March 23, 2010

New Taxes in Health Care Bill

From Business Insider:

Description: A 40% tax on health insurance plans exceeding determined levels. Those levels are projected for 2013 to be $8,500 for self only and $23,000 for any other level.

Description: An increase from 10% to 20% on taxes of money in a health savings account not used for qualified medical expenses. For Archer medical savings accounts, an increase from 15% to 20%.

Description: A $50,000 tax on hospital organizations, which fail to meet described quality requirements.

Description: A fee based upon the sales of pharmaceutical companies in relation to the total sale of such pharmaceutical products to the public.

Description: Medical device manufacturers must pay a fee in relation to the sales of their product in the marketplace and the total sales of devices.

Description: A fee applied to all health insurance providers based upon net premiums and any third party fees associated with the administration of those programs.

Description: High income tax payers, making on a joint return over $250,000 and a standard return over $200,000, are required to pay an additional 0.5% of wages. This applies to both self-employed, and regularly employed individuals.

Description: A tax of 5% is levied upon the am mount paid for any cosmetic surgery. This does not include the need for such surgeries created by trauma or a disfiguring disease. If the tax is not collected by that professional completing the procedure, their business is still liable for the requirement.

Description: A 2.5% income tax on individuals who do not have health care coverage, limited to a cost less than the average national health care premium.

Description: For self-insured plans, a fee on the sponsor whether that is the employer or the employee organization. Also, a fee on the issuer of every health care plan imposed.

Description: For firms refusing to pay health insurance, but not meeting required exclusions, an 8% tax on wages will be applied.

Description: A tax of 10% on the amount paid for any tanning service.

Description: A 1% tax increase for individuals making between $350,000 and $500,000.

Description: A 1% tax increase for individuals making between $350,000 and $500,000.

Description: A 1.5% tax increase for individuals making between $500,000 and $1 million.

Description: A 5.4% increase for individuals making more than $1 million.

March 22, 2010

A Little History Lesson

The Medicare Act of 1965 put forward by a Democratic president and Democratic-run Congress was an extremely controversial bill at the time it was put forth by President Johnson.

I think it's important to remember how this vote broke down:

House: Republicans Voting for Medicare Act of 1965 = 70 of the 140 members
Senate: Republicans Voting for Medicare Act of 1965 = 13 of the 32 members

So, of the 172 Republicans in Congress voting on this extremely controversial legislation, 48% voted for the bill.

I think Medicare was a bad idea in 1965, and it has certainly proven to be a nightmare piece of legislation, but at least it was supported by 377 members of Congress (294 Democrats and 83 Republicans).

The Health Care Bill that was voted on last night in the House has not received a single Republican vote in either the House or Senate.

Never in the history of our country has so magnanimous of a bill been passed with ZERO VOTES from the opposition party.

Exactly How I Feel

"In a life of optimism about America and its future, this morning I am as discouraged as I can remember being." Governor Mitch Daniels

A Choice

From Paul Ryan:

“Health care is really the issue that speaks to the relationship between the citizen and the government in America..... “It shapes the fiscal trajectory and the economic trajectory. This whole debate has been a proxy fight about what kind of country America will be — whether we’ll become a cradle-to-grave welfare state or stay a free-market democracy. The Democrats who are being told that the worse is over should know that the battle has not even begun. It’s up to us to now bring the case to the American people — a real moral, philosophical, and economic case — asking about our values, our founding principles, and if we really want to move toward a Western European–style system.”

Dr. No (Ron Paul) on Health Care Reform

From Ron Paul's website:

Following months of heated public debate and aggressive closed-door negotiations, Congress finally cast a historic vote on healthcare late Sunday evening. It was truly a sad weekend on the House floor as we witnessed further dismantling of the Constitution, disregard of the will of the people, explosive expansion of the reach of government, unprecedented corporate favoritism, and the impending end of quality healthcare as we know it.

Those in favor of this bill touted their good intentions of ensuring quality healthcare for all Americans, as if those of us against the bill are against good medical care. They cite fanciful statistics of deficit reduction, while simultaneously planning to expand the already struggling medical welfare programs we currently have. They somehow think that healthcare in this country will be improved by swelling our welfare rolls and cutting reimbursement payments to doctors who are already losing money. It is estimated that thousands of doctors will be economically forced out of the profession should this government fuzzy math actually try to become healthcare reality. No one has thought to ask what good mandatory health insurance will be if people can’t find a doctor.

