Showing posts with label ObamaCare. Show all posts
Showing posts with label ObamaCare. Show all posts
Saturday, February 16, 2013
Tuesday, February 12, 2013
"Why have Americans lost their devotion to the future?"
Asks David Brooks, observing that America was built on a "future-oriented mentality," but these days we "sacrifice the future for the sake of the present." Read the whole thing to see if you agree with that premise, which is backed up by assertions like: "The federal government is a machine that takes money from future earners and spends it on health care for retirees." Taking the premise as true, why is it happening? Brooks goes back to the big events that shaped The Greatest Generation:
Oh, the trouble we made, changing the culture, restructuring the politics, leveraging our numbers. Don't say we didn't look to the future! The future was us getting old.
We set up the benefits programs, and we taught the younger generations to believe in them, deeply and emotionally. We're just trying to get to the end without their noticing what we have done. It's a tricky business, because we want the money to flow into our needs as we struggle to live longer and longer, sucking more and more of the life out of the young before we die.
Wasn't it amazing the way we got you to love Obama — the last of the Baby Boomers (or did you believe him when he said he was post-Boomer?)? Under the banner "HOPE," he got you to believe in a health-care scheme that forces healthy young people to sacrifice your hope of building individual wealth.
Obviously, the story isn't over yet, but what will be left when we're gone? How long will that take? It depends on how securely we've structured this thing, how long your soppy empathy lasts, and whether the "death panels" taunt keeps working to deter you from the kind of self-serving politics from which we ourselves never refrained.
The Great Depression and World War II forced Americans to live with 16 straight years of scarcity. In the years after the war, people decided they’d had enough. There was what one historian called a “renunciation of renunciation.” We’ve now had a few generations raised with this consumption mind-set. There’s less of a sense that life is a partnership among the dead, the living and the unborn, with obligations to those to come.Interesting avoidance of the obvious generation that deserves the blame. I'm talking about my generation: The Baby Boomers. We didn't endure the Great Depression and World War II, but we were raised by parents who found it just wonderful to have a predictable quiet life home life, comforts that were perfectly normal to us, but without the prior deprivations, boring and unsatisfying.
Oh, the trouble we made, changing the culture, restructuring the politics, leveraging our numbers. Don't say we didn't look to the future! The future was us getting old.
We set up the benefits programs, and we taught the younger generations to believe in them, deeply and emotionally. We're just trying to get to the end without their noticing what we have done. It's a tricky business, because we want the money to flow into our needs as we struggle to live longer and longer, sucking more and more of the life out of the young before we die.
Wasn't it amazing the way we got you to love Obama — the last of the Baby Boomers (or did you believe him when he said he was post-Boomer?)? Under the banner "HOPE," he got you to believe in a health-care scheme that forces healthy young people to sacrifice your hope of building individual wealth.
Obviously, the story isn't over yet, but what will be left when we're gone? How long will that take? It depends on how securely we've structured this thing, how long your soppy empathy lasts, and whether the "death panels" taunt keeps working to deter you from the kind of self-serving politics from which we ourselves never refrained.
Labels:
baby boomers,
David Brooks,
death,
death panels,
economics,
emotional politics,
ObamaCare
Wednesday, February 6, 2013
Is government an "impetuous vortex" or a "hideous monster [with] devouring jaws"?
Reading the Obamacare case in class preparation today, I notice those 2 metaphors, both taken from the Federalist Papers, both used in the process of saying that the Commerce Power doesn't support the requirement that everyone buy health insurance. "Impetuous vortex" — from The Federalist No. 48, written by James Madison — is quoted in Chief Justice Roberts's opinion:
The Government’s theory [of the scope of the commerce power] would erode those limits, permitting Congress to reach beyond the natural extent of its authority, “everywhere extending the sphere of its activity and drawing all power into its impetuous vortex.”The "hideous monster [with] devouring jaws" — written by Alexander Hamilton in The Federalist No. 33 — appears in Justice Scalia's opinion:
If Congress can reach out and command even those furthest removed from an interstate market to participate in the market, then the Commerce Clause becomes a font of unlimited power, or in Hamilton’s words, “the hideous monster whose devouring jaws... spare neither sex nor age, nor high nor low, nor sacred nor profane.” The Federalist No. 33, p. 202 (C. Rossiter ed. 1961).Many have noted that Scalia (joined by Kennedy, Thomas, and Alito) did not join the Roberts opinion on the Commerce Clause, even though they said basically the same thing about it. Their spirit of resistance shows even through their choice of a different Federalist Paper with a different author and a different metaphor for government's voracious maw.
