American Elephants


Repealing ObamaCare, and The Problems Involved. by The Elephant's Child

medical_doctorsRepublicans are planning to repeal ObamaCare immediately.
They have a lot of good ideas about how to make a health care program more effective and less costly, like allowing health insurance to be sold across state borders. As it stands, each state has an insurance commissioner who approves or disapproves insurance policies for their particular state, so you get 50 different kinds of regulations.

An increase in competition always makes things cheaper and more efficient, because bad ideas get weeded out because they cannot compete. Freedom to solve problems and the promise of reward for solving them has resulted an an astonishing rise in the standard of living in the whole world.

All sorts of scholars have been working for 8 years to come up with better ideas for doing health insurance. The best idea, however, came from Thomas Sowell, and he stated it very simply:

If we cannot afford to pay for doctors, hospitals and pharmaceutical drugs now, how can we afford to pay for doctors, hospitals and pharmaceutical drugs. in addition to a new federal bureaucracy to administer a government run medical system?

The federal government has no business putting a bunch of bureaucrats in charge of American’s healthcare. The federal government has demonstrated over and over that they do not know how to do healthcare, with the VA, with Medicare, with Medicaid, and with the Indian Health Service.We don’t need top-down central planning.

ObamaCare wanted national records of healthcare practices so at  they would have more knowledge about how to make healthcare more efficient.They ordered hospitals to computerize, get rid of the handwritten notes of patient encounters. Medical centers spent enormous sums of money buying computer systems for each office and examining room. The basic idea was totally wasted because the computer systems can’t talk to each other. They were all different setups.

Patients weren’t all that happy about their private health records being available to anybody who could log onto the system. It also meant that doctors were spending their time interacting with computers instead of patients. Doctors hired scribes to take notes on the computer while the doctor actually interacted with the patient. Think about how much all that added to the cost of doing healthcare.

I think it was Medicare that ordered their physicians to limit patient encounters to 7½ minutes. Great way to cut costs, except the encounters are with real human beings with very different reasons for going to the doctor. Stupid.

Bureaucrats decided that the place to cut costs was in what medical professionals were charging for their services. You’ve seen your insurance records, the medical establishment charged $150 for the encounter, the insurance company allowed $47, and you paid half that in your co-pay. So, quite naturally, a good many physicians will not see people on Medicaid, Medicare, or the Indian Health Service, and so far veterans are stuck with the VA. You’re left hunting for someone who will see you, and are they the less accomplished doctors?

Bureaucrats think all doctors are rich, and some of them are. However, they spent a long time studying to be able to get into medical school, after that studying for their specialty, and interning. Most have huge school loans to pay off, and their offices have medical assistants, lab technicians, receptionists, nurses, a respectable office with all sorts of equipment and several examining rooms with all sorts of equipment. Doctors have years and years of training compared to ordinary bureaucrats, and at some point they expect to reach a point where they can live fairly well. Bureaucrats see them as the part of medical care that can be slashed to save money.

It’s not the doctors that cannot be afforded, it’s the bureaucrats. The federal government needs to get out of the business of running health care. They don’t know how to do it, they are no good at it. Turn it over to private enterprise, to find ways to provide care that the country can afford. The Left does not believe in private enterprise, they think competition is a bad thing, they believe that they are the smartest and most able people around, and they cannot understand why a heart surgeon should make more money than they do.

Consider the outcry against Trump’s nomination of Dr. Ben Carson to HUD because he had no experience in government. That’s a revealing, and typical, Leftist response.

Here’s a post from 2012 about the Oklahoma Surgical Center which would seem to suggest that there are real possibilities out there. I have not followed up to see if it is still as successful.

I am afraid that Republicans in Congress will just devise another government-run program that will have some better ideas, will not solve the problem of escalating costs, and when the Democrats return to power, as they will at some point in the distant future, we’ll do it all over.

Republicans believe in private enterprise, and freedom. When people are free and encouraged to find better ways and rewarded for so doing, miracles happen every day. How did you think Dr, Leonard McCoy got those amazing instruments that he used on the Enterprise?