Legislative hopes and dreams don’t always stand up well against economic realities.

Frustratingly, this legislation does not deal at all with the real reasons access to healthcare is a struggle for so many – the astronomical costs. If tort reform was seriously discussed, if the massive regulatory burden on healthcare was reduced and reformed, if the free market was allowed to function and apply downward pressure on healthcare costs as it does with everything else, perhaps people wouldn’t be so beholden to insurance companies in the first place. If costs were lowered, more people could simply pay for what they need out of pocket, as they were able to do before government got so involved. Instead, in the name of going after greedy insurance companies, the federal government is going to make people even more beholden to them by mandating that everyone buy their product! Hefty fines are due from anyone found to have committed the heinous crime of not being a customer of a health insurance company. We will need to hire some 16,500 new IRS agents to police compliance with all these new mandates and administer various fines. So in government terms, this is also a jobs bill. Never mind that this program is also likely to cost the private sector some 5 million jobs.

Of course, the most troubling aspect of this bill is that it is so blatantly unconstitutional and contrary to the ideals of liberty. Nowhere in the constitution is there anything approaching authority for the Federal government to do any of this. The founders would have been horrified at the idea of government forcing citizens to become consumers of a particular product from certain government approved companies. 38 states are said to already be preparing legal and constitutional challenges to this legislation, and if the courts stand by their oaths, they will win. Protecting the right to life, liberty and pursuit of happiness, should be the court’s responsibility. Citizens have a responsibility over their own life, but they also have the liberty to choose how they will live and protect their lives. Healthcare choices are a part of liberty, another part that is being stripped away. Government interference in healthcare has already infringed on choices available to people, but rather than getting out of the way, it is entrenching itself, and its corporatist cronies, even more deeply.

Response to Vanderbilt's Public Support of Health Care Bill

Here is a letter I sent to the head of Alumni Relations at Vanderbilt regarding the University's public support of the Health Care Bill:

James,

I want to first and foremost thank you for taking the time to talk with me this morning regarding Vanderbilt University’s public show of support for the Health Care Bill that was passed by the U.S. House of Representatives 219-216 last night.

I received both my undergraduate and graduate degree (B.A. ’01 and M.B.A. ’07) from Vanderbilt and was a member of the Vanderbilt baseball team from 1998-2001.

I currently live and work in Nashville and will more likely live out my life right here in Music City.

With Vanderbilt’s public show of support for the largest expansion of the federal government in United States history, I am unfortunately withdrawing any current or future support for Vanderbilt University.

I cannot really fathom why anyone at Vanderbilt thought it was a good idea to support a bill that has been rammed down the throat of the American people in the most controversial and crooked way possible.

I worked in Washington, D.C. for both a U.S. Senator and U.S. Congressman from 2001 – 2005 and saw some pretty unethical behavior from both sides of the aisle. It was not until I saw how President Obama and the Democrat-controlled Congress passed this Health Care Bill that I realized just how corrupt our elected officials and legislative process has become.

From my time in D.C. and from reading the Constitution, it is my understanding that the passing of a bill is supposed to go something like this:

Bill introduced in House: Passes with majority vote.

Bill introduced in Senate: Passes with majority vote.

If Bills are different, Bill goes to committee consisting of both House and Senate members from both parties until a deal is reached. If a deal is reached and the Bill comes out of committee, the Bill then is voted on again in both the House and Senate. If the Bill passes both the House and Senate, the Bill is sent to the President for his signature and becomes law if signed.

Now, given how a Bill is supposes to pass, let’s now consider how this Bill was actually passed.

Bill introduced in House: Passes with majority vote (only bipartisanship in the bill came from the opposition to it)

Bill introduced in Senate: Passes with majority vote (only bipartisanship in the bill came from the opposition to it)

Public outrage follows passage of bills, and Congress comes to the realization that no compromise will be reached.

Final nail appears to be put in the coffin of the Health Care Bill when Scott Brown, a Republican who campaigned heavily against the Health Care Bill, in one of the most historic political defeats in the history of our country is elected to replace Ted Kennedy in a special election in Massachusetts. Is it just a coincidence that a state with direct experience with socialized medicine (RomneyCare) violently rejects the idea of taking the socialized medicine nationwide?

