Tuesday, June 30, 2009

The Starr, Reich, Kuttner Debate on Health Care Reform

If these three cannot agree ... how can we expect Democrats in congress to sing from one score?

I tend to agree with Kuttner. The public option gets weaker with each day, increasingly more complex (and hard to understand or sell), and easier for insurance companies to game. We need to get some single payer skin in the game -- that could keep the public option honest.

I'm having to choose new insurance plans for Diane and myself in Maryland. I note they all have a "lifetime cap" -- so if either of us gets AML and needs a bone marrow transplant -- tough cookies. I'm not happy with my medical insurance options. I doubt any survey that says most people are.

Monday, June 29, 2009

Preventing AIDS in Iran is a crime

Besides the terrible news of recent HSPH grads being given years in prison, accused of being US agents because they are using proven public health measures to prevent the spread of HIV, this article is interesting for its note that WHO claims that Iran has the highest rate of heroin addiction in the world. I suppose living in a theocracy is tough -- many need an escape.

Thursday, April 30, 2009

Swine flu -- What to do?

The CDC recommendations are very good. I have only a few things to add -- open the windows and if you are infected or could be infected, wear a surgical mask to protect your friends and family. Our research shows that surgical masks partially limit the shedding of virus into respiratory droplets. There is a lot of debate in the scientific community about whether influenza A viruses are transmitted by fine particle aerosols or just by large droplets and touching. It is time to be prudent -- consider aerosol transmission likely and take steps to limit it.

1. Open the windows at home.
2. Maximize dilution ventilation in mechanically ventilated buildings
3. Hold classes and religious services outdoors when possible.
4. If you have contacted someone with the flu, wear a surgical mask to limit spreading it to your family and friends.

Good sources of reliable information
For parents: http://www.cdc.gov/swineflu/parents.htm
In general on pandemic flu: http://www.pandemicflu.gov/

Sunday, March 15, 2009

AIG Bonus for Failure

The idea that AIG cannot legally get out of contracts to pay bonuses argues strongly that it is high time that this company, already 80% owned by the US Govt, be forced into a govt supervised reorganization - bankruptcy. That will quicky solve the problem of bonus contracts.

Saturday, March 14, 2009

The Profzi Scheme

Anyone with a guess what the pay lines will be on the new Recovery RC1 applications at NIH?

Health Care and Competitiveness

Greg Mankiw claims that transferring health care costs to a national program will have no effect on US corporate competitiveness (especially GM) in the long run because workers eventually pay the costs anyway. So, if they pay the cost by some alternative method, they then (in the long run) ask for more in wages. This argument misses a couple of important variables by assuming that employer provided private insurance and a national health insurance program are equivalent goods with similar costs and values.

1) The value to the worker of a given quality of health care is the same, whether it is purchased in efficiently through a private insurance scheme or efficiently through a national or regional (e.g. Canadian) system.
2) The value of health care coverage to the worker is greater if it not dependent on continued employment with a single employer.

Therefore, if workers get greater value by having health care coverage not linked to their employer and that greater value comes at a lower monetary cost -- their demands for additional compensation in the long run will be less than if they were getting inferior health care at a higher cost from the employer. Thus, Larry Summers is right and Mankiw and Elmendorf are missing the point.