About That “Smooth Presidential Transition”… by The Elephant's Child

To quote Andrew Malcolm:

Since Obama vowed to run a smooth presidential transition, what’s the real point of picking a tardy diplomatic scuffle with Putin? What’s the real point of setting Israel (and the annoying Netanyahu) adrift at the United Nations now?

Why issue all these offshore drilling bans and new federal regulations? Why commute more federal prison sentences than a dozen past presidents combined? Why keep releasing Guantanamo terrorists when so many return to their homicidal careers?

Might it be to plant political IEDs for his annoying successor, as Democrats seek to restore their party? For the first time in nearly a century a former president decided to reside in Washington. Obama has rented a mansion and office space where he’ll be easily accessible to media friends for, say, kibitzing his successor – unlike Obama’s predecessor, who went silent for more than a year.

•”California state lawmakers (Democratic operatives) have hired former U.S. Attorney General Eric Holder to file lawsuits against the Trump administration to hold it in check, much in the same way Republican attorneys general did to President Obama.”

•”The latest numbers from the U.S. Treasury say that United State’s federal debt has risen by a trillion dollars in President Obama’s final year in office, while Republican controlled both the House and Senate.

The debt at the end of 2016 was $19,976,826,951,047.80, a one-year increase of $1,054,647,941,626.91.”

•”Taxpayers footed the bill for $96 million in mostly personal travel expenses for President Obama and his family over the eight years Obama has occupied the White House, according to a new report from Judicial Watch announced Thursday.

The president’s high-priced trips included the family’s annual vacation to Hawaii, which cost an estimated $3.5 million in flight expenses alone, a $222,000 ski trip to Aspen for Michelle Obama and her daughters, and $450,000 in flight expenses for the family vacation to Martha’s Vineyard, the Washington Examiner reported.”

•”President Obama’s lame duck administration poured on thousands more new regulations in 2016 at a rate of 18 for every new law passed, according to a Friday analysis of his team’s expansion of federal authority.

While Congress passed just 211 laws, Obama’s team issued an accompanying 3,852 new federal regulations, some costing billions of dollars.”

• “Economy-Crippling Executive Actions: With less than a month left in his presidency, Obama has launched an initiative to wipe out coal mining and handicap offshore drilling for oil and natural gas.First, he ordered the Environmental Protection Agency to proceed with its controversial Stream Protection Rule. By one estimate, that would make mining so difficult it would make 85 percent of the nation’s coal reserves unrecoverable.

Then, on Tuesday, the president designated most government-owned areas in the Arctic Ocean and a large swath off the Atlantic Coast closed to drilling. That would prevent production of huge reserves of oil and gas.”

• “Record Wave of Pardons and Commutations: President Obama on Monday pardoned 78 people and granted another 153 commutations, amounting to the most acts of clemency granted by a U.S. president ever in a single day.”

•”Ramped-up Refugee Resettlements:President Barack Obama is speeding up the “refugee” resettlement process before he turns over the White House keys to his successor, President-elect Donald Trump – in an effort to boost the numbers so high that it is now projected that they will exceed his target of 110,000 for this fiscal year by nearly 600.

According to the Refugee Processing Center, the Obama administration has already welcomed 23,248 individuals to the United States as “refugees” through the first 11 weeks of the 2017 fiscal year – almost doubling the 13,786 who were accepted for the same period in 2016.”

• “Adding a final shameful chapter to a foreign-policy record that already runneth over with them, Barack Obama on Friday abandoned America’s commitment to Israel’s security, and to the vindication of democracy over sharia-supremacist aggression. In an act of cowardly venom, the president had the United States abstain from — and thereby effectively enact — a United Nations Security Council resolution that condemns Israeli settlement activity. At least, that’s what the resolution ostensibly does. The reality is much more than that. The resolution undertakes to render our ally indefensible.”



The Economic Wit and Wisdom of Thomas Sowell by The Elephant's Child

sowell7

The great economist Thomas Sowell has written his last columns, and at age 86, is turning his attention to his photography. He has always had a special genius for stating ideas in a simple but memorable way. When people wanted to honor his long list of columns over the years, they made lists of their favorite Sowell quotations. Here are some of mine and some of economist Mark Perry’s.

