Category Archives: Health

ObamaCare’s Useful Idiots

A round up.

Sadly, some of them inhabit this comments section.

[Update a while later]

The abysmal, pathetic ObamaCare roll out:

After the search for bin Laden, the Obama administration’s biggest manhunt has turned out to be for someone—anyone—who managed to actually sign up for and enroll in an insurance plan offered by the federal exchange. As The Miami Herald declared in a recent headline, “Obamacare enrollees become urban legend.” So far, you’ve got a better chance of turning up a gerbil escapee scurrying down Richard Gere’s leg than finding a couple dozen satisfied customers of healthcare.gov. During a legendarily awful Daily Show appearance, Sebelius lowered expectations yet further by saying that HHS will release enrollment figures on a monthly basis. Right after all the parades for record-setting grain harvests and successful launches of canine cosmonauts.

The first high-profile case of an Obamacare enrollee was paraded around the mainstream media like a captured U2 pilot in the old Soviet Union. But he turned out to be…well, not so much. On October 4, my colleague Peter Suderman broke the story that Obamacare poster boy Chad Henderson had not actually purchased insurance for either himself or his father. Henderson—a paid activist for Organizing for America, an outgrowth of the president’s re-election committee—eventually admitted to The Washington Post, “I have not purchased a specific plan.”

The broken web site didn’t help.

ObamaCare Supporters

…go through the stages of grief.

Somehow, being leftists, I don’t think they’ll ever get to acceptance. Bargaining’s as far as they’ll go, and then only to buy time until they can come up with a new strategy.

[Update a couple minutes later]

The disastrous roll out could spell doom. It certainly deserves it. And the Democrats deserve the accruing political fallout.

The ObamaCare Train Wreck

Thoughts from Richard Epstein.

Even its supporters are having trouble excusing it. Read this from Ezra Klein.

Hey, it’s not like this wasn’t perfectly predictable, and predicted.

[Update a while later]

Was the site crash caused by rate shock?

[Update a few minutes later]

Wow, even the New York Times is becoming racist:

“These are not glitches,” said an insurance executive who has participated in many conference calls on the federal exchange. Like many people interviewed for this article, the executive spoke on the condition of anonymity, saying he did not wish to alienate the federal officials with whom he works. “The extent of the problems is pretty enormous. At the end of our calls, people say, ‘It’s awful, just awful.’ ”

Interviews with two dozen contractors, current and former government officials, insurance executives and consumer advocates, as well as an examination of confidential administration documents, point to a series of missteps — financial, technical and managerial — that led to the troubles.

It’s almost like these people think politics is more important than actually competently running the government.

The Perverse Incentives Of ObamaCare

Yes, by all means, you should earn less money:

This, right here, is the toxic essence of the welfare state. It’s already been proven over and over that for the lower classes, welfare incentivizes permanent dependence: Since one gets more money receiving a raft of federal entitlements than one would get earning a salary at a low-level job, it’s a rational economic decision to remain unemployed, on purpose. Which millions of Americans do, generation after generation, creating a permanent underclass that only consumes the common treasury without ever contributing anything to it.

What Obamacare does, as demonstrated by this eye-opening article, is bring the same economic disincentive to the middle class: It is now a rational economic decision for the average American to earn less money. And to earn less you must work less, and when you work less, you contribute less to the common good.

With people intentionally contributing less to the common good, there will be less federal money available to finance the subsidies (which are fiscally unaffordable even without this problem), leading to an unavoidable downward economic spiral for the entire nation.

That’s OK. Remember, the president told us that, at some point, you’ve earned enough money. He’s just lowering that point.

The Expensive ObamaCare Web Site

There is no good excuse for it:

From the evidence, it’s clear that the Obamacare exchange servers saw errors of all different kinds. They weren’t prepared for the load, even though this was never very heavy. California reported about 600,000 unique visitors, and Colorado reported about 55,000 unique visitors.

There were screen captures of database errors, not because the data was bad, but because the structure that holds the data was misdesigned.

There were 404 errors, which are totally design errors, meaning that the web sever was trying to get to a page that didn’t exist. (This led to the best hashtag of the day, #404care.)

There were non-descript server errors like the one I got from the California server.

