Showing posts with label amateur hour. Show all posts
Showing posts with label amateur hour. Show all posts

Tuesday, January 25, 2011

More Proof That Obama Care Got It Wrong

A new report from the National Research Council had some very interesting findings, findings that continue to prove that Obama care got the whole approach to solving the nation's escalating health care costs wrong in its approach and strategy. The National Research Council is part of the National Academy Of Sciences, an independent organization of the Federal government, chartered by Congress to advise the government on scientific matters. Thus, the government did not even listen to itself when it cobbled together the looming disaster know as Obama Care.


According to the report:

- The United States spends more on health care than any other nation in the world but has worse life expectancy than many other nations who spend less.

- The  U.S. average life expectancy at birth for women is 80.8 years and 75.6 years for men.

- In France, women's life expectancy is 84.4 years and for men it is 77.4 years.

- In Japan, women's life expectancy is almost 86 years and for men it is 79.2.

- The report concludes that smoking and obesity are the primary drivers of the U.S.'s poor performance since, according to the findings, over the years, the U.S. led those unhealthy trends of eating too much of the wrong kinds of food and smoking too much.

- The report found in countries where women's life expectancy was high, there was a strong correlation with low smoking levels and in those countries where women's smoking levels were comparable to U.S. smoking levels, life expectancy was about the same as in the U.S.

- The report estimated that between 25% and 33% of the shortfall in life expectancy in the U.S. was due to obesity.


Well, what a surprise. If you do not take care of your body and health, you will live a shorter life and probably live a less healthy life. This is not rocket science. I would also assume that even if these bad habits do not shorten your life, they certainly make you more unhealthy and more likely to need medical care, further burdening the health care industry and adding to the cost of providing health care service.


Consider some other recent scientific findings that we have discussed in this blog:


- In a Fortune magazine article last year, the head of the world renowned Cleveland Clinic was interviewed and he estimated that smoking, obesity, and lack of exercise account for the majority of illnesses in this country.

- The Cleveland Clinic significantly reduced the health risks of those that work in the Clinic and the entire county where the Clinic is located by offering smoking cessation classes, exercise options, and improved eating options in their cafeterias.

- An AARP Magazine article from their December, 2010 issue reported on how a small American town had implemented a town wide health drive that had resulted in many townspeople using the program to drop considerable amounts of excess weight.

- A December 24, 2010 article from The Week magazine reported on how Americans take in too much salt in their diet and that just a small reduction in that amount could save upwards of 100,000 lives a year that occur as a result of excess salt (a 13% decline), and the incidence of new heart disease and stroke cases would decrease by 11% and 8% respectively.

- In that same issue of The Week, another article reported on how American kids spend way too much time passively watching television and not getting up and exercising, behavior that results in poorer school performance, a higher chance of being bullied, and higher ratios of body fat.


As we have said many times before, the probable root causes of escalating health care costs in this country is a public health problem of too much smoking, too much eating, too much eating of the wrong types of food, and not enough exercising and movement. The need for higher taxes, the need to force everyone to purchase health care insurance coverage, and the need to implement an incredibly complex, inefficient and expensive government bureaucracy to administer Obama Care are probably not the root causes.


Unfortunately, this latter approach is what the political class decided to implement. It does not address these root causes, causes that are best addressed by a public health approach, not a taxation and government control/bureaucracy approach.


In fact, I would maintain that Michelle Obama has done more to improve the health care situation in the United States than the President and all of Congress has done. Ms. Obama has been active in promoting programs to get kids up and out and active. Just this past week, she held a joint news conference with Walmart officials where they jointly announced an effort to make the food products sold in Walmart supermarkets healthier. No additional taxes, no additional impositions on freedom, no additional government intervention in our lives, just sound, simple public health improvement actions.