Bill appears to be dead, until President Obama and Democrats decide to use Reconciliation, a budgetary gimmick arising out of the 1974 Budget act that has been used and abused by both Democrats and Republicans alike, to jam the Bill through the Senate. With Scott Brown’s historic election, Republicans could have filibustered a legitimate up or down vote on the bill.

House tries to use an extremely controversial and more than likely unconstitutional gimmick known as “deem and pass” to jam the Bill down our throat without ever even voting on the Bill.

Public outrage follows across the entire United States with over 100,000 calls to Congressional switchboard per hour, so Congress drops the idea and starts doing what it does best: Lie, Cheat, and Steal.

Votes are bought with promises of federal appointments, appropriations for individual members, and who knows what else.

President Obama even gets involved in the act when he promises Bart Stupak and the other Pro-Life Democrats who were threatening to vote no on the bill because of the public funding it makes available for abortions that he will issue an Executive Order stating that the Bill will not use public funds to fund abortions. Never mind the fact that Executive Orders are never mentioned in the U.S. Constitution and have never been used in our nation’s history to drastically impact major pieces of federal legislation or to buy the vote on the largest and most expensive bills in history.

House decides to pass the Senate Reconciliation Bill that has some slight changes to the Senate Bill with a vote of 224-211 (only bipartisanship in the bill came from the opposition to it)

House then votes to pass the original Senate Bill by a vote of 219-216 (only bipartisanship in the bill came from the opposition to it).

So, the House voted against the Bill before they voted for the Bill.

Lawsuits are already set to be filed against this Bill, and I would not be surprised to see the largest political swing in U.S. history this November solely because of this Bill and how it was handled by President Obama and Congress.

One of the latest polls from CNN (not really a bastion of Republican support) had 75% of Americans in favor of scrapping the current bills and starting over.

So, given all of this, what does Vanderbilt decide to do two days before the Bill gets jammed down the throats of the American people in one of the most controversial ways in recent memory?

They decide to publicly support the Bill and throw in some flowery rhetoric about doing the “right” thing for our uninsured about the "mission" of the University.

If I really wanted to get nasty, I would hint that the timing of Vanderbilt University coming out in support of this Bill two days before passage when the Bill has been discussed in detail since last August is a little coincidental given the vote buying and deal making that has occurred over the last 48 hours. Since I don't like to be nasty, I will see this as a sheer coincidence and not think the worst.

Given that this country is currently being strangled by the debt burden associated with unfunded liabilities like Medicaid, Medicare, and Social Security, I find it amazing that Vanderbilt University thinks it’s a great idea and the "right" thing to do to pass yet another massive expansion of the Federal Government that without a doubt will make the budget holes Medicaid, Medicare, and Social Security have made over the years (currently around $60 trillion), look like mere puddles.

You made your statement on this bill, and I would now like to make my own statement.

I would like be removed from any mailing list from Vanderbilt University. I do not want to receive any requests for donations or receive any more phone calls asking me for money. I don’t want to receive the Vanderbilt magazine or any other publication from Vanderbilt. I don’t want to receive any emails either. I am also going to recommend this course of action to my fellow alumni.

I am certainly very proud of my Vanderbilt degrees and was more than happy for me and my family to contribute nearly $500,000 in tuition dollars to Vanderbilt University since 1997.

I am now more than happy to not give Vanderbilt University a dime of financial support or a nickel of my sweat effort.

Any organization that can support the mockery that was this Health Care Bill and the way it was passed is not an organization I can support.

Any organization that can support the corruption surrounding this Bill and the complete and total disregard for the will of the American people is not an organization I can support.

On a final note, I also think it’s time we hired a new football coach.

I am trying to figure out which made me sicker: reading Chancellor Zeppos’ statement on the health care bill or watching our football team go 2-10 for the fourth time in eight years.

James, I thank you again for your willingness to talk with me, and please have a great rest of the day and week.

Best,

March 20, 2010

A few Gems from Nassim Taleb






Writing is the art of repeating oneself without anyone noticing.



In nature we never repeat the same motion. In captivity (office, gym, commute, sports), life is just repetitive stress injury. No randomness.

