Archive for the ‘Capitalism & Corporations’ Category

Chemical Exposure Linked to Attention Deficit Disorder in Children

Sunday, January 31st, 2010

So, go ask the folks that make any of the zillion chemicals released into the environment over the last 100 years if they think there’s any chance that their particular chemicals might, in some way, harm people or the environment.  Go ahead and ask – you know what they’re going to say.

“It’s difficult to get a man to understand something when his salary depends on his not understanding it.”

– Upton Sinclair

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A study of New York City students found that phthalate exposure was linked to behavioral problems

Children exposed in the womb to chemicals in cosmetics and fragrances are more likely to develop behavioral problems commonly found in children with attention deficit disorders, according to a study of New York City school-age children published Thursday.

Scientists at Mount Sinai School of Medicine reported that mothers who had high levels of phthalates during their pregnancies were more likely to have children with poorer scores in the areas of attention, aggression and conduct.

Children were 2.5 times more likely to have attention problems that were “clinically significant” if their mothers were among those highest exposed to phthalates, the study found. The types of behavior that increased are found in children with Attention Deficit Hyperactivity Disorder and other so-called disruptive behavior disorders.

“More phthalates equaled more behavioral problems,” Stephanie Engel, a Mount Sinai associate professor of preventive medicine and lead author of the study, said in an interview Thursday. “For every increase of exposure, we saw an increase in frequency and severity of the symptoms.”

More…

Corporations Are Citizens – What Are We?

Sunday, January 24th, 2010

– A few days ago, the U.S. Supreme Court made a terrible 5 to 4 decision granting corporations the same rights as individual human beings to make contributions to political candidates.

– The excessive power of corporations in America and their solely profit-centric reason for existing has been a topic I’ve written a lot on.

– At core, human beings are going to have to make some hard decisions about what the purpose of their governments should be.  Should they exist to serve the interests of the people who live under them by maximizing the happiness, health and freedoms of those people?  Or, should they be the minions of those who are all about profit and power and the rest of us are just left to just be the folder for them?

– I know where my vote is.  But most of the world hasn’t realized realized yet that there’s a question that needs to be decided in play.  And in the U.S., the corporations have largely won the day – while the citizens sleep in front of their TVs.

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This week’s Supreme Court ruling that corporations are protected by “free speech” rights and can contribute enormous sums of money to influence elections is a de jure endorsement of the de facto dominance of corporations over our lives. Indeed, corporations are the new citizens of this country, and ordinary Americans, who used to be known as “citizens,” now fall into three categories: consumers, warriors and prisoners.

More…

Insurance outside the U.S. (read it and weep too)

Tuesday, January 5th, 2010

insurance1– Another American Expatriate, Curtis Owings, here in New Zealand writes (below) about insurance and how it is a different experience from what folks in the U.S. know.

– Wake up Americans.   It doesn’t have to be as bad as it is.

– Here in New Zealand, the government has created the ACC (or Accident Compensation Corporation) to cover all accidents for New Zealand residents or visitors.

– The result of this is that businesses do not require Liability Insurance and Vehicles do not require accident insurance.  And, there are NO lawsuits over who was responsible for an accident.

– Nice, eh?  These are major simplifications and cost savings to the people living here.

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There is no requirement for “insurance”. In NZ the “insurance” providers only have access to more (and generally faster) elective medical options. But every one legally in the country is entitled/covered by the national health care system. The optional health insurance agencies provide all the same services, but do so from private facilities that have more capacity–so you’re really paying for convenience, not better care. If you need to file an insurance claim then visit http://www.itsaboutjustice.law/, for legal advice.

Some things are not covered by the national system like basic dentistry (check-ups), emergency rescue, and eye glasses. But the things not covered by the system are also *affordable* by comparison to the US. In Wellington we have “free” emergency rescue services by donations and fund-raising drives. These services are not always free in other areas, but again are much more affordable than in the US.

