Extra - Gateway Pundit: "When a far left German mag starts bashing Obama you know the honeymoon is over."
More - George W. Obama.
The minute health care becomes a huge, unwieldy, expensive government bureaucracy it's a permanent feature of life and there's nothing anyone can do about it. That's why Republicans need to resist this in Congress, because if we cross this line we can never go back.As usual, look to Massachusetts for the triumph of "good intentions" over sound government policy. The Bay State health care mandate that was supposed to expand coverage while keeping costs manageable has resulted in a system 1) twice as expensive as estimated, 2) where nobody can find a primary care doctor, resulting in 3) a spike in expensive ER visits.
Feminism is generally associated with modern, progressive society. Yet few people know that ancient Sparta - infamous for its militarism - granted women exceptional rights. Spartan women could inherit, own, and bequeath property; they were fed and schooled as much as men; they had complete freedom of movement; they married later and could even get away with adultery. So why would the tough Spartan men allow this to happen? Upon subjugating its neighbors - whose population vastly outnumbered Sparta’s - Sparta needed its males to focus entirely on training for war and its females to focus on managing the subjugated population and estates. To give the women sufficient capability and incentive, especially in the absence of men, the men had to grant the extra rights to women, the authors of a new study argue. However, as in modern times, more autonomy for women was associated with lower fertility, which ultimately led to Sparta being unable to field a large enough army, losing control of its subjugated neighbors, and rescinding the rights of its women.Another classic case of overextension, I fear.
Mahmoud Ahmadinejad has almost no support among Kurds whatsoever. Claiming he “won” 70 percent in Kermanshah is as outlandish as Dick Cheney winning San Francisco and Berkeley in a landslide.It could happen...in bearded Spock universe!
"Perfectly logical," says mirror-universe Spock.
No matter what the consequences, as in I'm going to tell the truth about what happened, and let the chips fall where they may. This metaphoric term alludes to chopping wood and is usually joined to a statement that one should do what is right (that is, the woodcutter should pay attention to the main task of cutting logs and not worry about small chips).Thank you, Internet!
Not since the second world war have so many governments borrowed so much so quickly or, collectively, been so heavily in hock. And today’s debt surge, unlike the wartime one, will not be temporary. Even after the recession ends few rich countries will be running budgets tight enough to stop their debt from rising further. Worse, today’s borrowing binge is taking place just before a slow-motion budget-bust caused by the pension and health-care costs of a greying population. By 2050 a third of the rich world’s population will be over 60. The demographic bill is likely to be ten times bigger than the fiscal cost of the financial crisis.H/T Maggie's Farm. I'm so weary of repeating this, but I'll give it another try. There's no point searching under the couch cushions for money to pay for universal health care. That money has been spent a long time ago to pay for Social Security and Medicare. There's nothing left. It's gone.
PRAGUE - When Petra Kalivodova, a 31-year-old nurse, was considering whether to renew her contract at a private health clinic here, the offer of special perks helped clinch the deal: complimentary German lessons, five weeks of vacation, and free liposuction and silicone breast implants.This is a family blog, so I'm going to end commentary here.
For Jose and his family, it was as though a hand had reached down to answer their prayers. But in that moment, something else had happened as well: The Cambridge drug company Genzyme had just found its first potential patient in Costa Rica. And now that it had found one, it would supply the drug to Tania, but at an astonishing cost - $160,000 a year, possibly for the rest of her life.Costa Rica's health board decided "no".
This was far more money than the Costa Rican government had ever paid for a drug, and Genzyme would not bend on the price. The country's health officials were forced to weigh the prospect of a healing gift for one girl against the needs of a nation struggling to care for millions.
Should Tania get the drug?
