The horizon is not so far as we can see, but as far as we can imagine

Month: August 2009

Shorter Sebelius: Welcome to a regressive tax which will rise faster than wages or inflation

As Heinlein once said, I laugh because otherwise I’d cry (and scream, and pound my head against the wall):

Health and Human Services Secretary Kathleen Sebelius said the White House would be open to co-ops instead of a government-run public option, a sign Democrats want a compromise so they can declare a victory on the must-win showdown.(TL)

Ok, so let’s say they ditch it and include an individual mandate, meaning you are forced to buy insurance from private insurers or co-ops (which won’t be able to contain costs).  What is that?

It is a regressive tax.  Given the likely pathetic subsidies it will hit the working and middle classes hardest as it will be a higher proportion of their income than for the rich.  Since health care costs will not be properly contained, they will rise faster than pay will (they have for decades now).  So every year you will be forced to spend more of your money than the year before and will have less money left over.

A regressive tax which rises faster than pay rises.

This is forced increased spending on domestic financial services, which is what insurance is. I guess that’s Obama’s economic plan as well as his health care plan.  And bonus, since there’ll be no denials and no recessions, you won’t be able to get out of it  in any fashion, except death.

Death and taxes, the first gets you out of the second.  And a health care mandate without effective cost controls is an ever growing tax till you die.

Off to Netroots Nation

I’m off to Pittsburgh for Netroots Nation tomorrow (Thursday) morning.    I’m a panelist in one session, Transformation or Shock, Saturday from 3:00 to 4:15, and I’ll probably be at the Open Left caucus on Friday from 4:30 to 5:45.  If you’re going to be at the conference, hope to see you at one of those two events, or if you see me wandering around, feel free to come up and say hello.

Congress helps their friend get healthcare while China announces universal healthcare

Good to see Congress is concerned about someone getting the care he needs:

Members of Congress are rallying around one of their own, collecting donations to help former Rep. Lane Evans (D-Ill.) as he battles Parkinson’s Disease.

Isn’t that nice?  Perhaps their efforts might be better invested in passing legislation that takes care of all Americans, not just Americans they know personally.

Meanwhile, across the ocean:

China announced that it intended to spend $123 billion by 2011 to establish universal health care for the country’s 1.3 billion people.

I guess universal health care isn’t just socialistic, it’s communistic, since the Communist Party is willing to give it to their people before the US government will pass it for Americans.

China has a health care problem, so China is going to work towards solving it.  The US has a healthcare problem, so it is going to force Americans to spend thousands of dollars to buy insurance from insurance companies who are proven to do an awful job instead of revampting the system to cut out the insurance industry and other bad actors, thus saving 5% of GDP.

This is why China is a rising country, for all its problems, and the US is a country in decline.  China’s elites actually make serious attempts to fix problems which need to be fixed. America’s elites just try and make sure the gravy train isn’t upset for anyone who’s inside the franchise.

Fear Techniques wouldn’t work nearly as well on “Medicare for all”

Seriously, “grandma’s going to be killed by Obama’s healthcare plan” (whatever his plan is, even I don’t know) wouldn’t work on “we’re just going to give medicare to everyone”.

Just sayin’.

The whole “you can’t sell single payer” is turning out to be, well, rather questionable.  Because the way things are going it’s fairly clear you can’t sell some godawful hodgepodge either and all the screaming about “you’re going to take away my Medicare” indicates that a lot of the people who oppose Obamacare, love Medicare.

When you’re trying to explain something, you do so by metaphor in almost all cases.  Everyone knows what Medicare is.  The majority of people with Medicare are happy with it and even people without Medicare know people (usually their parents or grandparents) who have it, and whom it’s working for.