For us, the only difficulty was changing prescriptions from what we had in the US. If you are currently taking something regularly, the odds are pretty high that it will not be the same thing they prescribe here. NZ uses a single system which means that treatment methods are highly standardized across the country. If the treatment is approved and preferred, then everyone will use it. This often does not match up with practices in the US which tend to follow more options (some that work and some that don’t). There may not be 10 drugs for a particular ailment; there may only be two or three.

But the upshot is that there are never any claim forms to deal with, you can never be rejected for “coverage”, you never have to pick a coverage option, the costs do not vary, and how you get treated is consistent regardless of your job/insurance. (Again, insurance as we know it doesn’t exist here.)

~Curtis

Healthcare outside the U.S. (read it and weep)

Tuesday, January 5th, 2010

Healthcare– I like to report on how health care works in other countries outside of the U.S.    I do this mostly for my U.S. readers who are constantly besieged by propaganda from vested interests in the U.S. that are attempting to convince them that what they have in the U.S. is the best that can be had.

Au contraire, mon ami.

– There’s an entire world of amazing health care options outside the insular U.S.  In all the other advanced western nations, in fact.

– It is a world wherein people automatically expect that one of the functions of their national government is to provide health care for its citizens.  Free.   And, if not free, then certainly easily affordable.

– Recently, in one of the on-line groups I participate in for immigrants (and wanna be immigrants)  to New Zealand, a discussion started up about how health care in New Zealand works.  One of those who spoke up had just been kidded (in a good natured way) about being a ‘Socialist‘ because she thought that the socialized medicine system here in New Zealand was a good thing.

– Here’s her reply just as she delivered it.   I love it and I think readers in the U.S. should be exposed to more information like this.

– To my friends in the U.S.:  You do not live in the best of all worlds with respect to health care.  And those who are trying to convince you that you do have serious financial skin in the game.  The longer they can keep you convinced that the U.S. system is the best system, the longer their profit making streak runs hot.

– Seriously folks, you’ve got to get out there and smell the roses outside the U.S. borders.  At a bare minimum, take a vacation to Canada and talk, seriously, to the Canadians you meet about their health care system – you will be amazed and shocked at how badly you are being treated.

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Hey there – Socialist???

Might take me a second to get use to the idea as I was raised that was a “bad” word.  But guess what?  If LOVING New Zealand health care makes me a Socialist, then a Socialist I am.  I cannot say enough about how GREAT the health care here in Kiwi Land is, and as you know it is one of the main reasons we came here and one of the main reasons we stay here.  Not only was all of my IVF treatment completely FREE of charge, all prenatal, birth and post op care (including the Plunket and Karitane nurses) was included. The Lactation Consultant in the hospital charged me $6 for a nipple shield and I had to buy my own toothpaste in the gift shop as I had an unexpected early admission prior to birth. We pay $37 for a visit to our GP.  ANYONE can walk in off the street (even a visitor who has just arrived) and pay $50 to see my doctor and get the exact same medical care.

A PRIVATE eye specialist charged my husband $95 for the full and complete 45 minute glaucoma workup-medicine included.  He goes yearly as his eyes are not bad enough to qualify for the hospital’s eye clinic but bad enough that we want to keep them from getting worse.  And here a 45 minute Doctor consultation means you get to speak WITH the doctor one on one for up to 45 minutes.  I could not believe how inclusive and involved the Doctors here are. As an American nurse I am use to docs flying in and out of patient rooms for 6 minutes and billing them for the hour.  When I finally did get pregnant, I called up a SPECIALIST OB/GYN as I did not want to trust the delivery of my baby to a Midwife.  They said it would be $1200 ALL INCLUSIVE for all prenatal, delivery, and post op care.  Lucky for me I developed Diabetes before I could get in to see the specialist, so all of my care was transferred to Endocrine Gynecologists for FREE as public health pays for all complicated pregnancys.   There is a $6 charge for blood draws unless of course you are willing to walk your procedure form over to Med Lab (4 blocks away)-wait 5 minutes, and then it is TOTALLY and completely FREE.

