It is a studied fact that med students and residents, especially new ones cause errors, including fatal errors, and at a higher rate with the less experience they have. If you get to a really good institution, this can be negated, but as snopes says, it’s not just July that cause problems for teaching hospitals:
“at teaching institutions where oversight of new staff is less stringent, the “July effect” lasts not merely for the summer, but apparently for the rest of the calendar year. While risk-adjusted mortality rates may rise by roughly 4 percentin the July-August period, that increase remains at between 2 and 4 percent until the New Year, resulting in 8 to 14 additional deaths per annum at a typical teaching hospital.
”
Which in turn cites its sources.
So first off I’d like the apology for that plain ignorant rebuttal that med students don’t cause more errors. Plain common sense should tell you it’s the case, but simple research will confirm it for you.
Second, work on your basic reading comprehension:
Quoting me:
“The VA is one of the primary avenues for residency programs to send their students to for training.”
Can you possibly dispute this? Are you trying to say there are no med students in the San Diego VA? Long Beach VA? Los Angeles VA? Omaha Nebraska VA? For each of these locations, VA duty was one of the primary places my wife spent her time. Do you take offense at this simple fact for some reason?
The only inference I draw from this is that these hospitals (not just VA, in case you are still having reading comprehension probs) are benefiting from low priced medical labor.
Previous thread poster:
“Are you saying VA hospitsals use more residents than other hospitals? Prove it.”
Uh yes. Some hospitals use med students and residents. Some don’t. The ones that do are called teaching hospitals. Also, see above for statistics on teaching hospital mortality rates. I didn’t say the VA used more med students than other teaching hospitals… but they are getting cheaper labor than non-teaching hospitals… I don’t claim this accounts for the entire lower cost of the VA. Again.. reading comprehension.
And next:
“NCQA’s seal of approval is the gold standard in the health-care industry.”
“Not convinced? Consider what vets themselves think. Sure, it’s not hard to find vets who complain about difficulties in establishing eligibility. Many are outraged that the Bush administration has decided to deny previously promised health-care benefits to veterans who don’t have service-related illnesses or who can’t meet a strict means test. ”
Hmm, so if you turn away a huge portion of the population you are supposed to serve, you can better serve the remaining people and save money? Who would have guessed!
By the way I applaud the VA for giving excellent care to those they do serve. If you get over your bias, you will see that I am pointing out rates of errors that are something like 8 in 10000 vs 16 in 10000. It’s not even my main point. The main point is, you can only BENEFIT from the cheap help of med students(it is a cost benefit IMHO) if they will put up with your pittance of pay in hopes of getting 5-10x as much when they get out.
Again quoting me:
“What happens if you take that away by making healthcare public? Nobody really knows, but I doubt the residents & med students would work for the same current pittance.”
So rather than quibbling over some of the simple things I laid out, why don’t you try to answer some of those hard questions:
1) Is the US subsidizing worldwide healthcare with our heavily regulated private system?
2) What happens to physician pay and motivation when the healthcare system is nationalized/ made public?
3) If medicare/universal care is so good, why is the VA doing a better job than medicare?
4) Are the costs of these public universal healthcare plans really sustainable?
http://www.businessweek.com/magazine/content/07_28/b4042070.htm
Business week says France, rated #1 in healthcare in the WHO report is basically riding on the backs of the doctors making 55k per year. Unsurprisingly, they cite several factors in the rapidly rising costs of the system in large part due to doctors trying to find ways to make some money ( extra tests, high price “private” consults, etc).
Hmm lets look at some other stories about french docs:
Oh and I thought this was funny, Western Europe is getting a bunch more docs, only because the absolute failure of socialism in eastern europe is driving those docs west!
Which country can *we* rape of their doctors so that we can meet our health cost goals? Actually we already do this with docs from the Phillipenes. They come here and are NURSES!!! just to make some extra cash..
Here’s the thing though, we don’t need to be ideological enemies. I think reducing healthcare costs and improving outcomes is a “good thing”(TM). Could a national healthcare plan be *A* means of accomplishing this goal? Possibly….. Could reform also be implemented a different way so that we don’t put politicians in Washington in charge of another big slush fund like Social Security? Possibly… Is it reasonable to ask that people retain a choice in this supposedly “free” country on how they want to pay for their health care? Possibly…
Finally, one thing I noticed is this: Per capita patient costs are always compared in country A vs country B. for example, In France healthcare is
3k vs the US it is 6k
But in france GDP per capita is 34 k vs the US is 47K
using a different figure, median household income is
31,111 in the US vs 19,615 in france.
So except in the case of bankruptcy through medical bills, I am coming out 10k/year ahead on average in the US or 8.5k/yr using median income with our current systems…
In other words, coming out 6.5k a year ahead in the US system.Why are we complaining again?
Of course, all this is just a bunch of BS when you are an individual and you need a liver transplant. However, I just checked at ehealthinsurance.com, and catastrophic healthcare insurance is
262/mo for my mom who is pretty overweight and was born in 1951. That comes out to 3144/yr with a $3500 deductible. (you can get a quote there yourself if you need the verification).
I don’t know why any of us is complaining, because that is pretty damn reasonable even for a 60 year old, and we have more money to pay for it than any other nation on earth. Maybe we should stop this whole healthcare debate and go back to housing debates and stopping the 3 current wars we are in.
“Bush administration has decided to deny previously promised health-care benefits to veterans who don’t have service-related illnesses or who can’t meet a strict means test”
Yes I am a viet-nam vet and I can use the VA. Is there a means test, yes. It just means that I have to pay a lot more out of pocket and use my health insurance. Is it fair? Definitely! Is the care better than my local hospital? That depends on the type of service needed and requires investigation on my part.
Having worked at a County teaching hospital for 25+ years I can assure you that your chances of survival from trauma were far better than the other private hospitals. I also worked for a year at Loma Linda Hospital which also had a great staff and at the time furnished staffing for the VA hospital down the road.
Can you show a study that says accidents or errors are higher at VA hospitals than private hospitals?
No. Because they aren’t.
The question was never ‘do residents make more mistakes’? The question was ‘are theses rates of mistakes higher at VA hospitals’ .
They aren’t.
The rest of your questions:
1) Is the US subsidizing worldwide healthcare with our heavily regulated private system?
Prove that it is. You just say it is, with no backing. It’s not our job to prove a negative, it’s your job to prove your assertion.
2) What happens to physician pay and motivation when the healthcare system is nationalized/ made public?
Is there a shortage of doctors or people who want to become doctors in national health coverage nations? I’ve never seen such a finding, and you can’t show us one.
3) If medicare/universal care is so good, why is the VA doing a better job than medicare?
Because medicare works within our current for-profit health care system, hence it doesn’t work as well as the government-run VA system, which does not.
4) Are the costs of these public universal healthcare plans really sustainable?
Per person costs are much higher in our system than in the public universal healthcare systems, and our costs are increasing rapidly. I fail to see how that makes our system more sustainable.
If you need proof, here’s some from the OECD via wikipedia:
Health Care costs as percentage of GDP:
Australia 8.7%
Canada 10.1
France 11
Germany 10.4
Japan 8.1
Norway 9
Sweden 9.2
UK 8.4 US 16
So we pay almost twice as much as most of these countries, as percentage of our GDP. And that’s your sustainable model?
Oh, and every one of those countries has longer average life expectancies than the US.
“Is the US subsidizing worldwide healthcare with our heavily regulated private system?
Prove that it is. You just say it is, with no backing. It’s not our job to prove a negative, it’s your job to prove your assertion.”
Well, for one thing, it’s known that we pay far higher prices in the US for prescription drugs. If memory serves, legislation permitting US citizens to get prescription drugs from Canada was struck down during the Bush admin. But I’ve seen this phenomenon with my own two bloodshots travelling in the Caribbean. Even over the counter meds are significantly cheaper in many areas outside of the US.