Costa Rica's healthcare system was considered a success story, and it was succeeding not because it spent freely, but because it spent carefully. The challenge of paying for Cerezyme, a product at the extreme high end of the brand-name drug business, was something new.With help from the American drug company (Genzyme) the Gonzalez family sued the government:
Inside the health ministry, a committee of doctors met to decide Tania's case. They reviewed the medical literature on Cerezyme's effectiveness - whether all patients clearly benefited (they don't) and whether Tania would, which was uncertain. In the end, the committee voted, unanimously, to deny the payment.
"We have 600,000 hypertensive patients, 120,000 diabetics," said Chaves in an interview. "That's where they set the priorities."
The case reached Costa Rica's constitutional court in July 2003, and the results were swift. At the hearing, Dr. Saborio testified about Tania's diagnosis; he said she definitely had Gaucher disease.A happy ending for Tania, to be sure, but there's always the question of how finite resources might have been spent for the rest of the Costa Rican population.
"They asked me what her future would be if she didn't receive the medication. And I told them exactly what would happen: eventually she would die," said Saborio. "And that was it . . . I think there was little doubt about what the right decision was."
It took an hour. The court told Costa Rica that Tania would get her treatment, and Genzyme would get paid.
The demand for universal coverage sounds like a moral imperative to “take care of everybody,” but in reality it would make only a marginal difference when it comes to the overall health of the American population. The sober reality is that universal coverage is another way to spend money, which may or may not be a good idea.Spending costs money? Who knew? Thanks, professor!
The most likely possibility is that the government will spend more on health care today, promise to realize savings tomorrow and never succeed in lowering costs. It is rare that governments successfully cut costs by first spending more money.
Mr. Obama has pledged to be a fiscally responsible president. This is the biggest chance so far to see whether he means it.
Massachusetts Turnpike commuters have paid $442 million in tolls to cover Big Dig expenses over the past three years, according to a financial analyst hired as part of a class action lawsuit against the Turnpike Authority.It never ends. Can't we fill the damn thing back up with dirt?
Commuters, politicians, and state officials have long argued that tolls collected on the turnpike have been used to pay off unrelated portions of the $15 billion project, amounting to a back-door tax that unfairly burdens one segment of the public.
The Force and the WordAnd so on.
The Vader, the Son, and the Holy Dollar
"If you strike me down, I shall become more powerful than you can possibly imagine"
Dark Lord vs. Lord of Light
The Vader and Child reunion is only a motion away
"I find your lack of faith disturbing"
The Obama administration is warning lawmakers that the trust fund that pays for highway construction will go broke in August unless Congress approves an infusion of as much as $7 billion.How is it possible that the federal government can spare $50 billion for General Motors, run a $2 trillion deficit, but still not have enough money to keep the roads paved? Seven billion dollars nowadays is a rounding error.
Since we must scale back fiscal borrowing as we move into the future, there are only two alternatives: to accept far higher levels of taxation, or to accept a U.S. economy that is significantly smaller and slower-growing than it would otherwise have been. (The consequences of the latter, of course,are high unemployment and less material well-being for individuals.)Right now, Washington is gorging on cheap borrowing supplied by the Chinese. Do they think this can continue? Here's the response when Treasury secretary Timothy Geithner told a Chinese audience about the U.S. Treasury bonds they've purchased: "Chinese assets are very safe."
What would be a logical way to navigate between those alternatives? Adopt a high-tax policy that does as little as possible to burden highly-productive individuals, businesses and capital, thus lessening the impact on the size and dynamism of the economy.
But we already know that the President wants to do exactly the opposite. Faced with an evil choice between much higher taxes and a smaller economy, Obama is on track to give us both.
The comment provoked loud laughter from the audience of students.Guess not.
How do you write an obituary for an entity that’s been dead for seventeen years? Like that high-school Biology frog-leg experiment, GM’s twitching since 1992 was due to externally administered stimuli. Yes, I would have much preferred to write GM’s obit in ’92. Back then, the guilty party was merely GM’s brain-dead management. It would have been easy just to rag on about all the lame cars they built. But it’s become a lot more complicated and uglier. Now we all have blood (and red ink) on our hands. And it’s not going to wash out easily.Not to drive a cliche into the ground (with a car cliche!), but there's a lot to suggest that GM's management felt they were "too big to fail." These guys were stuck in a different age of three-martini lunches while the floor mats shifted under their feet.
