Which Is Worse for Poor Americans: Energy Efficiency Mandates or Energy Taxes?: New at Reason

ManCrushedAlphaspiritDreamstimeU.S. automakers are asking the Trump administration to relax the vehicle efficiency standards imposed on them by the Obama Administrtion. Ratcheting up the mandatory energy efficiency standards for vehicles and appliances was a major part of Obama’s effort to reduce greenhouse gas emissions. The Department of Energy calculated that the Obama administration’s energy efficiency standards would save consumers more than $520 billion on electricity costs by 2030.

But not all consumers are alike. In a new study contrasting the effects on consumers of energy efficiency standards versus energy taxes, the Georgetown economist Arik Levinson notes that both energy efficiency standards and energy taxes function as a regressive tax, taking a larger percentage of a lower income and a smaller percentage of a higher income. His analysis aims to find out which is more regressive—in other words, which is worse for poor Americans.

View this article.

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Texas Attempts End Run Around Supreme Court Gay Marriage Ruling

gay marriageWe’re seeing either an attempt to resurrect gay marriage discrimination policies in Texas or its death throes. Hopefully it’s the latter, but it could also be a useful case to bring about a discussion of the extent and fiscal consequences of expansive government employee benefits! (Spoiler: That’s not going to happen.)

A couple of taxpayers, supported by the Texas Republican establishment, are suing to stop the City of Houston from extending spousal benefits to partners in same-sex marriages. This would seem to go against the Supreme Court’s decision in Obergefell v. Hodges, the 2015 ruling that mandated that the federal government and the states recognize same-sex marriages as they do heterosexual marriages.

Indeed, Texas courts initially rejected the case, but the governor, lieutenant governor, and attorney general submitted briefs arguing that this case is an opportunity to “examine the scope” of how broad the Obergefell ruling is. So the Texas Supreme Court will hear arguments in March.

At the heart of the case is a claim that gets really odd, really quickly: They are arguing that legally recognizing a same-sex couple doesn’t necessarily mean that they have to extend the same employee benefits as they do to heterosexual married couples: “No city employee — whether heterosexual or homosexual — has a ‘fundamental right’ to receive employee benefits for his or her spouse. It is perfectly constitutional for the government to offer benefits or subsidies to some married couples while withholding those benefits from others.”

While it’s true that no city employee has a “fundamental right” to spousal benefits, this line of argument is a bit of a straw man. The justification for denying benefits and subsidies matters—the government can’t just withhold them arbitrarily. Access to marriage benefits was part of the meat of what both the Obergefell and the previous Windsor ruling (which required the federal government to recognize gay marriages performed in states where it had been legalized) were about. From the majority opinion in Obergefell:

The marriage laws at issue are in essence unequal: Same-sex couples are denied benefits afforded opposite-sex couples and are barred from exercising a fundamental right. Especially against a long history of disapproval of their relationships, this denial works a grave and continuing harm, serving to disrespect and subordinate gays and lesbians.

Whether or not politicians in Texas support or “approve” of same-sex marriage should not be relevant to a decision of whether spouses should have access to benefits. It would certainly be deemed discriminatory to withhold benefits on the basis of the spouse’s race or political affiliation or any number of other categories.

If taxpayers have an objection to the cost of extending benefits to spouses of government employees, then the discussion truly should revolve around reducing those benefits as a class. But that’s not what this is about (which is a shame, really). If the government is going to offer a legal benefit or a privilege to a spouse, it needs to have a legitimate reason for discriminating against a particular couple. Not liking gay marriage isn’t a legitimate reason.

Read through the case files here. While it seems likely that this lawsuit must be doomed, courts can be tough to predict.

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US Crude Production Nears 10-Month Highs As Rig Count Soars Most In Over 6 Years

Following last week's massive 29 rig jump in the US oil rig count (the largest since April 2013), Baker Hughes reports another 15 rig surge to 566 in the last week (with the entire rise dominated by horizontal/Permian rigs). US Crude production continues to track the surging rig count and that is weighing on WTI futures prices (back below $53 once again).

 

From the 316 count lows on May 27th, US oil rigs are up 250 overall (up 15 to 566 this week).. This is the biggest 2-week surge in rig counts since Dec 2011

 

And US Crude production is tracking the lagged oil rig count…

 

The surge in oil rig counts since May 2016 has been dominated by Permian…

 

Horizontal rigs…

 

And WTI Futures are back below $53…

 

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Reagan-Thatcher 2.0? President Trump & UK PM May Joint Press Conference – Live Feed

Following his first face-to-face meeting with a foreign leader, President Trump and UK Prime Minister Theresa May will hold a joint press conference to discuss establishing stronger economic and strategic ties having vowed to revive the closeness of their countries during the Reagan-Thatcher years.

As USA Today noted, many are comparing Trump and May to Reagan and Thatcher…

He was a skilled communicator and a celebrity. She was strong-willed and shared his disdain for big government.

 

 

They were the power political couple of the 1980s: Ronald Reagan and Margaret Thatcher. Now a similar pairing is emerging three decades later in President Trump and British Prime Minister Theresa May, who meet at the White House on Friday.

Here are five key points that The Hill believes will be top-of-mind during the meeting and the press conference…

U.S.-U.K. trade deal

Trump has said that he wants a trade agreement between the United States and Britain “very quickly,” and May has expressed a similar eagerness to forge a deal. But the United Kingdom must complete negotiations to leave the European Union before it can sign any new trade agreements. That process is expected to begin in March and could take upward of two years to complete. The U.S. and the U.K. can hold discussions and lay the groundwork parallel to the Brexit process so they are prepared to move quickly.  May has said in recent days that she wants the relationship between the United Kingdom and the EU to remain strong.  “I’m confident we can look at areas even in advance of being able to sign a formal trade deal,” she said, according to media reports.

 

Here is MEP Daniel Hannan offering a brief overview of what could be possible…

 

The future of NATO

The long-standing alliance is a top priority for May, who is expected to challenge Trump over his lack of support for the 28-member treaty.  Trump sent mixed messages in a recent interview with two European publications — The Times of London and Bild, a German newspaper — calling NATO  “obsolete” while at the same time saying the alliance “is very important to me.” The president has criticized members for failing to pay their bills and leaving the United States holding the check. But newly confirmed Secretary of Defense James Mattis pledged during his confirmation hearing to “maintain the strongest possible relationship with NATO.” NATO leaders will meet for a major summit in Belgium this summer. Whether Trump will choose to attend remains to be seen, but his decision either way will send a strong message throughout the world.  For her part, May argues that NATO must “evolve to be able to effectively counter the biggest threats of the day, in particular terrorism and cyberattacks.” So expect the British prime minister to not only try to clear up any confusion about where Trump stands but to work to win his support for keeping NATO running at full speed. During her remarks to congressional Republicans, May said, “America’s leadership role in NATO, supported by Britain, must be the central element around which the alliance is built.”

 

The battle against terrorism

Trump made defeating the ISIS and fighting terrorism a central tenet of his campaign.  May told congressional Republicans on Thursday that she joins the U.S. in its “determination to take on and defeat Daesh and the ideology of Islamic extremism that inspires them and many other terrorist groups in the world today,” using another name for ISIS. “It is in both our national interests to do so.”  She said it would require intelligence gathering and “military might” to defeat ISIS.  “But it also demands a wider effort because one of the lessons of fighting terrorism in the last 15 years or so is that yes, killing terrorists can save innocent lives, but until we kill the idea that drives them, the ideology, we will always have to live with this threat.”  In that vein, May is expected to challenge Trump over his widely condemned remarks that the U.S. would consider renewing the use of torture to gather intelligence. During her trip to the U.S., May told reporters: "We condemn torture and my view on that won't change, whether I am talking to you or talking to the president."  Top congressional lawmakers have said that they don’t support the legalization of waterboarding or other methods.

 

Conflict in Syria

May said that defeating ISIS hinges on a “secure a political solution in Syria and challenging the alliance between the Syrian regime and its backers in Tehran.” “We must employ all of the diplomatic means at our disposal,” May told Republican lawmakers.  But the situation in Syria, and the two countries’ approach, is in flux. U.K. Foreign Secretary Boris Johnson said Thursday that Syrian leader Bashar Assad could remain in power if a peace accord is reached, a big shift from the previous demand that he step down. And Trump has signaled a willingness to work more closely with Russia, which is backing Assad’s regime. Johnson said the U.K. needs to get a clearer picture on where the U.S. stands. “We need to understand exactly where the White House is coming from,” Johnson said on the eve of the Trump-May meeting. “We need to understand how they see the end game here and we need to help shape that conversation.”  Trump is suspending new visas for Syrians and asking the Pentagon and State Department to craft a plan for setting up safe zones for civilians inside war-torn Syria, a move that Russian officials on Thursday said should be thoroughly evaluated. The Obama administration previously had ruled out the move. 

 

Relations with Russia

Trump has spoken warmly about Russian President Vladimir Putin, a position that has created unease in the U.S. and around the world.  The new president has said he hopes to make a deal with Putin to reduce nuclear weapons stockpiles that would ease tensions and lead to the lifting of economic sanctions against Moscow. But May warned on Thursday that when it comes to Russia and talks with Putin, her advice is to “engage but beware.” “There is nothing inevitable about conflict between Russia and the West,” she told lawmakers. “And nothing unavoidable about retreating to the days of the Cold War.” "But we should engage with Russia from a position of strength. And we should build the relationships, systems and processes that make cooperation more likely than conflict — and that, particularly after the illegal annexation of Crimea, give assurance to Russia’s neighboring states that their security is not in question,” she said.  

President Trump and Prime Minister May are expected to start their joint press conference at 1300ET…

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Fourteen Years AFTER Bernanke Defined the U.S. Dollar as Worthless

Hold your real assets outside of the banking system in one of many private international facilities  –>    http://ift.tt/2cyFwvQ;

 

 

 

 

Fourteen Years AFTER Bernanke Defined the U.S. Dollar as Worthless

Written by Jeff Nielson (CLICK HERE FOR ORIGINAL)

 

 

 

History can be a cruel mistress – at least when one is able to find it via Google’s increasingly “forgetful” search engine. Who was it that made the following remark, on November 21, 2002?


