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2018-04-15 13:10 by Karl Denninger
in Health Reform , 188 references Ignore this thread
Hahahahaha (Spamazon's Bezos' Paper Lies)
[Comments enabled]

This is utterly insane -- that a so-called "newspaper" can publish this sort of factual lie and not immediately be bent over the table and, well, you know -- is outrageous.

A group of distinguished economists from the Hoover Institution, a public-policy think tank at Stanford University, identifies a serious problem. The federal budget deficit is on track to exceed $1 trillion next year and get worse over time. Eventually, ever-rising debt and deficits will cause interest rates to rise, and the portion of tax revenue needed to service the growing debt will take an increasing toll on the ability of government to provide for its citizens and to respond to recessions and emergencies.

..... (goes on to talk about the claim that this is mostly about entitlement spending growth)

Entitlement programs support older Americans and those with low incomes or disabilities. Program costs are growing largely because of the aging of the population. This demographic problem is faced by almost all advanced economies and cannot be solved by a vague call to cut “entitlements” — terminology that dehumanizes the value of these programs to millions of Americans.

And there you go with the lie right there.

This is what happens when you allow very wealthy people who got that way by cheating anti-trust law for a couple of decades to enter the world of so-called 'news' and distort the truth on purpose.

Their first weapon is to lie.  The second is to label anyone who tries to oppose their position on anything by calling them names and attribute to them an intent to "de-humanize" people.

The truthwhich is trivially discernible from simply looking at the budget and as-spent in the Monthly Treasury Statements over time is that indeed it is specifically the explosion in spending in Medicare, Medicaid and SSDI (the portion of Social Security that is "disability") that is responsible for the entire problem.

SSDI is a particularly-insidious issue in that any sort of dispassionate analysis reveals two facts that nobody will take on honestly: (1) Disability recipients go up massively during recessions and (2) once on disability nearly nobody ever leaves the program.

The problem is that there is no plausible organic explanation why people "more often" become actually disabled during recessions.  Instead "disability" becomes a replacement for unemployment compensation either up front or when the checks run out; that is, those people aren't actually disabled as the program allegedly requires.

In other words, to be blunt, these "explosions" of alleged disability are fraud.

But the other two problem areas -- Medicare and Medicaid -- are real.  And here again is the claim:

Program costs are growing largely because of the aging of the population.

That is a lie and it is a knowing one.

Medicare is for old people (aging of the population.)  Medicaid is for poor people who are neither on disability (if you are you get Medicare irrespective of age) or 65 (old.)

Yet the Medicaid spend has been increasing at nearly the same rate as Medicare.

If the ramp in these costs was largely due to the aging of the population the entire problem would be focused on Medicare.  It's not, that's trivially discernible by looking at the MTS over the last few decades' time and all of these so-called "distinguished" people know that.

They're lying.

They're lying to protect medical monopolists who are breaking 100+ year old anti-trust law on a daily basis and, in addition, who have lobbied for explicit protections from some of those laws -- such as making it a crime for you to cross a border and fill a suitcase with prescription drugs you can buy from the same factory but at 1/10th or even 1/100th of the price here in the US and then return to sell said drugs -- which would instantly collapse the price here.

What's worse is that the Washington Post, owned by Jeff Bezos, is basically shilling for the company that Jeff Bezos runs (Amazon) that wishes to insert itself into the medical monopolist game and siphon off a few trillion more for itself.  In other words the owner of the so-called "newspaper" is chuckling while his publishing property runs interference for and lies about the bankruptcy of America and our federal budget so he can personally steal a few hundred more billion dollars while the rest of us watch the nation literally burn its fiscal house to the ground.

There are fixes for this problem that I've published on repeatedly.  I wrote on them in Leverage.  I've been raising Hell about this since the 1990s.  And there are specific proposals to be found right here, in these pages.  You can start here and here, for two examples.

Nobody on either side of the aisle wants to take this on because they're all being bribed by both the so-called "jobs" created through this theft and scam along with direct lobbying.

When will the people of this nation hold to account those who have been and are screwing you blind on a daily basis?

