May 03, 2013
— Ace The big headline from the Oregon Medicaid study is that paying for people's health care saves them from spending their own money (duh!) and marginally increases some self-reported psychological indicators (that is, stuff like "how do you feel?" which can be affected simply by the knowledge that someone's paying your bills) but does nothing whatsoever to improve the health of people on Medicaid.
Leftists, seeking any kind of spin, are now lauding the Medicaid program as the greatest anti-depression program since the Mousketeers. But is that really why the country is paying $7.5 trillion dollars on a program? To make people feel slightly better emotionally, without any tangible physical improvement?
Meghan McArdle wrote a long piece that I was trying to think of a way to link most of the day yesterday -- it's long, it's a little wonky, but it's very good. I was trying to figure out a way to sell people on reading it.
Well, anyway, it's an article where you wind up feeling you know slightly more after having read it than you did before. It explains why this study is so important, and really should be treated as very significant new scientific information about policy and policy outcomes.
And yet it's simply being treated as fodder for spin. A great big pile of new scientific information has been added to the debate, but the hacks are simply ignoring it in favor of talking up their shopworn bromides and wishcasting.
The supposed Party of Science sure seems to prefer Faith & Dogma to actual Science. The piece is worth reading in full, but here are her conclusions.
First, she notes that the left, in order to claim that this study vindicates them, are compelled to claim they never really expected ObamaCare or Medicaid to achieve much of anything at all and so they're wonderfully surprised to learn these programs may marginally improve self-reported indica of psychological wellness.
There’s been a bit of revisionist history going on recently about what, exactly, its supporters were expecting from Obamacare–apparently we always knew it wasn’t going to “bend the cost curve”, or lower health insurance premiums, or necessarily even reduce the deficit, and now it appears that we also weren’t expecting it to produce large, measurable improvements in blood pressure, diabetes, or blood sugar control either. In fact, maybe what we were always expecting was a $1 trillion program to treat mild depression.
She then criticizes those who have made certain that they are fully up-to-date on their immunizations against significant new information.
Even if you think that Medicaid has larger effects than we're seeing here, I think you also have to acknowledge that many of the uninsured seem to be surprisingly good at accessing the health system, if not paying for it.
Because, of course, this study shows that there is no difference between those on Medicaid -- free health care -- and the uninsured pool. This means that the Republican Talking Point -- about which I confess I was skeptical myself-- that the uninsured do get health care, is substantially vindicated.
At least on the markers that the study looked for, the majority of them--even the majority of the diabetics, hypertensives, and hypercholsterolemics--are doing about as well as their counterparts in Medicaid. They maybe don't feel as good about it, but from the outside, they're not that much different.This was pretty much the thesis that Richard Kronick offered, when his observational study (much to his surprise!) suggested that there was no adverse mortality risk to going without insurance. Maybe those without insurance, he said, were simply finding a way to get at least basic care. Maybe in a costly and financially risky way, but still getting it.
If that's true, though, here's the question we have to ask: is Medicaid, or Obamacare, the program that we would design to solve these problems? We might think that they'd better be solved with free mental health clinics, or cash.
I'm not sure that if you'd waved this study at the American public two years ago, they'd have said, "Yup, this makes me want to put 16 million new people into Medicaid, and enact a giant new regulatory apparatus to force everyone else in the country to buy insurance." But of course, we didn't have this study. Instead, we heard that 150,000 uninsured people had died between 2000 and 2006. [A factoid debunked in the rest of the article-- ace.] Or maybe more. With the implication that if we just passed this new law, we'd save a similar number of lives in the future.
Which is one reason why the reaction to this study from Obamacare's supporters has frankly been a bit disappointing. Not because I expected them to fall on their knees and say, "Oh my God, national health care was a terrible mistake!" Even if I thought that was the obviously correct actual response, well, I've met people before, and that's not how they act.
But at this point, the only two large-scale randomized control trials that we have done on the benefits of paying for peoples' health care have both come back showing surprisingly small effects. In 2011, when the first results came out of Oregon, that was not what Obamacare's supporters were predicting. They were predicting that the second phase of the Oregon study would show large, significant effects on basic health measures like blood pressure, blood sugar, and cholesterol control. It didn't. There's really no other way to put it.
A good Bayesian--and aren't most of us are supposed to be good Bayesians these days?--should be updating in light of this new information....
I don't know what a Baynesian is but a quick click on Wikipedia gives me a quick-and-dirty half-assed definition that it's empiricism of a probabalistic sort, that is, empiricism of situations where the precise truth cannot be determined due to its complexity but where you can probabalistic determine which way the truth is leaning.
That was not, let us say, the tone of much of the commentary I read. The financial effects tended to be punched up at the top even though they are the least surprising or interesting result. Depression also ranked high. The health effects often, er, less so--unless it was to explain why actually, these are surprisingly great.
Let me offer a gloss here. I believe leftists understand that the public will not go for a simple transfer of cash from one man to another. The public does not agree, to offer a specific hypothetical, that it is moral to take $5000 from the rich man to give that $5000 to the poor man. (Actually, guestimating, perhaps $1500 goes to the poor man after the government and its bureaucrats take their skim. This is just a Wild Ass Guess but I'll continue using it.)
The left avoids activating this rejection of their schemes by not casting them as simple rob-Peter-to-pay-Paul schemes, but as schemes which go beyond simple cash transfers.
Government-provided health care, you see, is not just about defraying the costs of health care, which would be a Peter to Paul transfer, but about something more than that, about providing people "access" to an absolutely critical good without which they cannot survive, and improving their health.
The idea of a "multiplier" is probably implicit in such arguments as well: Sure, we're taking $5000 from the rich man and giving $1500 to the poor man, but that $1500 will have such an impact on his life that it's wrong to treat it as $1500; you'd have to factor in an impact multiplier of perhaps 10x to represent all the actual good that will flow from this "investment." So the $5000 taken from the rich man yields, perhaps, $15,000 in actual good received by the poor man.