“Like gold, U.S. dollars have value only to the extent that they are strictly limited in supply.” [emphasis mine]


Here is a hint for regular readers. It’s the same person responsible for the chart below.

 

 

 

That’s right, B.S. Bernanke. The same Federal Reserve Governor who stated that the U.S. dollar can only have value as long as it is strictly limited in supply quintupled the supply of U.S. dollars in less than five years as Chairman of the Federal Reserve: the Bernanke Helicopter Drop.


Strictly limited in supply.


Did Benjamin Shalom Bernanke even understand those words, either when he first uttered them 14 years ago, or six years later when he began hyperinflating the supply of U.S. dollars? As anyone with a sophisticated understanding of mathematics knows, the chart above is the mathematical representation of the phrase “out of control”.


As a chart of the money supply of a major currency, the message above could not possibly be clearer. This is a one-way trip to worthlessness, an illustration of a hyperinflation-in-progress. However, the quoted sentence above is not when Bernanke defined the U.S. dollar as being worthless. Bernanke did this in the sentence immediately following, in what could be the most incongruous two sentences ever uttered in sequence.


But the U.S. government has a technology,called a printing press (or, today, its electronic equivalent), that allows it to produce as many U.S. dollars as it wishes at essentially no cost. [emphasis mine]


The first quotation is utterly shocking in that it was made by the same person who would quickly become the least-responsible Chairman of the Federal Reserve in its 104 year history, in terms of not strictly limiting the supply of dollars.


The second quotation is even more shocking, but for an entirely different reason. It is so shocking because it is certain that Bernanke did not understand his own words, or he would have never advertised the worthlessness of the dollar.


As an elementary proposition of logic, anything that can be produced in infinite quantities and at zero cost must be worthless. Why? Because if this infinitely abundant, free commodity was not worthless, one could literally use that infinitely abundant commodity to buy every asset on the planet. No matter how microscopic the unit value of the infinitely abundant (free) commodity, its total supply would represent infinite wealth – more than enough to purchase every asset on the planet.


This is why, as a basic principle of economics, all fiat currencies must be worthless. They can be created in infinite supply, at zero cost. It is (not surprisingly) why every fiat currency ever created has plunged to worthlessness, or been removed from circulation before that final death-spiral could occur.


Worthless by definition.


Ponder those words. Now ponder that one of the premier authorities for this proposition of logic/economics is a former Chairman of the Federal Reserve. Newer readers always respond to such logic with the same retort.


If the U.S. dollar is worthless, why has its exchange rate risen (dramatically) versus other fiat currencies?


The facetious reply to that question is that 1,000,000 X 0 is still equal to zero. Saying that one (worthless) fiat currency is “more valuable” than another (worthless) fiat currency brings to mind the old joke about the man who jumps off the roof of a 100-storey building.


A man jumps off of the roof of a 100-storey building. As he sails past an open window on the 50th floor, someone sitting in an office inside hears him exclaim, “so far, so good.”


How does this joke relate to the world of worthless fiat currencies? Picture two men jumping off of a 100-storey building, with one man standing on the shoulders of the other. What is the only real difference between the two men? One goes “splat” slightly sooner than the other.


This is what the “high value” of the U.S. dollar really means: splat – a little bit later.


However, there is a much more serious rebuttal to that previous question: currency manipulation. Western Big Banks have been convicted of serially manipulating all of the world’s currencies, going back to at least 2008. Look again at the chart above and see if that date strikes a familiar chord.


Since 2008; these convicted currency manipulators have (primarily) manipulated the U.S. dollar higher, and manipulated all other currencies lower. That’s not a “theory”, that’s a fact, verified by a criminal conviction.


This is the world of fiat currencies, confirmed by 1,000 years of history, confirmed by an inadvertent admission from no less than the Chairman of the Federal Reserve. It is not only the U.S. dollar which is worthless. All of these Western fiat currencies are worthless, because they have all been conjured into existence in grossly excessive (i.e. reckless) quantities. But if we were to rank all of this worthless paper, the U.S. dollar would rank at the bottom of the heap, debauched to an even greater extreme than all the rest of this banker paper.


It is a mere 46 years since Paul Volcker assassinated the last vestige of our gold standard. Regular readers understand the significance of this as well.


“In the absence of the gold standard, there is no way to prevent the confiscation of savings through inflation.”

Alan Greenspan, 1966


It is an infamous quotation from another Chairman of the Federal Reserve, but a confession which was uttered by Greenspan before he had the slightest understanding of who would “confiscate” all our savings (i.e. steal all of our wealth).


In 1971; the U.S. dollar was still relatively fully valued. By implication, so were other major currencies, since their value was a direct derivative of the value of the dollar. Forty-six years later; the U.S. dollar is worthless, meaning that the entire supply of U.S. dollars no longer holds any wealth. Forty-six years later; none of these Western currencies hold any wealth.


