Econ 101: A Lesson in the Tender Mercies of Medical Care

So, it turns out that while you may be able to legislate price, you can not legislate costs:

For years, Mayo Clinic officials have complained that Medicare and Medicaid pay less than what it costs to treat patients.

Now they’re doing something about it.

In the past week, the Rochester-based clinic said it will stop caring for 50 Medicaid patients in Montana and Nebraska starting Jan. 1, unless they have a rare disease that can’t be treated elsewhere. Also on that date, a handful of Mayo’s primary care doctors in Arizona will opt out of Medicare, forcing some 3,200 patients to pay out-of-pocket or find new providers.

Really!?!

You mean that when government imposes price ceilings you get shortages?  Who would have thought that?

The difference between prices and costs is not just a fine distinction made by economists. Prices are what pay for costs — and if they do not pay enough to cover the costs, then centuries of history in countries around the world show that the supply is going to decline in quantity or quality, or both. In the case of medical care, the supply is a matter of life and death.

When politicians talk about “bringing down the cost of medical care,” they are not talking about reducing any of these costs by one cent. They are talking about forcing prices down through one scheme or another.

-Thomas Sowell

It is a law as sure as gravity; when you artificially reduce the price of something below what the market would otherwise demand, you will get less of it or worse of it.

Count on it.

Postscript:  For added fun, here is a foretaste of the feast to come:

“Both of these moves are very difficult for us to make,” said spokeswoman Shelly Plutowski. “Both point to the fact that we as a country need to change the way we pay for health care. Mayo Clinic and other providers lose money on every Medicare patient we see, and the same goes for Medicaid.”

Last year, it cost Mayo $840 million more to treat Medicare patients than it received in payments, Plutowski said. The clinic also lost $100 million treating Medicaid patients, she said.

Dad Talk to Jeff Latta

Okay, so yesterday I posted on the plight of the 53 year old retired man that can’t afford his $1,000 mortgage.

The story reads that his mortgage is 93% of his pension.  I managed to do the math and calculate how much this guy would have left over.  What I didn’t do was calculate what he made per year; $20,640.  And his mortgage?  Well, assuming he has a 7% rate and given a $1,600 payment, that means he borrowed $240,000.  That, ladies and gentlegerms, is a QUARTER OF A MILLION DOLLARS!  And brother is making a cool 20k a year.

I hereby make this covenant with you, gentle reader.  I will not, I swear to you, I will NOT raise my son to think that it’s okay to borrow $240,000 and then retire at 53 knowing your fixed income will be $20,000.  And more than that, he will not ever, EVER, consider it someone else’s burden to pay for or bail him out of that dumb ass decision.

I swear to you.

Now, son…about that whole pumpkin farm thing you got goin’ on…..

Cause Ya Have to be Legal to Work in the White House

I’m actually surprised they stopped at reduced penalties and no jail:

WASHINGTON – Some 7,500 international tax dodgers have applied for an amnesty program that promises no jail time and reduced penalties for tax cheats who come forward, the Internal Revenue Service announced Wednesday.

The program is part of a larger effort by the Obama administration to crack down on Americans who evade U.S. taxes by hiding assets in overseas accounts.

I mean, most of his staff fit this bill.

The Mind of the Leftist

I am working on a project at the office with some colleagues that are not from the United States.  During lunch we had some time to chat and so I took the opportunity to ask them what “the world” thought of Obama’s Nobel.  They grinned, a bit more sheepishly than I thought they would, and admitted that it was, indeed, a little early for him to win.  So far so good.

With my toe firmly in the water, I decided to get their take on Universal Health Care.  I felt that their insights would be useful, one being from Italy and the other from Slovakia.  Before I go on, I should say that these guys are some of the most educated people I have worked with in a long time.  And while they have recently been at the Northeast Ivy; Harvard, they have degrees in the sciences as well.  In fact, the Italian has his PhD in physics.

So, imagine my surprise when these two highly educated scientists came down in favor of universal health care.  And more than that, they both felt it is a right as citizens to have this health care provided to them.

I am stunned.

Leftists are everywhere.

But I Voted For Him

And now I want me money.  Or so goes the general consensus if you read the Reuters article describing the Home Rescue Plan.

Obama, grappling with the worst U.S. housing crisis since the Great Depression, pledged to help as many as 9 million families keep their homes by reworking their mortgages.

