Sunday, September 30, 2007
Ron Paul for President
Earthquake in the Pacific
Thursday, September 27, 2007
I feel so much safer!
In today's Ann Arbor News there is a front page story about how the people of Ann Arbor were saved from unwrapped bread being sold at the Ann Arbor Farmers Market. A vendor from Chelsea (a city near Ann Arbor) had brought some bread to sell at the market. A State of Michigan food inspector from the Department of Agriculture cited the vendor for keeping his bread in the open air. She ordered him to pour dish soap on the bread so it could not be sold.
This whole incident just seems like a complete waste of time and money. The vendor is selling unwrapped bread. Customers can clearly see that the bread is unwrapped. If a customer chooses to purchase the bread they do so with full knowledge of the circumstances. A similar situation arose a few months ago at a local food speciality store. The store sold unprocessed milk from a local organic dairy. The customers who purchased the product knew exactly what they were getting, yet inspectors told the store that it couldn't sell the product to willing customers.
The State of Michigan is currently undergoing a budget crises. Perhaps they could start saving money by cutting back on these sorts of inspections.
Tuesday, September 25, 2007
Creative Destruction
When you read a label which says 'Made in China,' it is not made in China. It is made by the world economy as a whole.... It is impossible to make anything in one country.However my favorite quote is one which answers the question about how we are going to compete with all these other countries, particularly ones with low wages:
You say, how are we going to compete with all these other countries? The answer is, of course, you compete by producing goods that were not produced before.Americans have always been great at inventing new things and we should continue to do so. We shouldn't dwell on maintaining mature industries. We can take advantage of the cost savings afforded us by cheaper manufacturing elsewhere to invest in developing and building new things. That's the way to make the entire world richer.
Monday, September 24, 2007
Purchasing Health Care in a Market System
In today's Wall Street Journal there is a letter from a gentleman who was responding to a column by Karl Rove concerning market based health care. The writer's complaint was that purchasing health care isn't the same as purchasing something like a car. Patients, he states, are 'incapable' of making reasoned decisions when purchasing health care, they just want to be cured.
To some extent he is right, however he overlooks several things. First of all, how is it that people know what car to purchase? It might strictly be price, but quality enters the picture as well. How do we evaluate quality? My guess is that most people who purchase a car do so by relying on brand reputation, recommendation from other people or by reading the countless magazines (or web sites) which evaluate cars. The point is, most people don't know how to evaluate a car, they rely on those people who do know how to evaluate a car. The same would be true for health care if the system operated in a more transparent fashion.
There will always be people who will do the research necessary to determine the best places to buy a particular item, and the same will be true for medicine. Health care providers will try to attract these people. In addition, private organizations will form to do evaluations for their membership. Think something like Consumer Reports. Unions could provide this service to their members. The beauty of this is that people don't have to belong to a Union, or subscribe to Consumer Reports to benefit from their services. As care providers work to attract the knowledgeable patient (or those who have been advised), a shakeout of sorts will occur. There will likely be health care 'brands' that form. People will only need to look for the brand, compare prices with other branded providers and decide which they prefer. We already see this sort of thing with laser eye surgery, for example.
Medical providers like to think that they are somehow above the commercialism of other goods and services. What they don't realize (or maybe they do) is that the commercialism (i.e. marketing, branding, etc.) serves a very important function. This sort of commercialism promotes knowledge in a way that no longer requires people to be experts in order to buy a particular product. If lack of expertise is a problem in a market based health care economy, you can bet that entrepreneurs will find ways to fill the gap, earning income for themselves, but also providing a useful service at the same time. Adam Smith's invisible hand at work.
Saturday, September 22, 2007
Hillary for Benevolent Dictator '08
I wish it were possible to just wave a magic wand and say from the White House, 'Here's what I want.' But that's not the way it works.To me, this quote speaks volumes. Hillary (like most other politicians) believe that they know what's best for "the country". They believe that if they pull the right levers, pass the right laws, they will be able to fix all problems. Of course, this approach has been tried many times in the past, and the result is always tyranny. But a well meaning tyranny.
Thursday, September 20, 2007
From the Big Surprise File
Wednesday, September 19, 2007
Giving Back to the Community?
Much has been written about the 'social responsibility' of corporations and how they should 'give back' to the community. The company I work for is working on just such a plan. I don't have a problem with a company offering to do things which aid the 'community' but I do have a problem with the phrase 'Giving back to the community'. The phrase makes it sound as if companies improperly 'take' things from the community and therefore need to 'give back'. It perpetuates the notion that corporations are somehow evil. I believe this to be a false perception.
