–Health care: The tragic misunderstanding

An alternative to popular faith

On March 20, the Wall Street Journal’s editorial, “The ObamaCare Crosswords” said, “The Congressional Budget Office estimates ObamaCare will cost taxpayers $200 billion per year when fully implemented and grow annually at 8% . . . Soon the public will reach its taxing limit . . . medicine will be rationed by politics. . .

On March 22nd, the Chicago Tribune editorialized, “The health care reform legislation would raise, not lower, federal deficits by $562 billion . . .(there is time) to craft a more sensible compromise that extends health care coverage to more people without breaking the bank.”

Which bank? Do you mean the federal government, which has increased its debt in the past 30 years an astounding 1,400%, from $800 billion to $12 trillion, yet never has had, and never will have, any difficulty whatsoever in servicing its debt? Or do you mean the taxpayers, already suffering, but whom debt hawks will require to send additional money to a federal government that neither uses nor needs the money?

The Tribune’s solution: “Our choice would require insurers to take all comers but give them a big new customer base: American who now don’t have health coverage but who don’t need an overhaul this expensive in order to get it.” And who are these Americans? They fall into two main categories: Lower income people who can’t afford health insurance and people who have pre-existing health problems.

To assist the former would require insurers to lower rates, thus increasing premiums for everyone else. To cover the later would require insurers to accept greater risk and provide greater payouts, thus again increasing premiums for everyone else.

The strange belief that a federal government, which repeatedly demonstrates it has the unlimited ability to create money without inflation, suddenly would have difficulty servicing additional debt, has caused otherwise intelligent people to lose their ability to reason. Though our government continuously has proved it can service a debt of any size, taxpayers are limited in what they can service. So, why do respected media editors prefer tax increases to federal debt increases, especially when increasing federal debt stimulates the economy?

Contrary to media demagoguery and popular faith, taxpayers do not pay for federal spending. When the government spends, it merely reaches out and credits the bank accounts of its creditors. There is no limit to the government’s ability to activate these credits, which are not in any way affected by tax receipts. If all federal taxes were eliminated today, the federal government’s future ability to spend would not change by even one penny.

The confusion comes because the federal government is unlike you, me, companies and state, county and local governments. We all must obtain money to spend money, and we are limited in our ability to obtain money. By contrast, the federal government creates money out of thin air, with no limits. Taxpayers are not involved in the process.

Astute politicians are aware of the disconnect between taxes and spending, which is why Vice President Cheney, in an unguarded moment, famously said, “Deficits don’t matter.” But politicians, knowing the public believes taxes pay for spending, and not wanting to appear imprudent, go along with the myth.

We could have a health care program in which doctors, nurses and hospitals are well paid, pharmaceutical companies are incented to create new drugs, and all Americans receive optimum health care. Instead, wrong-headed budget concerns have taken precedence over human health concerns, leaving us with a crazy-quilt, inadequate health care bill.

The current plan is to take money from Medicare, from doctors, nurses and hospitals, from employers and from those who currently pay for health insurance. What a terrible, unnecessary human tragedy we have created, all because of ignorance about federal budgets.

Rodger Malcolm Mitchell
http://www.rodgermitchell.com

–How to cure federal tax loopholes

An alternative to popular faith

The March 15, 2010 New Yorker Magazine contained a piece by Mr. James Suroweicki titled “Special Interest.” The article described a quirk of federal tax law in which private-equity fund managers pay taxes on their share of profits (also known as “carried interest”) at the capital gains rate. Mr. Surowiecki says, “If you manage money for a mutual fund or a public company, you pay regular income taxes; do it for a private fund and you pay capital gains.”

Because capital gains are taxed at a lower rate than regular income, Mr. Suroweicki feels this “loophole” is unfair and should be closed. He probably is right, though his solution is maddeningly typical and wholly wrong. He would close this “loophole” by doing away with the tax break, i.e. increasing the tax on carried interest.

Nowhere does Mr. Suroweicki suggest decreasing the regular income tax, though that step equally would close his hated “loophole,” while additionally providing a tax-relief benefit to the public. Instead he follows the popular faith that all our money really belongs to the government, and should any group find a way to send less than others to the government, the solution is to make them pay more, rather than allowing us to pay less.

The very word “loophole” has pejorative connotations: something that begs to be sealed up. Why can’t the carried interest tax rate be considered the “normal” tax, while the regular tax rates are considered the anomaly. Why must every perceived unfairness in taxes be cured by raising a tax rather than by lowering one?

The federal government does not use tax money to pay its bills. It, in fact, destroys all the tax money sent to it, and it creates new money when it credits the bank accounts of creditors. Federal spending is not limited by federal taxes. When your neighbor finds a way to pay less, this does not increase your own tax burden (though the same cannot be said for state and local taxes, as these entities do not have the unlimited ability to create money).

Yes, there is the pathological, human jealousy the have-nots hold for the haves. But, something more harmful exists: The false beliefs that we are the government, anything taken from the government comes from us, and anything given to the government benefits us.

We are not the government. We pay taxes; the government receives taxes. We are limited in our ability to spend; the government is not. We live, lust, feel, fight, work, worry, conceive and care for children. We dream of the future, but eventually we die. The government does none of these things.