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Mickey
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In addition to the issues raised above, the said article , submitted supossedly by the best and brightest, indicates the authors choose to "confuse" the difference between deficits and debt growth, with the debt growth being roughly 10 trillion more than deficit growth since 1983.

As stated above, this country allows if not encourages wasteful spending. The GAO annual internal control letter, the same but growing for 20 years, also says administrations and Congreses fail to do anything about it, and actually exacerbate the problems.

In a few years, should we last that long, The Soc Sec and Medicare trusts have mandated 27% spending cuts built in that will likely end the "party".

But our debt growth run rate-since 9/30/17 is around 1.7 trillion, and since 1/1/18 is 2.4 trillion.


Our GDP growth rate, including inflation is 800 billion a year.

This is a basic business numbers problem


We have a date with destiny, we do not know the day or which reckless issue will trigger it, but its coming



Goforbroke
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Quote:
(1) Disability recipients go up massively during recessions and (2) once on disability nearly nobody ever leaves the program.
Someone who I know has been on SSDI for at least 15 years ... injured and couldn't perform her function as a nurse/caretaker. For the last 10 years she has been the high school track coach.

The fraud is overwhelming.

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Thystra
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The argument is, of course, we can't do this or that to fix things because people will lose their (current) jobs (true) and then they will riot/be upset etc. It is like there is this huge fear of bureaucrats of upsetting people. Well, they will lose jobs and they will find new ones.

It's like they think they will be strung up for causing the lost jobs. Small chance I suppose, but unlikely. I seem to recall several recent recessions/downturns and we made it through without the country/universe and/or atomic structure unraveling.



Jal
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It sound to me that those at the top know how to scrape the bottom of the barrel way better than those that are at the bottom of the barrel.
Wa9jml
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DeKalb, Illinois
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I think that SSDI should have to be renewed every 2 years or so. And, I know just the people who should handle the renewals, and also applications for political asylum, and visas. The pension side of the VA! Their forms are deliberately incomprehensible to mere mortals, and any mistakes on the forms makes them get put into a big pile of others, and not addressed for several years, when they might be sent back for corrections, and then further mistakes will be made by the hapless applicant, the forms will once again get tossed into a pile, and the cycle will continue until the applicant dies, or commits suicide.

I have had to deal with the pension side of the VA, and with the healthcare side. The pension people are hard-hearted and only grudgingly give out any help. The healthcare side is much better until you get to the top administrative levels, where competence is not valued.

The VA would stop any applications and renewals of SSDI dead in their tracks. Thus preserving the federal government fiscal stupidity for some time.
Tsherry
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>>It sound to me that those at the top know how to scrape the bottom of the barrel way better than those that are at the bottom of the barrel.>>

That's because they have all the leverage.

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Mickey
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Immigrants know how to game the system too--

an acquaintence, a guy in his 30's married a Guatemalan and has a child from that marriage and since divorced. He has the child regularly and takes him to soccer, etc--where the other parents, mostly immigrants both sides, tell him they are not married, and the non working "partner" gets welfare while the other does work and brings home a good paycheck.

Great deal esp since the govt rarely questions anything.

Whitehat
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@Mickey -- will add to that one, immigrants who get paper divorces while the children are relatively young. this was big with the Eastern European immigrants in the early 1990's. the father would have some nice contracting business and the wife would do something for a pittance such as secy in a medical office. she had on paper sole custody of the children, thus the father's income was excluded on the financial aid form. hence they attended college for FREE including graduate school and with stipends for other expenses. oftentimes the universities themselves would give free tuition before the fed giveaways kicked in. of course those of us who were cash payers were to a degree indirectly financing this scam.

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Dilbs
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I give you exhibit A, from Howard County Maryland: http://www.baltimoresun.com/news/marylan..... My jaw dropped when I read this. Scum bag politicians can never get enough.
Krzelune
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How do you credibly argue for your own cognitive disability?
Weezie
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Oh, here's a good one for you - my ongoing experience going down the rabbit hole.