While the state is facing cost challenges, he said, implementation of near-universal coverage in 2006 still put consumers here in a better position than in other states. "We should be lucky enough to have those problems [nationally]," Altman said of the challenges outlined in the Urban Institute survey. "If we get to a point where everyone is insured, then we can move on to worry about the affordability of care."We're not buying a wedding cake here. We're talking about irreversible federal legislation that will dramatically alter how one-sixth of the economy operates. The only issue worth consideration is how to pay for national health care before we indulge in self-congratulation. As usual, the curse of "good intentions" is leading the debate towards the easy work of expanding coverage before considering the costs involved. It's dessert before dinner.
Under President Barack Obama's budget plan, the federal debt is exploding. To be precise, it is rising – and will continue to rise – much faster than gross domestic product, a measure of America’s ability to service it. The federal debt was equivalent to 41 per cent of GDP at the end of 2008; the Congressional Budget Office projects it will increase to 82 per cent of GDP in 10 years. With no change in policy, it could hit 100 per cent of GDP in just another five years.When bond ratings drop, it becomes more expensive to borrow money since creditors get worried about getting paid (see: General Motors.) Investors are already getting skittish because it looks like we're going to monetize our debt by driving up inflation. A lot.
A government debt burden of that [100 per cent] level, if sustained, would in Standard & Poor’s view be incompatible with a triple A rating," as the risk rating agency stated last week.
The fact that the Federal Reserve is now buying longer-term Treasuries in an effort to keep Treasury yields low adds credibility to this scary story, because it suggests that the debt will be monetised. That the Fed may have a difficult task reducing its own ballooning balance sheet to prevent inflation increases the risks considerably. And 100 per cent inflation would, of course, mean a 100 per cent depreciation of the dollar.Megan McArdle weighs in:
Eventually the treasury has to roll that debt or pay it off, and if interest rates spike, that can prove catastrophic--just ask Argentina.Well, Obama promised he wouldn't raise taxes on Americans making under a quarter-mil, but with those darn rich entrepreneurs squeezed along with greedy corporations, there are no jobs and (surprise!) tax revenues are way down. Any other tricks we can try to pay for everything? Enter the value-added tax trial balloon, which will dramatically drive up the cost of buying anything.
WASHINGTON -- President Barack Obama put his signature on legislation Friday clamping down on credit-card companies' ability to boost interest rates and slap higher fees on consumers, a measure long-sought by the White House but reviled by the banking sector.Ha ha ha! What a joker. By the way, did I say the United States is following California into a hole? Maybe I meant the United Kingdom: "Britain's debt omen"
"We're not going to give people a free pass, and we expect consumers to live within their means and pay what they owe, but we also expect financial institutions to act with the same sense of responsibility that the American people aspire to in their own lives," Obama said at a signing ceremony in the Rose Garden.
Even the White House concedes that U.S. debt held by the public as a share of GDP will hit 70% in fiscal 2011, by far the highest level since 1951 and up from 40.8% in 2008, before declining. (See nearby chart.) But that forecast beyond 2011 depends on very rosy assumptions about renewed growth and future spending restraint.
The dollar's standing as the world's reserve currency gives the U.S. somewhat more protection against losing its AAA rating. But the world's creditors are making their own judgments about U.S. fiscal credibility on a daily basis, and those judgments will show up in the value of the dollar and the yields on Treasury debt. Those investors didn't like what they saw yesterday, perhaps because they think the British are showing where out-of-control spending leads.Next stop: taking Hawaii to the international pawn shop.
