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RE: The Economy of Votes - 3/3/2009 4:54:45 AM   
MmeGigs


Posts: 706
Joined: 1/26/2008
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quote:

ORIGINAL: OrionTheWolf
No reason to get out of the way. Just not much reason to expand and become that much larger right now. And the reason this would not apply is that they run their own companies, and are taking care of their bills. Now if they were hurting for money, then more money would probably have a higher priority. Do you understand that? 


Sure do.  He's where he is because it's where he wants to be.  It seemed to me that in the post I responded to you were saying that he's where he is because it would take too much money and effort to be where he wants to be. 

(in reply to OrionTheWolf)
Profile   Post #: 41
RE: The Economy of Votes - 3/3/2009 6:47:22 AM   
Mercnbeth


Posts: 11766
Status: offline
quote:

ORIGINAL: Owner59
Well,Merc.

You`ve come quite a long way.You used to deny that there was even a crisis.
There is now 59, there sure is now; thanks to the Administration and Congress actions. The last Trillion Dollar spend fest made sure of that.
quote:

Now you`ve a least come around to reality.
So now finally,a question.
What would you suggest we do to address the current credit crisis and the recession,besides the do nothing plan your party has put forward ?
Let them fail and the successful institution with capital will fill in the void. Not many left thanks to President Obama, but enough.

quote:

And how do you feel about the money bush gave the banks ,some 350 billion in TARP funds,that`s just sitting in the vaults,......... doing nothing,.........just sitting there,......b/c your favorite president bush gave it to them without any strings or rules.Mission accomplished.
Projecting again; we all know that President Bush was YOUR favorite President. Without him what meaning would you have in your life? You'd have no 'boogie man' to blame your troubles on, and your position in life.

quote:

And just as a disclaimer,please answer this question.Yes or no.
59, Have you ever answered a question, other than; "Do you want fries with that"?

quote:

Are you now,or have you ever been a banker or a member of a bank company that`s received TARP money?
I prefer work to government handouts; and lived that philosophy even when I qualified for millions.
quote:

 ORIGINAL: MmeGigs
Yes, but I don't really see that you've suggested anything resembling a solution in this thread, you just accused folks you disagree with of unsavory motives and threatened to take your ball and go home.  Not very constructive.
Flat out - BULLSHIT!

Cuts, let the failures fail, and audit the government from top to bottom to eliminate ALL duplicity and unneeded spending. Cut all corporate and MOST (note, not all) personal, welfare. Return all troops and occupation forces in Iraq - TODAY.

Said it, more and with details many times.

quote:

A lot of the increase in individual earnings for folks on the low end has come not from increases in wages or assistance, but because they're working more hours.  Even with that, folks on the bottom aren't getting ahead.  The ratio of tax-payers to non-tax-payers has been getting worse.  

What do you suggest we do about this?  How do you suggest we go about getting enough of these folks over to the tax-paying side of the fence to make a real difference?
Reciprocity regarding tariffs .Manufacturing jobs will return when it makes more sense for manufacturers to stay here.

Now - are YOU and others willing to not put the life of a blind salamander, or some other environmental roadblock in the way of such a manufacturing effort. Not to say that we should use the Chinese model, of putting a lead factory next to a baby formula plant; but some pragmatic compromise? It's NOT a solution that has a one sided solution.
quote:

I'd cut through all of the bullshit about how much that should be by setting it at the low estimate - somewhere between $12 and $15 an hour. 
You couldn't afford to live in this world. Doubling the employee cost will triple the product cost. Ever live through an inflationary period? Wait a few more months and may see what its like. No matter how much money you make, the cost goes up faster. That isn't the raising the bar - it's raising the goal. 
quote:

He's where he is because it's where he wants to be.  It seemed to me that in the post I responded to you were saying that he's where he is because it would take too much money and effort to be where he wants to be. 
I sure am and you should want to be too. Except you won't get there if me, and others like me, don't find it attractive to grow our businesses, expand and hire more people. But that's not the direction of this Administration - they'd prefer you be a government drone, make a minimum substance wage, rely on the government to support you.
quote:

I suspect tat the publics loss of confidence in the private sector has something to do with the private sector's loss of confidence in them
Lost of confidence in the private sector? Who has that? They lost confidence in the ability for the private sector to survive in the environment being put forth by Congress and this Administration. When government is the first resort of a solution instead of the last resort - private sector suffers and can not function. There is no confidence and no spending because every indicator points to, ultimately the government wants, and needs, each and every dollar of new profit generated. It makes for the condition we have today where it's damn near impossible to find anyone willing to invest.

