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2017-05-29 16:32 by Karl Denninger
in Employment , 29 references
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Folks, I want you to read this again.

Specifically:

We have an opiod epidemic in this country in no small part because of the loss of jobs available to blue-collar workers -- people who are not rocket scientists; people with no hope, no future and no job prospects often turn to intoxication.  There's a lot of people in this country facing this situation today; most people fall under the "average" area of the bell curve when it comes to intelligence.  Their jobs went overseas or simply disappeared not only because of bad trade deals but because the medical system got parasitic to the point that it now consumes nearly one dollar in five in the United States.  Laws such as ERISA, EMTALA and similar anti-discrimination statutes along with this parasitic sector of our economy mean that a small business offering health coverage as a benefit will be instantly bankrupted by one person who gets hired and has a $100,000/year chronic condition, and the owner of said business is forced by law to conspire with the ill applicant that comes in his door seeking work to screw his other employees.

The result?  You're nuts to hire your first employee and you're definitely nuts to violate any of the thresholds that trigger various requirements in laws when it comes to benefit packages and similar.

One-person businesses are great but they need to grow into 5, 10, 20 and 50 person businesses for the United States to be great again.

They can't under the present system because just one event completely out of the owner's control destroys everything he or she has built, it is trivial for anyone who has such a condition to target said company and if they do there is nothing that either the employer or other employees can do about it.

Do you think this applies only to small firms?

If you do then please explain why we have an unemployment rate under 5% but wages are not rising rapidly.

Remember this folks, as it's the first and most-basic law of economic balance: Supply and demand are inextricably linked; if there is demand, and insufficient supply price will rise until equilibrium is found.

Employment is an auction.  The employer says he "bids" $X/hour or year and the employee "offers" $Y.  Only if there is a meeting of the minds does a transaction take place.

If the labor market is "tight" then wages will rise rapidly until it is in equilibrium.

That hasn't happened, and there are only two reasons it hasn't: (1) You're being lied to and the unemployment rate isn't under 5% or (2) the employer has no more money with which to bid irrespective of the tightness of labor supply.

In other words either the statistics are a lie or the people who would hire can't offer more because they are unable to pass through any more cost to their customers -- they have determined that their customers cannot pay.

Remember that the employer has to look at not only his fixed costs but also his contingent costs.  Remember too that "mandatory" health insurance imposed a large contingent cost on employers that didn't appear to be there right up until someone who has a pre-existing condition shows up and wants to be hired.  Remember that as soon as that happens it screws everyone who already works there and what's worse the employer is forced to conspire with the applicant since (1) he can't ask about said condition and (2) if he figures it out he can't discriminate either or he will get sued and lose.

There weren't all that many $70,000/year surprises in 1995.  Today there are hundreds if not thousands of them and there are many more that are $10, 20 or $30,000/year surprises including some that force you to basically double-staff positions due to people's "disabilities" that become "manifest" the day someone goes on your full-time staff.

Health "insurance" and "disability" related items are not the only place this comes into play but boy is it a big one.  I have not only a product you've heard about in these pages before (HomeDaemon) that is quite possibly a many-million dollar a year business but I also have a cute device I've invented that I believe is patentable and intend to file a provisional on within a few weeks (yes, before I tell you what it is or how and why it works....)   I'm willing to sell either but I will not set up a company to retail either one for the simple reason that to do so in scale you need more than one person and I'm not hiring anyone so long as I can be financially destroyed by the above horse****.

Don't even bother trying to tell me that I'm in some sort of la-la land on this because I not only know I'm not from my past executive experience as a CEO I've had enough first-hand reports of it in the present tense, with details, to know it's far worse now than then.

When I ran MCSNet it was bad enough -- we offered health insurance, we had a universal "take rate" among our full-time staff but the cost to the company varied by a factor nearly 10:1 from the most-expensive employee to the least.

That was 20 years ago.

I quite-seriously considered dropping health coverage for my employees.  Why?  Because it was grossly unfair to those who were less-expensive to insure!  They paid in the form of lower salaries for something that was imposed on them and me.  It was illegal even then to pay someone a lower salary on such a discriminatory basis and one concern that certainly went through my mind is whether I'd get sued if I did drop all employer-sponsored coverage -- by the high cost employees.