Can’t go on enough and despite everything (both good and bad) that has happened to us over the years – the one consistent and GREAT thing that we have had is PREVENTIVE, low intrusive medical care.  Unless you happen to work in the medical insurance business, I think you will find the care here far exceeds anything that I ever worked for or found in the United States.  The idea of ever having to go back to an American doctor while in the United States sends chills up my spine.  Here, I am a person and we are a family.  There, I often felt like a lab rat.  Relax – no one in true need of medical care would ever be denied treatment while waiting for a few pieces of paperwork to get sorted.  The system is set up so that you would be covered under ACC as a visitor until you were covered.

Chanah Luppens
AKA Melissa Luppens RN BSN (an RN for 18 years in the U.S.)
Missouri Nursing Liscense
chanahluppens@yahoo.com
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– Here’s a glossary of some of the terms Chanah used here for those who are not in New Zealand or do not have a medical background and thus might not be familiar with them:

IVF -In Vitro Fertilization

Plunketa (New Zealand) not-for-profit national organization whose people are passionately committed to supporting families and young children. We are the country’s biggest provider of Well Child/Tamariki Ora services. These include parenting advice and support, child health promotion and health education. They are offered to all New Zealand children and their family/whanau from birth to five years.  Most services are completely free.

ACC – The Accident Compensation Corporation (ACC) provides comprehensive, no-fault personal injury cover for all New Zealand residents and visitors to New Zealand.

Banks Bundled Bad Debt, Bet Against It and Won

Monday, January 4th, 2010

– I’ve long said that corporations are like junk yard dogs; in their search for unending profits, they will bite anything and everything that looks likely.  Here’s a lovely story along that line.

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In late October 2007, as the financial markets were starting to come unglued, a Goldman Sachs trader, Jonathan M. Egol, received very good news. At 37, he was named a managing director at the firm.

In late October 2007, as the financial markets were starting to come unglued, a Goldman Sachs trader, Jonathan M. Egol, received very good news. At 37, he was named a managing director at the firm.

Goldman’s own clients who bought them, however, were less fortunate.

Pension funds and insurance companies lost billions of dollars on securities that they believed were solid investments, according to former Goldman employees with direct knowledge of the deals who asked not to be identified because they have confidentiality agreements with the firm.

More…

A tale of 2 insurance approaches

Sunday, December 27th, 2009

– Great article from the CBC in Canada about the U.S.’s new approach to health care and how it differs from Canada’s approach.    For me, the bottom line seems to be that the new U.S. health care approach is better than what the U.S. had before – but it is still a long way from what all the other advanced western nations have.

– The idealistic push by President Obama for real health care reform has run into the entrenched profit-centric corporations with financial skin in the game and the result is going to be a compromise that’s neither fish nor fowl.

– So far, it is better than what I feared and far worse than what I hoped for.

– And even saying this may be premature.  The long knives of the lobbyists and entrenched special interests will very likely come out in the murky adjustment processes as the Senate and the House work to meld their two version of the bill together.   These ninjas do their best work when the public’s not watching too closely.  And most of the public, at this point, think that the new face of health care is set.   But, cynics know that it is not.

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The U.S. Senate passed landmark health-care reform legislation on Dec. 24, a nearly $1-trillion bill pledging to extend coverage to an estimated 30 million Americans.

The bill still needs to go through the process of reconciliation, in which legislation passed in the House of Representatives is harmonized with the Senate’s bill. Negotiations could extend until at least February 2010. But U.S. President Barack Obama hailed the vote for bringing the country “toward the end of a nearly century-long struggle to reform America’s health-care system.”

Others say it ensured — for the most part — that the way health care is delivered in the United States would not change very much. What was approved by the Senate — and the House of Representatives before it — was not a march to Canadian-style “socialized medicine,” but rules that maintain the U.S. as the only industrialized nation in the world without universal health-care coverage.

The countries that make up the World Health Organization adopted a resolution in 2005 encouraging countries to develop health financing systems that would provide universal health care, which it defined as “securing access for all to appropriate promotive, preventive, curative and rehabilitative services at an affordable cost.”