Why, we're actually almost making money on this transaction! We just turned $5000 to $15,000 by government action! Whoo-hoo! As Uncle Choo-Choo, Joe "Big Caboose" Biden, might say, let's get rollin'!
But this study scotches all those arguments, dispositively. Free government-provided health care does not increase health; it merely defrays the cost of it. It really is just a straight-up Peter-to-Paul cash transfer, and while Paul does indeed feel good about that (and who doesn't like to steal, when you get right down to it?), it has no beneficial effects beyond the sheer pleasure of having what you never earned. (Money won is twice as sweet as money earned, said Paul Newman in the Color of Money.)
There is no "impact multiplier" attached to the transfer; taking $5000 from the rich man to give $1500 in benefits to the poor man simply results in the poor man having an extra $1500, the rich man being poorer by $5000, and the government richer by the $3500 Sovereign Vig.
The study, in sort, not only questions the efficacy of the program, but the morality of it, because if there is no Value Added to the taking of money from the rich man than the entire scheme is simply what it's always appeared to be: Straight-up theft.
Posted by: Ace at
10:09 AM
| Comments (239)
Post contains 1513 words, total size 10 kb.
Posted by: rickb223 at May 03, 2013 10:14 AM (qc7at)
The new $100-bill design will fix everything.
Posted by: Cicero Kid at May 03, 2013 10:14 AM (jz0+s)
"I believe leftists understand that the public will not go for a simple transfer of cash from one man to another. The public does not agree, to offer a specific hypothetical, that it is moral to take $5000 from the rich man to give that $5000 to the poor man."
--
I disagree. For evidence, I present the 2012 presidential election.
Posted by: Vashta Nerada at May 03, 2013 10:15 AM (NJs1e)
Posted by: Yip at May 03, 2013 10:16 AM (/jHWN)
Posted by: alexthechick - Bring the SMOD at May 03, 2013 10:16 AM (VtjlW)
Posted by: cicero skip at May 03, 2013 10:16 AM (3m9Uc)
They need to do a medical savings account test program with Medicaid eligible patients and see how that works. At end of year , the patient would receive some percentage of the money left in the account.
I would bet all of ace's money that you would see a significant decrease in depression and amount of treatment. Everybody wins.
Posted by: polynikes at May 03, 2013 10:16 AM (m2CN7)
Posted by: Hello, it's me Donna let it burn really.really bummed at May 03, 2013 10:17 AM (9+ccr)
Posted by: eleven at May 03, 2013 10:18 AM (fsLdt)
Posted by: Misanthropic humanitarian at May 03, 2013 10:18 AM (HVff2)
Posted by: ace at May 03, 2013 10:18 AM (LCRYB)
Posted by: John Holdren at May 03, 2013 10:18 AM (/kI1Q)
Now you heartless bastard Rethuglikans use scientific facts to refute that???1?
Posted by: Chi-Town Jerry at May 03, 2013 10:18 AM (f9c2L)
Posted by: willow at May 03, 2013 10:18 AM (nqBYe)
Posted by: Dr Spank at May 03, 2013 10:19 AM (4cRnj)
Does free healthcare reduce naivety?
Posted by: Mama AJ at May 03, 2013 02:18 PM (SUKHu)
Hey! Good to see you....where the heck have you been?
Posted by: Tami[/i][/b][/u][/s] at May 03, 2013 10:19 AM (X6akg)
Posted by: Yip at May 03, 2013 10:19 AM (/jHWN)
Posted by: Oldsailors Poet Palin/West 2016 at May 03, 2013 10:19 AM (XIxXP)
Posted by: Anna Puma (+SmuD) at May 03, 2013 10:20 AM (tsPRH)
Like our tax laws, a vast bureaucratic tract of insurance and insurance/legal compliance (holding hands over chest like boobs) eats up maybe the majority of our health care dollars.
Doctors who work for cash can charge crazy low prices compared to "free" insurance thanks to compliance costs which are only spiraling up like a mushroom cloud from Obamacare.
Note on multipliers: tax revenue and borrowed money has a multiplier effect which is removed from the economy when government spends it. Little things like R and D, new jobs, customer service or consumer spending. The government always ignores that. Carry on.
Posted by: Beagle at May 03, 2013 10:20 AM (sOtz/)
Posted by: ace at May 03, 2013 10:20 AM (LCRYB)
I'm concerned about the waste in Medicaid but not as much as I am about SSDI (social security disability).
What a sham.
Posted by: polynikes at May 03, 2013 10:20 AM (m2CN7)
7.5 trillion divided by say 7.50 an hour....
1 trillion hours.....
2,739,726,027 or so years
Posted by: sven10077@sven10077 at May 03, 2013 10:20 AM (LRFds)
Posted by: BlearyTruth at May 03, 2013 10:21 AM (sYLzD)
Posted by: BCochran1981 at May 03, 2013 10:21 AM (CEFFq)
Posted by: AmishDude at May 03, 2013 10:21 AM (T0NGe)
Posted by: tasker at May 03, 2013 10:21 AM (r2PLg)
Posted by: HeatherRadish™ needs a beer at May 03, 2013 10:21 AM (/kI1Q)
Posted by: They blinded me with SCIENCE! at May 03, 2013 10:22 AM (VndSC)
Posted by: Dr Spank at May 03, 2013 02:19 PM (4cRnj)
you could watch a couple of episodes of The Big Bang Theory.
Posted by: polynikes at May 03, 2013 10:22 AM (m2CN7)
Posted by: ace at May 03, 2013 02:18 PM (LCRYB)
-
That is true. A tough row to hoe, though. We can't even get local press to admit that government funds aren't 'free money'.
Posted by: Vashta Nerada at May 03, 2013 10:22 AM (NJs1e)
Posted by: Navycopjoe in sunny Waikiki at May 03, 2013 10:23 AM (dYf+Z)
For example: Chance a random card in a deck is a club = 1/4
However, let's say you flip over three cards and they are all clubs, a Bayesian calculation would take that into account and demonstrate the probability the next card is a club is less than 1/4.