A potentially good point, but here are the top ten pharmeceutical companies by revenue. Note only 3 are based in the US, with the other 7 being based in nations with universal health care coverage.
wikipedia
1 Pfizer USA
2 Novartis Switzerland
3 Merck & Co. USA
4 Bayer Germany
5 GlaxoSmithKline United Kingdom
6 Johnson and Johnson USA
7 Sanofi-Aventis France
8 Hoffmann–La Roche Switzerland
9 AstraZeneca United Kingdom
10 Abbott Laboratories USA
(Comments wont nest below this level)
Comment by alpha-sloth
2011-06-02 07:21:55
oops- 4 out of 10 are US. Still, there’s clearly no shortage of development in other countries, and Europe has a long and successful history of medical research, long predating the absurdly high prices we pay for restless leg syndrome pills here in the US.
Comment by Blue Skye
2011-06-02 07:37:18
These companies based in other countries have significant manufacturing presence in the US. I’m not convinced drug costs in the US have anything to do with where pharma company HQs are.
Comment by alpha-sloth
2011-06-02 08:33:50
“I’m not convinced drug costs in the US have anything to do with where pharma company HQs are.”
They could probably locate anywhere in the world, although they apparently choose not to. Nonetheless, these are mostly old, established companies in these countries, that have been developing new drugs and treatments for much longer than our system has been so out of whack. We didn’t create these companies with our overpriced health care.
Comment by Big V
2011-06-02 08:35:35
Alpha:
Most of those companies are US companies. They are merely manufacturing (offshoring) elsewhere.
Comment by alpha-sloth
2011-06-02 09:00:24
“Most of those companies are US companies.”
Which ones?
Comment by Big V
2011-06-02 09:09:24
1 Pfizer USA
2 Novartis Switzerland
3 Merck & Co. USA
4 Bayer Germany
5 GlaxoSmithKline United Kingdom
6 Johnson and Johnson USA
8 Hoffmann–La Roche Switzerland
9 AstraZeneca United Kingdom
10 Abbott Laboratories USA
It’s a matter of contracts.
Comment by Blue Skye
2011-06-02 10:14:50
I take exception to the claim that these are US companies. Take Bayer for example; very old established German chemical company. We stole their trademark name at the end of WWII, and they have only recently gotten it back. Yes they manufacture in the US, but I can say they in no way consider themselves to be a “US company”. Customer of mine.
Comment by Big V
2011-06-02 11:06:34
Of course Bayer says they’re German. They have been developed by the US, and most of their current projects are being done based on US contracts. Thanks to the decline of the United States due to our stupid trade policies, they have sorta kinda gone back to being German.
I find it telling that corporations can look for employees outside of the country, but we cannot look for resources WE want from outside of the country. Just trinkets stuffed into walmart bins.
These numbers are why I think that the U.S needs to create a system modeled after the IHS and VA to handle the uninsured. It would work something like this: (1) Medicaid funds would be block granted to states if they agreed to create a system of clinics and hospitals for the poor and others who wish to participate in a system of lower costs thus lower billing (2) the system would have cost controls similar to European hospitals (3) Tort reform would only allow for actual damages for patients treated at these hospitals. (4) They would be staffed as followed: The cap on new doctors that Clinton put in place would be eliminated. (The cap is really that the fed government will only pay for a limited number of doctors to be trained.) I would make future doctors pay the full cost of their own education unless they agree to work for this system for 20 years, if they leave early they have to pay back treble the amount spent on them on a pro rata basis. (5) non-poor would charged only the cost of the service at a fee per service or they could buy a government insurance that is based on the costs of the system. No one would pay extra because they paid cash and all cross- subsidies would be prohibited.
This system would also reduce costs in the present private system since hospitals would not be charging other patients higher rates to make up for medicaid and non-paying patients. We might have 50 different systems and we could pick from the best practices. We would have both a European and our private system and innovation in the private would still occur. To me it is the best of both worlds affordable health care for those with none but it would not prevent anyone from having access to the present system if they can pay for it.
Just a quick chime in. “Sick Around The World” Documentary PBS Frontline (online now-free) investigated 5 countries with universal health care. In Japan for instance, an MRI is $100 iirc, because the mfgs make small units, and there are more of them. The govt has its finger on the pulse of profit for human need. None of the 5 were “perfect”, but the U.S. ranked 37th, overall. We ranked high in emergency and surgical type care.
(Comments wont nest below this level)
Comment by Arizona Slim
2011-06-02 10:18:46
I read the book that accompanied that documentary. In one Japanese hospital that the author (TR Reid) visited, there was a wall poster stating that the patient was the entire reason for the hospital’s existence. And that it was the hospital’s policy to speak softly and kindly to the patients.
Imagine that happening in an American hospital.
Comment by Awaiting
2011-06-02 10:48:47
Az Slim
Thank you for the book lead. I’ll pick it up. I am not surprised that the patient is the center of the Japanese hospital experience.
Comment by Steve J
2011-06-02 10:55:57
In the US, the customer of the hospital is the doctor.
abq:
Appreciated your thoughtful comments from yesterday and glad you followed up today.
What you outline here essentially describes the US Public Health System in the 1950’s to 1960’s before LBJ came in and “socialized” medicine with Medicare. (Remember Ronald Reagan’s hysterical propaganda film on behalf of the AMA?)
Teaching facilities were located next to VA Hospitals and clinics, and physicians did their internships and often residencies within its auspices. Those choosing to practice for four years within the Public Health Service Clinic System after board certification, had all or part of their medical education subsidized. The USN still does the same for its medical ensigns-Lt. Commanders. We pay for your training, you work for us for X years.
Expand this system to include the training of more nurse practitioners, RNs, medical and pharmacy technologists, hospice workers, and allow them the option of having their training paid for in exchange for four years of clinic duty past their board certification. Many choose to stay rather than fight the politics, malpractice premiums, start-up costs, paperwork, job insecurity etc. inherent in private or group practice. Others return when the exigencies of solo practice prove too stressful.
Existing storefront facilities, mobile outreach clinics, underutilized private hospitals, could all be incorporated into the public health system which would be fully funded by federal mandate for (and this is key,) public health issues only.
Private elective care can still be handled by fee-for-service practitioners, particularly those like plastic surgeons, bariatric physicians, fertility specialists, et al which have no business being compensated out of the public weal.
The redundancies and inefficiencies of today’s medical system are the result of twenty-three layers of middlemen and brokers between the physician and the patient. Eliminate them and you’ll eliminate a commensurate proportion of the waste and graft.
(Comments wont nest below this level)
Comment by Elanor
2011-06-02 11:22:39
+ 1,000. Thank you.
The medical profession is undergoing profound changes already. The old model of the (largely male) solo independent practioner or small group practices is being replaced by an increasingly female ( now at around 50% of medical students) population. Many of these young people are choosing to be employed by hospitals. Their employer sets up their office, deals with insurance companies and other bureacracy. They are salaried, and they consider the loss of autonomy more than compensated by not having to conquer the maze of byzantine insurance practices on their own.
I can tell you that the US healthcare system is definitely subsidizing the rest of the world. I work in the medical industry, on the R&D side of things. I know that our foreign customers typically pay 50% of full price for everything from medical devices to pharmaceuticals to supplies. It is the US consumer who pays for corporate R&D, and the US taxpayer who covers university R&D (which is even more important).
Also, the globalization trend has brought along with it an increasing warmness toward foreign students and foreign workers in the medical and scientific fields. So these foreign countries do not harbor an environment conducive to industriousness or research, but their citizens can still come here and profit from the environment created by us, at our expense.
Comparing per-capita medical expenses from socialist country to capitalist country is an apples-to-oranges comparison.
“I know that our foreign customers typically pay 50% of full price for everything from medical devices to pharmaceuticals to supplies.”
Turns out those ’socialist’ systems are smarter than ours- they use their size to bargain for good prices- a logical action that occurs regularly in the ‘free market’, but it’s somehow socialist if our government does the same thing.
(Comments wont nest below this level)
Comment by Big V
2011-06-02 08:48:30
They are taking advantage of the fact that a US company is willing to give them a lower price, so as to add to the bottom line, just as they are willing to hire foreign citizens.