Without investment you have a Depression and total reliance on the government. Because I believe that Obama and his administration are smarter than me - I believe that IS the plan. No other outcome is likely from this actions.

(in reply to Owner59)
Profile   Post #: 42
RE: The Economy of Votes - 3/4/2009 5:59:16 PM   
MmeGigs


Posts: 706
Joined: 1/26/2008
Status: offline

quote:

When government is the first resort of a solution instead of the last resort - private sector suffers and can not function. There is no confidence and no spending because every indicator points to, ultimately the government wants, and needs, each and every dollar of new profit generated. It makes for the condition we have today where it's damn near impossible to find anyone willing to invest.

I see it very differently. We need all sectors of our economy to be part of the solution, and the best venue for doing that is government. I think that a good part of why we are where we are today is that too much of the focus has been on the market and the private sector and we've been pretty much ignoring what's going on with our workforce. Some folks expressed concerns when Sears and JC Penney were losing market share to Walmart and Target. That was a big red flag - you can't sustain a consumer-driven economy if you're shrinking the number and/or effectiveness of consumers. No one wanted to hear it.

The days of double-digit returns on "safe" investments are over, and folks have to get used to that. If you want to make money fast or get double-digit returns, you're going to have to stick your neck out and risk getting it chopped off. That's basic market theory. Still, I have to think that anyone who has some extra money but doesn't want to invest today either has really unrealistic expectations or is a pussy. One of the cool effects of an economic downturn is that it opens up new business opportunities.
There are some great investments for folks with some imagination who know where to look. I'll have some money to invest in a few months, and I'm excited about looking for inventive and sustainable companies to invest in. I plan to use a buy and hold strategy, and I expect that I'll do pretty well.
quote:

Without investment you have a Depression and total reliance on the government. Because I believe that Obama and his administration are smarter than me - I believe that IS the plan. No other outcome is likely from this actions.

I think that the things the Obama administration is trying to do are likely to result in less reliance on government in the long term. More folks will be shifted from the non-taxpayer side of the fence to the taxpayer side. That benefits all of us. The more of us there are paying in, the less each of us has to pay.

It seems to me that we have a good amount of evidence that the private sector doesn't have much interest in getting more folks on the taxpayer side. It is a big problem that there is no stigma attached to paying one's employees so little that they qualify for public assistance. It's a shameful situation, but we're heaping the shame on the wrong people.  That makes it easier to avoid taking any responsibility.


Here's what I need you to explain to me.

You have rejected the idea of a living wage. You have said that it will cause prices of products to triple. You have also said that you want to cut most govt social spending, which is what fills in the gap between low wages and what it costs these low-wage workers to live. How do you anticipate that this gap will be filled if we don't do it with wages or with govt social benefits?

(in reply to Mercnbeth)
Profile   Post #: 43
RE: The Economy of Votes - 3/5/2009 7:21:04 AM   
Mercnbeth


Posts: 11766
Status: offline
quote:

I think that the things the Obama administration is trying to do are likely to result in less reliance on government in the long term.
How? I'd really like to have a outline of how this can, and will occur? Hope and feelings is great as campaign rhetoric, but there is no reality based pragmatic path that I see. Please if you do - enlighten me, I honestly want to know.

quote:

You have rejected the idea of a living wage.
Have I? I reject the idea of assigning an arbitrary "living wage". What is your definition of a "living wage"?  
quote:

