometimes when other person is unable to specifically counter what I have said, they respond instead, "well, your guys  fill in the blank ." The latter part might be "got us into Iraq" or possibly "are pushing this birther nonsense."
3. I respond that  fill in the blank was not something I support(ed) and that if  by "my guys" they mean Republicans, that I was not a Republican, that I do not think the Republicans have an internally consistent position, and that I disagree with many programs and policies typically advocated by Republicans.  And besides, how did this have anything to do with the original conversation?
4. They respond to me now as if I am somehow cheating.  Confusion reigns.

I am not a student of logic, so I don't know what this technique or fallacy is called, though I have learned that such common behaviors generally do have academic sounding names.  I think of it as the sports-team-argument approach.  When my son (Yankees fan, much to the embarrassment of the whole family) argues with his Red Sox cousins, he might say "Kevin Youkilis has to be the creepiest looking guy in the league," and his cousins might respond "Yeah, well how many steroids has A-Rod done this week?"

Strictly speaking, bringing up A-Rod does not answer the Youkilis barb.  But it is understood to be in the broader context of my team vs. your team, and in that context the exchange makes logical sense, and the A-Rod comeback is a perfectly appropriate rejoinder to the Youkilis insult.  You point out a blemish in my team, I respond with a blemish on your team.

But what if you don' t have a team?

I am starting to understand better that this is how most people approach political discourse.  For someone looking for a quality discussion on key public policy questions, arguments seldom make sense.  Why does something Rush Limbaugh is saying have any bearing on the point I just made on health care or cap-and-trade?  The answer is that it does not, unless the whole point is a red team-blue team one-upmanship between the Coke and Pepsi parties.

Postscript / Disclosure: I am actually an agnostic in the Yankees / Red Sox battles, but I am a big fan of Kevin Youkilis.  The story of how Oakland's Billy Bean tried to pry Youkilis out of the Red Sox farm system in Moneyball is priceless.  According to the story, Bean knew before the Red Sox what talent they had lurking in the Minors.

Soon, you may be on the hook for paying for a limitless supply of health care for these people.  (via TJIC)

Update: Good update on issues in the health care bill.

In Lucifer's Hammer, one Astronaut up in space observed that you couldn't see international borders up there.  The other astronaut told him to shut up -- if he kept making such a big deal about it, countries would all paint two mile wide stripes in flourescent orange around their countries.

I thought of that when I saw this - corporate branding meets Google Earth.  Hat tip Virtual Globetrotting

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From a MoveOn email I received today (emphasis in original):

But Americans can't afford to wait: while the Senate is on vacation, over 400,000 people will lose their health coverage.

Really?

The source is here.  Reading the text and the sourcing, it is a great example of how a wild-assed guess can be turned into a "fact" if one buries it in a long enough chain of sourcing.  But the really funny part is that the Senate plan does not even begin to be implemented until 2013, and implementation is not complete until something like 2018.  These dates will not change whether the legislation is passed before or after the recess, but if a single month is so devastating, one wonders why MoveOn has quietly accepted the 2013 implentation date (not conincidently after the next Presidential election).

Postscript: Number of extra people who will not, no matter what their insurance status, be able to get critical care in the next month:  zero.

One of the burning reasons we apparently need a government takeover of health care is that it is "expensive," or more precisely, we spend a lot of money on it.

So what?  In everything else I can think of, rising per capita spending and higher spending in the US than elsewhere is a sign of wealth and prosperity, not a "problem."  We spend a lot of money on a lot of sometimes trivial sh*t, and no one blinks.  We spend more money because we have more beyond what we need to keep ourselves alive.  Or we spend more money because technology provides us new options and frontiers.  But when we spend a lot of money on our health and well-being and longevity, its a problem requiring massive government intervention?

Once I entered management-type jobs in corporate America, my life was dominated by making powerpoint charts.  That made some sense - I was a staff planner, and that's what they do.  Ten years later I was Senior VP of Marketing for the $23 billion commercial aerospace division of a Fortune 50 company, and I was still spending a huge portion of my time making powerpoint slides.

I am sure other people have lots of sophisticated life goals for themselves, but two of my biggest goals in leaving large corporations were:

• Never touch powerpoint again
• Never wear a tie again

I have been succesful 100% on #2.  Powerpoint is still a useful tool, so I not totally fulfilled goal #1, but my use is scaled way back, to about 4 presentations in 6 years  (and one of these was for my climate work, not my real job).

It turns out the military has the same problem.

From a reader:

Preventive care is for people.
Preventative care is for cars.

Sounds like flammable / inflammable to me, but I will try to get it right.

I wish I had the exact quote in front of me, but one of the lines from the Honduran Constitution was that President was subject to extreme sanctions for even mentioning in public the possibility of extending his term beyond Constitutional limits.  This is one of the provisions that Manuel Zelaya was ousted for violating.