There was even a lawsuit about this some years back. Some Americans argued they were being ripped off because they were being charged more. The decision was that the company is allowed to charge different rates in different economies if they want to. More globalist BS, if you ask me.
The products we are developing now could not happen if it weren’t for the higher-paying US customers. Of course, the CEOs could afford to take a $10 million/year paycut, but IMO that paycut should come in the form of hiring US workers.
Comment by alpha-sloth
2011-06-02 09:03:12
“The products we are developing now could not happen if it weren’t for the higher-paying US customers.”
That’s certainly the last flimsy wisp of an argument that those defending the US healthcare system have. I’ve still yet to see any evidence to back it up.
Hearsay and anecdote don’t count.
Comment by Big V
2011-06-02 09:10:48
Alpha:
It is not heresay when an industry insider tells you what they know from industry experience and exposure to propreitary data. The fact that you choose to ignore this input only displays your stubbornness.
We pay universities grant money to developed drugs and then the universities sell the patents to drug companies who charge us for the drugs. We get to pay twice.
I love capitalism!
(Comments wont nest below this level)
Comment by alpha-sloth
2011-06-02 09:05:19
Exactly. A large portion of our ‘free market’ pharma research in the US is done in our universities (many of them government run!)
It’s just the profits that are privatized.
Comment by ecofeco
2011-06-02 15:04:46
A large part of ALL our R&D is, and has been done, by universities because the corps decided is was too much overhead.
I didn’t read your whole post, but I think it’s obvious that a teaching hospital will have more students and newbies than a non-teaching hospital, which would clearly result in more errors.
My only contention is the part about “low-priced medical labor”. You show me a low-paid doctor, and I will show you a volunteer. Residents and working medical students get paid a lot more than most other Americans with similar amounts of education.
Again, with a wife who is in fellowship program I can give a firsthand breakdown
Med student: PAYS 20-50k yr — 4 years of volunteer service right there.
Resident 3-8 years depending on specialty. Roughly 40-45k/yr. (With 8 years of college and med school as education) From which to pay your college debt + med school debt… I know, PhD’s make this entry level too in the cases of liberal arts. Most other sciences or engineering are kicking in at 60 - 100k
Fellowship- another 2-4 years of about 50k.
Now, those salaries might look pretty decent.. Then you remember that the education institutes are always getting in trouble for ignoring the 80hr/wk work limit they put in place to try to limit fatigue in docs in training. Docs are doing 24 hour calls multiple times per week. They have rooms set up in hospitals so docs can sleep at their jobs for a few minutes a night, so the nurses can more easily wake them up when the next 2am patient comes in. Wow, great for family life huh?
So after all this, finally, private practice. My wifes specialty will earn an equivalent of somewhere between 250k and 800k per year at an hourly rate of 125-400 depending on a variety of factors.
We’re pretty sure we will try to set it up so she’s only working 20-30 hr’s a week for a bit after she finishes so she can recover from an on the job injury.
So yes, training hospitals get docs at reduced rates.
I agree that the 80-hour limit is unacceptable. They just do that to eliminate competition, which is criminal. However, I have never met a student who makes $20-40k/year. That’s huge. A post-doc makes like $23 at the higher-paying institutions. Associate professors make $40. Industry scientists with PhDs living in California are getting $80k to start ($100 if they’re in the phyiscal sciences). Top-ranking Nobel Laureates running prestigious labs in expensive cities get $200k/year.
Scientists are expected to work overtime and holidays for free - all.the.time.
So yeah, the doctors are making more than they should.
(Comments wont nest below this level)
Comment by Elanor
2011-06-02 11:29:31
Big V, graduate students in the hard sciences get tuition waived and they get stipends. Med students are paying big bucks for med school. That 20 to 40k figure that mathguy quoted (which I consider to be way low) is the amount that med students pay per year. Nobody pays for med school except the Navy, and they own you for years afterwards. I don’t know how MD/PhD programs handle students’ expenses. Having said that, I agree that science doesn’t pay well. I should know, as my husband is a former research microbiologist.
Comment by Big V
2011-06-02 12:15:07
Grad students work full-time for the university as a part of the deal. It’s not so much that they get free tuition, rather they pay for their own tuition through their work as researchers. Also, the stipend is in exchange for teaching. They get nothing for free.
IMO, the price of med school is directly linked to the expected profit down the line (and yeah, the AMA contributes to that). In other words, I think doctors are overpaid.
Comment by sfbubblebuyer
2011-06-02 13:34:23
Uh, their are pure research stipends, Big V. I had one. No teaching, just slaving in the lab and tuition covered. I made $20,400 a year and considered it a great deal.
Comment by sfbubblebuyer
2011-06-02 13:35:25
Nice. Typos in my response will make it look super intelligent!
Comment by Big V
2011-06-02 13:58:54
I can makee more typoos than yu. Anyway, you still had to work for the stipend.
In other countries students go straight into med school, and skip the whole majoring in “pre-med” or biology thing that is done here.
We have allowed the AMA to create huge barriers to entry in the USA and the cost of becoming an MD here is unreal (as are all medical costs in the USA).
(Comments wont nest below this level)
Comment by Big V
2011-06-02 11:30:56
Yes, the AMA definitely keeps people out for money reasons. But doctor’s salaries have skyrocketed over the last generation, which is the only reason some people are still willing to jump through those hoops. If the salaries weren’t so bloated, then the AMA would have to back down.
Comment by measton
2011-06-02 11:49:31
1. More doctors does not mean lower priced health care. It means more doctors trying to make a living. Oh you have some pain in the right lower quadrent well you need your appendix out. You have a cold you need antibiotics. You have cancer and can barely stand up you need more chemotherapy. You have mild chest pain entirely consistent with heartburn, you need a full angiogram.
2. Doctors pay amounts to 10% of health care spending. Insurance company manageral fees and advertising can be over 20%. Infact they went ape sht when Obamas plan proposed they cap it at 20%.
They limit the number of Navy Seals they train, too. And for good reason.
The truth is that medical schools are hugely selective not because of “The AMA” but because it takes a certain special kind of intellect/character to make it through medical school, internship, residency, and preceptorship/fellowships. It is INSANELY expensive to educate a qualified physician, (ever try building and maintaining a state-of-the-art regional medical center and university with a big enough patient base to offer exposure to the whole panoply of human physical ailments– along with its support networks?)
This enormous expense is why admission is limited to only the very few who can be expected to make it through the training (of which the 80-hour weeks and years of mental rigor are an integral part.) If you screw up the culture in a petri dish, or miswrite a line of code, you don’t have to explain yourself to its grieving relatives.
That money is not recouped, even with the astronomical tuition and “free” patient care provided by trainees. Consequently State and Federal governments must heavily subsidize regional medical care and training facilities. And why these centers must have private fund-raising auxiliaries to keep them operating.
BTW: The AMA is about as cohesive a voice for MD’s as NORML is for marijuana use. That is to say, not very.
Mathguy “The only inference I draw from this is that these hospitals (not just VA, in case you are still having reading comprehension probs) are benefiting from low priced medical labor”
Completely wrong - Residents and interns don’t save save hospitals money. Physicians have to train said residents which takes time. They order far more tests which costs money. They don’t discharge patients as quitckly. There are several layers ie intern, resident, fellow vs say one nurse practitioner.
Mathguy ; Hmm, so if you turn away a huge portion of the population you are supposed to serve, you can better serve the remaining people and save money? Who would have guessed!
Wrong again - Cost comparisons are per person. The VA has a much lower cost per person and delivers better results. The VA population is often a pretty sick population as well.
Mathguy Finally, one thing I noticed is this: Per capita patient costs are always compared in country A vs country B. for example, In France healthcare is 3k vs the US it is 6k
But in france GDP per capita is 34 k vs the US is 47K
using a different figure, median household income is
31,111 in the US vs 19,615 in france. So except in the case of bankruptcy through medical bills, I am coming out 10k/year
I”m not sure where you are going with this. What does GDP have to do with anything? The bottom line is they pay less per person than the US and have comparable outcome. The GDP arguement is just confetti it has absolutely nothing to do with which health care system is better.