You have said that it will cause prices of products to triple.
Unlike the government, a business can not print money to pay it employees wages, living or otherwise. Any wage and all the business portion of taxation that goes with it, is passed on to the consumer. It's not dollar for dollar because add SS and the employer's portion of the tax and it's close to two times, especially if the company pays any types of benefits such as paid vacation, sick time, and insurance. The point is, if you make something that costs a dollar and wages are increased the price goes up proportionally. The result is you could make minimum wage $100/hour and as a result, a loaf of bread will cost $75. The net result is the employee loses. Add to the equation, that the employee pays more tax on every purchase in the form of more sales tax associated with the higher cost.
quote:

You have also said that you want to cut most govt social spending, which is what fills in the gap between low wages and what it costs these low-wage workers to live. How do you anticipate that this gap will be filled if we don't do it with wages or with govt social benefits?
What creates the gap? What is essential and 'entitled? The internet? Cable? Personal Car? Cell Phone? Where is the Government's Constitutional responsibility to provide school lunch? Why should corporate welfare exist in the form of purchasing this food from government contracted vendors?

What I said was to audit the details of every government program, end the duplicity, State versus Federal programs, as well as those working at cross purposes.

Charities are now more political organizations and not performing as charities. These institutions should go back to their mission statement, similarly to the USA going back to theirs; insuring, "Live liberty and the pursuit of happiness". There is no guarantee of obtaining it and no entitlement to it. Work for it, take personal responsibility and have personal accountability.

(in reply to MmeGigs)
Profile   Post #: 44
RE: The Economy of Votes - 3/5/2009 8:34:54 AM   
Owner59


Posts: 17033
Joined: 3/14/2006
From: Dirty Jersey
Status: offline

quote:

ORIGINAL: MmeGigs
Yes, but I don't really see that you've suggested anything resembling a solution in this thread, you just accused folks you disagree with of unsavory motives and threatened to take your ball and go home.  Not very constructive.



"Flat out - BULLSHIT!

Cuts, let the failures fail, and audit the government from top to bottom to eliminate ALL duplicity and unneeded spending. Cut all corporate and MOST (note, not all) personal, welfare. Return all troops and occupation forces in Iraq - TODAY.

Said it, more and with details many times."

~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~

She said a solution,not what you would do.

Economic depression isn`t an option,Merc.

_____________________________

"As for our common defense, we reject as false the choice between our safety and our ideals"

President Obama

(in reply to Mercnbeth)
Profile   Post #: 45
RE: The Economy of Votes - 3/5/2009 9:59:16 AM   
Mercnbeth


Posts: 11766
Status: offline
quote:

She said a solution,not what you would do.

Economic depression isn`t an option,Merc.


Seems to be with this Administration 59.

What I would do IS a proposed solution. I suggest its better than following the fiscal irresponsibility of the prior Administration times three. I understand your support of President Bush's policies regarding giving hand outs to failures now that the Democratic President has adopted them, however, they didn't work then, they won't work now.

Destroying the private sector and putting a tax burden on the successful to fund the failure insures only one thing - more failure.

Tax the 'rich' is good in theory. In practice the 'rich', defined by assets and not by income, can go on 'strike' not put capital on the streets, as they have and generate the results we are witnessing.

But again - total government involvement and total government reliability is a goal of this Administration. It will generate votes. You don't vote against your boss; the latest CA budget crises points out that fact. Public employees unions are the only growth industry stimulated by the latest bail out.

There will be none of the auditing or cuts I suggested - its counter this Administration goals. The hypocrisy of the current Budget, fat with special interest and pork programs bears that out. That's the government we can expect, payment for votes.

Not that I would expect you to answer any question, but how will any of the actions taken by this Administration so far lead to an eventual reduction in Government as MmeGigs suggests? Name one bureaucracy, or bureaucrat ever closed or fired. The Budget becomes a starting point for next year. A 'cut' is defined by not providing the scheduled increase. Again, using the CA example; the legislators were proud to announce a 'cut' in the paid holidays reducing them by two. Of course, at the same time they authorized two additional 'personal days'. That's a Democratic State legislative body's version of a 'win' for the taxpayer.