The context is simple - not only are the people of California selfish in denying their politicians more of their money, they’re just plain too stupid to understand the complexities of what they’re voting for. Taxes are good for you, you stupid little people.Look on California and tremble America. Because if you believe, as Megan McArdle does, that "California is completely, totally, irreparably hosed" then historian Victor Davis Hanson has some really bad news for you:
…
By the way, nowhere in the article do they interview anyone who might explain why people are sick to death of the state sucking them dry.
Read the whole LA Times article. It’s as good an example of elitist arrogance and sneering condescension from both the left and the main stream media as you’ll find anywhere.
Voters exercising their rights. The nerve.
One would hope this is wake-up call for Obama. His proposals will put the federal government a year or two away from a California-style reckoning. For now, the slash and burn tax approach to "them" (the top 5%) has assured the people that they can spend all this borrowed money on health care, education, cap and trade, and free this and free that. But in about a year's time, as the deficits and interest rates mount, the fed will start looking everywhere for cash, and Obama's "95% of you will get a tax credit" will go the inoperative way of military tribunals and rendition, and we will start to see a real pushback against taxes.Gold and guns are starting to look like a good investment.
Texas created more new jobs in 2008 than all other 49 states combined.How cow, can that be true? Amazing.
At best, the rising cost of the debt would intensify pressures to increase taxes, cut spending -- or create bigger, unsustainable deficits. By the CBO's estimates, interest on the debt as a share of federal spending will double between 2008 and 2019, to 16 percent. Huge budget deficits could also weaken economic growth by "crowding out" private investment.This economic gamble in America is based on the concept that we're "too big to fail." Recent history suggests that's a dangerous assumption.
At worst, the burgeoning debt could trigger a future financial crisis. The danger is that "we won't be able to sell [Treasury debt] at reasonable interest rates," says economist Rudy Penner, head of the CBO from 1983 to 1987. In today's anxious climate, this hasn't happened. American and foreign investors have favored "safe" U.S. Treasurys. But a glut of bonds, fears of inflation -- or something else -- might one day shatter confidence. Bond prices might fall sharply; interest rates would rise. The consequences could be worldwide because foreigners own half of U.S. Treasury debt.
It's important to recognize that the gargantuan deficits and looming fiscal crisis likely to result from the Administration's spending plans are just one part of the danger we face. Such massive increases in federal spending also exacerbate the more general problems caused by expanding government control over society. In particular, growing federal spending and regulation will make it even more difficult for rationally ignorant voters to impose meaningful democratic control on public policy. And they will provide numerous opportunities for interest groups to exploit the growth of government for their own benefit, at the expense of the general public.With the level of borrowing we're taking on, it's not so difficult to see a tipping point where our foreign policy is constrained by international creditors while domestic policy is steered (even more) by banks and lenders. For example, is it such a stretch to imagine that China could own such much U.S. debt that they would attack Taiwan without fear of retribution? What about when the government needs to borrow more money to pay for Social Security Treasuries and the lenders demand higher rates? Our fiscal irresponsibility and failure to address real problems in entitlement spending will subjugate America to the sway of its creditors.
Massachusetts General Hospital launched a pathbreaking effort to cut medical costs by reducing hospital stays and emergency room visits by the frail elderly - an initiative that underscores just how hard it will be for the medical industry to make good on its promise to President Obama to pare healthcare spending by $2 trillion over the next decade.The Globe also has an incredulous editorial about Obama's plan to prestidigitate savings from the current health care system: "$2 trillion saved, just like that?"
If you read the C.B.O. testimony and talk to enough experts, you come away with a stark conclusion: There are deep structural forces, both in Medicare and the private insurance market, that have driven the explosion in health costs. It is nearly impossible to put together a majority coalition for a bill that challenges those essential structures. Therefore, the leading proposals on Capitol Hill do not directly address the structural problems. They are a collection of worthy but speculative ideas designed to possibly mitigate their effects.In related news, less than a week after healthcare industry leaders promised big savings, they were saying "not so fast": "Health Care Leaders Say Obama Overstated Their Promise to Control Costs." Maybe it would have been prudent to get the health care savings up front before we spent the money we don't have.