Folks, I'd be happy to sell (right up front, for cash) either of the above things (feel free to email me if you're interested and have a nice fat checkbook) but I'm not going to lie to you -- unless you're operating a business now and have found a way to do it without getting crushed by this crap I certainly would not recommend setting one up to distribute and retail either.  That's not because they don't work -- they most-certainly do work, extraordinarily well at that.

But all companies have both people who return a lot of value per hour to the firm and a fair number who return less.  It's not good or bad, it just is.  There are those who have more skill, and those who have less.  There are those who perform tasks that result in much larger revenue than others do.  There are those who bring in no revenue at all and are pure overhead, yet the task is nonetheless necessary.  All of these costs go into the P&L and at the end of the day, month and year the number at the bottom has to be black or you're eventually ****ed.

I surmise that the reason wages are rising very slowly (so says the BLS) despite allegedly very tight labor conditions is that employers simply don't have any more money to offer.  They can't ratchet up compensation because the customer cannot pay and the embedded and contingent costs imposed on them are ridiculous enough to preclude raises.

This condition, if it is not addressed -- and I believe it can only be addressed by attacking the health care problem (see http://fixhc.uswill eventually fold back economically.

When it does it will lead to the mother and father of all recessions, because no amount of "stimulus" helps when the employer cannot hire and pay more as the customer is unable to come up with anything more to buy with.

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2017-05-28 10:57 by Karl Denninger
in Editorial , 182 references
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Let's talk about the screamfest that is already starting, amplified in the media, about Trump's budget and the cuts to Medicaid that are embodied in it.

Oh, cuts you say?  Yes, cuts.  See, Trump knows as do the other politicians that medical spending growing at 9% a year, which is the pattern over the last three decades, will bankrupt the United States.  Congress pretends this "won't happen" but I can tell you with utter certainty they are well-aware of it and in fact senate staffers admitted to me, in person, that they both were aware of it and intentionally ignoring it roughly five years ago.

What Trump is trying to do with his budget, and what the Republicans and Democrats eventually will do is toss the grenade to the States.  Medicaid is the vehicle to do so; it is a federal and state joint program, so tossing off "block grants" to the states which are an effectively-fixed chunk of cash throws half the ticking bomb at them and thus blows up both federal and state budgets instead of just the federal side.

Isn't that special?

You, for your part, will not and have not bombarded and demanded, under penalty of whatever action is necessary to enforce the demand, that both federal and state law enforcement go after the medical industry for practices that in any other business would land people in prison immediately.  Specifically, refusal to quote a price, discriminating in price between like kind and quantity of purchase by a factor of 10, 100 or even 1,000% or more based on "what sort of insurance" someone has (or whether they have it at all), billing people for things they never consented to, billing people for events that didn't happen or products that weren't even used, allowing a doctor to call sticking his head into a room and saying "hi" as a "consultation" and billing that at several hundred dollars and more.  You allow drug companies to take a drug that costs $500 for a year's supply in other developed, first-world nations and charge $70,000 for it here instead of such an action being deemed an unlawful restraint of trade made illegal in laws that are over 100 years old resulting in indictments.

But there's a second-level problem embedded in this budget and the screamfest which, unlike the above, hasn't gotten a lot of digital ink from me -- and that's addiction.

Unlike some illnesses that cannot realistically be traced to someone's deliberate acts addiction is nearly always the exact opposite.  With notable exceptions (e.g. babies born addicted because their mother was a drug abuser) essentially everyone who has an addition obtained it voluntarily and we must as a society face the reality of how it happens and our part in it.

Let's cut the crap eh?  Before drug prohibition you could buy various highly addictive preparations over the counter; they were both cheap and plentiful.  A small but material percentage of the population did just that and became addicted to them.  Nearly all of said addicted persons were still productive members of society anyway despite being addicted to said drug.

Then we decided to change the paradigm.  We decided that being addicted was an act of "moral turpitude" so severe that it was worth felony prison time to possess or distribute certain things to and among willing adults.  We even tried to extend that to alcohol -- with disastrous consequences.

