Showing posts with label US healthcare. Show all posts
Showing posts with label US healthcare. Show all posts

Friday, April 6, 2018

The American Healthcare System Shows Why We Can’t Trust Free Market Ideologues — Jag Bhalla interviews Robert H. Frank

Fans of “let-the-market-decide” thinking face a trillion-dollar puzzle that’s deadly as well as costly. To diagnose this unhealthy situation, we’re fortunate to have Robert Frank (RF), an economist who writes regularly for The New York Times (he’s also written books I regularly quote).
Evonomics
The American Healthcare System Shows Why We Can’t Trust Free Market Ideologues
Jag Bhalla interviews Robert H. Frank

Wednesday, September 20, 2017

Umar Haque — Americans Are Dying For Healthcare

Yet there’s a logic — however absurd — to it. It’s a case of income maximization gone extreme. Repealing healthcare will maximize incomes for healthcare providers, Congressmen, lobbyists, pharmaceutical companies. And repealing healthcare will maximize incomes for households, by lowering taxes. Never mind that it shrinks life expectancy, which is to say: never mind the long-term benefits of such investments — in this paradigm, all that matters is income, right now.
Thus, the overarching paradigmatic goal — increasing GDP , which is the underlying and understated assumption of all the above — will be accomplished. GDP doesn’t care if you don’t have healthcare — in fact, the more you pay for healthcare, the higher GDP rises. If we all break each other’s legs, GDP rises, because now we have to pay for healthcare — and if there’s only one doctor in town, who charges us a fortune, so much the better, because we’ll have to pay more. (And if you want to get political, of course we can trace slavery and segregation back to the idea of maximizing income at the expense of life, too).
If all that sounds bananas, that’s because it is. It’s all a tiny case study in just how broken the old paradigm of human organization is, which suggests the sole purpose of all life on the planet is maximizing the income we can wring out of it this nanosecond. Now let’s ask: what happens when a society obeys that paradigm in every sphere of life?
Well, you get the thoroughly weird and tragic situation America’s in today: its economics appear to be grossly fine— but its eudaimonics are dismal, declining, and failing. By “eudaimonics”, I mean whether lives are flourishing or not.
The is the problem with equating value with price and measuring utility (satisfaction) based on prices as an reliable indicator of preferences.

This is amplified by assuming macro to be scaled up micro and viewing macro in terms of aggregates rather than in terms of systems and networks.

The result is economics as fantasy intellectually, and, worse, the result is a horror show in actuality.
If there’s a recipe for how not to create eudaimonia, this old, busted paradigm — maximize income at the expense of life itself — is it.
Like I keep saying, capitalism is about putting ownership first and socialism is about putting society, you know, all the people, first. Capitalism is naturally suited to oligarchy of the plutocratic sort. Socialism in naturally fitted to democracy as government of the people, by the people, and for the people.

It's matter of getting priorities straight. Letting economic liberalism dictate social and political liberalism is a fool's errand.

Incidentally, viewing "capitalism versus socialism" as being black and white falls into the fallacy of the excluded middle. There are many forms of capitalism and socialism along the range between the extremes. However, much of the discussion assumes an excluded middle. This is unsound reasoning, usually for persuasion rather than being based on inquiry using methods of creative and critical thinking.

Designing Eudaimonia —The Art of Creating Better Lives
Umar Haque

Friday, May 5, 2017

Saturday, April 8, 2017

Darrell Delamaide — Look who’s in favor of ‘Medicare for all’: Trump voters and Sanders supporters

Both ends of the political spectrum — the far left under Bernie Sanders and, improbable as it may seem, the far right under the likes of Richard Spencer — are pushing single-payer not only as the solution to guaranteeing humane health care but as a self-regulating system to rein in spiraling costs.
Unfortunately, it is the middle of the political spectrum that controls Congress, and they remain in the pocket of drug companies and health insurers that profit so richly from the current, inefficient hodgepodge of coverage....
Market Watch
Look who’s in favor of ‘Medicare for all’: Trump voters and Sanders supporters
Darrell Delamaide

Friday, March 17, 2017

Neil W. McCabe — Sen. Ted Cruz to ‘Storm Congress’ Rally: It Is Time to Repeal Obamacare, ‘We Are Out of Excuses’

Texas Republican Sen. Ted Cruz revved up hundreds of Tea Party activists at Wednesday's "Storm Congress" rally against the American Health Care Act crafted by Speaker Paul Ryan (R.-Wis.) to stabilize health insurance markets, rather than repeal the 2010 Patient Protection and Affordable Care Act, Obamacare....
Breitbart News

Chris Ladd — Unspeakable Realities Block Universal Health Coverage In The US

We may one day recognize that we are all “in it together” and find ways to build a more stable, sensible welfare system. That will not happen unless we acknowledge the painful and sometimes embarrassing legacy that brought us to this place. Absent that reckoning, unspoken realities will continue to warp our political calculations, frustrating our best hopes and stunting our potential.
Forbes
Unspeakable Realities Block Universal Health Coverage In The US
Chris Ladd | Contributor

Thursday, March 9, 2017

Juliegrace Brufke — Paul Ryan: Tax Credits In Obamacare Repeal Are Not An Entitlement

Ryan said the tax credits are different from the Affordable Care Act’s federal insurance subsides based on income, arguing the credits would give individuals the freedom to purchase the plan they feel is best without the government forcing people to buy insurance.
“No, that’s not an entitlement. Letting people keep more of their own money and doing what they want with it is not an entitlement,” he said. “If you think letting people keep more of their own money and letting them do what they want with it is an entitlement, then you must believe this is Washington’s money.”

The Daily Caller
Paul Ryan: Tax Credits In Obamacare Repeal Are Not An Entitlement
Juliegrace Brufke | Capitol Hill Reporter

Note: the ACA individual mandate is front loaded, requiring everyone to have insurance or be liable for a penalty. The Ryan plan is back loaded, not requiring participation but adding a penalty in the from of a higher premium for each period that a person chooses not to remain uninsured.