American Health Care Killed My Father: David Goldhill on How Consumer-Driven Medicine Saves Lives

In 2007, David Goldhill’s father was admitted to a New York City
hospital with pneumonia, and five weeks later he died there from
multiple hospital-acquired infections. “I probably would have been
like any other family member dealing with the grief and disbelief,”
says Goldhill, a self-described liberal Democrat who is currently
the CEO of the Game Show Network. “But,” as Goldhill recounts,

A month later there was
a profile
in The New Yorker of physician Peter
Provonost, who was running around the country with fairly simple
steps for cleanliness and hygiene that could significantly reduce
the hospital-acquired infection rate, but he was having a hard time
getting hospitals to sign up for this. I had helped run a movie
chain, and we had a rule that if a soda spilled, it had to be
cleaned up in five minutes or someone got in trouble. And I thought
to myself, if we can do that to get you not to go to the theater
across the street, why are hospitals having such a hard time doing
simple cost-free things to save lives?

That’s how Goldhill first got interested in the economics of the
American health care system. In 2009, he published a much-discussed

article
in The Atlantic, which he has now expanded
into a book, titled
Catastrophic Care: How American Health Care Killed My
Father–and How We Can Fix It
.

View this article.

from Hit & Run http://reason.com/blog/2013/11/01/american-health-care-killed-my-father-d
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These Journalists Laugh at Your Puny Health Insurance Policy Cancellations

Insert "press gaggle" joke here. Also, this really does come from the White House press shop. ||| White HouseYesterday, I wrote about how
President Barack Obama’s approach toward journalists while selling
the Affordable Care Act has arguably amounted to “working
the refs
.” But there are some professional truth-slingers who
require no extra nudge–they’re here to tell you that Obamacare
critics are all wet, that maybe the president went a
wee bit too far with that whole you-can-keep-it stuff, but
that the more important thing is that these aren’t the health plans
you were looking for.

Here’s a sampling from the genre; bolding is mine to emphasize
apologia for presidential mendacity and other WTFery:

David Firestone, New York Times, “The
Uproar Over Insurance ‘Cancellation’ Notices
“:

Most lawmakers mentioned President Obama’s unfortunate
blanket statement
that all Americans would be allowed to
keep their insurance policies if they liked them. He failed to make
an exception for inadequate policies that don’t meet the new
minimum standards. […]

The so-called cancellation letters waved around at yesterday’s
hearing were simply notices that policies would have to be upgraded
or changed. Some of those old policies were so full of holes that
they didn’t include hospitalization, or maternity care, or coverage
of other serious conditions.

Republicans were apparently furious that government
would dare intrude on an insurance company’s freedom to offer a
terrible product to desperate people
. […]

Luckily, a comprehensive and affordable insurance policy
is…now a basic right….Ms. Sebelius never lost her cool in
three-and-a-half hours of testimony, perhaps because she knows that
once the computer problems and the bellowing die down, the country
will be far better off.

Pssst! Hiltzik! That box to your right! ||| White HouseMichael Hiltzik, Los
Angeles Times
, “Obamacare
hysteria: Don’t believe the canceled insurance hype
“:
 

We’re supposed to be scandalized by this, since
President Obama himself assured everyone that if they
liked their insurance they’d be able to keep it. […]

Back in March, Consumer Reports published a study of many of
these plans and placed them in a special category: “junk
health insurance
.” Some plans, the magazine declared, may be
worse than none at all. […]

It’s time to tamp down the breathless indignation about these
health plan cancellations. Many of the departing plans are
being outlawed for good reason
, and many of the customers
losing them have no idea how much financial exposure they were
saddled with in the old days. That’s the real scandal in American
health insurance, and Obamacare is designed, rightly, to fix
it.

I prefer his early work. |||Henry J. Aaron, New York Daily News,
The
truth about those Obamacare coverage letters
”:

Of late, numerous reports have told of people surprised by
letters telling them that insurance plans they now have will not be
renewed. Many are puzzled. Weren’t they told that if they like
their insurance they could keep it? Opponents of health reform in
general are seizing on the fact and asking in an accusatorial
manner: “Isn’t this a betrayal of trust?”

No. […]

[Obamacare] bars certain common practices of insurance companies
that most people find unacceptable at best, outrageous at
worst. […]

People should be no more shocked when substandard insurance
plans are removed from the market than they would be if food purity
legislation caused some products to be removed from a grocer’s
shelf. Obamacare is removing insurance products from the
market that are bad for your health
.