To where did all that stolen wealth disappear? Into the pockets of the Criminals in control of the U.S. printing press – as well as the other printing presses of the Western world. Theft by money-printing. Regular readers also know the identity of those Criminals.


Give me control of a nation’s money, and I care not who makes its laws.

Mayer Amschel Rothschild (1744 – 1812)


One of these criminals (Greenspan) warned us what would be done to us if we were ever foolish enough (and weak enough) to allow our governments and their central bank overlords to rob us of our gold standard. Another one of these Criminals (Bernanke) accidentally told us what was being done to us, shortly
before the crime was finally completed.


What is the lesson to be learned from these events? It is the same lesson explained to readers in a recent commentary, entitled The Secret of Wealth Preservation.


Our currencies are already worthless. Our wealth has already been stolen. But like a collection of cheap magicians, these convicted currency manipulators have created the illusion of value in our paper currencies.


They have been greatly assisted by the treasonous acts of our own governments. “There is no inflation,” the bankers hiss, as food and housing costs spiral out of control. The bankers get away with this lie because of the laughably fraudulent inflation statistics produced by our governments, with the U.S. government in a league of its own when it comes to lying about inflation.


Thank the bankers for this. It is because the bankers continue to maintain the illusion of value in these worthless Western currencies that we still have a last chance to exchange this worthless paper for assets of real value. Which assets?


For over 4,000 years; the answer has always been the same when seeking a “safe haven” from economic calamity (and/or the financial crimes of bankers): gold and silver. As explained in that recent commentary, gold and silver have a multi-thousand-year track record of perfectly preserving our wealth (and they have never plunged to zero value).


In contrast, in 46 years the U.S. dollar has lost almost all of its value. And fiat currencies have a perfect track record over the last one thousand years: they always plunge to zero value.


How desperate have the bankers become as they see their precious fiat currencies entering their final death throes? At the eleventh hour, these Criminals are seeking to engage in a sleazy hand-off: banishing their present collection of worthless, paper currencies, only to be replaced by something that is not even a currency.


Ask any Western banker where the future is heading with respect to our monetary system, and he or she will simply parrot three letters, S-D-R: the “special drawing rights” of the IMF. What makes this so special? Nothing. It is simply a line of credit.


It is not even possible to logically envision how a line of credit could be stretched and twisted, and end up being called a “currency”. Special Drawing Rights are nothing of the kind. They are not units – of anything – they are simply an amount.


However, in our Wonderland Matrix, where the Corporate media oligopoly censors any/all discussion which contradicts these serial frauds, the bankers simply believe that they can now call anything “money”. Note that this desperate crusade also explains a concurrent obsession of the banking crime syndicate: the War on Cash.


Can you imagine walking around with a pocket full of Special Drawing Rights? Almost certainly not. Who can imagine walking around with a pocket full of credit? But, in a world where we are no longer allowed to hold currency, where the very concept of “money” becomes totally ethereal, then in that world, perhaps the bankers can pass off their “SDR’s” as money – or at least currency.


Note also how this nearly obliterates the distinction between debt and value. By definition; SDR’s are increments of debt. The bankers are attempting to pass them off as instruments of value. Even for these Machiavellian criminals, this ranks as one of their most audacious attempted crimes.


Readers have a choice. They can play Russian Roulette with their wealth and financial stability, and hope that the bankers can perpetrate their SDR hand-off, and delay the final collapse of the bankers’ fiat currency Ponzi-scheme. Or; you can flee to safety. The only safety.

 

 

 

Please email with any questions about this article or precious metals HERE

 

 

 

 

Fourteen Years AFTER Bernanke Defined the U.S. Dollar as Worthless

Written by Jeff Nielson (CLICK HERE FOR ORIGINAL)

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Gorbachev: ‘It Looks As If The World Is Preparing for War’

Some troubling observations from the last leader of the USSR, first posted in Time.

The world today is overwhelmed with problems. Policymakers seem to be confused and at a loss.

But no problem is more urgent today than the militarization of politics and the new arms race. Stopping and reversing this ruinous race must be our top priority.

The current situation is too dangerous.

More troops, tanks and armored personnel carriers are being brought to Europe. NATO and Russian forces and weapons that used to be deployed at a distance are now placed closer to each other, as if to shoot point-blank.

While state budgets are struggling to fund people’s essential social needs, military spending is growing. Money is easily found for sophisticated weapons whose destructive power is comparable to that of the weapons of mass destruction; for submarines whose single salvo is capable of devastating half a continent; for missile defense systems that undermine strategic stability.

Politicians and military leaders sound increasingly belligerent and defense doctrines more dangerous. Commentators and TV personalities are joining the bellicose chorus. It all looks as if the world is preparing for war.

It could have been different

In the second half of the 1980s, together with the U.S., we launched a process of reducing nuclear weapons and lowering the nuclear threat. By now, as Russia and the U.S. reported to the Non-proliferation Treaty Review Conference, 80% of the nuclear weapons accumulated during the years of the Cold War have been decommissioned and destroyed. No one’s security has been diminished, and the danger of nuclear war starting as a result of technical failure or accident has been reduced.