I'm sure you would agree it was. Then again, based on party lines; you are easily conned - I'm not. A 'cut' means you have less money to work with, not a reduction of the increase you expected.  

(in reply to Owner59)
Profile   Post #: 46
RE: The Economy of Votes - 3/5/2009 1:12:34 PM   
QuietlySeeking


Posts: 297
Joined: 5/5/2005
Status: offline
quote:

ORIGINAL: MmeGigs

Perhaps Merc and your employer need to reconsider the business that they're in.  This is what we tell workers when they're made redundant, is it not?  Retrain, retool, reinvent yourself for the current economic circumstances.  Be flexible, be mobile, try to position yourself as both diversified and able to specialize. 

If the extra effort isn't worth the return, get out of the way and leave it to someone who is willing to do the work.  Isn't this what we're always telling our workforce?  Why would this not apply to Merc and your employer?


Let's go back to 1980.....for the "rich people".
How would like to work 40 hours a week for the first quarter of the year and receive 80% of your base wages?
2nd Quarter, you only receive 70% of your base wages.
3rd Quarter, you only receive 50% of your base wages.
4th Quarter, you only receive 30% of your base wages.

Pre-Reagan tax rates for the wealthiest wage-earners  in our country had them working the same hours for 30 cents on the dollar; the rest was taken by the federal gov't in taxes.

Would you work for 30% of your base wage for 1/4 of your working year?  Not I.  I suspect many of the small business owners like Merc won't be willing to put out 110% effort for 70% less funds. 

(in reply to MmeGigs)
Profile   Post #: 47
RE: The Economy of Votes - 3/7/2009 9:26:05 AM   
MmeGigs


Posts: 706
Joined: 1/26/2008
Status: offline
Sorry it's taken me a while to respond - it's been hectic around here and hard to find a block of quiet time.

quote:

I reject the idea of assigning an arbitrary "living wage".


That they're arbitrary doesn't mean that they were pulled from thin air. $12-$15/hr are the numbers I see most often when folks who have studied the issue try to put a dollar figure on it. The Republican former Speaker of the House here in MN is now our Commissioner of Labor and Industry, and he has used the $15/hr figure for a living wage. He wasn't recommending that we pay that much, but he tossed the figure out there. I figure that my $12-$15/hr is definitely in the ballpark.

We know for sure that a living wage is more than the current minimum wage of $6.55 or the $7.15 that it will be on 7/24/09. If an arbitrary number is going to be a sticking point, I'd be okay with bumping up the minimum by a buck or two an hour each year until we figure out through actual experience what a "living wage" is.

My definition of a living wage is that it is enough to afford necessities - food, shelter, heat, lights, clothing, transportation and basic health care. The cost for these things varies greatly from one part of the country to another, but there are damned few places where one can pay for these things on less than $12/hr.

quote:

quote:

You have said that it will cause prices of products to triple.
Unlike the government, a business can not print money to pay it employees wages, living or otherwise. Any wage and all the business portion of taxation that goes with it, is passed on to the consumer. It's not dollar for dollar because add SS and the employer's portion of the tax and it's close to two times, especially if the company pays any types of benefits such as paid vacation, sick time, and insurance. The point is, if you make something that costs a dollar and wages are increased the price goes up proportionally. The result is you could make minimum wage $100/hour and as a result, a loaf of bread will cost $75. The net result is the employee loses. Add to the equation, that the employee pays more tax on every purchase in the form of more sales tax associated with the higher cost.


You're wrong in your figuring here in many respects. First, the bits of govt that are most responsible for the cost of wage subsidies are the state and local govts. The states cannot print money. Some funding for those programs comes from the federal govt, but most does not. Social programs can account for half or more of a state's budget. Many states and most local govts are required by law or by their state's constitution to balance their budgets. The elected officials who decide what will be spent live next door to the people who'll be paying it, so they hear about the taxpayers' concerns every day. Most take that pretty seriously - it's damned difficult to raise taxes, which is as it should be.