Posted by: Clark at May 03, 2013 10:23 AM (JmyOK)
Posted by: eleven at May 03, 2013 10:23 AM (fsLdt)
Posted by: IllTemperedCur at May 03, 2013 10:24 AM (TIIx5)
It's that kind of reckless rhetoric that keeps people gay.
Posted by: Dr Spank at May 03, 2013 10:24 AM (4cRnj)
Posted by: Chi-Town Jerry at May 03, 2013 10:24 AM (f9c2L)
Posted by: Dang at May 03, 2013 10:24 AM (R18D0)
Posted by: alexthechick - Bring the SMOD at May 03, 2013 10:24 AM (VtjlW)
Posted by: Oldsailors Poet Palin/West 2016 at May 03, 2013 10:24 AM (XIxXP)
Posted by: Bones at May 03, 2013 10:25 AM (/jHWN)
Posted by: cocoon-dweller at May 03, 2013 10:25 AM (YNUYP)
I watched the pilot last night and the only time I laughed was "No, I'm from Omaha."
Posted by: HeatherRadish™ needs a beer at May 03, 2013 10:25 AM (/kI1Q)
Posted by: Vashta Nerada at May 03, 2013 10:25 AM (NJs1e)
Posted by: Thunderb at May 03, 2013 10:25 AM (nH8jP)
>>>>>What pisses me off are people like my electrician friend that makes 100K+ a year and at 68 years of age still gets $1800 a month in SSI. How does that happen?
Some people are more equal than others?
Posted by: Roy at May 03, 2013 10:26 AM (VndSC)
They also use the faux moral argument, to wit, the rich guy is rich because he's evil and unfair and exploits the poor guy, and now you want to deny the poor guy even a little bit of payback by not making the rich guy pay for the healthcare the poor guy needs as a result of his exploitation? What kind of monster are you?
Posted by: pep at May 03, 2013 10:26 AM (YXmuI)
Speaking of Joe Biden...
Here's the unedited version of his speech:
"Do you know why they raped Jodie Foster on the pinball machine? Because someone was playing Pac Man!"
Posted by: soothsayer at May 03, 2013 10:26 AM (LVtr+)
Posted by: Anna Puma (+SmuD) at May 03, 2013 10:26 AM (tsPRH)
Posted by: Oldsailors Poet Palin/West 2016 at May 03, 2013 10:26 AM (XIxXP)
Posted by: eleven at May 03, 2013 10:26 AM (fsLdt)
Ya know what makes me feel better? Only reading the headline to a long article and then commenting anyway.
Posted by: Dang at May 03, 2013 02:24 PM (R18D0)
You read the headlines before commenting? Dedicated moron you are you are.
Posted by: IllTemperedCur at May 03, 2013 10:26 AM (TIIx5)
Posted by: Watcher at May 03, 2013 10:26 AM (MyjdH)
you know who got cured of his depression for far less cost?
speed bump
just went on a little drive
Posted by: Thunderb at May 03, 2013 10:27 AM (nH8jP)
Posted by: Anna Puma (+SmuD) at May 03, 2013 10:27 AM (tsPRH)
Posted by: Thunderb at May 03, 2013 10:27 AM (nH8jP)
Posted by: speed bump at May 03, 2013 10:28 AM (/jHWN)
Posted by: Dang at May 03, 2013 02:24 PM (R18D0)
You read the headlines before commenting? Dedicated moron you are you are.
Posted by: IllTemperedCur
Maybe "skim" is the word I was looking for.
Posted by: Dang at May 03, 2013 10:28 AM (R18D0)
Posted by: Thunderb at May 03, 2013 10:28 AM (nH8jP)
Posted by: nerdygirl at May 03, 2013 10:28 AM (ynec7)
Posted by: Oldsailors Poet Palin/West 2016 at May 03, 2013 10:28 AM (XIxXP)
Posted by: Harry Reid - (P)ederast at May 03, 2013 10:28 AM (fWAjv)
Posted by: Up With People! at May 03, 2013 10:28 AM (FmFB3)
Posted by: Dr Spank at May 03, 2013 10:28 AM (4cRnj)
The experience of Head Start shows conclusively that the total failure of an expensive government program to attain its predicted goals will have absolutely no bearing on whether or not that program is continued. The program will continue regardless of outcome.
This is why we should all be enormously skeptical of Rube-io's "immigration reform" nonsense. If it turns out that we get none of the promised upside benefits, and all of the feared downside detriments, will the newly legalized illegals have their citizenship stripped and be deported? No, of course not.
Posted by: torquewrench at May 03, 2013 10:28 AM (gqT4g)
Posted by: Navycopjoe in sunny Waikiki at May 03, 2013 10:28 AM (MBzEc)
Posted by: Flatbush Joe at May 03, 2013 10:29 AM (ZPrif)
Posted by: IllTemperedCur
In short, it was billed as action movie with toe-tapping tunes, but it is really a dark comedy of errors that leaves everyone poorer and stupider in the end.
That'll be 5-days wages, comrade.
Posted by: weft cut-loop [/i] [/b] at May 03, 2013 10:29 AM (Yr6sH)
Posted by: DangerGirl at May 03, 2013 10:29 AM (2aCBB)
Posted by: Oldsailors Poet Palin/West 2016 at May 03, 2013 10:29 AM (XIxXP)
Posted by: Stephen Price Blair at May 03, 2013 10:29 AM (QF8uk)
Posted by: Typical Liberal Response to Data at May 03, 2013 10:29 AM (yCvxi)
Posted by: Mac at May 03, 2013 10:30 AM (0J18b)
Posted by: Empire of Jeff at May 03, 2013 10:30 AM (xvMKm)
I have no health insurance, yet I manage to pay for all my doctor visits and medications on my own. By working with my doc, my blood pressure is well under control using cheap generic medications. I do wish I had catastrophic coverage, but that just isn't in the cards for me right now. And soon I will have to pay a fine for not having insurance, so that someone else can get theirs for free.