The likely outcome of this year’s health care push is that we will get a medium-size bill that expands coverage to some groups but does relatively little to control costs. In normal conditions, that would be a legislative achievement.
But Obama needs those cuts for his whole strategy to work. Right now, his spending plans are concrete and certain. But his health care savings, which make those spending plans affordable, are distant, amorphous and uncertain. Without serious health cost cuts, this burst of activism will hasten fiscal suicide.
This year, the Associated Press notes, "the government will have to borrow nearly 50 cents for every dollar it spends." Even with optimistic economic assumptions, the Obama administration projects budget deficits of more than $500 billion every year from 2010 to 2019, totaling $7.1 trillion in additional debt at a time when Social Security and Medicare spending will be skyrocketing due to the retirement of baby boomers-a problem Obama has not begun to address.It seems like the man has a problem with simple math.
"We can no longer afford to spend as if deficits do not matter and waste is not our problem," the president said last week. "We can no longer afford to leave the hard choices for the next budget, the next administration-or the next generation." I wish that Obama had some influence on the one who is setting the administration's fiscal policy.
The year when Social Security begins to spend more than it takes in, 2016, is by far the most important year. From that point on, Social Security will require large and growing amounts of general revenue money in order to pay all of its promised benefits. Even though this money will technically come from cashing in the special issue bonds in the trust fund, the money to repay those bonds will come from other tax collections or borrowing. The billions that go to Social Security each year will make it harder to find money for other government programs or require large and growing tax increases.As I've noted, the trajectory for the federal government, even before Obama's spending spree, is towards a system of tax collection on the revenue side and payments to seniors and bankers (for interest on the national debt) on the expenditure side. Discretionary spending? Um...no.
Social Security and Medicare trust funds are expected to run out of money sooner than expected, a report released Tuesday shows.Megan McArdle follows up with "The Problem with Social Security"
The report, from the programs' trustees, shows that expenses will exceed tax revenues for Medicare's hospital insurance fund in 2017, two years earlier than was estimated in a 2008 report.
Social Security's trust fund is expected to be exhausted in 2037, four years earlier than last year's estimate. Social Security's expenses are expected to outpace the program's tax income by 2016. On a 75-year horizon, Social Security would need additional revenue equivalent to $5.3 trillion in today's dollars to pay all scheduled benefits.
The report "once again reminds us that the longer we wait to address the long-term solvency of Medicare and Social Security the sooner those challenges will be upon us and the harder the options will be," U.S. Treasury Secretary Timothy Geithner said in response to the data.
This year the "it's fine" arguers have a tough uphill climb. The year that Social Security goes bankrupt and cuts benefits by 25% moved up four years, to 2037. The surplus fell 25%. The date that Social Security starts becoming a drain on the general fund, rather than subsidizing it, moved forward a year, to 2016. And suddenly these dates don't sound so comfortably far off, do they?She refers to the automatic benefit cuts that kick in (by law) once the SS Trust Fund is exhausted. The problem with the "it's fine" argument is that it misrepresents the health of the Social Security system which could alter saving behavior today:
The political risk is that whatever the economic theory, we will not politically be able to continue benefits at planned levels. People who counted on those benefits will thereby be made much worse off, because they will have saved too little on the assumption that the benefits would be there.Without reform, every worker 40 and under in American can expect only 75% of promised benefits. Forbes wants to let you know that there's a future as a Walmart greeter waiting: "Kiss retiring at 67 goodbye."
Ayman al-Zawahiri, al Qaeda's No. 2 leader, the most wanted terrorist after Osama bin Laden, with a $25 million bounty on his head, is holed up near Quetta, Pakistan, according to a highly placed Pakistani intelligence source.Let's get those satellites lined up.