This was made possible, above all, by the awareness of the leaders of major nuclear powers that nuclear war is unacceptable.

In November 1985, at the first summit in Geneva, the leaders of the Soviet Union and the U.S. declared: Nuclear war cannot be won and must never be fought. Our two nations will not seek military superiority. This statement was met with a sigh of relief worldwide.

I recall a Politburo meeting in 1986 at which the defense doctrine was discussed. The proposed draft contained the following language: “Respond to attack with all available means.” Members of the politburo objected to this formula. All agreed that nuclear weapons must serve only one purpose: preventing war. And the ultimate goal should be a world without nuclear weapons.
Breaking out of the vicious circle

Today, however, the nuclear threat once again seems real. Relations between the great powers have been going from bad to worse for several years now. The advocates for arms build-up and the military-industrial complex are rubbing their hands.

We must break out of this situation. We need to resume political dialogue aiming at joint decisions and joint action.

There is a view that the dialogue should focus on fighting terrorism. This is indeed an important, urgent task. But, as a core of a normal relationship and eventually partnership, it is not enough.

The focus should once again be on preventing war, phasing out the arms race, and reducing weapons arsenals. The goal should be to agree, not just on nuclear weapons levels and ceilings, but also on missile defense and strategic stability.

In modern world, wars must be outlawed, because none of the global problems we are facing can be resolved by war — not poverty, nor the environment, migration, population growth, or shortages of resources.

Take the first step

I urge the members of the U.N. Security Council — the body that bears primary responsibility for international peace and security — to take the first step. Specifically, I propose that a Security Council meeting at the level of heads of state adopt a resolution stating that nuclear war is unacceptable and must never be fought.

I think the initiative to adopt such a resolution should come from Donald Trump and Vladimir Putin — the Presidents of two nations that hold over 90% of the world’s nuclear arsenals and therefore bear a special responsibility.

President Franklin D. Roosevelt once said that one of the main freedoms is freedom from fear. Today, the burden of fear and the stress of bearing it is felt by millions of people, and the main reason for it is militarism, armed conflicts, the arms race, and the nuclear Sword of Damocles. Ridding the world of this fear means making people freer. This should become a common goal. Many other problems would then be easier to resolve.The time to decide and act is now.

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“What Happens When Doctors Only Take Cash”? Everybody, Especially Patients, Wins

Anyone who has ever tried to shop around for prices on medical care knows how dysfunctional the market is. It’s not because huge amounts of money isn’t changing hands; it’s that nobody really knows what anything costs at any given moment in time.

When I first moved to Los Angeles from Buffalo, my then-wife was pregnant with our first child and we were on a grad-student plan that didn’t travel far beyond Western New York. Reason’s benefits might not kick in until after our son was born, so I called around to area hospitals to try and find out what things cost. Four hospitals refused to give me any information, saying that they could not (and would not) price out anything. Part of that’s understandable—what if something went seriously wrong?—but the people I spoke to refused to even say what basic charges were for things like delivery room time, anesthetics, and the like. Of course they have rate sheets for all that but share them with potential customers? Go fuck yourself, buddy.

For good reason: These costs are completely contingent on a wide variety of factors, especially what insurance plan you have or whether you have insurance at all. More recently, I’ve had the same problem trying to price out basic blood tests (a lipid panel) in southwestern Ohio, as simple and mechanical a procedure as exists. Without clear pricing, we’ll never get far in radically improving the cost and quality of care for non-emergency services. In areas that are not traditionally covered by insurance—think Lasik surgery, cosmetic dentistry, and plastic surgery—a very different model obtains and you see exactly the sort of market-driven efficiencies that we see in virtually every other part of our commercial lives. The surgeon Jeffrey Singer has written about how various insurance contracts bar him from even discussing discounted cash payments with patients who announce they have insurance.

Time has a great story about bringing basic market forces to medicine. Titled “What Happens When Doctors Only Take Cash,” the article uses the Oklahoma City Surgery Center as a model for a different way of doing business. Co-founded by the outspoken libertarian Keith Smith and Steven Lantier, two anesthesiologists, the center takes no insurance whatsoever. Instead, they take cash only and advertise and guarantee their prices and services. The result is pretty goddamned amazing:

The all-inclusive price for every operation is listed on the website. A rotator-cuff repair for the shoulder costs $8,260. A surgical procedure for carpal tunnel syndrome is $2,750. Setting and casting a basic broken leg: $1,925….

The Surgery Center would charge $19,000 for [patient Art Villa’s] whole-knee replacement, a discount of nearly 50% on what Villa expected to be charged at his local hospital. And that price would include everything from airfare to the organization’s only facility, in Oklahoma City, to medications and physical therapy. If unforeseen complications arose during or after the procedure, the Surgery Center would cover those costs. Villa wouldn’t see another bill.

