Fausta's Blog

American and Latin American Politics, Society, and Culture

March 10, 2009 By Fausta

ShrinkWrapped on the perils of healthcare

ShrinkWrapped posts Preparing for the “Healthcare Reform in the United States” Debate: Beware of GIGO. (GIGO = Garbage In, Garbage Out)

There is simply no way to maintain “access to high standards of medical care” and “continuously enhanc(ing) … cutting edge technological innovation” and “expanding access to health care” all the while “without increasing expenditure(s)”. Anyone who tells you otherwise is trying to sell you snake oil; if you believe these claims are true you are simply mathematically illiterate and should not take part in the discussion.

ShrinkWrapped, who is a medical doctor, points out three fallacies in the pro-government healthcare monopoly argument as laid out in this Salon article, and how

comparing populations that are different from each other and/or defining your terms differently, comparisons become meaningless.

I would add to ShrinkWrapped’s list one issue that will be pressing to the current baby boom generation: the rationing of healthcare.

All the countries who currently have government-provided healthcare monopolies have strict guidelines and age limits for the most expensive procedures, particularly but not limited to organ transplants.

So, do you want a government bureaucrat looking at an actuarial table and deciding if you should have a transplant, a knee replacement, a coronary bypass, or chemotherapy? Of course, if you have enough money (assuming what’s left of the economy leaves you with enough means to do so) you can avail yourself of medical tourism, the way the Europeans are doing right now. Bangkok for a coronary bypass, or Chennai (audio alert for link) India for knee replacement?

I predict an exodus of medical techonology, a shortage of physicians as they have in France, and a huge Medicare-like mess at taxpayer’s expense.

When has creating a single-payor government-run monopoly benefited a country?

And, no, the “healthcare crisis” did not tank the economy.

UPDATE
Today’s Miracle, Tomorrow’s Tragedy

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Filed Under: Barack Obama, health, health care, healthcare, politics Tagged With: Fausta's blog

February 6, 2009 By Fausta

On Your Marks, Get Set, Diet Bet!

My latest post, On Your Marks, Get Set, Diet Bet! is up at LadyBlog. Please read it and leave a comment – and especially if you have an answer to my question.

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Filed Under: food, health Tagged With: Fausta's blog, LadyBlog

January 24, 2009 By Fausta

Blogging is a vocation

Mario Vargas Llosa once told me that “there are no bad experiences for a writer,” and that applies to blogging, too.

Witness this (via Althouse): The Curious Case of the Spontaneously Ruptured Spleen:

Anyway, as freaked out as I was, the one thing that made me happy (I laughed out loud as I was doing it, actually) was to take out my phone and start taking pictures of myself, knowing that this was bloggable material. And if I told myself that I would have something interesting to blog about, that I had something to look forward to, and that I still had something to write, then there was absolutely no reason to die.

Call this a good way of distracting myself, or call it silly self-indulgence, but it worked. I calmed down. The doctor came back half an hour later to tell me that I wasn’t going to die, but they wanted to keep me overnight for observation.

Writing is a vocation – you do it because you must.

And better yet, you can blog it.

Get well soon, Zachary.

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Filed Under: bloggers, health Tagged With: Fausta's blog, spleen

December 6, 2008 By Fausta

Intelligent ‘have better sperm’

Marry the geek, girls:

Intelligent ‘have better sperm’

Men of higher intelligence tend to produce better quality sperm, UK research suggests.
…
They found that those who performed better on intelligence tests tended to have more – and more mobile – sperm.
…
Conversely, people with robust genes might be blessed with a biological “fitness factor” making them fit, healthy and smart.

But don’t marry just any geek: Marry the geek who’s a good man, who is truthful and honest, and who loves you.

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Filed Under: health, men and women, relationships Tagged With: Fausta's blog

December 5, 2008 By Fausta

“Forget your troubles, c’m on get happy!”

Happiness is contagious

Happiness is contagious, spreading among friends, neighbors, siblings and spouses like the flu, according to a large study that for the first time shows how emotion can ripple through clusters of people who may not even know each other.

Whoot!

One person’s happiness can affect another’s for as much as a year, the researchers found, and while unhappiness can also spread from person to person, the “infectiousness” of that emotion appears to be far weaker.

And it’s not fattening, either:

While obesity appeared to spread even among people who lived far apart, happiness appears to be transmitted only among people who live within a mile of one another. The influence was also greatest among people who considered themselves mutual friends.

Happy enough to sing? Oh yeah!

“Laughter and singing and smiling tune the group emotionally,” Seligman said. “They get them on the same wavelength so they can work together more effectively as group.”

Sing it, Judy!

Sing along! Lyrics

Forget your troubles c’mon get happy,
you better chase all your cares away.
Shout hallejulah c’mon get happy
get ready for the judgement day.

the sun is shinin c’mon get happy,
the lord is waitin to take your hand.
shout hallejulah c’mon get happy,
we’re going to the promise land

We’re headin across the river to
wash your sins away in the tide.
it’s all so peaceful on the other side.

Forget your troubles c’mon get happy,
you better chase all your cares away.
shout hallejulah c’mon get happy,
get ready for the judgement day.

Forget your troubles c’mon get happy
chase ya cares away.
hallelu get happy,
before the judgement day.