Now, such a provision sounds very odd to our ears.  Until one considers that any number of other "democratically" elected South American presidents have held suspect "elections" that waived the Constitution and gave them extra terms.  Hugo Chavez is but one example.  Seeing this around them, the authors of the Honduran Constitution  did everything they could think of to prevent such an occurrence.  They wanted real term limits and they did not want them to be waived by any process. They knew that democratically elected Presidents had a way of becoming dictators in Latin America.

Unfortunately, in what I hope was ignorance but others have argued is calculated, Hillary Clinton's state department and Obama are backing Zelaya and arguing that, against any reasonable reading of the Constitution, he was wrongly ousted.

Now, in Nicaragua, we can again see exactly why the Honduran Constitution writers were so paranoid, and why it is so depressing the Administration has taken the position it has:

Nicaragua's President Daniel Ortega announced Sunday, on the 30th anniversary of the leftist Sandinista revolution he led, that he would seek a referendum to change the constitution to allow him to seek reelection.

Following in the footsteps of elected regional allies, Ortega told thousands of supporters here that he would seek a referendum to let "the people say if they want to reward or punish" their leaders with reelection.

His close leftist allies who have had rules changed enabling them to remain in power include presidents Hugo Chavez in Venezuela, Evo Morales in Bolivia and Rafael Correa in Ecuador.

In the last month President Manuel Zelaya in neighboring Honduras was ousted in a coup by his own military after seeking similar action.

I am sure Jimmy Carter will be available to put his imprimatur on the election.

The Manhattan Airport Foundation.  It would certainly cut down on muggings.

...that this sort of article is absolutely inevitable only AFTER bad legislation is passed.

A federal minimum wage increase that takes effect Friday could prolong the recession, some economists say, by forcing small businesses to lay off the same workers that the pay hike passed in better times was meant to help.

The increase to $7.25 means 70 cents more an hour for the lowest-paid workers in the 30 states that don't have a higher minimum. It also means higher costs for employers who feel they've already trimmed all their operating fat.

"How will they absorb the increase?" said Rajeev Dhawan, director of Georgia State University's Economic Forecasting Center. "They will either hire less people or they will do less business."

More than in any period before, businesses are likely to lay off employees and reduce hours, further fueling the economic slump in states seeing double-digit unemployment rates, fiscal conservatives and some economists say.

In the run up to actually passing this legislation, the Arizona Republic did nothing but cheer-lead the effort, and would never have published such a story, or would have mentioned it only in graph 36 with some perfunctory balance-quote from the dreaded "industry representative."

We saw this exact same thing occur with ethanol legislation.

Local swimmers have gotten a court order forcing the City of San Diego to chase away the seals from the Scripps children's pool in La Jolla.  But it is not my intention to blog on that specifically, but on this bit:

The city said it would blast recordings of barking dogs to scare away the pesky pinnipeds at the cost of $688,000 a year. San Diego cannot use force because the seals are a federally protected marine species.

Please, oh please can I get paid $688,000 a year to play loud recordings on the beach?  I have not even cracked a spreadsheet on this, but I am betting I can turn a profit on that.

I don't have a clue if Professor Gates was arrested primarily because he was black.  But I can certainly say that it is not just blacks who are arrested every day for what is being called "comptempt of cop."  Police officers have developped a theory, which is not backed up by any actual written law, that they are the dictators of the immediate area that they occupy, and that citizens owe them absolute obedience to their commands and complete deference to their majesty, or else risk arrest.  While blacks may fall victim to such arrests at a higher rate, this is not just an issue of racism.  It is an issue of abuse of power as well.

Update: Carlos Miller has many of the same thoughts, and a lot more detail.  Having been arrested himself for "comtempt of cop," he should know.

I am coming back from vacation today, but just as a quick note, Bruce McQuain has another good post on the current health care bills and Obama's press conference.  In that post, he links two very good posts that provide more facts and discussion around my claim yesterday that health care savings from "preventative medicine" are mostly a myth.  Those two posts are from a physician and from the Manhattan Institute.

And here is McQuain again on the CBO's testimony on the health care bills.

[Democratic Senator] Conrad: Dr. Elmendorf, I am going to really put you on the spot because we are in the middle of this health care debate, but it is critically important that we get this right. Everyone has said, virtually everyone, that bending the cost curve over time is critically important and one of the key goals of this entire effort. From what you have seen from the products of the committees that have reported, do you see a successful effort being mounted to bend the long-term cost curve?

[CBO director] Elmendorf: No, Mr. Chairman. In the legislation that has been reported we do not see the sort of fundamental changes that would be necessary to reduce the trajectory of federal health spending by a significant amount. And on the contrary, the legislation significantly expands the federal responsibility for health care costs.