Let’s not forget that the whole reason those 9 million families are struggling is because the government “pledged to help as many as 9 million families keep obtain their homes by reworking cheating* on their mortgages.

Eight months later, the plan is plagued by delays, red tape

delay and red tape?  A government program defined by delay and red tape?  Come on!

some critics say, a reluctance by banks to do their part.

Riiight.  Cause last time the banks “did their part” a housing bubble was created, then burst and we were plunged into this problem.  After which the banks were rewarded for “doing their part” by having themselves taken over, vilified, their CEO’s fired and then their pay limited.  Honestly, why wouldn’t the banks “do their part?”

Just 17 percent of eligible borrowers have had their loans modified and monthly payments cut. Hardly any have been given a cut in the amount they owe on homes which are now worth less.

Huh.  Weird.  It doesn’t seem that banks want to lend money to people who demonstrate that they can’t pay money back to banks that lend them money.  Bitches!  Oh, especially hard hit are the owners who have negative equity-who would have guessed?

For homeowners like Jeff Latta, there was no help at all.

Latta, a 53 year-old retiree, pays $1,600 in monthly home payments that eat up 93 percent of his pension and he struggles to make child support payments.

So, a 53-year-old man decides that he wants to quit working at 53 [at least] and discovers that he is having trouble paying the bills.  Unbelievable.

To help pay his mortgage, Latta has slashed his bills by hunting for food in the wooded hills around his town of Albany in southern Ohio, and growing his own vegetables.

Serious.  I wonder if “slashed” means the same thing in Reuters talk as it does in Pino talk?  However, to his credit, Mr. Latta is doing a lot more than many other folks in his condition.  But let’s be honest here, if $1600 is 93% of his pension, he has $120 left over.  No vegetable is going to cover that gap.

In March, Latta heard about Obama’s Home Affordable Modification Program, or HAMP, that allows mortgage payments to be reduced to 31 percent of a homeowner’s income.

Awesome.  Because you can just legislate away the annoying aspects concerning the laws of Economics.

Latta applied for a loan modification but was rejected. His bank said his income from selling pumpkins and firewood — a net of $906 in 2008 — was too high.

Serious.  Even HAMP must know on some level that this is just silly; it’s designed to fail.

That banks lent irresponsibly in the U.S. property boom is irrefutable. As San Diego-based realtor Steve Rodgers says: “If you could fog a mirror, they’d give you a mortgage.”

While this is true, it is also true that banks were forced to carry a required portion of their lending portfolio in this low income high risk demographics.   To say that they did this on their own is disingenuous.

Look, in the end I feel bad for Mr. Latta.  But check this out, if you make $1720 a month you can’t afford to live in a house.  Move to an apartment.  Or a smaller house.  Or something.  And more advice?  Give up on the pumpkins and firewood and move to Raleigh; they have work there.

12,000 Jobs Created

Minnesota is reporting that they have saved or created nearly 12,000 jobs due to the stimulus package. That’s more than 1 per lake, and Minnesota has a lot of lakes!

So, how much stimulus money did Minnesota get? About $4.7 billion.
How much has Minnesota spent? About $1.6 billion.
So, at this rate, how many jobs is Minnesota predicting? 35,000.
And the White House, how many did THEY predict? 66,000.

So, even using their own numbers, the White House and Minnesota is falling short by 47% of the predicted total, or 31,000 jobs.

And the jobs that WERE created? Let’s see:

  • $16.6 million to put 5,800 youth to work over the summer.

So, let’s see.  The state spent $16.6 million to hire a bunch of kids for the summer?  And that counts as a job saved or created?  So, really, what Minnesota is saying is that they saved or created 6,200 jobs.  5,800 high school kids having summer jobs doesn’t count.

Way to go Minnesota!

Poor Democrats: Responsibility

As we are beginning quarter 4, 2009, it is becoming clear that what we already knew was going to happen is, ahem, going to happen. That is, we are most certainly going to see the end of the recession between April and September of this year. Further, the unemployment rate is going to continue to rise and rise for quite some time.

As I mentioned, this is not surprising or new information.  What IS surprising, however, is that there is a group of people who find themselves in an uncomfortable position; the Democrats.

Job losses are expected to continue at least into the middle of next year, likely driving the unemployment rate above 10 percent from 9.8 percent last month. It could take three or four more years for it to fall to normal levels.