  1. ObamaCare: If we cannot afford to pay for doctors, hospitals and pharmaceutical drugs now, how can we afford to pay for doctors, hospitals and pharmaceutical drugs. in addition to a new federal bureaucracy to administer a government run medical system?
  2. Predicting the Future:  Economists are often asked to predict what the economy is going to do. But economic predictions require predicting what politicians are going to do– and nothing is more unpredictable.
  3. Economics vs. Politics: The first lesson of economics is scarcity: There is never enough of anything to satisfy all those who want it. The first lesson of politics is to disregard the first lesson of economics.”
  4. Economics vs. Politics: Economics and politics confront the same fundamental problem: What everyone wants adds up to more than there is. Market economies deal with this problem by confronting individuals with the costs of producing what they want, and letting those individuals make their own trade-offs when presented with prices that convey those costs. That leads to self-rationing, in the light of each individual’s own circumstances and preferences.
  5. Predicting the Future: Economists are often asked to predict what the economy is going to do. But economic predictions require predicting what politicians are going to do– and nothing is more unpredictable.
  6. Politicians as Santa Claus: The big question that seldom— if ever— gets asked in the mainstream media is whether these are a net increase in jobs. Since the only resources that the government has are the resources it takes from the private sector, using those resources to create jobs means reducing the resources available to create jobs in the private sector.
  7. Helping the Poor: It was Thomas Edison who brought us electricity, not the Sierra Club.It was the Wright brothers who got us off the ground, not the Federal Aviation Administration. It was Henry Ford who ended the isolation of millions of Americans by making the automobile affordable, not Ralph Nader.
    Those who have helped the poor the most have not been those who have gone around loudly expressing “compassion” for the poor, but those who found ways to make industry more productive and distribution more efficient, so that the poor of today can afford things that the affluent of yesterday could only dream about.
  8. Thomas Sowell on Obama’s Health Care Reform


What Exactly IS Social Justice? by The Elephant's Child

This video from Prager University is not new, but worth repeating. Some very basic points from Jonah Goldberg to remember. Lets you argue with progressives more effectively.



Political Correctness, Progressivism and the Perpetual War on Real Progress by The Elephant's Child

From Angelo Codevilla: “The Rise of Political Correctness” in the Claremont Review of Books:

The notion of political correctness came into use among Communists in the 1930s as a semi-humorous reminder that the Party’s interest is to be treated as a reality that ranks above reality itself. Because all progressives, Communists included, claim to be about creating new human realities, they are perpetually at war against nature’s laws and limits. But since reality does not yield, progressives end up pretending that they themselves embody those new realities. Hence, any progressive movement’s nominal goal eventually ends up being  subordinated to the urgent, all-important question of the movement’s own power. Because that power is insecure as long as others are able to question the truth of what progressives say about themselves and the world, lprogressive movements end up struggling not so much to create the promised new realities as to force people to speak and act as if these were real: as if what is correct politically—i.e.,what thoughts serve the party’s interest—were correct factually.

Communist states furnish only the most prominent examples of such attempted groupthink. Progressive parties everywhere have sought to monopolize educational and cultural institutions in order to force those under their thumbs to sing their tunes or to shut up. But having brought about the opposite of the prosperity, health, wisdom or happiness that their ideology advertised, they have been unable to force folks to ignore the gap between political correctness and reality.

49aaf10722150e2260527d53ac3b6fabb6117e2649f3bc2a15pimgpsh_fullsize_distr

(click to enlarge)
This is a pretty good example of how Democrats use “talking points” to get a message across, which is just another form of propaganda— designed to fit an image in your mind. And it is the media that is repeating the talking points. It’s not just repetitive words, but basic ideas, repeated over and over until they seem normal. And this is the media doing Leftist propaganda, not news.

We are told that we must be concerned about feelings: compassion, sympathy, pity, empathy, fellow feeling, care, concern, sensitivity, solicitude, generosity, goodwill, humanitarianism, for the refugees from the Middle East. We have to be nice.

Angela Merkel was just being compassionate when she invited refugees to come to Europe. The refugees were welcomed. They welcomed them with flowers and food and housing. Europe, at Angela Merkel’s invitation, was trying to be nice. She may have lost the next German elections already.