It is a giant machine, a remorseless, monster grinder, only more powerful, because it has the unlimited ability to create its own fuel. Some of us fall into the grinder and lose an arm or a leg. Others escape. Mr. Surowiecki would call that escape a “loophole.” His solution: Close that “loophole” by making sure everyone loses and arm and a leg.

How about making sure no one loses and arm and a leg. How about cutting taxes to address unfairness. Has anyone ever thought of that?

Rodger Malcolm Mitchell
http://www.rodgermitchell.com

–The bottom line on health care insurance

An alternative to popular faith

Despite all the claims and counter-claims, here are the facts about the proposed universal health insurance plan, whatever the specifics:

1. It will cover more people than now are covered by health insurance

2. It will lower rates for people who now pay high rates because of pre-existing conditions.

3. Therefore, the plan will cost money. No sleight-of-hand, no accounting tricks, can change that.

4. Trying to reduce costs by cutting pay to doctors, hospitals and pharmaceutical companies will reduce the number of doctors and hospitals and the amount of drug research – a self defeating idea.

5. Raising taxes also is a bad idea. History shows that higher taxes impede economic growth, while lower taxes stimulate it.

6. Put them all together – higher costs, no tax increases, no penalizing doctors, hospitals and pharmaceutical companies – and what is left? Federal deficit spending.

7. Increased federal deficits (unlike state, county, city, corporate and personal deficits) are infinitely sustainable, because the government has the unlimited ability to create the money to pay its bills. Despite massive deficit growth, no federal check ever has, or ever will, bounce.

8. Federal money creation has not caused inflation. In the past 50 years, the three years of greatest deficit spending – 1976, 1983 and 2009 – resulted in reduced inflation. Data indicates inflation is the result of oil prices, not federal spending

In summary, we should worry more about coverage than cost. To improve the lives of Americans (Isn’t that what this is all about?), the federal government should pay for the best possible health care insurance, and not spend endless hours trying to use magic to balance an unbalanceable budget.

Rodger Malcolm Mitchell

–Why the airlines are sick

An alternative to popular faith

3/15/10(AP) “Continental Airlines (will begin) a food-for-sale program . . . expects a $35 million annual benefit, from cost savings and added revenue. Delta Air Lines, American Airlines, US Airways and United Airlines. . . already charge for food on flights . . . Air travelers have seen a steady erosion of amenities included in the price of their ticket . . . from checked bags to pillows and blankets on board. Airlines call it unbundling the product, allowing them to offer lower base fares . . . But with so many add-on fees these days, a traveler could end up paying more when everything is added . . . . Some travelers have been packing lighter or carrying more on board flights to avoid checked bag fees. Likewise, some bring their own food on flights to avoid paying for meals.”

Has Continental addressed its problems or exacerbated them? Here are what may be airlines’ three main problems:

1. Internet pricing, which makes comparison shopping easy, driving down prices to below break-even.

2. Lack of a competitive advantage. Each airline is perceived to be a travel commodity, no better or worse for getting you from point A to point B than any other airline.

3. Overall flying hassle. Airport parking is a costly hassle. Long wait in the check-in line, long wait in the security line (“and take off your shoes”), limited carry-on, long walk to your gate, long wait at your gate (so get there 2 hours early), claustrophobic planes with 6-to-an-aisle, claustrophobic smelly bathrooms, wait hours on the tarmac, no food, retrieve your baggage (it’s lost), drag your baggage out of the airport, find a taxi.

Does anyone ever say, “I really enjoy airplane travel” (vs. “I enjoy taking a cruise” or even I enjoy driving)? So what do the airlines do? They collude to make flying even less enjoyable.

Although cruise ships are not airplanes, perhaps some lessons can be learned from them. There are cheap cruises and expensive cruises, but most emphasize on-board fun and luxury, not just the locations you visit. Some will pay to get you from home to the dock. Some will meet you at the airport, take your luggage and handle security in the most pleasant way (“Welcome, Mrs. Jones, have a Mai Tai.”) Most don’t charge extra for food (often of gourmet quality) or entertainment. Some will take care of your touring and ground transportation.

Cruise ships focus on the travel experience. By contrast, airlines send a mixed message. They focus on price, then nickel and dime you to death. They are the only industry I know that deliberately makes their customers’ buying experience miserable.

Consider another industry suffering with Internet pricing: Automobiles. If they were airlines, they would charge you to walk through a long parking lot and sit in a gloomy showroom, elbow-to-elbow with a hundred other people, charge you for those 50,000 mile warranties and sell you an unwashed car with no gas. The salesperson would charge to show you how to operate the electronics. Yes, they offer options, but don’t take it to the extremes the airlines have (“Would you like windshield wipers or just a rag?”)

My local car dealer has free parking, a gorgeous, comfortable showroom; free breakfast and lunch to all customers, whenever they come in, free Internet, free TV, and free car washes any time – and he still has competitive pricing.

Airline executives lack creative thinking. Ever hear of an airline that picked you up at your door or paid for your parking? Helped you with your luggage? Shepherded you through security? Gave you a tram ride to your gate? Fed you or gave you a recliner to sit on while you waited? Helped you with advice, maps, reservations and transportation in your destination city?

They pay their executives big bucks, to have a follow-the-herd mentality. And in this, they are just like economists and politicians.

Rodger Malcolm Mitchell