In doing so and in refusing to repeal all of it when prohibition went away we built two economic industries that we now actively refuse to get rid of -- prisons and gangs.  For every person we throw in a prison on average there is $31,000 in economic activity that gets spread around various people, from cops to private firms to suppliers and similar.  The anciliary economic activity, from the police forces to judges to courtrooms to bail bondsmen to lawyers, plus operating the prisons themselves adds up to tens of billions a year.  Roughly half of that expense is due to drug laws and we could end them all tomorrow plus essentially all of the gang-related violence.

In addition an enormous percentage of property crime is committed by persons who are stealing things in order to buy drugs that they are addicted to.  They only need to steal to buy the drugs because we made them 100 or more times as expensive as they would be if they were bought in a pharmacy over the counter.  Were the latter to be the case even with very high tax rates an addict could easily panhandle for sufficient money to pay for his or her drug of choice.

You have people like conservatives such as "Judge" Jeannine Pirro who, of course, back their own profession and its advancement. 

Under President Trump and Attorney General Sessions, the Department of Justice is going to charge major drug traffickers based on the exceedingly large amounts of deadly poison they are peddling in our neighborhoods. These drug traffickers will no longer be treated with kid gloves – they will be treated like the merchants of death that they are.

Right.  A merchant who engages in a consensual transaction with an adult is selling death?  Not on purpose, I assure you -- dead customers don't buy anything more, of course.

No, the merchants of death are found in the JustUS department.  Eric Holder, for example, who knowingly allowed an untold number of guns to be run to Mexican drug gangs despite knowing that they were bogus, illegal sales.  Nonetheless he directed that said sales be allowed to proceed -- on purpose.  Since there's nothing consensual about being shot that is a "merchant of death."  Funny how nobody in that category is prosecuted, isn't it?

Or how about the CIA?  It's not like they haven't been running drugs and facilitating it from other nations around the world for the last several decades, right?  What was little shindig during Reagan's Presidency about again?  Isolated incident?  My ass it was.  Funny how nobody in that category gets prosecuted either, isn't it?

Or how about the current epidemic of death.  It's not the heroin Jeannine, you know.  Or maybe you don't, because as soon as you hear "drug" the snatch-jerk reaction is prison, now!  No, "Judge", it's fentanyl and other synthetic opioid compounds that are killing people (Prince included, I might note), and they're not being made in the United States.  The raw materials are being sourced out of China, and of course nobody is being prosecuted on that count either, nor are we doing anything about it.  We ship all the former blue-collar jobs over to China and then import their extremely cheap synthetic opiods that are 100, 1000 or more times as potent as heroin and since there's no purity and labeling requirement on said drugs because they're sold illegally people die by accident as they have no way to know the difference between an effective ("gets you high") and deadly ("gets you dead") dose.

And finally, where does all this addiction start?  A very large percentage starts right here, at home, in a doctor's office.  Who's the merchant of death there Judge?  If someone's diabetic why we'll get 'em good and hooked on various drugs instead of telling them to not eat carbs and if pain is the problem then we'll get 'em good and hooked on opium compounds and once they are, aw damn, we can't keep prescribing more and more so what do you expect people to do next?  It is our own medical system that creates the demand for many of these illegal drugs and makes billions of dollars a year doing so!

So who's fault is it that we have an addiction problem and thus a Medicaid cost problem to go with it?  Who's fault is it that we have a huge amount of money blown on prisons, police, courts and lawyers for non-violent drug transactions?  Who's fault is it that Prince got a load of fentanyl, almost-certainly without knowing it and almost-certainly with an original source in CHINA, and accidentally killed himself?  Who's fault is it that drug gangs have a profitable business to engage in -- one that's so profitable that they're willing to kill or die in order to participate in it?  And oh, by the way, since their trade is illegal they don't practice with their firearms either, which means they're terrible shots and kill innocent people all the time by accident (let's be honest -- would you really give a crap if a couple of dope dealers had a duel on the street -- provided they didn't hit anyone else?)