No, not the one that said everyone who likes their current health plan can keep it, though that clearly is a whopper.  This is the one that fascinates me:

[Obama said] if doctors have incentives to provide the best care, instead of more care, we can help Americans avoid unnecessary hospital stays, treatments and tests that drive up costs.

What he is referring to is the fact that if doctors prescribe more procedures, they make more money.

I spent years as a consultant  working with incentive programs in corporations.  They are very tricky things.  It is much harder to create incentives for the wrong behavior than the right behavior.  But I don't think you need similar experience to dissect this plan.  Because there is absolutely nothing of real substance in this plan, or any HMO has discovered, that will truly create incentives for "the best care."  It just doesn't work with doctors.  I know doctors, and when Obama says "best care" he means saying no to a lot of things.  That is not how doctors would understand the phrase.  I worked with Kaiser-Permanente for about a year as a consultant, and this was a constant source of friction between the Kaiser business people and the Permanente medical staff.

Really, all Congress and Obama are doing is twiddling one knob called "payment model" and the knob only has two settings - either create incentives for the doctor to do a lot for the patient by paying for individual services, or create incentives for the doctor to do as little as possible for the patient and resist every plea for a test or specialist referral.  Basically, Obama's intention is to flip the switch from the former to the latter position, similar to what is being done currently in the Massachusetts health plan with switching to capitated payments from fee for service for doctors, and similar to the strong HMO model that pissed so many people off years ago that many states banned practices Obama is implementing nationally.

Yeah, I know the response, that somehow "preventative medicine" will reach the golden mean.  Forget it.  Preventative medicine is great as a spur to individual well-being, but does little to reduce total system costs**.  Waving around the flag of "preventative medicine" is about as believable as when politicians say they will make up budget gaps with savings and efficiency.  Basically, the next time we see either will be the first time.

** This kind of thing always sounds heartless, but for example it is actually cheaper not to find a cancer until its almost too late.  An expensive operation may be called for, but a quick death is actually cheap for the system.  Finding a cancer early means expensive treatments now, and probably expensive treatements later in a longer life.  I much prefer the latter, but it is more expensive.  You can't get around that.  The big wins in reducing health costs rom preventative medicine are in public health and nutrition, and most of those battles are won.  There may still be some savings in pre-natal care, but even that is iffy.

There are a lot of problems with the health care bills in Congress.  At the end of the day, I will endure most of them, as I have every other indignity thrown at me by the Feds.  If they charge me 8% of my company's payroll as a health care tax, well, we can probably raise prices, particularly in the inflationary spiral the Fed has set us up for.  I will be sad to see the most successful in this country punished with high new taxes, but these taxes mostly won't apply to our family.  And I will find some way to get my family the health care it needs, even if we have to fly to India to do it.

But my biggest fear is for individual liberties, with the effect I have called "the health care Trojan Horse for fascism."  We all know that the government has developed a taste for meddling in the smallest details of our lives.  But as more of the nation's health care spending flows though government hands, nearly every decision you make will suddenly affect the government's budget.  What you eat, how heavy you are, whether you smoke, whether you play an athletic sport where you can get hurt, whether you pursue dangerous hobbies like rock climbing or skiing, whether you wear a bike or motorcycle helmet, whether you have a seat belt on, whether you drink alcohol, whether you like to use dangerous power tools -- all these become direct inputs into government spending via medical bills the government is paying.  And if you think that Congress will avoid legislating on these activities once it inevitably gets in financial trouble with health care, you have not studied much history.

And all this avoids discussion of other powerful individual liberty-related topics, such as the ability to get the end of life care you want or whether the government will even allow you to go "off plan" with your own money if you disagree with its Commissar's rulings on what care you should and should not receive.

It's fascinating for me to watch all these children of the sixties in the Democratic Party, most of whom screamed (rightly) at George Bush continuing to implement new plans where we give up individual liberties for security.  But here come those exact same people, with the exact same message - because this is what health care reform is about, at its core - giving up individual liberties in exchange for a (perceived) increase in security.

Those of you who may be encouraged by the reports of disagreements and problems among Democrats in reachi9ng consensus on a health care takeover, don't be too encouraged.    This appears to be exactly like the run up to Waxman-Markey.  If this is the case, these cries by certain Democrats of problems in the bill are really thinly disguised pleas for bribes.

Recalcitrant Democrats  in Congress know that Obama will be happy to spend tens of billions in taxpayer money to buy off the votes he needs to pass these bills.  This is how they got over the hump in the House with Waxman-Markey, and you can expect the same thing to happen again, and happen fast, on health care.  In fact, I expect the bribes to be higher than the $3.5 billion per vote clearing price on Waxman-Markey.  Obama knows that only steamroller tactics will pass a bill -- if he pauses even for a second to let opponents have time to take their case to the public (or even to finish reading the bill) he will likely lose.  Sunlight is his worst enemy right now, and he will gladly spend our money for porkbarrel projects in key districts to avoid it.

