Category Archives: Health Care

Google 2012 Flu Trend: Here It Comes

A phenomenon of technology, specifically the internet and the searching of it, is that we can report on those searches.  In specific, Google does a great job of this reporting..

As it turns out, the fact that people go to the internet before they go to their doctor turns out to be a very reliable source of disease outbreak.  Feeling a little achy with a slightly elevated fever?  Google it and see what you can do.

And by doing so, you allow Google to track you search and tally it.  The result is Google Flu Trends.  And based on history and current trajectory, the United States is on the precipice of the season’s influenza outbreak:

In fact, we just now entering the worst month of the flu season.  In addition to counting the number of searches, Google is able to track location.  And form that data we can see that the flu is hitting the rust belt the hardest right now with Nevada following suit:

The bad news?  The flu is coming.  The good news?  We know it.

The “Attack” Of The Middle Class

In November I asked a simple question:

Would you be more or less likely to look for a new job if your current job no longer offered vacations and holidays?

I got a couple of answers and they confirmed the very obvious:  We would be more likely to look for a new job and certainly not LESS likely.

More recently I made an observation concerning teacher salaries:

…to receive the bonuses and raises, teachers must sign away some job security provisions outlined in their union contract. About 20 percent of the teachers eligible for the raises this year and 30 percent of those eligible for bonuses turned them down rather than give up those protections.

Teachers in Washington DC valued the clause in their contract that prevents them from being fired MORE than they valued $30,000 in bonus AND a $37,000 salary increase.

In both cases, the point is made, one theoretical and the other practical, that compensation comes in forms OTHER than strictly wages and salaries.  Vacation is one form of compensation.  Protection from having to actually DO your job is another.  It’s something that I’ve always suspected.  However, Dan Mitchell on his blog points out a couple of studies by CATO that demonstrates the lower earning deciles is growing more rapidly than the growth shown in the highest earning deciles:

While it is true that the cash explicitly paid to employees has become more unequal over the last generation, the…more benign explanation for the change in cash compensation over a generation is the dramatic increase in health insurance costs. …inequality in total compensation has not increased because the fixed costs of health insurance are a much larger percentage of the total compensation of lower-earnings workers. Burkhauser and Simon explore this explanation. They add the value of employer-provided health insurance as well as Medicaid and Medicare to the pre-tax, post-cash-transfer household income data and find that the bottom three income deciles actually exhibit higher growth than the top seven deciles from 1995 to 2008.

Compensation, in it’s many forms, grows more rapidly for the lower earning deciles.

Further:

Using unpublished BLS total compensation data, including employer health insurance expenditures, from 1999 to 2006, he finds that the growth in compensation by earnings decile (from the 30th to the 99th) averages 35 percent, with 41 percent growth at the 30th percentile (workers earning $10–$14 an hour) and only 35.8 percent growth at the 99th percentile (workers earning $59–$80 an hour).

We’re certainly going to h ear from Obama and the Democrats this election cycle that the Middle Class is under attack, perhaps true, but that attack takes the form of government dominated health care, not some form of class warfare engaged by the elite.  Obama is going to cast himself as the Middle Class warrior.  The media will produce study after study that shows the rich are getting richer while the poor are getting poorer.

Don’t buy it.  Do the work.  Get the data.

 

How Regulations Cause Uncertainty and Slow Job Growth

There’s been a lot of back and forth between pro-nanny state folks and pro-market folks concerning the impacts of either policy on job growth.  On one hand there is the argument that the uncertainty of regulations causes a pause in investment.  The case being that businesses are unable to predict the return of their investment due to unknown costs in the environment.

I have suggested in the past that this is akin to playing blackjack.  Consider the game as we know it.  A dealt 21 is a winner at 150% of the wager.  Dealer has to hit up to 16 and wins on a tie.

Further consider a table of players.  Upon being told that the rules might change mid “shoe”, that the changes to the rules are not yet finalized and that once you commit to playing, you can’t back out, do you think the players would play more, play less or play the same?