Labels:
Alexander Hamilton,
James Madison,
John Roberts,
law,
metaphor,
monsters,
ObamaCare,
Scalia,
vortex
Friday, February 1, 2013
"Birth Control Rule Altered to Allay Religious Objections."
"Under the proposal, female employees could get free birth control coverage through a separate plan that would be provided by a health insurer."
But if the social engineers are thinking about fewer births, they must also be thinking about more deaths. What better way to avoid costs than for the aging people to depart? How can they not be thinking about that too? At least they're sensitive enough not to spit it in our faces the way they celebrate the savings inherent in fewer births.
And do you really understand the new plan to accommodate religion? Do you see how the religious objectors are absolved from their connection to what they see as sin? Isn't it all sleight of hand? But what is absolution?
The institution objecting to the coverage would not pay for the contraceptives. The costs would instead be paid by the insurance company, with the possibility of recouping the costs through lower health care expenses resulting in part from fewer births.Is the system better with fewer births? You know, they are babies at first, but eventually they will be workers and therefore taxpayers, and we're especially going to need young workers to be the health care providers for the aging population that will need more and more care.
But if the social engineers are thinking about fewer births, they must also be thinking about more deaths. What better way to avoid costs than for the aging people to depart? How can they not be thinking about that too? At least they're sensitive enough not to spit it in our faces the way they celebrate the savings inherent in fewer births.
And do you really understand the new plan to accommodate religion? Do you see how the religious objectors are absolved from their connection to what they see as sin? Isn't it all sleight of hand? But what is absolution?
Thursday, January 31, 2013
"IRS: Cheapest Obamacare Plan Will Be $20,000 Per Family."
How can this possibly work?
Labels:
ObamaCare
Friday, January 25, 2013
"Weird things happen when you take price out of the equation for consumers. For one thing, they stop looking for the best price."
Yes. Obvious. I know. But this is NPR talking, which is what struck me.
(The topic is the breast pumps that must be paid for by health insurance companies under Obamacare.)
(The topic is the breast pumps that must be paid for by health insurance companies under Obamacare.)
Labels:
breastfeeding,
economics,
NPR,
ObamaCare
"Millions of smokers could be priced out of health insurance because of tobacco penalties in President Barack Obama's health care law..."
"... according to experts who are just now teasing out the potential impact of a little-noted provision in the massive legislation."
The Affordable Care Act... allows health insurers to charge smokers buying individual policies up to 50 percent higher premiums starting next Jan. 1.I got there via the Isthmus forum, where Meade wrote:
For a 55-year-old smoker, the penalty could reach nearly $4,250 a year. A 60-year-old could wind up paying nearly $5,100 on top of premiums.
Younger smokers could be charged lower penalties under rules proposed last fall by the Obama administration. But older smokers could face a heavy hit on their household budgets at a time in life when smoking-related illnesses tend to emerge.
Does that really make sense? Shouldn't it be reversed? Charge higher penalties/taxes to younger smokers as they will potentially have more years to cost society in lost production and "free" health care.What are the voluntary activities that create the greatest risks for costing the insurance pool money? Why pick on smokers alone? To get the variable premiums concept started, because we're already into burdening smokers? By the way, "Among Americans, Smoking Decreases as Income Increases/Gradual pattern is consistent across eight earnings brackets." The least well-off people are hit hardest! But — what the hell? — kick the smokers now, and later we can tweak the system and raise the premiums for people who.... well, who would you like to hurt/nudge? How about the fat? Weigh in every year and get your premiums adjusted accordingly, scientifically. Here's a BMI calculator. Maybe we should charge you $1,000 a year in added premiums for every point above the "normal" range.
Charge older retired or retiring smokers lower penalties/taxes, encourage them to keep smoking and die sooner. After all, at their age, the older smokers are no longer contributing. The sooner they die, the less they cost the rest of us.
Monday, January 7, 2013
Boehner: "At one point several weeks ago... the president said to me, 'We don't have a spending problem.' "
"They blame all of the fiscal woes on our health-care system."
Boehner's repeated response to that was: "Clearly we have a health-care problem, which is about to get worse with ObamaCare. But, Mr. President, we have a very serious spending problem."
There's lots more in that article (in the Wall Street Journal). I was interested in this little bit at the end:
Boehner's repeated response to that was: "Clearly we have a health-care problem, which is about to get worse with ObamaCare. But, Mr. President, we have a very serious spending problem."
[T]oward the end of the negotiations, the president became irritated and said: "I'm getting tired of hearing you say that."And then there's Harry Reid:
"Those days after Christmas," [Boehner] explains, "I was in Ohio, and Harry's on the Senate floor calling me a dictator and all kinds of nasty things. You know, I don't lose my temper. I never do. But I was shocked at what Harry was saying about me. I came back to town. Saw Harry at the White House. And that was when that was said," he says, referring to a pointed "go [blank] yourself" addressed to Mr. Reid.It's best, by the way, if you're going to say "Go fuck yourself" never to say it in anger.
There's lots more in that article (in the Wall Street Journal). I was interested in this little bit at the end:
[Boehner] sees debt as almost a moral failing, noting that when he grew up in a "little middle-class, blue-collar neighborhood" outside of Cincinnati, "nobody had debt. It was unheard of. I just don't do debt."If he's not bullshitting, he's revealing a shocking lack of sophistication. Should families pay rent on apartments until they can put down the entire purchase price of a house? Should businesses expand only through the cash they have on hand? But it's the WSJ that inserts the phrase "almost a moral failing," so I shouldn't read too much into Boehner's simple-Cincinnati-guy posing. He didn't say debt is immoral. Only that he comes from a background where the norm was to follow a budget and pay your bills. How sophisticated is he now about the good use of debt as opposed to the bad? Who knows?
Sunday, January 6, 2013
Saturday, January 5, 2013
"The breast pump industry is booming, thanks to Obamacare."
"Tucked within the Affordable Care Act is a provision requiring insurance companies to cover 'the costs of renting breastfeeding equipment'..."
Let's say, now that we're all becoming so involved in the overall economics of healthcare, that we wanted to boost the health of the babies in the insurance pool by making every mother breastfeed (unless she can't and gets a doctor's excuse note). You couldn't simple mandate breastfeeding, because it's too intimately concerned with the woman's body. You'd be violating her rights, but you wouldn't even reach that legal question, because it would be too politically ugly to go there. How about imposing higher health-care premiums for women who have babies, then choose not to breastfeed? That's also unpleasant. And how would you spy on women to check what they were doing? You could slap some big tax on baby formula, but that punishes even the women who can't breastfeed, and it nudges people to buy some alternative product — milk being an obvious substitution.
So make the pumps free so the manipulation feels good.
And here's a business sector that will do fabulously well: the pump-makers. The politicians score triply: 1. Female service to baby health is harnessed, 2. Women feel happy about getting things, and 3. A business booms.
ADDED: Times have really changed:
“The law states that we must provide rental pumps,” said UnitedHealthcare spokesman Matthew Stearns. “These pumps are hospital-grade, and they are larger, harder to clean and more expensive than personalized pumps for women. We are providing women the option of getting a personal pump in lieu of renting the more-expensive pump.”People will do what is incentivized. If breastfeeding is — as we've been told — extremely beneficial to the new baby (and the old baby?), then we ought to want to encourage women to do it. We can't force them to do it, but what we can do is make it easier. I'm very interested in the way the health-care law is going to be a mechanism for manipulating human behavior. By requiring the offering of something that feels like a gift, the government manages the moods of women who would be outraged — rightly outraged — to be told they must breastfeed.
Let's say, now that we're all becoming so involved in the overall economics of healthcare, that we wanted to boost the health of the babies in the insurance pool by making every mother breastfeed (unless she can't and gets a doctor's excuse note). You couldn't simple mandate breastfeeding, because it's too intimately concerned with the woman's body. You'd be violating her rights, but you wouldn't even reach that legal question, because it would be too politically ugly to go there. How about imposing higher health-care premiums for women who have babies, then choose not to breastfeed? That's also unpleasant. And how would you spy on women to check what they were doing? You could slap some big tax on baby formula, but that punishes even the women who can't breastfeed, and it nudges people to buy some alternative product — milk being an obvious substitution.
So make the pumps free so the manipulation feels good.