More…

– Research thanks to Van!

A big picture snapshot

Wednesday, December 9th, 2009

– A friend wrote me the other day about CO2 and said that most of the folks who are out there talking about CO2 and its dangers sound a bit like Chicken Little.  He said there must be places out there on the web where one can get a more balanced presentation of the issues.  And asked if I could direct him to such.

– I’m not sure I answered his questions as effectively as I might have.  I could have, for instance, done some research and tried to find web sites for him with more balanced presentations around CO2 and its issues.

– But, instead, I decided to tell him how and why the debate over CO2 has gotten to be so shrill and why many folks these days are sounding like Chicken Little.

– I think the explanation of why things have gotten so shrill is well worth repeating to a wider audience and so I’ve reproduced my friend’s questions and my responses below.

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Dennis,

I know your position on global warming.   Here are my thoughts:   First any thing that would get us untangled from the Middle East and every one else that we buy oil from would be a godsend.   Most people don’t realize that Canada and Mexico are our biggest suppliers.   Being tied to any other country the way we are is a bad thing.   I don’t think the oil/coal industries will are willing to have any change in the status quo until the last ounce of oil and coal is gone.   I think they control, to one extent or another, our government.   I believe that without their influence, we would have made massive changes by now.

Now, I would like to understand more about CO2.  I am not ignorant of the chemistry or of the geological history.   My problems is when I hear the side describing the downsides of CO2 they are so one sided that they sound like Chicken Little.

Even though the CO2 increase has great potential for mass disruption of the world’s ecological balance, there must be a little of this that is being balanced by natural processes.   Perhaps,  just not at a rate that we can accept.   Could you send me some web sites with a little balance?

Dave C.

=== and my response:

Dave,

You are right.  The oil/gas/coal industries are not going to recognize the global climate change effects their products produce.   If they did, it would cost them personally a pile of money.   And yes, they do have a huge effect on governments all over the world – especially the U.S. government.

Your question about CO2 is an excellent one and I wish I could do a better job of answering it.

When you say that the people describing the coming problems from rising CO2 levels sound like Chicken Little, I have to agree.   But, you need to also reflect on how the situation got to be like that.

First off, think about the fact that scientific discoveries don’t usually come up for public debate.

And consider that science comes up with some wild and almost unbelievable discoveries fairly often.   Take Dark Matter and Dark Energy for two things.   And Quantum Physics and all of its weird ideas like entanglement and action at a distance.   And the fact that really small things like electrons are not really in one place or another but rather exist in a small cloud of probability that hovers near where we think it actually is.  And how about relativity with its ideas that time slows down as your speed get closer and closer to the speed of light?

All that stuff was discovered by science and it beggared the imagination for most of us.  But people (most of them anyway), didn’t stand up and begin to argue passionately against these new findings.

And almost EVERYTHING you and I see around us in the world today is the product of science.   Telephones, electronics, plastics, microwaves, space shuttles, nylon and the list could go on and on for years.  It is hard to find much that we use that isn’t in some way or another the direct product of science and scientific research.   Not many people will stand up and claim that the chemistry that led to developing nylon is wrong.  Or that the laws describing voltage, current and resistance are wrong.

So what’s different about science’s findings about global climate change?

Well, you already said it.   It’s the money.  It’s the vested interests.  It’s what folks will stand to lose if the theories about CO2 and global climate change are true.  And it is big.  If this stuff is true, it means nothing less than that we have to simply reorganized how we do business on this Earth.  Almost everything about how most of us live is going to have to change some if we want to continue to live on this planet without turning it into a hell.

So, that’s a big big change that will result if we listen to what the scientists are saying.  It’s going to cost big oil/gas/coal billions of dollars.  It’s going to change the geopolitical balance between nations, it’s going to mean that ordinary folks like you and I and Joe Six-pack are all going to have to do things differently.

