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Friday, July 31, 2009

Back to Square One for The Ciav and The Con

Judge Kosik has thrown out the plea deals previously arranged for disgraced Luzerne County (former) judges Conahan and Ciavarella. Story link here.

Given the severity of the crimes committed here (countless young adults scared for life & all just to line pockets) I'm not sure that justice could ever be really served in this case. It seems to me though that this is a step in the right direction. The plea deals, as I understand them, seemed light relative to the crimes committed.

Thoughts on Healthcare Reform

Just a few random thoughts on this subject...

Market Based Reforms...did you ever notice that people that call for strictly "market-based" health care reform are mostly those who probably aren't bothered by the actual cost of health care themselves?

****

Rising Costs...Doctor Bob's costs increase in aggregate about 3-4% per year, which he passes along to his patients. Mega Health Insurance Company is publicly traded, and the financial markets want it to increase it's returns about 12-15% every year (and they can probably only increase efficiency to drive down costs about 2% per year). Parma Corp is also a publicly traded company and has an even higher profit expectation of 18% ROI increase per year.

Patient Steve gets his health insurance through Mega Health at work and sees his premiums increase 10% this year. He goes to the doctor and sees that co-pay increase 3% this year. His medication costs increase by 10% per year.

Seeing a pattern here?

The bottom line his this: in a market-based economy, the emphasis is on profit. That's fine when you are making toasters, less so when you are talking about health care. In the "business" of making people well, the emphasis should be on that...making people well first...profit second.

Government Involvement...Medicare has an overhead rate of about 3-5%. The average health insurance company has overhead that is in the neighborhood of 18%. Now does that mean Medicare is automatically better suited to manage health care in this country? Not necessarily, but it does mean that the impact of requiring a profit (which is what publicly traded companies require) has a direct impact on cost. Denying that is at best silly. Overhead isn't the whole story here, because for example the government is pretty damn horrible at things like innovation. The trick, I suppose, is to find some way to have a system whereby you have private sector innovation and constant improvement without the corrosive impact of market-demanded double-digit increases in profit year-over-year.

The Notion of Insurance...Most people really don't understand the concept of insurance. One core principle of insurance is that of spreading out risk. Insurance can provide a benefit to someone who is sick in part because there should be healthy people paying into the system who are not sick (and are unlikely to want or need a benefit). One of the problems in our current system is that there are people who fall outside of the system of paying for insurance but yet still end up getting the benefit. That then drives up the costs for everyone.

Long on Problems, Short on Solutions...This is pretty damn complex stuff. However in my mind there are a few common solutions threads:
  • Required Coverage - People should be required to purchase health insurance, period. Simply being out of the system but then receiving a health care benefit (we don't turn people way who need medical attention in this country) isn't fair to those of us who do pay into the system. The cost of health care needs to be spread out among everyone, period. Even if you have a minimum wage job, you should in fact be paying some portion of you wages into buying health insurance. That sounds harsh, but I think that's one of the core solutions.
  • Screw the Tax Code -Some Conservatives...you know, that group that claims that the tax code is too complicated...want to "fix" the current system in part by offering tax credits/rebates for the poor to purchase health care insurance in the private market. Now correct me if I am wrong here, but wouldn't such as thing actually make the tax code more complex???? Let's stop using the tax code as a slush fund for any and every social problem.
  • The Poor - This is an issue that goes well beyond just health care, but I have to add a comment about it here. If you are physically able (and by that I mean you have at least one functioning arm and you can read) you should be working, period. No one in this country should be getting something for nothing. That ties directly to health care, because right now some folks do just that. If you are poor and you can't find a job, I'm of the opinion that the government should provide you with some measure of support, but then you should be working for the public good during that period...and some of what you receive from the government...no matter how small...should go towards the cost of your health care.
  • Profit - Private health care needs to be regulated in the same sense that public utilities are regulated, but in a much more vigorous sense. Just as people need water to survive, the reality is that people also need health care. What's more, I view it as being almost immoral for a health care insurance provider to make an 18% profit when it's customers are struggling to pay their premiums and co-pays. Simply put, we can't have it both ways (high profits and low costs), but we can require reasonability for both costs and profit. Some will not like that, but I'd argue to the death that free markets fail in certain conditions, and health care is a classic example of just such a failure.
  • Government - Whether some like it or not, the role of the government is in part to "promote the general welfare" (see the US Constitution). No where is that more apparent than in the case of health care. Government must play a role in health care costs, if only because it is the only entity that can reach across state lines to enforce a set of uniform standards to prevent the zest for profit to erode the need for health care. Does that mean that the government should provide free care to all? No. Nothing related to health care should be free. But it does mean that, perhaps, the government should be in the business of providing basic health care insurance coverage (and note that there is a BIG DIFFERENCE between providing insurance and making medical decisions) at the bottom of the risk scale.
  • Personal Responsibility - Last, but not least, people in this country have to take personal responsibility for their own health. We've raised a generation to believe that there is no link between their actions and the costs of providing medical care, and nothing could be further from the truth. The first part of the personal responsibility equation here is that everyone should be paying for coverage (be you working poor OR someone who has such generous coverage now that they pay virtually nothing...not that such a thing happens much). The second part is that the best way to pay less for health care is to be healthy in the first place.