I suggest that the players would “hold onto their capital” until they knew the rules, and then, based on the new value proposition, would play at a level that reflects the advantage to the house; less play if the rules benefit the house, more play if those rules benefit the player.

Why we would expect business to react differently isn’t rational.  And, as it turns out, is exactly what we are seeing:  Hat Tip Carpe Diem

Because we don’t know what our health-care expenses will be in two or three years, we are unable to determine with any certainty how much our investments will have to return for us to be profitable. All of that counsels in favor of holding off on new investments and saving our funds. We want to grow. But we are unable to do so knowing that large and undetermined liabilities will absorb funds we otherwise would invest for expansion.

It is simply not reasonable to suspect that people or organizations will invest at the same level when the risks are unknown.

Kidney Transplant

So, I’m reading a story about an illegal immigrant who is struggling to obtain a kidney transplant.  He has a donor; his brother.  But the system doesn’t allow illegal residents transplant care.  Lifetime dialysis?  Sure.  Transplant?  No.

Anyway, I’m sure I read this somewhere, but it occurred to me that of all the people in the kidney transplant process, the doctors, the hospitals, the nurses everybody, the only person who isn’t compensated for his time and effort is the guy that loses the kidney.

Isn’t that weird?  Maybe if we allowed people to sell their spare kidney we wouldn’t have so many people waiting for a kidney.

Do Democrats Lie?

Most certainly, however, I am sure they are not alone.  But I can’t blame ’em.  Really.  They’re just a victim of the tribalism going on in Washington.

So, specifically, Democrats labelled Paul Ryan’s Medicare plan as one that would “end Medicare as we know it.”  And they defend this statement thusly:

“The very definition of the Medicare program is a national health insurance program for seniors which House Republicans would abolish under their budget,” the Democratic Congressional Campaign Committee said in an earlier rebuttal of Politifact’s analysis of the Ryan plan.

And additionally:

“It seems foolish to have to parse the meaning of the word ‘end,’ but if there’s a program, and it’s replaced with a different program, proponents brought an end to the original program,” liberal blogger Steve Benen wrote at the Washington Monthly. “That’s what the verb means.”

Okay, but the silliness is obvious.  Using this logic any time any program is changed, even by the slightest bit, the old existing plan would “end” and the new plan, complete with all it’s new language, would be the new plan.

Wanna change the test scoring system in public education?  Well, go ahead, but be aware that you are “ending public education as we know it”.

Wanna increase the speed limit on I-40 from 60 to 65?  Okay, but be prepared to defend how you are “ending the federal interstate program as we know it.”

Absurd, truly.

And I am not alone.  Politifact has named the Democrats charge the “Lie of the Year”.

Republicans muscled a budget through the House of Representatives in April that they said would take an important step toward reducing the federal deficit. Introduced by U.S. Rep. Paul Ryan of Wisconsin, the plan kept Medicare intact for people 55 or older, but dramatically changed the program for everyone else by privatizing it and providing government subsidies.

Democrats pounced. Just four days after the party-line vote, the Democratic Congressional Campaign Committee released a Web ad that said seniors will have to pay $12,500 more for health care “because Republicans voted to end Medicare.”

Rep. Steve Israel of New York, head of the DCCC, appeared on cable news shows and declared that Republicans voted to “terminate Medicare.” A Web video from the Agenda Project, a liberal group, said the plan would leave the country “without Medicare” and showed a Ryan look-alike pushing an old woman in a wheelchair off a cliff. And just last month, House Minority Leader Nancy Pelosi sent a fundraising appeal that said: “House Republicans’ vote to end Medicare is a shameful act of betrayal.”

After two years of being pounded by Republicans with often false charges about the 2010 health care law, the Democrats were turning the tables.

PolitiFact debunked the Medicare charge in nine separate fact-checks rated False or Pants on Fire, most often in attacks leveled against Republican House members.

Now, PolitiFact has chosen the Democrats’ claim as the 2011 Lie of the Year.