“Terrible” insurance products that are “bad for your health” and
being “outlawed for good reason”? You might want to ask
Robert Laszewski
about that.

Read Peter Suderman for more on how “The
Obama Administration’s Response to Insurance Plan Cancellations Is
Misleading and Condescending
.” An excerpt from that:

The argument here, essentially, is that anyone whose plan gets
canceled didn’t really like his or her plan—that, even though the
beneficiary might not know it, the plan being canceled wasn’t worth
having anyway.

It’s a fundamentally condescending argument that makes a blanket
assumption that people don’t know whether or not they liked their
plan. It’s also a bunch of nonsense.

The administration can’t possibly know what sort of insurance
each and every individual likes or wants, and it can’t account for
the people who are losing plans that clearly did meet the needs of
the individuals who purchased them.

UPDATE: The Wall Street Journal‘s
James Taranto has a
piece
making similar points to mine, and with more examples
worth reading.

from Hit & Run http://reason.com/blog/2013/11/01/these-journalists-laugh-at-your-puny-hea
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Come See Jesse Walker and Paul Cantor Discuss the Economics of Apocalypse

On November 14, I’ll be moderating a talk by Paul Cantor at
George Mason University. The topic: “The
Economics of Apocalypse: Flying Saucers, Alien Invasions, and the
Walking Dead
.”

The men who made America.

Everywhere we look in pop culture today, the world is
coming to an end. Whether it’s the result of natural disasters,
alien invasions, or zombie plagues, our way of life is threatened
and our institutions are crumbling, leaving Americans to fend for
themselves (or prey upon each other).

Drawing upon his new book,
The Invisible Hand in Popular Culture: Liberty vs. Authority in
American Film and TV
, University of Virginia Professor of
English Paul Cantor will discuss opposing visions of individualism
vs. collectivism in today’s catastrophe narratives.

The event will begin at 7:00 and end at 8:30. You can find us at
Founders Hall Auditorium on GMU’s Arlington campus, at 3351 Fairfax
Drive.

from Hit & Run http://reason.com/blog/2013/11/01/come-see-jesse-walker-and-paul-cantor-di
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Final US Manufacturing PMI Prints At Lowest In One Year, Makes Mockery Of Chicago "Data"

If anyone needed confirmation that yesterday’s soaring Chicago PMI data (to the highest since March 2011) was a typical “Made In Chicago” fabrication, then look no further than today’s final MarkIt US Manufacturing PMI, which instead of soaring as its Chicago counterpart, tumbled from 52.8 to 51.8, the lowest print since October of 2011 as the report indicated “only modest improvement in business conditions”, “output growth weakest for over four years”, and “new orders increasing at the slowest pace since April.” Then again, in the New Normal world in which data reports separated by 24 hours are expected to indicate diametrically opposite things, this is quite normal, and if nothing else, absolutely bullish. Why? Who knows, but cratering Manufacturing Output is surely beneficial to the stock market, if not the actual economy.

Broken down by Components:

From the report:

Commenting on the final PMI data, Chris Williamson, Chief Economist at Markit said: “While better than the earlier flash reading, the final PMI data indicate that the U.S. manufacturing sector ground to a near standstill in October. “Encouragingly, it looks like companies are expecting the slowdown to be temporary, most likely linked to the government shutdown, as indicated by an upturn in the rate of job creation.

 

“However, even the faster growth of employment remains only modest, consistent with barely any increase in official data on manufacturing payrolls. In addition, companies allowed their input inventories to fall at the fastest rate since 2009, highlighting widespread uncertainty towards the near-term outlook.

 

“The mixed signals from the survey therefore add to the likelihood that policymakers will need to wait for some time, perhaps a few months, until the picture clears  as to the true underlying health of the U.S. economy and its ability to create jobs.”

We get it: Chicago is good cop, MarkIt is bad cop whose purpose is to justify the taper delay.

Finally, spot the absolute contradiction between the MarkIt data, and the Chicago PMI euphoria:

Manufacturers linked the slight increase in output primarily to a weaker rise in new orders. Total incoming new work rose modestly and at the slowest pace in six months in October. Panellists commented on greater client demand in both the domestic and international markets. Nevertheless, a marginal increase in new export orders merely reversed a decline in September. Reflective of the weak trend for new orders, the quantity of inputs bought by manufacturing companies fell for the first time in almost three years in October. This was accompanied by the sharpest depletion of stocks of purchases since September 2009. Concurrently, suppliers’ delivery times continued to lengthen, with the latest increase in lead times the greatest for a year-and-a-half.

That’s ok: lies, like everything else, are bullish. Which is why we can only hope that today’s Manufacturing ISM due out shortly, prints in the triple digits. A lie of that magnitude will surely send stocks to turbo all time highs.

Source: Markit


    



via Zero Hedge http://feedproxy.google.com/~r/zerohedge/feed/~3/oNoCWk0K3s8/story01.htm Tyler Durden

Final US Manufacturing PMI Prints At Lowest In One Year, Makes Mockery Of Chicago “Data”

If anyone needed confirmation that yesterday’s soaring Chicago PMI data (to the highest since March 2011) was a typical “Made In Chicago” fabrication, then look no further than today’s final MarkIt US Manufacturing PMI, which instead of soaring as its Chicago counterpart, tumbled from 52.8 to 51.8, the lowest print since October of 2011 as the report indicated “only modest improvement in business conditions”, “output growth weakest for over four years”, and “new orders increasing at the slowest pace since April.” Then again, in the New Normal world in which data reports separated by 24 hours are expected to indicate diametrically opposite things, this is quite normal, and if nothing else, absolutely bullish. Why? Who knows, but cratering Manufacturing Output is surely beneficial to the stock market, if not the actual economy.

Broken down by Components:

From the report:

Commenting on the final PMI data, Chris Williamson, Chief Economist at Markit said: “While better than the earlier flash reading, the final PMI data indicate that the U.S. manufacturing sector ground to a near standstill in October. “Encouragingly, it looks like companies are expecting the slowdown to be temporary, most likely linked to the government shutdown, as indicated by an upturn in the rate of job creation.

 

“However, even the faster growth of employment remains only modest, consistent with barely any increase in official data on manufacturing payrolls. In addition, companies allowed their input inventories to fall at the fastest rate since 2009, highlighting widespread uncertainty towards the near-term outlook.

 

“The mixed signals from the survey therefore add to the likelihood that policymakers will need to wait for some time, perhaps a few months, until the picture clears  as to the true underlying health of the U.S. economy and its ability to create jobs.”

We get it: Chicago is good cop, MarkIt is bad cop whose purpose is to justify the taper delay.

Finally, spot the absolute contradiction between the MarkIt data, and the Chicago PMI euphoria:

Manufacturers linked the slight increase in output primarily to a weaker rise in new orders. Total incoming new work rose modestly and at the slowest pace in six months in October. Panellists commented on greater client demand in both the domestic and international markets. Nevertheless, a marginal increase in new export orders merely reversed a decline in September. Reflective of the weak trend for new orders, the quantity of inputs bought by manufacturing companies fell for the first time in almost three years in October. This was accompanied by the sharpest depletion of stocks of purchases since September 2009. Concurrently, suppliers’ delivery times continued to lengthen, with the latest increase in lead times the greatest for a year-and-a-half.

That’s ok: lies, like everything else, are bullish. Which is why we can only hope that today’s Manufacturing ISM due out shortly, prints in the triple digits. A lie of that magnitude will surely send stocks to turbo all time highs.

Source: Markit


    



via Zero Hedge http://feedproxy.google.com/~r/zerohedge/feed/~3/oNoCWk0K3s8/story01.htm Tyler Durden

China Slams "Peeping Tom" America: "The Trust Fiasco Of America The Eavesdropper"

Three weeks ago, during the US government shutdown fiasco, and when there was legitimate concern if the US would begin prioritizing debt payments upon running out of cash, China’s official and most widely read press agency, Xinhua, slammed the US in “U.S. fiscal failure warrants a de-Americanized world” in which it called for a new world order, and an end to the reserve currency. Now, it is time for the follow up, with China kicking “America the eavesdropper” precisely when it is down.

From Xinhua:

The trust fiasco of America the Eavesdropper


The latest outburst of outcries and outrage across the world has laid bare that almighty America has at least one other anomalous addiction besides borrowing —  bugging.

The U.S. debt drama features a polarized and paralyzed Washington at the helm of the world’s largest economy. As nerve-racking as it is, such irresponsible behavior is a recurrent headache economic policymakers worldwide can bear with.

Yet the sole superpower’s spying saga is spicy on a heart-attack scale. It is particularly hurtful to those supposed to trust America the most — its allies.

The recent cascade of eye-popping disclosures depicts a hyperactive Uncle Sam prying into others’ secrets and even eavesdropping on dozens of heads of state.