The savings for Villa’s surgery were so awesome that his company footed the bill. Others are following suit:

Villa, for example, says his decision to go to the Surgery Center saved his company money, since his $19,000 bill is less than it would have been charged, even with a negotiated discount, by a traditional hospital. The Oklahoma state public employees’ insurance fund, which covers 183,000 people, recently did similar math. In 2015 it announced a new rule: If patients go to a traditional hospital, they pay their deductible and co-payment. If they go to a cash-based provider that meets the fund’s criteria, including the Surgery Center of Oklahoma, they pay nothing at all.

At the heart of this are the price signals that help us guide decisions in all parts of our lives. If you don’t know what things cost at a given point in time, there’s really no way to make an informed decision. Smith laid out for Time how he and Lantier came up with what to charge:

They asked their fellow doctors how much compensation was expected per procedure, factored in necessary expenses like surgical equipment and medical implants, then tacked on a 10% to 15% profit margin. Since their surgery center does not employ the army of administrators that is often required to haggle with insurers and follow up on Medicare reimbursements, their overhead is smaller. The whole operation is 41 people. “Finding an average price doesn’t require complicated math,” Smith says. “It’s arithmetic.” Since posting the price list eight years ago, they’ve adjusted it twice, both times to lower rates.

Read the whole thing here.

With about half of all medical dollars being spent by the government and much of the rest covered by completely inscrutable insurance-company payment systems, good luck figuring out what anything costs at any given point in time. Ironically, Smith notes that Obamacare’s forced march toward high-deductible plans (still a rarity among insured people) is actually fueling more cost-consciousness among patients (who should be called customers! enough with the mystifying of medical care as something more than other types of services!). After all, if your deductible is $6,000 or $15,000 or something you’re unlikely to reach in a given year, you have more incentive to track your costs.

Indeed. I started this post with anecdotes about the difficulty of finding medical prices and I’ll end with another. A few years back I had switched to a high-deductible plan and was prescribed something—a statin or antidepressant, I can’t remember which, but it was a drug for which many brand names and many generics exist. My doctor prescribed a name brand and I asked him how much it would cost per month. He replied, I have no idea. I pressed him a bit and he had his staff call my insurer and find out. It turned out it would be something on the order of $80 a month while a generic drug would do basically the same thing for about $8.00 a month. He prescribed the latter and said we could always switch if it wasn’t getting the job done.

Start multiplying those sorts of interactions throughout the medical-care system and big things start to happen. You supercharge it with outfits like the Oklahoma City Surgery Center. What happens when doctors only take cash? The lucrative field of medicine gets demystified, prices go down, services go up, and everybody except insurance companies come out ahead. Paying cash on the barrel head isn’t the full limit of how to increase the quality of medical care while driving prices down, but it’s an essential part of any serious reform that doesn’t simply involve rationing the quantity of care. Different conditions apply (obviously) for emergency situations, but those sorts of costs are exactly what real insurance—as opposed to the pre-payment plans we effectively call “insurance”—are designed to cover.

Back in 2012, Reason TV’s Jim Epstein visited the Oklahoma City Surgery Center and talked with Keith Smith and patients. Watch this video to see the future of medicine—if we’re lucky, that is.

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Coincidence? Dow Hits 20,000 As National Debt Reaches $20 Trillion

Submitted by Michael Snyder via The Economic Collapse blog,

The Dow Jones Industrial Average provides us with some pretty strong evidence that our “stock market boom” has been fueled by debt.  On Wednesday, the Dow crossed the 20,000 mark for the first time ever, and this comes at a time when the U.S. national debt is right on the verge of hitting 20 trillion dollars

 

Is this just a coincidence?  As you will see, there has been a very close correlation between the national debt and the Dow Jones Industrial Average for a very long time.

 

For example, when Ronald Reagan took office in 1991, the U.S. national debt had just hit 994 billion dollars and the Dow was sitting at 951.  And as you can see from this chart by Matterhorn.gold via David Stockman, roughly that same ratio has held true throughout subsequent presidential administrations…

During the Clinton years the Dow raced out ahead of the national debt, but an “adjustment” during the Bush years brought things back into line.

The cold hard truth is that we have been living way above our means for decades.  Our “prosperity” has been fueled by the greatest debt binge in the history of the world, and we are greatly fooling ourselves if we think otherwise.

We would never have gotten to 20,000 on the Dow if Barack Obama and Congress had not gotten us into an extra 9.3 trillion dollars of debt over the past eight years.

Unfortunately, most people do not understand this, and the mainstream media is treating “Dow 20,000″ as if it is some sort of great historical achievement

The average began tracking the most powerful corporate stocks in 1896, and has served as a broad measure of the market’s health through 22 presidents, 22 recessions, a Great Depression, at least two crashes and innumerable rallies, corrections, bull and bear markets. The blue chip reading finally cracked the 20,000 benchmark for the first time early Wednesday.

 

During the current bull market, the second longest in history, the Dow has more than tripled since March 2009.

Since Donald Trump’s surprise election victory, the Dow has now climbed by approximately 2150 points.

And it took just 64 calendar days for the Dow to go from 19,000 to 20,000.  That is an astounding pace, and financial markets around the rest of the planet are doing very well right now too.  In fact, global stocks rose to a 19 month high on Wednesday.

So where do we go from here?

