Maggie's FarmWe are a commune of inquiring, skeptical, politically centrist, capitalist, anglophile, traditionalist New England Yankee humans, humanoids, and animals with many interests beyond and above politics. Each of us has had a high-school education (or GED), but all had ADD so didn't pay attention very well, especially the dogs. Each one of us does "try my best to be just like I am," and none of us enjoys working for others, including for Maggie, from whom we receive neither a nickel nor a dime. Freedom from nags, cranks, government, do-gooders, control-freaks and idiots is all that we ask for. |
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Sunday, July 26. 2009Market failureDoes medical insurance represent a market failure? Robin Hanson Related: When politics replaces market forces. A few Sunday morning linksThe importance of good conversation. AVI Nostalgia for racism. Liberals should be fighting white stereotyping. Driscoll Review the darn checklist before landing Victory was not a dirty word in the election. So why now? The coming middle-class tax hikes. Related: The freedom you would lose under Obamacare. Some good news from Africa. Front Page This recession has more government policies that discourage work. I have heard this, around. Take a sabbatical and stretch out that unemployment. Or find some disability if you can. Hypocrite du Jour: Thomas Friedman. Glib and sanctimonious, like so many at the NYT. Forcing people to get medical insurance who don't want it. Iraq Powerpoint in the US Army. PowerPoint is lethal, in a way: it's mind-numbing. Powerpoint and meetings are the reasons Coyote quit corporate America to become an entrepreneur. Saturday, July 25. 2009"Let science decide," and other thoughts about medical care, with a surprise appearance by Little Susie The Crack Whore
I guess it didn't occur to her that doctors know some science - and they also know something else: they know their patient. No two patients are alike. People do not want an "approved treatment protocol" - they want to work it out with a doc who is working for them, and is not a de facto civil servant. I think what Sebelius means is not "science": she means a board of cost-containing medical efficiency experts. However, I do not think anybody wants a government to have that sort of power. Governments create omnipotent monopolies. It's one thing for a private medical insuror to tell you they don't cover in vitro fertilization, and another for the government to tell you that you cannot have it because "science says" that it's not cost-effective. In the former case, it's a freely-entered association, as Milton Friedman would say, and if you want the in vitro badly enough, you can save your pennies and get one. Furthermore, I'd much rather make an appeal to a private biz than to the government. We suspect that the government wants two things: 1. To get more folks on the Government Plantation and, 2. To control Medicare costs. Re the latter, the O might be right that it may have been unwise for his Grandma to have a hip or knee replacement when she was dying from cancer - but he is correct that 80% of medical costs occur in the final year of life. However, unless somebody has terminal cancer or something comparable, how do you know it's somebody's final year of life in advance? Another related issue is the equating of "health care" (a dumb term) with medical insurance. I suppose with the high costs of medical technology and hospital treatments, those costs are out of reach for the average person (which is why we buy cheap catastrophic, ie high-deductible medical insurance) but, for most purposes in life, a regular office visit for a bad sore throat or a camp physical doesn't cost very much at all, while an ER visit for your bad sore throat can set you back $750. We agree that it is foolhardy for anybody who is not wealthy - especially for a family - to carry no catastrophic major medical insurance, because bankruptcy sucks. We also think it is foolish for people to expect insurance to cover every office visit: the whole point of insurance is supposed to be that you hope you never need it. However, years of Medicaid (for the poor), Medicare (which pays for everything, at low rates), union-driven medical benefits and work-related medical benefits have produced a sense of entitlement and, we would argue, have driven up the cost - and the quality - of medical treatment in the US. What is the right role for government in medical care? We don't know, and we don't trust anybody who says they know. Fact is, government already controls much of it via Medicare, Medicaid, and now SCHIP. It has been incrementalism at work, with the long socialist view. One thing we do know is that fewer and fewer Docs want to accept Medicare, and few ever accepted Medicaid except for charity clinics and inner city Medicaid mills staffed by foreign medical graduates. Why do so many Docs opt out of Medicare? Because of the paperwork requirements and the unsustainable rates of reimbursement. When people get a doctor's bill, they often forget that it's not a bill for his time: it's a bill for his rent, his machines, his two nurses, his insurance coder, his bookkeeper, his receptionist, his staff's benefits, his malpractice insurance, etc. Your local Internist and Pediatrician is not getting rich on $65 office visits these days. In fact, they are struggling. No, the big costs are tests, some medicines, hospitalizations, cancer treatments, dialysis, the ICU, etc. The big ticket items - and those costs are not compressible. They can only be rationed if costs are to be cut. We do not think those costs should be cut, because we believe that such decisions are a matter of personal choice and freedom and, as they always say, "All you have is your health." Or your disease, as the case may be. We wish we knew the right answers to all of these issues but, despite the problems, we will say one thing: With the best, most innovative and most available medical care in the world, one must be extremely careful about messing with it. Freedom is always messy. We re-link Cardinal at Tigerhawk's defence of American medicine. From another point of view, a quote from an annoyed Vanderleun's Who, Whom?, which reiterates our Roger's thoughts about The Plunder Economy:
That is a bit cold, Mr. V. Written by The B and BD together. Friday, July 24. 2009Friday afternoon linksAway this weekend, but here are a few links I want to get out there first: It's better to be tall. I always wanted to be 6'3, and now I see why. I blame my parents. Academic Groupthink. I'm bipolar. Cut me a break. Missed this: The Pope on Love in Truth. The O's fate depends on Perot voters Why should our tax dollars be going for stuff like this? Civil war: Black Caucus vs. Blue Dogs. Where does the Irish Caucus stand? Gov. Pawlenty: This was a joke on the American people If Bush made this sort of factual error. What a phoney, as Holden Caulfield would say. Gov. Perry of Texas, standing up to The Man. That is an American thing to do. The Krautman on why Obamacare is sinking. One quote:
Related: How the O stumbled. WSJ Related: Medical care? Few care all that much. Just for laughs, I want to hear these tapes. Related: If he's so smart, how come the Prof doesn't know these basic facts?. Related, from Rush: "The only racial profiling in Cambridge Massachusetts is in the Admissions Office of Harvard University." Watch for the OFA to come knockin' on your door VDH on how the O could have done things right. The O's problem: Glibness. Powerline:
Driscoll reported this, and it sounds right to me:
The guy likes to slide over the surface. That is a character trait. How to pay for the O's plans? It is beyond parody. Related, from Willisms, below:
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Friday morning linksThe Little Sisters of the Poor Upping the ante again: Climate change a threat to national defence. Gimme a break. Another new study blames everything on the Pacific Oscillation. I doubt mankind can control that thing. Leszek Kolakowski died. Stunning photo of Mt. Everest (h/t, Miller) Brits considering school vouchers. Good on 'em. I guess they don't have teachers' unions. A movement to make hot dogs politically incorrect. Nice try. Loonies and cranks are trying to run the world.
A good defence of American medicine by Cardinal at Tiger. One quote:
From The Unbearable Whiteness of Maureen Dowd, at Am Spectator:
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Thursday, July 23. 2009A reprieveThe medical insurance mess has been put on hold for the summer, at least. I guess it's not really all that urgent after all. The O did his cause no favors last night, as Betsy summarizes. And after Carnahan and Sibelius got laughed at in Town Hall meetings this week, it must have been clear that nobody was buying the government line. Remarkably, and in contrast with the rest of the fawning press, the AP saw fit to point out the O's lies. I repeat: Isn't lying supposed to be a bad thing? Can I go on blog vacation now? A missed opportunityI agree with Vanderleun that the "press conference" last night was a fellatio fest of seemingly prepared and rehearsed questions with lying responses (lying is back in fashion), but the O missed an amazing opportunity. Among the softballs and adulation was the question about Prof. Gates' arrest for disorderly conduct with police officers. The correct answer was this: "Our American police officers respond to calls of all sorts, never knowing what sort of situation they are walking into. Their job is to protect the honest and the innocent, and our job as citizens is to give them the respect and gratitude they deserve for doing that." In my view, Gates should have thanked the officers for wanting to protect his house. Most people know that it is never wise to give shit to police officers, regardless of the situation. Cops are always a bit edgy on the job - and rightly so. And the "Don't you know who I am?" approach only works for Kennedys: they own the copyright. Update: The O didn't mean to call the cops "stupid." Of course not. Update: The cop comes across as more professional than the O:
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Thursday morning linksDick Morris on the polls Layers of bureacracy at UNC-CH. Your tuition dollars at work. The US immigration Diversity Lottery. No Brits need apply. Dems go after the Career Colleges. I happen to think that Career Colleges are a great innovation. What is Russia up to? Nyquist From a Rasmussen medical care report:
Americans aren't stupid. Only the terminally naive think otherwise. The Blue State Meltdown. The American Smart political advice via NRO Abortion and assisted suicide would not be rationed! Honduras throws out Venez diplomats. Good idea A Republican! At my cocktail party? The government has spent 79 billion on climate studies The
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Wednesday, July 22. 2009Water Displacement Formula, 40th attempt
The guy behind WD-40 died this month. Well done, sir.
"You're going to destroy my presidency."That was the O's comment in a meeting of balking Dems. Why the desperation? I am following this story closely because I think these folks are freaking insane. They are in over their heads with no clue of what they are doing, no clue about what hospitals and my Doc friends do or how they do it to produce the treatment that the entire world envies. Some of the Dems seem to know it. And the rush makes no sense at all. Dems baffled by President's stance. I think I said it yesterday: This is getting stranger and stranger.
Says Powerline's Paul:
I trust my doctors. I do not trust the wisdom of my politicians. I want the pols kept away from my Docs: the same distance as from my pastors. I do not want Dear Leader deciding whether Gramps lives or dies. I will be Gramps, someday - God willing. I will give the last word for today to NRO:
Good point about arrogance, and related medical issuesA good point about arrogance from Stossel:
As Lowry says, these guys are reckless. Recklessness is always a bad thing, and few good things happen in pubs after midnight. Am Thinker: Obamacare is a sick joke. A quote:
And here's something actually constructive: How to make health care reform bipartisan And as Althouse says:
And at NRO:
And a repeat: How is abortion "healthcare'? It's about killing, isn't it? Not on my nickel. I refuse to pay for your abortion, or your tummy-tuck. Why the heck do we have to spend so much energy trying to stop the government from doing stuff for us? We can tie our own shoes. As Sissy says, "Just leave us alone." We would rather figure it out for ourselves. We aren't morons. Photo: I'll bet young readers do not know who that is
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Wednesday morning linksThe world values survey, Could spend lots of time perusing it. Darned interesting. h/t, Gene Expressions Just like they changed "Global Warming" to "Climate Change." It's now "Underrepresented Groups" instead of "minorities." Right out of Orwell's handbook. The darn Asians and Pakistanis and Indians messed it all up by being so successful, and opted out of the "rainbow coalition." Public laughs out loud re Obamacare. Video at Michelle. Sheesh.That's bad. Sissy: Why can't they just leave us alone? The new Depression begins to bite. Good grief. Must be NYC workers. Are there linguistic tells for narcissism? Dr X considers Everybody I know has stopped spending on useless crap too. Relationships are all that matters...except guns and guy toys and new camo and stuff. The governors hate Obamacare. I think ObamaCare is in the ICU, dying on life support. But it's a scorched earth approach, says Wiz. More: 100 million citizens would get screwed by ObamaCare. More: The O taps into the useful idiots
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Tuesday, July 21. 2009The problemTiger quotes Brooks on the Dem overreach on spending. It's freaking people out, and it is why the O is sinking fast in approval. People voted for Hope. That's pretty vague, and easily undone. Not that the Repubs were much better. This from Willisms:
Not sustainable, dudes. We the people can only work so hard and, at some point, we will not want to bother. The only reason we work is for our families - and sometimes for the fun of it too. AdmitsThe O admits he is not familiar with the House health care bill he is selling. It all just gets stranger and stranger. And desperate. This stuff is too important to people to rush through. Tues. morning linksImage above from Iowahawk, of course I heard on the radio news today "The US is the only of the advanced industrial nations without government medicine." I wondered "What's wrong with that?" No NHS, Please. We're Americans. The O's Green Jobs Czar: We stole stuff. Another honest fellow in DC. Statistics on the sun and sunspots. I'm not dead yet. Via Insty:
Does dying of a heart attack on the tennis court qualify as "dignified"? I think it should, but it does rudely inconvenience the remaining three - assuming it's doubles.
The demographic death of Japan The Great Uniter. (h/t, Driscoll) Wilkinson on Peter Singer on medical care rationing The AMA betrays its profession. Civil servants cannot be professionals because a key part of being a "professional" is being beholden to your own conscience and judgement, not outisde forces. Another Sen. Dodd update. Just the usual sleazy, lying, greedy pol. Good example of why Conservatism sucks right now. George Will on why it ain't smart to soak the rich The O is slipping faster on key issues. Duh. Guy is an amateur, and his issues are nuts. Corzine is gonna lose the election. He is dead meat, but nobody can fix NJ's mess. The WH hides the budget mess. Wait 'til everybody's on vacation. From Front Page:
Watch out, NYH-Presbyterian, Mass General, and Mayo Clinic. Via Viking: Large urban teaching hospitals - including hospitals that are the biggest engines of the Boston economy - are facing the loss of hundreds of millions of dollars under national health care reform as rural lawmakers on Capitol Hill wage a fight to win more federal cash for their local institutions.
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Monday, July 20. 2009Betsy McCaughey weighs in
She read the draft bill so you won't have to. Medical policy wonk Betsy McCaughey weighs in on ObamaCare.
