Kunstler: Meow.
For all his blunders and stumbles in his first half-year as President (cough cough), Donald Trump seems to have more lives than Schrödinger’s Cat. Or maybe it just seems that way. Or maybe he isn’t really there at all (like the news these days). Maybe Trump only represents one comic probability in an infinite number of universes of probability, both comic and tragic. I begin to understand why the folks in Hollywood are having a whack attack over the chief executive: you can’t storyboard this bitch; it’s like leaving The Three Stooges on their own in a sound stage to re-make Gone With the Wind.
But then, you begin to wonder: is Russia really there, or is it, too, just another figment of possibility? Don’t try to figure that out by reading the oracular observations of The Washington Post. These days Russia seems to be at once everywhere and nowhere, like the Devil north of Boston in 1693. For example, this fellow Jeff Sessions. Have you noticed that his name rhymes with Russians? Hmmmm. And wasn’t he caught chatting with the Russian Ambassador at the very same convocation of Republicans that picked notorious colluder Donald Trump to stand for President? That’s enough of your damn evidence right there!
Yes, things are passing strange in the world’s greatest democracy these days. To me, seeing the thing through an historical lens, it’s looking more and more like the Salem Witch Frenzy meets the French Revolution with a spin of quantum confusion on top. Right now we’re in the first phase, sheer political lunacy. Beliefs have become ungrounded from the facts of life. The guy whom fate or a prankish deity put in the White House doesn’t even fit the template of the world’s most infamous heads-of-state. I’m sorry to dredge up old Adolf, but really, Hitler himself seemed to have a much firmer idea about what he was doing than Trump does.
The ObamaCare reform fiasco looks like a tipping point toward a strain of toxic political paralysis that might literally kill the government as we’ve known it. Over the many months of debate, congress never even got around to raising the salient issue: that the 18-or-so-percent of the economy “health care” represents consists largely of outright racketeering. Well, they sure blew that one. The major parties are disintegrating before our eyes, despite the seeming sense of decorum that senators present on TV. The public may seem to be mentally on vacation, snoozing on the beach in the midsummer doldrums, but something vicious is in the wind offshore.
I’d actually go further now than the “soft coup d’état” scenario that has Trump run over by the 25th amendment. It will happen, of course, but it will not satisfy anybody. Mike Pence will prove to be as ineffectual and unpopular as Trump, and he will be drowning in financial and fiscal problems, and he will get no help from the legislature in resolving any of it, and before too long there may be a general in the White House — or attempting to run things from someplace else, if he can. The whole nauseating spectacle will be attended by violent popular revolt of region against region and tribe against tribe in a great civil explosion of long-suppressed angst.
Too many nasty forces are vectoring in on the scene to overthrow the dream state America has been languishing in. Most of them involve money (or “money”) and the questions of how can we possibly keep paying for the way we live in this country, and who exactly has been fobbing off with the former wealth of every rusted and busted community in the land? It’s going to start in the stock and bond markets and it will be soon. And then the US Treasury will destroy the dollar trying (again) to save the banks. And the bank accounts will be frozen. And the loans will stop being paid. And the SNAP cards are going to stop working, and pretty soon the just-in-time deliveries to the supermarkets, and the resupply to the gas stations, and there won’t be much that Mike Pence can do about it. He’ll be shoved aside and the military will have to try to restore order in the land. When they do, it will not be the same land we sang about back in the fifth grade. Up in a cloud somewhere over Ohio, maybe, Schrödinger’s Cat will be gazing down on us, grinning.
Showing posts with label health care. Show all posts
Showing posts with label health care. Show all posts
Friday, July 21, 2017
Friday, June 23, 2017
Kunstler: Rain Dance. (Plus, McCain.)
Kunstler: Rain Dance.
Think of the ObamaCare reform debate now playing in the US Senate as the final gurglings of polity that knows it is whirling around the drain. They’re pretending to attempt to fix a racket that comprises eight percent of the American economy. Yikes! How did that happen? At the beginning of the 20th century it was one-quarter of one percent (.25 percent) of the economy.
...
The standard explanation is that, first, Medicare jacked up overall healthcare activity in the 1960s, hauling in a customer-base of old folks who previously received no special treatment and were, generally, less well than non-old folk. Secondarily, technological innovation opened up so many new methods of disease control for everybody, young and old, that we’re able to treat more sickness in more complicated ways — and that drove costs up way further.
The greater part of the story remains neatly concealed within the matrix of rackets erected around the money-flows since the big cost bump-up in the 1960s, and these involve insurance companies, Big Pharma, corporatized doctors’ practices, hospital monopolies, and, of course, politicians on-the-take dividing amongst each other a colossal pool of grift that exists mainly for one simple reason: the cost of everything is hidden from public view.
Nobody has any idea what anything costs. Certainly not the patients, sometimes called “customers” or “consumers” — but really hostages. If you go into the hospital for a stent in the left descending coronary artery, nobody will tell you what it costs, starting with the doctors who have performed the procedure a thousand times. They can’t even estimate the cost (or won’t), though they could probably give you a pretty good ballpark number for the cost-and-installation of a new fuel pump on their BMW-28i.
Charges for medical care are never discussed with the patient. Doctors especially pretend to regard such a proposition as beneath the dignity of their profession, rather like British aristocrats regarded all questions pertaining to money in the Downton Abby scheme of things — a filthy business better left to the servants, like disposing of the table-scraps. Of course the “servants” in the hospital scheme of things are a fantastic hierarchy of dangerously overfed clerks overwhelmed by the anomie of spending countless hours typing fictitious numbers into their work stations. A more pointless life can hardly be conceived. If you ask the ones who “interface” with you at the check-out counter how your bill was toted up exactly, you will receive nothing more than a pitiless stare of contempt — which is actually aimed inward at their own existential quandaries, a pathological dynamic that perhaps deserves attention from the research funding troughs.
The cost of everything medical is worked out in a private rain-dance between the aforementioned manifold concerned parties on the basis of what they think they can get away with in any particular case. In hospitals, this is enabled by the notorious ChargeMaster system which, to put it as simply as possible, allows hospitals to just make shit up.
More here.
-------
Edit: And might I say that I've never cared for McCain, not even in 2000, when the media was chattering about him as an alternative to George Bush. This is just another reason why. #mccaintheweathervane
Think of the ObamaCare reform debate now playing in the US Senate as the final gurglings of polity that knows it is whirling around the drain. They’re pretending to attempt to fix a racket that comprises eight percent of the American economy. Yikes! How did that happen? At the beginning of the 20th century it was one-quarter of one percent (.25 percent) of the economy.
...
The standard explanation is that, first, Medicare jacked up overall healthcare activity in the 1960s, hauling in a customer-base of old folks who previously received no special treatment and were, generally, less well than non-old folk. Secondarily, technological innovation opened up so many new methods of disease control for everybody, young and old, that we’re able to treat more sickness in more complicated ways — and that drove costs up way further.
The greater part of the story remains neatly concealed within the matrix of rackets erected around the money-flows since the big cost bump-up in the 1960s, and these involve insurance companies, Big Pharma, corporatized doctors’ practices, hospital monopolies, and, of course, politicians on-the-take dividing amongst each other a colossal pool of grift that exists mainly for one simple reason: the cost of everything is hidden from public view.
Nobody has any idea what anything costs. Certainly not the patients, sometimes called “customers” or “consumers” — but really hostages. If you go into the hospital for a stent in the left descending coronary artery, nobody will tell you what it costs, starting with the doctors who have performed the procedure a thousand times. They can’t even estimate the cost (or won’t), though they could probably give you a pretty good ballpark number for the cost-and-installation of a new fuel pump on their BMW-28i.
Charges for medical care are never discussed with the patient. Doctors especially pretend to regard such a proposition as beneath the dignity of their profession, rather like British aristocrats regarded all questions pertaining to money in the Downton Abby scheme of things — a filthy business better left to the servants, like disposing of the table-scraps. Of course the “servants” in the hospital scheme of things are a fantastic hierarchy of dangerously overfed clerks overwhelmed by the anomie of spending countless hours typing fictitious numbers into their work stations. A more pointless life can hardly be conceived. If you ask the ones who “interface” with you at the check-out counter how your bill was toted up exactly, you will receive nothing more than a pitiless stare of contempt — which is actually aimed inward at their own existential quandaries, a pathological dynamic that perhaps deserves attention from the research funding troughs.
The cost of everything medical is worked out in a private rain-dance between the aforementioned manifold concerned parties on the basis of what they think they can get away with in any particular case. In hospitals, this is enabled by the notorious ChargeMaster system which, to put it as simply as possible, allows hospitals to just make shit up.
More here.
-------
Edit: And might I say that I've never cared for McCain, not even in 2000, when the media was chattering about him as an alternative to George Bush. This is just another reason why. #mccaintheweathervane
John McCain's political career, summed up in two tweets pic.twitter.com/PboQiaKTTn
— Hussain (@Chemzes) June 22, 2017
Friday, May 05, 2017
Thursday, May 04, 2017
Scoot, Scoot
Chaffetz is all smiles as he scoots back from a fully-insured surgery to repeal health coverage for millions. pic.twitter.com/XrM8DSQXO2
— Ben Marter (@BenMarter) May 4, 2017
-----
8 May update: Chaffetz was set to give the keynote address at the Hawaii GOP Lincoln Day Dinner tonight. Because of his foot surgery, he was unable to attend and the event has been postponed to 7 July.
HawaiiFreePress.com: Hawaii Republicans Postpone Lincoln Day Dinner.
News Release from Hawaii Republican Party, May 1, 2017
Last week, Congressman Jason Chaffetz (R-UT) was advised by his doctors to undergo surgery on his ankle, which he had injured years earlier. The Congressman entered the hospital last Thursday and is expected to be released, with limited mobility, this week. He has informed us that he is unable to travel to Hawaii to be our Keynote Speaker at the 2017 Lincoln Dinner.
Due to these circumstances and with the cooperation of the Hawaii Convention Center and our donors, we are working to establish a new date for the event. As soon as the new date and time are confirmed we will advise the membership immediately.
Jack James
Hawaii Republican Party
Executive Director
The Hill April 27: "Chaffetz resting after 'successful' foot surgery"
* * * * *
HAWAII REPUBLICAN PARTY ANNOUNCES 2017 LINCOLN DINNER AND KEYNOTE SPEAKER
From www.GOPHawaii.com
Aloha Hawaii Republicans,
We are pleased to announce that Congressman Jason Chaffetz of Utah will be the keynote speaker for our 2017 Lincoln Dinner, which will be held on Monday, May 8, 2017 at the Hawaii Convention Center in Honolulu. The proceeds from this event will help us recruit, train, and support candidates for the upcoming 2018 election cycle as well as pay our operating expenses.
Representative Chaffetz became the Chairman of the House Oversight & Government Reform Committee in January 2015. He is currently serving his fourth term in the US House of Representatives. In the 114th Congress, he also serves on the House Judiciary Committee.
The values Congressman Chaffetz embraces are reflected in the issues he has prioritized during the course of his service. He ran for office on the promise of returning to the core conservative principles of accountability, strong national defense, limited government and fiscal discipline.