The innocent child who happens to be shot and killed with a stray bullet dies because you allow the drug trade to exist.  It exists because you demand and allow the illegality of trade between consenting adults for substances that are pleasant enough to use and addictive enough that they create their own demand.  You choose to ignore the fact that humans are animals and every animal has enough of a reptilian brain that the risk of addiction is present and real; even mice will push a button to get cocaine to the point of starvation!  But that's not enough!  No, when there aren't enough addicts and dealers to employ all the cops, jailers and judges that want jobs we then license people to create drug addicts by the score and call them "doctors"!

It's no surprise that there are people who are addicts in various forms and to various things; addiction is both a mental and physiological phenomena with some drugs being psychologically addictive, some physically addictive, and some are both.

But we, as a body politic, are the ones who choose whether the trade in such substances is legal or not, if it's legal whether it's regulated and taxed, and exactly how that's implemented.  We as a body politic choose to endorse and allow a "medical model" that is pill based and creates addicts at the same time it generates hundreds of billions of "revenue" every year for the drug manufacturers.  We as a body politic choose to trade with nations that manufacture cheap synthetic and deadly forms of addictive drugs and call them "most favored nations" instead of treating them as an international menace.  We as a body politic choose to allow our government to arm and fund international drug cartels that are real merchants of death in that they shoot anyone they disagree with.

In short we as a body politic choose to create hundreds of billions of dollars of economic activity out of thin air along with a whole set of industries that destroy lives and create permanently disadvantaged persons who remain so even if they manage to overcome their addictions.

I again remind you that the economic impact of all this horse**** runs into the hundreds of billions of dollars annually.  It's money we spend simply because we decide that certain things are "bad" but we will fund those who made both addicts and create supply for them.  Then, as a token act of hubris and outrage we lock up the people who we gave incentives to and even provided the necessary money and guns to in order to fill the demand we created and many are insane enough to cheer jackasses like Judge Jeannine when they pontificate on a trade created out of whole cloth that just happens to give them a job and make them wealthy.

Gee, what a fancy coincidence that is.

There are nations that literally execute even low-level drug dealers and users but they still have a drug problem.  We had one too before drug prohibition -- but it was lower-level than it is today, most people who were addicted remained productive in society, and we didn't spend any of the money we spend today throwing those folks in jail nor did we suffer any of the violence that the illegality of these substances has produced.

But we didn't intentionally create addicts nor did we fund the supply chain with both money and guns.

I believe all of what changed from then until now were not only bad decisions they're demonstrably the product of insanity, arrogance and greed -- and not by the drug dealers.  Drug addiction is terrible but that doesn't justify making drugs illegal nor does it justify running guns and drugs to violent criminal gangs.

We should legalize all of it -- literally all -- for consenting adults, sell drugs in pharmacies over the counter to anyone who is 21 and include with them honest information on the risks of their use, including the known composition, lethal dosage limits, addiction potential and, where it is the case, physical bodily harm that comes from using them.

No, that won't get rid of addiction.  But it will remove the economic incentive for "pushers" to push and for law enforcement to act like thugs.  It will stop funding the drug lords with both money and guns.  It will also enable those who become addicted but put forward the effort to stop to not have permanently damaged economic and social prospects as a consequence of criminal prosecution for acts that had nothing to do with violence or any other sort of harm to others.

In short it's time to go back to drugs being sold in drug stores, as they were in America not all that long ago -- over the counter -- and to tell the screaming religious harpies and so-called "Judges" like Pirro that in large part led to drugs being made illegal that we refuse to allow them to cause both crime and death.

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2017-05-27 13:20 by Karl Denninger
in Editorial , 235 references
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The last few days have brought into extraordinarily-stark relief why I believe there's no saving this nation.  Not personally for nearly everyone, and not collectively either.

I'll start with the "newsy" part of it, because it's topical and important.  Let's begin here:

It’s easy to use numbers to define health realities, but life is far different in the doctor’s office. What patients really want is access to basic health care, delivered by a doctor they can trust at an affordable price. Patients want choices, not narrow networks of providers and services and deductibles so high they never reach them. They don’t want to be forced to buy an insurance plan that promises them services that we doctors just can’t deliver.