Complex? Yes, but often times the longest, most difficult journeys are the most rewarding.

Thursday, July 30, 2009

Glenn Beck...Poster Child for Stupidity

I heard about this yesterday while waiting for a doctor's visit.



"...deep seated hatred for white people...and white culture"

I think this one speaks for himself.

Glenn Beck represents the lowest common denominator in American political discord. He is down there with Al Sharpton and the other race-baiters who throw around racially charged comments for nothing more than self gratification and financial gain.

History is full of similar tactics: Think about it...conceptually speaking, this is not a hell of a lot different than the Brown Shirts of 1930's Germany manufacturing Jewish crimes. Beck wants people to believe that President Obama is racist, therefore anything he says (or potentially anything that some nut-bag listener does in response) can then somehow be viewed as a justified reaction.

Wednesday, July 29, 2009

I Readily Confess...

...that I can be strange. When I was younger, say back in high school days, it did bother me. Now I'm fully one with my strangeness, and that's perfectly okay. That's one of the benefits to "growing up" I suppose: you finally learn to accept yourself for you who really are inside. Maybe this is why so many people say things like "I wish I could go back in time to when...". For me, I'd re-do all four years of high school. There is so much I'd do differently. Now I'm not talking about regrets here at all; in fact if I ponder this for a moment, I realize that what I was and went through before brought me to where I am now.

Therein lies the paradox: if you actually could go back and change who you were back in some time in the past, it would end up changing you now.

Anyway, putting the paradox aside for a moment, I'm actually pretty happy about my experiences in college, and grade school really doesn't matter all that much in the grand scheme of things, so it's definitely high school for my time machine. Now what would I change?

Confidence. I'd be far more confident of myself and my abilities. Simply put, I was my own worst enemy. I was 6'3.5", 175 lbs (yes, I was a board) of noodle. One of the things I've learned in the working world all these years is that people sense confidence in the same way that a dog senses fear. Having it creates it. This is not to say that I'm completely confident in myself now, but I am a hell of a lot better than I was then. Anyway, I don't know that I was ever taught to be confident in myself. Fortunately for me, this lack of confidence never led me to really, really bad choices. Mistakes? Yes, but no horrible life-changing-for-the-bad choices.

I think just going back, re-living those experiences but injecting just a bit more self-confidence in to the mix would make all of the difference.

So much for that. In the real world there are no time-machines. What we do have is the present, and we can always focus on changing it for the better.

Tuesday, July 28, 2009

Road Apples, #37

Commercials...I was browsing around YouTube the other day and I found a whole collection of old cigarette commercials. In fact, I posted one a few days ago. I find this fascinating. Think about it: companies were encouraging people to use a product that they knew would kill them. And for what? Profit. Maybe it's just me, but that's about as evil as evil can get.

On The Work Front...I am slowly but surely winding towards about five weeks of training in out of town, mostly in Hartford. When all is said and done I'll have a fortune in Hilton points. Now on one hand I guess this really should bother me, and I guess it really does. On the other hand, I know this is coming and I simply want it over with. The work will be tough: six+ hours of standing in front of employees teaching a new application, but I suppose there are worse jobs out there. They do pay me too, which in today's economy is always a plus.

Healthcare...One of these days I'm going to rag on about healthcare reform. I swear I am. Fortunately it looks like the US Senate is buying me some extra time to compose my thoughts. Mighty nice of them to do that. Down right Christian.

(Dryer) Health...Tonight will be the 4th visit by the dryer repair man to hopefully get my dryer out of the squealing business and back into more of a tolerable mode of operation. It's amazing how much you can miss something when you don't have it. Mind you if i was just me (or say me and someone else) I'm not sure I'd even have a washer/dryer. I only wash my own clothes once a week, so what's trip to a laundry mat anyway?

(Dental) Health...I had my six month dental check-up with my regular dentist today, and all is well. I have to go back in a month to get some minor work done on a front tooth (a scratch that needs to be bonded) and then get the impression made for my crown (that which will be mounted on my jaw-screw). I'm getting used to this...not bad for a guy who didn't see a dentist for something like 15 years. Oh, and my home care was rated as being "excellent".

Sunday...We spent Sunday Camel Beach water park, and I have to say it was an okay time. The weather wasn't the greatest, but the trade-off was that the crowds were significantly lighter. In fact, the longest I had to wait to get on any ride was about five minutes; for many I was able to just immediately get on without a wait. Of course my favorite part of the park is the wave pool, which can be very relaxing.

I Have A Habit...of finding articles that I want to read, clipping them out or making copies of them, but then having them lay around while I don't have time to read them. In fact, as I type this in my home office I'm staring at one. I also have that Sarah Palin article from Vanity Fair that I have to get to at work. If there was only more time...

Is It Almost Dawn In NEPA?

  • Luzerne County judges indicted for taking cash kick-backs for sending kids to jail
  • Almost an entire courthouse that looked the other way while two judges took cash kick-backs for sending kids to jail
  • School districts mired in "pay for job" teacher hiring schemes
  • The Lackawanna Single Tax Office investigated (but ultimately found to be too screwed up to even properly audit) for having several million dollars in a combined account
  • Luzerne County row officer found selling used cars during working hours
  • A ranking state senator sitting on corporate boards for industries that he has a hand in regulating AND having the state pay him to rent office space (for him) AND paying a well-known political consultant to provide communications services (despite a staff of people already paid by the taxpayers to do this)
  • An investigation into the construction costs of an airport terminal that seems far larger than what is required (story link here)

Now I know I've missed a scandal or three, but the point is this: so much seems to be coming out now that it makes me wonder two points aloud:
  1. Is NEPA possibly the most corrupt single region in the country?
  2. Is it almost dawn?
They say that the night sky is at it's darkest right before dawn. The implication for us, as residents of NEPA is that maybe, finally, this region is getting the attention it deserves from a public corruption investigation perspective. Unlike some residents of NEPA, I've actually lived other places, so I don't subscribe to the "grass is always greener" philosophy. There are great reasons to want to want to live and work in NEPA, and for those who can't see them, I have some saged advice: Move.

The fact remains though that there seems to be a pervasive mentality among some residents in the area that political corruption is bad, unless of course it helps me (or my family, or my friends, etc.). If the sum total of what is happening in the area in this arena does any good, it will be to change that mentality once and for all.

As a final note, what I'm NOT TALKING ABOUT is the nonsense that you read in message boards, etc. where every politician who makes a bone-headed move is being automatically being tagged with the "he is a corrupt thief" label. That line of reasoning is used ad nauseum when it comes to Scranton Mayor Chris Doherty, and I simply don't buy it. I probably disagree with the Mayor as much as I agree with him, but there is a difference between...

...I don't like the guy
...His priorities are different than mine

and...

...He is corrupt

When everyone is tagged as being corrupt then no one will ever want to serve. That will end up hurting this area far more than it will help.

So let's hope that the good work of rooting out corruption doesn't turn into an excuse by some to conduct personal witch-hunts. This can and will work if we all follow a simple rule: hard evidence first, aspersions second.

Saturday, July 25, 2009

More Doctors Smoke Camels

Ah the good old days, when people just didn't think about things like lung cancer...


10 Things I'd Rather Do Than Support 'SarahPAC'

I saw an advertisement on the Drudgereport requesting readers to support 'SarahPAC', the political action committee of soon-to-be-former Governor of Alaska (and former mayor of a town the size of Dunmore PA) Sarah Palin. That got me to thinking: now just what would I rather do than support 'SarahPAC'? Putting aside all the fun things in life for a moment, here are a few things that would still be above my providing any kind of support to Todd's wife:

  1. Work in a Mexican sewage treatment plant.
  2. Be one of the late Michael Jackson's creditors (now that would be frustrating).
  3. Wash dogs for a living (I find fewer things smell worse than a wet dog).
  4. Be responsible for emptying Courtney Love's trash (can you imagine what you'd find?).
  5. Write copy for "The Catholic Light".
  6. Try to making a living selling Wall Street Journal subscriptions in Oil City, PA (inside joke...).
  7. Be a police officer and try to give Professor Gates a parking ticket.
  8. Be Rush Limbaugh's 'Hillbilly Heroin' supplier.
  9. Clean up road kill...in Georgia...in August.
  10. Help OJ find the real killer.