Companies typically sell goods and services to willing customers. Presumably if someone pays money for a good or service it's because they feel that they will be better off with the good or service than if they had the cash. The company benefits by receiving cash and customers benefit by receiving goods and services. Nothing is taken. The 'community' is not harmed. It could be argued that companies that pollute or engage in illegal or unethical activities are harming the community, but the reality is that most successful companies don't operate this way. Instead, by their very existence, they benefit the community by providing employment, purchasing goods and services from others, etc.
The simple truth is that for the vast majority of companies that operate on an ethical basis, there is no need to 'give back' to the community. It doesn't mean that companies can't do some additional good things for the community, but this should simply be thought of as 'Giving to the community' and not 'Giving back to the community'. It's only a one word change, but the change in meaning is enormous.
Tuesday, September 04, 2007
Honesty in a Presidential Candidate
'It requires that everybody be covered. It requires that everybody get preventive care [...] If you are going to be in the system, you can't choose not to go to the doctor for 20 years. You have to go in and be checked and make sure that you are OK.'
Friday, August 24, 2007
Single Payer Insurance?
The smarter choice is to go in the opposite direction, with more payers, not fewer. Most people should pay for simple things out of pocket and use privately purchased insurance for big and unexpected expenses. You, not your employer or government, would choose the insurance that best fits your family. Insurance portability is a non-issue because you own your policy. For those people who truly can't afford health care, there could be assistance programs, ideally through private charity, that could be established to help out. Think about it, we have people who can't afford housing, but we don't require everyone to move into public housing. We have people who can't afford food, yet we don't require everyone to go on food stamps. Similarly, just because a segment of the population can't afford simple health care expenses doesn't mean we should throw everybody into one giant public system. Certainly private health insurance is a mess right now because of years of government meddling, often at the behest of the insurance industry itself. Cross-state purchasing restrictions and government mandates only reduce variety and drive up costs unnecessarily. If you remove these restrictions, increased competition will bring new innovation, better service and lower prices.
Those who think single payer would be a good thing are living in a fools paradise. Medicare, a smaller scale single-payer system, is facing financial difficulties. Other countries are recognizing that their systems also have problems. Really sick people are dying from being on wait lists. There are quality of care issues as well. However, in my mind, the biggest problem with single payer is the threat posed to individual freedom. This aspect of the system is never mentioned by supporters. The simple fact is that once taxpayers start paying the bills for health care, taxpayers are going to want to make sure their money is being well spent. As such, there will be increased pressure to pass new nanny state laws to 'promote' good health and to control costs. You can expect all sorts of new 'sin' taxes. You can also bet that there will be increased pressure to ban or reduce controversial procedures such as abortion. After all, a reasonable argument can be made that the government shouldn't be paying to kill unborn children. The important thing here is that once taxpayers are responsible for paying the bills, taxpayers have a large amount of control over what you do with your body.
Friday, May 11, 2007
Why should the wealthy subsidize middle class retirement benefits?
To understand why this is so, you have to think about how Social Security benefits are determined. The benefit is based on what you pay in over your working career, particularly your later years, but the payback is bottom weighted. This means that lower income workers see a larger return on the amount they paid in than do higher income workers. For example, a worker born in the mid '40s whose earnings are in the bottom 20% might see a return of 5% on their FICA 'investment based on current law. The middle 20% of workers born that year might see %2 and for someone in the upper 20% the return might be %1. Clearly lower income workers are being subsidized by higher income workers, or to put it more clearly, money paid in by higher income workers is being transferred to retirees who earned lower incomes during their career.
So we are faced with a situation where higher income workers born in the mid 40's can only expect maybe a 1% return on their FICA. However, the situation is even more grim for younger workers. A higher income work born in 1970 can be expected to earn a return of 0% on their 'investment'. Lower income workers can expect %4 and middle income workers can still expect %2.
Let's now implement the 'solution' of raising the income limit on FICA taxes. This will mean that higher income workers will pay even more into the system, but will not see an increase in benefits. Now, instead of just earning a paltry 0% on their investment, they can expect to receive a negative return on their investment. All of this in an effort to keep paying benefits to middle and lower income retirees. If this doesn't constitute middle class welfare, I don't know what does.