Mathguy : I don’t know why any of us is complaining, because that is pretty damn reasonable even for a 60 year old, and we have more money to pay for it than any other nation on earth. Maybe we should stop this whole healthcare debate and go back to housing debates and stopping the 3 current wars we are in.
What kind of a cap on coverage is there?
How many restrictions on care? Will they pay for experimental? Will they insure people who have pre existing conditions? How do you think the fact that they will transfer her to medicare in 4-5 years if she gets sick plays into their pricing?
Also WE don’t have more money to pay for this. In case you haven’t noticed the middle class is dieing in this country adn wealth is being concentrated into fewer and fewer hands. The Ryan plan would continue that process.
Sorry, one more healthcare thing regarding the VA and then I’m done…
Did anyone ever stop to consider that perhaps the VA is also having better outcomes because they are treating a disciplined, trained, in shape fighting force with a high motivation level? Give me a platoon of maimed Iraq war vets and I bet I can run any CA DMV with double its current efficiency. And sorry if I offended any war vets by lowballing your efficiency there.
Damn you guys make me proud.. I just wish we did you all the service of not making you fight except in defense of our shores in the first place.
“Until the early 1990s, care at VA hospitals was so substandard that Congress considered shutting down the entire system and giving ex-G.I.s vouchers for treatment at private facilities. Today it’s a very different story. The VA runs the largest integrated health-care system in the country, with more than 1,400 hospitals, clinics and nursing homes employing 14,800 doctors and 61,000 nurses. And by a number of measures, this government-managed health-care program–socialized medicine on a small scale–is beating the marketplace. For the sixth year in a row, VA hospitals last year scored higher than private facilities on the University of Michigan’s American Customer Satisfaction Index, based on patient surveys on the quality of care received. The VA scored 83 out of 100; private institutions, 71. Males 65 years and older receiving VA care had about a 40% lower risk of death than those enrolled in Medicare Advantage, whose care is provided through private health plans or HMOs, according to a study published in the April edition of Medical Care. Harvard University just gave the VA its Innovations in American Government Award for the agency’s work in computerizing patient records.
And all that was achieved at a relatively low cost. In the past 10 years, the number of veterans receiving treatment from the VA has more than doubled, from 2.5 million to 5.3 million, but the agency has cared for them with 10,000 fewer employees. The VA’s cost per patient has remained steady during the past 10 years. The cost of private care has jumped about 40% in that same period.”
So the socialized VA has higher customer satisfaction, lower mortality rates, and its prices, unlike in the private realm, are remaining steady.
My wife’s ob/gyn retired. Retired from private practice.
Went to work for the VA here in Medford. Top of the
line Doc who just got fed up with the crap he had to take
from the insurance companies, Medicare, Medicade, a
Oregon health.
My good friend, specialized orthopedic surgeon, closed
his office January. Same reasons.
I think the fear is self evident from Math’s writing–that his wife would only make $55k per year and suffer from low job sanctification like those doctors do in France.
It would help too if we could lower the barrier of entry to the medical profession–many countries do not require an MD to practice medicine. Of course higher degrees would certainly be available for those who choose to earn them, and in turn we can have a spectrum of sophistication in the medical field, with varying costs. Indeed, I think it would also be a great idea for the government to complete subsidize the medical training at the lowest level, so that the new doctors would not be burdened by high level of student debt, and making $55k per year would not lead to a sub-standard living.
But of course, Math’s wife’s trade union, the AMA, would never go for that.
Can we cut this crap about AMA? The AMA only represents 15% of American physicians and play little if any role in the size of medical schools in America. The nursing union in the US is magnitudes more powerful than the AMA. If only the AMA were that powerful, doctors won’t be walked all over by the lawyers, hospitals, politicians and even nurses.
It’s expensive to train medical students. You don’t just create a classroom and suddenly you get doctors. You need teaching hospitals that offer a wide diversity of specialties and patient cases.
Comment by Arizona Slim
2011-06-02 14:02:29
Can we cut this crap about AMA? The AMA only represents 15% of American physicians and play little if any role in the size of medical schools in America.
I once heard Andrew Weil call the AMA a very ineffective organization. His reason: “Whatever it opposes comes to pass.”
BTW, he expressed this viewpoint while making a public presentation at the University of Arizona. He’s on the UA med school faculty.
Amen to that. I think I speak for my wife when I say we would be happier with a reduced final salary (we don’t need anywhere near 800k/yr) in exchange for reduced school debt, shorter work hours, and modestly higher training salary over the past 10 years.
“It would help too if we could lower the barrier of entry to the medical profession–many countries do not require an MD to practice medicine.”
Or its easier to earn them. The US is one of the few countries in the world where you need a bachelor’s degree to get into med school,
And the barriers are high. I know a woman from Lithuania who was an MD there. She pretty much had to start all over in the US, jumping through hoops and taking tests that were so hard that most US Med school grads would fail them. After years of hard work she was certified to practice medicine in the USA.
(Comments wont nest below this level)
Comment by Jonathan
2011-06-02 12:00:33
Colorado: “She pretty much had to start all over in the US, jumping through hoops and taking tests that were so hard that most US Med school grads would fail them. After years of hard work she was certified to practice medicine in the USA.”
Most US med school grads will fail? You have absolutely no idea what you are talking about. The pass rate of board exams in the US is 95% for American med school grads and less than 60% for foreign trained medical grads. The USMLE licensing exam is required for all medical doctors in the US. It’s the same test given to everyone in order to obtain a residency spot and become licensed to practice in the US.
The sheer amount of ignorance, jealousy and BS is mind blowing here regarding the US medical system. You guys (with the exception of mathguy) should stick with talking about the housing bubble.
Comment by ahansen
2011-06-02 19:11:51
Thanks for the voice of informed sanity here, Jonathon. It’s obvious from the comments that many of our posters are talking out of their arses.
Medicine is not engineering. The rigor of the training is in no way comparable, nor is it fungible with that of many other countries, where certification as a “medical doctor” is on a par with becoming a chiropractor or massage therapist here in the US. By all means, let’s let more Mexican beauticians inject Restalin and treat colon cancer. That’ll bring down costs fer shure.
As for the AMA being a “union,” or even a representative lobby, ROTFLMAO.
Comment by alpha-sloth
2011-06-02 19:55:02
“The sheer amount of ignorance, jealousy and BS is mind blowing here regarding the US medical system. You guys (with the exception of mathguy) should stick with talking about the housing bubble. ”
We just proved math guy’s points wrong. And we did it with links and sources, unlike your diatribe.
Sounds like we hit too close to home for you, too. Someone around the house making big medical bucks? It can warp your perception of facts. Money has that effect.
Comment by alpha-sloth
2011-06-02 20:08:09
Maybe the AMA isn’t an actual union, but something more powerful:
Forbes magazine
“But that’s not how it has worked in medicine since 1910 when the Flexner report, commissioned by the AMA, declared that a surplus of substandard medical schools in the country were producing a surplus of substandard doctors. The AMA convinced lawmakers to shut down “deficient” medical schools, drastically paring back the supply of doctors almost 30% over 30 years. No new medical schools have been allowed to open since the 1980s.
Still, the AMA along with other industry organizations until recently had issued dire warnings of an impending physician “glut” (whatever that means beyond depressing member wages), even convincing Congress to limit the number of residencies it funds to about 100,000 a year. This imposes a de facto cap on new doctors every year given that without completing their residencies from accredited medical schools, physicians cannot obtain a license to legally practice medicine in the U.S. Even foreign doctors with years of experience in their home countries have to redo their residencies–along with taking a slew of exams–before they are allowed to practice here.”
Comment by ahansen
2011-06-02 23:56:38
Alpha,
Without disparaging your basic contention, with which I agree wholeheartedly, citing Forbes as an authority on the practice of medicine in this country is really reaching.
In 1910, when the Flexner report was commissioned by the newly-formed AMA, anyone with a patent medicine and a horse-drawn wagon, a barbershop, or a hankering to hack or irradiate, could call themselves a doctor and practice whatever and however they wanted. There was zero regulation, which is why the AMA was formed in the first place– to get some standardization and accountability into the profession to keep people from dying at the hands of quacks.
After WW2, medicine in the US took a giant leap forward in research and efficacy, largely due to government funding of medical education via the GI bill, and subsidies to research institutions. I agree, it’s again time for more.
But as for the “glut” you mention, citations and context would be nice here. IIRC, there was such a shortage of family practitioners in the late seventies, that the AMA successfully lobbied Congress to ENCOURAGE foreign graduates to come into the country and set up practices in underserved rural, ethnic, and inner city areas.
Many of these foreign grads ended up doing their residency training at the VA, as the after-effects of the Viet Nam war began to seep through the lower strata of American society. The standard of care there was notoriously awful at the time (and through the 1990’s,) due largely to the fact that the VA was a dumping ground for underqualified foreign graduate physicians. Psychiatrists who didn’t speak English, for example. Radiologists who had just discovered angioplasty and were grateful to have a stream of near-indigent patients to experiment on…. Trust me, you wouldn’t have wanted them anywhere NEAR your body, let alone poking around in it.
I think a reasonable solution at this point would be for the federal government to ramp up its funding of training programs for more specialized ancillary personnel, rather than lowering its standards for physician licensure. Substandard medical care is the last thing we need right now.
But the VA is also treating a lot of elderly and middle-aged people whose fighting years, if any, were long ago.
My own brother in law is currently getting top-notch medical care at the Tampa VA. He never saw combat. He qualified for low- or no-cost care because he is low income. I’ve been pretty impressed with his doctors there.
I have neighbors who go to the VA for treatment of various ailments. Including service-related PTSD. While I’ve heard them grouse about various things, hey, that’s what we do on this little hill in central Tucson. We’re grousers.
As for the care at the VA, my neighbors seem satisfied, despite the grousing.
I agree, VA care is pretty good in many cases. It’s too bad they are turning away so many of our veterans after promising them care. Bravo to providing excellent care to the vets who are getting it in a highly rated way. This is the least we can do for their service to our county.
As civilian citizens, I think if we didn’t want to provide care for these soldiers after they return from combat, even non-combat related care post military, we shouldn’t have sent them out to fight in the first place.
A lot of people getting care at the VA were from the years of the draft. Which means those that were unhealthy at age 18 to 24 or so were not in the pool, but it is nothing remotely like the pre-selection we are seeing in an all volunteer military.
(Comments wont nest below this level)
Comment by Steve J
2011-06-02 10:59:07
The 70s/early 80s volunteers were far from the cream of the crop.
I’m sitting here laughing at the memory of my long-ago med student rotations at the Ann Arbor VA. Hallways full of ancient, grizzled alcoholic smokers in wheelchairs. Good times.
(Comments wont nest below this level)
Comment by Arizona Slim
2011-06-02 11:38:13
Were you working at the Ann Arbor VA when the murders of the patients happened? ISTR that the murderer was a VA nurse.
Comment by Elanor
2011-06-03 09:15:16
No I wasn’t. I’m not even certain that happened while I was in A2.
Did anyone ever stop to consider that perhaps the VA is also having better outcomes because they are treating a disciplined, trained, in shape fighting force with a high motivation level?
I couldn’t laugh harder. Have you ever been to a VA hospital or spoken with a physician that works at one. Seriously ask any physician who has worked at the VA if the vets that get their medical care at the VA are a healthier well disciplined population of patients.
The reality is the VA costs 5k per patient and US average is close to 7k.
Why
1. Drug costs - The VA is allowed to bargain for lower priced prescription drugs. The medicare prescription drug plan pushed through by GWB does not. VA pays 60% less.
2. Electronic records - VA was an early and benefited.
3. Pay incentives don’t encourage gouging the system. The doctor that recommends the CT doesn’t own the CT scanner.\
4. Quality review programs and a focus on prevention.
How did the VA do it? Enter the forceful outsider determined to shake up an entrenched bureaucracy: Kenneth W. Kizer. A former Navy diver, emergency medicine physician, and top health official in California, Kizer, 54, became the VA’s undersecretary for health in 1994.
By any measure, the veterans’ health system was sick. Veterans’ groups attacked its quality of care. Government auditors called it bloated. Some even questioned its existence. But Kizer was intrigued. “I thought that it had great potential,” he says.
What struck him most was how poorly the agency was using its resources. Only 10 percent of patients had primary-care physicians. That meant vets - many of whom suffer from chronic conditions such as heart disease and emphysema - had to see a different specialist for each ailment rather than getting everything treated at one time.
Furthermore, there was no standardized approach for doctors to follow in treating a chronic illness. Fewer than a third of all patients, for example, were receiving flu shots and other critical immunizations. “Too many patients were falling through the cracks,” Kizer says.
The good news was that everyone agreed that the system needed radical treatment. Soon after taking over, Kizer summoned a dozen top managers for a week-long brainstorming session in Washington. They decided to carve the country into a dozen territories, each with its own budget, managers, and performance goals. Every patient got a primary-care doctor. And over the next several years the agency shifted away from an expensive, hospital-based model to one that emphasized outpatient community clinics and primary care.
One of the keys to Kizer’s efforts was a deal he negotiated early on with the Office of Management and Budget that returned any savings to the VA. Kizer began bargaining hard with drug companies and other medical suppliers, wringing out hundreds of millions in annual costs.
As part of the overhaul, he reengineered the VA’s $1-billion-a-year pharmacy, creating a single list of approved medications. To free up pharmacists and to reduce errors, each hospital pharmacy installed systems to automatically refill prescriptions. Today, at the Manhattan VA, the robot-like Optifill system dispenses 1,000 prescriptions a day.
Kizer then used the savings from these changes to create Vista’s electronic health record. Vista’s origins date back to the 1970s, long before programs to help doctors treat patients were commercially available. The agency’s programmers began designing applications to help schedule appointments, track lab results, and perform other routine tasks. By 1989 the VA had some two dozen applications installed at 169 sites nationwide.
Sensing the potential of Vista, Kizer spent hundreds of millions rewiring hospitals and purchasing new computers, allowing distant facilities to talk to one another over speedy connections. VA programmers added dozens of new software programs to the growing suite of applications. By 1999, Kizer and his team had installed Vista at every VA facility in the country.
Today the numbers prove how the attention to detail that technology can provide pays off in better health. The VA’s pneumonia vaccination rate, lagging at 29 percent in 1995, has risen to become an industry-leading 94 percent in 2005. The number of at-risk vets screened for cervical cancer has increased from 64 percent in 1995 to 91 percent. The increased vaccination rate has reduced hospital admissions by 4,000 patients per year.
How did the VA do it? Enter the forceful outsider determined to shake up an entrenched bureaucracy: Kenneth W. Kizer. A former Navy diver, emergency medicine physician, and top health official in California, Kizer, 54, became the VA’s undersecretary for health in 1994.
By any measure, the veterans’ health system was sick. Veterans’ groups attacked its quality of care. Government auditors called it bloated. Some even questioned its existence. But Kizer was intrigued. “I thought that it had great potential,” he says.
What struck him most was how poorly the agency was using its resources. Only 10 percent of patients had primary-care physicians. That meant vets - many of whom suffer from chronic conditions such as heart disease and emphysema - had to see a different specialist for each ailment rather than getting everything treated at one time.
Furthermore, there was no standardized approach for doctors to follow in treating a chronic illness. Fewer than a third of all patients, for example, were receiving flu shots and other critical immunizations. “Too many patients were falling through the cracks,” Kizer says.
The good news was that everyone agreed that the system needed radical treatment. Soon after taking over, Kizer summoned a dozen top managers for a week-long brainstorming session in Washington. They decided to carve the country into a dozen territories, each with its own budget, managers, and performance goals. Every patient got a primary-care doctor. And over the next several years the agency shifted away from an expensive, hospital-based model to one that emphasized outpatient community clinics and primary care.