What a deal.
Posted by: GnuBreed at May 03, 2013 10:30 AM (ccXZP)
Posted by: BumperStickerist at May 03, 2013 10:30 AM (19AvL)
Posted by: FRONT TOWARD LEFT at May 03, 2013 10:31 AM (V3kRK)
Posted by: nerdygirl at May 03, 2013 02:28 PM (ynec7)
--
Well, they do care about their goals, the goals just aren't what they say they are. Their goal is total control.
Posted by: Vashta Nerada at May 03, 2013 10:31 AM (NJs1e)
I suppose you're going to next tell me that the Public "Education" System is really about employing (union, loyal Democrat voter) adults rather than educating children.
Posted by: DocJ at May 03, 2013 10:31 AM (A5uiv)
Posted by: Flatbush Joe at May 03, 2013 10:31 AM (ZPrif)
Posted by: Sherry McEvil, Stiletto Corsettes C'est Magnifique at May 03, 2013 10:31 AM (kXoT0)
Posted by: RWC at May 03, 2013 10:31 AM (fWAjv)
Posted by: Oldsailors Poet Palin/West 2016 at May 03, 2013 02:24 PM (XIxXP)
At least he worked until 65 and has some perceived rights to collect from what he had paid into for many years.
The 30 year old woman who claims she can't work because she has agoraphobia or the 45 year old guy who has anger issues he can't control and thus can't work are the transfer of wealth through SSDI that cause me to see red.
I knew the anger management guy. He was working under the table at a retail golf shop and collecting SSDI. He played golf three days a week at his country club.
Posted by: polynikes at May 03, 2013 10:32 AM (m2CN7)
Posted by: Anna Puma (+SmuD) at May 03, 2013 10:32 AM (tsPRH)
Posted by: Oldsailors Poet Palin/West 2016 at May 03, 2013 10:32 AM (XIxXP)
The best part of Ocare that I can see is that once I turn 65 I'll be able to get all the morphine that I want.
Posted by: Soona at May 03, 2013 10:32 AM (ymDPi)
Posted by: nerdygirl at May 03, 2013 10:32 AM (ynec7)
Posted by: toby928 at May 03, 2013 10:33 AM (evdj2)
Posted by: Navycopjoe in sunny Waikiki at May 03, 2013 10:33 AM (MBzEc)
Well, Team Republican's approach seems to be either "Medicaid Si!", or at best transition Medicaid to a Federal block grant for the states to loot and mismanage.
So, we're pretty much boned regardless.
Posted by: Laurie David's Cervix at May 03, 2013 10:33 AM (kdS6q)
Posted by: Anna Puma (+SmuD) at May 03, 2013 10:34 AM (tsPRH)
Instant solvency and a return to personal accountability.
Posted by: Empire of Jeff
*gets pen. writes note to self*
Posted by: Roy at May 03, 2013 10:34 AM (VndSC)
Posted by: Empire of Jeff at May 03, 2013 02:30 PM (xvMKm)
--
I pointed out the other day that it was essentially protection money, with the added bonus of guaranteed votes for democrats, paid for with predominantly republican money.
Posted by: Vashta Nerada at May 03, 2013 10:34 AM (NJs1e)
Posted by: tasker at May 03, 2013 10:34 AM (r2PLg)
Posted by: Burn the Witch at May 03, 2013 10:34 AM (yCvxi)
Posted by: Flatbush Joe at May 03, 2013 10:34 AM (ZPrif)
I know I probably bored the shit out of you guys....
Medicaid...it has only cost 2,739,726,027 YEARS at minimum wage to bring the poor um "paradise"
That is two and three quarter BILLION man years at minimum wage to "fix it" by not "fixing it"
Posted by: sven10077@sven10077 at May 03, 2013 10:34 AM (LRFds)
Posted by: Anna Puma (+SmuD) at May 03, 2013 10:35 AM (tsPRH)
Posted by: On The Dole at May 03, 2013 10:35 AM (FcR7P)
Posted by: Thunderb at May 03, 2013 10:35 AM (nH8jP)
Posted by: tasker at May 03, 2013 10:36 AM (r2PLg)
Posted by: Navycopjoe in sunny Waikiki at May 03, 2013 10:36 AM (MBzEc)
Speaking of. . . last night's TBBT ep was bittersweet for me. I grew up watching Bill Nye and idolized him; it has been so sad seeing him devolve into yet another raging lefty. Was a good lesson or me to never build up idols on earth, they will always always disappoint you.
And eeee, Raj's puppeh is adorbs. At least there was no making out with the dog this week, ugh. The writers keep trying to make him as creepy as possible for laughs, makes me sad.
Posted by: LizLem at May 03, 2013 10:36 AM (8wqqE)
Posted by: BCochran1981 at May 03, 2013 10:36 AM (da5Wo)
Where is the study of the impact of increased access to Medicaid on the levels of rage, frustration and depression by those of us working so as to pay the taxes to pay for other people's medical care? How about that, hmmmm?
This is such a good point, my queen. My happiness and satisfaction with my public life are at an all time low. Ditto my respect for my fellow citizens.
Posted by: toby928 at May 03, 2013 10:36 AM (evdj2)
Posted by: Stephen Price Blair at May 03, 2013 02:29 PM (QF8uk)
---- Probably an extension of the various drugstore clinics. Those are fantastic triage and good for treating common stuff, but extremely limited in what they can do.
Posted by: Beagle at May 03, 2013 10:37 AM (sOtz/)
Posted by: RWC at May 03, 2013 10:37 AM (fWAjv)
Posted by: Oldsailors Poet Palin/West 2016 at May 03, 2013 10:37 AM (XIxXP)
Posted by: Anna Puma (+SmuD) at May 03, 2013 10:37 AM (tsPRH)
This ^^^ times a billion. I work for a health insurance company. Almost every day, I see one young woman in her late 20s who is so morbidly obese that her legs are literally rotting away from ulcers and sores. She has access to health care, education, and case management from one of our case management nurses, but, her weight stays the same and her body continues to decline. She looks intelligent enough, but, for whatever reason, her weight will kill her. I have been observing her for at least two years and every time I see her, I wonder how long she has left.