The truth of the matter is that Social Security has always been a welfare program. Raising income subject to FICA tax just makes it more so.
Monday, May 07, 2007
What constitutes a 'safe' drug?
Recently, Dr. David Graham of the FDA's Center for Drug Evaluation and Research spoke at a roundtable on drug safety at the University of Michigan Medical Center in Ann Arbor. Dr. Graham stated that the FDA remains a "culture of denial" more focused on whether drugs are effective than whether those drugs are safe for patients.
This is all well and good, however, what constitutes a 'safe' drug? All drugs have side effects, some worse than others. If the drug is effective at treating a problem, who decides the level of side effects which constitute 'safe'? It's a typical cost/benefit problem. Does a patient incur the cost of the side effects for the benefit of treating a medical problem? If I'm given a drug to cure toenail fungus and the side effect is my arm will fall off, I'll probably choose to live with the toenail fungus. If, however, I'm given a drug which will likely kill my cancer, but might cause me to have a secondary cancer 10-20 years later, I'd be willing to take that drug, even though it is clearly not 'safe'.
The key thing is that evaluation of drug safety cannot be made by a government agency. It can only be made by the patient in consultation with their physician. It is certainly important for drug manufacturers to publish full details on their drugs so that consumers and physicians can make intelligent decisions, but the decision on whether a drug is 'safe' or not ultimately has to belong to the patient.
Dr. Graham likes to say that 60,000 people died from taking Vioxx due to cardiovascular problems. The danger in overly focusing on drug safety is that you will end up killing hundreds of thousands more people because key drugs aren't made available because some government agency determined that the drug wasn't safe enough. The problem is that deaths attributed to Vioxx are visible, the deaths attributable to drugs which aren't made available are not. I would prefer to know that there is a drug which might help my medical condition even if it had side effects, than to not know that a drug existed at all.
Thursday, May 03, 2007
Raising the income limit is no solution so Social Security woes
Recently The Ann Arbor News ran an editorial in in favor of raising the income limit on which Social Security wages are taxed as a way to help the financial stability of Social Security. The editorial didn't indicate whether or not they also supported raising the benefit level paid to higher income workers, but I would have to ask if not, why not?
The current Social Security benefit structure is somewhat progressive, in that workers who pay in less over their career get a bit more of a return on the taxes they paid in than those who paid more. If the income limit is raised, or eliminated, those with higher incomes would be paying substantially more in taxes, and would see little or no increase in their benefit level. This would greatly increase the progressivity of the system and will even likely result in a negative return for those workers who have higher incomes for much of their career. Somehow people have it in their head that high income workers are somehow not paying their fair share. This is patently false. A high income worker gets less of a return on his/her 'investment' than those who earn less. To increase the level of income which is subject to tax doesn't make the system fairer, it does quite the opposite.
Wednesday, May 02, 2007
It's not your money
Discussion of adding 'private' accounts to Social Security invariably result in people complaining about how any privatization, no matter how small, will spell doom for Social Security. There is a fear that benefits will be cut, benefits that people 'earned' by paying into the system.
I'm sorry to burst anyone's bubble, but the money you pay in FICA is a tax plain and simple. Once you pay it, it no longer belongs to you, it is property of the U.S. Government to be spent as Congress sees fit. As was made clear in the Flemming vs. Nestor court case decided by the U.S. Supreme Court, no person who has paid into the Social Security system has any entitlement to receive anything back on their 'investment'.
Social Security is a Congressional 'social' program and Congress can decide who gets benefits and how much. There is no 'guaranteed' benefit at all. Those little statements you receive annually from the Social Security Administration are nothing more than government propaganda designed to continue the illusion that there is some sort of guaranteed benefit.
It's clear that many people believe that they are entitled to some return on the taxes they've paid over their working careers. What people don't realize is that the only way to make that a certainty is if they actually own the investment. The best way to accomplish this would be to fold Social Security into the general fund and means test benefit payments. Workers would then be free to take the money which would have been taxed away and invest it as they see fit. Certainly there are concerns about whether people would save enough, or whether people would invest wisely. This is where private organizations should step in to help. Unions, Churches and other private institutions could easily offer investment advice to their members. AARP, instead of spending money lobbying for the status quo, could provide real value to their members in the form of investment advice.
It's time to stop the myths and lies about Social Security. Your tax money is gone. There are no guaranteed benefits. Let's end the charade and let people make their own decisions about retirement.