It has been revealed that the U.S. National Security Agency (NSA) monitored the phone conservations of at least 35 world leaders in 2006. And that is just a tip of the iceberg of the spook organization’s sprawling spying scheme.

Leaked documents show that the NSA has not only gained front-door access to countless Google and Yahoo user accounts through a court-approved process, but secretly broken into the main communications links connecting the two Internet giants’ respective data centers around the world to siphon information at will.

What is counterintuitive in the NSA forage is its nonsensical approach: relentless and indiscriminate like a vacuum cleaner. It just bugs everybody, even its closest allies in Europe.

In the most shocking revelation so far, Uncle Sam turned Madame Europa, German Chancellor Angela Merkel, into, as Deutsche Presse-Agentur puts it, “a dupe whose mobile phone conversations were for more than a decade a source of information for U.S. authorities.”

Merkel and her peers in the U.S. alliance have every reason to feel insulted and betrayed. At the very least, they deserve the kind of respect and trust that underpins the practice that air travelers do not have to fly naked.

The motivation behind America’s extensive eavesdropping is unclear. The explanations the White House has been forced to offer are far from explanatory, and the diorthosis President Barack Obama has promised seems all but skin-deep.

The half-heartedness stands in stark contrast with the pushfulness with which America accuses China of cyber-espionage, and the evasiveness marks a stunning retreat from the straightforwardness with which Washington reproves Beijing for alleged monetary manipulation.

The apparent application of a double standard only reinforces the image of a Janus-faced America. In the sunlight, it preaches; in the dark, it pries. On the offensive, it orates; on the defensive, it equivocates.

The wayward practice has now backfired, and the damage is increasing. Just as the borrowing addiction is shedding America’s economic credibility, the bugging obsession is draining its political and security trustworthiness — only with potentially more destructive consequences.

Trust is the first and foremost casualty. Common sense dictates that trust is a two-way street: One has to trust in order to be trusted. It is particularly true in friendships and alliances. America obviously failed to follow the simple rule.

If Washington did not knit the worldwide wiretapping web just because it could, then its pillage for information unveils an Uncle Sam too deeply entrenched in suspicion and isolation to treat anyone as a real friend.

Ironically enough, the bugging undermines the very thing it is supposed to protect — national security. As America pins its security on alliances, the tapping tale would sour its relationship with allies — and thus erode its security bedrock — more than any terrorist would be capable of.

The harm could go far beyond. For example, mutual trust is vital to China and America’s endeavor to build a new type of major-country relations. Washington’s lack of trust and hemorrhage of trustworthiness would only make the effort more difficult.

Needless to say, trust entails trade-offs, and the quid pro quos are not riskless. But the United States should be wise enough to know that to trust nobody is no less dangerous than to trust anybody.

As indicated in the still simmering spying scandal, the potential cost of excessive bugging could be way higher. Uncle Sam needs to remember what happened to the tailor in the Lady Godiva story — Peeping Tom was struck blind.


    



via Zero Hedge http://feedproxy.google.com/~r/zerohedge/feed/~3/0-RaP5yWdRc/story01.htm Tyler Durden

China Slams “Peeping Tom” America: “The Trust Fiasco Of America The Eavesdropper”

Three weeks ago, during the US government shutdown fiasco, and when there was legitimate concern if the US would begin prioritizing debt payments upon running out of cash, China’s official and most widely read press agency, Xinhua, slammed the US in “U.S. fiscal failure warrants a de-Americanized world” in which it called for a new world order, and an end to the reserve currency. Now, it is time for the follow up, with China kicking “America the eavesdropper” precisely when it is down.

From Xinhua:

The trust fiasco of America the Eavesdropper


The latest outburst of outcries and outrage across the world has laid bare that almighty America has at least one other anomalous addiction besides borrowing —  bugging.

The U.S. debt drama features a polarized and paralyzed Washington at the helm of the world’s largest economy. As nerve-racking as it is, such irresponsible behavior is a recurrent headache economic policymakers worldwide can bear with.

Yet the sole superpower’s spying saga is spicy on a heart-attack scale. It is particularly hurtful to those supposed to trust America the most — its allies.

The recent cascade of eye-popping disclosures depicts a hyperactive Uncle Sam prying into others’ secrets and even eavesdropping on dozens of heads of state.

It has been revealed that the U.S. National Security Agency (NSA) monitored the phone conservations of at least 35 world leaders in 2006. And that is just a tip of the iceberg of the spook organization’s sprawling spying scheme.

