Saturday, November 30, 2013

Saturday, November 30, 2013

THIS EXPLANATION OF HEALTH INSURANCE MAKES SENSE:






No, insurance doesn't have to cover things like normal maternity. For the sake of clarity, this discussion is NOT about catastrophic coverage for the unpredictable health event or situation -- this is true insurance that can and should be pooled, typically in reinsurance pools.
Health care services below catastrophic care can be easily prepaid (as in typical insurance), paid at time of service (cash), post paid (via loan). There's also hybrid options such as Health Savings Accounts where people put money aside to pay for their care -- sort of a prepaid/paid at time of service option.
For anything less than catastrophic health care needs, there is no
compelling reason that requires all health care cost to be prepaid as
part of some massively bloated first dollar coverage package -- prepaid coverage warps the market by putting
inordinate leverage in the hands of a few to twist the market to their own crony
benefit and outcomes. These outcomes are rarely good for the general welfare as a whole.
In the case of maternity benefits, a C-section birth might be well considered a catastrophic event and covered under some form of catastrophic insurance, perhaps with an optional deductible equal to normal delivery costs... A reasonable post-paid financing option might be for those who choose to forgo maternity coverage or should the cost exceed their HSA saving, should they need such care.
FYI this is a model that works well for many health care needs -- dental care for example frequently exceeds one's dental coverage and there are various marketplace post-paid financing tools commonly available when that happens. The financial institution pays the doctor for the care provided, then the patient pays the financial institution over time. If one doesn't want the post paid care financing option, fine pay extra to become part of a prepaid pool.
Just don't force everyone into the same prepaid financing nonsense -- all that does is warp the marketplace to become less sensitive to normal price and quality checks and balances. Then in a foolish attempt to fix this mistake, gubermint puts into place all sorts of nonsense regulations and burrocracies that only make things worse, not better...
Financing health care isn't rocket science, it's how a normal functioning marketplace free from unreasonable gubermint regulations will work for the betterment of all involved. Just get gubermint and OCare out of the way and things will quickly self correct themselves...
One additional economic reality that is typically overlooked in health care financing/coverage debates is how the various financial pools for catastrophic coverage, HSAs, loans and regular premiums all are financial investment tools that promote strong economic growth elsewhere in the private sector economy. This is not the case for single payer systems that always run huge deficits requring the constant extraction of resources away from the private sector and as a result inhibit general growth and prosperity.



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  • A PARTIAL EXPLANATION:

    Default, Deflation and Financial Repression

    rcwhalen's picture





    Back in March 2011, author Carmen Reinhart wrote a comment in Bloomberg describing the term “financial repression.”  She wrote:
    “As they have before in the aftermath of financial crises or wars, governments and central banks are increasingly resorting to a form of “taxation” that helps liquidate the huge overhang of public and private debt and eases the burden of servicing that debt."
    Such policies, known as financial repression, usually involve a strong connection between the government, the central bank and the financial sector. In the U.S., as in Europe, at present, this means consistent negative real interest rates (yielding less than the rate of inflation) that are equivalent to a tax on bondholders and, more generally, savers.”
    In the FDIC data released this week, the financial repression imposed by Ben Bernanke, Janet Yellen and the rest of the Federal Open Market Committee over the past five years is very apparent.  Chief among the data points to be noted is that net interest expense, which is the money paid to depositors at banks, continues to fall.  While all banks earned about $118 billion in interest income last quarter, they paid just $13 billion to depositors, a graphic example of the “financial repression” used by the Fed to subsidize the US banking industry.
    Notice that while the Fed has maintained the net interest income to banks, the earnings of depositors have fallen more than 90% since 2008.  Via QE, the Fed is subsidizing all banks to the tune of over $100 billion per quarter in artificially depressed interest cost and income to depositors of all stripes. By robbing consumers and all savers of income, the FOMC is in fact feeding deflation and hurting growth and employment.  The chart below using data from the FDIC shows the interest earnings, expenses and net interest income through the end of September 2013 for all US banks.
    Prior to the 2007 financial crisis, total interest expense for all US banks was over $100 billion every three months and interest income was almost $200 billion.  In order to maintain the net interest margin for banks at +/- $100 billion per quarter, the Fed is confiscating income of US savers, including companies, investors and the elderly, of almost the same amount each quarter.  This badly needed income is transfered from savers to the banks and is not available to support consumption.  This data graphically illustrates the deflationary nature of current Fed interest rate policies and why Janet Yellen and the Federal Open Market Committee need to raise interest rates soon.  But when rates rise, the next phase of the economic crisis will begin.
    In a paper published this month by Carmen Reinhart and Ken Rogoff, the authors argue that financial repression is a necessary part of the adjustment process for heavily indebted nations, even the advanced nations.  The Guardian reports: “They say that if history is any guide countries will not be able to return to more sustainable levels of public debt through a combination of austerity and growth. They cite Europe, where the assumption is that normality can be restored by a combination of belt-tightening, forbearance and rising output, as an example of Panglossian thinking.”
    Say Reinhart and Rogoff:   "The claim is that advanced countries do not need to apply the standard toolkit used by emerging markets, including debt restructurings, higher inflation, capital controls and significant financial repression. Advanced countries do not resort to such gimmicks, policy makers say."
    The Guardian:  “Historically, this is poppycock according to Reinhart and Rogoff. Rich countries, when faced with high levels of debt in the past have been more than happy to default, inflate away their debts or indulge in financial repression (capping interest rates or putting pressure on savers to lend to the government).”
    The current policy mix in the US certainly shows this tendency to resort to financial repression, but the real question is whether current Fed policy has not resulted in a deflationary trap, with falling income driving consumption, jobs and economic activity lower. Taking $100 billion in income away from savers each quarter does not seem to be a recipe for economic growth. 
    But as Reinhart and Rogoff document well, there is no easy solution available for the US, EU, Japan and other heavily indebted developed nations.  Once interest rates start to rise, the necessity of debt restructuring in Europe, Japan and even the US will become more apparent.  There is no free lunch.  Either we kill growth via financial repression of savers or we embrace the painful process of debt restructuring for the major industrial nations.



