Saturday, November 17, 2012

We Are Told that SS Exists Because Some Would be Destitute in Old Age Without It


The Incidental economist has a couple of good post about Social Security here and here.

They just shows how perverse our welfare for the elderly programs are. We are told that the SS system exists because some would be destitute in old age without it.  So shouldn't that be reflected in the structure of the program? We have all been scammed by the SS system for long enough.  One sensible thing to do is to end FICA (FICA is not a tax but a "contribution"), fund Social Security though taxes and pay all retirees the same amount.  This would improve life for most Americans because they would get to spend more money when they are young and poorer and if they saved and invested they could still have more to spend when old due to greater returns on private investments.  Also since saving and investing promote growth, the economy would produce more, meaning we will almost all be able to consume more.

Thursday, November 1, 2012

Hospice and Insurance

File this under why insurance is a bad way to pay for anything.  If one goes into hospice, health insurance will pay for it, but if a family member quits work to give care, they will not be compensated.  The latter is often doable until very close to the end and is much cheaper and better for the patient. 

Wednesday, October 17, 2012

Poverty Paradoxes


Some have said the diseases of poverty in the USA are diseases of wealth. 

Why Tax Consumption

Why tax consumption rather than income. 


  1. We are trying to shift some consumption from the rich to the poor or from personal consumption to a public good.
  2. We are not trying to shift investment or reduce investment  because we all benefit from investment.

SS and Medicare not a Quid Pro Quo


In this election season I am seeing a lot on political ads saying that this or that group payed into Social Security and/or Medicare and so they have a claim on the system, therefore the Social Security and/or Medicare system must not be changed to help with the deficit.  But the programs are not a case where people voluntarily bough a specified future benefit.  Rather people where compelled to pay and they will receive what the democratically elected officials decide the benefit should be.  The programs have been changed before and they can be changed again.  There are no Guaranteed Social Security and medicare benefits.

Here is Ross Douthat on the payroll tax.

One Doctor on the Doctor Shortage

From the comments here.
 There is a huge international pool of capable, English speaking, newly-minted foreign-trained medical school graduates every year. Many would be happy to immigrate, do their residency training and raise their families in the US. Many are leaving countries where the monies paid under US government healthcare price controls are a relative fortune. Some leave a country like Canada, because they want to escape a socialized system where private insurance is outlawed.
HHS has total federal agency discretion to control funding and expansion of physician residency training programs. They can quickly expand the nation’s physician pool.

Furthermore, the medical profession has dramatically extended the required post-graduate training years since I graduated from Columbia College of Physicians and Surgeons in 1976. It unconscionably forces young women doctors to delay starting their families at child birth ages we recommend as optimal for our patients. . . or prevents these young women physicians from entering the medical field best suited to their talents because they don’t want to outsource raising their children.

As physicians, we have always known and discuss with each other that one of the primary reasons that training time was extended so dramatically was to delay young physician entry into the marketplace.

Dorothy Calabrese MD
Allergy & Immunology, San Clemente, CA
Often the blog comments are better than the post. 

Thursday, September 20, 2012

How Republicans Get Higher Taxes and Democrats get Rising CO2 Emissions

Below is from from a NY times article titled "Taxes Show One Way to Save Fuel" by EDUARDO PORTER

According to economists crunching the numbers, this makes mileage standards somewhere between 2.4 and 13 times more expensive than a gasoline tax as a tool to reduce our use of fuel. Indeed, by some calculations, raising fuel-economy standards is more costly than climate change itself.

The same I am sure goes for Government investment in alternative energy. It is time for all of us to wake up and see that politicians from both party are scamming us. People need to realize that they are often paying a tax even when they do not write the check to the Government.

The same goes for a CO2 tax it will be cheaper and more equitable in the long run than bloowing money on AE pipe dreams sometimes run by crony capitalists.

Republican and democrat voters need to compromise on a tax rather than letting our politicians hide the tax to get Republican votes and display the alternative energy projects to get Democrat votes. With the current situation Republican voters end up with higher taxes (to spend to to tax) and Democrat voters get continually rising co2 emissions.

If you do not despise Obama and almost every Democratic congressman and you do not despise Romney and almost every Republicans congressman it is because you are not looking at the facts.

And by the way one of the worst things that you can do is encourage those not interested in the real outcomes policy to vote.

To preempt an inevitable argument: An argument can be made that Government funding of basic research is warranted but most of this alternate energy stuff is very far from basic research.