Health care costs are increasing much more rapidly than inflation.  Therefore any organization that employs, and pays health insurance, for large numbers of people will also have their costs rise significantly faster than inflation.

So, now let’s use that basic fact to answer a few questions:

  • Why has federal entitlement spending ballooned?  In part, because the federal government pays the health care costs of tens of millions of veterans, the poor, and the elderly–not to mention hundreds of thousands of of federal employees (not to mention troops).
  • Why have the costs of higher education skyrocketed? In part, because universities pay the health care costs of thousands of students, staff, and faculty.
  • Why has military spending increased annually, even if you ignore what’s been spent on the Iraq and Afghanistan wars?   In part, because the military employs, and provides health care, for about 1.5 million people.
  • Why have salaries stagnated for most Americans?  In part, because any salary increases they might have had are instead being funneled into rising health care costs.

We cannot solve any of those problems without first solving the problem of health care costs.  Raising taxes and cutting discretionary spending won’t solve the long-term budget problems, unless we deal with health care costs.  Reforming education won’t lower the cost of attending college, unless we also solve the problem of health care costs.  Reforming the military won’t make a huge long-term impact on either efficiency or effectiveness unless we also keep health care costs under control.  Redistributing income with the tax code won’t provide substantial relief for Middle America unless we also take steps to limit the growth of health care costs.

Any anyone who tells you differently is probably selling something.

There are liberal solutions to control health care costs and conservative solutions.  Some are surely better than others, but we are well past that particular debate.  Any solution is better than doing nothing–let’s get health care costs under control first, and then we can deal with any smaller problems created by the fixes that we implemented.

 

The recent health care debate has illuminated a common misconception about the nature of American democracy.  Take, for instance, a recent comment by Bill O’Reilly on Justice Roberts’ ruling:

“According to his reasoning, the feds can now use the IRS to hurt any American who does not do what the feds think they should do. How is that different from a totalitarian government using agencies to control behavior? China does that, Cuba does that.”

The logic here is that what separates free and democratic governments from non-democratic, authoritarian governments is the list of things that government can’t make us do; essentially the Bill of Rights.  China has no First Amendment, therefore the Chinese government can censure any speech it wants to, therefore Chinese society is not Free and China is not a Democracy. Continue reading »

 

The news coverage surrounding this morning’s Supreme Court ruling which largely upheld President Obama’s 2010 Health Care law was a great example of how a well-meaning news media can perpetuate and expand misinformation.  First, I should note that the law itself is extremely complex and widely misunderstood.  Second, the court’s decision was extremely complicated, with four concurring opinions making up the majority, and two different dissenting opinions making up the minority.  And yet the different news stations all want to have the story immediately and to have instant analysis of the political, legal, and practical ramifications of the story–even before anyone has had any time to actually read the actual decision or give any thought to it (which, you know, might take a little while, given the complex nature of both the law and the decision).  So here’s a few of the things I saw this morning:

- I saw the President, the presumptive GOP nominee for President, and the GOP Speaker of the House all give pre-written speeches about the decision and the law, none of which actually made specific reference to the contents of the decision itself.  It was clear that they were working from canned scripts;  the Supreme Court upheld most of the law, they each grabbed the pre-written speech labeled ”Supreme Court upholds law” and went with it.

- I saw on a long sequence of political analysts assert great significance and meaning to the decision, when it was plainly clear that none of them had seem anything more than the headline.

- I saw a sequence of field reporters standing there scrambling to decipher the printed decision, while it was blowing in the wind, live-on-air, while trying to answer questions about it, and failing miserably in all cases.

- I saw live interviews with “average Americans” who clearly knew less about the bill and the decision that I did.  For instance, CNN had four men at some diner, none of whom clearly had any clue what was in the health care law or even understood the Schoolhouse Rocks! version of how a bill becomes law, but all of whom clearly had very strong opinions about it (and all of whom clearly had been listening to a lot of conspiracy theories).  Out of politeness, I guess, most of their theories went unchallenged.  This wasn’t the only such interview on the three cable networks.

It’s not that the news media was trying to spread misinformation about the law or the impact of the decision.  But the fact of the matter is that when you are trying to fill airtime with people who have not yet had time to read and digest the thing that they are supposed to be discussing, then those people will by necessity end up saying and/or doing a lot of things that effectively do spread misinformation.  Of course, the smarter answer would be to give your analysts time to catch up to a news event before asking them to pontificate–but then you end up not talking about the important event of the day as it’s unfolding, and you lose viewers to your more “on-the-ball” competitors.

People complain about media bias like it is a purely partisan matter.  There is certainly partisan media bias.  But the media bias that concerns me more is the bias to entertain, sensationalize, and scoop.  That’s the bias that led to an all-morning orgy of misinformation on the big three cable networks.  That’s the bias that led to the News Corp phone-hacking scandal (which has now caused a division in the news and entertainment divisions of one of the world’s largest media empires).  And that’s the bias that causes people to be afraid of walking through their own neighborhoods.

 

Last Sunday the Philadelphia Eagles lost to the Green Bay Packers. At one point during the game, Eagles Linebacker Stewart Bradley flew in for a tackle and slammed his head against the hip of a teammate. Bradley got up slowly, obviously dizzy, took a few steps forward, and fell back to the ground. He called for teammates to help him up, but the trainers got there first, checked him out, and helped him off the field. Five minutes later, Bradley was back on the field, although he lasted only a few more plays before being sent to the bench for the rest of the game. After the game, it was announced that Bradley had suffered a concussion, and he has not yet been cleared to practice or rejoin the team.
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Mar 262010
 

In his comments about the health legislation the other day, Doc made a very good point: the recent health care bill really doesn’t reform health care, it reforms health insurance. In particular, the bill does very little to directly address the spiraling costs of health care. Obviously that should be the next step in the reform process, although it begs a question: why are health care costs so high?

As far as I can tell, there are really four causes of the high health care costs in this country. I have no idea which one of these is the primary culprit; I’ll let you make up your own minds.
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