Mr. Siegel may be a M.D. but he doesn't understand insurance.  He should, having gone to post-secondary school for 8 years or more, but apparently he missed a first-semester statistics class somewhere in there.

An insurance policy that "covers" something that doctors cannot deliver (that is, which cannot be used) has no more cost than one that does not have such a provision in it, because the "p" (probability of use) of such a "feature" is zero.

It costs exactly zero to insure me, as a male, against ovarian cancer because I do not have ovaries.  Therefore the risk of such a condition ever afflicting me is zero and as a result the cost of such a "coverage" is also zero.

Second, they're not patients they're customers and while the first sentence of this paragraph is true the rest is false.

Patients want a chance to purchase affordable insurance that covers actual problems they may have. A new health law can deliver that and cover most, if not all, of the population if it offers as an option the kind of scaled-down coverage that patients would have chosen to buy under ObamaCare even if they weren’t forced to.

What "scaled down" coverage are we speaking of?  See, this is the problem with not calling someone or something what it is.  If you call someone a patient then you immediately get to take away all the connotations and expectations that someone who is a customer might have -- like the ability to see a ****ing price and agree to it before you start providing a good or service!

There are things you should be able to opt out of.  For example I would be happy to buy a health policy that explicitly excluded both addiction and mental health.  These can be very expensive problems to treat and the probability of either is not zero, so excluding them would materially change insurance costs.  Since I consider both to be outside of what I think of as insurable risk for myself I'm perfectly ok with a policy that excludes both.  Others will have a different view and should be free to make that choice -- and bear the cost.

But excluding certain problems from a policy just shoves the fat, ugly, abrasive uncle in the room into a closet and locks the door behind him instead of dealing with the apparent problem: Cost.

It's also doomed to fail because over time the list of conditions that you shove into the closet will inevitably increase.  

The usual response from the left on these sorts of problems is to say single payer.  But California has studied in some depth what it would take to do that under our present pricing system and what they found is that it would cost $400 billion a year just for their state alone which incidentally is more than double the ENTIRE current state budget!  They don't have that sort of money and can't raise it; you simply cannot soak the rich for $200 billion a year in that one state and believe that the rich actually have that much money.  They don't.

Utterly nobody wants to deal with the reality of health care cost because as soon as you do you're forced to deal with the fact that most of what is spent on "health care" is either wasted, extorted through various means or both.  In fact somewhere between 80-90% of all health spending falls into these categories!

I've written large on this now for close to 10 years; you can click the category at the top of this post to read backward in reverse-chronological order. Nobody, statistically speaking, cares to take this up and ram it down the throats of lawmakers.  Lawmakers and law-enforcers won't do it without you forcing them to do so by whatever means are necessary because if you collapse health care from 19.x% of the economy to 3-4% it will be the mother and father of all recessions until the economy adjusts and there are exactly zero politicians who will take such actions on their own initiative even if failing to do so will destroy the nation due to the exponential expansion of said "services" and our inability to fund them.

Since the people of this country and the readers of this column will not force the political class to the table and ram it down their throats we are ****ed, in short, and it's our fault as a society because the means to address the problem not only exists it's in existing law which can be applied in a literal day.

But what might even be worse is our refusal to hold so-called medical professionals accountable for their malfeasance and misfeasance with regard to the facts related to many diseases and conditions.  We refused at the origin of AIDS spreading like wildfire in the Bay Area of California to tell gay men that unprotected anal sex had a high probability of killing them and what's worse we intentionally left open the public bathhouses where they were engaged in same despite knowing that this was the vector that was killing people by the score!  That's a fact and yet exactly zero public employees were ever charged with the tens of thousands of counts of being an accessory to negligent homicide, charges they absolutely should have faced.

Today so-called medical professionals do the same thing every damn day.  Let me outline just two recent personal examples, of course without names or enough attribution to figure out who they are.

The first is an elderly woman who was Type II diabetic and just had a shunt put in for dialysis.  Her kidneys are essentially dead and diabetes was the cause.  She will be too; dialysis on a permanent basis doesn't work in addition to being hideously expensive and your body essentially "poisons itself" because the build-up of waste products can only be removed when you're on dialysis rather than continually as is the normal case.

