Thursday, December 27, 2018

Did You Pay for Medicare and Social Security

I run into the above sentiment pretty regularly, now that's a strange use of the word entitlement but going with it the way the writer seems to want it understood.

No one paid for Social Security and Medicare, people were taxed like they were taxed to pay for defense, TANF and SNAP. Paid for it implies a quid pro quo, but a quid pro quo is not even possible. The current congress has no ability to bind a future congress. 

You are taxed to pay for public goods and congress has ostensibly (though some would consider it more a case of vote buying) considers taking care of those over 62 a public good. (BTW Medicare is funded primarily from general revenues (41 percent), payroll taxes (37 percent), and beneficiary premiums (14 percent) (Figure 7)) 

It seems to me that that a sensible thing would be to follow the Australian model and pay the same amount out to all retirees. 

Combined social security plus Medicare make up almost half of the federal spending and medical spending for people over 65 is the least effective medical spending, spending for pregnant women and infants and children would yield much more health for the dollar. Much of the healthcare for the elderly yields so little in better health that it is hard to see in the data. See. Also few people even know how Social Security benefits are calculated, if you're curious and want to be surprised, look Here

Security is very much a welfare program disguised as a Ponzi scheme. (I love to say that.) And BTW for you constitution supporting Republicans out there, SS and Medicare are unconstitutional, now I think we should amend the constitution to allow the federal Government to do charity like that. 

None of the above means that you shouldn't be for keeping them as they are, but the argument that you paid for them and are therefore entitled to them is not correct.

Thursday, December 20, 2018

Immigration To and From the USA

From here. 

Immigrants from the US to:
Belgium: 10,000
Canada: 310,000
Denmark: 10,000
France: 50,000
Norway: 20,000
Sweden: 20,000
UK: 190,000

Immigrants to the US from:
Belgium: 40,000
Canada: 890,000
Denmark: 30,000
France: 180,000
Norway: 30,000
Sweden: 50,000
UK: 750,000

Do you know what country goes the other way, net migration seems to be from the USA to Mexico.
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Wednesday, December 12, 2018

More Random Critical Analysis of Helathcare

More Random Critical Analysis of Helathcare

He is again arguing that USA healthcare spending is in line with other USA spending and we are not an outlier.

Tuesday, December 11, 2018

Healthcare Spending VS Length of Life in Countries Selected by Me to Highlight a Point

                             Healthcare spending   GDP Per    Life                  Per Capita Healthcare
Country                as % of GDP                 Capita       Expectancy     Spending
Costa Rica          8.15%                             17,200      79.6                  1,401
Denmark             10.33%                           49,600      80.6                  5,124
USA                     16.84%                           59,500      79.3                 10,020
Italy                       9.0%                               38,000      82.7                  3,420

People in Costa Rica life a much rougher life. The murder rate in Costa Rica is 10/100,00, 2x times as high as the USA and 10x as high as Denmark. If you back out murders, and one reasonably might, the USA will get close to Denmark and Costa Rica will be way ahead. Italy, famous for corrupt government is as far ahead Denmark in length of life as Denmark is ahead of the USA, and Costa Rica beats the USA and is close to Denmark!

I would expect spending as a percent of GDP and total spending on healthcare to be a factor in health.  GDP for the costs of staff and total spending to be for the costs of equipment much of it being imported.  But as for the differences in the countries about we see little of either.

The healthcare is Switzerland and Germany seem reasonably close the system in the USA post PPACA.

So healthcare spending beyond some low level does not seem to have that much effect on health.

I got the data from: