House of Paine

krug attacks -----"make job "------- sector #1

heres the tweedy golem of princeton
on the loose

crushing 
 all them fat rat 
               H M O  MOES 
in his mind's
          vice like 
           rational fool trap 

            


====================================================   


  


 "Too much of our health care spending
 is devoted to passing the buck:
 trying to get someone else to pay the bills"

------------- lovely openner paul i'm jealous -------------

" According to the World Health Organization
 United States 
administrative expenses 
eat up about 15 percent 
of the money paid 
in premiums 
to private health insurance companies
 but only 4 percent 
of the budgets of public insurance programs
( Medicare and Medicaid)"

  ------------------ no comment ---------------------

"these higher costs of private insurers
 are mainly due 
to the extensive bureaucracy 
required 
 to .....


----------shift   claims                   
         reduce 
              claims
           and  refuse  claims ------------ 


-----------and then there's marketing department costs --------------

"Public insurance plans 
have far less bureaucracy
 because they don't try 
to screen out ......
 or charge  higher fees"

---on the other side 
the provider side 
it pays to staff up for the big wrangle -----------------

"A well-run  doctor's office
 can get the private insurer's 
rejection rate down 
from 30 percent to 15 percent.....
 That's how a doctor makes money
. ... It's a war 
with the insurance companies
           every step of the way." 

-----------------------------------------------------

------- a sly query ------------------------

"Isn't competition supposed 
to make the private sector
 more efficient 
than the public sector? "

 ---------------------- here's krug's partial exposition ------------

"private insurers 
 don't compete
 by delivering care at lower cost......"

 " they compete
 on the basis of risk selection
 - that is, by turning away people 
who are likely to have high medical bills
 and by refusing 
        or delaying
 any payment they can"


------------problem ? 
not enough  good  meat here

open as is 

to loose counter examples :
 
 life insurance is sold this 
risk reduction et al way
and yet still has 
a thriving
     lower cost based sector
 for the smart alex types --------------------------------


-----------------------------------------------


" the cost of providing medical care
 to those without  private insurance
            doesn't go away"

---------- missed chance here 
to talk about the adverse  selection problem 
instead we are made to weep --------------

" either 
   they pay out of pocket ......"

----------- love to see this rube  rate --------------------

" or they  rely on the charity
          of public hospitals" 

------------- hospital charity?
            fat fuckin chance
     no krugat best

the hospitals get it back
  by 
placing 
an  over charge premium
on the  cost of services
   to the covered ......
  in amerika 
         the covered shlubs
             cover the uncovered  freegos  --------------------

" we've created 
a vast and hugely expensive
 insurance bureaucracy 
that accomplishes nothing"

--------------- ah but  krug
              how lovely it is
  
            "  tons of decent people
        with decent jobs
                     doing indecent harm  
                       to all uz
                           K like onelings 
                                    out here  ------------------

" The resources spent 
by private insurers 
don't reduce overall costs...."

---------- but they do reduce 
that private insurers costs -----------

" they simply shift those costs 
to other people and institutions"

----------- part whole paradox 
each part rational
whole smeer insane -----------------------


---------------could anything
   be more transparently obvious 

uncle saying
      "its all on me kids" 
    swallows  
       the  externalities
 reduces 
      the  number 
     of these flippy flop transactions
the need for these tricky escape hatch gamesthe need to market my better mouse trap etc etc 
 and thus obviously 
     the systems  total administrative  costs
                       go down down down  ---------


----------------------------------------------
"It's perverse but true
 the US  system
  insures only 85 percent
 of the population
               and
  yet costs much more 
             than 
       a one payer system 
            that covered everyone"


-----------------perfecto paul -----------------

----------------  as to the extraction of the money -----------------

"under 
  the U.S. system
 medical costs act 
as a tax on employment"


--------- ie
helps
        send jobs over seas
                 vs 
    a system  that is supported
                by vat taxes 
           that falls  on  consumers
                and is job location neutral----------------


               ------------ an income tax based system
                       (like we have for uncles 
               part of  part b   medicare)
has a progressive virtue 
                          but by adding  investors 
                      in too .....

               better   my hoby horse
                          favorite 
     
                         the rad's
                           impossible dream 
                                  an  "idle wealth" tax -------------

---------------------------------------------


" At a rough guess
 between two million 
   and three million Americans 
are employed by insurers 
and health care providers
 not to deliver health care
 but to pass the buck
             to someone else..."

------------ hey carry this too far kruggles
                                and you'll
   throw   75%
      of the whole  private "financial sector"
             under a dark shadow of doubt -------------
---------------------------------------------------------------



" And the result 
of all these  exertions ?
                a nation 
                poorer and sicker" 


-------------- bravo paul bravo -------------------------


--------------------------------------------------

  ------------  even a bright and    battlin'  coda -----------------

" many Americans 
            seem  unable to comprehend 
                    the idea 
                     that sometimes 
             competition is the problem
                              not the solution"

=============================================================

---------------its pieces like
                       this     that justify
                                the  krug's
                                     silver trade mark ------------