    ANOTHER CALVIN COOLIDGE?






    MILWAUKEE
    In 2011, thousands of government employees and others, enraged by Gov. Scott Walker’s determination to break the ruinously expensive and paralyzing grip that government workers’ unions had on Wisconsin, took over the capitol building in Madison. With chanting, screaming and singing supplemented by bullhorns, bagpipes and drum circles, their cacophony shook the building that the squalor of their occupation made malodorous. They spat on Republican legislators and urinated on Walker’s office door. They shouted, “This is what democracy looks like!
    Gallery
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    When they and Democratic legislators failed to prevent passage of Act 10, they tried to defeat — with a scurrilous smear campaignthat backfired — an elected state Supreme Court justice. They hoped that changing the court’s composition would get Walker’s reforms overturned. When this failed, they tried to capture the state Senate by recalling six Republican senators. When this failed,they tried to recall Walker. On the night that failed — he won with a larger margin than he had received when elected 19 months earlier — he resisted the temptation to proclaim, “This is what democracy looks like!”
    Walker recounts these events in “Unintimidated: A Governor’s Story and a Nation’s Challenge” (co-authored by Post columnist Marc Thiessen). Most books by incumbent politicians are not worth the paper they never should have been written on. If, however, enough voters read Walker’s nonfiction thriller, it will make him a — perhaps the — leading candidate for his party’s 2016 presidential nomination.
    Act 10 required government workers to contribute 5.8 percent of their salaries to their pensions (hitherto, most paid nothing) and to pay 12.6 percent of their health-care premiums (up from 6 percent but still just half of what the average federal worker pays). Both percentages are well below the private-sector average. By limiting collective bargaining to base wages, Act 10 freed school districts to hire and fire teachers based on merit, and to save many millions of dollars by buying teachers’ health insurance in the competitive market rather than from an entity run by the teachers’ union. Restricting collective bargaining to wages ended the sort of absurd rules for overtime compensation that made a bus driver Madison’s highest paid public employee.
    Act 10’s dynamite, however, was the provision ending the state’s compulsory collection of union dues — sometimes as high as $1,400 per year — that fund union contributions to Democrats. Barack Obama and his national labor allies made Wisconsin a battleground because they knew that when Indiana made paying union dues optional, 90 percent of state employees quit paying, and similar measures produced similar results in Washington, Colorado and Utah.
    Walker has long experience in the furnace of resistance to the looting of public funds by the public’s employees. He was elected chief executive of heavily Democratic Milwaukee County after his predecessor collaborated with other officials in rewriting pension rules in a way that, if he had been reelected instead of resigning, would have given him a lump-sum payment of $2.3 million and $136,000 a year for life.
    To fight the recall — during which opponents disrupted Walker’s appearance at a Special Olympics event and squeezed Super Glue into the locks of a school he was to visit — Walker raised more than $30 million, assembling a nationwide network of conservative donors that could come in handy if he is reelected next year. Having become the first U.S. governor to survive a recall election, he is today serene as America’s first governor to be, in effect, elected twice to a first term. When he seeks a second term, his opponent will probably be a wealthy rival who says her only promise is to not make promises. This is her attempt to cope with an awkward fact: She will either infuriate her party’s liberal base or alarm a majority of voters by promising either to preserve or repeal Act 10.
    Walker is politely scathing — a neat trick — of Mitt Romney’s campaign, especially of Romney’s statement that “I’m not concerned about the very poor” because “we have a very ample safety net.” The imperative, Walker says, is to “help them escape the safety net.”
    “Outside the Washington beltway,” he says pointedly, “big-government liberals are on the ropes.” No incumbent Republican governor has lost a general election since 2007. Since 2008, the number of Republican governors has increased from 21 to 30, just four short of the party’s all-time high reached in the 1920s. He thinks Republican governors are in tune with the nation. If reelected, he probably will test that theory.



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