And here's a business sector that will do fabulously well: the pump-makers. The politicians score triply: 1. Female service to baby health is harnessed, 2. Women feel happy about getting things, and 3. A business booms.
ADDED: Times have really changed:
I remember in the early 70s, Ms. Magazine, in its early days, constantly attacked La Leche League, a pro-breastfeeding group. It was considered anti-feminist at the time to encourage women to breastfeed. Breastfeeding promoters had an ulterior motive (according to Ms.): keeping women at home.The pump is a device to obscure this criticism. It represents a weird kind of freedom. This human organism needs your body, frequently, but you can get your distance if you attach yourself, diligently and efficiently, to the electrical suction machine. The aesthetics of breastfeeding are radically transformed. The leisure and the ease of natural breastfeeding while tending to various household tasks are superseded by a busy schedule stacked with duties — going to work, getting through work while slotting in the regular suctioning of the mammaries, getting home, taking care of all the same household tasks, and slotting in some time to bond with the child. Was this worth it? Hey, don't be glum. Here's a present for you: A milk-extraction machine. Happy?
Thursday, December 27, 2012
What is Drudge trying to say about Sonia Sotomayor?
This is at the top of the right-hand column at Drudge this morning:

Now, as we saw last night, what Justice Sotomayor did was deny an emergency injunction. That would have required a finding that "the legal rights at issue are indisputably clear," which clearly, they are not. And her opinion never mentions "morning-after" pills, only contraception, generally. (The challenged HRSA’s guidelines refer to "all Food and Drug Administration . . . approved contraceptive methods.")
With that rather strange photograph and the reference to "morning-after," I've got to infer that Drudge intended sexual humor aimed at the Justice. I think the photograph was chosen for the "bedroom hair" and the groggy eyes. Or do you focus on the hand? Does it seem to be tossing pills at us?

Now, as we saw last night, what Justice Sotomayor did was deny an emergency injunction. That would have required a finding that "the legal rights at issue are indisputably clear," which clearly, they are not. And her opinion never mentions "morning-after" pills, only contraception, generally. (The challenged HRSA’s guidelines refer to "all Food and Drug Administration . . . approved contraceptive methods.")
With that rather strange photograph and the reference to "morning-after," I've got to infer that Drudge intended sexual humor aimed at the Justice. I think the photograph was chosen for the "bedroom hair" and the groggy eyes. Or do you focus on the hand? Does it seem to be tossing pills at us?
Labels:
birth control,
Drudge,
hairstyles,
law,
ObamaCare,
Sonia Sotomayor
Wednesday, December 26, 2012
"The Supreme Court on Wednesday refused to block the Obama administration's contraception mandate from taking effect."
"Justice Sonia Sotomayor rejected a request for an emergency injunction that would have shielded employers from the mandate."
Opinion: here:
Opinion: here:
Applicants do not satisfy the demanding standard for the extraordinary relief they seek.... This Court has not previously addressed similar RFRA or free exercise claims brought by closely held for-profit corporations and their controlling shareholders alleging that the mandatory provision of certain employee benefits substantially burdens their exercise of religion.
Monday, December 17, 2012
Thursday, December 13, 2012
"[W]hen does regulating a person’s habits in the name of good health become our moral and social duty?"
Asks David B. Agus, a USC medicine and engineering professor, in an op-ed that's #1 on the NYT "most emailed" list:
The answer, I suggest, is a two-parter: first, when the scientific data clearly and overwhelmingly demonstrate that one behavior or another can substantially reduce — or, conversely, raise — a person’s risk of disease; and second, when all of us are stuck paying for one another’s medical bills (which is what we do now, by way of Medicare, Medicaid and other taxpayer-financed health care programs).Get ready. It's coming.
Labels:
law,
medicine,
morality,
ObamaCare,
too many rules
Saturday, December 8, 2012
Saturday, December 1, 2012
"If States Don't Set Up Insurance Exchanges, Will 'Obamacare' Implode?"
Stuart Taylor Jr. explains the glaring problem with the federal exchanges. I'll just quote his parting shot:
As I said a month ago:
ADDED: "It's a slow-motion topple. We just haven't seen it go down yet.:
And in the perhaps unlikely event that the dispute over the powers of federal exchanges reaches the Supreme Court, would Chief Justice John Roberts -- having made his uneasy peace with "Obamacare" in June -- have the stomach to resume hostilities based on a legal analysis that even lawyers find hard to follow?The stomach to resume hostilities? I would not assume that Roberts "made peace" with Obamacare. He may believe he delivered a wound that escaped notice but will prove fatal.