Senator Bob Mellow

The latest foible in the Senator's political career is linked here.

Unrepentant, unmitigated, unashamed GREED, unchecked lust for POWER, ARROGANCE.

I should leave the entire blog entry with just the above, because I think it says it all. Now in all fairness, you can't completely blame Senator Mellow, in the same sense that you can't completely blame a drug-addict for his/her condition; after all, in the case of an addict, someone had to supply him/her with the narcotics. In the case of Senator Mellow there is also blame to go around:

FIRST, to the voting population of Senator Mellow's district, who have given this gentlemen a free pass at the voting booth all these years. That's the problem with con-men: they can only apply their craft if there are those gullible enough to be conned in the first place.

SECOND, to the local newspapers who have given the Senator a pass all these years up until now. While I'm glad that some of these issues are coming to light, some have existed for years without much scrutiny from the folks at The Scranton Times.

THIRD, to a political system in Harrisburg designed around perpetuating abuse through "tough as tissue paper" ethics standards, a classic case of the fox being allowed to watch the hen-house.


Bottom Line: Senator Mellow has abused the trust of these he is elected to serve through blatant conflicts of interest (serving on boards of organizations he in turn has a say in regulating). He has enriched himself with taxpayer dollars (through having the state pay rent to a company partially owned family members). He has inflated his ego at taxpayer expense by using taxpayer money for things that end up getting named after him. He has engaged in the worst kinds of political maneuvering (being a proponent of late night pay raises for legislators).

Senator Mellow should resign, period.

Thursday, July 23, 2009

"...I'd let you watch, I would inivte you, but the Queens we use would not excite you..."

The title is from the song "One Night in Bangkok", which is from the musical Chess. It's really just an ABBA song that's just not sung the the ABBA ladies (instead it's sung by Murray Head). Anyway, I love the line. It refers to a guy playing the nerdy game of chess while in the midst of a sex-crazed city. I heard it for the first time in a long while as I was driving back from Hartford yesterday evening.

As noted above, I was traveling this week. Maybe it's just me but when I'm working out of town it's as if my life suddenly collapses into this transparent bubble, with only so many things within reach (inside the bubble), but yet I can see things outside the bubble. I know, that's a difficult analogy to make, but it's the best I can come up with. It's as if my reach were far greater than my grasp. In a lot of ways it has always been that way, although now that my girls are much older (16, soon to be 17 & 21) I have less to worry about on the home front. This is only a partial comfort, as that "worry void" doesn't remain completely void, instead being filled up with the work stuff that only gets more complex each and every year.

Work, a true four letter word.

Maybe I am not alone in this, but I have this "love - hate" relationship with work. Yes, I like getting paid and I'm not one for sitting on my butt anyway, but still there are times when the levels of stress that it produces have been so great that I've felt as if I was going to literally burst into a million pieces. Think the planet as it's getting destroyed by the DeathStar during the first Star Wars movie.

About the closest I've ever come to the explosion thing actually happening occurred this past Tuesday night. I was training all day, it was just a rough, long day. At the time things just didn't seem to be working, I wasn't sure what to do, and the whole situation seemed devoid of any hope. Feeling so depleted, I thought I'd go to the movies, which I did. Sitting the the theater watching "Bruno", all I could think about was the seeming pickle I was in at work. No hope what so ever. Needless to say I didn't enjoy the movie, but then again I just don't think that the movie was all that entertaining (it was very funny in spots, exceptionally difficult to watch in others) to begin with. Making matters worse, I got lost going home...something about not being familiar with that part of Hartford, the dark, and the rainstorm. For some strange reason though, just as I was finding my way back to the hotel (by just driving in what I thought was the right direction and looking for landmarks), I seemed to gain a little better perspective on the whole work thing. It was a strange juxtaposition of getting physically and mentally lost I suppose. By the time I found the hotel I found inside my head something of a plan to begin dealing the the stickier elements of what was happening in the office.

I know, the above reads like something you'd find in a bad motivational book, but I swear it's the truth.

Anyway, yesterday's training went well and I have inside my head at least some thoughts on how my work on this particular project will proceed. I'll get by.

Now it's back to the grind in a slightly larger bubble.