Posted by: Sherry McEvil, Stiletto Corsettes C'est Magnifique at May 03, 2013 10:38 AM (kXoT0)
Posted by: Oldsailors Poet Palin/West 2016 at May 03, 2013 10:38 AM (XIxXP)
OT
Meanwhile, a spokesman for the Justice Department issued a statement Friday telling residents of Dartmouth, Mass., that there would be searches at several locations in connection with the investigation into the Marathon bombings.
"Residents should be advised that there is no threat to public safety." said spokesperson Christina DiIorio-Sterling.
Dzhokhar Tsarnaev had a dorm room at the University of Massachusetts Dartmouth. Three of his friends have been charged in connection with the alleged removal of evidence from the room on the night that the brothers' photographs were released by the FBI.
In a related development, the funeral director of a mortuary familiar with Muslim services confirmed Friday that it will handle funeral arrangements for Tamerlan Tsarnaev.
Peter Stefan, owner of Graham Putnam and Mahoney Funeral Parlors in Worcester, could not confirm whether he has possession of the body.
Stefan said everybody deserves a dignified burial service no matter the circumstances of their death and he is prepared for protests. He added that arrangements have yet to be worked out.
Several protesters showed up outside a North Attleborough funeral home Thursday night where Tsarnaev's body was taken following its release by the state medical examiner.
Posted by: Thunderb at May 03, 2013 10:38 AM (nH8jP)
Posted by: Flatbush Joe at May 03, 2013 10:39 AM (ZPrif)
I'd estimate that since the government steals enough money to make everybody flush with cash (if they just handed the stolen cash out to the un-flush), and only people who work (if indirectly) for the government in fact do get flush with that cash, you're an optimist. Doubly so.
It's not that the governed think that stealing from rich guy x and giving to broke guy b is wrong. They don't. That's why these programs are sold as giving [whatever] to the broke guy.
What "the left" wants isn't to facilitate that transfer, but to keep that money. And so it does--at a rate considerably higher than 70%. Maybe almost 100%. Broke guys pay a lot of taxes (though not the same ones rich guys do). Keeps 'em broke.
Posted by: oblig. at May 03, 2013 10:39 AM (cePv8)
Posted by: Nancy Pelosi at May 03, 2013 10:39 AM (FcR7P)
Unless the govt controls their diet and exercise and alcohol, tobacco, and drug consumption with ruthless ferocity .... these people are going to poorly manage their health.
Posted by: Flatbush Joe at May 03, 2013 02:31 PM (ZPrif)
Saw that last year. Woman in the hospital multiple times actually refusing a program for free medication. Would rather bill us for the hospital visits.
Posted by: Beagle at May 03, 2013 10:39 AM (sOtz/)
Posted by: Empire of Jeff at May 03, 2013 10:40 AM (xvMKm)
Posted by: RUReadingthis at May 03, 2013 10:40 AM (V92KK)
Both officials expressed some skepticism about TsarnaevÂ’s account, saying that the complexity of the bombs made it unlikely that the brothers could have completed them as fast as he claimed.
“Maybe we will never know,” said one of the officials, who has been briefed on the interrogation. “This is the story that he is telling us.”
Posted by: Thunderb at May 03, 2013 10:41 AM (nH8jP)
Posted by: Oldsailors Poet Palin/West 2016 at May 03, 2013 10:42 AM (XIxXP)
Posted by: Staff at May 03, 2013 10:42 AM (vJ+mj)
Posted by: tasker at May 03, 2013 10:42 AM (r2PLg)
In another disclosure, the two law enforcement officials said Tsarnaev told the FBI that he and his brother were partly influenced by the online sermons of Anwar al-Awlaki, the American radical cleric who was killed in a drone strike in Yemen in September 2011. AwlakiÂ’s influence was reported last week by the Daily Beast Web site.
TsarnaevÂ’s disclosures came before he was arraigned in the hospital by a federal magistrate three days after he was captured. Under a 1984 Supreme Court decision, the FBI was allowed to question Tsarnaev without notifying him of his constitutional right to remain silent. Officials have said that he has remained silent since he was arraigned and represented by lawyers.
Posted by: Thunderb at May 03, 2013 10:42 AM (nH8jP)
Posted by: Empire of Jeff at May 03, 2013 02:40 PM (xvMKm)
And we get to be called racist, homophobic, selfish haters by our elected betters, all the while.
It's a pretty sweet gig the Idiocracy has set-up for itself, no?
Posted by: DocJ at May 03, 2013 10:42 AM (A5uiv)
Posted by: Oldsailors Poet Palin/West 2016 at May 03, 2013 10:42 AM (XIxXP)
Posted by: t-bird at May 03, 2013 10:43 AM (FcR7P)
Posted by: Flatbush Joe at May 03, 2013 10:43 AM (ZPrif)
Ocare was designed to do one thing and one thing only. Destroy the US economy. Get the people crying for more government to fix it. It's really all it is.
See? That didn't take 2000 words to express, did it?
Posted by: Soona at May 03, 2013 10:43 AM (ymDPi)
Posted by: nerdygirl at May 03, 2013 10:44 AM (ynec7)
Posted by: JackStraw at May 03, 2013 10:44 AM (g1DWB)
OT:
Paraphrase of Drudge headline: TFG says US guns responsible for Mexico murders.
Ummm, 'xcuse me, but didn't TFG send those US guns to Mexico in the first place????
Posted by: Boots at May 03, 2013 10:44 AM (oG66P)
Posted by: HoboJerky, now with 45% more DOOM! at May 03, 2013 10:44 AM (xAtAj)
Posted by: AmishDude at May 03, 2013 10:45 AM (T0NGe)
Posted by: Flatbush Joe at May 03, 2013 10:45 AM (ZPrif)
And if the delivery person were an attractive woman who blew me, that would really lift my spirits.