Ruling out “single payer” from the very start was an act of mind-bending incompetence on the level of disbanding Iraq’s army during the occupation of Iraq.  From a policy point of view “Medicare for all” provides massive savings, and we know it works because the equivalent policies have worked for every other nation in the world who ever implemented then.  From a sales point of view it’s much harder to demonize Medicare and much easier to explain it.  From a negotiation point of view pre-compromising is so stupid that anyone who has spent 5 minutes in a third world bazaar or taken even a single negotiating class knows better.

The current health reform “bills” are turning into a clusterfuck of epic proportions.  Scrap them, introduce Medicare for all, target  Senators who won’t vote for it with bone-crushing ads which ask why they want 22,000 American to die every year who could be saved for less money than the Iraq war cost; explain with nice simple pictures how much money they receive from the insurance industry and note that they are willing to let Americans die in exchange for blood money from the medical industry.

I know it’s difficult for Democrats to play hardball since they’d have to grow a spine, but perhaps, just perhaps, it’s worth it to save lives, end 70% of all bankruptcies and make sure people who are sick get the care they need?

(Oh, and to save Obama’s presidency. )

Miscellania: Healthcare, Unemployment, Resistance and Obama

Back from my visit to Victoria, let’s do a quick roundup.

Healthcare: I remain convinced that nothing that will come out of this Congress won’t be pretty awful.  My current belief is that what will be passed will mandate everyone buy insurance but because of inadequate cost controls and subsidies will leave ordinary people forced to buy insurance which will increase in price faster than wages.   The optimistic view would be that once everyone is in the system, pressure will build to make the system actually work.  We’ll see, even if true, there’ll be a lot of pain in between.

Unemployment: According to the BLS, the economy lost 274,000 jobs, but the unemployment rate dropped from 9.5% to 9.4%.  Welcome to the world of statistics that don’t mean what you think they do.  People who want jobs, but who are convinced they can’t get one and so aren’t looking actively don’t count as unemployed.  So the number of employed people can go down and the unemployment rate can go down.  In other words, we’re a long way from things getting better, they’re just getting worse more slowly.

Resistance: The American right has decided on a policy of resistance to Obama which can be summed up as “thuggery”.  People are being trained and financed to go out and shout down Democrats or intimidate them.  There has already been some violence, there will be more.  The Obama administration thought they could avoid the rise of the refusnik right by refusing to act on most social issues, which is why they abandoned their promises to gays and have generally been unwilling to move on other social issues.  They took the lesson of the Clinton administration to be “don’t inflame the fanatics on the right—avoid social issues, and don’t slash the military”.  They were, of course, wrong: the radical right (and there is hardly a non-radical right left) will oppose Obama no matter what he does and if Obama is unwilling to use to the full might of the administrative apparatus against them, they will simply take advantage of his weakness to escalate.  Tactics which are seen to work, will not be abandoned, to the contrary, they will be used more and more.

Obama: Obama’s active period is about over.  Health care “reform”, if he gets it through, will probably be the last major policy.  While there are rises and falls, his overall popularity is trending down and that will probably continue.  The “honeymoon” is over, and it was used primarily to shove through a lousy stimulus that won’t lead to enough of a recovery, and with luck (for him) a bad global warming bill and health reform that isn’t.  Fortunately, banks and financial firms have been bailed out and are making lots of money, and should be in a position to reward Obama with significant funding in future elections.

Unless they decide that the Republicans will give them everything they want, too.

Add to that Republican weakness, and Obama’s inner circle may think they’re still cruising for reelection.  I’m not so sure.  Counting on your enemy’s weakness is a dangerous tactic, especially when you are doing little to ensure that they remain weak or that you remain strong.

Off To Victoria, BC

I’m leaving tomorrow for a 5 day trip to Victoria to see my father and help with some of his affairs.  Internet access will be intermittent at best, so posting is unlikely.  After that I’m back for a few days, then off to Netroots Nation in Pittsburgh from Thursday, leaving fairly early Sunday.  If you’re in either place during my stay, and would like to grab a coffee or some such, drop me a line.

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