Common minds find similarities in stories (& situations), finer minds detect differences [Essay on the Universal & the Particular] 


Dubai borrowed to put vanity buildings on postcards; America and W. Europe need to borrow to just survive.


We unwittingly amplify commonalities with friends, dissimilarities with strangers, & contrasts with enemies.


The mark of a mediocre mind is the subdued and passive reaction in front of the truly exceptional.

How superb to become wise without being boring; how sad to be boring without being wise [like that Bernanke].

Corollary to Moore's laws: every ten years, collective wisdom degrades by half.




I wonder whether a bitter enemy would be jealous if he discovered that I hated someone else.




Academics are only useful when they try to be useless, and dangerous when they try to be useful.



Success is to be in middle adulthood what you dreamed to be in late childhood. The rest comes from loss of control.

Don't cross a river because it is on average 4 f deep". The average of expectations is typically > than the expectation of averages.



Medieval man was a cog in a wheel he did not understand; modern man is a cog in a more complicated system he thinks he understands.




They will envy you for your success, for your wealth, for your intelligence, for your looks, for your status --but rarely for your wisdom




Modernity: We created youth without heroism, age without wisdom, and life without grandeur.



"It is much easier to scam people for billions than for just millions". [on Madoff & US gov-1st Lesson in the Epistemology of Fat Tony]

Education makes the wise slightly wiser, but makes the fool vastly more dangerous.




We worry about "too big", but the biggest error-prone centralized top-down institution in the world is the US Gov. It is getting bigger.

Tom Coburn - American Hero

March 19, 2010

The Last Honest Man in Washington?

I am starting to legitimately admire Vice President Biden.

I don't agree with anything he says, but I do appreciate that he is honest about the ultimate aim of President Obama's health care legislation:

TAPPER: When you talked to these members of Congress, you told me what you tell them. What do you hear back from them? Do you hear back from venerable members who are worried this bill will cost them their jobs?

BIDEN: Well, I yes. Some of them I say they say, well, Joe, look, man, I mean, you know, you guys haven't massaged this very well. And, you know, this thing has gone on so long, I don't know. And my response is, hey, man, the proof of the pudding is in the eating. I'm telling you, you know, pre-existing, they're going to be covered. You know we're going to control the insurance companies. You know people aren't going to lose their health care with their employer like is being advertised. So you've got to if you really want to make sure that you get the benefit of what you've already done, vote for the bill. And I look, Jake, I really, truly believe that the worst place to be, as a legislator, is being in the position where your side is being pummeled for an idea and there's misrepresentations about all the bad things the idea is going to generate. And then the idea fails and then they go, see, I told you Jake was for it. And had I not stopped, Jake, there would have been death panels.

Common Coaching Errors

This is one of the best things I have read in a long time regarding coaching. The really cool thing about this piece is that it can so easily be applied beyond the realm of sports.

COMMON COACHING ERRORS AND HOW TO AVOID THEM

By: Bud Wilkinson (Winner of 47 straight games & several National Championships at Oklahoma in the 1950’s)

GENERAL COMMENTS: The best coach is the one who makes the fewest mistakes; the one who does the best teaching job; the one who is the best organizer. Writing the X’s & O’s is not the most important thing. There are 22 variables in a football game. Coach must be a salesman to the extent that when his team loses, they don’t blame him or the offensive and/or defensive system, but rather themselves.

ERRORS IN TEACHING METHODS:

FIRST = FAILURE TO USE TIME EFFICIENTLY. Failure to recognize the time factor available to get the job done. Planning makes for valuable use of time. Too long on any one thing produces boredom. When boredom comes in, learning goes out. Football players have a short attention span. Hold to time schedule.

SECOND = FAILURE TO EXPLAIN THE PURPOSE OF THE DRILL. Tell the boy WHY he is doing what he is trying to accomplish and he will do a better job. Explain WHY, then show HOW.

THIRD = IMPROPER TEACHING PROGRESSION. You can’t teach a boy how to block until he has learned stance. If he hasn’t learned stance, he doesn’t know how to step out of the stance into the block.