One of the keys to Kizer’s efforts was a deal he negotiated early on with the Office of Management and Budget that returned any savings to the VA. Kizer began bargaining hard with drug companies and other medical suppliers, wringing out hundreds of millions in annual costs.
As part of the overhaul, he reengineered the VA’s $1-billion-a-year pharmacy, creating a single list of approved medications. To free up pharmacists and to reduce errors, each hospital pharmacy installed systems to automatically refill prescriptions. Today, at the Manhattan VA, the robot-like Optifill system dispenses 1,000 prescriptions a day.
Kizer then used the savings from these changes to create Vista’s electronic health record. Vista’s origins date back to the 1970s, long before programs to help doctors treat patients were commercially available. The agency’s programmers began designing applications to help schedule appointments, track lab results, and perform other routine tasks. By 1989 the VA had some two dozen applications installed at 169 sites nationwide.
Sensing the potential of Vista, Kizer spent hundreds of millions rewiring hospitals and purchasing new computers, allowing distant facilities to talk to one another over speedy connections. VA programmers added dozens of new software programs to the growing suite of applications. By 1999, Kizer and his team had installed Vista at every VA facility in the country.
Today the numbers prove how the attention to detail that technology can provide pays off in better health. The VA’s pneumonia vaccination rate, lagging at 29 percent in 1995, has risen to become an industry-leading 94 percent in 2005. The number of at-risk vets screened for cervical cancer has increased from 64 percent in 1995 to 91 percent. The increased vaccination rate has reduced hospital admissions by 4,000 patients per year.
Fed May Signal Balance Sheet Will Stay at Record to Counter U.S. Slowdown. (Bloomberg)
Janet Yellen, vice chairman of the U.S. Federal Reserve, in a Tokyo speech released late yesterday in Washington, said that “the current accommodative stance of U.S. monetary policy continues to be appropriate because the unemployment rate remains elevated and inflation is expected to remain subdued over the medium run.”
A wave of surprisingly weak data on the U.S. economy may spur Federal Reserve policy makers to support growth by making it clear they’re in no hurry to shrink the central bank’s record balance sheet.
There’s a “strong possibility” that the Federal Open Market Committee will say following the June 21-22 meeting that it will keep reinvesting proceeds from maturing debt for a while, said Michael Feroli, chief U.S. economist at JPMorgan Chase & Co. (JPM) in New York. Previously, the FOMC has said it will keep the benchmark interest rate near zero for an “extended period” without a similar pledge about its balance sheet.
Yesterday’s reports showing manufacturing grew at the slowest pace in more than a year in May and employers added fewer jobs than forecast prompted Feroli to cut his estimate for second-quarter economic growth. The slowdown may push policy makers to consider what options are left after their second $600 billion round of asset purchases sparked a Republican backlash. Saying the balance sheet won’t shrink immediately could dispel any notion that the Fed is about to push up borrowing costs.
Banks Borrowed from U.S. Government and Loaned it Back at Higher Rates. ~ http://www.allgov.com
Banks have made a killing off the near-zero interest rate loans provided by the Federal Reserve during the 2008-2009 financial crisis—by taking the money and loaning it back to the U.S. Treasury at rates 12 times higher.
At the request of U.S. Senator Bernie Sanders (I-Vermont), the Congressional Research Service examined Fed loans to some of the nation’s largest banks, such as JPMorgan Chase, Citibank and Bank of America, and what the institutions did in turn with their money.
By the second quarter of 2009, JPMorgan Chase had taken an average of $7.6 billion in outstanding Fed loans with an interest rate of 0.25% interest. At the same time, it held $34.6 billion in U.S. government securities with an average yield of 2.3%.
Similarly, Citigroup during the same time period had more than $23 billion in Fed loans with an interest rate of 0.5%, while holding $24.3 billion in U.S. government securities with an average yield of 2.3%.
Fed officials said in 2008 that the emergency loans were needed so banks could provide credit to small- and medium-sized businesses that desperately needed funds to create jobs or to prevent layoffs. “Instead of using this money to reinvest in the productive economy, however, it appears that JPMorgan Chase, Citigroup, and Bank of America used a large portion of these near-zero-interest loans to buy U.S. government securities and earn a higher interest rate at the same time, providing free money to some of the largest financial institutions in this country,” Sanders said.
The bad accounting standards are probably the biggest boon to bank executives. TARP provides a modest profit, while other programs are more generous. But pretending your massive losses aren’t really there…. Now that’s something you can really write a bonus check against.
At the end of the day, this is the real issue. And it is why we probably didn’t need to bail out the banks at all. Once they were given permissions to pretend that a security worth $x is really worth a lot more than $x for the purposes of meeting their regulatory requirements, why do more?
Of course, if you really wanted to do it “transparently” you would have required that they report both numbers - the one under the “we really don’t want all the banks to collapse” accounting rules and the one under the old accounting rules.
What happened to transparency again?
(Comments wont nest below this level)
Comment by Jim A
2011-06-02 10:14:59
Well most magicians rely on misdirection, and the financial alchemists are no different. “Look at the Deficit!!” while hiding all the poo as collateral for loans for the Fed.
I recently set out to determine how honest General Motors is being when it claims that demand for the Chevy Volt is exceeding supply. It was not hard to discover that this is not the case as retail sales remain dismal. A web search on vehicle locator sites such as Autotrader and Cars.com exhibit sufficient supply of the Volt, one dealership within 70 miles of my location had six new Volts available for sale.
But I discovered something far more disturbing during my search. Many Volts with practically no miles on them are being sold as “used” vehicles, enabling the dealerships to benefit from the $7,500 credit supplied by the American taxpayers on each car. The process of titling the Volts technically makes the dealerships the first owners of the vehicles, which gives them the ability to claim the subsidies. The cars are then offered to retail customers as “used” vehicles.
The practice of dealerships purchasing from one another is not uncommon. “Dealer trades” are done all the time in the industry. What is very unusual is for the receiving dealership to be able to maximize profits at the expense of taxpayers by claiming tax credits of $7,500. It is also very rare for dealerships to part with any model that has higher demand than supply, as GM claims is the case with the Volt. In addition to qualifying dealerships for a $7,500 tax subsidy, the titling process also allows GM to record Volt sales even if the cars are sitting on dealership lots.
While most of the dealerships offering “used” Chevy Volts for sale are Chevy dealers, I also found other manufacturers selling Volts with low mileage as “used” cars. A Kia dealership in California that I contacted seemed to suspect that they were doing something a bit underhanded when I called them to inquire about a “used” Volt for sale with only 30 miles on it. After I identified myself as being an associate with the National Legal and Policy Center, I was placed on hold. I was then told by a sales manager that the Volts offered at that dealership were rental cars with higher mileage on them. I later called the same dealership back posing as a potential customer and confirmed that a “used” Volt with only 30 miles on it was available. This also raises the question of why GM or Chevy dealerships would be selling Volts to other manufacturers’ dealerships when they claim that there are not enough of the cars to meet retail demand.
A Chevy dealer in Chicago was more upfront with the info given on a “used” Chevy Volt with only 10 miles on it. The vehicle was being offered at MSRP. When I asked if I was eligible for the $7500 tax credit, I was told that I probably wasn’t since the dealership was applying for the subsidy. This practice is one of the more egregious abuses to date purloined upon taxpayers as a result of the GM bailout. The intent (even if misguided) of the $7500 tax credit offered on the Chevy Volt is to encourage consumers to buy “green” vehicles, not to offer an opportunity for dealerships to game the system and maximize profits at the expense of the taxpayers. I also suspect many purchasers of “used” Volts will attempt to claim the $7500 tax credit for themselves, thus bringing the total tax subsidy on such transactions to $15,000 if not disallowed by the IRS.
Can’t say I’m surprised, but apparently it’s not illegal. Just shows how loose and poorly these gubmint programs are laid out. Of course no one could have foreseen this possibility happening. Wonder who wrote the rules of the $7500.00 tax credit?
Here’s some good news, taxpayers will only have to take a hit of around $16 billion on the Gubmint Motors bailout! The clowns in D.C. see this as a success and cause for celebration.