As I said a month ago:
ADDED: "It's a slow-motion topple. We just haven't seen it go down yet.:
Labels:
Bloggingheads,
Bob Wright,
John Roberts,
law,
ObamaCare,
Stuart Taylor
Did Chief Justice John Roberts "lose his cool"?
I keep reading about this incident, invariably with the focus on the Chief's demeanor, causing me to suspect that the press is covering for the Obama administration again:
Now, if you want to say Roberts is a hypocrite because his writing is equally disingenuous or worse, that's another matter. It's what Andrew Cohen at The Atlantic is doing in an item titled "The Nerve of John Roberts":
What I find disingenuous is the criticism of the Chief Justice. And after all he did for you upholding Obamacare! (He used the tax power instead of the commerce power).
But no thanks will be forthcoming. Pressure must be kept up. This is a big term for the Supreme Court — gay marriage (probably), affirmative action, the Voting Rights Act — and Roberts's vote may be required to reach what the media know are the right results. Roberts needs to know that any love for him is purely contingent. He's being watched.
The chief justice accused the solicitor general’s office of being less than candid, by suggesting (as he read the government’s brief) that the secretary of labor in the Bush administration had changed her mind “upon further reflection” when that was not the reason at all. Instead, he corrected, it was “a new secretary now under a new administration” who had done so.You can listen to the interchange here, beginning at 29:00. Roberts sharply criticizes the government's lawyer, Joseph R. Palmore, for something that — it seems rather obvious — deserves criticism. I don't hear Roberts becoming inappropriately emotional, which is what "losing his cool" means.
The chief justice scolded, “Don’t say the secretary is now of the view. It’s not the same person. You cite the prior secretary by name, and then you say, the secretary is now of the view. I found that a little disingenuous.”
Now, if you want to say Roberts is a hypocrite because his writing is equally disingenuous or worse, that's another matter. It's what Andrew Cohen at The Atlantic is doing in an item titled "The Nerve of John Roberts":
A little disingenuous. This from a judge who disappeared the scope of the Commerce Clause in the Affordable Care Act case.Disappeared the scope? That's Cohen's way of referring to the identification of some limit on the scope of the commerce power, so that it didn't reach a private citizen's failure to purchase insurance. Congress has power under the Commerce Clause to regulate nearly everything else, which to Cohen's eye is no power at all. Unless it's everything, it's nothing. Disappeared!
This from a judge who gutted decades of First Amendment precedent in the Citizens United case after reaching out, unilaterally, to expand the scope of that campaign finance case.....Yes, yes, roll out your list of Supreme Court decisions you wish went the other way. That's not in the same category as deceptively stating the facts of a case, which is simply not acceptable in lawyers' briefs. The Solicitor General's office disserved us. The Chief Justice called the lawyer on a deception and — with restraint — said he "found it a little disingenuous."
What I find disingenuous is the criticism of the Chief Justice. And after all he did for you upholding Obamacare! (He used the tax power instead of the commerce power).
But no thanks will be forthcoming. Pressure must be kept up. This is a big term for the Supreme Court — gay marriage (probably), affirmative action, the Voting Rights Act — and Roberts's vote may be required to reach what the media know are the right results. Roberts needs to know that any love for him is purely contingent. He's being watched.
Labels:
Andrew Cohen,
Commerce Power,
hypocrisy,
John Roberts,
journalism,
law,
law and emotion,
lawyers,
lying,
ObamaCare,
Supreme Court,
taxes
Thursday, November 29, 2012
Friday, November 16, 2012
Gov. Scott Walker rejects state participation in Obamacare.
"Unfortunately, operating a state exchange would not provide the flexibility to meet our state's unique needs or to protect our state's taxpayers."
And here's a story from 3 days ago: "9 lawmakers want to arrest U.S. officials who implement Obamacare." Arrest?! This is how tea partiers get the reputation nutty.
And here's a story from 3 days ago: "9 lawmakers want to arrest U.S. officials who implement Obamacare." Arrest?! This is how tea partiers get the reputation nutty.
Labels:
federalism,
law,
ObamaCare,
Scott Walker,
tea parties
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