The religion of most of the refugees tells them that Western women are infidels, whores, and it’s fine to rape or mistreat them. So you have “No Go” areas where it is not safe to enter, even for police. The ‘refugees’  don’t want to work, they like being supported. They don’t intend to be assimilated. They are demanding the installation of Sharia law. Europe, overall seems incapable of saying ‘No’ firmly.

Same thing is beginning to happen in this country. Obama is shipping refugees in significant numbers to states that usually vote Republican, The states don’t get to turn them down. If you don’t want to welcome refugees, or object to executive orders or regulations, you are a bad person because you don’t have the proper compassion.

Look again at that list of nice words. You will seldom hear an explanation of just what Sharia Law is, nor of the fact that the refugees are not interested in assimilating, nor in becoming Americans.

More than 4.4 million people are on the wait list to immigrate to the United States. They have applied legally, and want to become Americans, yet Obama is flooding the country with “Syrian refugees” who aren’t necessarily even Syrian, and can’t be vetted. The problem is that Sharia Law and the Islamic way of life are completely incompatible with our way of life.

As I have said, humans are by nature tribal. We want to be with those who share the same background, the same heritage and language, the same customs. Commonalities. Shared experiences. It isn’t about race or ethnicity, though that may matter for some. So what? One of my friends plays tournament bridge, and has friends with whom she shares the pleasure of the game. A nearby shopping center has a food court and adjacent tables often feature a knitting circle, and there is a giant chess board with players from all over, and several games going on at the side.

To Quote Angelo Codevilla again:

Every form of progressivism bases itself on the claim of a special,”scientific.” knowledge of what is wrong with humanity and how to fix it. The formula is straightforward; the world is not as it should be because society’s basic “structural” feature is ordered badly.

As far as I can tell, the source of greatest anger among humanity at the moment is that Leftists are furious at those who disagree with them about the direction of the country, the importance of the Constitution, and the reach of the federal government. That seems to be the basic “structural” feature that is not as it should be. Leftism or progressivism is a religion, and the Left, collectively, are quite as intolerant as the Islamists in our midst. Yet, collectively, they cannot bring themselves to call Islamic terrorism by name.

Human nature is not as it should be, and must be fixed, so that progressives are in charge and no one disagrees with them.  Baldly stated, it’s really not so attractive at all.



A New Year. No Resolutions, Only Hope. by The Elephant's Child

590_new_year_on_the_calendar

A new year. I’ve always resisted the idea that the change of the numerical designation of a year on the calendar is a big deal. I don’t do resolutions. Not sure if I ever did, but I have too frequently promised myself that tomorrow I will …, and next week I will …, and you probably know how that goes. I have discarded a lot of stuff that should have been discarded long ago, but that was another broken resolution.

I do have an extensive picture file on my computer, and I deleted Hillary, which took some doing. I had a lot of pictures of Hillary, only some of them flattering. I deleted the rest of the Clintons as well. I took great pleasure in deleting Harry Reid, and Barbara Boxer, and at least the first term of President Obama—the ones with the halos. Don’t try to tell me those were accidental. I could have believed it with 3 or 4, but dozens?

Democrat operatives try not to miss any chance of swaying public opinion. It’s been said that the 2012 election was decided by Hurricane Sandy and the picture of Obama hugging Donna Vanzant, who had just seen her marina destroyed. And I was struck by the White House photo of President Obama being pensive in the Green Room with the good light from the window. That meant he had to leave the Oval Office, go to the Green Room, lean on the back of a red chair with green wallpaper in the background, to look pensive. Uh Huh. It would be nice if opinions were meant to be influenced by deeds rather than visual propaganda.

President Obama has said that he wants to make the transition as easy and helpful as he can, that he plans to stick around in Washington and fight every move of the new president, and is embarked on a program to flood the administration with as many executive orders and regulations as he can, since Mr. Trump has threatened to eliminate as many of the executive orders and cancel as many of the regulations as he can.

Obama’s going to make the job as difficult as he can, and he is ramping up his supporters to try to save ObamaCare. The administration’s contempt for the Constitution could not be more obvious. He clearly learned nothing, nothing at all, from George W. Bush’s graceful and helpful exit. And continued to blame everything on GWB for the next four years. Character counts.