Accountability has been a hallmark of his work. Prior to being named Chairman of the Oversight Committee, he played a prominent role in numerous substantive investigations, including the Benghazi terrorist attack, the Fast & Furious gun running operation, the IRS targeting scandal and the Secret Service investigation. He is deeply engaged in exposing waste, fraud and abuse within the federal government.
Foreign policy and national security are a key focus of his work on both the Oversight and previously on the Homeland Security Committee. He has made numerous trips overseas to investigate issues ranging from embassy overspending to foreign aid waste. His trip to Libya in the weeks following the September 11, 2012 attack became the impetus for a broader investigation and the appointment of a Select Committee.
To learn more about Rep. Chaffetz, please click on this link.
To reserve and buy your table or tickets on Eventbrite, please click here.
To get a full size printable flyer, go to this web page.
Please contact Jack James, our Executive Director, at 808-593-8180 for additional details.
For more information and to stay connected, please like us on Facebook at www.facebook.com/HawaiiRepublicanParty, follow us on Twitter @gophawaii, and visit our website at www.gophawaii.com.
Sincerely,
Fritz Rohlfing
State Chair
http://gophawaii.com/?page_id=1864
Sunday, April 02, 2017
Deals are Made on the Golf Course
Thank you to @realDonaldTrump for working with @RandPaul!https://t.co/lIDwwd5gkJ#Healthcare #SundayFunday #OpeningDay
— Scott Presler (@ScottPresler) April 2, 2017
Rand Paul says he had a "great time" golfing with Trump: We are "getting closer" to healthcare deal https://t.co/2JFfTIv1Ih pic.twitter.com/fvcJeS7Bj9
— The Hill (@thehill) April 2, 2017
Trump plays golf with Rand Paul, budget chief at Trump Golf Club in Virginia https://t.co/Ozd5ely2cx pic.twitter.com/6nYJwg5kk8
— The Hill (@thehill) April 2, 2017
Friday, March 31, 2017
Kunstler: Racket of Rackets.
Kunstler: Racket of Rackets.
More at the above link.
----
Friday bonus: The Big Contraction: An Interview With James Howard Kunstler.
If you thought banking in our time was a miserable racket — which it is, of course, and by “racket” I mean a criminal enterprise — then so-called health care has it beat by a country mile, with an added layer of sadism and cruelty built into its operations. Lots of people willingly sign onto mortgages and car loans they wouldn’t qualify for in an ethically sound society, but the interest rates and payments are generally spelled out on paper. They know what they’re signing on for, even if the contract is reckless and stupid on the parts of both borrower and lender. Pension funds and insurance companies foolishly bought bundled mortgage bonds of this crap concocted in the housing bubble. They did it out of greed and desperation, but a little due diligence would have clued them into the fraud being served up by the likes of Goldman Sachs.
Medicine is utterly opaque cost-wise, and that is the heart of the issue. Nobody in the system will say what anything costs and nobody wants to because it would break the spell that they work in an honest, legit business. There is no rational scheme for the cost of any service from one “provider” to the next or even one patient to the next. Anyway, the costs are obscenely inflated and concealed in so many deliberately deceptive coding schemes that even actuaries and professors of economics are confounded by their bills. The services are provided when the customer is under the utmost duress, often life-threatening, and the outcome even in a successful recovery from illness is financial ruin that leaves a lot of people better off dead.
It is a hostage racket, in plain English, a disgrace to the profession that has adopted it, and an insult to the nation. All the idiotic negotiations in congress around the role of insurance companies are a grand dodge to avoid acknowledging the essential racketeering of the “providers” — doctors and hospitals. We are never going to reform it in its current incarnation. For all his personality deformities, President Trump is right in saying that ObamaCare is going to implode. It is only a carbuncle on the gangrenous body of the US medical establishment. The whole system will go down with it.
More at the above link.
----
Friday bonus: The Big Contraction: An Interview With James Howard Kunstler.
Saturday, March 04, 2017
Kunstler: POTUS at SOTUS [sic]
Kunstler's Friday column. (It's not abbreviated "SOTUS" but "SOTU" for State of the Union. And it wasn't formally a State of the Union address.)
Kunstler: POTUS at SOTUS"
President Trump garnered props from many quarters for not acting like a crazy person when he delivered his State of the Union address, but one part of the proceedings sure made my skin crawl: the two minutes of applause for Carryn Owens, widow of William “Ryan” Owens, the Navy SEAL recently killed in action in Yemen.
This culture is so screwed up that we have lost all sense of appropriate behavior and decorum. A situation like that customarily calls for a minute of silence, not a round of applause. Don’t we know that? This is not an award ceremony? Being widowed in such a way is a grave life event, not an accomplishment. Not only have we allowed ourselves to be carried away by emotion, but we don’t even know which emotion to attach to which event anymore. And the one appropriate behavior we seem incapable of is silent solemnity — not surprising in a society beset by the noise of incessant messaging.
Of course the politicos assembled were following the cue of President Trump who clapped the loudest — and right into the podium microphone, too — and wouldn’t let up, until everybody in the chamber appeared to be hostage to his idiotic cheerleading, all in all an interesting demonstration of the madness of crowds.
Speaking of comportment and messaging, what was with those Democratic congresswomen all gotten up in white costumes? The LA Times ventured that the this was the emblematic color for suffragettes back in the day. Maybe the congresswomen haven’t heard, but that battle is over. Many women actually voted in the recent election, some even for these female office-holders. The same paper also suggested they might be emulating the sacred white pants-suit that their fallen heroine, Hillary, wore for the occasion of her demi-apotheosis at the convention last summer. Isn’t dressing alike something generally reserved for junior high school or KKK rallies?
A few other notes on the substantive particulars of the SOTU evening:
The ObamaCare quandary. A fiasco for sure. Under it, not uncommonly, a family pays $12,000-a-year for a policy that carries a $5,000 deductible. That’s an interesting number in a land were most people don’t even have enough ready cash for routine car repairs. The cruel and idiotic injustice of such a set-up could only happen in a society that has normalized pervasive lying, universal accounting fraud, and corporate racketeering. I personally doubt the existing health care system can be reformed. Anyway, we’re starting in the wrong place with it.
The part that nobody talks about is the psychopathic pricing system that drives medicine. The average cost for a normal (non-surgical) hospital childbirth in America these days is $10,000. WTF? An appendectomy: between $9,000 and $20,000 depending on where. WTF? These days, a hip replacement runs about $38,000. Of course, you will never find out what a treatment or procedure costs before-the-fact. They simply won’t tell you. They’ll say something utterly ridiculous like, “we just don’t know.”
You’ll find out when the bills roll in. Last time I had a hip replacement, I received a single line-item hospital charge report from the insurance company that said: “Room and board, 36 hours… $23,000.” Say what? This was apart from the surgeon’s bill and the cost of the metal implant, just for occupying a bed for a day and a half pending discharge. They didn’t do a damn thing besides take my blood pressure and temperature a dozen times, and give me a few hydrocodone pills.
The ugly truth, readers, is that medicine in the USA is a hostage racket. They have you in a tight spot at a weak moment and they extract maximum payment to allow you to get on with your life, with no meaningful correlation to services rendered — just whatever they could get. Until these racketeers are compelled under law to post their prices openly and transparently, no amount of tweaking the role of insurers or government policy will make any difference. Note, too, that there is a direct connection between the outrageous salaries of hospital executives and their non-transparent, dishonest, and extortionist pricing machinations. The pharma industry is, of course, a subsidiary racket and needs to be subject to the kind of treatment the Department of Justice used to dispense to the likes of the Teamsters Union.
The healthcare system probably will not be reformed, but rather will collapse, and when it does, it will reorganize itself in a way that barely resembles current practice. For one thing, citizens will have to gain control over their own disastrous behavior, especially their eating, or else suffer the consequences, namely an early death. Second, the hospital system must be decentralized so that localities are once again served by small hospitals and clinics. The current system represents a mergers-and-acquisitions orgy that went berserk the past quarter century. The resulting administrative over-burden at every medical practice in the land is a perfectly designed fraud machine for enabling rackets. Preliminary verdict: congress will get nowhere in 2017 trying to fix this mess. Some things are too big to fail; some are too broken to fix. The coming debacle in finance, markets, and currencies will speed its demise.
Boos and catcalls rose from the Democratic side of the house chamber when Trump brought up the issue of immigration. Taking a position against the rule-of-law is an argument that the Democratic Party is not likely to win. It seems a cynical ploy to pander to a burgeoning Hispanic voter base, combined with a sentimental crypto-religious belief that any effort to regulate immigration is un-American. In any case, they act like people who are unable to think clearly. Trump can to some degree act independently of congress on the enforcement side of existing law, and apparently he intends to do that. Can his opponents find a position on the issue that is not cynical, sentimental, or hysterical? If not, it may be another factor in the death of the Democratic party.
Trump appears eager to continue the idiotic war on drugs that has the effect of making that traffic into an even more deadly and destructive criminal racket. It has already turned millions of small-timers into felon pariahs who can’t find any other employment when they get out of jail even if they want to try. The growing disparity between state and federal law on marijuana, for one thing, is a dangerous legal contradiction that could lead to other failures of federalism. Sanctuary cities is another one. Before long, federal law becomes meaningless and, voila, so does the United States of America. We better get our heads straight on this.
I also cringed when Trump trumpeted the supernatural rise in the stock markets since his election. Looks like a dangerous blow-off topping event to me, the ugly climax to the era of anything-goes-and-nothing-matters. Apparently, he’s unacquainted with the history of stock markets and their tell-tale behaviors. Beyond the markets, grave problems with currencies and banks await an epochal readjustment in the value and price of everything. The event could easily shut down the global banking system for a period of time, and it’s liable to be an interruption that advanced economies can’t recover from — but only re-start at a much lower level of activity and complexity than what we’re used to. Nobody can calculate the cost of that disorder and Trump is cruising into that implacable wall of woe at ramming speed. I don’t think he’ll survive it in office.
Kunstler: POTUS at SOTUS"
President Trump garnered props from many quarters for not acting like a crazy person when he delivered his State of the Union address, but one part of the proceedings sure made my skin crawl: the two minutes of applause for Carryn Owens, widow of William “Ryan” Owens, the Navy SEAL recently killed in action in Yemen.
This culture is so screwed up that we have lost all sense of appropriate behavior and decorum. A situation like that customarily calls for a minute of silence, not a round of applause. Don’t we know that? This is not an award ceremony? Being widowed in such a way is a grave life event, not an accomplishment. Not only have we allowed ourselves to be carried away by emotion, but we don’t even know which emotion to attach to which event anymore. And the one appropriate behavior we seem incapable of is silent solemnity — not surprising in a society beset by the noise of incessant messaging.
Of course the politicos assembled were following the cue of President Trump who clapped the loudest — and right into the podium microphone, too — and wouldn’t let up, until everybody in the chamber appeared to be hostage to his idiotic cheerleading, all in all an interesting demonstration of the madness of crowds.
Speaking of comportment and messaging, what was with those Democratic congresswomen all gotten up in white costumes? The LA Times ventured that the this was the emblematic color for suffragettes back in the day. Maybe the congresswomen haven’t heard, but that battle is over. Many women actually voted in the recent election, some even for these female office-holders. The same paper also suggested they might be emulating the sacred white pants-suit that their fallen heroine, Hillary, wore for the occasion of her demi-apotheosis at the convention last summer. Isn’t dressing alike something generally reserved for junior high school or KKK rallies?