You will note up above that I said was Type II diabetic.  She's now living with someone who takes care of preparing her meals for her and such and has essentially eliminated all fast carbs from her diet.  Her blood sugar is now normal.  That's right -- she's not diabetic any more.  Unfortunately kidneys do not grow back and what's worse is that it would appear, although I didn't and won't pry, that at no time during her being diabetic did her physician tell her that (1) she could be non-diabetic by changing what she ate and (2) if she didn't do that there was a good chance she'd wind up exactly where she is now.

The jackwad(s) responsible for that ought to be brought up on negligent homicide and grand theft charges for all the medication and now the surgical and dialysis charges she's incurring.  Every last ****ing nickel that said so-called "medical professionals" have should be confiscated to pay for every damn dime of expenditure she's had to and will endure and be forced to pay her back for all of that expense and then they should be thrown in prison as an accessory to her inevitable death which they had a hand in causing.

Again it won't happen because we won't demand that it does but you can't argue that the answer to this problem wasn't known because some one hundred years ago before we had drugs and similar for Type II diabetes it was not only known it was all over the medical literature -- either stop eating those things that convert to sugar in your body or die.  It was only when we "developed" the means to steal a half-million dollars in drug costs, surgeries and dialysis per customer, inevitably ending in the death of the customer, that the so-called "medical advice" changed.  That's not advancement it's intentional malfeasance and damn well ought to bring both criminal and civil ruin to everyone involved.

The second is a random someone I ran into.  He is also Type II and his kidneys are compromised but not yet dead, which he was quite up-front about when we got into a random conversation as I was munching on a near-zero-carb option -- meatballs -- in a local joint.  I told him he should try some as they were tasty and he said had already eaten both meatballs and spaghetti a few hours before.

I mentioned that he might want to try getting all the carbs out of his diet as it might well resolve the diabetes.  His answer was "I already know that won't work."  I asked him if he'd tried it and he said no.  Who told him it won't work and why hasn't his doctor told him it almost certainly will work and since he's already got compromised kidneys if he doesn't do it he's likely to die.

I swallowed hard, reminded myself that it wasn't his fault he was uninformed since the very people he trusted to tell him what was going on were actively lying to him while pushing pills-for-profit but I had to get out of there before I blew a gasket.  Here's a guy who by all appearances is a good and decent man and despite being on the road to ruin those people who he trusts and could advise him on a way to avoid it are instead choosing money from and misery to him by the wheelbarrow load.

Oh by the way best guess is that this crap in aggregate costs Medicare and Medicaid alone -- not including private expense -- some $400 billion a year.  If you stop it essentially the entire federal budget deficit disappears.

This **** needs to stop folks, and it needs to stop now.  Yeah, that's just two people but damnit you know it's everywhere at present and has been for decades.  The people in the so-called "medical profession" responsible for this, and that's most of them, need to be asset-stripped to their underwear and locked in the stocks for us to throw rotten tomatoes at.

It's our fault folks.  It's our fault that not only are people dying miserably by the boatload but our government is going to fail on a fiscal level within years if we don't demand it stop.

It's our fault because we won't hold people accountable for the misery and financial******they serve on all of us -- and the screwing it imposes on everyone both privately and through the federal government.

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2017-05-25 08:33 by Karl Denninger
in Editorial , 165 references
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No, you can't see the article or video here that I teased a couple weeks ago.

You have to go to this place and read it.

Yes, the video is mine (obviously, once you see it.)  The article that goes with it is not, but it's quite good reading.

Maybe you'll make this "other place", which is not mine but is written by someone I know rather well, part of your daily blog list just as you do here.  You can easily get there by just clicking the cute picture on the top right of the page...

I recommend it....

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2017-05-25 07:00 by Karl Denninger
in Personal Health , 241 references
[Comments enabled]  

These people need to be held accountable for everyone who dies as a consequence of this garbage.

We can start with prison and go from there.

Age doesn’t just pack on the pounds — it changes where those pounds go. The culprit? Sex hormones. As these decrease over time, men and women’s weights tend to shift in predictable ways.

Meh.

The culprit is accumulated metabolic damage from eating high carbohydrate diets.

