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What's Really Propping Up The Economy

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What's Really Propping Up The Economy

Postby NTBKtrader » Sun 17 Sep 2006, 18:49:46

Since 2001, the health-care industry has added 1.7 million jobs. The rest of the private sector? None (note: this is false the housing industry has added about 900k).

If you really want to understand what makes the U.S. economy tick these days, don't go to Silicon Valley, Wall Street, or Washington. Just take a short trip to your local hospital. Park where you don't block the ambulances, and watch the unending flow of doctors, nurses, technicians, and support personnel. You'll have a front-row seat at the health-care economy.

http://www.businessweek.com/magazine/co ... exclusives
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Re: What's Really Propping Up The Economy

Postby ClubOfRomeII » Sun 17 Sep 2006, 19:16:57

$this->bbcode_second_pass_quote('NTBKtrader', 'S')ince 2001, the health-care industry has added 1.7 million jobs. The rest of the private sector? None (note: this is false the housing industry has added about 900k).



Think things will continue this way, what with baby boomers getting old and dying off and everything?
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Re: What's Really Propping Up The Economy

Postby PeakOilPrincess » Sun 17 Sep 2006, 21:26:36

I read this article and had some serious doubts. The posts of other readers below the article made more sense :roll:
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Re: What's Really Propping Up The Economy

Postby KhanCEO » Mon 18 Sep 2006, 01:29:23

I can just hear an economist say " But, you can't take the poisons out of our food and water, it will destory the health care industry".
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Re: What's Really Propping Up The Economy

Postby MrBill » Mon 18 Sep 2006, 02:45:57

$this->bbcode_second_pass_quote('KhanCEO', 'I') can just hear an economist say " But, you can't take the poisons out of our food and water, it will destory the health care industry".



I can just hear yet another whiny peak oiler try to blame yet another physical real world phenomenon on economists. They are responsible for peak oil and now pollution as well?
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Re: What's Really Propping Up The Economy

Postby MrBill » Mon 18 Sep 2006, 02:59:51

$this->bbcode_second_pass_quote('MrBill', '')$this->bbcode_second_pass_quote('KhanCEO', 'I') can just hear an economist say " But, you can't take the poisons out of our food and water, it will destory the health care industry".



I can just hear yet another whiny peak oiler try to blame yet another physical real world phenomenon on economists. They are responsible for peak oil and now pollution as well?


The biggest problem with healthcare driving the economy is diminishing economic returns.

If you save a baby's life, or at least if there is the expectation that this is likely to happen, you can lower population growth as parents feel more confident to have fewer children to ensure some survive.

If you can treat and rehabilitate a worker in their prime working years and return them to the workforce you can boost their life-time earnings as well as the contributions that they make towards their retirements and other social programs.

But for the 65-85+ year old crowd investments in medicine and keeping people alive for longer and longer at greater and greater expense, most of which they are unable to pay for themselves and therefore have to be subsidized, is money thrown down the proverbial gopher hole.

Everyone dies, no matter how much money you throw at the problem, so no amount is enough. And resources thrown at one end of the economy are not available for investment elsewhere.

Plus, healthcare is a non-tradable, so it does nothing to close America's gaping trade deficit. So although it is exacerbating the budget deficit - as Americans have not collectively saved enough for their retirements and those healthcare costs, and government is inefficient, held hostage to special interest groups and therefore prolifigate - it is widening the current account deficit at the same time.

And the largest returns on investment come in any case from preventative medicine, and overall good health, not from invasive surgery or treating chronic healthcare problems like adult onset diabetes because of sedate, inactive lifestyles.

Stupid economists. We don't know anything do we? First we wrecked the environment and now were ruining your retirement.
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Re: What's Really Propping Up The Economy

Postby ClassicSpiderman » Mon 18 Sep 2006, 04:08:21

$this->bbcode_second_pass_quote('MrBill', 'B')ut for the 65-85+ year old crowd investments in medicine and keeping people alive for longer and longer at greater and greater expense, most of which they are unable to pay for themselves and therefore have to be subsidized, is money thrown down the proverbial gopher hole.


