Indy and Harry
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We're heavily into many things at our house, as is the case with many
houses. So here are the fruits of many hours spent with Harry Potter and
Indiana Jone...
11 years ago
Though it seems compelling, covering the uninsured is not the health-care system's major problem. The big problem is uncontrolled spending, which prices people out of the market and burdens government budgets. Obama claims his proposal checks spending. Just the opposite. When people get insurance, they use more health services. Spending rises. By the government's latest forecast, health spending goes from 17 percent of the economy in 2009 to 19 percent in 2019. Health "reform" would probably increase that.I've read the stories in which Obama villifies the insurance companies. It's good public relations -- nobody likes health insurance companies -- but making them the villains isn't addressing the core issues, Samuelson says (again, emphasis mine).
Unless we change the fee-for-service system, costs will remain hard to control because providers are paid more for doing more. Obama might have attempted that by proposing health-care vouchers (limited amounts to be spent on insurance), which would force a restructuring of delivery systems to compete on quality and cost. Doctors, hospitals and drug companies would have to reorganize care. Obama refrained from that fight and instead cast insurance companies as the villains.
He's telling people what they want to hear, not what they need to know. Whatever their sins, insurers are mainly intermediaries; they pass along the costs of the delivery system. In 2009, the largest 14 insurers had profits of roughly $9 billion; that approached 0.4 percent of total health spending of $2.472 trillion.I’m not sure what he means by vouchers, or how such a system would “force a restructuring of delivery systems to compete on quality and cost,” but I’d like to think there’s something we could do to keep these costs under control. What’s currently being proposed, however, doesn’t do that. Why do Democrats think shoveling money at social problems is the way to fix them? And why do Republicans think that the private sector is the answer to everyone’s woes? The private sector is keeping those prices up and spiraling higher. And throwing money at the problem isn't going to make prices come down.
The Indiana and the Illinois units came over the barricade north of the railroad and captured a gun. Private James S. Adkins of the 33rd Illinois, exhilarated by the bloodless victory, leaped astride the gun tube, waved his elbows up and down at his sides, and crowed like a rooster. Then, curious, he tugged at the lanyard. The gun went off, hurling a shell close over the heads of the units coming up in support, and bucking Adkins head over heels into the dirt. Miraculously, no one was hurt.