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HEALTHCARE RATIONING

 

One of the major arguments against the proposed healthcare reform bill (now health insurance reform??) is the concern over the possibility of 'rationing'. It is obvious that, especially since the advertised objective of the government's intrusion into healthcare is to make it available to everyone regardless of their ability to pay, there will have to be decisions by someone as to who gets care and how much.

This is certainly a valid concern. The idea that someone else is making decisions which are critical to your life and health is not satisfactory to most people. And the thought that the 'someone' will be an unknown bureaucrat in D.C. is both galling and scary. It does not appear at all compatible with the Rights to 'Life, Liberty and the pursuit of Happiness' declared in the Declaration of Independence.

What does not seem properly understood, however, is that healthcare, like all other goods and services, MUST be rationed in some manner. There is a finite amount of everything, so the eternal question is who gets what. Therefore, the question before 'We The People', represented we hope by our government, is whether the rationing will be done by bureaucrats, OR whether it will be done by FREE MARKETS.

Historically the American Way has been to look to free markets to determine not only the rationing of goods and services, but also the supply of goods and services. Unfortunately, over the last century healthcare has drifted little by little from free markets to a government controlled and regulated supply of both services and drugs. It is this writer's belief that the current runaway costs of healthcare are primarily the result of such government interference. Thus, after creating a 'crisis' (Rahm Emanuel's desired condition) in healthcare costs, the government proposes to cure its crisis by assuming the role of rationing the overpriced and inadequate supply.

In addition to returning the 'rationing' decisions to those that are directly affected, the free market approach has other benefits. The government solution requires a huge (always) bureaucratic empire to implement the rules (made by bureaucrats) for rationing. This empire adds considerable cost to the total for healthcare, which ultimately means less care for the available funds. The empire will determine what goods and services are provided, with the certain result that innovation will dry up. The empire will try to dictate prices which will also reduce supply. Oh, what a tangled web we weave!

To summarize then, the choice being presented to the American people is not whether everyone will have unlimited healthcare, but whether we look to the government or to free markets to provide and ration the necessarily limited supply of healthcare goods and services. To me the choice is a no-brainer - America's globally envied healthcare to date has been made possible by what free markets have been allowed to exist, and all attempts in other countries to implement the government solution inevitably fail or are failing.

What is needed is not ObamaCare. What is needed is to remove the current government interference in the healthcare market.

Marcus Everett

marcus.everett@citlink.net

August 12, 2009

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More Thoughts on Term Limits

There has recently been increased interest in Term Limits for elected offices. It has become blatantly obvious to even the rank and file citizenry that career politicians are a large (if not the largest) part of the problem in all levels of government. However, there are several problems with getting from here to ANY semblence of term limits, and in addition there is of course considerable disagreement as to what such limits should be.

At the Federal level, the first problem - how to get there - is a very high hurdle. To begin with, it is virtually inconceivable that any Legislative body is going to cut its own head off by passing term limit legislation. No one is likely to vote themselves out of a job, especially one as lucrative and cushy as political office. Since such a vote would have the same effect as firing them, threatening to throw them out has no real clout. Furthermore, at the Federal level, there is no such thing as a referendum that would allow the citizenry to pass term limit legislation, and even if there were, the next bunch of crooks in office would just repeal it. Worse yet, at the Federal level, passing a Constitutional Amendment (which is what is ultimately needed) requires either two thirds of Congress (not gonna happen) or two thirds of the Legislatures of the States (also very unlikely) to propose such an Amendment. And then three forths of the States must ratify it. Prospects are dim.

Even though hope of such a Constitutional Amendment is vanishingly small, let's take a minute to look at what such Term Limits might be. Most suggestions are for two or three terms, somewhat akin to the two term limit that was passed for the Presidency. (Note that this Amendment probably was successful only because most of Congress and the State Legislatures had little hope of winning the Presidency.) Some suggestions at the Federal level have been for a fixed time limit, with 12 years (6 terms of the House or 2 terms of the Senate) being the favorite.

Unfortunately, the problem with the career politician is that he (or she) is always running for the next election. The minute that the current election is won, the campaign for the next election is the primary focus for not only most of his time, but for what his vote is going to be on any bills that come up. To me, this is the root of the problem. With this in mind, it seems obvious that the proper term limit is ONE.

Even passing a Term Limit Amendment limiting all terms of elected office to one term still leaves a gaping hole. This was blatantly illustrated in the last Presidential election. ALL of the contenders were currently holding office at the time, and most spent the better part of two years campaigning rather than addressing the task they had been elected for. Ironically, since the winner had only just been elected to the Senate in the previous election cycle, he basically reneged on his obligations to his constituents to campaign for a better job. As a blurb that circulated on email suggested, try that on YOUR job.

My proposal for a Constitutional Amendment, albeit probably unattainable, is the following. Since the problem is not only that the career politician sucks off the public teat all his life, but in addition the fact that he is also constantly campaigning for the next election, there is only one way to end the farce. To wit:

No person shall be eligible to be a candidate for any public office while currently holding any elected public office. This restriction shall be in addition to any other qualifications for the particular office.