A few other notes on the substantive particulars of the SOTU evening:
The ObamaCare quandary. A fiasco for sure. Under it, not uncommonly, a family pays $12,000-a-year for a policy that carries a $5,000 deductible. That’s an interesting number in a land were most people don’t even have enough ready cash for routine car repairs. The cruel and idiotic injustice of such a set-up could only happen in a society that has normalized pervasive lying, universal accounting fraud, and corporate racketeering. I personally doubt the existing health care system can be reformed. Anyway, we’re starting in the wrong place with it.
The part that nobody talks about is the psychopathic pricing system that drives medicine. The average cost for a normal (non-surgical) hospital childbirth in America these days is $10,000. WTF? An appendectomy: between $9,000 and $20,000 depending on where. WTF? These days, a hip replacement runs about $38,000. Of course, you will never find out what a treatment or procedure costs before-the-fact. They simply won’t tell you. They’ll say something utterly ridiculous like, “we just don’t know.”
You’ll find out when the bills roll in. Last time I had a hip replacement, I received a single line-item hospital charge report from the insurance company that said: “Room and board, 36 hours… $23,000.” Say what? This was apart from the surgeon’s bill and the cost of the metal implant, just for occupying a bed for a day and a half pending discharge. They didn’t do a damn thing besides take my blood pressure and temperature a dozen times, and give me a few hydrocodone pills.
The ugly truth, readers, is that medicine in the USA is a hostage racket. They have you in a tight spot at a weak moment and they extract maximum payment to allow you to get on with your life, with no meaningful correlation to services rendered — just whatever they could get. Until these racketeers are compelled under law to post their prices openly and transparently, no amount of tweaking the role of insurers or government policy will make any difference. Note, too, that there is a direct connection between the outrageous salaries of hospital executives and their non-transparent, dishonest, and extortionist pricing machinations. The pharma industry is, of course, a subsidiary racket and needs to be subject to the kind of treatment the Department of Justice used to dispense to the likes of the Teamsters Union.
The healthcare system probably will not be reformed, but rather will collapse, and when it does, it will reorganize itself in a way that barely resembles current practice. For one thing, citizens will have to gain control over their own disastrous behavior, especially their eating, or else suffer the consequences, namely an early death. Second, the hospital system must be decentralized so that localities are once again served by small hospitals and clinics. The current system represents a mergers-and-acquisitions orgy that went berserk the past quarter century. The resulting administrative over-burden at every medical practice in the land is a perfectly designed fraud machine for enabling rackets. Preliminary verdict: congress will get nowhere in 2017 trying to fix this mess. Some things are too big to fail; some are too broken to fix. The coming debacle in finance, markets, and currencies will speed its demise.
Boos and catcalls rose from the Democratic side of the house chamber when Trump brought up the issue of immigration. Taking a position against the rule-of-law is an argument that the Democratic Party is not likely to win. It seems a cynical ploy to pander to a burgeoning Hispanic voter base, combined with a sentimental crypto-religious belief that any effort to regulate immigration is un-American. In any case, they act like people who are unable to think clearly. Trump can to some degree act independently of congress on the enforcement side of existing law, and apparently he intends to do that. Can his opponents find a position on the issue that is not cynical, sentimental, or hysterical? If not, it may be another factor in the death of the Democratic party.
Trump appears eager to continue the idiotic war on drugs that has the effect of making that traffic into an even more deadly and destructive criminal racket. It has already turned millions of small-timers into felon pariahs who can’t find any other employment when they get out of jail even if they want to try. The growing disparity between state and federal law on marijuana, for one thing, is a dangerous legal contradiction that could lead to other failures of federalism. Sanctuary cities is another one. Before long, federal law becomes meaningless and, voila, so does the United States of America. We better get our heads straight on this.
I also cringed when Trump trumpeted the supernatural rise in the stock markets since his election. Looks like a dangerous blow-off topping event to me, the ugly climax to the era of anything-goes-and-nothing-matters. Apparently, he’s unacquainted with the history of stock markets and their tell-tale behaviors. Beyond the markets, grave problems with currencies and banks await an epochal readjustment in the value and price of everything. The event could easily shut down the global banking system for a period of time, and it’s liable to be an interruption that advanced economies can’t recover from — but only re-start at a much lower level of activity and complexity than what we’re used to. Nobody can calculate the cost of that disorder and Trump is cruising into that implacable wall of woe at ramming speed. I don’t think he’ll survive it in office.
Monday, January 23, 2017
Kunstler: He Is Risen...But For How Long.
Excerpts from Kunstler's latest:
Kunstler: He Is Risen...But For How Long.
Trump was correct that the ruins of industry stand like tombstones on the landscape. The reality may be that an industrial economy is a one-shot deal. When it’s gone, it’s over. Even assuming the money exists to rebuild the factories of the 20th century, how would things be produced in them? By robotics or by brawny men paid $15-an-hour? If it’s robotics, who will the customers be? If it’s low-wage workers, how are they going to pay for the cars and washing machines? If the brawny men are paid $40 an hour, how would we sell our cars and washing machines in foreign markets that pay their workers the equivalent of $1.50 an hour. How can American industry stay afloat with no export market? If we don’t let foreign products into the US, how will Americans buy cars that are far more costly to make here than the products we’ve been getting? There’s no indication that Trump and his people have thought through any of this.
Trump can pull out the stops (literally, the regulations) to promote oil production, but he can’t alter the declining energy return on investment that is bringing down the curtain on industrial society. In fact, pumping more oil now at all costs will only hasten the decline of affordable oil. His oft-stated wish to simply “take” the oil from Middle Eastern countries would probably lead to sabotage of their oil infrastructure and the cruel death of millions. He would do better to prepare Americans for the project of de-suburbanizing the nation, but I doubt that the concept has ever entered his mind.
The problems with Obamacare, and so-called health care generally, are burdened with so many layers of arrant racketeering that the system may only be fixable if it is destroyed in its current form — the overgrown centralized hospitals, the overpaid insurance and hospital executives, the sore-beset physicians carrying six-figure college-and-med-school loans, the incomprehensible and extortionate pricing system for care, the cruel and insulting bureaucratic barriers to obtain care, the disgraceful behavior of the pharmaceutical companies, all add up to something no less than a colossal hostage racket, robbing and swindling people at their most vulnerable. So far, nobody has advanced a coherent plan for changing it. Loosing the Department of Justice to prosecute the medical racketeers directly would be a good start. Overcharging and defrauding sick people ought to be a criminal act. But don’t expect that to happen in a culture where anything goes and nothing matters. A financial crisis could be the trigger for ending the massive medical grift machine. Then what? Back to locally organized clinic-scale medicine… if we should be so lucky.
...
Do you suppose Trump is going to improve? That was the hope after the election: that he’d take on some POTUS polish. No, what you see is what you get. I can only imagine that what’s going on behind the scenes in various halls of power would make a Matt Damon Bourne movie look like a sensitivity training session — grave professional men and women on all fours with their hair on fire howling into the acoustical ceiling tiles.
Kunstler: He Is Risen...But For How Long.
Trump was correct that the ruins of industry stand like tombstones on the landscape. The reality may be that an industrial economy is a one-shot deal. When it’s gone, it’s over. Even assuming the money exists to rebuild the factories of the 20th century, how would things be produced in them? By robotics or by brawny men paid $15-an-hour? If it’s robotics, who will the customers be? If it’s low-wage workers, how are they going to pay for the cars and washing machines? If the brawny men are paid $40 an hour, how would we sell our cars and washing machines in foreign markets that pay their workers the equivalent of $1.50 an hour. How can American industry stay afloat with no export market? If we don’t let foreign products into the US, how will Americans buy cars that are far more costly to make here than the products we’ve been getting? There’s no indication that Trump and his people have thought through any of this.
Trump can pull out the stops (literally, the regulations) to promote oil production, but he can’t alter the declining energy return on investment that is bringing down the curtain on industrial society. In fact, pumping more oil now at all costs will only hasten the decline of affordable oil. His oft-stated wish to simply “take” the oil from Middle Eastern countries would probably lead to sabotage of their oil infrastructure and the cruel death of millions. He would do better to prepare Americans for the project of de-suburbanizing the nation, but I doubt that the concept has ever entered his mind.
The problems with Obamacare, and so-called health care generally, are burdened with so many layers of arrant racketeering that the system may only be fixable if it is destroyed in its current form — the overgrown centralized hospitals, the overpaid insurance and hospital executives, the sore-beset physicians carrying six-figure college-and-med-school loans, the incomprehensible and extortionate pricing system for care, the cruel and insulting bureaucratic barriers to obtain care, the disgraceful behavior of the pharmaceutical companies, all add up to something no less than a colossal hostage racket, robbing and swindling people at their most vulnerable. So far, nobody has advanced a coherent plan for changing it. Loosing the Department of Justice to prosecute the medical racketeers directly would be a good start. Overcharging and defrauding sick people ought to be a criminal act. But don’t expect that to happen in a culture where anything goes and nothing matters. A financial crisis could be the trigger for ending the massive medical grift machine. Then what? Back to locally organized clinic-scale medicine… if we should be so lucky.
...
Do you suppose Trump is going to improve? That was the hope after the election: that he’d take on some POTUS polish. No, what you see is what you get. I can only imagine that what’s going on behind the scenes in various halls of power would make a Matt Damon Bourne movie look like a sensitivity training session — grave professional men and women on all fours with their hair on fire howling into the acoustical ceiling tiles.
Monday, May 02, 2016
Kunstler: Send Out the Clowns
Kunstler: Send Out the Clowns.
In this decade of maximum peril, a prankish God delivers two maximally detested candidates to lead the faltering nation as events run ahead of all the convenient narratives. For instance: the idea that Republican “insiders” can block Trump’s path to the nomination. The insiders may be phantoms after all. For instance, the loathsome Koch brothers have already made their move onto Hillary’s side of the game-board. Trump won’t miss their campaign contributions for a New York minute (while Hillary might find a way to stuff the cash into some Cayman Islands lock-box of the Clinton Foundation).
Events played right into Trump’s smallish hands last week when protesters outside a Donald rally in Costa Mesa, CA, waved Mexican flags and placards calling for the reestablishment of Aztlán del Norte. Kind of proves his point about illegal immigration, don’t it? Trump also supposedly blundered in saying that Hillary had only “the women’s card” left to play in her donkey trot to the election. I’m not so sure he’s wrong about that — though the indignometer needle danced through the red-line after he said it.
Has it come to this? The women’s party against the men’s party? What kind of idiot psychodrama is this country acting out? Mom and dad mud-wrestling in an election year hog-wallow? A Reality TV show writ large from sea to shining sea? Are there no better ways of understanding the difficulties we face?