Well, if Donald Trump wants to see Dow 30,000 during his presidency, then history tells us that he needs to take us to 30 trillion dollars in debt.

Of course that would be absolute insanity even if it was somehow possible.  Each additional dollar of debt destroys the future of our country just a little bit more, and at some point this colossal bubble is going to burst.

But you can’t tell most of the “financial experts” these things.  Most of them simply believe that the “market always goes higher over time”

The “market always goes higher over time,” Todd Morgan, chairman of Bel Air Investment Advisors. “The lesson here is that through wars, recessions, elections, impeachments, financial crises, and on and on, investing for the long term in high-quality stocks is the key to building wealth. … We are telling our clients that you can’t time the market. Think long term. Stay the course. We expect the market to see Dow 30,000 in my lifetime, and for my grandchildren to see Dow 50,000 in their lifetime.”

My hope is that the market will continue to go up.  But nobody can deny that valuations are already at absurdly high levels, and the only way that this party can keep going is to continue to fuel it with more and more debt.

But for the moment, there is a tremendous amount of optimism out there, and most experts expect the Dow to continue to set new highs.  In fact, CNBC says that whenever the Dow crosses a new threshold like this it usually means good things for investors…

CNBC looked at market data from the past 30 years and zeroed in on the times when the Dow has crossed levels like 2,000, 3,000, 4,000 … all the way up to the 19,000 level it hit in November. At those times, investors can typically expect traders to push it up even higher, according to data from Kensho. Not only does the Dow go up, but it outperforms the S&P 500 index along the way.

But as USA Today has explained, not all Americans are benefiting from this stock market rally…

The breakthrough came just four trading days into Trump’s presidency, a whirlwind in which the billionaire has reaffirmed his commitment to strengthen the U.S. economy and create more jobs and higher wages for workers. Still, nearly half of Americans have not benefited from the so-called “Trump Rally,” which has generated more than $2.2 trillion in paper gains for the Wilshire 5000 Total Stock Index since Election Day. The reason: only 52% of Americans polled by Gallup last April said they “have money invested in stocks” — the lowest stock ownership rate in the 19 years Gallup has tracked the data and down sharply from 65% in 2007 before the financial crisis.

Hopefully the good times will continue to roll for as long as possible.

But there is no possible way that they can keep going indefinitely.

For decades, our debt has been growing much faster than our GDP has.  By definition, this is an unsustainable situation.  At some point we will have accumulated so much debt that our financial system will no longer be able to hold up under the strain.

Many were convinced that we would reach that point before the U.S. national debt hit 20 trillion dollars, and yet here we are.

So how much higher can we go before the bubble bursts?

That is a very good question, and I don’t know if anyone has the right answer.

But for President Trump, this is going to present him with quite a dilemma.

Either he can keep the debt party going for as long as possible, or he can try to get us to take some tough financial medicine right now.

If an attempt is made to deal with our debt problems now, we will experience severe economic pain almost immediately.

But if the can keeps being kicked down the road, our long-term prognosis is just going to keep getting worse and worse.

And if we try to delay the inevitable indefinitely, at some point the laws of economics are going to make our hard choices for us.

So let us celebrate “Dow 20,000″, but let us also understand that it is far more likely that we will see “Dow 10,000″ again before we ever see “Dow 30,000″.

via http://ift.tt/2k0D5UN Tyler Durden

Why is Silver is Up Today?

Silver is The Goldilocks of Metals

 Via Soren K and MarketSlant. As more and more applications are found for Silver, its industrial use will bolster and complement its status as a precious metal. We're Silver Bulls relative to Gold for this reason.

Once upon a time, technology was the silver-killer through film elimination.  Now technology is finding increasing applications for Silver. At this rate, we may yet see the 16 to 1 ratio for reasons not yet championed. 

Self-heating windows have existed for decades. However, they’ve have always relied on near-invisible wires that can be a distraction when revealed by oncoming headlights. So instead of wires, the laminated glass used in Volkswagen’s new windshields includes an ultra-thin invisible layer of silver connected to the vehicle’s electrical system so that it heats up and melts away ice.- Gizmodo

When film died, we saw many other potential applications in technology and medicine. But the cost was just too high. Batteries for electrical cars were one. Chlorine replacement in pools another. Colloidal Silver suspensions for various ailments a third. Microwave blocking was another. None happened on a large scale for various reasons. But now it is starting to happen in heating elements. This is no aberration. It's the beginning of an application trend.

Despite being better than copper in many conductive applications, the price of silver was too high for heating elements. And so copper was used. Technology finally devised more efficient use of Silver in windshield heating to replace copper filament and decrease glare. And that means more silver will be used. And that, in turn means more similar applications will be researched.

From Volkswagen's Site

Perfect visibility with no heating wires the climate windscreen from Volkswagen

Neither ice scraper nor de-icing spray provides the perfect solution. Volkswagen is offering a genuine alternative with the climate windscreen. It heats up without the use of any filament wires, thus providing perfect visibility. Any renewed misting or icing up is also prevented.In this wire-free system a wafer-thin electrically conductive layer of silver within the laminated glass provides the required heat by converting electric current. Volkswagen is offering the wire-free heated  for the Golf, Golf Sportsvan, Tiguan, Sharan, Passat and Passat Variant models. In the summer, the thin layer of silver acts as a passive heat shield… it is able to reduce the inside temperature by up to 15 degrees more than conventional glass with green tinting. Source

Silver is King:

  1. Silver is not owned by Central Banks like Gold is- that is why Silver can and is manipulated higher on occasion when Gold can not be.
  2. It is a necessary industrial metal and the nation has a store of it – like Oil
  3. If Gold wealth should ever be confiscated, Silver will remain and become a proxy for Gold prices- like paper dollars were for Gold pre 1971
  4. JPM is long physical Silver and short paper as a hedge- A brief history of Silver manipulation from the1990s to now here
  5. Exchange listed spread contracts like the Silver/gold ratio serve to increase investor awareness and narrow the spread long term.
  6. Its industrial applications are growing

Good Luck

via http://ift.tt/2jxuY3n Vince Lanci

North Carolina Hospital Wants State to Block Competition From Two New Surgical Centers

According to the most recent census estimate, the number of people living in Brunswick County, North Carolina, in the state’s southeastern corner, nearly has doubled since the turn of the century. More people means a higher demand for medical facilities of all sorts, and two hospitals are aiming to meet that growing demand by building new operating rooms.

The State Port Pilot, a Brunswick County newspaper, reports that one hospital, Novant Health Brunswick, proposes to develop a new surgery center in Leland, North Carolina, by relocating an existing operating room and adding a new one. Meanwhile, Brunswick Surgery Center LLC proposes building a new surgery center with one new operating room and two procedure rooms, also in the Leland area.

Thanks to North Carolina’s Certificate of Necessity laws, though, only one of those proposals will become reality—and both could be blocked if a third hospital gets its way.

Earlier this week, Reason released an investigative report that examined how Certificate of Necessity laws for medical facilities artificially limit the supply of medical care, drive up the cost of care, and give patients fewer options—sometimes with tragic consequences. More than 30 states have CON licensing laws on the books, giving state-level central planners the final say over hospitals’ capital expenditures.

Often, these laws are wielded by politically connected medical providers as a way to limit competition—our investigation focused on how a single Virginia hospital prevented another nearby hospital from building a neonatal intensive care unit, despite the project having support from local officials, residents, doctors, and hospital administrators.

A similar story is now playing out in Brunswick County, North Carolina. As part of its 2016 State Medical Facilities Plan, the North Carolina Department of Health and Human Services determined there was a “need” for one more operating room in the county.

The two medical providers that jumped at the chance to fill that need have to compete with each other for permission from the state government, but they also have to compete against a third hospital that’s challenging both applications.

Administrators and trustees for Dosher Memorial Hospital in Southport, North Carolina, are opposed to the construction of a new surgery center, according to The State Port Pilot. At a public hearing last week, Dosher executives officially announced their opposition to both proposals, arguing that approving either one “would pull patients away from Dosher Memorial Hospital and greatly impact its financial survival.”

The ongoing fight in Brunswick County reveals the absurdity of CON laws. If Dosher Memorial Hospital is worried about losing patients to newcomers, it should compete for those patients by offering better quality of care or lower prices than its competitors. It should not be able to appeal to a state agency and use the power of the government to drive those potential competitors out of the region.

Unfortunately, this is exactly what happens when the government is given the authority to regulate competition through CON licensing laws.

Certificate of Necessity laws—sometimes called Certificate of Public Need laws—were created in the 1970s and 1980s under the theory that states should control medical facilities’ capital spending in order to prevent surpluses of expensive medical tech and keep costs for patients down. They haven’t worked. States with CON laws generally have higher costs and lower quality care.

“CON laws raise considerable competitive concerns and generally do not appear to have achieved their intended benefits for health care consumers,” the Federal Trade Commission and the U.S. Department of Justice said in a joint statement last year calling for state governments to roll back CON laws in order to free health care markets and lower prices. The agencies warned that these laws have been exploited by competitors seeking to protect exclusive markets by raising the cost of entry.

In North Carolina, hospitals have to get state approval for almost any new service or facility. Everything from surgery centers to the addition of hospital beds must be approved by the state Department of Health and Human Services, which uses a data-driven formula that produces the annual state Medical Facilities Plan, a 450-page inventory that accounts for all types of health care settings and services delivered across the state.

“North Carolina has one of the most micromanaged CON programs in the country. The SHCC regulates over 25 services, and it can take years for new and established health facilities to break ground,” writes Katherine Restrepo, a Forbes contributor who covers healthcare issues in North Carolina.

Regulating what services a hospital can offer makes about as much sense as letting the state government determine whether there is a need for more Chinese restaurants in a certain area, wrote Ray Cordato, an economist with the John Locke Foundation, a Raleigh-based free market think tank, in a 2005 report.

These laws persist because hospitals derive huge benefits from them and lobby hard to keep them on the books. An effort to reform North Carolina’s CON laws last year was derailed by hospital lobbyists.

A similar reform effort is now underway in Virginia.

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