As many on this board had said government would be much more effective if they would have promoted natural gas vehicles instead of electric. Government can prove useful in breaking impasses such as exist in NGVs where there is insufficient demand for the private sector to build fueling stations but demand cannot increase until there are fueling stations. Unfortunately, government usually backs things that are not commercially viable. Had Obama used a serious amount of the stimulus to promote NGVs we might have a viable new industry with the auto companies creating NGVs, the oil companies installing NG pumps, gas companies drilling more gas wells and consumers having an option to fight higher gasoline prices. Higher employment and lower prices would have resulted with the bonus of the money spent to commute staying in the country. Instead, money was wasted on home buyer credits, electric car credits and clunker credits which were all deadends.
How many jobs did that $16 billion save? I don’t really know, because I don’t know if those GM employees and parts manufacturers would have found other jobs. My guess is no. The industry would probably have globalized further and those jobs lost forever overseas.
A-dan, I’m not a fan of ngv’s because natural gas is another fossil fuel, with an inevitable “peak natural gas” point and probably more wars in the future. It will also contribute CO2 to the atmosphere. With electric vehicles, once the battery technology is straightened out and the refueling infrastructure is in place, there are several options for making electricity. Theoretically, you could plug an e-car into your personal waterfall, windmill, or solar panel, or into the grid powered by a nuke plant or NG plant or coal plant.
Yes, “theoretically” you could plug in to zero emission sources but in reality you will, more likely, be using coal fired power which produces more co2 than burning the natural gas. Yes, eventually natural gas will reach its peak point but in this country that is decades away. In a few decades, we might have an alternative with zero carbon emissions but we need to get away from decisions guided by ideology and more just based on hard facts.
(Comments wont nest below this level)
Comment by albuquerquedan
2011-06-02 06:05:20
By the way Oxide, we do disagree that health care is a “right”. I think that until we pass a constitutional amendment making it a right, providing health care is just good public policy when affordable. We had this housing bubble because some politicians started to treat owning a home as a “right”, these type of rights either bankrupt a country or cause people to lose the right to retain the majority of money they have earned and I am not just talking about the rich. I do believe in a safety net. However, I think Obama should offer to repeal Obama care except for the medicare cuts and a phased in one year increase in the retirement age in exchange for a elimination of the Bush tax cuts for the rich and a raise in the amount of income subject to ss taxes because the alternative to austerity is either default or inflating away of the debt either of which will inflict more pain on Americans. With the U.S spending more of its GDP on health care than any other country surely we can replace it with a program that both saves money and insures more people.
Comment by oxide
2011-06-02 06:27:26
I’ll have to disagree again on the ngv’s. Yes you are correct that electric cars will be powered with fossil fuel power plants for a while; however, trasitioning from one major fuel to another is a huge investment in infrastructure. It took us upwards of 20 years just to get leaded gasoline out of cars and gas stations — and that’s when there was the political will to do it.
There is too much political wrangling and too many economic factors. Changing the infrastructure from gasoline to natural gas will take “decades” — just in time to reach peak ng. Then we’d have to go through yet another major infrastructure change.
I applaud the entertainment industry for taking the tougher road and choosing blu-ray.
—-
We had this housing bubble because some politicians started to treat owning a home as a “right.”
No, we had this housing bubble because some politicians removed some regulations, and some political appointees played with some interest rates which allowed some banks to make a whole lot of short-term profit and bonuses not based on fundamentals.
Comment by MrBubble
2011-06-02 09:26:27
“we might have an alternative with zero carbon emissions”
Probably not. If you look at the research institutions and the work produced therein, you won’t find those alternatives. Really.
“having an option to fight higher gasoline prices”
A right cannot be derived from forcing someone else to do something. If not enough people become doctors to fulfil everyone’s right should the government conscript people to become doctors?
Comment by Bill in Carolina
2011-06-02 14:16:47
A few months ago Scientific American had an article that showed how, in much of the country where coal is the primary fuel for electricity, a pure battery-operated vehicle would generate more emissions over its lifetime than the Toyota Prius would.
Why? Because they did nothing to change their failed business model and they just papered over it with obama stimulus money (just like the banks).
So the $16 billion of US taxpayer money was entirely wasted and all it did was to allow this failed business to flounder for a few more years and to continue paying the outrageous UAW demands (which is recycled into support/volunteers and campaign donations to the democrat party).
(Comments wont nest below this level)
Comment by michael
2011-06-02 06:25:47
not to mention…if i was a CEO of a company and used my connections in the MSM to pump up my stock price and then dump it at a premium on the public like the obama administration did with GM…I would probably be in jail.
Comment by In Colorado
2011-06-02 06:35:09
It also doesn’t help that J6P can’t afford a new truck.
Comment by alpha-sloth
2011-06-02 09:35:06
They’re big in China!
Comment by Arizona Slim
2011-06-02 10:03:12
It also doesn’t help that J6P can’t afford a new truck.
I think In Colorado just hit the proverbial nail on the head. IMHO, the inability to afford goods and services is a key reason why the current economy is so slow.
Comment by In Colorado
2011-06-02 11:23:40
As for GM not changing its “failed business model” they:
1) Got rid of a lot of expensive workers and are replacing them with kids that can’t afford to buy the cars they make.
2) They closed a lot of obsolete factories.
3) They stopped chasing sales at any cost. They raised prices and shrunk the rebates.
4) They are refocusing on cars (over trucks) by leveraging technolgy and designs from their European and Asian brands.
Have they executed perfectly? Of course not. But they did make 3.2 billion profit last quarter. That could vanish as the recession deepens (or as the media calls it: the double dip).
Comment by 2banana
2011-06-02 12:11:40
Have they executed perfectly? Of course not. But they did make 3.2 billion profit last quarter.
Wow - give me $16 billion that I never have to pay back and I will show a profit for a few quarters…
What GM did not do:
They did not reform their pension costs - this ALONE will kill them
They did not reform their health care costs - this ALONE will kill them
They did reform the UAW death grip on their work rules - this ALONE will kill them
Oh - and with a few/rare exceptions - they still build CRAP.
Google GM and channel stuffing. Their dealers TODAY have record inventories and we are heading into a double dip recession.
Add in the millions of people who will never buy another Obamamotors/GM product again.
And GM is already (again) giving “sub-prime” zero down loans to “fog the mirror” people to move their junk. Bankrupt former GMAC is now a government liability. They are heading down the same road.
The “new” GM stock is already 10%+ below its IPO price.
The Volt is an unmitigated disaster.
GM is going bankrupt again. After blowing $16 billion of taxpayer money…
Typically (it varies from state to state), sales taxes are paid when you register/tag the vehicle for road use. I suspect they’ve found a way to title the car - to get the rebate - but not register, to avoid the sales and road taxes. Who knows, maybe they even have a MERS like entity set up to handle all the paperwork
And that’s without factoring in increased repair costs. Both because it’s a hybrid and a chevy.
(Comments wont nest below this level)
Comment by Big V
2011-06-02 09:25:31
I own a Prius. The repair costs are unbelievably low, mainly due to the reduced wear and tear on your engine, brakes, and transmission due to the auxillary electric motor and generators.
Comment by Jim A
2011-06-02 10:24:33
Big V–Have you had to replace the battery pack yet? It takes a long time before it’s needed, but it’s pretty unavoidable and expensive when it is. At least that’s what “they” say.
Comment by Big V
2011-06-02 10:29:33
Jim:
I only have about 120k on my car, so I haven’t run into any problems yet. I do have a friend who had her battery replaced for $4k. This was on a lemon that she bought used for like $8k. I think that car had been through a flood or something because it had some other really weird problems too.
Comment by Max Power
2011-06-02 15:08:15
And what goes into making batteries? Heavy metals. And where do most of these heavy metals come from? China. Batteries on the scale required to replace any meaningful share of the gasoline market is not a viable solution. Heavy metals used in making batteries are relatively rare and no one has answered the question of what we do with all these batteries once they’re useful life is up. They’re very toxic. Given the choice between battery powered cars and NG powered cars, I’d pick natural gas every time. It’s not a long term solution, but it’s the most viable short to medium term solution that I’ve heard.
