Health Care Update

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_richardMdBorn
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Health Care Update

Post by _richardMdBorn »

I'm semi-retired from the MB as I'm working on a book, but I thought it would be interesting to view health care 4.5 months after the passage of the bill:

1) Cost estimates of the bill were revised up a minimum of $115B by CBO
http://www.cbo.gov/ftpdocs/114xx/doc114 ... HR3590.pdf

2) ) Medicare actuary says health care plan will increase costs.
WASHINGTON (AP) — President Obama's health care overhaul law will increase the nation's health care tab instead of bringing costs down, government economic forecasters concluded Thursday in a sobering assessment of the sweeping legislation.
A report by economic experts at the Health and Human Services Department said the health care remake will achieve Obama's aim of expanding health insurance — adding 34 million Americans to the coverage rolls.

But the analysis also found that the law falls short of the president's twin goal of controlling runaway costs. It also warned that Medicare cuts may be unrealistic and unsustainable, driving about 15% of hospitals into the red and "possibly jeopardizing access" to care for seniors.

The mixed verdict for Obama's signature issue is the first comprehensive look by neutral experts.

In particular, the warnings about Medicare could become a major political liability for Democratic lawmakers in the midterm elections. Seniors are more likely to vote than younger people and polls show they are already deeply skeptical of the law.
The report from Medicare's Office of the Actuary carried a disclaimer saying it does not represent the official position of the Obama administration. White House officials have repeatedly complained that such analyses have been too pessimistic and lowball the law's potential to achieve savings.

The report acknowledged that some of the cost-control measures in the bill — Medicare cuts, a tax on high-cost insurance and a commission to seek ongoing Medicare savings — could help reduce the rate of cost increases beyond 2020. But it held out little hope for progress in the first decade.

"During 2010-2019, however, these effects would be outweighed by the increased costs associated with the expansions of health insurance coverage," wrote Richard S. Foster, Medicare's chief actuary. "Also, the longer-term viability of the Medicare ... reductions is doubtful." Foster's office is responsible for long-range costs estimates.

http://www.usatoday.com/news/washington ... p=24&RM_Ex

Obama's claim that the bill would reduce costs was always ridiculous. You give tens of millions of people coverage below cost and assume that increased utilization will not increase costs. That's weak compared to the typical farcical Obama argument.

3) The assertion that if you like your plan, you can keep it, was also a lie. The only uncertainty is how many millions of people will be shifted into other plans.
_moksha
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Re: Health Care Update

Post by _moksha »

Richard, was it morally right or wrong to want health care coverage for all?
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_richardMdBorn
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Re: Health Care Update

Post by _richardMdBorn »

moksha wrote:Richard, was it morally right or wrong to want health care coverage for all?
I don't think that want is the right word. Isn't require a more pertinent term?
_moksha
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Re: Health Care Update

Post by _moksha »

richardMdBorn wrote:
moksha wrote:Richard, was it morally right or wrong to want health care coverage for all?
I don't think that want is the right word. Isn't require a more pertinent term?


Good point, that way denial of health care would help us avoid the appearance of evil if it is not required. Let the Samaritans in those other industrial countries do it. We have business to attend to
and shekels needing compound interest.
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_richardMdBorn
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Re: Health Care Update

Post by _richardMdBorn »

moksha wrote:Richard, was it morally right or wrong to want health care coverage for all?
Let's deal with a more straightforward economic case. Is it morally right or wrong to want affordable apartments in New York City for all?
_moksha
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Re: Health Care Update

Post by _moksha »

richardMdBorn wrote: Is it morally right or wrong to want affordable apartments in New York City for all?


That is an interesting question. Has anyone addressed the religious or moral implications of wanting all human beings to be able to find shelter from the elements, like a roof over their heads or a place to keep warm in the winter? I would suspect some groups such as those Salvation Army people or the Catholic have discussed this, but they are mostly do-gooders and have little working appreciation for accumulating capital.
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_richardMdBorn
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Re: Health Care Update

Post by _richardMdBorn »

moksha wrote:
richardMdBorn wrote: Is it morally right or wrong to want affordable apartments in New York City for all?


That is an interesting question. Has anyone addressed the religious or moral implications of wanting all human beings to be able to find shelter from the elements, like a roof over their heads or a place to keep warm in the winter? I would suspect some groups such as those Salvation Army people or the Catholic have discussed this, but they are mostly do-gooders and have little working appreciation for accumulating capital.
I should have added a reference to rent control; do you think that rent control helps make housing affordable for all in cities which have it?
_moksha
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Re: Health Care Update

Post by _moksha »

richardMdBorn wrote:I should have added a reference to rent control; do you think that rent control helps make housing affordable for all in cities which have it?


That makes a lot of sense, since housing costs have exceeded many renters incomes from when they first moved into their apartment. It keeps a lot of tenants in New York City from being homeless and having to hop a freight train to New Jersey or Utah. Who knows what they would find there.
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_richardMdBorn
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Re: Health Care Update

Post by _richardMdBorn »

moksha wrote:
richardMdBorn wrote:I should have added a reference to rent control; do you think that rent control helps make housing affordable for all in cities which have it?


That makes a lot of sense, since housing costs have exceeded many renters incomes from when they first moved into their apartment. It keeps a lot of tenants in New York City from being homeless and having to hop a freight train to New Jersey or Utah. Who knows what they would find there.
What do you think is the effect of rent control on apartment construction? Does it encourage or discourage it? What is its effect on maintenance.

When my company moved me to SF in 1992, I looked at an apartment a block from the office. The rent seemed high and I asked what their vacancy rate was. It was around 50%. I asked why they didn't reduce the rent. They said that SF rent control would have made it difficult to raise it in the future. Thus, they rented far fewer apartments for the moment but could cash in if the market tightened. Rent control here increased the rent for new tenants and decreased the supply of affordable apartments.

I will be on vacation for a week but will be glad to continue the discussion if you're interested when I return.
_asbestosman
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Re: Health Care Update

Post by _asbestosman »

For what it's worth, I recall my econ professor talking about how some landlords got around rent controls. One trick involved making tenants rent furniture or rent space to store furniture with the apartment.
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