When is this government going to consider my needs?
Posted by: epobirs at May 03, 2013 10:46 AM (kcfmt)
Posted by: Oldsailors Poet Palin/West 2016 at May 03, 2013 02:37 PM (XIxXP)
Are you going to refuse your Social Security checks when you become eligible?
Of course its a pyramid scheme but I will not fault people who at least paid money into the scheme to receive some of it back out.
Posted by: polynikes at May 03, 2013 10:46 AM (m2CN7)
Fuck that's brilliant....
no seriously we *can* out freeshit freeshit Army....
price control the fucking lawyers.
Posted by: sven10077@sven10077 at May 03, 2013 10:46 AM (LRFds)
Posted by: RWC at May 03, 2013 10:47 AM (fWAjv)
Posted by: Oldsailors Poet Palin/West 2016 at May 03, 2013 02:42 PM (XIxXP)
-------------------------------------------
It might have been hard 10-15 years ago, but not now.
Posted by: Soona at May 03, 2013 10:47 AM (ymDPi)
Can we at least use this study as evidence that lack of access to insurance is not the same as lack of access to healthcare? Because it most certainly seems to prove that.
I know, I know, I'm horrible and terrible and evil for pointing out facts and what not. I'm so terribly sorry.
Silly girl, you think it matters to the drooling masses?
Posted by: Colorado Alex at May 03, 2013 10:47 AM (lr3d7)
Posted by: tasker at May 03, 2013 10:47 AM (r2PLg)
Posted by: Flatbush Joe at May 03, 2013 02:43 PM (ZPrif)
--
When my wife was in an undergrad Sci Fi class, she wrote a short story about how GM and the AMA were taken over by the government, and Onstar was used to track citizens to make sure they took their federally required meds. I believe she is in a race with Ayn Rand to see which work of fiction comes true first.
Posted by: Vashta Nerada at May 03, 2013 10:47 AM (NJs1e)
Bayesian Probability is the science behind the MFM control of the LIV:
I thought the tea party was OK, but then the TV told me 100 times a day how awful they are. With all this new evidence, it's highly probable they suck.
Posted by: irright at May 03, 2013 10:47 AM (pMGkg)
Posted by: t-bird at May 03, 2013 10:47 AM (FcR7P)
Posted by: JackStraw at May 03, 2013 02:44 PM (g1DWB)
good to see you post. Hope you are around for a little while.
Posted by: polynikes at May 03, 2013 10:47 AM (m2CN7)
Posted by: nerdygirl at May 03, 2013 10:47 AM (ynec7)
Posted by: Oldsailors Poet Palin/West 2016 at May 03, 2013 10:48 AM (XIxXP)
And if the Obamaphone detects an imminent costly medical condition, it can initiate the US version of the Liverpool Pathway remotely?
Detroit Pathway?
Posted by: epobirs at May 03, 2013 10:48 AM (kcfmt)
Posted by: Flatbush Joe at May 03, 2013 10:48 AM (ZPrif)
Posted by: RWC at May 03, 2013 10:49 AM (fWAjv)
Posted by: Empire of Jeff at May 03, 2013 10:49 AM (xvMKm)
Posted by: Thunderb at May 03, 2013 10:49 AM (nH8jP)
Posted by: Anna Puma (+SmuD) at May 03, 2013 10:49 AM (tsPRH)
Posted by: Staff at May 03, 2013 10:49 AM (vJ+mj)
The Mountain Dew and donuts you bought with your SNAP.
Posted by: HeatherRadish™ needs a beer at May 03, 2013 10:50 AM (/kI1Q)
Posted by: Oldsailors Poet Palin/West 2016 at May 03, 2013 02:48 PM (XIxXP)
I understand that possibility and have myself always prepared that I won't see a dime of Social Security but my question was whether if it were still solvent would you refuse your social security check?
Posted by: polynikes at May 03, 2013 10:51 AM (m2CN7)
No study-None- has ever shown any long term benefits at all from Project Headstart.
Well....except for the corrupt retards who administer it. They benefit.
They should, but they'll never get rid of it.
1. Voters like education spending. Even ineffectual, feel-good education spending.
2. If nothing else, it's "free" daycare.
3. But it's for The Children why do you hate The Children???
4. You're racist for trying to cut Head Start. Racist.
Posted by: Hollowpoint at May 03, 2013 10:51 AM (SY2Kh)
Posted by: Flatbush Joe at May 03, 2013 10:51 AM (ZPrif)
Posted by: JackStraw
Even then not much would change. The Left is heavily invested in a command-and-control worldview. No bits of data, experience, or common sense will ever pierce that veil.
Exhibit A: every leftie economist.
Posted by: weft cut-loop [/i] [/b] at May 03, 2013 10:52 AM (Yr6sH)
The entire Democratic Party is nothing more than a pirate raid on the treasury. They don't give a fuck about the country. All they care about is getting as much loot as they can. It really is that simple. Fucking pirates, the lot of them.
They all deserve to be hung from the neck until dead.
Posted by: LGoPs at May 03, 2013 10:52 AM (4x8W0)
I swear, everytime I get called a racist, it's like a power-up and I can feel my combo-move getting charged to full strength. Let's me know I'm on the right track.
Posted by: Empire of Jeff at May 03, 2013 02:49 PM (xvMKm)
I've taken to smiling and saying "God Bless!" as I turn and walk away. I can then enjoy listening to their heads explode as I ignore them.
Posted by: DocJ at May 03, 2013 10:53 AM (A5uiv)
{Cash register montage!!!!!}
Speaking of which, did we get a thread on the new UE numbers? Down, baby! Even though 165k new jobs means that we are losing ground, but, ROLL THAT PROSPERETY MONTAGE!