The employer's portion of SS and FICA and such is about 8% of wages. Unemployment insurance would increase with higher wages, but that's also a very small percentage of wages. Health insurance costs don't track with wages - they'll be the same whether the employee is making $8/hr or $15/hr. Life insurance costs go up as wages go up, but that's a very small percentage of wages, and danged few low income folks get life insurance benefits through their employer. Many low-wage workers don't get paid vacation, and most don't get paid sick time. If they do, a week off is a bit less than 2% of annual wages. Very few get retirement benefits. The employer will pay more than a dollar for each dollar in increased wages, but they won't be paying two to one. It won't even be one and a quarter to one.

Labor doesn't account for most of the price of the products we buy. In the food industry, which is very labor intensive, they figure labor is a bit less than 40% of the price. Someone mentioned recently that the automakers figure that labor accounts for 10% of the price of a car. I'd imagine that other manufacturing labor is similar or a bit higher in less mechanized industries. Since food service workers are paid really poorly we would see a big jump in the cost of fast food since their wages would need to go up quite a bit to bring them to a living wage. Manufacturing workers make more, so not only would there be less of an increase, there's less of a labor factor in the price, so the price of those goods won't go up all that much.

We'd end up with higher prices, certainly. We'd also end up with more folks who are also consumers and taxpayers and fewer who are getting in line for food stamps, housing assistance, daycare assistance. So we'd end up with lower taxes and less reliance on government. Every dollar we don't spend on wage subsidies saves us more than a dollar in taxes, because there's a fair amount of overhead in these programs. I think it would all balance out money-wise and we'd have a more stable working class.

quote:

quote:

You have also said that you want to cut most govt social spending, which is what fills in the gap between low wages and what it costs these low-wage workers to live. How do you anticipate that this gap will be filled if we don't do it with wages or with govt social benefits?
What creates the gap? What is essential and 'entitled? The internet? Cable? Personal Car? Cell Phone?


The gap is created by the large number of jobs - about a third in our economy - that don't pay enough to afford food, shelter, heat, lights, clothing, transportation and basic health care. The programs that are out there now don't bring folks up to a living wage or cover all essential expenses. Perhaps the income limits should take some of these things into account. A phone is pretty essential. It's about impossible to function without one. How do you call in to work when you're sick? Payphones are becoming virtually nonexistent and cell phones are cheaper than land lines in many places, so maybe cell phones should be part of the formula. A personal car may be an essential expense. Some kind of transportation certainly is - it's impossible to hold down a job if you can't get to work. In big cities with good public transportation folks wouldn't need personal cars, but in smaller cities and rural areas, public transportation can get pretty limited. In my town, the buses only run from 6AM to 6PM on weekdays, they only run about half of the routes on Saturdays and they don't run at all on Sundays. In small towns around here there is no public transportation. Businesses are open every day and evenings and weekends. A lot of the industries have second shifts, some run around the clock. "How will you get to work?" is a pretty common interview question. If you don't have a car or live within walking distance, you probably won't get the job.

I get a little nervous when folks bring up "entitled". It's usually tossed out there to derail discussions about what we should do about poor folks. The argument goes that because people aren't "entitled" to food, shelter, etc. - there is no Constitutional right to these things nor any Constitutional mandate that govt provide them - we/govt have no obligation to provide them. It's an ideological argument that completely avoids addressing the problem of a growing underclass. If we all agree that no one is entitled to anything, the working poor and their issues don't just go away.

We're not talking about a small number of people here - we're talking about a quarter to a third of our workingfolk. Employers are saying that they can't afford to pay more. Many states are planning to hold the line on social spending despite the increasing number folks needing the help - they don't have the money to increase spending and feel that this is a bad time to raise taxes, a viewpoint with which I'm sure you would agree. Low-wage folks have limited options for filling in that gap. It's not like they can all go out and get another job. A lot of them are already doing that, but there aren't enough jobs out there to support that many folks working 50-60 hours a week or more, and weren't even when the economy was doing well.

