"Welcome to Government Healthcare"

(Milwaukee Journal-Sentinel)

On Sept. 13, Kathleen Sebelius, secretary of health and human services, said:

We are on track to have an ample supply rolling out by mid-October, but we may have some early vaccine as early as the first full week in October.

By my count, this would be the last week of October. Good luck finding a shot. And that line in the photo above? That's our future. Can't wait.

(h/t Instapundit)

UPDATE: Here's a gem in a statement from the president (via The Washington Examiner):

The foundation of our national approach to the H1N1 flu has been preparedness at all levels.

Um, yeah.

A Time For Choosing

My favorite political speech. I post it for two reasons:
1) For my buddy Steve.
2) Because it's always worth listening to again. It's 45 years old. If you take out a few of the dated references and change the names, it's as applicable today as it was then.

"You and I are told we must choose between a left or right, but I suggest there is no such thing as a left or right. There is only an up or down. Up to man's age-old dream -- the maximum of individual freedom consistent with order -- or down to the ash heap of totalitarianism."

How sweet it is

The Phillies, for the second year in a row, are National League champions. If somebody told me that would happen two years ago, I would have laughed, then cried. That Pedro Martinez is involved: priceless.

The Market Provides

I subscribe to the Wall Street Journal, and stories like this one from yesterday (behind a pay wall) remind me why. The jist is that companies are seeing huge growth in India by providing the hundreds of millions of poor people there with cheap goods, such as tiny $2,200 cars and $70 refrigerators that run on batteries. There's a wood burning stove that gets hotter but produces less smoke for the low low price of $23. Maybe the coolest is a smartphone that doubles as a portable bank branch to serve dozens for $200.

Such inventions represent a fundamental shift in the global order of innovation. Until recently, the West served rich consumers and then let its products and technology filter down to poorer countries. Now, with the developed world mired in a slump and the developing world still growing quickly, companies are focusing on how to innovate, and profit, by going straight to the bottom rung of the economic ladder. They are taking advantage of cheap research and development and low-cost manufacturing to innovate for a market that's grown large enough and sophisticated enough to make it worthwhile.

Read the whole thing, which serves as a reminder that capitalism has done more than any other ism, by a increasingly wide margin, to help improve the living conditions of all people, especially the poor. Remember that the next time some politician talks about government is going to help the poor.

When people say we need more regulations ...

They should read this story from USA Today. Banks are going to start charging fees to people for paying their credit card bills on time. Crazy, right? Why would they do that?

These fees are the credit card industry's response to credit card legislation that will, among other things, restrict credit card issuers' ability to raise interest rates on existing balances. Credit card issuers are looking for ways to raise income before the new rules take effect in February. During the first quarter, 27% of credit card offers included annual fees, up from 18% a year earlier, according to Synovate Mail Monitor, a credit card direct-mail tracking service.

Curtis Arnold, founder of CardRatings.com, says he expected credit card issuers to raise annual fees after the legislation was enacted. What he didn't expect, he says, "was that good customers were going to be hit."

Among the many problems with regulations is unintended consequences. In this case, Congress passed a bill to "help" credit card users which has, in short order, hurt those users who are most responsible.

Increasing regulation is like trying to change the path of a river; the water's going to go where it wants to go.

(h/t the invaluable Cafe Hayek)

What journalists miss

Matt Thompson writes that the media misses three of the four aspects of any big, long-running story.

I particularly agree with number 1 (missing: how we got here and what we know) and number 2 (missing: how journalists know what they know) which makes a recent journalistic trend so troubling. Newsgathering operations, in their ongoing and seemingly never-ending cost-cutting, have shifted away from actually gathering news, which is expensive, to opining on the issues of the day, which is cheap. Most have not been so blatant as Newsweek in this shift, but make no mistake: it's happened.

The reason cited for that shift (cost rarely is) is always some form of the need to compete with the Internet, which newspaper people speak of as some amorphus blob that occasionally becomes sentient. But the ready availability of opinion on the Internet is exactly why the mainstream media should go the other way. In olden days, the media reported about things only it really had access to. Companies and candidates weren't sending press releases to everyday folks, and commission and council meetings were ill-attended except for the most ardently involved.

Both of those examples is no longer the case, thanks to that amorphus sentient blob. Average everyday people (read: former newspaper readers) can now opt in for free to information from almost any entity. Just as importantly, the choice is theirs.

The technology makes organizing people substially more efficient, as Clay Shirky outlines in "Here Comes Everybody." The combination of more interested audiences (they opted in, remember) with easier organizing capabilities have caused an explosion of passionate advocacy. Choose an issue and you can become quickly awash with essays, blog posts, video and podcasts of every aspect from every angle.

Newspapers can't compete with that. What newspapers can provide is a disintested arbiter, substantiating facts and differentiating them from areas where legitimate disagreement remains.

Instead we get things like the above Newsweek cover (h/t Pajamas Media). And they wonder why we complain about bias in the media.

The missing piece of health care reform is ...

Prices.

No change in policy will improve health care nearly as much as reintroducing prices for valuation of treatment.

Most people:

A) have severely limited or no real choice about their health insurance. In the majority of cases they either take what their employer gives them, or get to choose from between two or three levels of coverage from the same company. And the insurance companies face state walls, meaning that I as a Kentuckian can't buy coverage from say,

B) Have a dim grasp, if at all, of how much insurance costs. I'd be willing to wager that most people would have to study their paycheck stub to tell you what they pay for health insurance (unless, of course, they pay nothing), much less the size of the company's (almost always) larger share (about 4/5).

C) Have a dim grasp, if at all, of how much medical treatment costs. Because they have insurance, either publicly (more than a quarter of the population are insured through government programs, not to mention the millions whose employer is the government) or privately, are rarely ask to directly pay for procedures.

No one can really tell you what the market value of any medical treatment is because of these, and other, market distortions. What history shows, again and again across any range of circumstances, is the introduction of prices to indicate value drives down costs and drives up quality.

Some would say we should all have the same coverage, with "health care equality" being a buzzword. But we readily accept less than equality in other areas just as important. In fact, we welcome it.

Everytime I want to buy an apple, I have to decide where I want to buy it, because I have choices. It's probably cheapest at Wal-Mart and best from the Farmer's Market, but somewhere in between at Whole Foods. But Wal-Mart's fartrher than I want to go, and the Farmer's Market is somewhere different everyday. So I way the price, quality and time required for obtaining an apple, or any other food, in making that choice.

If you're looking for a place to live, the classifieds offer a nearly indecipherable abbreviated language that indicates where an apartment is, how big it is, how many bedrooms and bathrooms, upstairs or down. And, of course, the rent, which balanced against those other specifications helps you make a decision.

If anything, buying a shirt offers an even greater variety of options. Size, color, style, fabric, quality, brand. And price. How will we ever choose?

You would be hard pressed to argue that health care is more important than food, shelter and clothing. Yet we have no general expectation that government should provide any of the three; in fact we're plenty happy without government interference in those decisions, with the exception of making sure everybody's playing by the (thankfully limited) rules.

Government involvement invariably leads to two things: a one-size-fits all program (think Social Security) or one that's needlessly complex (think everything else), with both costing more than and performing worse than the private equivalent. And both are going broke at an increasingly rapid rate, which should undermine the patina of security the government allegedly provides.