The geezer vote is a political leviathan that just keeps growing exponentially. They vote, and way more often than those uppity youngsters. And they'll vote themselves more life-extending prescription drugs at the expense of everyone else.

During all of this, the drug companies will be more than happy to take up the cause for "Senior Citizens' Rights" so that they can make more and more money sucking from the public tit.

Democracy is a failure. It's basically a system where two wolves and a sheep vote what's for dinner.
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Re: What's Really Propping Up The Economy

Postby Roy » Mon 18 Sep 2006, 08:44:55

It's no surprise to me that the HC industry is propping up the economy. The prices they charge? Unreal.

When you have insurance you don't tend to notice these things. Once you're part of the great unwashed masses without it, these things can't be denied. My awakening began when I left my cushy state job where I paid $300/mo for insurance on my whole family, 0 deductible and $15 co-pay.

Now, I pay $400 per month to "insure" my family. For that $4800/yr, I get the "privilege" of a $10,000 deductible. A standard insurance plan, like the one I had at my last job, would cost me $1200/month, at least.

I took my daughter to the doctor for a sonogram a few months ago.

A physician's assistant came in and did the scan in approximately 10 minutes. Cost? $850. We talked to the doctor all of 5 minutes. Total bill for the visit? $1150.

To some people $1150 is nothing. To me its a lot of money. In my last job as a telecom engineer, it took at LEAST a week (40+ hours) for me to GROSS that much. Even my wife, an attorney, has to work about 10-20 hours to make that much before taxes. To pay for 15 minutes of office visit. We're both white collar 'professionals'. Imagine making $15/hour or less. WTF!!!!

I understand the high costs of being a physician such as malpractice insurance, high overhead for staff, and office space. But something is out of whack here.

I know an RN who works as a contractor and gets no benefits, for a very successful hospital.

I see the insurance and pharmaceutical industries as the main benefactors of the current model. Drug salesmen for example. They make very good salaries for what? As I see it, they're like real estate agents. They contribute nothing of value. They're just parasites sucking money from hard working people. TV commercials for prescription meds? Nothing wrong with that either I suppose?

The way the prices are continually increasing (some figures mention 10%/yr increases) it won't be long before the majority of Americans are forced out of the market. Yet the politicos resist efforts to reform the system. I read the other day that over 50% of bankruptcies in this country are due to medical bills.

Its a colossal ripoff perpetrated by the insurance companies, personal injury lawyers, and big pharm. It frustrates the hell out of me.

The sad thing is, I don't see anything changing in this country in a peaceful manner. The monied interests control the media, the government, and corporate policies. Bill Frist/HCA comes to mind....

At what point will Americans stand up and say: ENOUGH!

It's just another symptom of our seriously fucked up country. Our paradigm is all wrong, as many here have noted.
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Re: What's Really Propping Up The Economy

Postby galacticsurfer » Tue 19 Sep 2006, 10:07:39

Parasitic is the word that covers this massive growth of jobs in a tertiaqry industry.

They don't produce anything. If people don't have real jobs then they can't pay for doctors(or lawyers or vacations). So when housing tanks, taking everything else with it then hospitals will close big time as factories all close up and stores let their people go. The first thing normal people will cut back on are unneccesary trips to the doctor. They will drop any coverage like people in the inner city ghetto who arrive in overcrowded emergency rooms only when they get shot or have a heart attack . Only medicaid and medicare will remain until the government discovers tax revenues drying up and has to cut it to the bone. Everything will be at disposal.
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Re: What's Really Propping Up The Economy

Postby Texas_T » Tue 19 Sep 2006, 10:11:54

The argument that health care is propping up the economy starts to sound like a version of "The Broken Window Fallacy".
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Re: What's Really Propping Up The Economy

Postby TommyJefferson » Tue 19 Sep 2006, 14:48:06

$this->bbcode_second_pass_quote('Roy', 'I') understand the high costs of being a physician such as malpractice insurance, high overhead for staff, and office space. But something is out of whack here.


Welcome to the joys of socialized medicine.

The health care industry must charge you exorbitant fees to pay for other people who get their healthcare for 'free'.