What should we do to fix this wrong headed and doomed to failure approach of Obama Care? Consider two steps from "Love My Country, Loathe My Government:

- Step 28 - implement a subject matter expert panel of smart Americans, a panel that would not include politicians and lobbyists, that would execute a ground up approach, problem solving exercise to fully understand the underlying root causes of our nation's poor health and resulting high health care costs. Once the underlying causes were identified, implement the probable public health care strategies to begin changing eating, exercising, and smoking behavior, not changing tax laws.

- Step 5 - last year, the Obama administration admitted that upwards of $100 billion a year is lost through government health care programs to fraud and criminal activity. A $100 billion is a lot of money, money that could be better spent helping provide health care coverage and services to Americans that need help. Thus, this step would aggressively staff up anti-fraud and anti-criminal behavior and tighten up the processes to reduce this obscene amount of taxpayer money wasted through fraud. Better to hire more government agents to go after real criminals in this fraud area than to hire more government agents to pursue and criminalize honest Americans that do not purchase health care coverage under Obama Care.


A third step, although not included in "Love My Country, Loathe My Government" has some fascinating possibilities. If cigarettes were outlawed altogether, you can be sure that a criminal black market would develop in cigarettes, contributing to the rise of yet another government fostered criminal enterprise, just like Prohibition did and just like the War on Drugs does. However, what if you made it so unattractive to smoke that you achieved the same objective without criminalizing smoking?


The genesis of this approach was identified in a short blurb in the November 19, 2010 issue of The Week magazine which named www.Boston.com as the source. According to the blurb, beginning on January 1, 2011 the Massachusetts Hospital Association will no longer hire people who smoke tobacco. The obvious intent is to reduce, an intent that was verified by the CEO of the Association, the overall number of smokers. As we know from results and research listed above, dropping the smoking rate results in all kinds of good health care results.


In this approach, no one is forcing smokers to stop smoking. No one is making smoking illegal. No criminal enterprises arise. However, there is one less employment opportunity for people in the Massachusetts area. What if Obama had taken the following approach:


- Starting in 2013, the Federal government will no longer hire anyone who is a smoker.

- Starting in 2015, anyone on the Federal payroll who is still a smoker will be removed form the Federal payroll.

- Between now and the beginning of 2015, the Federal government will provide extensive smoking cessation support for current government employees who smoke.


This example might actually ripple through the economy as companies take their lead from the Federal government, resulting in a healthier and longer living America.


Would there be lawsuits implemented by smokers? Probably, Would they be successful? I do not know but the Massachusetts Hospital Association does not think they would be successful, given that they have already implemented this process under the legal assumption that "smokers" are not a protected class.


This is the type of original thinking and creativity that was totally absent from the formulation and writing of Obama Care. The political class just did what they always do, pass muddled legislation that adjusts taxes and creates more bureaucracy without ever addressing the root causes. This behavior is something we like to call "Amateur Hour" and is another case where they got it all wrong again.





Our book, "Love My Country, Loathe My Government - Fifty First Steps To Restoring Our Freedom And Destroying The American Political Class" is now available at www.loathemygovernment.com. It is also available online at Amazon and Barnes and Noble. Please pass our message of freedom onward. Let your friends and family know about our websites and blogs, ask your library to carry the book, and respect freedom for both yourselves and others everyday.


Please visit the following sites for freedom:

http://www.cato.org/
http://www.robertringer.com
http://realpolichick.blogspot.com
http://www.flipcongress2010.com/
http://www.reason.com/
http://www.repealamendment

Monday, January 24, 2011

Amateur Hour In Washington D.C., Part 4 - Does Anyone Have A Plan For Anything?

This is the fourth and for the time being, last, in a series of posts where we look at the utter incompetence of the American political class. The first part of this series looked at four specific examples of amateur hour behavior and incompetence from our politicians. The second part looked only at the failed on War On Drugs, a government initiative from the Nixon era that has failed by just about any measure. The previous post looked at three forms of corruption that distract politicians from ever getting around to resolving any major issue or problem.

Today we will play a little game called "What Is The Plan?" Using just a representative sampling of news and magazine headlines from the past six months or so on a variety of topics, please read the information and then try to explain to yourself or anyone else what the plan is behind these government and political class actions. I am pretty sure that you will not be able to coherently explain what the resolution plan is to these issues since these plans probably do not exist.