Of course nobody does this sort of study, because if you do you'll get the truth in irrefutable scientific form.  What sort of study?  It's not difficult but it does take a lot of time since you need to follow people for decades.

Start pulling insulin and glucose levels (A1c is an inexpensive marker to test) and you will find that most people over time have slowly rising insulin levels even though their A1c and fasting blood glucose is normal. There's an even better surrogate for it that requires no testing -- it's called a scale.  Most men and women start to gain weight in their 20s although it's relatively slow and the huge majority of doctors and others won't raise any alarms on it.

2-3 pounds a year is 20-30lbs over a decade.  I remind you that you cannot possibly "manually" count calories at a sufficient resolution to prevent this consciously; 2lbs is 6,500 calories, more or less, which means you'd have to be accurate to within 20 calories a day on your food intake every single day in order to avoid it.  That's impossible; 20 calories is quite-literally about one teaspoon of sugar or a fraction of an ounce (one small bite!) of meat.  Nobody can count that accurately through manual, intentional means.

Your body, however, has the metabolic mechanisms to regulate food intake to that degree of accuracy all on its own just as it has metabolic mechanisms to regulate blood pressure, blood sugar, pH, oxygen saturation and dozens of other critical metabolic parameters -- any of which will kill you if they go out of range.

The reason you get fat is that you have damaged that metabolic control mechanism.

The "advice" is just flat-out wrong:

“The biggest thing is to be consistent with our healthy eating and exercise,” she said, adding that weight training is especially essential to prevent the loss of lean muscle mass, a process that can make our bodies less metabolically active. And opting for a high-fiber diet full of fruits, vegetables, and lean proteins can help stave off the weight gain that would turn into excess pounds.

Total nonsense.

Fruits have a high caloric density.  They also absorb quickly, especially if juiced or otherwise concentrated (e.g. dried fruits, etc.)  In a natural world you can also only get them for a short period of time because they only occur in an edible form for a few days or weeks in a given area out of the year.  Eating blackberries on a hand-picked basis where you can find them wild during the time you can find them wild won't hurt you, simply because there aren't many of them you can eat in a given year in a given place!

Our "modern world" changes all that; now you can have strawberries, grapes, oranges and other fruits all the time which is flatly impossible on a natural basis.  It is insanely irrational to believe that our bodies can adapt to such a change in our pattern of food intake on a rapid basis; adaptation of a species to environmental changes takes millennia, not years or decades.

"High-fiber" is often touted as some sort of panacea.  It is not, for the simple reason that "high fiber" foods are inherently low in calories.  That which you cannot digest just takes up space; that's the definition of "fiber" in a food.  It means nothing in terms of caloric intake because the fibrous foods you eat are an immaterial part of your total calorie requirement.

There are only three foods when you get down to it -- carbohydrates, proteins and fats.  Of them fiber is only present in carbohydrates to any material degree and in general fiber is only present in material amounts in low-calorie density carbohydrate foods.  This doesn't stop a manufacturer from adding fiber to a food (and many do) but that's usually a reason to not eat whatever it is because added fiber usually tastes terrible and as a result the manufacturer is forced to add sugars in some form to make it palatable, which is exact opposite of what you want to eat.

For fiber in your diet you want to eat green vegetables.  For example one cup of broccoli (which isn't much!) has 135% of your daily Vitamin C requirement -- one of the few substances we cannot synthesize due to a genetic error in our DNA.  It also contains roughly 10% of your daily fiber recommended amount.  However, it also has just 31 calories -- an insignificant component of your caloric intake requirement.

Brussels Sprouts are similar; they have just 38 calories, 124% of your Vitamin C requirement and 13% of your fiber needs -- again, in one cup.

In short yes you should eat fibrous foods but you should eat them in the form of green vegetables which tend to be low in caloric content and high in those things your body cannot synthesize and thus must get from consumed food, specifically Vitamin C.

The problem with the cited recommendation is that it says nothing about where the bulk of your caloric intake should come from!  The 2% from the cup of sprouts or broccoli are immaterial to the total.  The question is what do you do with the 98%.

