Wednesday, July 29, 2009

Self-serving exaggerations and political fantasies

The most misused word in the health care debate is "reform." Everyone wants "reform," but what constitutes "reform" is another matter. If you listen to President Obama, his "reform" will satisfy almost everyone. It will insure the uninsured, control runaway health spending, subdue future budget deficits, preserve choice for patients and improve quality of care. These claims are self-serving exaggerations and political fantasies. They have destroyed what should be a serious national discussion of health care.

The health-care conundrum involves a contradiction that the administration steadfastly obscures: In the short run -- meaning four to eight years -- government cannot both insure the uninsured and rein in health spending. Here's why. The notion that the uninsured get little or no care is a myth: They now receive about 50 to 70 percent as much health care as the insured. If they become insured, they would use more health care, possibly as much as today's insured. That would increase both government and private health spending, depending on how the insurance is provided.

Wednesday, July 22, 2009

FYI: The uninsured are closer to 10 million than 45 million

This number, the number of insured Americans, is not an easy figure to find. Just try Googling it and you'll navigate through a frustrating labyrinth of dead ends, most of which lead you directly back to that uninsured "45 million" number. Eventually I had to ask the Centers for Disease Control and Prevention and the U.S. Census Bureau to get an answer.

It turns out that 253.4 million Americans -- or a whopping 83% of the country -- have health insurance, whether it's through private insurers, employer-based coverage, a government program or Medicaid/Medicare. The majority, 202 million of the 253.4 million, pay for private insurance.

And as a number of clever skeptics have recently pointed out, breaking down the 45 million number reveals that far fewer folks are actually uninsured. Nearly 10 million of those 45 million aren't even American citizens, and nearly 17 million of them can easily afford insurance, but choose not to get it (these folks will be taxed under Obamacare for opting out.) When the numbers are crunched, it turns out that only 11 million legal American citizens who would like health insurance don't have it, and even that figure is likely high. If we take it at 11 million, that's less than 4% of the country.

Now, it's important that we get health care to those 4%, of course. But is it really necessary to rip apart the health care system we currently have to do it? Yes, we all want better coverage that's more affordable and easier to navigate. Obamacare doesn't solve any of these. All it does is help less than 4% of the country get health insurance, while putting the rest of us through a tangled maze of bureaucracy, for worse care that costs just as much, maybe more. The long-term effects are even more frightening, but in the short term do we really want to penalize the many in favor of the (very) few?

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"Be fruitful and multiply and fill the earth and subdue it and have dominion...over every living thing..."

WASHINGTON -- President Obama's nominee for "regulatory czar" has hit a new snag in his Senate confirmation process -- a "hold" by Texas Sen. John Cornyn, who's says he's not convinced that Harvard professor Cass Sunstein won't push a radical animal rights agenda, including new restrictions on agriculture and even hunting.

Senators are permitted "holds" to prevent a vote on a nominee from coming to the floor. They are often secretive and for very specific reasons.

"Sen. Cornyn finds numerous aspects of Mr. Sunstein's record troubling, specifically the fact that he wants to establish legal 'rights' for livestock, wildlife and pets, which would enable animals to file lawsuits in American courts," the Republican's spokesman, Kevin McLaughlin, said in a statement to FOXNews.com.

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Monday, July 20, 2009

The rich democrats and taxes

A group of Democrats elected in recent years from some of the country's richest congressional districts have emerged as a stumbling block to raising taxes on the wealthy to pay for President Barack Obama's ambitious health-care overhaul just as the plan has begun to meet increasing resistance over its cost.

Friday, two freshmen representatives -- Dina Titus, from suburban Las Vegas, and Colorado's Jared Polis, representing Boulder, Vail and some of the tonier suburbs of Denver -- joined Republicans to vote against Mr. Obama's top-priority health-care overhaul when it faced a vote in their House Education and Labor Committee. One reason was a one-percentage point-surtax on couples earning between $350,000 and $500,000 -- gradually increasing to 5.4 percentage points on earnings more than $1 million -- to pay for it.

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Thursday, July 16, 2009

36 Czars: Too much power?

Candidate Barack Obama criticized President Bush for trying to increase executive power. Now President Obama finds himself the target of similar criticism as his growing army of czars raises concerns and questions about his authority.

Candidate Obama's complaints were usually about Bush excluding Congress from national security and civil liberty matters. But Republicans say his czars are shutting Congress out of health care and environmental issues.

By some accounts, there are close to three dozen so-called czars in the Obama administration, managing everything from closing the Guantanamo Bay detention facility to ending the genocide in Darfur, though the White House is reluctant to use the term "czar."

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Tuesday, July 14, 2009

Power to the people: Union official heads U.S. car industry

If U.S. auto makers are going to survive — government bailout or not — there's no leaving out the United Auto Workers. Delicate negotiations on things like retiree health benefits will be necessary as the car companies, unions and the government try to chart a course that will keep the American auto industry afloat. Enter Ron Bloom. President Obama has scrapped his initial plan for a "car czar", but Bloom — who has strong ties to private banking and labor — will reportedly serve in a high-profile advisory role on an automobile task force at the Department of the Treasury.

Fast Facts:

• Is currently employed by the Pittsburgh-based United Steelworkers union, which has 1.2 million working and retired members. Bloom has worked as a special assistant to the USW president since 1996 and his duties include helping the union affect corporate business restructuring, investments, bankruptcies and mergers. He is particularly known for working on deals related to recent steel industry bankruptcies. In many of these deals, the USW made considerable concessions in order to help steel companies stay afloat.

• Before taking a position with the steelworkers union, worked as an investment banker for 10 years, including as a vice president for Lazard Freres & Co. As a banker, he often worked on investment deals related to unions.

• In January 1990, Bloom and another Lazard banker quit the company to start their own boutique firm.

• Bloom is a 53 year-old New York native, has a bachelor's degree from Wesleyan University and an M.B.A. from Harvard Business School. According to the Pittsburgh Post-Gazette, he came from a proud union family that includes an aunt who was a leader in the teachers' union.

• After graduating from Wesleyan, he worked for the Jewish Labor Committee and the Service Employees International Union (SEIU). He reportedly decided to go to business school so he could help unions navigate the business world.

Saturday, July 11, 2009

I applaud him for his honesty

But despite the progress that has been made – and there has been considerable progress in parts of Africa – we also know that much of that promise has yet to be fulfilled. Countries like Kenya, which had a per capita economy larger than South Korea’s when I was born, have been badly outpaced. Disease and conflict have ravaged parts of the African continent. In many places, the hope of my father’s generation gave way to cynicism, even despair.

It is easy to point fingers, and to pin the blame for these problems on others. Yes, a colonial map that made little sense bred conflict, and the West has often approached Africa as a patron, rather than a partner. But the West is not responsible for the destruction of the Zimbabwean economy over the last decade, or wars in which children are enlisted as combatants. In my father’s life, it was partly tribalism and patronage in an independent Kenya that for a long stretch derailed his career, and we know that this kind of corruption is a daily fact of life for far too many.

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Tuesday, July 7, 2009

Uh-oh

PRINCETON, NJ -- President Barack Obama's job approval rating fell to 58% in Gallup Poll Daily tracking from June 16-18 -- a new low for Obama in Gallup tracking, although not dissimilar to the 59% he has received on four other occasions.

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PRINCETON, NJ -- While 67% of Americans view President Barack Obama favorably, his overall job approval rating and his ratings on specific areas are less positive. At the low end of the spectrum, only 45% of Americans approve of Obama's handling of federal spending, and 46% of his handling of the federal budget deficit.

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Wednesday, July 1, 2009

Read it and REEP

(CNSNews.com) – The 1,400-page cap-and-trade legislation pushed through by House Democrats contains a new federal policy that residential, commercial, and government buildings be retrofitted to increase energy efficiency, leaving it up to the states to figure out exactly how to do that.

This means that homeowners, for example, could be required to retrofit their homes to meet federal “green” guidelines in order to sell their homes, if the cap-and-trade bill becomes law.

The bill, which now goes to the Senate, directs the administrator of the Environmental Protection Agency (EPA) to develop and implement a national policy for residential and commercial buildings. The purpose of such a strategy – known as the Retrofit for Energy and Environmental Performance (REEP) – would be to “facilitate” the retrofitting of existing buildings nationwide.

“The Administrator shall develop and implement, in consultation with the Secretary of Energy, standards for a national energy and environmental building retrofit policy for single-family and multi-family residences,” the bill reads.

It continues: “The purpose of the REEP program is to facilitate the retrofitting of existing buildings across the United States.”

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Clinton makes her move: The race for 2012 begins

Secretary of State Hillary Rodham Clinton urged President Obama for two days to toughen his language on Iran before he did so, and then was surprised when he condemned Iran's crackdown on demonstrators last week, administration officials say.

At his June 23 news conference, Mr. Obama said he was "appalled and outraged" by Iranian behavior and "strongly condemned" the violence against anti-government demonstrators. Up until then, Mr. Obama and other administration officials had taken a softer line, expressing "deep concern" about the situation and calling on Iran to "respect the dignity of its own people."

Behind the scenes, the officials, who spoke on the condition that they not be named because they were discussing internal deliberations, said Mrs. Clinton had been advocating the stronger U.S. response, but the president resisted. When he finally took her advice, the aides said, he did so without informing her first.

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Nothing's perfect

Private for-profit clinics are a booming business in Canada -- a country often touted as a successful example of a universal health system.

Facing long waits and substandard care, private clinics are proving that Canadians are willing to pay for treatment.

"Any wait time was an enormous frustration for me and also pain. I just couldn't live my life the way I wanted to," says Canadian patient Christine Crossman, who was told she could wait up to a year for an MRI after injuring her hip during an exercise class. Warned she would have to wait for the scan, and then wait even longer for surgery, Crossman opted for a private clinic.

As the Obama administration prepares to launch its legislative effort to create a national health care system, many experts on both sides of the debate site Canada as a successful model.

But the Canadian system is not without its problems. Critics lament the shortage of doctors as patients flood the system, resulting in long waits for some treatment.