Lately Hillary has been boasting of her ability to bring Wall Street to heel, theoretically after Wall Street installs her in the White House. Voters (especially women) might want to pay attention to Hillary’s lavish praise for President Obama’s handling of the banking turpitudes still unresolved seven years after the crack-up of 2008. What did the Dodd-Frank Act (signed by “O” in 2010) accomplish except to provide more lucrative work-arounds, by Too-Complex-To-Comprehend legalese, for Too-Big-To-Fail banks. It was written by bank lobbyists and lawyers and was about 2,270 pages longer than the old Glass Steagall Act that Bill Clinton vaporized in 1999. Do you suppose that Bill and Hill might have talked about the repeal of Glass Steagall back then? Do you wonder what she thought about it at the time… being a lawyer and all?
This week attention is fixed on the Indiana primary where Devil Bat Ted Cruz desperately makes his last stand against the Trump juggernaut. It seems that former House Speaker John Boehner actually succeeded in driving a wooden stake through Cruz’s hypothetical heart by casually remarking that he was “the most miserable sonofabitch I ever worked with.” Kind of hard to explain that one away, though Ted tried by sending out his new attack dog Carly Fiorina and claiming that he never worked with the Speaker of the House — a risible claim for a national legislator in the same party.
All of this would be amusing if the USA wasn’t sliding into the twilight of what many people call “modernity” — which is code for the techno-industrial hyper-complexity we’ve been enjoying lately as a species. We have yet to comprehend the diminishing returns of heaping more complexity on what is already too complex. Exhibit A for most of the common folk must be the Affordable Care Act (also signed by “O” in 2010). Whereas the shrewd stylings of Dodd-Frank surely mystify the public, most full-functioning adults understand what it means when their health insurance premiums go up by 20 percent and the new deductible makes it unthinkable to even consider going to the emergency room.
The sad truth may be that rackets of this kind are unreformable, and that we can’t begin to do things differently until they collapse. It should be obvious, for instance, that American health care needs to move in the opposite direction from where it has been going — from giantism, as epitomized by colossal merged mega-hospital corporations, back to some kind of local clinic care in which doctors and their subalterns are not burdened by an oppressive matrix of Charge-Master grift. There may be less razzle-dazzle technology in that future model, but much more hands-on care, plus an end to the kind of financial pillage that bankrupts households for relatively routine illnesses (the $90,000 appendectomy).
Likewise in virtually all other areas of American life, the real trend as yet un-discussed in this election campaign, will be unwinding and downscaling of the onerous, toxic hyper-complexity of the age now passing and finding our way to a workable re-set of what used to be known as political-economy.
In the meantime: a clown show.
In this decade of maximum peril, a prankish God delivers two maximally detested candidates to lead the faltering nation as events run ahead of all the convenient narratives. For instance: the idea that Republican “insiders” can block Trump’s path to the nomination. The insiders may be phantoms after all. For instance, the loathsome Koch brothers have already made their move onto Hillary’s side of the game-board. Trump won’t miss their campaign contributions for a New York minute (while Hillary might find a way to stuff the cash into some Cayman Islands lock-box of the Clinton Foundation).
Events played right into Trump’s smallish hands last week when protesters outside a Donald rally in Costa Mesa, CA, waved Mexican flags and placards calling for the reestablishment of Aztlán del Norte. Kind of proves his point about illegal immigration, don’t it? Trump also supposedly blundered in saying that Hillary had only “the women’s card” left to play in her donkey trot to the election. I’m not so sure he’s wrong about that — though the indignometer needle danced through the red-line after he said it.
Has it come to this? The women’s party against the men’s party? What kind of idiot psychodrama is this country acting out? Mom and dad mud-wrestling in an election year hog-wallow? A Reality TV show writ large from sea to shining sea? Are there no better ways of understanding the difficulties we face?
Lately Hillary has been boasting of her ability to bring Wall Street to heel, theoretically after Wall Street installs her in the White House. Voters (especially women) might want to pay attention to Hillary’s lavish praise for President Obama’s handling of the banking turpitudes still unresolved seven years after the crack-up of 2008. What did the Dodd-Frank Act (signed by “O” in 2010) accomplish except to provide more lucrative work-arounds, by Too-Complex-To-Comprehend legalese, for Too-Big-To-Fail banks. It was written by bank lobbyists and lawyers and was about 2,270 pages longer than the old Glass Steagall Act that Bill Clinton vaporized in 1999. Do you suppose that Bill and Hill might have talked about the repeal of Glass Steagall back then? Do you wonder what she thought about it at the time… being a lawyer and all?
This week attention is fixed on the Indiana primary where Devil Bat Ted Cruz desperately makes his last stand against the Trump juggernaut. It seems that former House Speaker John Boehner actually succeeded in driving a wooden stake through Cruz’s hypothetical heart by casually remarking that he was “the most miserable sonofabitch I ever worked with.” Kind of hard to explain that one away, though Ted tried by sending out his new attack dog Carly Fiorina and claiming that he never worked with the Speaker of the House — a risible claim for a national legislator in the same party.
All of this would be amusing if the USA wasn’t sliding into the twilight of what many people call “modernity” — which is code for the techno-industrial hyper-complexity we’ve been enjoying lately as a species. We have yet to comprehend the diminishing returns of heaping more complexity on what is already too complex. Exhibit A for most of the common folk must be the Affordable Care Act (also signed by “O” in 2010). Whereas the shrewd stylings of Dodd-Frank surely mystify the public, most full-functioning adults understand what it means when their health insurance premiums go up by 20 percent and the new deductible makes it unthinkable to even consider going to the emergency room.
The sad truth may be that rackets of this kind are unreformable, and that we can’t begin to do things differently until they collapse. It should be obvious, for instance, that American health care needs to move in the opposite direction from where it has been going — from giantism, as epitomized by colossal merged mega-hospital corporations, back to some kind of local clinic care in which doctors and their subalterns are not burdened by an oppressive matrix of Charge-Master grift. There may be less razzle-dazzle technology in that future model, but much more hands-on care, plus an end to the kind of financial pillage that bankrupts households for relatively routine illnesses (the $90,000 appendectomy).
Likewise in virtually all other areas of American life, the real trend as yet un-discussed in this election campaign, will be unwinding and downscaling of the onerous, toxic hyper-complexity of the age now passing and finding our way to a workable re-set of what used to be known as political-economy.
In the meantime: a clown show.
Monday, April 18, 2016
Kunstler: The Elephant Cometh.
More gnashing of teeth by Kunstler. He's right about the financial schemes and rackets, including the ones in higher education. I added links to the course descriptions so you can read them for yourselves. But the problem with academia is less with niche courses than with administration. For example: This article recounts Burlington College's descent into debt under the leadership of Jane Sanders, Bernie's wife.
Kunstler: The Elephant Cometh.
The elephant’s not even in the room, which is why the 2016 election campaign is such a soap opera. The elephant outside the room is named Discontinuity. That’s perhaps an intimidating word, but it is exactly what the USA is in for. It means that a lot of familiar things come to an end, stop, don’t work the way they are supposed to — beginning, manifestly, with the election process now underway in all its unprecedented bizarreness.
One reason it’s difficult to comprehend discontinuity is because so many operations and institutions of daily life in America have insidiously become rackets, meaning that they are kept going only by dishonest means. If we didn’t lie to ourselves about them, they couldn’t continue.
For instance the automobile racket. Without a solid, solvent middle-class, you can’t sell cars. Americans are used to paying for cars on installment loans. If the middle class is so crippled by prior debt and the disappearance of good-paying jobs that they can’t qualify for car loans, well, the answer is to give them loans anyway, on terms that don’t really pencil out — such as 7-year loans at 0 percent interest for used cars (that will be worth next to nothing long before the loan expires).
This will go on until it can’t, which is what discontinuity is all about. The car companies and the banks (with help from government regulators and political cheerleaders) have created this work-around by treating “sub-prime” car loans the same way they treated sub-prime mortgages: they bundle them into larger packages of bonds called collateralized loan obligations. These, in turn, are sold mainly to big pension fund and insurance companies desperate for “yield” (higher interest) on “safe” investments that ostensibly preserve their principal. The “collateral” amounts to the revenue streams of payments that are sure to stop because the payers are by definition not credit-worthy, meaning it was baked in the cake that they would quit making payments — especially when they go “under water” owing ever more money for junkers that have lost all value.
It’s easy to see how that ends in tears for all concerned parties, but we “buy into it” because there seems to be no other way to a) boost the so-called “consumer” economy and b) keep the matrix of car-dependant suburban sprawl in operation. We took what used to be a fairly sound idea during a now-bygone phase of history, and perverted it to avoid making any difficult but necessary changes in a new phase of history.
Health care is now such a blatant, odious, and ruinous racket that it is a little hard to believe that it hasn’t ignited an outright revolution or, at least, a workplace massacre in some insurance company C-suite. It is a well-known fact that most Americans don’t even have $500 to pay for a car repair. How are they supposed to cope with a $5,000 deductible health insurance incident? Answer: they can’t. Their mental health is destroyed in the process of attempting to fix their physical health. Not uncommonly, they have to declare bankruptcy after a routine appendectomy or a visit to the emergency room to set a broken arm. Sometimes, they don’t even bother to go to the doctor, seeing clearly how this plays out. The pharmaceutical industry has, of course, been allowed to convert itself into a simple extortion racket. Got an unusual kind of cancer? We have something that might help. Oh, it costs $43,000 a month….
What kind of a polity allows this cruel and indecent grift to go on? Why, the Obama administration, which allowed the health insurance company lobbyists and their colleagues in Big Pharma to “craft” the Affordable Care Act — the name of which must be the biggest public lie ever floated.
It’s interesting to see how a parallel fraud is playing out in higher ed. I submit the reason that college presidents are not pushing back against the Maoist coercions of the undergraduate social justice warriors is because the marvelous theater of the gender, race, and “privilege” melodrama is a potent distraction from the sad fact that college has turned into a grotesquely top-heavy and high-paying administrative racket offering boutique courses in fake fields (Dartmouth College: WGSS 65.06 Radical Sexuality: Of Color, Wildness, and Fabulosity… Harvard University: WOMGEN 1424: American Fetish) in order to pander to their young customers (students) conditioned to tragic “oppression” sob stories. All in the service of paying huge salaries + perqs to the dynamic executives running these places.
Then there is banking, a.k.a. the financial system, certainly the greatest racket of rackets, since the fumes it’s running on — combinations of ZIRP, QE, and “forward guidance” (happy talk) — is all that there is to maintain the illusion that “money” remains a reliable gauge of value. Finance is the racket that will go down first and hardest, and when it does, all the other rackets currently running will go up in a vapor. That elephant will storm into the room before the political conventions, and when it does, it will usher in the recognition that nothing can go on as before.
-----------
Kunstler: The Elephant Cometh.
The elephant’s not even in the room, which is why the 2016 election campaign is such a soap opera. The elephant outside the room is named Discontinuity. That’s perhaps an intimidating word, but it is exactly what the USA is in for. It means that a lot of familiar things come to an end, stop, don’t work the way they are supposed to — beginning, manifestly, with the election process now underway in all its unprecedented bizarreness.
One reason it’s difficult to comprehend discontinuity is because so many operations and institutions of daily life in America have insidiously become rackets, meaning that they are kept going only by dishonest means. If we didn’t lie to ourselves about them, they couldn’t continue.
