Category Archives: Health

The Democrats’ United Front

cracks:

Alternate headline: The rats are jumping off the sinking ObamaCare ship. Remember all that talk about how damaged the GOP was after the Obama/Reid government shutdown? My, how things change in just a week. No longer able to obsess over Ted Cruz, the media realizes what a shambles the Democrats have become.

They’re not happy about it, either, but they’ve reached a point at which they can’t ignore it any more.

Alternatives To ObamaCare

It’s time to propose some.

Yes, I think it’s ripe now, thanks to the monumental cluster effery of the administration.

[Update a few minutes later]

The Republicans next strategy to kill this monstrosity:

Alexander, the ranking member on the Senate Health, Education, Labor and Pensions Committee, has a plan for replacing Obamacare. It includes providing governors with more flexibility in operating state Medicaid programs, strengthening workplace wellness programs, permitting small businesses to pool their resources and offer lower-cost insurance plans for employees, expanding opportunities for consumers to purchase insurance across state lines and providing greater access to health savings accounts.

Alexander said his plan offers “step-by-step reforms that would reduce the costs of healthcare.”

Alexander isn’t alone in advocating for a process known as “repeal and replace.” The House Republican Study Committee, a conservative group within the GOP caucus, also has offered an Obamacare alternative that it intends to continue pursuing.

“American families and businesses deserve and demand real solutions to the serious problems that exist in our healthcare system,” said Rep. Steve Scalise (R-La.), the committee chairman. “The RSC’s American Health Care Reform Act is a common-sense bill that will lower costs using conservative, free-market solutions which give American families more choices without the unworkable mandates and billions in taxes included in President Obama’s healthcare law.”

The 200-page bill offers $20,000 in tax deductions to families and a $7,500 deduction to individuals to purchase insurance from vendors in any state — thus, supporters say, allowing people to save money by selecting lower-cost providers.

The measure also offers altered proposals to some of the more popular aspects of Obamacare – creation of a $25 billion fund to lower costs for those afflicted with pre-existing conditions, permitting people to carry their insurance from job to job and permitting coverage for adult children up to age 26.

That last remains stupid, regardless of how popular it is.

Three-Mile Island

Why ObamaCare is similar to it:

…the Affordable Care Act’s insurance market reforms have created a system prone to what Charles Perrow dubbed “Normal Accidents.” By “normal,” he didn’t mean “minor” — the lead exhibit was Three Mile Island. Rather, he meant something like “hard to avoid.” The system is both complex and tightly coupled: All the pieces are interdependent, so a failure in one part is apt to cascade throughout the market. This is not a system where you want to start pulling out one piece to see how well the rest can get along without it.

The administration clearly understood this — right up to the point where a major component failed. Now it’s apparently planning to keep the reactor running with as many pieces as possible in the hopes that none of it will unexpectedly blow up. This is not sound policy thinking, or even sound political thinking, and I think that all of us who care about keeping insurance available for ordinary Americans should try to talk them out of it — for their good, as well as our own.

Sound policy thinking is not their hallmark.

As an aside, Perrow’s book is excellent — I used it for doing case studies of various tightly-coupled complex disasters when I was doing contract work for S&MA at NASA HQ a few years ago.

[Update a couple minutes later]

The buck stops with Obama:

He’s not very competent, and like most people who aren’t very competent, he tends to hire people who are no more competent than he. As they say: First rate people hire first rate people. Second rate people hire third rate people.

Except he seems to be a third rater hiring fourth raters. And this was obvious to some of us in 2008, but not enough, then or four years later.

[Update a few minutes later]

Obama and Sebelius: The dog ate my homework:

The collapse of the Obamacare project over the first three weeks offers no such pathways away from responsibility. Obama and his team demanded that Congress pass the Affordable Care Act so that they could impose their own ideas of central-planning reform on the health-care industry, which makes up a sixth of the American economy.

It passed with no Republican votes, and thanks to its tax provisions, provides most of its own revenue streams. The Department of Health and Human Services has had 42 months to prepare for the rollout of the web exchange, the critical tool that would allow people to purchase mandated insurance policies under government supervision.

In short, the ACA was the Obama administration’s own bid to prove that activist, large-scale government was superior in innovation and competency. Instead, it has become a signature example of the lack of accountability, incompetence, and rank dishonesty that activist, large-scale government creates and protects. And that was just on performance. Despite the 42 months lead time and the outlay of $400 million, the web portal failed immediately, and two successive weekends of repair couldn’t make it work.