Leaked documents show that the NSA has not only gained front-door access to countless Google and Yahoo user accounts through a court-approved process, but secretly broken into the main communications links connecting the two Internet giants’ respective data centers around the world to siphon information at will.

What is counterintuitive in the NSA forage is its nonsensical approach: relentless and indiscriminate like a vacuum cleaner. It just bugs everybody, even its closest allies in Europe.

In the most shocking revelation so far, Uncle Sam turned Madame Europa, German Chancellor Angela Merkel, into, as Deutsche Presse-Agentur puts it, “a dupe whose mobile phone conversations were for more than a decade a source of information for U.S. authorities.”

Merkel and her peers in the U.S. alliance have every reason to feel insulted and betrayed. At the very least, they deserve the kind of respect and trust that underpins the practice that air travelers do not have to fly naked.

The motivation behind America’s extensive eavesdropping is unclear. The explanations the White House has been forced to offer are far from explanatory, and the diorthosis President Barack Obama has promised seems all but skin-deep.

The half-heartedness stands in stark contrast with the pushfulness with which America accuses China of cyber-espionage, and the evasiveness marks a stunning retreat from the straightforwardness with which Washington reproves Beijing for alleged monetary manipulation.

The apparent application of a double standard only reinforces the image of a Janus-faced America. In the sunlight, it preaches; in the dark, it pries. On the offensive, it orates; on the defensive, it equivocates.

The wayward practice has now backfired, and the damage is increasing. Just as the borrowing addiction is shedding America’s economic credibility, the bugging obsession is draining its political and security trustworthiness — only with potentially more destructive consequences.

Trust is the first and foremost casualty. Common sense dictates that trust is a two-way street: One has to trust in order to be trusted. It is particularly true in friendships and alliances. America obviously failed to follow the simple rule.

If Washington did not knit the worldwide wiretapping web just because it could, then its pillage for information unveils an Uncle Sam too deeply entrenched in suspicion and isolation to treat anyone as a real friend.

Ironically enough, the bugging undermines the very thing it is supposed to protect — national security. As America pins its security on alliances, the tapping tale would sour its relationship with allies — and thus erode its security bedrock — more than any terrorist would be capable of.

The harm could go far beyond. For example, mutual trust is vital to China and America’s endeavor to build a new type of major-country relations. Washington’s lack of trust and hemorrhage of trustworthiness would only make the effort more difficult.

Needless to say, trust entails trade-offs, and the quid pro quos are not riskless. But the United States should be wise enough to know that to trust nobody is no less dangerous than to trust anybody.

As indicated in the still simmering spying scandal, the potential cost of excessive bugging could be way higher. Uncle Sam needs to remember what happened to the tailor in the Lady Godiva story — Peeping Tom was struck blind.


    



via Zero Hedge http://feedproxy.google.com/~r/zerohedge/feed/~3/0-RaP5yWdRc/story01.htm Tyler Durden

A.M. Links: Kerry Says NSA Spying Went Too Far, Only 248 Signed Up on Obamacare Site in First Two Days, Chinese Security Chief Blames Uighur Islamists For Tiananmen Attack

  • Secretary of State
    John Kerry
    has said that sometimes NSA spying went too
    far.
  • According to documents released by the House Oversight and
    Government Reform Committee,
    only 248
    people enrolled in a health plan through
    healthcare.gov in the two days after it was launched.
  • An
    increasing number
    of Saudi men are trying to help end Saudi
    Arabia’s ban on women driving.

  • German journalists
    have been urged by The German Federation of
    Journalists to avoid using Google and Yahoo because of recent
    reporting on snooping by British and American intelligence.
  • China’s domestic security chief has blamed
    Uighur Islamists
    for the recent attack in Tiananmen
    square.

  • Liberal billionaires
    have been spending a lot of money on
    campaigns this year.

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from Hit & Run http://reason.com/blog/2013/11/01/am-links-kerry-says-nsa-spying-went-too
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Kurt Loder Reviews Dallas Buyers Club and Ender’s Game

Matthew McConaughey’s string of terrific
mid-career performances (most recently
in Mud and Magic Mike) reaches a
new peak in Dallas Buyers Club. Even better, says
Kurt Loder, McConaughey is matched here by Jared Leto, returning to
the screen after five years away and attaining a career high of his
own as a doomed drag queen. By contrast, Ender’s Game is
cold, overwrought, and surprisingly dull.

View this article.

from Hit & Run http://reason.com/blog/2013/11/01/kurt-loder-reviews-dallas-buyers-club-an
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