For instance the automobile racket. Without a solid, solvent middle-class, you can’t sell cars. Americans are used to paying for cars on installment loans. If the middle class is so crippled by prior debt and the disappearance of good-paying jobs that they can’t qualify for car loans, well, the answer is to give them loans anyway, on terms that don’t really pencil out — such as 7-year loans at 0 percent interest for used cars (that will be worth next to nothing long before the loan expires).
This will go on until it can’t, which is what discontinuity is all about. The car companies and the banks (with help from government regulators and political cheerleaders) have created this work-around by treating “sub-prime” car loans the same way they treated sub-prime mortgages: they bundle them into larger packages of bonds called collateralized loan obligations. These, in turn, are sold mainly to big pension fund and insurance companies desperate for “yield” (higher interest) on “safe” investments that ostensibly preserve their principal. The “collateral” amounts to the revenue streams of payments that are sure to stop because the payers are by definition not credit-worthy, meaning it was baked in the cake that they would quit making payments — especially when they go “under water” owing ever more money for junkers that have lost all value.
It’s easy to see how that ends in tears for all concerned parties, but we “buy into it” because there seems to be no other way to a) boost the so-called “consumer” economy and b) keep the matrix of car-dependant suburban sprawl in operation. We took what used to be a fairly sound idea during a now-bygone phase of history, and perverted it to avoid making any difficult but necessary changes in a new phase of history.
Health care is now such a blatant, odious, and ruinous racket that it is a little hard to believe that it hasn’t ignited an outright revolution or, at least, a workplace massacre in some insurance company C-suite. It is a well-known fact that most Americans don’t even have $500 to pay for a car repair. How are they supposed to cope with a $5,000 deductible health insurance incident? Answer: they can’t. Their mental health is destroyed in the process of attempting to fix their physical health. Not uncommonly, they have to declare bankruptcy after a routine appendectomy or a visit to the emergency room to set a broken arm. Sometimes, they don’t even bother to go to the doctor, seeing clearly how this plays out. The pharmaceutical industry has, of course, been allowed to convert itself into a simple extortion racket. Got an unusual kind of cancer? We have something that might help. Oh, it costs $43,000 a month….
What kind of a polity allows this cruel and indecent grift to go on? Why, the Obama administration, which allowed the health insurance company lobbyists and their colleagues in Big Pharma to “craft” the Affordable Care Act — the name of which must be the biggest public lie ever floated.
It’s interesting to see how a parallel fraud is playing out in higher ed. I submit the reason that college presidents are not pushing back against the Maoist coercions of the undergraduate social justice warriors is because the marvelous theater of the gender, race, and “privilege” melodrama is a potent distraction from the sad fact that college has turned into a grotesquely top-heavy and high-paying administrative racket offering boutique courses in fake fields (Dartmouth College: WGSS 65.06 Radical Sexuality: Of Color, Wildness, and Fabulosity… Harvard University: WOMGEN 1424: American Fetish) in order to pander to their young customers (students) conditioned to tragic “oppression” sob stories. All in the service of paying huge salaries + perqs to the dynamic executives running these places.
Then there is banking, a.k.a. the financial system, certainly the greatest racket of rackets, since the fumes it’s running on — combinations of ZIRP, QE, and “forward guidance” (happy talk) — is all that there is to maintain the illusion that “money” remains a reliable gauge of value. Finance is the racket that will go down first and hardest, and when it does, all the other rackets currently running will go up in a vapor. That elephant will storm into the room before the political conventions, and when it does, it will usher in the recognition that nothing can go on as before.
-----------
Tuesday, December 01, 2015
Monday, August 03, 2015
Kunstler: Where Candidates Fear to Tread.
Kunstler: Where Candidates Fear to Tread.
That the snarkier circles of political commentary thrill to the elephantine bellowings of Donald J. Trump only shows the pathetic limitations of the snarkists. They enjoy Trump’s filterless mouth, his harsh goadings of the other presidential wannabes, and his supposed telepathic empathy for the suffering public outside the magic kingdom of DC.
Trump has one legitimate issue, immigration, plus a brief against the general incompetence of professional politicians, and a pocketful of grandiose claims about his majestic skills in business and deal-making. As business goes in this huckster’s paradise, being a real estate developer is perhaps one click above being a car-dealer, and the fact that some of Trump’s artful deals end up in bankruptcy court might argue against his self-proclaimed mastery. Hence, his relegation to the clown category.
What Trump represents most vividly in this moment of history is the astounding lack of seriousness among people who pretend to be political heavyweights. No one so far, including the lovable Bernie Sanders, has nailed a proper bill of grievances to the White House gate. A broad roster of dire issues facing this society ought to be self-evident. But since they are absent so far in the public discussion, here is my list of matters that serious candidates should dare to talk about (all things that a sitting president could take action on):
The security state. America has developed the most horrifying state security apparatus that the world has ever seen in its NSA and associated agencies. It has become the sugar tit for some of the most malevolent enterprises of the corporatocracy — the black ops companies and the weapons dealers. The growth of this monster was not mandated by heaven. A president could lead the move to deconstruct it. A candidate with a decent respect for our heritage would make this a major campaign issue.
Related to this is the disgusting militarization of the police. Police forces in small towns have no business owning MRAP vehicles, tanks, and heavy weaponry. The federal government gave a lot of this stuff to them. Guess what? It can take the stuff back. Serious candidates should propose this.
There is a more general militarization of national life that ought to be disturbing to thoughtful citizens. I live near a US Naval base. I see enlisted men in town wearing desert camo uniforms on their time off. I resent this hugely. Military personnel at home have no business wearing war theater garb in a place where they are not at war. Historically, it was never before the case that US soldiers went about in battle dress at home. This disgusting trend has even been adopted in major league baseball. The New York Mets and the Pittsburgh Pirates have gone on TV wearing camo baseball uniforms. What are they trying to prove? That we are all at war all the time?
The pervasive racketeering in American life is destroying the country. Medical racketeering leads the way. Be very clear: it is a hostage racket. You are the hostage when you are sick or in need of treatment. You will probably agree to anything that will save your life. The medical racketeers know this. Hence, we live under the tyranny of the “Charge-master” pricing system that assigns ludicrous costs to everything doled out as “medicine,” with the pharmaceutical industry creaming off whatever remains. A trip to the ER with a broken arm can easily propel a household into financial ruin. A president could apply the antitrust laws to many of these rackets and practices. There is no excuse for failing to take a stand.
The most dangerous rackets of our time are those running through banking and finance. The superficially genial President Obama has done absolutely nothing to defend the public against gross financial misconduct and pervasive accounting fraud. His justice department has failed to prosecute widespread criminality in banking and his regulators at the Securities and Exchange Commission and other agencies have sat on their hands for six years while markets are hijacked and manipulated. This behavior gives credence to a greater conspiracy between the governments, the “systemically important” banks, and the Federal Reserve to prop up a Potemkin financialized economy for political cover and favor at the expense of crumbling real economy. A potential president has got to swear to defend the public against these institutional turpitudes. A president can lead the way by proposing to reinstate the Glass-Steagall act and by directing the justice department to break up the “systemically important” banks before they implode the entire operating system of the global economy.
President Obama didn’t do a damn thing in the wake of the 2010 Citizens United decision issued by the Supreme Court. This decision endowed the alleged “personhood” of corporations with a “right” to express their political opinions by giving money in unlimited amounts to candidates. The decision has been a disaster, since it amounted to a “right” to buy elections. The “personhood” of corporations has evolved during the industrial age from a very circumscribed set of chartered practices to the very dubious realm of “personhood” privileges. The basic truth is that corporations do not have duties, obligations, or responsibilities to the public interest; only to their shareholders and boards of directors; and this condition should be self-evident to jurists. Hence, it is necessary to directly address by statute or constitutional amendment the limitations on the personhood of corporations. A president can lead the effort to do this via his party allies in congress.
Why has the foreign policy apparatus of the USA gone into the business of antagonizing Russia? How does it benefit the American people for its government to finance and direct a coup d’é·tat in Ukraine? Why did the Senate Foreign Relations Committee cease to function. Some of the GOP candidates for president are sitting senators. Why doesn’t press inquire of their failure? Why is there no public discussion of this very disturbing policy?
President Obama promised in 2009 to put an end to the revolving door between government regulators and the entities they were regulating, banks in particular. He did absolutely nothing about it. In fact, he installed a revolving door at the White House, allowing the free movement of such rogues as Robert Rubin, Gary Gensler, Mary Jo White, and Larry Summers in and out of government. Such villains are destroying the nation. Any president with a shred of common decency could put an end to this practice.
There you have a few choice things to chew on. They go beyond mere inchoate rage and revulsion against politicians. They represent a very rich agenda of matters the country must attend to if it is going to survive. I wonder if the major media grandees who make up the debate questions will even think of these things.
That the snarkier circles of political commentary thrill to the elephantine bellowings of Donald J. Trump only shows the pathetic limitations of the snarkists. They enjoy Trump’s filterless mouth, his harsh goadings of the other presidential wannabes, and his supposed telepathic empathy for the suffering public outside the magic kingdom of DC.
Trump has one legitimate issue, immigration, plus a brief against the general incompetence of professional politicians, and a pocketful of grandiose claims about his majestic skills in business and deal-making. As business goes in this huckster’s paradise, being a real estate developer is perhaps one click above being a car-dealer, and the fact that some of Trump’s artful deals end up in bankruptcy court might argue against his self-proclaimed mastery. Hence, his relegation to the clown category.
What Trump represents most vividly in this moment of history is the astounding lack of seriousness among people who pretend to be political heavyweights. No one so far, including the lovable Bernie Sanders, has nailed a proper bill of grievances to the White House gate. A broad roster of dire issues facing this society ought to be self-evident. But since they are absent so far in the public discussion, here is my list of matters that serious candidates should dare to talk about (all things that a sitting president could take action on):
The security state. America has developed the most horrifying state security apparatus that the world has ever seen in its NSA and associated agencies. It has become the sugar tit for some of the most malevolent enterprises of the corporatocracy — the black ops companies and the weapons dealers. The growth of this monster was not mandated by heaven. A president could lead the move to deconstruct it. A candidate with a decent respect for our heritage would make this a major campaign issue.
Related to this is the disgusting militarization of the police. Police forces in small towns have no business owning MRAP vehicles, tanks, and heavy weaponry. The federal government gave a lot of this stuff to them. Guess what? It can take the stuff back. Serious candidates should propose this.
There is a more general militarization of national life that ought to be disturbing to thoughtful citizens. I live near a US Naval base. I see enlisted men in town wearing desert camo uniforms on their time off. I resent this hugely. Military personnel at home have no business wearing war theater garb in a place where they are not at war. Historically, it was never before the case that US soldiers went about in battle dress at home. This disgusting trend has even been adopted in major league baseball. The New York Mets and the Pittsburgh Pirates have gone on TV wearing camo baseball uniforms. What are they trying to prove? That we are all at war all the time?
The pervasive racketeering in American life is destroying the country. Medical racketeering leads the way. Be very clear: it is a hostage racket. You are the hostage when you are sick or in need of treatment. You will probably agree to anything that will save your life. The medical racketeers know this. Hence, we live under the tyranny of the “Charge-master” pricing system that assigns ludicrous costs to everything doled out as “medicine,” with the pharmaceutical industry creaming off whatever remains. A trip to the ER with a broken arm can easily propel a household into financial ruin. A president could apply the antitrust laws to many of these rackets and practices. There is no excuse for failing to take a stand.