My daughter gets SSI and Medicaid. She's bona-fide intellectually disabled, but she's high functioning and holds down a part-time job in a fast food restaurant while she's finishing High School. She gets speech therapy every other week for 45 minutes or so. She gets some other, occasional, support services, but nothing that would be on a weekly basis - maybe a couple of times a month.

So, I'm finding out that, without permission or authorization, the school figured out her Medicaid information and started charging her Medicaid. Charges everyday - including days she's ****ING ABSENT. "Office Visits" of $40 a day, "Personal Care", you name it. A few grand.

Aside from the lack of authorization (and this being a HIPPA violation giving their sharing data for non-educational purposes) the fact they're charging left and right is another matter.

Now, get this. At least in TX, I can't log into a portal to check benefits. I caught this because TX Medicaid knew of my kid's private insurance and of course, is going to toss the claim to them, see what they pay - if anything - and then pay whatever. Now the thing is that even our private insurance didn't notify us of the EoB, because if nothing is 'owed' it is their policy to not sent a notification - Medicaid does the same thing. I caught it while I was doing some other reconciliation of a few bills and was 'What the **** is this?'

I ended up speaking to a few attorneys. EACH ONE said that the 'state' (the schools included) can't be sued and it's a pervasive thing that the state is even 'in on' in order to get more funding. They encourage the schools to charge whatever they can, for every day, because there's no way for anyone to check and it's RARE for a parent that has a kid on Medicaid to have private insurance and, like us, because there's no notification for zero patient liability, no EoB notification is generated.

One attorney mused that he suspected the reason why so many kids on Medicaid are placed in special needs (aside from the social-economic aspects) is that the kids have Medicaid that the schools can milk.

****ing awesome, isn't it?

Best part. You know all of those "Report Medicare/Medicaid Fraud" - meh they don't ****ing care. I have a case with full documentation and there's more hoops to jump through than a 10-ring circus.

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Asimov
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Weezie: If "they" don't spend their budget this year, they won't get more next year.

It's pervasive, all government orgs are that way. And *YOU* want to rock the boat? Hah.

Nothing personal, I'm just cynical as hell about anything gov related.

If you really want something done for YOUR case - take it to the media. It won't help the overall situation, but it may make you feel better to take one little bite from their apple.

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Goforbroke
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Quote:
the 'state' (the schools included) can't be sued

It's called "sovereign immunity."

If the jurisdiction is in Indiana, for example, you can try to sue any jurisdiction/school district/college, but they work off of "contributory negligence," which means that if you are even .01% contributing to the infraction, the jurisdiction/school district/college is scot free.

This may not apply in your case, but the ability to sue a "public agency" just does not exist ... even in forseeable circumstances.

Sadly to say, I now know this.


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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
Tickerguy
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Oh you can sue them.

Just not in a courtroom.....

It would be nice if it didn't come to that, but if this **** doesn't stop eventually the people will make sure that it does.

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Weezie
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You can't sue a sovereign, but you can make their lives hell.

Contacted my rep, who was VERY interested (he himself called me back). He made introductions to someone in Medicaid fraud. That person was able to look into her records and just sighed. They've seen this before. The whole district is going to get an 'up your ass' audit most likely.

She then gave me the 'correct' people in the Office of Inspector General, State Attorney General, and FTC (those three to report Identity Theft), the Office of Civil Rights (part of the OIG) for the HIPPA violations, and she has the Medicaid part. Was also told to fine a complaint with the Board of Education (may or may not do that because they're useless ****s), a general complaint to the State Attorney General (they do Medicaid fraud too), and file a police report.

There is enough information on this case that some folks at the school will have to wear Depends.

Of course, we'll go to the media. We're not going to 'settle.' We're comfortable and have everything paid off, we're not going to take a check so we shut up. I want to raise the price of doing this so ****ing high that it ****s their payoff matrix.

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Demosthenes
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Is Louis Gohmert your Rep? If he isn't, you might try reaching out to Gohmert in addition to your own representative. He's sniffing into Medicaid fraud, and is actively asking people to send him their story and tips. I'm kind of guessing he is, which means you are in the right hands at least. I'm sorry they did that to your daughter. That's all kinds of wrong.
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