The answer is that it should contain almost zero carbohydrate.  This means the claim of "lean protein" is false; it has to be for the simple reason that you can't reasonably consume enough lean protein mass to make up the bulk of your intake either on a mass basis or a money basis.

And that brings you back to either fats or carbohydrates.

One spikes your insulin levels and then makes you ravenously hungry.  The other absorbs far more slowly and has nearly zero impact on insulin, and thus you don't get hungry.

In short one makes you fat, both directly by stimulating you to eat more and indirectly by damaging the metabolic response system that would otherwise prevent it from being stored on your body as fat.  The other does exactly the opposite; it not only absorbs more-slowly it has essentially zero insulin response and does not stimulate you to eat more in a couple of hours.

Among fats there are two types -- unsaturated (mostly plant-based) and saturated (mostly animal-based.)  One occurs naturally and both human and beast have been eating it in quantity since said species has walked on the planet or swam in its oceans.  The other does not occur naturally in any material quantity.  Yes, there is oil in corn (from which we get corn oil of course) but to consume even a tiny amount of it through natural sources you'd have to eat a bushel of corn.  Cottonseed oil is of course in cotton seeds but nobody eats cotton seeds in their natural form.  In short no vegetable oil is "naturally occurring" in any material amount in a diet comprised of actual plants.

Unfortunately essentially all plant-based oils have a terrible balance between Omega 3 and 6, and we know that Omega 6 materially increases inflammation in the body.  Inflammation is ultimately what causes all sorts of health problems; the body reacts to inflammation by attempting to cover up and heal it.  This is a good reaction when you (for example) stick yourself with a thorn.  It's a very bad reaction when it occurs in your cardiac arteries!

The point here is that it was impossible when eating a "natural" diet of plants to get any material amount of Omega 6 from these oils.  Today it's trivial since everyone and their damned brother "recommends" substituting plant-based oils for animal-based ones, yet those plant-based oils are all highly-concentrated to a degree (by a factor of 100x or more) that is impossible to achieve by natural consumption of the plant involved.

What's even worse is that being unsaturated these oils tend to oxidize rapidly at room temperature and it only gets worse when they're heated.  This in turn has led manufacturers to hydrogenate them -- that is, to add hydrogen through a chemical process to stabilize them so the foods don't require refrigeration and are stable on a shelf in a store.  These are what are called "trans-fats" and while very small amounts do occur in nature it is again impossible to get any material quantity of them without eating machine-processed oils.  There is decent evidence that the "safe" amount of such fats in your diet is in fact zero.

The bottom line is this -- if you eat green vegetables you will get both the fiber and necessary vitamins your body cannot synthesize.  If you eat the balance of your caloric intake from proteins and saturated fats you will both provide a decent Omega 3:6 balance (which reduces inflammation), not spike your insulin levels, not be hungry all the time and thus allow your natural metabolic system that regulates your appetite to function normally.

You won't get fat, if you are fat you'll lose the fat and at the same time you are likely to improve your health.

More detail?  Find out how to evaluate where you personally are from a metabolic perspective here and what to eat (and not) here.

Finally, I remind you that Type II diabetes is not just about taking pills.  It inevitably leads to severe and irreversible consequences including amputations, blindness and, quite-frequently, kidney failure which always results in dialysis.  The latter usually kills you after some period of time on it unless you get a transplant.  All of these consequences are both extremely expensive and permanently debilitating.  If you have not yet suffered these consequences there's a good chance you can avoid them entirely if you get the carbs out of your diet.

Oh, and for the jackwads who recommend eating all those carbs -- and plant-based oils along with cereals, like this one -- and who is himself fat, probably from taking his own advice?  Perhaps we should contemplate eating them; most of them, if not nearly-all, are definitely high fat and moderate (or even low) protein in composition.  Finally, when do we start asking the obvious question: Why should anyone take advice on what to eat and how to remain healthy on a metabolic basis from someone who obviously has damaged their own natural metabolic mass control pathways and further demonstrates by mere observation that they're unable to control their own mass by either natural or "intellectual" means?  Further, exactly why do we not deem such a person who claims some sort of "medical credential" and dispenses said advice professionally bogus and why isn't said person immediately laughed at whenever and wherever he or she appears?

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