The most dangerous rackets of our time are those running through banking and finance. The superficially genial President Obama has done absolutely nothing to defend the public against gross financial misconduct and pervasive accounting fraud. His justice department has failed to prosecute widespread criminality in banking and his regulators at the Securities and Exchange Commission and other agencies have sat on their hands for six years while markets are hijacked and manipulated. This behavior gives credence to a greater conspiracy between the governments, the “systemically important” banks, and the Federal Reserve to prop up a Potemkin financialized economy for political cover and favor at the expense of crumbling real economy. A potential president has got to swear to defend the public against these institutional turpitudes. A president can lead the way by proposing to reinstate the Glass-Steagall act and by directing the justice department to break up the “systemically important” banks before they implode the entire operating system of the global economy.
President Obama didn’t do a damn thing in the wake of the 2010 Citizens United decision issued by the Supreme Court. This decision endowed the alleged “personhood” of corporations with a “right” to express their political opinions by giving money in unlimited amounts to candidates. The decision has been a disaster, since it amounted to a “right” to buy elections. The “personhood” of corporations has evolved during the industrial age from a very circumscribed set of chartered practices to the very dubious realm of “personhood” privileges. The basic truth is that corporations do not have duties, obligations, or responsibilities to the public interest; only to their shareholders and boards of directors; and this condition should be self-evident to jurists. Hence, it is necessary to directly address by statute or constitutional amendment the limitations on the personhood of corporations. A president can lead the effort to do this via his party allies in congress.
Why has the foreign policy apparatus of the USA gone into the business of antagonizing Russia? How does it benefit the American people for its government to finance and direct a coup d’é·tat in Ukraine? Why did the Senate Foreign Relations Committee cease to function. Some of the GOP candidates for president are sitting senators. Why doesn’t press inquire of their failure? Why is there no public discussion of this very disturbing policy?
President Obama promised in 2009 to put an end to the revolving door between government regulators and the entities they were regulating, banks in particular. He did absolutely nothing about it. In fact, he installed a revolving door at the White House, allowing the free movement of such rogues as Robert Rubin, Gary Gensler, Mary Jo White, and Larry Summers in and out of government. Such villains are destroying the nation. Any president with a shred of common decency could put an end to this practice.
There you have a few choice things to chew on. They go beyond mere inchoate rage and revulsion against politicians. They represent a very rich agenda of matters the country must attend to if it is going to survive. I wonder if the major media grandees who make up the debate questions will even think of these things.
Wednesday, March 11, 2015
Health Care Costs
A subject I'll be considering more here.
http://en.wikipedia.org/wiki/Health_care_costs
http://en.wikipedia.org/wiki/Health_care_costs
Monday, May 19, 2014
Thursday, February 06, 2014
More on CVS Decision to Phase Out Tobacco
Repost at Townhall of an AP article about the decision by CVS to stop selling tobacco products. The comments are mostly people gnashing their teeth about the alleged agenda behind the decision.
Longs Drugs was acquired by CVSa while ago in 2008 and today's Tribune-Herald has an article about the local impact. I think the hardcore smokers will go to 808 Tobacco and Irie Smoke Shop (Boom!) for their cigarettes. And I think smokers will likely "stock up" at Longs, causing the shelves to empty months earlier than October.
Longs Drugs was acquired by CVS
Monday, November 11, 2013
Kunstler: The Turning
Kunstler: The Turning
In these northern climes, this turning into the year’s final quarter feels written in the blood, or at least into the legacy code of culture. The leaves skitter across the streets in an early twilight, chill winds daunt man and dog, the landscape buttons itself up for the long sleep, and human activity moves indoors — including the arduous festivities around the spooky solstice. We take the comfort that we can in all that. But a strange torpor of event attends this year’s turning. In the year’s final happenings, nothing seems to happen, and what little does happen seems not to matter. The world sits with frayed nerves and hears a distant noise, which is the cosmic screw of history turning.
The nation gets over everything without resolving anything — fiscal cliffs, debt ceilings, health care implosions, domestic spying outrages, taper talk jukes, banking turpitudes, the Syria bluster, the Iran nuke deal fake-out. It’s dangerous to live as though there was no such thing as consequence. Societies have a way of reaching a consensus about something without ever stating it outright. The American public has silently agreed to sit on its hands though one more Christmas and after that things shake loose.
What happens, for instance, in the limbo months of ObamaCare ahead, when people either won’t sign in for health insurance, or can’t because of the stupidity of the website design, and the failure of its work-arounds, and the number rises of people falling seriously ill without insurance, and the ludicrously extortionate hospital bills start rolling in and the machinery of bankruptcy and re-po turns the screws on tens of thousands of families — while the insurance company executives spend their 2013 bonus money on Beemers and McMansion additions? There must be some threshold for criticality there, some breaking point that prompts a swindled population to break out its fabled arsenals. Say, somewhere in America a child tragically dies after being hit by a car and three unsuccessful surgeries to try to fix the damage, and thirty days after the funeral, the uninsured dad gets a bill for $416,000? I doubt a society can withstand many insults like that.
Above all, this big nation has failed to reckon the central quandary of our time: the fatal hypertrophy of finance. This ghastly engine of rackets and swindles is the enlarged heart of a dying body politic, and all we know how to do is feed it more monetary Cheez Doodles. This has been going on far longer than the doctors and the witch doctors thought possible, and there is a foolish hope among the credulous that the larger organism of the economy must therefore be immortal. But the reality-based minority stoically awaits the final congestive infarction.
Everything points to 2014 as the moment the pretending stops and things get real. Nobody believes anymore that the Federal Reserve can replace an economy of authentic transactions with promissory notes. There is only one final thing that can happen with the Fed, and that is losing all control over rising interest rates. Janet Yellen is being set up as one of the epic chumps of history, and proof of her academic fecklessness is the mere fact that she accepted the post as Fed chair. She will preside over a fabulous disappearance of wealth in America. The blame for it will be epic, too, but it will not represent any genuine understanding of what happened.
Much is being made of the loneliness of Barack Obama these days. He also occupies a rather tragic niche in history — or the arc of his story at least points that way these days. Right now, it is very hard to tell whether he has been a hostage or a fool. He could have moved to break up the big banks in January of 2009, and any time since then he could have sent a memo to the Department of Justice instructing the prosecutions of financial crime to begin in earnest (or replaced the Attorney General). Didn’t happen. Was he being blackmailed by the likes of Jamie Dimon and Lloyd Blankfein, or did he just not know what was at stake?
The history of Barack Obama will be one long record of omissions to act, not just overt failures. He is the Bartleby the Scrivener of our politics. He “prefers not to….” Hence, the powerful lure of the charismatic figure who is sure to act. Adolf Hitler was very clear about his proposed program in the early 1920s, a decade before he came to power. He spelled it out unmistakably in his speeches and his political testament, Mein Kampf: do away with pain-in-the-ass democracy and destroy the Jews. He couldn’t have put it more plainly. The residual admiration for Hitler among the extreme right-wingers of today derives mainly from the simple fact that the man actually did what he said he would do. You can’t overstate the potential hunger for that sort of thing. The current climate of US politics being Weimar-on-steroids, I’m sure that an American corn-pone Hitler would have huge appeal for a beaten-down citizenry.
The means for such a coup of the zeitgeist are rather frightful now: drone aircraft, computer surveillance, militarized police, a puppet press. It makes thoughtful folks queasy. My bet, though, is that a fascist takeover of the US would end up being as inept and ineffectual as ObamaCare. It is one of the great hidden blessings of our time, actually, that anything organized on the massive scale is doomed to failure. But it is likewise the great mission of our time to prepare to get local and smaller, something we’re not really ready for and certainly not interested in. The intertwining of these dynamics will be the story in the year to come.
In these northern climes, this turning into the year’s final quarter feels written in the blood, or at least into the legacy code of culture. The leaves skitter across the streets in an early twilight, chill winds daunt man and dog, the landscape buttons itself up for the long sleep, and human activity moves indoors — including the arduous festivities around the spooky solstice. We take the comfort that we can in all that. But a strange torpor of event attends this year’s turning. In the year’s final happenings, nothing seems to happen, and what little does happen seems not to matter. The world sits with frayed nerves and hears a distant noise, which is the cosmic screw of history turning.
The nation gets over everything without resolving anything — fiscal cliffs, debt ceilings, health care implosions, domestic spying outrages, taper talk jukes, banking turpitudes, the Syria bluster, the Iran nuke deal fake-out. It’s dangerous to live as though there was no such thing as consequence. Societies have a way of reaching a consensus about something without ever stating it outright. The American public has silently agreed to sit on its hands though one more Christmas and after that things shake loose.
What happens, for instance, in the limbo months of ObamaCare ahead, when people either won’t sign in for health insurance, or can’t because of the stupidity of the website design, and the failure of its work-arounds, and the number rises of people falling seriously ill without insurance, and the ludicrously extortionate hospital bills start rolling in and the machinery of bankruptcy and re-po turns the screws on tens of thousands of families — while the insurance company executives spend their 2013 bonus money on Beemers and McMansion additions? There must be some threshold for criticality there, some breaking point that prompts a swindled population to break out its fabled arsenals. Say, somewhere in America a child tragically dies after being hit by a car and three unsuccessful surgeries to try to fix the damage, and thirty days after the funeral, the uninsured dad gets a bill for $416,000? I doubt a society can withstand many insults like that.
Above all, this big nation has failed to reckon the central quandary of our time: the fatal hypertrophy of finance. This ghastly engine of rackets and swindles is the enlarged heart of a dying body politic, and all we know how to do is feed it more monetary Cheez Doodles. This has been going on far longer than the doctors and the witch doctors thought possible, and there is a foolish hope among the credulous that the larger organism of the economy must therefore be immortal. But the reality-based minority stoically awaits the final congestive infarction.
Everything points to 2014 as the moment the pretending stops and things get real. Nobody believes anymore that the Federal Reserve can replace an economy of authentic transactions with promissory notes. There is only one final thing that can happen with the Fed, and that is losing all control over rising interest rates. Janet Yellen is being set up as one of the epic chumps of history, and proof of her academic fecklessness is the mere fact that she accepted the post as Fed chair. She will preside over a fabulous disappearance of wealth in America. The blame for it will be epic, too, but it will not represent any genuine understanding of what happened.
Much is being made of the loneliness of Barack Obama these days. He also occupies a rather tragic niche in history — or the arc of his story at least points that way these days. Right now, it is very hard to tell whether he has been a hostage or a fool. He could have moved to break up the big banks in January of 2009, and any time since then he could have sent a memo to the Department of Justice instructing the prosecutions of financial crime to begin in earnest (or replaced the Attorney General). Didn’t happen. Was he being blackmailed by the likes of Jamie Dimon and Lloyd Blankfein, or did he just not know what was at stake?
