Relevant and even prescient commentary on news, politics and the economy.

Tom Price for Healthcare and Human Services

For those of you who may have missed it, Rep. Tom Price (R-Georgia) is Pres. Trump’s pick to be the head of the Department of Health and Human Services. Price is an Orthopedic Surgeon (former?) and has been in the House for 12 years now and a member of the Congressional Healthcare Caucus. It appears he has all of the required qualifications to be the head of the Department of Health and Human Services. The minority representative American Medical Association for doctors has endorsed Tom Price as an excellent choice.

AMA “strongly supports the nomination of Dr. Tom Price to become the next secretary of Health and Human Services (HHS). His service as a physician, state legislator and member of the U.S. Congress provides a depth of experience to lead HHS. Dr. Price has been a leader in the development of health policies to advance patient choice and market-based solutions as well as reduce excessive regulatory burdens that diminish time devoted to patient care and increase costs,” said AMA Board of Trustees Chair Dr. Patrice A. Harris.”

The choice of Tom Price is a no brainer for Pres. Trump as he is also in line with Republicans wanting to repeal the PPACA and put in its place vouchers for healthcare, Medicare, and Medicaid. Paul Ryan and Mitch McConnell’s jobs suddenly became easier. Mr. Price’s 2009 bill “would allow refundable, age-adjusted tax credits with amounts tied to average insurance for people who buy insurance on the individual market and don’t have access to a government or employer plan.” One can see the widow-peaked Paul Ryan smiling all the way to the House floor.

The AMA in 2012 represented ~17% of all practicing doctors and students. Overall numbers have been in a downward slide over the years. Does the AMA represent the majority view of doctors and how they view the PPACA? “Only 26 percent of all primary care physicians viewed the law ‘very unfavorably’. So it might be said that just one out of four primary care physicians “hate” Obamacare.” Indeed, all the scare tactics of decreased care put forth by the opposition about the PPACA have failed to materialize (Kaiser). It does not matter to Republicans what the finding are and to some on our side of the table can only speak of “crapification” due to the PPACA as it is a bill signed by Pres. Obama

A growing number of doctors have come out in opposition to the AMA as led by Doctor Manik Chhabra, Navin Vij and Jane Zhu on their new blog Clinician Action. At the time (December 1, 2016) of Neil Versel’s article “Pushback begins against controversial HHS pick Tom Price”, 2500 doctors had signed their petition. As of December 4, 2016; >4600 doctors have signed the petition in opposition.

“We are practicing physicians who deliver healthcare in hospitals and clinics, in cities and rural towns; we are specialists and generalists, and we care for the poor and the rich, the young and the elderly. We see firsthand the difficulties that Americans face daily in accessing affordable, quality healthcare. We believe that in issuing this statement of support for Dr. Price, the AMA has reneged on a fundamental pledge that we as physicians have taken ?—? to protect and advance care for our patients.

We support patient choice. But Dr. Price’s proposed policies threaten to harm our most vulnerable patients and limit their access to healthcare. We cannot support the dismantling of Medicaid, which has helped 15 million Americans gain health coverage since 2014. We oppose Dr. Price’s proposals to reduce funding for the Children’s Health Insurance Program, a critical mechanism by which poor children access preventative care. We wish to protect essential health benefits like treatment for opioid use disorder, prenatal care, and access to contraception.”

The rest of their stetment can be found on their blog; Clinician Action.

Whether Tom Price carries some of his views beyond an agenda to reform healthcare and repeal the PPACA, we will not know until he is appointed and has spent some time in the position. It is worthwhile to point out;

“Tom Price is a member of the Association of American Physicians and Surgeons, a conservative group that publishes a journal that has promoted discredited views — including the supposed link between ‘vaccines and autism.’”

The Association of American Physicians and Surgeons also came out with a statement on Living Wills:

“Living wills are not needed to prevent overtreatment in days when hospital procedures have ‘produced the imperative to ‘move things along.’” Death is usually “orchestrated by professionals in hospitals, … a transition that has markedly shortened the ‘waiting time’ for dying.”

The “Tucson, Arizona-based AAPS is also listed on Quackwatch (“Your Guide to Quackery, Health Fraud and Intelligent Decisions”).”

There is more to be said here and I hope you take a moment to read Neil Versel’s article, some of the other references, and visit Clinician Action.

“Pushback begins against controversial HHS pick Tom Price” MedCity News, Neil Versel, December 1, 2016

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Crony Capitalism

Teabagger and maybe Trump nominee for something (hopefully other than the Sec. of the VA), Sarah Palin slams Trump and Pence in a Randian manner on bailing out Carrier and Carrier workers calling it as an intrusion on free enterprise. Afterwards she gushes; “I am ecstatic for Carrier employees! Their bosses just decided to keep shop onshore. What a relief for hundreds of workers. Merry Christmas Indiana!”