Dumber than you or meJohn at Powerline speculates that journalists are dumber than the average bear. I think John overestimates the brains, curiosity, and skepticism of the average bear (tho maybe not of the average Powerline reader), but I do get the point: professional journalists are supposed to convey useful and accurate info for the rest of us, with enough of the inside baseball to help us understand the game that is being played. Statistics, math and science tend to be among their weak points. It is easy to be a half-competent writer without understanding in depth what you are writing about. We prove that here, daily. However, we do try to link to those who might have a clue. What worries me more is the power, ignorance, perfidy, and manipulativeness of politicians. Your stimulus tax dollars at workVia Drudge: RECOVERY.GOV // AWARDED: $2,531,600 FOR 'HAM, WATER ADDED, COOKED, FROZEN, SLICED, 2-LB'... I would happily repair that door for half the price. How to rush a dealNeal Cavuto on Imus right now discusses the car salesman trick of "rushing a deal." "Don't let them leave the salesroom without signing." "Now or never," "A one-day-only deal" - all the tricks. He discusses car sales tricks, and says that is what the O administration does with legislation. I tend to agree. Monday morning linksWhen pols run car companies. Betsy Related: Will small be beautiful for GM? WSJ Sacha Baron Cohen will kill Bruno NYT considers foundation support for news. Buzz Machine wonders whether there is a new model for news collaboration. Who says there's no competition in medical insurance? Vote us the medical plan Congress has. Details at Surber ACORN take note: Zelaya had vote figured in advance ObamaCare would cover 12 million illegals Ex-cons counsel cons-to-be Rush on Sarah: Name for me any Republican or conservative who has had a 72% approval rating in the party after a year of trashing by the State-Run Media and the Democrat Party. Name for me one Republican candidate who has maintained a 72% approval rating while their life and their career has been under assault for the purpose of destruction, which is the case with Sarah Palin. Do I understand cardinal vs. ordinal understandings of well-being? And that's the way it wasn't. Driscoll with a good history of "the news". Related, Wizbang is not praising Cronkite Inside the monstrous ObamaCare bureaucracy. Michelle "We gotta do it now" doesn't always work the second time around. Add it to the list: global warming causes squid. Me likes to eat squid, lightly sauteed with white wine, butter, olive oil, parsley and garlic. "By then it's too late." Insty: HEALTHCARE UPDATE, from the Los Angeles Times: “The president knows his keystone program is in deep trouble and losing momentum. That’s why his organization is sending out all those e-mails and organizing local discussion groups to mobilize grassroots support and why he drags the subject into everything he talks about. . . . Obama’s current problem is actually crumbling support among Democrats, dozens of whom are beginning to waver over the scale of such spending, whether some of it eventually gets covered by savings or not. They know that conveniently-predicted future government savings have a way in Washington of not actually ever materializing. But by then it’s too late.”
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Sunday, July 19. 2009Heading towards Carter CountryFrom a harshly critical op-ed by Matt Welch in the WaPo:
Saturday, July 18. 2009Rules of EvidenceBar exam. Oh boy. For Rules of Evidence, it's 70% exceptions to The Rules, after you learn The Rules. We did Wills and Estates yesterday. It caused us to rethink our wills. We parents of the graduate Law Student are having fun learning this stuff. It's sort-of crazy, and sort-of not. Good rule of thumb: stay clear of The Law if possible. It seems to be its own wacko universe, and not for amateurs. All Dems voted "Nay"All the Dems voted Nay on a proposal for them, their families and staff to agree to join the Dem "public option." Including Bernie Sanders. Enough said. Saturday morning linksCheetos-flavored lip balm 1925 Bugatti from Lago Maggiore Ten weird ways we deal with the dead Iran: still in turmoil The CIT story: It's a big deal for many businesses Is it Pelosi Payback? The Sun of Songun Shedding Its Rays All over the World How the trillion-dollar Federal takeover works. Pajamas. It is a stealth bill designed to eliminate private choice in medical insurance, and thus to eliminate choice in insurance plans. A Lib says pass health care now: do the rationing later:
Via Viking:
The abortion mandate in the health care plan. What does abortion have to do with health? LaShawn also wonders about that. I thought having babies was healthy. Hands off my Healthcare protests across the country The Massachusetts "health" plan. Watch Docs run away As goes California... Paul Rahe: The Road to Soft Despotism, Part 2 Totten: Uncertainty in Iraq
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Friday, July 17. 2009The crisis of Veterinary costs
Woops. I thought this was about my Vet bills, which far exceed my medical bills with the dogs, the wife's horses, etc. When will the government care about the health of my animals? I cannot get insurance for any of them. We will tolerate no rationing of medical care for our beloved animals. Amazingly, I hear Bob Beckel on Sean saying that nobody can afford their kids' regular medical check ups. WTH?Why should I take care of Bob Beckel's kids? I will take care of his kids when he takes care of my cars.
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