I work with people who get 'free' healthcare. They think nothing of visting the doctor every time one of their 5 kids has a touch of fever.

Why? Because it doesn't cost them a dime. You and I are paying for it.

I notice they don't run to the car mechanic every time their car hicups. Why? They have to actually pay for services there.
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Re: What's Really Propping Up The Economy

Postby ohanian » Tue 19 Sep 2006, 21:36:30

$this->bbcode_second_pass_quote('Texas_T', 'T')he argument that health care is propping up the economy starts to sound like a version of "The Broken Window Fallacy".


I think you mean the "Burger King Fallacy".


If Health Care Industry is good for USA
then Fat Americans are good for USA
then fatty fatty burgers is good for USA
then Burger King is good for USA

So the government should subsidize Burger King for the good of the overall economy.
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Re: What's Really Propping Up The Economy

Postby ohanian » Tue 19 Sep 2006, 21:42:31

$this->bbcode_second_pass_quote('TommyJefferson', '
')Welcome to the joys of socialized medicine.

The health care industry must charge you exorbitant fees to pay for other people who get their healthcare for 'free'.

I work with people who get 'free' healthcare. They think nothing of visting the doctor every time one of their 5 kids has a touch of fever.

Why? Because it doesn't cost them a dime. You and I are paying for it.

I notice they don't run to the car mechanic every time their car hicups. Why? They have to actually pay for services there.



Welcome to the joys of socialized Law Enforcement.

The Law Enforcement industry must charge you exorbitant fees to pay for unemployed people who get police services for 'free'.

I work with unemployed people who get 'free' policing. They think nothing of visiting the police every time one of their 5 kids got mugged.

Why? Because it doesn't cost them a dime. You and I are paying for it.

I notice they don't run to the car mechanic every time their car hicups. Why? They have to actually pay for services there.
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Re: What's Really Propping Up The Economy

Postby rogerhb » Tue 19 Sep 2006, 21:54:02

Yeah, and you're paying them to have their homes defended, even worse, those poor kids are actually getting paid by having the cheek to join the army and take your money!!!!!!!!!
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Re: What's Really Propping Up The Economy

Postby frankthetank » Tue 19 Sep 2006, 23:24:52

Having worked with the elderly, i can see how this has happened. Its amazing the amt of money it takes to keep an elderly person cared for. Its also amazing @ how the families of these people pretty much have very little to do with them when they get to this point. Personally, from my experiences, if i were to get to this point (doubtful!) you can put a bullet you know where.

Down the road, the employees @ healthcare facilites better start lifting weights, because the amt of fatties i see out on the roads today are going to need help getting out of there motorized wheelchairs!
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Re: What's Really Propping Up The Economy

Postby elocs » Wed 20 Sep 2006, 00:24:14

$this->bbcode_second_pass_quote('frankthetank', 'H')aving worked with the elderly, i can see how this has happened. Its amazing the amt of money it takes to keep an elderly person cared for. Its also amazing @ how the families of these people pretty much have very little to do with them when they get to this point. Personally, from my experiences, if i were to get to this point (doubtful!) you can put a bullet you know where.

Down the road, the employees @ healthcare facilites better start lifting weights, because the amt of fatties i see out on the roads today are going to need help getting out of there motorized wheelchairs!


My Mother has been in a nursing home here in LaX for over 7 years now with slowly advancing Alzheimers. She does not know me and lives in the great now of about 5 minutes. She is peaceful because she doesn't have a clue as to what is going on or a worry in the world. She has type II diabetes, but since her diet is absolutely controlled, that is not a problem. She has not spent a night in the hospital since she had my brother nearly 48 years ago. She had an uncle who lived to be 102 and at 7 years in the nursing home she is an old timer there since nearly everyone who was there when she arrived is now dead. My Mother was just 3 years away from having her house paid off, but that all went to the nursing home. Visiting her now would be for my benefit and not hers since she does not really ever know I am there. That type of existence is as close to a zombie that you can get in real life. Myself, I have no intention of ever becoming a potted plant if I can help it.

Plus, I know what you are saying about the weight. I have a good friend of almost 30 years who has been around 300 pounds since I have known him and he is only 5'7". He has never had a heart attack since I have known him, but he does have 2 new hips and a new knee since the human joints are not designed to take that much weight. He is retired now and living at home, but if anything happens to him so he can't walk, he will be in a nursing home since his wife could never care for him at home. He had a hard enough time getting his new knee at the hospital since they are not set up to deal with somebody his size. Ordinary things become an ordeal.
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Re: What's Really Propping Up The Economy

Postby zoidberg » Wed 20 Sep 2006, 01:07:43

$this->bbcode_second_pass_quote('TommyJefferson', '')$this->bbcode_second_pass_quote('Roy', 'I') understand the high costs of being a physician such as malpractice insurance, high overhead for staff, and office space. But something is out of whack here.


Welcome to the joys of socialized medicine.

The health care industry must charge you exorbitant fees to pay for other people who get their healthcare for 'free'.

I work with people who get 'free' healthcare. They think nothing of visting the doctor every time one of their 5 kids has a touch of fever.

Why? Because it doesn't cost them a dime. You and I are paying for it.

I notice they don't run to the car mechanic every time their car hicups. Why? They have to actually pay for services there.


Your an American I presume. Who are those people in America who get free health care that a person without insurance must pay for? Is there a free health care system in the US for people without money? I always had the impression in the states, if your were sick and poor, you died.

Maybe I was being uncharitable?
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Re: What's Really Propping Up The Economy

Postby MrBill » Wed 20 Sep 2006, 03:27:53

$this->bbcode_second_pass_quote('zoidberg', '')$this->bbcode_second_pass_quote('TommyJefferson', '')$this->bbcode_second_pass_quote('Roy', 'I') understand the high costs of being a physician such as malpractice insurance, high overhead for staff, and office space. But something is out of whack here.


Welcome to the joys of socialized medicine.

The health care industry must charge you exorbitant fees to pay for other people who get their healthcare for 'free'.

I work with people who get 'free' healthcare. They think nothing of visting the doctor every time one of their 5 kids has a touch of fever.

Why? Because it doesn't cost them a dime. You and I are paying for it.

I notice they don't run to the car mechanic every time their car hicups. Why? They have to actually pay for services there.


Your an American I presume. Who are those people in America who get free health care that a person without insurance must pay for? Is there a free health care system in the US for people without money? I always had the impression in the states, if your were sick and poor, you died.

Maybe I was being uncharitable?


I ran the numbers and did the research about one year ago now in another post. Cannot find the link and cannot be bothered to do it again. But the basic gyst was as follows. From the total number of those without healthcare benefits there were some government assistance, plus some public hospitals doing emergency and pro-bono work, etc. When it came right down to bare tacks the uninsured were paying for about 8% of their own healthcare. I wish I would have saved all the links because now I cannot even defend that statement without doing it all over again.

The biggest difference for me between most of Europe and the USA is that in Europe healthcare is darned expensive, but it is not linked to your employment. You can take it with you even if your then employer pays a part of the premium. And once into the plan you cannot be chucked out.

However, in the USA, you can pay into the plan when you are young and healthy, lose your job, and therefore lose your health insurance. Then if you have an accident or get sick you may have a pre-existing medical condition which prevents you from joining a new plan. That ain't right in any sense of the word.

The European model, although also expensive, offers better coverage and better value. Even though private and public insurers, as well as public and private hospitals and clinics, operate along side of one another.

I paid a lot less for healthcare insurance in the USA than I do now in Germany, but even though I am no longer in Germany, there is no way I am giving up my excellent coverage even though it is quite expensive as they offer emergency treatment anywhere in the world. Not so important for me, but for my wife it would be hard to get such good coverage anymore.

Just another example how America has organized itself politically and socially in an inefficient manner, but now in a two party state, where lobbies and special interest groups can 'deliver' swing voters and provide political funding, it is very hard to reform that system due to those special interest groups' influence. But who's fault is that? No use on blaming that on peak oil as well?
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Re: What's Really Propping Up The Economy

Postby Doly » Wed 20 Sep 2006, 04:05:36

I was reading this weekend again my textbooks on economy, and one of the things I read was about why some services are often provided by the government "for free" for all citizens, specifically education and basic healthcare. (Of course, "for free" means in fact from the pockets of taxpayers).

It turns out that private companies in a free market aren't by far the best way of providing the service. The problem is, while in most services, the more expensive version of them would be considered a luxury, in the case in education and healthcare this isn't the case. We feel strongly that higher education should be available to those capable to follow it, and the more expensive diagnostics or treatments should be available to those who need it. A free market would only provide expensive services to the rich.

It is possible to even things out using insurance, but private insurers that try to get a profit will always eliminate from their ranks those who are a higher risk. In the case of healthcase, the sickest people have trouble to get insurance, which doesn't seem fair at all.

A free market isn't the best way of allocating resources every time. In fact, any good textbook on economics will explain the assumptions under which a free market operates well. In any other circumstances, it's unlikely to be optimal.
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Re: What's Really Propping Up The Economy

Postby MrBill » Wed 20 Sep 2006, 04:23:21

$this->bbcode_second_pass_quote('Doly', 'I') was reading this weekend again my textbooks on economy, and one of the things I read was about why some services are often provided by the government "for free" for all citizens, specifically education and basic healthcare. (Of course, "for free" means in fact from the pockets of taxpayers).

It turns out that private companies in a free market aren't by far the best way of providing the service. The problem is, while in most services, the more expensive version of them would be considered a luxury, in the case in education and healthcare this isn't the case. We feel strongly that higher education should be available to those capable to follow it, and the more expensive diagnostics or treatments should be available to those who need it. A free market would only provide expensive services to the rich.

It is possible to even things out using insurance, but private insurers that try to get a profit will always eliminate from their ranks those who are a higher risk. In the case of healthcase, the sickest people have trouble to get insurance, which doesn't seem fair at all.

A free market isn't the best way of allocating resources every time. In fact, any good textbook on economics will explain the assumptions under which a free market operates well. In any other circumstances, it's unlikely to be optimal.


That is incorrect. Why? The public sector is only useful to step-in and fill a role that the private sector is not interested in. Think insurer of last resort in a known hurricane zone. Private insurers are trying to tell homeowners, DO NOT BUILD THERE!

Public employees are not somehow magically more productive or useful than private sector employees, and usually due to lifetime tenor, jobs for life, seniority and public sector unions a lot less effective or efficient. Think of all the money that Blair has thrown at public services, which just ended up in the pockets of union employees instead of paying for more doctors, nurses and hospitals. What a total waste of resources.

The job of the government is to make sure healthcare services and education are available to everyone at a reasonable price, or in certain situations to subsidize those who cannot afford to pay market prices. The government itself does not have to deliver those services themselves. They can sub-contract them out and control the standards as well as test the outcome.

It is a myth that private companies only service wealthy customers or even that they prefer to. Companies fulfill niches. If there is a niche, someone will fill it. All our talk about ARMs and loans to low income consumers and house buyers shows that private companies care about making money, and if they can make money selling to the lower twenty five percentile they will.

If bigger companies won't, smaller, newer companies will spring up to fill the need. And as I said, in Germany for example, private hospitals and clinics operate along side one another, while there is a dual system of private and government healthcare plans who operate as payers regardless of which system the patient chooses.

If you want to talk about deficiencies in the way healthcare or education are provided in the USA or any other country you choose fine. Let us look at who is setting the standards. Public sector unions. Special interest groups. Turf wars between federal, state and local governments. Etc. That has very little to do with public versus private in this sense. There are many successful public and private universities that compete equally with one another to attract the best students even if it means higher tuition for those who can pay to subsidize the ones who cannot.

Large, liquid, deep capital markets have replaced governments even for large capital instensive projects with long payback periods. The historical preserve of governments to provide electricity and infrastructure for example.

And remember most textbooks written by most academics are not only boring, and limited by the experience of the authors, who may have never worked in the private sector, but who are also employed in the public sector and who enjoy tenor and jobs for life through seniority. What would you expect them to write? ; - )
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