The sun is shinin c’mon get happy,
the lord is waitin to take your hand.
shout hallejulah c’mon get happy,
we’re gunna be goin to the promise land.

were headin cross the river,
wash you’re sins away in the tide.
it’s quiet and peaceful on the other side.

forget your troubles get happy,
your cares fly away.
shout hallejulah get happy get ready for your judgement day.

c’mon get happy,
chase your cares away.
shout hallejulah cmon get happy,
get ready for the judgment day

The sun is shining c’mon get happy,
lord is waiting to take your hand.
hallejulah c’mon get happy,
we’re going to the promise land.

headin ‘cross the river,
throw your sins away in the tide.
it’s all so peaceful on the other side-

shout hallelujah c’mon get happy,
ya better chase all your cares away.
shout hallejulah c’mon get happy,
get ready-get ready-get ready,
for the judgment day

That should set the tone for the weekend!

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Filed Under: happiness, health Tagged With: Fausta's blog

November 20, 2008 By Fausta

Health Insurers Offer to Accept All Applicants, on Condition

By now it’s pretty clear that the Obama administration will make health coverage a priority item. The question is, what form will it take?

The NYT has a glance at the future:
Health Insurers Offer to Accept All Applicants, on Condition

The health insurance industry said Wednesday that it would support a health care overhaul requiring insurers to accept all customers, regardless of illness or disability. But in return, the industry said, Congress should require all Americans to have coverage.

The idea behind that is to avoid antiselection: When you cover the entire population, the incidence of catastrophic illnesses is minimal compared to the whole.

But there are a number of things to consider:
1. Will it still be employer-paid coverage?
If so, who’s paying for the insurance for unemployed people?
In what way is that different from Medicaid?

What happens in an economy that is contracting instead of expanding?

Do existing health savings accounts issued through insurance companies count as coverage? Or do you have to cancel that and enroll in the insurance policies?

2. What kind of coverage are we talking about?
Routine check-ups and preventive care, immunizations? How about EKGs, mamographs, colonoscopies? Dental care, eyeglasses? Plastic surgery?
How much would the insurance pay for doctor visits? Paying very little for office visits will reduce the number of physicians. France has found out the hard way.
Or would it be an HMO-type of service where the government decides who are the participating doctors?

3. What if you get sick when travelling overseas? What if you go, say, to India for knee surgery, as many Europeans are doing now?

4. Can one go outside the compulsory coverage and pay directly to private physicians?
What if you have a critical illness that can’t wait?

5. Who gets billed for the coverage? Do the elderly pay more for coverage? Again, how is this different from Medicare?

Or should we asume it will be one community rating fee for all, regardless of age, in which case people with many children will pay the most?

6. How are the fees collected? Will it be through existing governmental bureaucracies, such as the IRS, or through paying insurance companies, or will there be yet another new bureaucracy sinking in more of the taxpayers’ money? How will the department of Health and Human Services fit in the picture?

As a former group benefits administrator and underwriter, I have more questions that I can post right now. But then there’s a really big question,

Insurers did not say how the government should enforce an individual mandate: whether through fines, tax penalties or other means. Politicians have also been reluctant to specify details of enforcement, which could prove highly unpopular.

Lots of questions.

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Filed Under: health, health care, healthcare Tagged With: Fausta's blog

October 7, 2008 By Fausta

Nobel in Medicine goes to two Frenchmen,

one of which, Luc Montagnier, was kicked out of his job by the French state due to his age, and is working at… an American university.


Télézapping : Cocorico Nobel
by lemondefr
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Filed Under: AIDS, France, health Tagged With: Fausta's blog, Nobel Prize

October 4, 2008 By Fausta

McCain Palin campaign bloggers’ conference call on health care

Doug Holtz-Eakin, Senior Policy Adviser, McCain-Palin 2008 held a press conference call this afternoon.

The Obama ads on McCain’s health plan proposals can best be described as “cynical and deceitful” which “can only indicate lack of honor”.

Nothing changes for the employer under McCain’s reforms.

Not a big tax increase: if you’re receiving the same health plan as a congressman, a $12,000 health plan your tax liability doesn’t increase. Individuals will be in control of the moneys and will be able to shop across state lines and find the plan they need, fo reasonable cost and high quality of service.

The McCain plan is designed to build on employer coverage.

The Obama plan, when Medicare is already broken, is pushing for yet more bureaucracy and is estimated to cost $250million a year.

Questions
1. Lynn Sweet, How do you value the employer contribution for tax purposes, and how will people understand it?
A: Any valuation from employer to employee will be treated as taxable contribution. We must make sure people understand the plan by providing accurate information.

Adam Aigner from NBC and Alexandra Marks also asked questions.

My question:
What incentives will the private sector have to continue research and development of medical technology and that there is competition so the US continues to provide the best healthcare in the world and remains a leader in the field?
A: Two, which are, 1. There’s still a fundamental government financing basic research, which will continue.
2. What are the incentives for high value care under these policies:
A renewable policy for the individual, which provides two things, prevention and follow-up, but also with the best cost-effective intervention when medically necessary.
The plan will provide incentives for innovation by targeting the fields for innovation.

UPDATE
Say Anything comments on the O ads.

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Filed Under: Election2008, Fausta's blog, health, health care, healthcare, John McCain, politics, Republicans, Sarah Palin Tagged With: Fausta's blog

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