And therein lies the problem: maybe many of these issues never get resolved because the political class never seems to put together a rationale and doable plan, usually because they never take the time, effort, and brain power to understanding the underlying root causes of our issues. Typical amateur hour stuff, never understanding a problem, like an amateur, greatly reduces the potential for resolving those issues.

So, here we go. Read the headlines and see if you can understand what the political class "plan" is:

Afghanistan/Iraq:

"The Real Cost Of Endless War" - The Week magazine, 8/20/10

"Iran Charts Future In Iraq" - Newsweek, 8/23/10

"The Fight Against Corruption In Afghanistan" - The Week, 9/24/10

"Karzai (Afghan President) Gets Large Cash Drops From Iran" -  LA Times, 10/10

"Spoils Of War For Sale In Pakistan" - Associated Press, 10/8/10

"Bringing The Taliban To The Table" - The Week, 10/2910

"Kabul - Bags Of Cash From Iran" - The Week, 11/5/10

"Afghanistan - Rampant Election Fraud" - The Week, 10/29/10

"NATO Needs 900 Afghan Trainers" - Associated Press, 11/8/10

"Rising Tensions With Karzai" - The Week, 11/2610

"Fooled By Taliban Imposter" - The Week, 12/3/10

From these headlines, one could conclude that the administration's Afghanistan/Iraq strategy involves: 
  • Allowing corruption to flourish at all levels from the President to elections to the black market shops in Pakistan.
  • Allowing Iran to have a larger and larger say in both Iraq and Afghanistan.
  • Allowing military training needs to go unattended until more than nine years into the conflict.
  • Spend a lot of "endless" money with no battle field success.
  • What apparently is not part of the plan is actually winning the war since it seems we never see headlines that address that rather important objective. 
No plan, no success.

Obama Care Ramifications:

 "AT&T, Verizon, Caterpillar, John Deere May Cut Employee Health Insurance" - Fortune magazine, 5/6/10

"21 Million Americans Still Uninsured By 2016" -              
Congressional Budget Office" - Reason magazine, 8/10

"Health Overhaul Means Longer ER Waits" - Associated Press, 7/2/10

"Will Health Reform Affect My Plan?" - Kiplinger Personal Finance, 8/10

Fortune Interview of AT&T Chairman Randal Stephenson where he states that AT&T may drop its health insurance plans for its employees and retirees as a result of Obama Care - Fortune magazine, 8/10

"MacDonald's May Drop health Plans" - Wall Street Journal, 9/3/10

"Worst Health Care and More Expensive Under Obama Care" - Cato Policy Report, 9/10

"AARP Hikes Employee Healthcare Costs" - Yahoo News, 11/4/10

"Obama Care May Spur Merger Mania" - NY Times, 11/21/10

"Doctors Brace For Possible Big Medicare Cuts" - Associated Press, 1/12/10

"Health Care (Obama Care) Rules Are Waived More Often" - NY Times, 11/9/10

From these headlines, on could conclude that the plan for health care reform involves: 
  • Endangering the current health care insurance coverage of millions of current and retired employees from America's largest corporations.
  • Reduce health care insurance coverage for those Americans currently covered while leaving 21 million uninsured Americans still uninsured.
  • Increase ER waiting times, make health care quality worse, reduce competition, and make health care costs more expensive. 
No coherent plan, unintended and bad consequences. Amateur hour.