The history of Barack Obama will be one long record of omissions to act, not just overt failures. He is the Bartleby the Scrivener of our politics. He “prefers not to….” Hence, the powerful lure of the charismatic figure who is sure to act. Adolf Hitler was very clear about his proposed program in the early 1920s, a decade before he came to power. He spelled it out unmistakably in his speeches and his political testament, Mein Kampf: do away with pain-in-the-ass democracy and destroy the Jews. He couldn’t have put it more plainly. The residual admiration for Hitler among the extreme right-wingers of today derives mainly from the simple fact that the man actually did what he said he would do. You can’t overstate the potential hunger for that sort of thing. The current climate of US politics being Weimar-on-steroids, I’m sure that an American corn-pone Hitler would have huge appeal for a beaten-down citizenry.
The means for such a coup of the zeitgeist are rather frightful now: drone aircraft, computer surveillance, militarized police, a puppet press. It makes thoughtful folks queasy. My bet, though, is that a fascist takeover of the US would end up being as inept and ineffectual as ObamaCare. It is one of the great hidden blessings of our time, actually, that anything organized on the massive scale is doomed to failure. But it is likewise the great mission of our time to prepare to get local and smaller, something we’re not really ready for and certainly not interested in. The intertwining of these dynamics will be the story in the year to come.
Monday, October 28, 2013
Kunstler: "Two Forces and Three Bears"
"Two Forces and Three Bears"
In these climax years of industrial technocratic society, two opposing forces shape the destiny of government: the desperate effort to control everything versus the decline of the ability to carry out that effort. The result will be the loss of legitimacy and the collapse of government from the highest levels, moving downward until the real power to make anything work re-sets at a feasible and appropriate level — probably very local. This dynamic is seen very clearly in three spectacles du jour: the “national security” (spying) mess, government-sponsored accounting fraud in finance, and the ObamaCare rollout.
As history develops, people do things for the simple reason that it seems like a good idea at the time. Computer tech made it possible for bureaucrats and military apparatchiks to invade the privacy of everybody, but in the end it only had the effect of embarrassing the perpetrators and eroding a big chunk of the US government’s legitimacy. The attempt at maximum control will eventually lead to maximum resistance and, quite possibly, some sort of political revolution, perhaps starting with the death of the two dominant political parties. When political disruption finally occurs, it will manifest quickly, as criticality thresholds are breached. It has the potential of taking this society in very undesirable directions including civil war, theocracy, and war against other peoples.
The diminishing returns of computer technology applied to intelligence gathering are that it produces more mountains of data than any team of professionals can make sense of, and it prompts said professionals to make mischief with the information that is easiest to sort out: the financial records of ordinary citizens. Nothing will create political resistance more surely than messing with people’s money. The NSA apparatus is now a self-reinforcing monster that will strive for ever more control ineffectively, creating a debris path of ever more embarrassment and resentment. A lone true patriot like Snowden does more to oppose this monster than all the “freedom” and “liberty” spouting, flag-lapel-pin-wearing cowards in either political party.
The pervasive accounting fraud in the attempt to prop up an unsound banking system is even closer to criticality. A society that produces tradable goods needs sound money which functions as 1) a medium of exchange, 2) a store of value 3) a unit of account for establishing prices. The combined accounting frauds in Federal Reserve policy, private banking and securities markets, and government fiscal management is destroying all these functions. The more abstracted finance gets from real productive activity, the more fragile the system becomes. We are doing nothing now except adding more complexity and abstraction to it, causing the system to become more detached from reality. In effect, we’re opting to forego an economy based on goods in favor of one based on empty promises and paper swindles. The potential and probable consequent destruction of nominal wealth would be an event that advanced technocratic society likely will not recover from — in the sense that today’s standard of living could be preserved for billions of people worldwide. That destruction would herald a new dark age, this time without any prospect of recovery via the exploitation of natural resources, which will have been depleted.
The ObamaCare piece of the picture is a mere pathetic soap opera compared to the first two quandaries. The 2000-page law did nothing to address the core tragedy of medicine in America — namely, that it has evolved into a hideous hostage racket. You go to a hospital with a terrifying illness and you are susceptible to fleecing by the so-called “care-givers” for the promise that you may get to live. No prices for treatment are [n]ever discussed. They are presumed to be astronomical — but who cares if you end up dead, and if you do get to live, you’ll figure that out later. If you hold an insurance policy, these charges will be subject to a fake negotiation between grifting insurance companies and grifting hospitals, physicians, and drug companies. The price “settlements” are only slightly less a joke than the actual charges, and are obfuscated in documents designed to bewilder even well-educated policy-holders.
Even if you are insured, the charges may bankrupt you. A typical one-day charge for “room and board” in a non-specialized hospital in-patient bed runs $23,000 at my local hospital. For what? Half a dozen blood-pressure checks and three bad meals? You can be sure that ever-fewer families will be able to fork over $12,000-a-year for basic coverage. The ObamaCare legislation and its laughable rollout of a useless website is just a punctuation mark at the end of the soap opera script. The result eventually will be the complete implosion of the medical racket and a return to a very primitive clinic system, with payment in chickens or cords of stove-wood. The smaller number of surviving humans will surely enjoy better health, and greater p[eace] of mind, when this monster racket expires of inertia, bad faith, and deceit.
These efforts to manage runaway hyper-complexity with more complexity are guaranteed to fail. Our prime task at this moment in history is managing contraction, and the means for doing that would be simplifying, not adding layers of complication larded with fraud, pretense, and mendacity.
In these climax years of industrial technocratic society, two opposing forces shape the destiny of government: the desperate effort to control everything versus the decline of the ability to carry out that effort. The result will be the loss of legitimacy and the collapse of government from the highest levels, moving downward until the real power to make anything work re-sets at a feasible and appropriate level — probably very local. This dynamic is seen very clearly in three spectacles du jour: the “national security” (spying) mess, government-sponsored accounting fraud in finance, and the ObamaCare rollout.
As history develops, people do things for the simple reason that it seems like a good idea at the time. Computer tech made it possible for bureaucrats and military apparatchiks to invade the privacy of everybody, but in the end it only had the effect of embarrassing the perpetrators and eroding a big chunk of the US government’s legitimacy. The attempt at maximum control will eventually lead to maximum resistance and, quite possibly, some sort of political revolution, perhaps starting with the death of the two dominant political parties. When political disruption finally occurs, it will manifest quickly, as criticality thresholds are breached. It has the potential of taking this society in very undesirable directions including civil war, theocracy, and war against other peoples.
The diminishing returns of computer technology applied to intelligence gathering are that it produces more mountains of data than any team of professionals can make sense of, and it prompts said professionals to make mischief with the information that is easiest to sort out: the financial records of ordinary citizens. Nothing will create political resistance more surely than messing with people’s money. The NSA apparatus is now a self-reinforcing monster that will strive for ever more control ineffectively, creating a debris path of ever more embarrassment and resentment. A lone true patriot like Snowden does more to oppose this monster than all the “freedom” and “liberty” spouting, flag-lapel-pin-wearing cowards in either political party.
The pervasive accounting fraud in the attempt to prop up an unsound banking system is even closer to criticality. A society that produces tradable goods needs sound money which functions as 1) a medium of exchange, 2) a store of value 3) a unit of account for establishing prices. The combined accounting frauds in Federal Reserve policy, private banking and securities markets, and government fiscal management is destroying all these functions. The more abstracted finance gets from real productive activity, the more fragile the system becomes. We are doing nothing now except adding more complexity and abstraction to it, causing the system to become more detached from reality. In effect, we’re opting to forego an economy based on goods in favor of one based on empty promises and paper swindles. The potential and probable consequent destruction of nominal wealth would be an event that advanced technocratic society likely will not recover from — in the sense that today’s standard of living could be preserved for billions of people worldwide. That destruction would herald a new dark age, this time without any prospect of recovery via the exploitation of natural resources, which will have been depleted.
The ObamaCare piece of the picture is a mere pathetic soap opera compared to the first two quandaries. The 2000-page law did nothing to address the core tragedy of medicine in America — namely, that it has evolved into a hideous hostage racket. You go to a hospital with a terrifying illness and you are susceptible to fleecing by the so-called “care-givers” for the promise that you may get to live. No prices for treatment are [n]ever discussed. They are presumed to be astronomical — but who cares if you end up dead, and if you do get to live, you’ll figure that out later. If you hold an insurance policy, these charges will be subject to a fake negotiation between grifting insurance companies and grifting hospitals, physicians, and drug companies. The price “settlements” are only slightly less a joke than the actual charges, and are obfuscated in documents designed to bewilder even well-educated policy-holders.
Even if you are insured, the charges may bankrupt you. A typical one-day charge for “room and board” in a non-specialized hospital in-patient bed runs $23,000 at my local hospital. For what? Half a dozen blood-pressure checks and three bad meals? You can be sure that ever-fewer families will be able to fork over $12,000-a-year for basic coverage. The ObamaCare legislation and its laughable rollout of a useless website is just a punctuation mark at the end of the soap opera script. The result eventually will be the complete implosion of the medical racket and a return to a very primitive clinic system, with payment in chickens or cords of stove-wood. The smaller number of surviving humans will surely enjoy better health, and greater p[eace] of mind, when this monster racket expires of inertia, bad faith, and deceit.
These efforts to manage runaway hyper-complexity with more complexity are guaranteed to fail. Our prime task at this moment in history is managing contraction, and the means for doing that would be simplifying, not adding layers of complication larded with fraud, pretense, and mendacity.
Monday, March 18, 2013
Monday, July 02, 2012
Kunstler: Hostage Racket
Hostage Racket
By James Howard Kunstler
on July 2, 2012 8:32 AM
Not to put too fine a point on it, but didn't that cunning rogue Chief Justice John Roberts pour a jug of Karo syrup into the gas tank of America's twelve trillion cylinder engine? Or, put another way (forgive the metaphor juke), didn't he just give President Obama enough rope to hang himself? Out to dry, that is. Roberts must know exactly what he is doing: prompting x-million young and/or poor voters to an election year tea party tax revolt. The Obama health care reform will henceforth be defined as a tax against people too economically strapped to buy health insurance - in other words, a gross injustice, courtesy of Obama.
Or call it a poison pill. Obama gets to brag that the heart of his 2700-page reform package stands - at the expense of the very people it was designed to protect. Forget about the niceties regarding the interstate commerce clause and other chatter points. This was all about Chief Justice Roberts interfering in a presidential election in a most mischievous way. He might as well have just heated up a branding iron that spelled out T-A-X and applied it to Mr. Obama's forehead.
Of course, with or without the so-called reform, the American health care system remains a hostage racket. When you are sick, you will do anything to get better, and the system knows it. You will sign onto any agreement to keep yourself alive, even if the health care system ends up taking your house and your children's educations. It is a well-established fact that the chief cause of personal bankruptcy in the USA is unpayable medical bills on the part of people who have health insurance. It is considered bad manners to inquire of a surgeon what his fee might be for a life-saving operation. Anyway, you don't want to know because it will be a figure with no anchor in the reality of hours spent or services rendered. Ditto the folks who run the hospital, where there is no reality-based relationship between things dispensed and prices charged. It's simple racketeering and true health care reform would be the vigorous application of Department of Justice attorneys on the doctors, pharma companies, insurers, hospitals, and HMOs who are engaged in routine, systematic swindling. But the truth is, we don't want to remove the swindle and the grift, we just want to find some way to get the American public to pay for their own shakedown.