The longest and deepest downturn since the Great Depression has claimed 7.2 million jobs since it began in December 2007. Analysts figure 750,000 more jobs could disappear over the next six months.

And why is this?  It’s a perfect storm of sorts for the Democrats.  They are dealing with both long term and short term trends.  On the one hand, we are now paying the piper for the incentives given to banks, lenders and individuals to buy/sell houses to people who couldn’t afford them.  That’s the long term.  The short term?  The whole stimulus package including, to be fair, the Republican led TARP disaster.  And the medium term?  The rise of the minimum wage, which, by the way, is coinciding with a very bad labor market.  Right when we should be trying to incent people to hire other people, we instead are raising the cost of labor; even beyond what that labor is worth.

And what are the Democrats going to do to try to help us through this period of adjustment?  Why, a second stimulus perhaps?  Some are even considering raising that minimum wage even higher.  And the doubly whammy?  Cap and Trade along with Universal Health Care.

If you wanna implement policies that promise to rise the people up but in reality strip those same people of economic health and vibrancy?  Hire a Democrat; just remember that when their policies fail, it’ll get harder and harder to hire them in the next election.

Alan Colmes: Is a Capitalist

Saturday afternoon, Alan posted on the emerging news media; citizenry media.

With newspapers folding and many denizens in the old media not understanding the new media, the young entrepreneurs at metrojacksonville.com are on the edge of the curve.  Locals, including officials, can’t wait to post there, knowing their messages will be read by an engaged citizenry.  They are using the web the way it is meant to be used, incorporating a level of interactivity that most newspapers haven’t grabbed onto.

I couldn’t help but being impressed by Ayn Rand reaching to us from the past:

Creative destruction. Even as a reliable icon like the delivered print newspaper makes it’s way into the the same museum as the rotary telephone, VCR and horse drawn buggy, we see the beautiful effects of ingenuity, creativity and the capitalist way. More and more people are finding that the old way of receiving news is no longer meeting their needs, so they “vote” with their wallets. Given the fact that news print and printing presses and journalists and editors are “rationed by price” we are seeing the release of these resources due to people purchasing other forms of news delivery.

Certainly the impact of the loss of their jobs will be hard for those journalists, editors and print specialists, but society overall will benefit and become more productive. Net/net, everybody wins. We see a less efficient form of media fall away, we see competition in the new forms that we are allowed to choose from and, even better, they are cheaper than the $0.75 a day it costs to purchase the local fish wrapper. In short, life is good, even great.

Imagine the lack of progress if the government stepped in, stole your money right from your pocket and propped up an industry that no one wants to see succeed? I would think we would be upset that the progress of a nation would be halted in it’s steps. Impossible? Nope:

blogs.reuters.com/mediafile/2009/09/24/how-to-subsidize-news-without-feeling-dirty/

Posted by John Galt
October 10th, 2009 at 10:56 pm

Who knew that Ayn lives?

When "They" say "We" then "You" are "Them"

So, Obama wins the Nobel Peace prize.  And for no good, or even existing, reason.  After all, he was nominated only 12 days[!] into his Presidency.  Which begs the question:

When a group of devout Socialists hands this prestigious award to a 12 day old leader, it seems pretty clear that those Socialists feel he is a Socialist.

Yikes.

Changing of the Guard

Well, for better or for worse, it happened.  The folks in Wake County who have opposed the Diversity Plan won.  And they won big.  I can only imagine that this means they are going to try and break down the work that has been done to ensure that schools maintain a balance of economically challenged families and non-economically challenged folks.

I have been torn in the days leading up to this election.  I am almost totally Libertarian.  Therefore I mostly disagree with the folks on the left when it comes to the economy and those on the right when it comes to things related to the social issues.  Schools always get me.  Every time.  And so it was this time as well, though even harder.

See, the left always wants to throw more money at the problem and protect the teachers in a Union kinda way.  And that NEVER works.  Ever.  You always get the lowest common denominator and the “enterprise” suffers.  But jeez, this Diversity thing has legs.  I really think it makes better schools.  The kids are better off and they learn more and we just don’t end up failing as many kids as we otherwise would.  So I sided with the Dems on this one.  Not because I think more money is the answer; or teachers unions [I hate ’em], but because the diversity strategy is an awesome tool in the toolbox.