The NY Post has a very good editorial on the health care bills (HT:  Q&O).  Too much good stuff to excerpt, it includes even more crazy provisions in the House and Senate bills I had not seen yet (its like a scavenger hunt as people go through the 1000 pages, or maybe more like searching for landmines).

But since the bill doesn't even start taking effect until 2013 (except for the higher taxes, which come earlier, of course), we have to really really rush and make sure its approved before the August recess (and before critics are able to actually read the thing - no chance those in Congress will read it, ever).  Also, its such a burning problem, it just must be solved now, as evidenced by...

The most recent ABC News/Washington Post poll (June 21) finds that 83 percent of Americans are very satisfied or somewhat satisfied with the quality of their health care, and 81 percent are similarly satisfied with their health insurance.

They have good reason to be. If you're diagnosed with cancer, you have a better chance of surviving it in the United States than anywhere else, according to the Concord Five Continent Study. And the World Health Organization ranked the United States No. 1 out of 191 countries for being responsive to patients' needs, including providing timely treatments and a choice of doctors.

I have written a number of times, the fact that we spend more on health care is not a bug, its a feature.  We are the wealthiest nation on earth, and there is only so much we can spend on food, clothing, shelter, plasma TV's and other necessities.  We choose to spend a lot of that extra money on our health and longevity.  Why is that a bad decision?

XKCD

Today is the 30th 40th* anniversary of the most expensive flubbed line in history.  "One small step for A man, one giant leap for mankind."

This is one of the three "where were you when..." moments in my memory (moon landing, Challenger explosion, 9/11).  Actually, I have a fourth of equal power for me, but it does not seem to be on very many other people's lists.  That was the moment in 1989 I turned on the TV and saw people climbing on and partying around the Berlin wall.  I don't know if there was simply not any warning for this moment, or if I was in some kind of new job lala land and missed the lead up, but it was a real wtf moment for me, a total surprise.

* This is the second time I have done this in a week, dropping a decade in the math.  I think it is some subconcious process fighting aging.

This person is selling old billboards - the actual full sized original art, typically about 9 feet tall and 20 feet wide.  So if you have a really big wall you need to decorate...

I found the site because model railroaders use it a lot -  the pictures from the web site when printed on a color printer size about perfectly for scale billboards, and it is surprisingly difficult if one is building a period railroad to get the appropriate period commercial art to decorate it.

Not much I even need to add to this, via Riehl World View:

On Tuesday, the Senate health committee voted 12-11 in favor of a two-page amendment courtesy of Republican Tom Coburn that would require all Members and their staffs to enroll in any new government-run health plan. Yet all Democrats -- with the exceptions of acting chairman Chris Dodd, Barbara Mikulski and Ted Kennedy via proxy -- voted nay.

In other words, Sherrod Brown and Sheldon Whitehouse won't themselves join a plan that "will offer benefits that are as good as those available through private insurance plans -- or better," as the Ohio and Rhode Island liberals put it in a recent op-ed. And even a self-described socialist like Vermont's Bernie Sanders, who supports a government-only system, wouldn't sign himself up.

Does anyone else find this reminiscent of Obama's decision to send accept a scholarship for his own education, send his kids to private school in DC, and then, nearly as his first action as President, kill the voucher program that let other African American kids in DC go to private school.

I absolutely love my Kindle, and take it wherever I go.  I particularly like the wireless feature, such that within 60 seconds of wanting a book anywhere in the country I can have the book.

But the recent events surrounding Amazon retroactively removing books from people's Kindles without their knowledge has me really worried about the model.  I have, by the way, no doubt that there were serious legal issues that forced them to take these steps in this case.  But considering the number of book burnings we have seen by religious nuts and totalitarians and statist-wannabees in even the last century, it is scary to me that we've actually made eliminating a book from peoples' homes so much easier.

Ray Bradbury was creepy enough, with his teams of book burners in Fahrenheit 451.  But even in that book the burning was a struggle.  There was conflict, effort, resistance.   How much worse is it now if books can disappear at a keystroke?  It is a cold sort of horror, like being unable to fight against a germ warfare attack without even the ability of a heroic stand against an invading army.

Update: I have read various places that Bradbury has said his book was not about censorship and the state but about TV and pop culture destroying books and reading.  That it is more of a book of low-culture vs. high culture.  Anyone know the truth of this?

It doesn't matter to me.   I am a fan of both high and low culture (I am reading Les Miserables but last night I took a break to watch a rented copy of Underworld).  If folks can read Huckleberry Finn as a Gay novel, I can read Fahrenheit 451 (while listening to my well-worn Rush 2112 CD, of course) as a critique of censorship and totalitarianism.

Cross posted from Climate Skeptic