Before you get too exercised over the multiple idiocies and injustices of the current American medical situation just reflect for a moment that the whole creaking system cannot possibly survive no matter what the Supreme Court might have ruled or whatever Obama sought to accomplish. The US economic system is about to blow up. The banking sector has been kept technically alive on the life-support of accounting fraud since 2008, but that artful racket is coming to an end because sooner or later the abstraction called "money" must make truthful representations of itself in relation to reality, or else people cease to accept its claims of value. Without a functioning banking system none of the rackets organized into US health care can continue.
The eventual destination of health care, like everything else in society categorically, is a much smaller, more modest, more local scale of operation. We'll be lucky if the people with medical expertise can reorganize the wreckage of the system into something resembling small local clinics with all the costly and pernicious racketeering bureaucracy peeled off it. The insurance companies will be in the elephants' graveyard of failed institutions. Let's hope the doctors and their support staff remember to wash their hands.
A couple of side notes:
Anyone seeking to understand the deplorable physical condition of the general public need only stroll through the supermarket aisles and see the endless stacks of manufactured sugary shit that pretends to be food in this culture. That whole matrix is coming to and end, too, by the way, but probably not soon enough to save the multitudes programmed into metabolic disorder. They will just have a shorter life-span, aggravated by loss of income in a cratering economy and everything that comes with being impoverished. The doctors themselves by and large know almost nothing about nutrition, and make no organized effort to militate against the homicidal processed food industry - which brings me to the second side note.
Namely, that the diminishing returns of extreme bureaucratization and turbo-specialization in medicine has only made the doctors generally stupider and more inept. My own situation is a case in point. For two years I suffered an array of peculiar symptoms ranging from numb hands to supernatural fatigue. My ex-GP showed no interest in investigating the cause. Even my request for a toxicology workup was essentially shrugged off. I had to become my own doctor. For a while I suspected Lyme disease, which is raging in my corner of the country. I went to see a Lyme specialist who didn't accept insurance (because the insurance companies did not recognize his aggressive treatment protocols as falling within the current "standards of practice" - and this because the medical establishment doesn't know its ass from a hole in the ground about Lyme disease).
Anyway, I asked the Lyme specialist to include a test for cobalt levels in my bloodwork because I thought there was an outside chance I had cobalt poisoning. The reason I thought this was because Google searches of my symptoms kept pointing to metal-on-metal hip replacement failure. I had gotten just such a metal-on-metal hip replacement in 2003. The hardware was developed because the orthopedists wanted to give younger patients a longer-lasting implant. That's when the diminishing returns of technology stepped in and kicked everybody's ass, including mine.
My cobalt blood test came back off-the-charts high. (My many Lyme tests all came back negative.) Wouldn't you know, though, that the Lyme specialist wanted to treat me for Lyme anyway. He ignored the cobalt numbers and wrote out a prescription for $400 worth of antibiotics. He was the proverbial guy with a hammer to whom everything looked like a nail. I declined that course of treatment and instead went to my new GP for a first appointment and asked for an additional cobalt test, along with one for chromium. (My hip implant is an alloy of titanium, cobalt, and chromium.) They both came back way over the toxic level. Apparently, the rotation of the metal joint has been shedding metal ions into my system for nine years.
Next I went to the orthopedic surgeon who put the implant in. He ordered an MRI and xrays and appeared rather concerned. Eventually I was routed to yet another orthopedic surgeon who specializes in "revising" hip implant failures - in particular ones of the type I have, which have been failing at such a staggering rate that the lawyers have assembled one of the greatest litigation feeding frenzies in history. They are going after the manufacturers of these devices.
I have health insurance but I am quite sure that I will be soaked for many thousands of dollars beyond the coverage to resolve this problem, which will involve at least the changing out of the terminal bearings of my implant - if I am lucky. In the meantime, I have to become exactly the kind of pain-in-the-ass patient who asks too many questions so I don't end up crippled, or dead, or taken for ride like a purloined human ATM machine. I suppose I am also lucky that this happened to me soon enough to even have this kind of remedial surgery. Another year or two and I would have just steadily turned purple and croaked like some poor 19th century foundry worker.
There's an excellent chance that I will be on the operating table at the same moment that another financial crisis erupts, one that will be orders of magnitude worse than the 2008 Lehman collapse. Won't that be something? I hope that the surgeon and the anesthesiologist, and whoever else happens to be on hand, don't all run out of the room at once to call their investment managers while I'm lying there inert, like a boned-out Thanksgiving turkey. Pray for my ass. I'm a hostage in the system.
Today is the official publication of my new book, Too Much Magic, which is largely concerned with the diminishing returns of technology as illustrated above.
By James Howard Kunstler
on July 2, 2012 8:32 AM
Not to put too fine a point on it, but didn't that cunning rogue Chief Justice John Roberts pour a jug of Karo syrup into the gas tank of America's twelve trillion cylinder engine? Or, put another way (forgive the metaphor juke), didn't he just give President Obama enough rope to hang himself? Out to dry, that is. Roberts must know exactly what he is doing: prompting x-million young and/or poor voters to an election year tea party tax revolt. The Obama health care reform will henceforth be defined as a tax against people too economically strapped to buy health insurance - in other words, a gross injustice, courtesy of Obama.
Or call it a poison pill. Obama gets to brag that the heart of his 2700-page reform package stands - at the expense of the very people it was designed to protect. Forget about the niceties regarding the interstate commerce clause and other chatter points. This was all about Chief Justice Roberts interfering in a presidential election in a most mischievous way. He might as well have just heated up a branding iron that spelled out T-A-X and applied it to Mr. Obama's forehead.
Of course, with or without the so-called reform, the American health care system remains a hostage racket. When you are sick, you will do anything to get better, and the system knows it. You will sign onto any agreement to keep yourself alive, even if the health care system ends up taking your house and your children's educations. It is a well-established fact that the chief cause of personal bankruptcy in the USA is unpayable medical bills on the part of people who have health insurance. It is considered bad manners to inquire of a surgeon what his fee might be for a life-saving operation. Anyway, you don't want to know because it will be a figure with no anchor in the reality of hours spent or services rendered. Ditto the folks who run the hospital, where there is no reality-based relationship between things dispensed and prices charged. It's simple racketeering and true health care reform would be the vigorous application of Department of Justice attorneys on the doctors, pharma companies, insurers, hospitals, and HMOs who are engaged in routine, systematic swindling. But the truth is, we don't want to remove the swindle and the grift, we just want to find some way to get the American public to pay for their own shakedown.
Before you get too exercised over the multiple idiocies and injustices of the current American medical situation just reflect for a moment that the whole creaking system cannot possibly survive no matter what the Supreme Court might have ruled or whatever Obama sought to accomplish. The US economic system is about to blow up. The banking sector has been kept technically alive on the life-support of accounting fraud since 2008, but that artful racket is coming to an end because sooner or later the abstraction called "money" must make truthful representations of itself in relation to reality, or else people cease to accept its claims of value. Without a functioning banking system none of the rackets organized into US health care can continue.
The eventual destination of health care, like everything else in society categorically, is a much smaller, more modest, more local scale of operation. We'll be lucky if the people with medical expertise can reorganize the wreckage of the system into something resembling small local clinics with all the costly and pernicious racketeering bureaucracy peeled off it. The insurance companies will be in the elephants' graveyard of failed institutions. Let's hope the doctors and their support staff remember to wash their hands.
A couple of side notes:
Anyone seeking to understand the deplorable physical condition of the general public need only stroll through the supermarket aisles and see the endless stacks of manufactured sugary shit that pretends to be food in this culture. That whole matrix is coming to and end, too, by the way, but probably not soon enough to save the multitudes programmed into metabolic disorder. They will just have a shorter life-span, aggravated by loss of income in a cratering economy and everything that comes with being impoverished. The doctors themselves by and large know almost nothing about nutrition, and make no organized effort to militate against the homicidal processed food industry - which brings me to the second side note.
Namely, that the diminishing returns of extreme bureaucratization and turbo-specialization in medicine has only made the doctors generally stupider and more inept. My own situation is a case in point. For two years I suffered an array of peculiar symptoms ranging from numb hands to supernatural fatigue. My ex-GP showed no interest in investigating the cause. Even my request for a toxicology workup was essentially shrugged off. I had to become my own doctor. For a while I suspected Lyme disease, which is raging in my corner of the country. I went to see a Lyme specialist who didn't accept insurance (because the insurance companies did not recognize his aggressive treatment protocols as falling within the current "standards of practice" - and this because the medical establishment doesn't know its ass from a hole in the ground about Lyme disease).
Anyway, I asked the Lyme specialist to include a test for cobalt levels in my bloodwork because I thought there was an outside chance I had cobalt poisoning. The reason I thought this was because Google searches of my symptoms kept pointing to metal-on-metal hip replacement failure. I had gotten just such a metal-on-metal hip replacement in 2003. The hardware was developed because the orthopedists wanted to give younger patients a longer-lasting implant. That's when the diminishing returns of technology stepped in and kicked everybody's ass, including mine.
My cobalt blood test came back off-the-charts high. (My many Lyme tests all came back negative.) Wouldn't you know, though, that the Lyme specialist wanted to treat me for Lyme anyway. He ignored the cobalt numbers and wrote out a prescription for $400 worth of antibiotics. He was the proverbial guy with a hammer to whom everything looked like a nail. I declined that course of treatment and instead went to my new GP for a first appointment and asked for an additional cobalt test, along with one for chromium. (My hip implant is an alloy of titanium, cobalt, and chromium.) They both came back way over the toxic level. Apparently, the rotation of the metal joint has been shedding metal ions into my system for nine years.
Next I went to the orthopedic surgeon who put the implant in. He ordered an MRI and xrays and appeared rather concerned. Eventually I was routed to yet another orthopedic surgeon who specializes in "revising" hip implant failures - in particular ones of the type I have, which have been failing at such a staggering rate that the lawyers have assembled one of the greatest litigation feeding frenzies in history. They are going after the manufacturers of these devices.
I have health insurance but I am quite sure that I will be soaked for many thousands of dollars beyond the coverage to resolve this problem, which will involve at least the changing out of the terminal bearings of my implant - if I am lucky. In the meantime, I have to become exactly the kind of pain-in-the-ass patient who asks too many questions so I don't end up crippled, or dead, or taken for ride like a purloined human ATM machine. I suppose I am also lucky that this happened to me soon enough to even have this kind of remedial surgery. Another year or two and I would have just steadily turned purple and croaked like some poor 19th century foundry worker.
There's an excellent chance that I will be on the operating table at the same moment that another financial crisis erupts, one that will be orders of magnitude worse than the 2008 Lehman collapse. Won't that be something? I hope that the surgeon and the anesthesiologist, and whoever else happens to be on hand, don't all run out of the room at once to call their investment managers while I'm lying there inert, like a boned-out Thanksgiving turkey. Pray for my ass. I'm a hostage in the system.
Today is the official publication of my new book, Too Much Magic, which is largely concerned with the diminishing returns of technology as illustrated above.
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