That’s actually the best news. One couldn’t have demonstrated Hayek’s thesis of the knowledge problem more spectacularly than this belly flop of a swan dive.

[Update a while later]

OK, if you don’t like the TMI analogy, how about the Titanic?

The Obama administration had three years to build Healthcare.gov, a website that is not fundamentally revolutionary when compared to the likes of Progressive.com or Amazon.com. Democrats passed the Affordable Care Act aka Obamacare during a window when they controlled all power in Washington, and were more concerned about passing a health care law than with passing a good health care law. Most of them never bothered to read the law they passed. Many of them sold their votes for pork or empty promises. While the Titanic had little advance warning of the iceberg, the Obama administration was warned by stress tests months before the site’s launch that Healthcare.gov would crash. But they did not heed those warnings.

Similar unjustified arrogance and hubris was involved.

Anarchists

Who knew so many of them were Democrats?

“If the problems are intense as they are this morning, then maybe we would have to consider a short delay in terms of the individual mandate,” New Jersey Democratic Rep. Bill Pascrell, told Yahoo News on Wednesday….Pascrell joins Democratic National Committee chair Debbie Wasserman Schultz, and Sens. Jean Shahaan and Joe Manchin in expressing support for extended enrollment and individual mandate deadlines.

Why isn’t Harry Reid denouncing these terrorists, these people trying to sabotage settled law?

[Update a cou0ple minutes later]

Joe Manchin is an anarchist Democrat who hates poor people and wants them to be sick:

Sen. Joe Manchin (D-WV) is burnishing his “blue dog” credentials and working on a bill that would delay Obamacare’s mandate by a year.

What a monster.

The War On Saturated Fat

Is it time to end it?

Yes. Next question?

When you’ve lost the LA Times

[Update a few minutes later]

“When saturated fat got mixed up with the high sugar added to processed food in the second half of the 20th century, it got a bad name,” noted UC San Francisco pediatric endocrinologist Robert Lustig. On the question of which is worse — saturated fat or added sugar, Lustig added, “The American Heart Assn. has weighed in — the sugar many times over.”

Yes. Also, eating fat doesn’t make you fat. Two of the most damaging nutrition myths are that you get cholesterol build up from eating cholesterol, and you get fat from eating fat. Both are based on the primitive “you are what you eat” theory. Stop counting calories, eat things that are good for you (which include saturated fat) and avoid things that are bad (grains and sugar).

Seven “Solutions” To ObamaCare

…that won’t save it:

I don’t know how to fix the broken programming system. But I do know what sort of “fixes” could make the insurance market break further. If we’re going to delay, then we need to delay the whole thing — guaranteed issue, community rating and so forth. Otherwise, we’re just asking for, well, a quagmire.

They’re calling for a “surge,” without an exit strategy.

ObamaCare’s Million-Dollar Question

It’s actually a trillion-dollar question: Will enough young people sign up?

There’s another self-inflicted wound that could prove fatal. Since the ACA allows young people to stay on their parents’ health plans until they turn 26, the law dramatically shrinks the pool of healthy young customers whose overpayments on insurance are supposed to subsidize the middle aged beneficiaries of the law.

…All told, we wonder if Nancy Pelosi, Harry Reid and President Obama are as happy today about Obamacare as they were on the day the law was passed. Beyond that, everything that has happened since passage has confirmed our view that far from solving the problems facing American health care, this poorly drafted, poorly executed system makes the problem of health care reform both more urgent and more difficult.

One of the myriad idiocies about the law is that they let people stay on their parents’ plans until they’re twenty six. Why did these morons imagine that those people that they needed to sign up for their own insurance would do so? It was just part of an incoherent grab bag of goodies they stuffed into the bill to try to sell it to low-infos.

[Update a while later]

Don’t worry, GOP. ObamaCare will defund itself:

With only a small penalty for abstaining, the numbers for signing up not only don’t add up — they’re absurd. Here’s one of the supposedly attractive deals: “One option available only to people under 30 is a so-called catastrophic policy that kicks in after a $6,350 annual deductible. In Monroe County, you can buy that policy on the New York State of Health exchange for as low as $131 a month for single coverage.”

Over fifteen hundred a year for a sixty-three hundred plus deductible? What healthy thirty year old would waste his or her money?

Who invented this plan? Certainly not Obama or Pelosi, neither of whom was paying close attention, I would bet. (Pelosi admitted she wasn’t. All Obama wanted was something to put his name next to, something that sounded vaguely “progressive.”)

Neither Obama or Pelosi is smart enough to even understand the problem.