Heh Trump! Change Your Narrative, Rescue Your Presidency
The Market Ticker - Commentary on The Capital Markets
2017-05-16 07:00 by Karl Denninger
in Health Reform , 524 references Ignore this thread
Heh Trump! Change Your Narrative, Rescue Your Presidency
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Have you seen the reaction that GOP congressfolk are getting in the streets Mr. President when it comes to your so-called repeal and replace (which is nothing of the sort, and you know it)?

I think you have, if you're paying attention.

A lot of it is pretty ugly, and all revolves around the same sort of thing: Someone with a "pre-existing condition" that is facing a bone-crushing screwing.

Look, as a 53-year old who's healthy, and in fact while you're reading this I'm out in the woods enjoying myself instead of engaging in entrepreneurship if I "lose" the health lottery I'm ok with getting on a plane to buy whatever I need where I can't get butt-sexed by the monopolists you and Paul Ryan keep protecting, and if that is impossible due to an exigent circumstance I'm ok with dying. I've not had a bad run and I'm sure as hell not going to hand over a material portion of my wealth to people I believe are simply robbing the people of this country blind every single day.

But then again, that's because it's me.  You might want to consider that this sort of problem could befall someone else that a person cares about.  Like their wife or child, for instance.

That could lead to some very severe political solutions, and if you don't cut the crap it's going to, because your margin of victory wasn't really very big.  You know damn well how this works because you played the game; it's all about electoral votes, not popular ones, and you only needed to lose one "big" state and one smaller one and Hillary was President.

You didn't win Florida by much, and it's a big state.  If you'd lost Florida then just 8 more EVs and you would not be President.  Pick any of the heavily-populated states you won in the Midwest -- or Missouri -- and it's all over but the shouting.

I'll leave aside the potential for some non-political solutions that people might resort to if you and Congress keep ignoring the real issue and throwing BS at the people, because if we go there as a country then everything that makes America unique in the world is lost.  There's enough heat in the country right now that it wouldn't take much to set that off and you have to be a special brand of crazy to have any desire to see it happen.  There are, however, a fair number of people who are that nuts.  I'm quite sure you're not one of them and I thank the maker for that.

2018's election season is just around the corner.  Yes, you're not directly part of this one, but all 435 House Members are and either cementing those seats held by your party or destroying them is happening right here, right now and that fight will only intensify in the coming weeks and months.

President Trump, you simply have to come to grips with where the problem lies in health care. It's not access to insurance; as you know damn well if there was a terrorist bombing of a building every week where your properties were located it would be impossible for you to get insurance on those buildings at any price you -- or your tenants -- could afford. One of the reasons I believe you were a better choice than Hillary, incidentally, is that you understand this and as I said to a large number of people before the election "You have to be rather crazy to think that Trump would do things as President on purpose that would lead his own properties to be replaced by big smoking holes in the ground.  I'm not sure Hillary has the same level of concern; in fact I'm quite sure she doesn't."

Health insurance accessibility is, at its core, all about the price of the underlying service.  And let's cut the crap, eh -- that price has no market force or discovery mechanism available to the common man today, and hasn't for 30+ years.  That is why -- and is in fact the only reason why -- health care is so damned expensive and health "insurance" is what people are "falling back on."

This is why "single payer" cannot work, incidentally.  It fails to control cost because it has no mandate on price discovery.  It provides even more protection for those doing the screwing today than they have in the present.  It would destroy the few outlying beacons of competition that exist now and which make quite clear that common hospital procedures are priced at ten or more times a market rate -- such as the Surgery Center of Oklahoma.

Why does it cost $100,000 to treat cancer?  Why does it cost the federal government 25% of its Medicare spend (and likely that amount in Medicaid too) to treat a condition, Type II diabetes, that can be relieved in most sufferers at a cost of zero?  Why does it cost $80,000 to cure Hepatitis C in this country and under $900 in India?  Why is a scorpion sting a $50,000+ occurrence in Arizona and less than a hundred miles south in Mexico it's $200.  Why is a rattlesnake bite $150,000 when there is exactly nothing proprietary about rattlesnake venom?