Foundational to our exceptional nation’s sacred private property rights, a business must have freedom to locate where it wishes. In a free market, if a business makes a mistake (including a marketing mistake that perhaps Carrier executives made), threatening to move elsewhere claiming efficiency’s sake, then the market’s invisible hand punishes. Thankfully, that same hand rewards, based on good business decisions.

But this time-tested truth assumes we’re operating on a level playing field.

When government steps in arbitrarily with individual subsidies, favoring one business over others, it sets inconsistent, unfair, illogical precedent. Meanwhile, the invisible hand that best orchestrates a free people’s free enterprise system gets amputated. Then, special interests creep in and manipulate markets. Republicans oppose this, remember? Instead, we support competition on a level playing field, remember? Because we know special interest crony capitalism is one big fail.

Sarah is correct, incentives to business interests to not leave the country and layoff Labor only leaves the country hostage to corporate interests in the future. Trump’s actions and promises leave the door open for other companies to come through asking for a similar deal to save Labor. If he does not keep the company in the US, Labor will also see his promises to change the country as political rhetoric (if they haven’t already) to get elected and not worth much in the end. It will be interesting to follow his actions.

Come to Michigan which has a tough time fixing roads and infrastructure and yet can spend $billions in subsidies to business. Indiana had RTW laws, had multiple subsidies to business including Carrier, and had tax abatement of which none of it stopped companies from leaving Indiana. Under Pence, Indiana gave $Millions to companies that offshored jobs Companies come and go to states or other countries for other reasons which states can not prevent. Poorly spent money bribing companies to stay can also be hard to get back from the companies who had a change of heart. Indiana has had difficulty in getting the incentives back when companies still leave and the incentives are so poorly written they also do little or nothing to stop the company from closing an unspecified nearby plant.

Sarah Palin: But… Wait… The Good Guys Won’t Win With More Crony Capitalism YC Young Conservatives, December 2, 2016

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Trump Warns That Companies Shipping Jobs Overseas Will Be Slapped With Enormous Bribes

Andy Borowitz, comedian and author of the “The Borowitz Report.”, reports the news with his own pov:

President-elect Donald J. Trump drew a line in the sand on Friday as he warned that U.S. companies planning to ship jobs overseas will be slapped with enormous bribes.

“If you think you’re going to get away with sending jobs out of the U.S., think again,” Trump said. “You are about to be bribed, big league.”

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In Celebrity News

I don’t think anyone has ever accused me of being star struck. I pay very little to celebrities, and I probably couldn’t tell you who most of the people being profiled in any given edition of People magazine are. With the exception of Jimmy Stewart, who was way before my time, I don’t recall ever admiring an actor as a person. But Mark Wahlberg explaining why celebrities should avoid discussing politics when they know nothing about it may make me reconsider:

A lot of Hollywood is living in a bubble. They’re pretty out of touch with the common person, the everyday guy out there providing for their family. Me, I’m very aware of the real world. I come from the real world and I exist in the real world. And although I can navigate Hollywood and I love the business and the opportunities it’s afforded me, I also understand what it’s like not to have all that.

A tip of my non-existent hat to Mark Wahlberg.

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Full Employment and the Myth of the General Strike

Georges Sorel thought he had made a ‘happy choice’ with his use of the term ‘myth.’ But he soon was disabused of that illusion by critics who dismissed the anachronism of myths and others who accused him of falsifying “the real opinions of revolutionaries.”

In his essay, “Myths of the Twentieth Century” published three decades after Sorel’s Réflexions sur la violence,,” Robert Binkley credited Sorel — along with Henri Bergson, William James, Vilfredo Pareto and Sir James Frazier — with having “prepared the way” for the 20th century’s metaphysical ‘Tower of Babel’ and, consequently, with having betrayed ‘truth’. “For truth became a variable, determined by a personal equation, a problem, or a culture. As the prestige of truth fell, the prestige of myth rose… Men began to talk of the myth of science, the Christian myth, the myth of the nation, the myth of socialism, the myth of the general strike.”

Binkley must have realized that he was blaming the messenger for the message. Whatever science and progress might have meant to its 19th century eulogists. their status as “truth” was contingent and ephemeral. Critics did not concoct out of nothing the defects they criticized.

Binkley summarized “four great myths in the contemporary western world” in the following passage:

These four are: the original Christian myth, from which the others are descended ; its secularized version of the world order or great society; the materialistic version with its eschatology of the proletarian paradise; and the antithetic or reactionary myth of the nation, with its mystery of blood and soil.

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