Category Archives: Economics

Oklahoma Doctors Versus ObamaCare

People paying for their own medical procedures, at a fixed price. What a concept.

When I had my hernia repair a couple months ago, I actually shopped around, not just for doctors, but for surgery facilities and anesthesiologist. They all coordinated after I made my choices, but I made the decision who would do it and where, and I saved a lot of money over what an insurance company would have paid. The fundamental problem with health care in this country is the complete market disconnect created by employer-provided plans.

The Lies Of The Left

Romney was, and most Republicans are, amateurs when it came to explaining them:

Reagan was like a veteran quarterback who comes up to the line of scrimmage, takes a glance at how the other team is deployed against him, and knows automatically what he needs to do. There is not enough time to figure it out from scratch, while waiting for the ball to be snapped. You have to have figured out such things long before the game began, and now just need to execute.

Very few Republican candidates for any office today show any sign of such in-depth preparation on issues. Mitt Romney, for example, inadvertently showed his lack of preparation when he indicated that he was in favor of indexing the minimum-wage rate, so that it would rise automatically with inflation.

Yes, I face palmed when I heard that. Romney was no Reagan, because it was clear that he had spent too much time learning business, and far too little understanding policy and its effects (otherwise, he’d have never done RomneyCare). He had no core political philosophy, and it showed. He is smart, and a quick learner (he actually did start to speak conservatism like it wasn’t a second language in the waning days of the campaign), but he didn’t learn fast enough.

I wonder if he may try again? He’s a very determined man.

Then there’s this as well:

One of the secrets of Barack Obama’s success is his ability to say things that will sound both plausible and inspiring to uninformed people, even when they sound ridiculous to people who know the facts. Apparently he believes the former outnumber the latter, and the election results suggest that he may be right.

Since most of the media will never expose Obama’s fallacies and falsehoods, it is all the more important for Republicans to do so themselves. Nor is it necessary for every Republican candidate for every office to become an expert on every controversial issue.

Just as particular issues are farmed out to different committees in Congress, so Republicans can set up committees of outside experts to inform them on particular issues.

For example, a committee on income and poverty could be headed by an expert like Robert Rector of the Heritage Foundation. This is a subject on which demonstrable falsehoods have become the norm, and one on which devastating refutations in plain English are readily available from a number of sources.

Another example would be space policy. I know someone who’d be happy to do it, if I could raise funds for it. But it’s not important enough, apparently.

[Update a while later]

More thoughts from Michael Walsh:

Principles, not programs, should be the battle cry. Romney’s foolish complaint that Obama won by giving away free stuff plays right back into the hands of the konsultant korps that lost him the election in the first place. If Mitt had a vision for America wider than the cramped, pinched and perpetually gray New England horizon, he sure didn’t show it. He didn’t show it because he was incapable of conceiving it, and there clearly was no one on his insular Boston team capable of supplying one. Instead, we got the Etch-a-Sketch metaphor, which in the end proved to be the candidate’s epitaph.

Yes. He was a principled man in his personal life, perhaps more so than most politicians, but he had no political principles.

ISS Crew Research Time

It’s even worse than we’ve been told previously:

Suffredini pointed out that ISS operations require 15-17 flights per year and “then sprinkle in EVAs, it’s hard to find time to do research.” EVA refers to extravehicular activity, or spacewalks. NASA has a goal of performing 35 hours of research per week, but the current average is 26.13 hours. He is trying to find ways to “buy back crew time” and looking forward to the era of commercial crew when the typical ISS crew complement will be seven instead of six.

This means that rather than doubling productivity, adding a crew member would increase it by a factor of two and a half. And adding two would increase it by a factor of four (assuming forty-hour weeks — not sure why NASA only has a target of thirty five, or why it’s not even higher, given that they don’t have a hell of a lot else to do up there).

As a way of plugging my upcoming book:

To get back to the bizarre (at least that’s how it would appear to a Martian) behavior with respect to ISS, what is it worth? Of what value is it to have people aboard? We have spent about a hundred billion dollars on it over almost three decades. We are continuing to spend two or three billion a year on it, depending on how one keeps the books. For that, if the purpose is research, we are getting about one person-year of such (simply maintaining the facility takes a sufficient amount of available crew time that on average, only one person is doing actual research at any given time). That would imply that we think that a person-year of orbital research is worth two or three gigabucks.

What is the constraint on crew size? For now, not volume, and not the life support system – I don’t know how many ultimately it could handle, but we know that there is not currently a larger crew because of NASA’s lifeboat requirement, and there has to be a Soyuz (which can return three) for each three people on the station. If what they were doing was really important, they’d do what they do at Scott-Amundsen, and live without. After all, as suggested earlier, just adding two researchers would immediately triple the productivity of the facility. That’s not to say that they couldn’t be continuing to improve the safety, and develop a larger life boat eventually (the Dragon is probably very close to being able to serve as one now, since it doesn’t need a launch abort system for that role), but their unwillingness to risk crew now is indicative of how unimportant whatever science being done on the station really is.

Actually, I should update the book to reflect the new numbers.

Even with the concerns about Dragon issues, I’d bet that there are plenty of people who’d be happy to trust it as a lifeboat right now, though they really should get the new docking adapter up there ASAP. That is really on the critical path to expanding capability. Of course, if they were really serious, they’d do without a lifeboat or ambulance, as Scott-Amundsen does in the winter, and just add crew. I guess Antarctic research is more important than orbital research.