Posted by: toby928 at May 03, 2013 10:53 AM (evdj2)
As intelligence officials pieced together the puzzle of events unfolding in Libya, they concluded even before the assaults had ended that al Qaeda-linked terrorists were involved. Senior administration officials, however, sought to obscure the emerging picture and downplay the significance of attacks that killed a U.S. ambassador and three other Americans. The frantic process that produced the changes to the talking points took place over a 24-hour period just one day before Susan Rice, U.S. ambassador to the United Nations, made her now-famous appearances on the Sunday television talk shows. The discussions involved senior officials from the State Department, the National Security Council, the CIA, the Office of the Director of National Intelligence, and the White House.
Posted by: Thunderb at May 03, 2013 10:54 AM (nH8jP)
Posted by: dogfish at May 03, 2013 10:54 AM (nsOJa)
Posted by: Jean at May 03, 2013 10:54 AM (z6Elp)
Posted by: Flatbush Joe at May 03, 2013 10:54 AM (ZPrif)
I think for a similar reason Obama and friends are pushing Universal Pre-K. Not that it will actually educate kids, but that it will relieve the stress and or financial burden of getting daycare and allow mother's to have an easier time of working out of the home.
Posted by: Serious Cat at May 03, 2013 10:54 AM (UypUQ)
Posted by: HoboJerky, now with 45% more DOOM! at May 03, 2013 10:55 AM (xAtAj)
Posted by: Anna Puma (+SmuD) at May 03, 2013 10:55 AM (tsPRH)
Posted by: AllenG (Dedicated Tenther) at May 03, 2013 10:55 AM (/PCJa)
Posted by: madamemayhem at May 03, 2013 10:55 AM (S2RnE)
Headstart is an attempt to make government a substitute for inadequate parents. And yet, when Newt Gingrinch suggested that perhaps we need more orphanages to break the multi-generational chain of welfare families, it was taken up as a charge against him by his opposition.
The only differences I can see is that one is is mor ehonest than the other about who is raising the kids, and that side also has a better chance of not perpetuating the failure. Which in turn makes it unattractive to lefties.
Posted by: epobirs at May 03, 2013 10:55 AM (kcfmt)
Posted by: Lincolntf at May 03, 2013 10:55 AM (ZshNr)
Spot-on. We used to have doctors who practiced "The Medical Arts". Now we have a "Healthcare Industry". Because, progress. or something.
Posted by: DocJ at May 03, 2013 10:56 AM (A5uiv)
Posted by: Oldsailors Poet Palin/West 2016 at May 03, 2013 10:56 AM (XIxXP)
CIA's initial press release on Benghazi, before it was totally rewritten to cover Obama's ass weeks before the election
The CIA’s Office of Terrorism Analysis prepared the first draft of a response to the congressman, which was distributed internally for comment at 11:15 a.m. on Friday, September 14 (Version 1 at right). This initial CIA draft included the assertion that the U.S. government “know that Islamic extremists with ties to al Qaeda participated in the attack.” That draft also noted that press reports “linked the attack to Ansar al Sharia. The group has since released a statement that its leadership did not order the attacks, but did not deny that some of its members were involved.” Ansar al Sharia, the CIA draft continued, aims to spread sharia law in Libya and “emphasizes the need for jihad.” The agency draft also raised the prospect that the facilities had been the subject of jihadist surveillance and offered a reminder that in the previous six months there had been “at least five other attacks against foreign interests in Benghazi by unidentified assailants, including the June attack against the British Ambassador’s convoy.
Posted by: Thunderb at May 03, 2013 10:57 AM (nH8jP)
Won't that make the baby Gaia cry?
How about a shot of Zyklon B out of the air bag, then the ObamaSmartCar can be "reclaimed" and given to some Congressscrunt's husband's business to be resold at huge profits.
Posted by: HeatherRadish™ needs a beer at May 03, 2013 10:57 AM (/kI1Q)
Haven't read the comments, but I had to comment on this:
This means that the Republican Talking Point -- about which I confess I was skeptical myself-- that the uninsured do get health care, is substantially vindicated.
It was never a "talking point," but a well documented fact. And to the extent "Republicans" were making it, it was really people deeply involved with Health Care (like I was for so long) who happened to be Republican who were saying, "County Hospitals already see you regardless of ability to pay, and all hospitals are required to provide emergency care regardless of ability to pay."
Posted by: AllenG (Dedicated Tenther) at May 03, 2013 10:57 AM (/PCJa)
Posted by: Flatbush Joe at May 03, 2013 10:58 AM (ZPrif)
Posted by: Stuff Benjamin Franklin Said, Vol III at May 03, 2013 10:58 AM (evdj2)
Posted by: Stu-22 at May 03, 2013 10:58 AM (AiYlm)
Posted by: Lincolntf at May 03, 2013 02:55 PM (ZshNr)
I hear the SEAL's are good at burying terrorists. Maybe they should give them a call.
Posted by: Tami[/i][/b][/u][/s] at May 03, 2013 10:58 AM (X6akg)
Posted by: Thunderb at May 03, 2013 10:59 AM (nH8jP)
Posted by: HoboJerky, now with 45% more DOOM! at May 03, 2013 10:59 AM (xAtAj)
Posted by: Flatbush Joe at May 03, 2013 10:59 AM (ZPrif)
Posted by: gekkobear at May 03, 2013 11:00 AM (l68Dk)
Nah, they just want as many people dependent on the federal government as possible.
If they start working, they risk losing their benefits and Head Start eligibility.
Posted by: Hollowpoint at May 03, 2013 11:00 AM (SY2Kh)
Posted by: Thunderb at May 03, 2013 11:00 AM (nH8jP)
Posted by: tasker at May 03, 2013 11:00 AM (r2PLg)
To be fair, if the holders of some belief have a strong enough belief, it will take a lot of contrary evidence to get them to move away from their position, and could still be behaving in a fashion consistent with being a Bayesian. The question is why do they hold such a strong belief? A strong prior belief is best justified by lots of prior data supporting that belief. This seems to not be the case here, and so we are left with the less intellectually satisfying "They just think so" or "People they trust told them so".