FOURTH = TOO MUCH VERBAL INSTRUCTION ON THE FIELD. How much can boy learn from your verbal instruction with his helmet on, he’s breathing hard, he aches, he’s stunned, etc. Do WHO and WHY in chalk talk. Teach assignments before hitting the field. Correct on the field. Teach – no! (HOW is taught on the field – not WHO & WHY).

FIFTH = TOO MUCH DEMONSTRATION BY COACH. How much you know is not important. How much a player knows is.

SIXTH = BEING ON THE FIELD TOO LONG. Better to have a team eager to play rather than physically tired. How long to practice is a judgment factor. Cut down as season goes along – not going to change mechanical ability late in season. Only one rule never violated at Oklahoma. If one coach on staff feels practice too long, we must cut it down. More boys play poorly because they practiced too long than boys playing poorly because they didn’t practice long enough.

ERRORS IN TACTICS AND STRATEGY:

FIRST = TACTICS AND VICTORY. You get very few victories on tactics. Victories come if you can out block, out tackle, out fundamental your opponent. Red Sanders quote: “Intimidate them physically”! Outmaneuver – no. Defeat – yes.

SECOND = CLEAR CUT PHILOSOPHY A MUST. Decide on an offense and defense that will suit your personnel then stick to it. Depth of morale can be determined by a kid’s reaction to a loss. If morale deep, they’ll blame themselves. If morale shallow, they’ll blame you.

THIRD = TOO MANY PLAYS AND DEFENSES. Subtract the number of different plays used in the game from the total number of plays you practiced. If this number is too large you better get rid of some plays. It is difficult enough to know when to run off- tackle, but if you have four ways to run off-tackle, you will never get the right play. Beauty of Split-T was it’s very limited number of plays

ERRORS IN JUDGMENT:

FIRST = BE REALISTIC ABOUT PLAYER’S ABILITY. Don’t just put an X or an O on the board. Put up the boy’s name. Immediately his limitations affect the offense or defense you put up. Whale of a lot of difference between Dick Butkus and Humpty Dumpty.

SECOND = WHEN CHIPS ARE DOWN, BEST PLAYERS ARE IN THE GAME. It is a mistake to be able to play blue chippers only one way. Say best kid you have can only go on offense. Say opponent has ball for 45 minutes. These are 45 minutes he cannot help you.

ERRORS IN OFF FIELD RELATIONSHIP:

FIRST = RELATIONSHIP WITH OTHER FACULTY MEMBERS. The environment that exists has a lot to do with winning or losing. If they are with you, your job is easier. If they are against you, you’re in trouble. Work on a program of how to win friends and influence faculty members.

SECOND = ORGANIZE A MOTHER’S CLUB. Get mother on your side by pointing out to her what he can get out of football besides winning games.

THIRD = PRESS, TV, AND RADIO. Straight up fact of life that the great majority of people get their impression of you from what they read in the paper, see on TV, or hear on radio. Their jobs depend on info. Get it to them to make their jobs easier. Get these people on your side. Let them know what you’re doing. They will interpret what you’re doing in the way you want it interpreted if they are with you.

ERRORS IN DEVELOPING MORALE (MORALE IS TO THE PHYSICAL AS 4 IS TO 1).

FIRST = FOOTBALL BEGINS WITH MORALE! Once you get morale, it is easy to maintain. How to get it is a problem.

SECOND = HOW TO LOSE MORALE. Do what you said you’re going to do. Don’t say we’re going to practice 1 ½ hours and go 2 ½ hours. Training rules – if you’re not going to enforce them, don’t have them.

THIRD = MORALE STEMS FROM DISCIPLINE.

FOURTH = TREAT PLAYERS AS A PERSON. If he feels you are interested in him only as a football player, he won’t go all out for you. If you are interested in his academics, his personal problems, etc. and he knows this, he’ll go all out for you. Convince him that football is good for his future.

FIFTH = One year, Knute Rockne had 2 QB’s. Under great athlete, team failed; under mediocre QB, team succeeded. Why? Captain’s reply – “the great athlete is trying to show how good HE is. The TEAM is trying to make the average guy look good”.

COACH IN YOUR OWN WAY:

FIRST = DON’T COPY! Note clinicians and their personalities. ALL different ways of being successful. Plan carefully in the off season. Can’t take golf lessons between the 8th green and 9th tee.

CONCLUDING REMARKS: The man who is best organized and does the best teaching job, is the best coach.