But nobody likes to lose money, nobody likes to lose political power and nobody likes to change their familiar and comfortable life-style.   Joe Six-pack doesn’t want to hear that his big two smoke-stack turbo diesel truck is bad for the planet and we can’t afford to have it running around any more.  The folks making money cutting down the Amazon rain forest don’t want to hear it.  The fishermen fishing the fish in the sea into extinction don’t want to hear it.   The folks buying cheap shit at Wal-Mart, don’t want to hear it.

And that brings these findings of the scientists right smack up against human nature.

And that human nature doesn’t want to change and it will begin to squirm and look for every reason and excuse it can to dodge the bullet and to avoid having to change, or lose money or whatever it is.

When the scientists decided that 70% of the entire universe was made of dark matter a few years ago, no one demonstrated in the streets or began to talk against it on the Rush Limbaugh show.   It didn’t get into anyone’s back pocket – so they didn’t care.

But CO2 and Global Climate Change is going to get into all our back pockets – big time.

Let me take you back and give you some history.   I learned what I’m going to tell you from a book entitled, Red Sky at Morning by Gustave Speth.

In the 1970’s, environmentalists in the U.S. were just beginning to push their efforts to get laws passed like the Clean Air Act and the Food and Drug Laws.  The public was mildly interested and industry was ignoring all of it.   Then Three Mile Island and a few other things all happened at about the same time and suddenly the public was very hot to support environmental protection laws.  The result was that a lot of laws about protecting the air and the water and such were all passed at once before the industry folks were really awake to what was happening.

Industry lost a lot of money because of all of these new laws and they vowed to never be asleep at the wheel again.

About 10 years later, in the 1980’s, the environmentalists began to realize that they could not protect the entire world by just passing good laws in the U.S.   They needed to expand their efforts and begin to fight for environmental protection laws that would be international in scope.  By the early 90’s the alarms were being sounded that we needed to do some things internationally or we, as a species, and as a planet, were going to have big problems.

But this time industry was not asleep.   They’d been burned once by not paying attention.   Now, every time an effort was mounted to increase environmental protection globally, industry looked at the proposed laws and if they could see that such a law was going to cost them big money, they mobilized to confuse people and to prevent the political will from developing to pass such a law.

This cat and mouse game has been going on for two decades now.   At first the scientists simply published the results of the scientific research in papers.  They trusted that people would be smart enough to see the writing on the wall.   But, industry confused people and confused the issues.  They published counter studies that seemed to show the opposite conclusions.

So scientists and environmental activists began to talk louder trying to get their messages and warnings out.  And industry fought back harder.  And the entire thing escalated up and up.

Most scientists now think that the entire “Global Climate Change is because of CO2” issue has been definitively proven over and over beyond the shadow of any doubt.   But the public doesn’t think that.   They are still deeply confused by the mis-information industry has been putting out for just that purpose – to confuse them and to therefore prevent political will from developing that could result in some real laws getting passed.

What’s going on in Copenhagen now is a great example.   Many people think that awareness of our environmental problems has finally gotten to the point where the world’s leaders might actually come together and try to do something real to prevent a major environmental and climate disaster.   And then, two weeks before the conference, the other side unleashes a major campaign to throw doubt on the scientific conclusions and to mess the entire conference up.

And, I fear, they are doing a pretty good job.   Frankly, I think we’re toast and I’ve thought so for a long time.   Human nature is just too predictable and to easily manipulated.   Those who want to convince the public that the climate science is wrong actually have a pretty easy time of it because Joe Six-pack and folks like him would prefer to believe that nothing’s going on because it is way easier than thinking about the fact that they might have to change their consumerist lifestyles.

So yeah, some folks are sounding like shrill Chicken Littles.  Why?  Because it is a damn desperate situation and the world is likely to go into the toilet in spite of the very best efforts of the environmentalists.  And they are worried about it.

After reading over what I’ve written here, I realize that I’ve only partially answered what you actually asked.  You asked for some balance on the question of how CO2 is processed by the environment.