There were user-interface errors. At about 10:00 AM, Colorado suspended new accounts on its site (it’s one of the ones using its own site, not the main exchange site), and didn’t get around to allowing new accounts again until 3:00 PM. At that point, the “New Account” button sent you to the login page for existing accounts. If you chose to enter your childhood phone number for a secret question, it wouldn’t take it, no matter what format (certainly not the format it used when asking for your current phone number).

This is why I say it was clear that this wasn’t just one of those things. The volume of inquiries wasn’t high by large-system standards, and the rest of the errors were in the control of the programmers.

These were design and execution errors, pure and simple. They were all catchable, with proper beta and load testing.

Yup.

The Paleo Diet

Is it a fad? An interesting interview by Ben Domenech:

…the existing food movement that sprang up around organic food was largely driven by, particularly in the early years, the vegetarian world and the plant-based diet world, with a good bit of progressive ideology. And so that is alienating to a lot of people who might want to be healthier, who do care about where their food comes from. We saw the same thing happen in the environmental movement. You’ve got scores of hunters who care deeply about conservation and practice it in their own lives, and but due to differences in culture hunters have largely been excluded from the environmental movement.

I think there was a latent demand for an alternative approach to healthy eating and healthy living that wasn’t, that didn’t require you to buy in to all this other ideology. Because basically until paleo, until this general evolutionary approach came along, the only options were, you can be a sort of like a hippie vegan progressive, or you can eat tons of McDonalds and become obese and proudly tout that you don’t care where your food comes from, or you can go on some fad diet. And those aren’t actually very good options for a lot of people.

So, first I just think there was latent demand for it. And then there there’s definitely something to the fact that paleo doesn’t look down on eating meat and that definitely appeals to a slightly more masculine group of folks. The latest surveys have shown that paleo is actually split about 50/50 between men and women, but that’s far more men relative to all other dietary movements, which tend to be 70, 80% women. So, people will say it’s all macho, all these men are into it. It’s actually about 50/50, but it just feels a little bit more masculine relative to everything else.

It really has taken off more among libertarians than the general population, I think.

Damning ObamaCare With Faint Praise

Even its supporters are struggling:

Wing and Young have set up quite a straw man, taking ObamaCare opponents’ most exaggerated fears and exaggerating them even further.

They set up a straw man on the other side of the debate as well. The article opens with the “concession” that “the Affordable Care Act isn’t perfect. . . . Like most laws, Obamacare never will be perfect.” (That “most” is a nice touch. One wonders if they have an example in mind of a law that is perfect.) But we don’t recall anyone promising that ObamaCare would be perfect. What Obama and his backers promised was that it would be very, very good–that it would provide “universal” (or nearly so) coverage while reducing costs and maintaining or improving the quality of medical care.

Now, however, Wing and Young dramatically scale back that promise, describing ObamaCare as an “ambitious reform effort meant to make a dent in the nearly 50 million Americans who currently lack health insurance.” Again, that’s a contradiction in terms: It was in fact “ambitious,” but it would not have been so if it meant only to “make a dent.”

This is all by way of setting a very low standard for evaluating ObamaCare, one that will ensure it will be judged a “success” as long as it doesn’t destroy America. But the meat of the article is actually an indictment of ObamaCare, at least if one applies a reasonable standard of asking whether on balance it is a good piece of legislation.

It’s not. It’s an awful piece of legislation, perhaps the worst in history. At least recent history. Which is no surprise, when you consider the manner in which it was passed.

Popcorn At The Movies

A history.

But here’s a question for paleo types. Yes, I know it’s a grain, and grains are bad, but it’s probably the least processed grain we eat. How bad is it, relatively?

Hmmmmm… [googling]

There seems to be a consensus that it’s definitely not paleo. But some say there are worse things if you’re going to cheat. I saw this one horror story, but I think that’s more a problem of the crap they put on it in the theater than the corn itself. I always pop it in butter, and put butter on it, but there are a lot of recommendations for coconut oil instead..

There are a lot of warnings (appropriately, I think) about the microwaved variety. I have to say, that I hadn’t realized how many paleos are anti-GMO. I think that’s taking it beyond eating healthy, and turning it into a religion.