You know damn well the answers to those questions: It's impossible to get a price for anything as a customer before it's done and what's worse is that the price you pay is based on a tied sale with what "insurance" you carry instead of the condition you have or how complex it is.  If you don't have insurance then you are charged 5, 10, 20 or even 100 times what is charged to someone who does.  If you don't consider this to define extortion and racketeering then you either have an IQ smaller than my hiking shoe size or you're profiting from doing it yourself. There is not one other industry where this kind of crap is or would be tolerated, from gasoline to groceries to construction to re-roofing a house or fixing a car and it certainly doesn't appear to be legal either under 100+ year old law (15 USC) which is a section of law designed, written and passed specifically to prevent exactly these sorts of abuses.

The so-called "medical industry" has built edifices worthy of the Taj Mahal and stuffed them full of administrators who do not provide one scintilla of care to anyone, all financed with debt up to the rooftops.  What's worse is that the medical industry has been sued over these practices and gone to the Supreme Court twice since the 1970s to try to get it all declared "legal" and lost both times yet neither the state AGs or Federal Government has come after these jackals with prosecutors and grand jury indictments a-blazing. Nor will the FTC chase down the medical industry for deceptive and unfair practices -- can you please tell me how refusing to quote a price or honor it, say much less billing someone for a "drive by" consultation in a hospital where a doctor literally says "hello" from the door and then sticks an out-of-network charge on your bill is anything but a fraudulent and deceptive practice?

I get it that if you take this on using existing law, which certainly appears fully adequate to put a stop to all of this, and demand (1) price lists be posted publicly for everything, (2) everyone pays the same price for the same good or service no matter whether they have insurance or not, who it's through or how they're paying, (3) that consent on an individual and priced basis is required for anyone able to give it; if you're unable due to unconsciousness or similar "drive by" and similar types of charges are deemed felonious and (4) the United States demands and enforces "most favored nation" for pricing of drugs and devices with any firm that refuses loses all its US patent protections and US licensing that we'd have a deep and immediate recession since roughly 15% of GDP would disappear in a puff of smoke in an afternoon.

All those facilities built with debt -- which is most of them, as I'm sure you know -- would be bankrupted immediately.

But that's good, not bad.  Someone would buy that bankrupt hospital the next day for 5% or 10% of what it cost to build, and the lights would remain on.  Costs would plunge like a stone thrown off one of your high-rise buildings; in fact, they'd fall by up to 90%.  Telling "practitioners" that Jeff Sessions will be as rough on them as you want him to be with dope dealers with maximum charges for peddling known lies when it comes to disorders such as Type II diabetes -- that one should "chase" their fast carbs with drugs instead of not eating the damn things in the first place would go a long way toward resolving not only the cost issues in health care but the underlying diseases themselves.

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.

If you put a stop to all of these abuses then all the small firms in the United States and those not-yet started suddenly have every reason to hire the first, 5th, 10th, 20th and 50th employee.  The threat of being destroyed by a parasitic venomous health care system that you are forced to conspire with as a boss is removed and American entrepreneurship is instantly unshackled.  Our nation becomes the country in the world with both the best system of law and a much lower cost of labor.  People with hope and opportunity have far fewer reasons to find solace in the bottle -- or the needle.

The recession such a change produces will be deep and nasty but it will also be over very quickly and the recovery will quickly eclipse anything this nation has experienced over the last 30 years.

You must accept the temporary (and severe) contraction in the economy that will occur when you fix this problem.  I know that economic contraction will happen, you know it will happen, and I'm sure you've had lobbyists via various indirect forms such as Paul Ryan tell you it will happen and thus you "can't" do anything like this.

You have to do it anyway Mr. President, and you have to do it now because if you don't not only is the political firestorm going to overrun you and the GOP the economic storm bearing down on this nation caused by 30 years of this mafia-style racket in the health "industry" is going to destroy our way of life and may destroy the American political system entirely.

I know you're aware of this which is why the AHCA tries to throw off some of the damage onto the States via block-granting Medicaid.

Take those people who are ready to lynch their representatives and turn into your strongest advocates.  Take the $50,000 cancer bill and make it $5,000 in a daywhich is not only able to be financed and paid in cash by the average American and insurance to cover it, if you're not yet sick, will cost a couple hundred bucks a year.  Take the person who has Hepatitis C and make that $80,000 bill for a drug that cures it $900 which they can put on a credit card, even if it's a 24% interest subprime card, and be cured.  Take the person with Type II diabetes and insist that their physician tell them the truth about their condition and that ceasing eating all carbohydrates other than green vegetables will probably result in not only zero medical expense but also normal blood sugar levels and prevent the otherwise-likely blindness, amputations and kidney dialysis.  Take the $8,000 "routine" childbirth and make it $900 which again can be paid by the average couple who wants to have a baby.  Take the person bitten by a rattlesnake and turn that $150,000 bill into a $5,000 bill -- still nasty, to be sure, but able to be paid. Make America a place where I want to start a new business that hires people instead one a nation where I'd be nuts to do so.

