Posted in Bailouts, Currency Manipulation, Dependency, Economic Issues, Federal Reserve, Government Regulations, Government Spending, Interest on the Debt, Keynesian Economics, Policy Issues, Tax Policy, Uncategorized

Economic Lessons from Coronavirus: Government-Subsidized Private Debt Creates Macro Vulnerability | International Liberty

Little more than a decade after consumers binged on inexpensive mortgages that helped bring on a global financial crisis, a new debt surge — this time by major corporations — threatens to unleash fresh turmoil.

The root cause of the debt boom is the decision by the Federal Reserve and other key central banks to cut interest rates to zero in the wake of the financial crisis and to hold them at historic lows for years.

https://danieljmitchell.wordpress.com/2020/03/20/economic-lessons-from-coronavirus-government-subsidized-private-debt-creates-macro-vulnerability/

Posted in Access to healthcare, Consumer-Driven Health Care, Defined Contribution Benefit Plans, Direct-Pay Medicine, Direct-Pay Practice Models, Economic Issues, Employer-Sponsored Health Plans, Health Insurance, Healthcare financing, Independent Physicians, Medical Costs, Medical Practice Models, Policy Issues, Tax Policy, third-party payments, Uncategorized

Who Pays for Your Healthcare Matters

By Robert Nelson

Zero co-pays. No co-insurance. No surprise medical bills! Considering the inflated prices we pay for healthcare, who could pass up that deal, right?

Are the new generation of value-based employer-sponsored Direct Contracting Health Plans, which often include Direct Primary Care, a great deal and more efficient use of our healthcare dollars? Absolutely yes!

real-health-care-expenditures-and-third-party-largerBut we can’t lose sight of the economic reality that individuals always pay the cost of benefits, either directly or indirectly.  And linking benefits to employment has been a colossal policy mistake and the genesis of job-lock and our 3rd-party payer system, which has been the source of runaway costs for 50 years. As the graph illustrates, insurance (3rd party payer) is now a near surrogate for total healthcare costs!

Don’t be fooled. Within the modern paradigm of healthcare financing, employers don’t pay for our healthcare. Our healthcare expense, no matter how it is structured, IS part of our compensation and a huge portion of of it.

images-223535545945618981307.jpgFACT: Every dollar of tax-favored benefits paid by our employer reduces our take-home pay.

The beauty of Direct Primary Care is the portability (no job lock) and affordability which can exist independent of the size or benefit package of the employer. But the foundation which aligns the incentives is based on the identity of the customer. This is why we have to be careful to match the buyer with the recipient of care whenever possible. To insert another 3rd party, even the employer, undermines the sovereignty of the patient and the independence of the physician.

The supply side of healthcare has served the wrong customers for far too long. DPC should not make that same fatal error by exchanging its essence for a pipeline of patients.

This linkage highlights the importance of policy decisions regarding use of HSA funds; the importance of allowing HSA dollars to pay premiums AND DPC fees can’t be overstated.

For DPC, and Direct Contracting at-large, to dig us out from under the boot of the 3rd party apparatus it must remain accessible to the sole proprietor, independent contractor and very small businesses that don’t have “health plans.” And moving to defined contribution plans and away from defined benefit plans will help get us there.

third-party-2Getting first dollar decisions in hands of consumers will also be deflationary and spur competition; and essential to the goal of eventual portability & ownership of benefits. To do otherwise, with too much focus on a new & improved generation of employer-sponsored healthcare plans, will lead us right back to where we started.

Posted in big government, Economic Issues, Free Society, Free-Market, Government Regulations, Government Spending, Income Inequality, Job loss, Liberty, Policy Issues, Tax Policy, Uncategorized

A Case for Less Central Planning & More Individual Economic Freedom

Data analyzed from the Fraser Institute’s Economic Freedom Index makes a solid case for the benefits of more individual economic freedom and less central planning.

Across time and comparing all levels of society, be it communities, States or between countries, those with more economic freedom as measured by the Economic Freedom Index enjoy…

  • Less unemployment
  • Higher incomes
  • Less poverty
  • Less income inequality
  • Less gender inequality
  • Less child labor abuses

All six of these factors should tend to maximize cooperation between groups and foster more peace and less conflict. By extension, then, it appears a case can be made that the ideal role of government is to prevent us from harming each other, ensure a fair regulatory playing field, enforce laws fairly, honor contracts and otherwise grant maximal economic freedom to individuals to do as the wish so long as they don’t harm others financially or physically.

Posted in Dependency, Economic Issues, Free Society, Government Regulations, Income Inequality, Liberty, Philosophy, Policy Issues, Poverty, Progressivism, Representative Republic vs. Democracy, Tax Policy, Uncategorized, Wealth

Watch “What’s Right About Social Justice – Learn Liberty” on YouTube

If the concept of social justice simply means justice for the individuals who make up society, then it appears the utopian socialist-progressives and the libertarian free-marketeers may have some goals in common.

However, when it comes to the ways & means to achieve those goals, the ideological divide is still wide.

So maybe rhetoric on both side should always start with…

“what is the most effective strategies or economic policies to allow people to optimize opportunity and escape poverty.”

Posted in Access to healthcare, Economic Issues, Government Spending, Healthcare financing, Medical Costs, Medicare, News From Washington, outcomes, Policy Issues, Reforming Medicare, Tax Policy, Uncategorized

Medicare Hypocrisy for All – Foundation for Economic Education

Gary M. Galles
Gary M. Galles
“Medicare is not even close to sustainable in its present form, much less to be leveraged to cover the entire population.”
Saturday, October 5, 2019

“Because of the wealth transfer to early enrollees, as well as from ensuing expansions, Medicare provided many with a great deal. But that deal was the result of dumping an enormous bill on future generations (bigger than the unfunded liabilities for Social Security plus the national debt).

As a result, Medicare was a far worse deal than M4A salesmen and women admit, and it is now decaying at an increasing rate.

With that bill starting to arrive, Medicare is not even close to sustainable in its present form, much less to be leveraged to cover the entire population (although one can understand the vote-buying potential in promising massive new M4A generational transfers).”

https://fee.org/articles/medicare-hypocrisy-for-all/

Posted in Affordable Care Act (ObamaCare), CPT billing, Crony Capitalism, Economic Issues, Free-Market, Government Regulations, Health Insurance, Insurance subsidies, Medical Costs, Medicare, Policy Issues, Reforming Medicare, Tax Policy, Uncategorized

Watch “Milton Friedman – Monopoly” on YouTube

The Healthcare industry, or medical-industrial complex, wears the armor of Government-sponsored protectionism; chinked together by pieces of the tax code, The McCarren-Ferguson Act, Certificate of Need laws, Medicare billing regulations, HIPAA, HITECH, and the ACA.

You would be hard pressed to find a more entrenched, impenetrable cartel.