Government waste and incompetence:

"94 Charged In Medicare Fraud Totaling $251 Million" - Associated Press, 7/16/10

"A Case Study In The Folly Of Stimulus" - The Week, 7/23/10

"Investigation Ties Military Workers To Child Porn" - Associated Press, 7/23/10

"Strangled by Pork In West Virginia" - the Week, 7/23/10

"50% of Government Flu Vaccine Unused and Destroyed At Cost Of $260 Million" - The Week, 7/23/10

"North Carolina Spends $1.1 Million To Slightly Adjust Restrooms For ADA" - The Week, 8/13/10

"Fannie and Freddie Keep Losing Money" - The Week, 8/20/10

"Mortgage relief Program A Bust" - Associated Press, 8/20/10

"Governments "Biggest Source Of Pollution" - Reason magazine, 10/10
"Feds Fail To Use Land For Solar Power" - Associated Press, 9/1/10

"Stimulus Assessments Overly Optimistic" - Associated Press, 8/26/10
"Just 2% Of Haiti Debris Cleared" - Associated Press, 9/12/10

"Rich People Collect Unemployment" - The Week, 10/15/10

"Stimulus Checks Sent To Dead And Jailed" - The Week, 10/22/10

"Freddie Mac Posts $4.1 Billion Loss" - Associated Press, 11/3/10

"Mismanagement Rampant In Pubic Housing" - Associated Press, 10/28/10

"Mystery Train - California Spends Billions But No Train After 14 Years" - Reason magazine, 11/10

"$700,000 Taxpayer funded Play On Climate Change" - Heritage Foundation, 10/4/10

"California Recipients Waste Welfare Money" - The Week, 11/12/10

"Six Million 2000 (Presidential) Paper Ballots Still Stored" - The Week, 12/19/10

"119,000 Planes A Mystery To FAA" - Associated Press, 12/10/10

"$140 Million Stimulus Wasted" - The Week, 12/17/10

If we did not know better, we could conclude that wasting taxpayer money and failing to fulfill the jobs government agencies and individuals are supposed to do was actually the plan, given how much waste and failure there is vs. the lack of efficiency and effectiveness. It is has to be amateur hour for this much chaos and waste to exist.

There never is a plan. There never is a plan to resolve the continuing illegal drug problem. There never is a plan for failing public schools. There never is a plan for developing a coherent, national energy policy. There never is a plan for containing government spending. There never is a plan for fixing the rapid approach to insolvency of Social Security and Medicare. There never is a plan to efficiently fix our crumbling infrastructure. There never is a plan for anything.

And just so we are clear, just spending more money is not a plan. That is how we managed to waste hundreds of billions of dollars for Obama's many failed economic programs from the stimulus program to Cash For Clunkers to First Time Home Buyers Rebate to the failed mortgage fix programs. A plan involves understanding reality, understanding the root causes of a problem, and developing tactics that efficiently address the reality and root causes. Under this definition of  a plan, I dare anyone to tell me what the plans are for solving our problems as developed by the political class.

A few steps from "Love My Country, Loathe My Government" would help in this planning area:
  1. Step 1 - reduce the size of the Federal government by 10% a year for five years so that the waste is wrung out of the government processes and the political class gets much more focused on far fewer projects. A tighter focus might eventually result in coherent and doable plans.
  2. Step 34 - hold Congressional committee members accountable for their committees' responsibilities, removing them from their committee posts for allowing the rampant amount of waste and mismanagement to continue on their watch.
  3. Steps 26 Through 29 - implement the processes introduced in these steps to finally come up with a rational problem solving process and plan to address the problems of rising health care costs, national energy policy, the war on drugs, failing public schools and illegal immigration in a professional and effective manner.
Maybe by implementing these steps we might finally hear a politician say: "I love it when a plan comes together," much like the A-Team used to say every week during its TV run. Unfortunately, with our politicians, we may never hear that statement until amateur hour ends.




Our book, "Love My Country, Loathe My Government - Fifty First Steps To Restoring Our Freedom And Destroying The American Political Class" is now available at www.loathemygovernment.com. It is also available online at Amazon and Barnes and Noble. Please pass our message of freedom onward. Let your friends and family know about our websites and blogs, ask your library to carry the book, and respect freedom for both yourselves and others everyday.


Please visit the following sites for freedom:

http://www.cato.org/
http://www.robertringer.com
http://realpolichick.blogspot.com
http://www.flipcongress2010.com/
http://www.reason.com/
http://www.repealamendment