Posted by: Professorson at May 03, 2013 11:01 AM (0aNNN)
The new fact is that they get roughly the same outcome!!! from the healthcare system, even without insurance.
But it's not a new fact... that's what I'm saying. I've been saying that for 4 years now, at least.
Posted by: AllenG (Dedicated Tenther) at May 03, 2013 11:02 AM (/PCJa)
Watch doctors operations cost 1/3 as much, and be twice as good.
Posted by: HoboJerky, now with 45% more DOOM! at May 03, 2013 02:55 PM (xAtAj)
I hate to say it but the healthcare business in Texas is just that. A business and unfortunately the medical professionals here will overtreat and over test everything not just because of tort exposure but because they make big bucks.
Posted by: polynikes at May 03, 2013 11:02 AM (m2CN7)
Posted by: Serious Cat at May 03, 2013 02:54 PM (UypUQ)
--
They are pushing universal pre-K because studies show that childrens morals are mostly formed before the age of 6, and who better to form those morals?
Posted by: Vashta Nerada at May 03, 2013 11:02 AM (NJs1e)
and so we are left with the less intellectually satisfying "They just think so" or "People they trust told them so".
Or they are simply lying for personal gain and facts are irrelevent. Occam's Razor emailed me about this this morning.
Posted by: toby928 at May 03, 2013 11:03 AM (evdj2)
some of us who grew up in the system to one degree or another longer....
it's a joke... and Obamacare does for the nation what medicaid did for the poor...
hang on sports fans a grand slam is coming
Posted by: sven10077@sven10077 at May 03, 2013 11:03 AM (LRFds)
Posted by: HoboJerky, now with 45% more DOOM! at May 03, 2013 11:04 AM (xAtAj)
Posted by: rickb223 at May 03, 2013 11:05 AM (pHivF)
Posted by: HoboJerky, now with 45% more DOOM! at May 03, 2013 11:05 AM (xAtAj)
Posted by: Oldsailors Poet Palin/West 2016 at May 03, 2013 11:06 AM (XIxXP)
The Federal dependency of the sheeple is but a by-product of Progg policy, which has ever only one driver, that is to give jobs to Dem voters. Everything that happens afterwards is unintended and unimportant. Staying in power is important, and to do that they funnel Fed cheese to their supporters.
Posted by: Extra Testicles at May 03, 2013 11:07 AM (E8XYY)
They make Peanut M and M's, so how could it be wrong?
And this sudden plague of people who go into seizures if anyone within a mile radius thinks about peanuts? Maybe it's time to start culling the herd a bit.
Posted by: epobirs at May 03, 2013 11:08 AM (kcfmt)
Posted by: Body Builder at May 03, 2013 11:08 AM (DrC22)
Posted by: Oldsailors Poet Palin/West 2016 at May 03, 2013 11:10 AM (XIxXP)
Posted by: Anna Puma (+SmuD) at May 03, 2013 11:10 AM (tsPRH)
Posted by: olddog in mo at May 03, 2013 11:10 AM (d8MAu)
I'm betting on both. Why not have the worst of both worlds?
Posted by: Blanco Basura at May 03, 2013 11:10 AM (4WhSY)
Posted by: Dirks Strewn at May 03, 2013 11:10 AM (VLifP)
Posted by: Anna Puma (+SmuD) at May 03, 2013 11:10 AM (tsPRH)
Only two outcomes are possible with the hilariously misnamed AFA: Costs will skyrocket, or there will be rationing.
Looking at England, that's not an "either/or" proposition.
Posted by: AllenG (Dedicated Tenther) at May 03, 2013 11:11 AM (/PCJa)
If you are not Elderly or disabled and can't feed yourself, you shouldn't get shit, nothing, nada (for you spanish speakers - Old Sailor.
Bro I thought almost exactly as you did up to the last election. All I wanted was the money I put in or the option to opt out if I saved. I would have accepted zip. Seriously. I fully expected to get means tested out and get dick. I remember the blue haired ladies in Boca collecting checks and thought it was wrong. Keep in mind I have a small business so I pay double. Something like $15,000 a year. Well guess the fuck what. The American public knew full well this guy was all about wealth transfer and voted him in. I ain't crying poverty but I ain't making a killing. I am making enough that I would get hit with Obama's tax hike. SOOO. I am a changed man. I have a sizable portion of the electorate thinking it is just ducky to take from me for themselves. I think Mel Gibson could probably say it better than me, "You can take away my SSI but first you gotta....." Pay me. I put hundreds of thou in and I want that back and more. Why? just.the.fuck.because.
And if any of you folks do the right thing and live within your means they will try to fuck you as well. means testing levels will drop to pretty low level. The numbers needed to make that shitshow "work " demand it.
Posted by: Mac at May 03, 2013 11:12 AM (0J18b)
@226 Heatherradish. Zyklon B, too dangerous it might leak and kill unknowing sheep. Just the vehicle parks itself in Terminal Loading. Locks the doors, shuts the vents, and then turns off the ObamaPhone. Let the poor person die due to asphyxiation.
--------------------------------
Too much trouble. Just switch the connections on a few of the hoses, and use carbon monoxide poisoning to do the trick.
Posted by: junior at May 03, 2013 11:12 AM (UWFpX)
Posted by: artisanal 'ette at May 03, 2013 11:15 AM (XYSwB)
Posted by: artisanal 'ette at May 03, 2013 11:23 AM (XYSwB)
Posted by: artisanal 'ette at May 03, 2013 11:26 AM (XYSwB)
Posted by: Oldsailors Poet Palin/West 2016 at May 03, 2013 11:27 AM (XIxXP)
Posted by: Mac at May 03, 2013 11:51 AM (0J18b)
Posted by: Ernst blofeld at May 03, 2013 12:26 PM (2CuCY)
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Posted by: Yip at May 03, 2013 10:13 AM (/jHWN)