That oughta 'git er done'!

In the meantime, the ONLY thing the citizenry can do is VOTE OUT THE INCUMBENT.  We can't pass the above Amendment, BUT WE CAN IMPLEMENT IT!  Pass it on!!  Check out www.tenurecorrupts.com.

Marcus Everett

marcus.everett@citlink.net

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Three Facts the next Administration had better understand

Senator Barack Obama’s rhetoric during the campaign often stressed his plan to tax the rich (the top 5% of incomes) to pay for several giveaways of new spending. Furthermore, the famous response to 'Joe the plumber' of 'sharing the wealth' further implies that he believes it possible for the government to transfer wealth from the 'rich' to the 'poor' with a net gain to the latter. Based on the three facts discussed below, it is hard not to conclude that either the president-elect is lacking in a fundamental understanding of economics, or that he was inclined to demagoguery in his campaign rhetoric. For the sake of the American economy in the next few years, one must hope that he comes to embrace reality.

The first fact is that YOU CAN'T TAX THE RICH. This is not to say that it isn't possible for the government to commandeer some of their wealth. The problem is that the effect of doing so is to reduce the standard of living of the poor much more than that of the 'rich' that have been taxed. To see this, let's consider three levels of income. The lowest level is the amount of income necessary to provide basic needs: food, shelter, energy for heat, minimum transportation, etc. The next level is income available for discretionary spending, which includes anything from a spiffier suit to a luxury car or boat. The third level is income left over from the first two that is invested, whether for a rainy day or for additional income. Now if you tax the middle class or lower, you almost certainly will reduce their discretionary income and therefore will directly reduce their standard of living. Those poor enough to have only income to cover basic needs would be hurt the most. But, unfortunately, any tax on the truly rich short of draconian confiscation of wealth would certainly not affect their basic needs, and furthermore would have little to no impact on their discretionary spending. What it would do is reduce the amount of income that they invest. The question then becomes whether it is better for the individual to invest his own income, or for the government to take his income to spend or invest. Most likely the stolen funds will only be squandered in some entitlement or pork barrel scheme. But even if the government 'invests' the money, and even if the bureaucrats that decide how to invest it are as competent as the individual robbed, the overhead of having a middleman in the process guarantees less efficient use of the funds. The net result is that overall productivity is reduced, reducing the standard of living of all. Jobs are lost and the guy at the bottom feels the impact most. The rich guy's portfolio may not be as fat, but his standard of living is reduced least by the inefficiency.

The second fact that the president-elect needs to ponder is that YOU CAN'T SHARE WEALTH THAT DOESN'T EXIST. Since, by virtue of the first fact, trying to 'share the wealth' by confiscating it from the rich only impoverishes everyone, the result of such an attempt at wealth transfer is completely counterproductive. The wealth transfer recipient may get more money, but since the economic system produces less, increases in prices will more than cancel out any possible increase in standard of living. Meanwhile more of the rich man's income must be used to maintain his standard of living, and therefore even less of his income after taxes is invested. The negative effects of such taxation schemes are magnified. The net effect is a transfer of poverty, not a transfer of wealth.


A third fact that bears on the ones discussed above is that PAPER ASSETS ARE NOT WEALTH. To the extent that they can be liquidated at any particular time for real wealth (goods and services), they may rightly be considered a form of wealth. But not only may the time value of paper assets change drastically, their ability to be liquidated at any particular time may be an illusion. A perfect example of this is Bill Gates' wealth. The portion of his net worth computed by multiplying the current value of Microsoft stock by his huge holdings is illusory. If he tried to liquidate any significant portion at any one time, it would depress the stock price drastically. That is why, that over a period of several years, he dumped only a few million shares at a time. Even now, his ability to liquidate all of his paper assets at one time is probably severely restrained. In a similar vein, the claim that billions of wealth were lost in the most recent stock market crash, or that more billions were lost in the real estate crash, are also erroneous. The problem is that the liquidation value of a single stock or home at any instant may be represented by the current market value, but not all stocks or homes can be liquidated at that price at one time. In this respect not only paper assets (stocks) but also real assets (homes) can have a time value significantly different from current market price. In both cases the real wealth (the home or the company's real assets) are not destroyed, but rather that large wealth transfers occur as a result of such booms and busts, depending on who buys or sells and when.

The fluctuating value of paper assets with time also applies to fiat currency. And, once again, attempts to transfer wealth by creating more currency penalize the poorer members of society much more than the rich. Inflating the money supply, in the final accounting, transfers real wealth from those who have savings in cash, usually the poorer members of the economy, to those who invest in real assets.

The moral of all this is clear. If the soon-to-be President Obama really wants to share the wealth, he must push for more, not less, laissez faire capitalism. This has been proven over and over throughout history to be not only the best but also the only way to increase total wealth. And, as they say, a rising tide lifts all boats.
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