Wednesday, August 12, 2009

Legislative Language

3.7(b)(2):
No funds shall be used for pork roasting within any federal facility except in accord with the provisions of 12.14(f)(4).

12.14(f)(4):
Notwithstanding the language in 3.7(b)(2), pork roasting is approved in any amount, anywhere.

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5.   Restrictions

5.1   The President's authority under this bill is strictly limited to the explicit provisions of this bill, narrowly considered and constructed.

5.2   The sense of this section 5.2 is constructed from combining the language of sections 5.13 through 5.17 after striking out the words "dog", "cat", and "fish" wherever they appear in those sections.
. . .

5.13   The dog cat President fish
5.14   is fish hereby cat cat
5.15   cat dog empowered dog to cat
5.16   dog dog do dog dog anything cat
5.17   fish dog he fish cat wants. dog fish

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Ignorance is bliss! But see (hhh)(1) Subject to paragraphs (3) and (4)
08/11/09 - Classical Values by Eric

[edited] I finally understand why the Congressmen who are pushing the healthcare bill HR3200 have not read it, and have come up with something unreadable. It's quite deliberate.

If people could actually read it, they might learn too much. If they learned that a new cancer drug would not be available, or that their father's heart surgery would not be covered, millions and millions of ordinary people would be outraged and up in arms, and it would be very bitterly personal, like Mike Sola, the guy whose son has cerebral palsy and who learned he wouldn't be covered.

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A Few Words About Policy
Would Obama try to legislate from some scribbles on a cocktail napkin? Would he think "give me anything, we'll rearrange it later to do what we want"?

Join me in the demand to "Show me the policy paper!" If any politician refuses or says that it doesn't exist, then mock him with "Show me the cocktail napkin!"

Tuesday, August 11, 2009

ObamaCare May Save Social Security

ObamaCare Saves Social Security
08/11/09 - InsureBlog by Henry Stern

[edited] The healthcare bill we reference is "America’s Affordable Health Choices Act of 2009, Revised Standard Edition". It has the potential to save Social Security from bankruptcy:
Page 425. "The term ‘advance care planning consultation’ means a consultation between the individual and a practitioner [doctor] ... if ... the individual involved has not had such a consultation within the last 5 years."

So, seniors are encouraged to have these consultations at least every 5 years. What are they?

Page 432. "For purposes of reporting data on quality measures for covered professional services furnished during 2011 and any subsequent year, to the extent that measures are available, the Secretary shall include quality measures on end of life care and advanced care planning that have been adopted or endorsed by a consensus-based organization, if appropriate. Such measures shall measure both the creation of and adherence to orders for life sustaining treatment."  (note)Can you imagine 1000 pages of this language?

So, a "consensus based organization"The End of Life Quality Treatment Board will come to order. All in favor of 'Non-Heroic Treatment Plan 103' say Aye. The plan is approved by 8 votes to 1. I declare this a consensus. We are adjourned."" will determine advanced care planning. It will create orders for life sustaining treatment that will be measured for compliance. It could order anything from a pain pill to life saving surgery, depending on whatever utilitarian measures it wants. And, that will be that. Are you reassured?

This implements social justice. Rich and poor will be prescribed the most cost-effective lifesaving or pain-numbing treatment, according to expert guidelines.

If you are a federal politician, federal employee, or approved union member, you are not covered by this act. You have other, nicer choices for your care, provided by private insurance companiesAren't the insurance companies supposed to be the spawn of the Devil? arranged for you by your union or the federal government.

Social Security will save a lot as most people's lives end on a more rational basis.

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This prompted my comment (sarcasm warning):

It is shortsighted to bring quality of life issues into discussion only because of explicit costs for healthcare at the end of life.

It is obvious that we cannot support useless members of the tribe who are no longer able to work.

What is less obvious, and much more important, is to factor in carbon use. This is also a cost to society, and to Gaia herself.

We should accept that when our personal carbon footprint goes up past our productivity, then we need a talking to.

When an individual can no longer bicycle to work, it may be better to accept the end rather than be a carbon burden on us all.

It is inescapable. Some must continue on in the cycle of life so that others may live without damaging the Earth.

Monday, August 10, 2009

Cuban Health and Economic News

Via Don Surber, Daily Scoreboard Item 8.

Cuba must replace tractors with oxen
08/08/09 - Google Hosted News by Will Weissert (AP)

[edited] President Raul Castro suggested expanding a pilot program, giving private farmers fallow government land to cultivate.

"For this program we should forget about tractors and fuel, even if we had enough. The idea is to work basically with oxen. An increasing number of growers have been doing exactly this with excellent results."

The agricultural ministry proposed increasing the use of oxen to save fuel. Factory closings and turning off air conditioners at government offices has saved oil. The ministry said it had more than 265,000 oxen "capable of matching, and in some cases overtaking, machines in labor load and planting."


Cuba is running out of toilet paper
08/10/09 - Reuters by Nelson Acosta and Esteban Israel

[edited] An official with state conglomerate Cimex said: "The corporation has taken all the steps so that at the end of the year there will be an important importation of toilet paper."

The shipment will enable the state-run company "to supply this demand that today is presenting problems." Cuba both imports toilet paper and produces its own, but does not currently have enough raw materials to make it.


CNN reports Cuba is a model for a U.S. healthcare plan
08/10/09 - American Thinker by Humberto Fontova

[edited] The CNN report included clips from Michael Moore's "Sicko". CNN's Morgan Neill reported on location from a Havana hospital. "Cuba's infant mortality rates are the lowest in the hemisphere, in line with those of Canada!"

According to 2009 UN figures for infant mortality per 1000 live birtihs, Canada ranks 23rd best at 4.8, Cuba ranks 28th at 5.1, and The U.S. is 33rd with 6.3.  [My link and figures -ag]

Other statistics and reports question the truth of Cuba's rank.

  • According to the Association of American Physicians and Surgeons, the mortality rate of children aged one to four years is Cuba 11.8 vs U.S. 8.8, 34% higher.

    This statistic doesn't figure into UN and World Health Organization spotlighted "infant-mortality rates", so there is no pressure to fudge these figures.

  • Dr. Juan Felipe García, MD, of Jacksonville, Fla., in April 2001, interviewed several recent doctors who defected from Cuba:

    "The official Cuban infant-mortality figure is a farce. Cuban pediatricians constantly falsify figures for the regime. If an infant dies during its first year, the doctors often report he was older. Otherwise, such lapses could cost him severe penalties and his job."

  • The maternal mortality rate per 1000 births is Cuba 33 vs U.S. 8.4, 3.9 times the death.

The comparison to the U.S. is too strange. Many more Cuban mothers and children aged 1-4 die in Cuba, but the statistic reported to the UN for "infant mortality" (birth to 1 year) shows the same health as in much wealthier countries.

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USA Healthcare is First - Infant Mortality is Low

Health statistics are intentionally misinterpreted to argue for socialized medicine. The major argument is that the US spends more than Europe, but lags behind in health outcomes. So, US healthcare is both expensive and inefficient.

Actually, the USA has better health.