What do you imagine will happen if we cut off programs that help support low-wage workers and don't increase their wages?

quote:

Where is the Government's Constitutional responsibility to provide school lunch? Why should corporate welfare exist in the form of purchasing this food from government contracted vendors?


Some kids go to school hungry because their families are poor and have to ration food. We found out that hungry or poorly nourished kids can't learn and that kids who don't learn are more likely to become burdens on society. Feeding them is relatively cheap - about $300/yr or less per kid today - and it's a good long-term investment. A lot of bang for the buck, which is what many of us like to see in govt programs.

Govt buys this food from government contracted vendors because the public expects an open bidding process when govt is spending chunks of their money. As they should. They should also expect accountability on the part of the govt entities spending the money, which is something the Obama administration has said they plan to focus on.

quote:

What I said was to audit the details of every government program, end the duplicity, State versus Federal programs, as well as those working at cross purposes.


I definitely agree with you on this, although I'd use "duplication" rather than "duplicity". I've been happy to hear that the Obama administration is planning on conducting reviews of all federal agencies to trim fat. I'm hoping that they'll encourage state and local governments to do the same, although I'll bet that most are already doing that in light of their current budget situations. I hope that the administration will talk to local govts more when it comes to social spending. Those are the folks who have to work with the programs on a practical level, so they can provide input on where the waste and duplication are.

(in reply to Mercnbeth)
Profile   Post #: 48
RE: The Economy of Votes - 3/7/2009 1:26:39 PM   
DeviantlyD


Posts: 4375
Joined: 5/26/2007
From: Hawai`i
Status: offline
DISCLAIMER: I don't pretend to be knowledgeable about the economy - only about my own slice of life.

Hopefully I am not too off topic by saying this, but....Obama has been in office for...what...less than two months? How does he end up getting blamed for so much?  And regarding handouts, I swear there were bailouts that occurred before Obama came into office or is my memory really THAT bad?

Personally, if it were up to me (and given my lack of economic eruditeness, probably best that it wasn't), I would have let all of these companies tank - no bailouts. It seems to me (again, pointing at disclaimer) that the crux of the matter is twofold: one, too many greedy people; and two, too many people with credit over and above what they could ever realistically expect to repay. Oh wait. It's threefold, with the third being poor management. (I'm speaking of things overall, not about Merc's particular situation.) How anyone on this planet deserves a million plus salary is beyond me, especially when their managerial skills help place a company in a precarious fiscal situation. (I'm speaking CEO's and the like, not private business owners whose salaries are, essentially, the profits.)

quote:

ORIGINAL: OneMoreWaste

quote:

ORIGINAL: MmeGigs
I'd like to see businesses absolved of responsibility for health care and retirement.  It's wonderful that you provide these to your employees, and I'm sure glad that my employer provides these for me, but it does put many US businesses at a competitive disadvantage internationally, and like it or not, we have a global economy and that's not going to change. 


Health *insurance* costs are only a symptom, though. The U.S. medical industry has snowballed into an almost incomprehensible cash-sucking monster, with insurance companies, lawyers, and "healthcare" providers of all sorts caught in a twisted game of cost one-upmanship. I don't have a solution, but it needs to be resolved for our long-term health (no pun intended).



MmeGigs: If not the employer, then who, the government? Hey, I'd be all for that, but it isn't likely to happen in this country. The private citizen? The heatlh care insurance costs are ridiculously high...and why? Because it's a for-profit business. Make it a no-profit industry and things might change. (And yes, I'm aware of the arguments against that, but done correctly it would be better to be non-profit.)

OneMoreWaste: Oh I fully agree. And it isn't solely what you mention as the reason for the soaring costs. I truly believe it's the "small things adding up " idea too. I work in health care and I see some of the waste. It makes me angry. My feeling is that, as a health care worker, my primary duties are to ensure I do best by the patient and to do my best to ensure there is no contribution to increasing costs. My employer is all about doing things as economically feasible as possible, under the guise of helping to maintain costs and not forward them on to the patient. The reality of it is that they do so only to increase their bottom line and while they may look good for not increasing costs, it is simply a bonus for them to use to make themselves appear altruistic. Yes, I'm that cynical.

quote:

ORIGINAL: MmeGigs

There are a lot of folks out there who are working on and implementing solutions.  The "Minute Clinics" that are opening up all over the place are one example.  They're half or less the cost of going to the dr's office.  There are a lot of medical "Help Line" services available through insurance companies or hospitals/clinics where you can speak with a nurse and get some advice or assistance and perhaps avoid a visit to the dr.  There are websites like WebMD where folks can get information that can help them make better decisions about their care.  I saved me and my insurance hundreds of dollars by looking up a knee injury and discovering that it would mend itself if I wrapped it up and took it easy for a week or two. 

My employer has a self-funded health insurance program.  They're focusing heavily on wellness programs and preventive care, and are strongly (and in a positive way) encouraging staff to participate in order to cut costs.  They've made it clear that if they save money they'll pass those savings along to us by doing just that - last year we had a month with no health ins premiums taken out of our checks because our collective expenses were lower than they'd anticipated.  For someone with family coverage, that was nearly $300, and was definitely a great incentive to be prudent with our health care spending.

Most of the "snowballing" of medical costs is about the rate at which medical technology is changing, not about insurance or lawsuits.  An expensive piece of medical equipment used to be a long-term investment, but today it's obsolete in a couple of years.  Last year's drug has been replaced by a newer, better drug that's only available at top-gouge retail price.  We can do things today that would have been considered miraculous not all that long ago, but many of those miracles cost a lot of money - hundreds of thousands or even millions of dollars. 

We're also spending more because we're a lot more focused on treatment than prevention.  Should insurance really be paying for lap-band or gastric bypass surgery for someone who hasn't given eating less and getting some exercise a shot?  Should insurance be paying for cholesterol-lowering medications for someone whose diet consists of fried chicken and Big Macs? 

We're also spending more because health care consumers are demanding more.  We don't want to be in a hospital ward the way we would have been in the past, we want private or semi-private rooms and a lot of individual attention.  That requires a lot more staff and many more square feet per patient of expensive hospital space.

There are lots of opportunities for savings in health care costs, but many of them involve taking some control over the amount of profit that the various players are taking out of the system.  Many folks like to point to malpractice claims as the demon in health care costs, but malpractice insurance costs track more closely with the profitability of the malpractice insurance industry than they do with the costs of malpractice claims, which haven't really increased as a proportion of total health care costs.  There's a lot of evidence that folks are less likely to sue if their dr or hospital accepts responsibility for errors and takes steps to address them, but this is something that the insurance companies and risk managers tell health care providers not to do.  The ass-covering culture that malpractice insurance companies have promoted actually leads to more claims, which means higher malpracitce premiums and more profits for the malpractice insurance companies and higher health care costs.



MmeGigs: I agree with you on most points. The idea of a lay person researching their ailment online without medical assistance is scary though. I don't think anyone should be doing that unless we're talking a hangnail. And the idea of prevention is spot on. This is going to be the only surefire way to lower health care costs. Most of those people I see at work with health problems are due to poor lifestyle choices. I know it isn't easy to change to better lifestyle choices because I too have made poor ones - in the past. All of us need to be better educated and know what is good and isn't good out there.

One last comment. I live very simply. My indulgences are books, music and every so often a bit of technology. Though anyone who knows me, knows that I squeeze every last drop I can out of anything electronic. If it works and does what I need it to do, does it matter if I have the latest and greatest? No. And that is what I see is part of why the economy is in the mess it is in today. Too many people have to have the newest and best or even just things they really don't need. I see people whose wages are half of mine living with far more material possessions that I do. (e.g. they have a new truck, I have a 13 year old beater) At times, I wonder how the hell they do it - how can they have more, when I know they earn less. Then I realize "oh yes, credit".  No offense to anyone, but if we all weren't so spoiled, I don't think the economy would be in the mess it's in.

Edited to correct typo...and for clarity.


< Message edited by DeviantlyD -- 3/7/2009 1:30:23 PM >

(in reply to MmeGigs)
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