Give me a reason to set up shop where there used to be hope and bring that hope back with me, working toward alleviating the opioid epidemic instead of hiking in the mountains -- which is what I'm doing right now while you're reading this, and the reason I'm out hiking instead of bringing to market products and services I have invented is that you and Congress keep allowing this screwing to go on and I refuse to participate.

In short take all the people who hate you and the government generally because you have all allowed them to be butt-sexed for 30 years by the medical industry and turn them into people who love you because now their child, their wife or their husband can pay for the medical care they want and need rendering the entire "Obamacare" debate and discussion moot.

You can do this President Trump.  The Executive can enforce existing laws without Congressional involvement.  In fact Congress and their lobbyists can't stop you.

You not only can do this you must do it President Trump, and you must do it now.

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User Info Heh Trump! Change Your Narrative, Rescue Your Presidency in forum [Market-Ticker]
Quik49
Posts: 3885
Incept: 2007-12-11

ut
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As usual, nailed on the head and our fearless leader inst going to do ****....having worked around the edifice arena of this industry, it's nauseating to see the waste on the admin side. Room full of "managers" that don't know their ******* from a knothole, yet probably pull down $100k+. Frustrating as hell seeing the solution that is getting totally ignored...for the moment.

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Long Vaseline....

Traderdoc
Posts: 25
Incept: 2009-12-26

Morrison, IL
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The financialization of health care, the big insurance, hospital, and pharma companies, and both federal, state and private institutions, has led to massive stock, bond, retirement option and salary considerations. Bondholders expect to get paid, stockholders look for growth, huge staffs to be paid. And all iof these financial instruments are re-hypothecated as promises for new financial instruments. This places a solid floor on how much money must be generated daily to support the system. Wall Street has spoken. Its words will be obeyed.

The only thing, it appears to me, that can happen is it runs until it collapses. The collapse will be more harmful and more complete than the mortgage disaster. I, too, hope for a rapid recovery, but hope springs eternal.
Vitchilo
Posts: 6136
Incept: 2011-04-27

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Not gonna happen.

Trump is too dumb or too sellout to do that.

The only good idea he ever talked about was breaking up the big banks. 99% of his other plans are BS.

Anyway the intelligence community is on his ass, he won't last summer then it'll be back to ``normal`` with the elite running things.

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We hang the petty thieves and promote the great ones to office.
Themortgagedude
Posts: 10263
Incept: 2007-12-17

saint louis
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I think he might do something. If he's smart enough to know what to do. Because at this point he's got nothing to lose. You just start throwing people behind bars and if they want to impeach you for it then let them. If Congress impeached a President who reduced healthcare costs by 50% overnite there would be hell to pay. And all he'd have to do is say - so what I'm not running again. Tbbbbbbbbbt!

Chances aren't good on it happening until he feels like a cornered raccoon. He might be getting close.

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I think its time we ask ourselves if we still know the freedoms that our founding fathers intended for us. Ronald Reagan 1964
Plstffls
Posts: 171
Incept: 2007-06-26

Brussels, Belgium
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Vitchilo wrote:
Quote:
Anyway the intelligence community is on his ass...


Entrapment (by both CIA (George) AND FBI (Hillary).
One entrapment after the other.
Up to the last one.
Jfms99
Posts: 185
Incept: 2009-10-06

Msumelle, Ar
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While Karl has done a great job of laying out what could be done to save this country on Health Care Costs there is another aspect that has not been discussed as much.

Trump and/or AG Sessions could certainly tell the Medical/Insurance Monopoly that they will enforce the Anti-Trust Laws on the books.

The real question is just what kind of Blow Back will this cause from the those Industries? The Medical/Insurance/Pharma groups spend in excess of $600 Million on Lobbying. Most of all the important Congressman and Senators have been bought. So if Trump or Sessions start the Anti-Trust actions against these groups they will just go into high gear and get passed a Bill similar to what Sen. Rand Paul wanted a few months ago, they get total Immunity from the Anti-Trust Laws. The way this will sold is that Health Care is a right and like Social Security and Medicare it is sacrosanct.

The Ad campaign that will be run will be unreal, it use every trick in the book to marshall public support for any kind Health Care that includes Pre-Existing Conditions and whatever else in Santa's Bag people will want. Public pressure will insure that a Bill will be passed and these industries will be exempt.

I have given a lot of thought over the years on what Karl has written and done other research myself. Like some of you on this site I have written and tried to explain the Health Care Crisis and people just do not comprehend and really don't want to. My guess is maybe only a very small percentage of people really have any understanding at all. That is why it is almost futile to try to mold and change public opinion.

It reminds me of the Budget Battles, yes people are in general agreement that something must be done, programs costs be reduced, etc., etc., but when specific actions are proposed the howling starts, don't cut me. cut something else. Health Care has become the same.

Since 2010 I have voted to send people to D.C. to do something, guess what, nothing has been done. The Republicans have not just failed, they failed miserably. They had so many chances to come up with plans to offer to the public on a number of issues, not just Health Care, and have not done so. Conservatism as any sort of Political Ideology is dead and has been for at a very long time. It is the Ideology of saying no, but not offering any real competing plans or choices. So here we are with two Dead Political Ideologies to choose from and neither work, both are corrupt and bankrupt. Where do we go from here??????
Goforbroke
Posts: 6951
Incept: 2007-11-30
A True American Patriot!
Drain the Swamp!
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No one is going to do ****.

Short of hanging myself in the town square (which will have absolutely no effect ... google "Andrew Joseph Stack III ... remember him? I 2010, he flew his plane on a suicide mission into the IRS building in Austin TX), I have tried everything through the "appropriate" channels ... to no avail. Crickets churping.

Buckle down.






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Our deepest fear is not that we are inadequate. Our deepest fear is that we are powerful beyond measure. It is our Light, and not our Darkness, that most frightens us. -- Marianne Williamson
Jymm
Posts: 416
Incept: 2012-01-22

Wisconsin
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I agree with Vitchilo's "Not gonna happen." comment, but for very different reasoning.

Your comment about Paul Ryan saying Trump "can't" rings too true.

No politician is going to be purposely responsible for an economic collapse if they can help it. Their thinking is try to get through this term, and hope it collapses on the other guys watch. Let the other guy take the blame. So the Dems and Republicans play their little kick the can down the road game and pray it won't happen during their term and they get blamed. The party in power when the economic collapse finally comes will not hold the White House again for a very long time. The longer the two parties dither, the worse the collapse.

This is why we are doomed.
Hilandstrata
Posts: 226
Incept: 2008-10-19

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He won't do **** cuz he's a puppet like all rest out there.
Zappafan
Posts: 2913
Incept: 2007-11-30

Atlanta
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Trump could've been the perfect guy to wreck havoc on the DC stooges, but his lack of self-discipline and inability to see the real causes of problems like the health care bezzle were his downfall. That and the fact that the intelligence community now has an extra-constitutional veto power on any elected president.

Another problem is that Trump never had any coherent political movement behind him. This is related to Karl and others' observation that the American public is either so dumbed-down or lazy that they cannot be moved to get up off their asses and protest or make any kind of collective civic effort.

Real reform to corrupt systems typically takes years of struggle including a long period when attempts at reform are successfully opposed by vested special interests. That takes a long game strategy involving grass roots commitment.

If Trump can't turn this around we're probably looking at President Pence in 2018, then the Hildebeest might just try and see if the third time is the charm in 2020 assuming she doesn't drop dead by then.

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Ich bin der Tankendau!
Oldno7
Posts: 2539
Incept: 2008-11-14

RECALL STATE USA
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I think Trump needs a new advisor with the initials KD.

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IT'S THE SPENDING STUPID The US must become less a government of men, and more a government of LAW.When people lose everything and have nothing left to lose they lose it -Gerald Celente
Mannfm11
Posts: 5360
Incept: 2009-02-28

DFW, Tx
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Put another way, how can the government continue to spend $10k per private sector job on health care and expect the middle class to pay anything, as they pay the bulk of the taxes indirectly? Most doctors make less than $1500 a day net. Why does it cost $1300 to get in the ER to see one?

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The only function of economic forecasting is to make astrology look respectable.---John Kenneth Galbraith
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