There are a lot of answers to that because, as you can imagine, the world’s climate and biosphere is a wickedly complex system.   But, here are a few of the high points:

– The level of CO2 in the atmosphere hasn’t been this high in 6 million years.

– The current swift rise in the level of CO2 in the atmosphere is faster than anything we can see in the climate records back for 6 million years.

– This rise corresponds with the rise of industrial civilization.   It begins in the climate record just about the time industrialization began when the English started building factories in the 1840’s or so and it increases in the climate record in pace with the increasing rise in industrial production.

– The denialists say that the rise in CO2 is a natural thing and has nothing to do with the CO2 humans are putting into the air.   I find that an amazing idea.   It’s like saying, “I just tromped down on the gas pedal and now the car is going really fast.”   And then having someone tell you that it’s just a coincidence and that the gas pedal has nothing to do with the acceleration.  Yeah, right.

– Nature does have some ability to absorb excess CO2.  The ocean absorbs a lot of it.  But, it cannot keep up with the rate we’re adding it to the air.   And, as the ocean absorbs it, the water becomes more acidic.  As it becomes more acidic, it makes it harder for ocean animals that have shells to make their shells because the acidification interferes with their chemistry.  At some point, this rise in dissolved CO2 is really going to mess with some huge food chains in the ocean.

– Plants and trees like CO2 and use and absorb it.  To a point.  Add a little more CO2 and a little more heat and they thrive.    But, add a bit more and they begin to weaken and wilt and their ability to absorb CO2 lessens.   This is true for the majority of plants and trees.   There are some exceptions but they are a minority and what really matters is what the majority of the world’s plants and trees are likely to do.  And what they are likely to do it not good.

– Big coal has been yammering on for years about CO2 sequestration.  But, in spite of many big public relations splashes, no one yet has made a full scale carbon sequestration plant that works.   In the mean time, China is building one or more coal fired dirty power production plants a week!   Much of the public thinks “clean coal” is either a done deal or very close.   It truth, it is miles and mile off and maybe we’ll never have it.

– The problem is bigger that just how much CO2 we’re putting into the air.  That’s bad and we can see it ramping up.  But, it is causing other problems much as one fire creates others as the embers fly.

– The arctic ice is melting and as it does, the white snow and ice disappear and the darker sea and land underneath become visible.  The white reflected heat back into space.   The darker stuff being exposed absorbs it.  So there’s more heating going on because of this and it, in turn, causes more ice and snow to melt.  It is a positive feed back cycle and it is beginning to get up onto legs of its own.

– Glaciers all over the world, with very few exceptions, are melting.  The winter snow falls that used to stay in the mountains and then melt in the summer are going away and that’s going to have a huge impact on human beings.  The summer water that millions need to grow crops and survive is going away, soon.  We’re talking most of the west coast of South America, the Southwestern U.S., Northern India and a huge swath across Central China from east to west.  We’ve never seen anything like the disruption and starvation that will result.

Dave, I’ve been reading this stuff for years and this is just a part of what I’ve read.  Scientists have no reason to make this stuff up.  But, folks who make big big bucks by keeping the world running as it is now have a huge motivation to not see and react to the coming global climate changes.  These folks have a lot of money and they think that even if there are big problems, they will have to money to hang out in nice villas up in the Alps and where ever while the rest of use starve and fight it out in the streets.

All they have to do is keep us confused so we won’t shut their party down.

Dennis

Blog Action Day – Burn it Down and Salt the Earth

Saturday, October 17th, 2009

– Today is Blog Action Day.  It’s a good reason to post something about the mess we’re making of the world so here’s my offering – which I, in turn, pulled from Kevin Drum and Mother Jones.

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The Wall Street Journal reports that the good times are rolling again:

Major U.S. banks and securities firms are on pace to pay their employees about $140 billion this year — a record high that shows compensation is rebounding despite regulatory scrutiny of Wall Street’s pay culture.

….Total compensation and benefits at the publicly traded firms analyzed by the Journal are on track to increase 20% from last year’s $117 billion — and to top 2007’s $130 billion payout. This year, employees at the companies will earn an estimated $143,400 on average, up almost $2,000 from 2007 levels.

I sort of feel like I’ve run out of things to say about this.  There’s an insanity here that’s almost beyond analysis.  Wall Street can spark an economic slowdown that misses destroying the planet and causing a second Great Depression only by a hair’s breadth — said hair being an 11th hour emergency infusion of trillions of taxpayer dollars — and then turn around and use those trillions to return to bubble levels of profitability within a year.  And they can do it even though the rest of the economy is still suffering through the worst recession since World War II.  It’s mind boggling.

Is there any silver lining here?  Probably not, but I’ll try: If Wall Street can shrug off the worst recession of our lifetimes as if it’s a minor fender bender and get the party rolling all over again in less than 12 months, it means the next bubble is already in the works and its collapse will be every bit as bad as this one.  That in turn means it will almost certainly happen while today’s politicians are still in office.  So maybe news like this will finally spur lawmakers to realize once and for all that the financial industry needs to be cut down to size.  Half measures won’t do it.  Self-regulation won’t do it.  Compensation limits won’t do it.  Byzantine, watered-down rules won’t do it.  Something like a Morgenthau Plan for Wall Street is the only thing that has even half a chance of working.

More…

Why We Spend So Much

Sunday, October 11th, 2009

This from Kevin Drum at Mother Jones – excellent stuff.

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Bob Somerby wants to know why the media isn’t a wee bit more interested in why the United States pays far more per person for medical care than other rich countries.  Here’s the rough answer:

  • We pay our doctors about 50% more than most comparable countries.
  • We pay more than twice as much for prescription drugs, despite the fact that we use less of them than most other countries.
  • Administration costs are about 7x what most countries pay.
  • We perform about 50% more diagnostic procedures than other countries and we pay as much as 5x more per procedure.

Underlying all this is the largely private, profit-driven nature of American medicine, but regardless of how you feel about that, the main lesson here is how hard it would be to seriously bring these costs down.  We can jabber all we want about incentives and greed and systemic waste, but the bottom line is that if we want to do anything more than nip around the edges, we’d have to pay doctors and nurses less, pay pharmaceutical companies less, pay insurance companies less (or get rid of them entirely), pay hospitals less, and pay device makers less.  That’s a lot of very rich and powerful interests who will fight to the death to prevent any serious cost cutting, and it’s why Obama and the Democrats in Congress have largely chosen to buy them off instead.

If you’re curious about this in slightly more detail, the chart on the right comes from a McKinsey Global Institute study of healthcare costs.  (An older but more interactive version is here.)  Healthcare spending tends to be higher in richer countries, and since the U.S. is a very rich country it’s unsurprising that we spend a lot on healthcare.  However, even when you account for that, McKinsey figures that we still spend about $2,000 more per person than we should, a total of about $650 billion.  The chart shows where this extra expense comes from: the dark blue areas are places where we spend more than expected and the orange areas show where we spend less than expected.

No matter how you slice the healthcare pie, though, compared to other rich countries we spend far more, cover fewer people, get hassled a lot more, and don’t get much better outcomes.  Unfortunately, there are a lot of people who profit handsomely from this state of affairs, so it’s not likely to change radically anytime soon.  Baby steps, my friends, baby steps.

More…

Money-Driven Medicine

Wednesday, September 2nd, 2009

healthcare_costs– A friend, who is an M.D., sent me these links.   Here’s a professional expose of what’s wrong with America’s healthcare system.   And I guarantee you, folks, that without serious agitation from the common man in the streets, it is going to stay this way because big big money is involved and for them, profits come before people.

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– Video: Bill Moyers – Money-Drive Medicine – Part 1

– Video: Bill Moyers – Money-Drive Medicine – Part 2

– Video: Bill Moyers – Interviews Wendell Potter

And more on Wendell Potter, Healthcare and Rescission

– Research thanks to Hans D.