Exit Stage Left: Whiny, Self-Justifying, With Elaborate Excuses by The Elephant's Child

obama-olderIn Juno of 2008, a younger Barack Obama spoke eloquently about his future role as a transformative president.

I am absolutely certain that generations from now, we will be able to look back and tell our children that this was the moment when we began to provide care for the sick and good jobs to the jobless; this was the moment when the rise of the oceans began to slow and our planet began to heal; this was the moment when we ended a war and secured our nation and restored our image as the last, best hope on Earth.

The caring for the sick part didn’t work out so well, The Obama bureaucrats could not conceive of a plan where the decisions were left to physicians, and wrapped the medical establishment in a cocoon of regulations; for example, an encounter with a patient was supposed to last just 7½ minutes. Keep an eye on your watch and think that one through.

Young Emily Smith has an unexplained itchy rash, prescription written easily within the time limit. Mrs. Grundy, however, has been having chest pains and is running a fever, is about 40 pounds overweight, and may well have heart disease. 7½ minutes? The failures of ObamaCare, Medicaid, Medicare, the Indian Health Service and VA hospitals have a lot in common. The administrative state, over-regulation, silly rules, and the inability to hold bureaucrats to account adds up. There’s a reason why so many doctors will not accept patients with these versions of government insurance.

The good jobs that were promised have also gone a glimmering. Obama has proudly enumerated all the new jobs created each month, but it turns out that almost all the new jobs created during the Obama administration were part time or temporary jobs. The administration’s conviction that they are smarter than the ordinary people out there has meant an overweening impulse to control and regulate. In 2016, the lame duck administration has added 3,853 regulations, 18 for every law — a record 97,110 pages of red tape. Small business is drowning in them. Three of my favorite small businesses have given up the ghost, and I’ll bet that several of your favorites have too.  All too often, bureaucrats invent new regulations with no idea of how they affect business in the real world. This description of “the Administrative State.” shows clearly how it all happens.

The [Federal Trade] Commission promulgates substantive rules of conduct. The Commission then considers whether to authorize investigations into whether the Commission’s rules have been violated. If the Commission authorizes an investigation, the investigation is conducted by the Commission, which reports its findings to the Commission. If the Commission thinks that the Commission’s findings warrant an enforcement action, the Commission issues a complaint. The Commission’s complaint that a Commission rule has been violated is then prosecuted by the Commission and adjudicated by the Commission. This Commission adjudication can either take place before the full Commission or before a semi-autonomous Commission administrative law judge. If the Commission chooses to adjudicate before an administrative law judge rather than before the Commission and the decision is adverse to the Commission, the Commission can appeal to the Commission. If the Commission ultimately finds a violation, then, and only then, the affected private party can appeal to an Article III court. But the agency decision, even before the bona fide Article III tribunal, possesses a very strong presumption of correctness on matters both of fact and of law. (this comes from Steven Hayward, quoting Boston University Law Professor Gary Lawson in an article for the Harvard Law Review)

The Obama Administration has put forth 25 “midnight regulations” rules that are published between Election Day and before the next president in inaugurated on January 20. According to the American Action For4um, they will cost the economy $44.1 billion. Obama’s eight years in office did not include even one year of economic growth at the normal 3% historical average.

Obama has ordered the EPA to proceed with its controversial Stream Protection Rule—which would make mining so difficult it would make 85 percent of the nation’s coal reserves unrecoverable. On Tuesday he designated most federally owned land in the Arctic Ocean and large swaths off the Atlantic Coast closed to drilling, which would prevent any production of huge reserves of oil and gas.

George W.Bush went to great lengths to make the transition easy for the incoming Obama administration, recognized that his time in the spotlight was over, and refused to comment on his successors failures and mistakes. And even in spite of being blamed for everything that didn’t work out, Mr. Bush remained a gentleman. Mr. Obama learned nothing from his predecessor, and will exit—whiny, self-justifying and full of excuses. In his “exit interview” on CNN with his former advisor David Axlerod, Obama pledged he would abide by tradition and retire with dignity as ex-president. We’ll see about that.




%d bloggers like this: