Reason on Whole Foods

Interesting to hear some Whole Foods employees speak, alongside Whole Foods protesters.

So, Who Will Pay?

With the health care debate, the proponents seem to be stuck on a nuance-free, black & white answer: The Rich(tm). After all, they can afford it.

Alas, the reality is that it isn't just the rich. Turns out it could be people working manufacturing jobs, right here in Indiana. From an Indy Star report:

Zimmer Holdings, Biomet and DePuy Orthopaedics are based in Warsaw, along with several smaller companies and suppliers. Together, they generate nearly a third of the estimated $32 billion in global orthopedic device sales.

But the industry, succeeding even as some other U.S. manufacturing sectors are slumping, faces challenges:

A proposal that passed the Senate Finance Committee on Tuesday would place as much as $40 billion in new taxes on the medical device industry in the next decade.

As always, the devil's in the details, although, there's devil aplenty in the main argument, as far as I'm concerned. Anyhow, is this what the proponents want? To do something that would stifle the creation of good paying manufacturing jobs?

Also, it may meet the definition of Obama's campaign promise that taxes won't be raised on 95% of individuals, but taxes on corporations end up being taxes on the employees and customers of those corporations. Again, lack of nuance. Black & white. Ham fisted simpleton explanations.

A Useful Way To Think About Health Care Solutions

I was very taken by Harvard economist Greg Mankiw's blog post about institutions and trust. He and I are of a like mind.

In sum, Mankiw asks, If you are more apt to trust government as an institution than free market competitors, AND you don't trust government run by Republicans, why would you put something as important as health care in the hands of the federal government, when historically Republicans run the government about half of the time?

Quotes, from Mankiw's post:

I tend to distrust power unchecked by competition. This makes me particularly suspicious of federal policies that take a strong role in directing private decisions. I am much more willing to have state and local governments exercise power in a variety of ways than for the federal government to undertake similar actions.

...

This philosophical inclination most likely influences my views of the healthcare debate. The more power a centralized government authority asserts, the more worried I am that the power will be misused either purposefully or, more likely, because of some well-intentioned but mistaken social theory. I prefer reforms that set up rules of the game but end up with power over key decisions as decentralized as possible.

I would add that even if the power is given to a well-intentioned and correct social theory, it will become distant, static, and inefficient as a bureaucracy develops and becomes entrenched. Certainly, this is a large complaint about the insurance giants, and they have nothing on the federal government in that department.

One Doctor's Insights

In my summer hockey session, there are fewer players, so the teams are all jumbled. All four of my linemates are guys I've never played with before. So, I try to get to know them a bit. After the game (a 6-1 win, and a goal by Yours Truly), I spoke with Dan, who is a family practice physician. It was eye-opening, to say the least.

As we were talking generally, he asked me my opinion of the state of health care. My response was simple: Insurance is the problem. It is a middleman taking a share of the cost without adding value, and it makes decisions where doctors should make them instead. I didn't say that I believe in the free market, that socialized health care is unjust, or anything political.

He thought this critique on the role of insurance was right on the mark. Among the loads of tidbits he threw at me, I hung on to these:

Medicare will be insolvent in three years.

Congress knows this, or should, and is passing this political football to the poor sap who is elected President.

The system will collapse because of insurance. It will be overhauled with Medical Savings Accounts, making people notice price for the first time in two generations.

The US devotes 19% of GDP to health care. Economists believe that any economy that devotes 23% of GDP to health care is unsustainable.

These are just one doctor's opinions, and I can't vouch for the precision of the numbers. But, being that these are largely things I had never heard before, or certainly don't hear very often, I found them exceptionally jarring and enlightening.

I found it most insightful that he told me he is glad the race is Obama & McCain, since both of them appear to him to be the kind of people who will shake things up- because the thing that needs to be said is this: "You know how we've been telling you that health care is a right? Yeah, we've been leading you by the nose on that one. It's a load of crap."

I agree with his assessment of the need to come clean, but I really don't think those Obama or McCain are the ones that would do it at all. Both of those appear to be the kind of captains that would be damn glad to go down with their ships- McCain, Iraq; Obama, who talks of expanding socialized health care. I let it go for now about Bob Barr, as there will be opportunity a-plenty.

He then went on about the lousy choices Americans make with regards to food, drink, exercise, and to a lesser degree, smoking; and the resulting Type 2 diabetes he sees regularly in people under 30. His conclusion- you can't have people be completely free of the responsibility to pay for their own choices and have people take on the burden of other people's choices. Economic collapse is the only possible result.

I think I'll have little trouble turning him on to Barr. I sincerely doubt the American people are ready for this news, in the face of all the other bad news raining on us these days.

Health Care Preview

Quoth Mencken: "Democracy is the theory that the common people know what they want, and deserve to get it good and hard."

Seems like us free marketeers are on the unpopular side of the health care numbers, so it won't surprise me when the day comes that American doctors inspect us like cattle, and if our wastelines are greater than the prescribed measurement, we will be declared officially overweight, and subject to fines.

Dystopian libertarian scare tactic? No- it's what happens in Japan today. Link to CNN video.

When everybody is responsible for the cost of everybody else's health care, you can bet we'll all be interested in the size of your waist.

I'll laugh my ass off, because I'm trim enough not to worry, and so many of those who thought socialized health care was a great idea will be off to the fat farm, miserable in having to actually exercise. Good. I'd be happier left alone, and fending for myself on my family's health care bills, but I don't think I'm going to have that chance for much longer, so I may as well take pleasure where I still can. If I have to pay for you, I'll be the biggest health nanny this planet has ever seen, harassing fat people in the street, merely as a cost prevention measure.

Be careful what you ask for. You just might get it. Hard. As you deserve.