Go read the whole thing.  There are worse things to do on December 20th.

Obamacare: Supreme Court

It’s looking like the Supreme Court will hear the case and issue a decision in the June 2012 time frame.  Here’s what people who bet money think:

Doesn’t look good right now.

Two Things I Knew But Reinforced Yesterday

I went to the doctor yesterday for a “check-up”.  This isn’t my physical or anything like that, just a quick and simple check and chat.

Good times.

So, as always the doc isn’t happy with my weight, my exercise or my daily ration of my local beverage:

Whatever.

After telling me that she wanted to put me on blood pressure medication 2 years ago, I sign and accepted it; getting old is both a bitch and not a choice.  And it beats the alternative.  Then, last year when she asked me how my blood pressure was, well, she was less than impressed when I told her that I didn’t know.  I never check.

Well, after listening to her go on and on about how important it was, I rushed out and bought a digital cuff machine thingy.  And now I check twice a day.  And record it.

This time I had my data and, surprisingly, she was pleased with the blood pressure.

So, now she’s done and I ask her if it could be my turn.  She kinda looks at me and nods and then I ask her this:

Doc, I read a lot and recently I came across data suggesting that salt does not, repeat does NOT, contribute to higher blood pressure.  Is this true?

She leaned back and nodded, then said;

Yes.

Son of a bitch!

So, that’s the one thing I knew but confirmed.  The other is that hyper-tension is the #1 killer in America.  The cure?

A pill.  Total cost?

$4 a month.

What do these two things mean?

Life is good!

Medical Care In The United States

More proof that we have the best medical care delivery system in the entire history of the world:

Drugstore and supermarket pharmacies across the country have launched a marketing blitz to attract flu shot customers, touting the convenience of stopping at a local drugstore and often offering drop-in vaccinations anytime the pharmacy is open — sometimes even 24 hours a day.

“If you decided at 4 o’clock in the morning you wanted to go out and had nothing better to do than get a flu shot, you could walk right in and you could get a flu shot,” says Scott Gershman, pharmacy manager at a Walgreens drugstore in Springfield, Va.

Shelley Troff and her 13-year-old son dropped by Gershman’s pharmacy one afternoon in September to get their annual shots. Troff says she didn’t even consider going to her doctor’s office. “To be frankly honest, Walgreens is easier,” she explains. “Since this is one mile from my house and the clinic is 20 minutes from my house, this is where I come.”

Pharmacies usually charge between $25 and $32, while a shot at the doctor’s office generally costs at least $48

Really super sucks to be an American.

Where Spending More Is A Feature – Not A Bug

Duke.

Leading hospital in the nation; if not the world:

Durham, N.C. — Babies born with a skull deformity can get help from Duke University Hospital surgeons who are the first in the state to perform a minimally invasive procedure to fix the problem.

Open surgery, which is standard to correct the problem offers great results, but a lot of blood loss and some permanent scars are associated with it.

Catherine will become the first infant in North Carolina to undergo an alternative surgery, which uses two small incisions and endoscopic cameras.

“The visualization now with our optics is so good with high definition that we can see … just beautifully,” Duke neurosurgeon Dr. Gerald Grant said.

I bet’cha this procedure is WILDLY popular in Singapore, Japan, Sweden and Norway.  Not to mention such medical hotspots as Poland, Cuba and Hungary.

But because those countries rate ahead of us on such meaningful statistics as quality of potato soup and rocks per square farmland yard they rank ahead of the United States in Health Care stats.

As if.

Free Health Care Leads To Not Free Health Care

Ask anyone on the street if they would be willing to see the needy get the medical care they need and the answer is a massive “Hell yeah!”.  But ask them HOW that is to happen and you get a whole bunch of, “Hell, I da’know.”.

And so’s the quandary of the average American.

And so it is, when faced with work, and love, and school and bills and and and…we are willing, almost demanding, that this burden be taken from us and handled by someone else.  The Genesis.   The lightning striking the mud.

Continue reading