To simplify, I did not include what gas or DC the Volt uses, or the additional financing charges for $22,000.00, or the additional sales tax, or the additional insuarnce charge, etc. It keeps going and going.
I’m not going to defend the Volt here; but analysis like these always seem to neglect the biggest operational cost of all: depreciation. After 165K miles, what is the resale value of the two cars? The Civic is pretty easy to guess at- the Volt is a real unknown. If the technology proves to be rock solid, battery life is good, and fuel prices continue to rise… it might be much better than the Civic. If it turns out that there are problems down the road, then it might be terrible.
Factoring in depreciation, you might find that the cheapest cars to operate are surprising choices. That $22K Civic might depreciate $15K over 8 years of operation. Spend $22K on a 8 year old Corvette: take care of it, and in 8 years, you might sell it for… $22K. $15K pays for a lot of fuel, maintenance, and insurance. Plus, you’re driving a Corvette instead of a Civic
The trick is to find a car that’s near the bottom of it’s depreciation curve. 8-12 year old Corvettes are just an example.
The cost to replace the batteries in the prius is four thousand dollars and they only guarantee the batteries for 100,000 miles. Have to believe the cost for the batteries for a Volt is much higher. Could come as quite the shock for the owner.
The link you posted indicates that battery failures in the Prius are nearly unheard of, even after 200,000 miles. Are you aware that nonhybrid vehicles have parts that can break too?
Comment by Awaiting
2011-06-02 10:15:37
We’re keeping an eye on plug-in’s. (My Volvo is at 300K+) Here is a treasure chest of information and links. (My other half is an EE.) Tesla is out in front on battery technology and is selling it to others.
Yes, but the Volt’s battery pack costs $10k+ to replace. If it goes, that’s a *big* repair.
Comment by Sean
2011-06-02 11:35:53
Yeah, NOW it costs 10K to replace, but third party companies are making great strides with battery technology. By the time you need to replace it the cost could be much less with a higher MPGe output.
Worse, in Europe most cars are diesel engine driven. Diesel engine technology has come a long way in the last 30 years and these cars are clean meeting tough EU standards and getting easily double the mileage of a US car.
My sisters Volvo wagon (1.9 liter diesel) gets some 45 MPG when converted to US gallons. Smaller cars easily get 60 MPG.
There are differences in the roads such as use of roundabouts instead of the cheaper stop signs used here, so not as much stopping and starting, but not enough to justify the difference.
The key to having a pleasant buying experience is to have a cost-is-no-object budget and to not get hung up on getting hosed at every turn. Just lie back and enjoy the experience.
Personally I’ve never owned a new car, because I’ve never fit that model and I get really annoyed about three sentences into any interaction with a salesman. I’ve never met one so far that knew more about his product than I did. It just gets worse from there…
Not at a dealershp. Buying my current car off the leasing company that my old employer used was fairly painless. I sent them a bank check (for the estimated auction price) and they sent me the title and told the guy who was driving it that he had permission to give me possession.
“The American Dream” is a 30 minute animated film by Tad Lumpkin and Harold Uhl that attempts to show You The People how you’ve been scammed by the most basic elements of the Global Banking Cartel. Do you know how your money is created? Or how banking works? Why did housing prices skyrocket and then plunge? Do you really know what the Federal Reserve System is and how it affects you every single day?
Meanwhile, the housing slump has now wiped out 8 years of price increases.
Bloomberg is on the story:
Home prices in 20 US cities dropped in March to the lowest level since 2003, showing housing remains mired in a slump almost two years into the economic recovery.
The S&P/Case-Shiller index of property values in 20 cities fell 3.6 percent from March 2010, the biggest year-over-year decline since November 2009, the group said today in New York. At 138.16, the gauge was the weakest since March 2003.
Other reports today showed consumer confidence unexpectedly declined in May to a six-month low, and business activity in the US cooled more than forecast.
Nineteen of the 20 cities in the index showed a year-over-year decline, led by a 10 percent slump in Minneapolis. The exception was Washington, where values climbed 4.3 percent.
Prices in 12 markets dropped to fresh lows in March from their 2006, 2007 peaks: Atlanta, Charlotte, Chicago, Cleveland, Detroit, Las Vegas, Miami, Minneapolis, New York, Phoenix, Portland, Oregon, and Tampa.
Builders are gloomy and project demand will remain depressed into next year, Bill Wheat, chief financial officer of D.R. Horton Inc., told a housing conference in New York on May 11.
“We still see housing demand at very weak levels,” Wheat said. “It could still be a struggle in 2012.”
A couple of ideas, maybe some discussion topics for the weekend as well.
Some of these topics came up last weekend (I’ll post stuff tomorrow, as I was watching ‘Holmes Inspection):
First, if you were buying a used house, would you ask the seller to provide building permits. I understand that a home inspector can’t see behind walls etc… but if their was a major reno in the past couple of years, would you not like to see a sign off ? Watching Mike Holmes, clearly some people ignore major investments just done in the place they are buying!!
On the show they show some clear building code violations: some that should easily be caught, ie. improper venting, illegal draining. I’ve never bought a house, but do you guys look for these things? How can you avoid them. This links into Q #2:
Second, writing from my ‘parents house: Neighbour house sold for $479K in 2008. The new homeowners (although sold from Calgary = lots $$$) have had to put over $50K in basic repairs (roof, extension). The old neighbours were not flippers (they bought in 1989; one was an inner city teacher,the other a golf pro[who I curled with for 5 years]), generally stand up people (Ie. not Armando Montelongo or Casey Serin). House built at the same time as my parents, nor did seem bad the times I was in the house. So what should a new home buyer look for?
My husband is a former builder. Our inspector is his friend and has been doing this for decades. They’ll tell you you cannot find everything. Having said that my husband absolutely zeroes in on code violations because if they’re everywhere he doesn’t want to bother w/the expense of having the inspector come in. He’ll just lose interest in the house fearing the shortcuts are everywhere. I’ve been on 5 inspections w/my husband. I still cannot pick out some structural things he shows me like when they took shortcuts on the support structures. But call an inspector you’re going to use and ask him what to look for in the basement if everything is still exposed.
What I can pick out: drainage. Gutters on house and pointing completely away from the foundation? Sometimes there are gutters but the water drops off at the bottom of the verticle pipe and rolls back toward the house. Over time, not good. You can tell by looking at basement walls and floor if they’ve had issues. If the walls are freshly painted I may be suspect depending on the state of the rest of the home. Is there a smell in the house? Can you identify what’s caused it? Many times water is involved. Is there a sump pump? Does it run the whole time you’re there? That will spike your energy use and may mean in a storm or spring thaw in the north you’ll have issues. We look for water damage under kitchen sinks and around tubs and shower stalls.
We look at kitchen and bath cabinetry for rot and deterioration. Go to lots of open houses in different price points. You’ll soon be able to id durable vs cheap cabinetry. Look for dovetailed instead of glued corners. Look for drawers that move in and out easily instead of sticking. Check lazy susans. I see few that don’t need replacement.
Roofs: You can usually see when a roof is at the end of its life. Moss is a particularly bad sign on asphalt. LOL
Outdoors: Look for animal and bug damage or splits caused by weathering in cedar siding. Make sure there is no damage to electrical line going into home. I’ve seen some dangerous stuff out there. We had to fix one of our homes where water drainage had enough force over the years to pull the wires away from the house.
The dates of the hot water heater, furnace and a/c units are on them encoded in what I think may be their serial numbers. So you can tell their age. I don’t want to move in a home and have something important die w/in months.
Ahhh…and double check what you think you’re buying against the tax records and especially the survey. Can’t tell you the number of homes I’ve found where the sq footage or lot lines had been (ahem) misreported. You also want to make sure you’re aware of any easements where you can’t alter or build anything on that part of your lot. Good luck.
It is structural elements that are the high dollar cost repairs. Alot of times structural failures are covered under homedebtors insurance. It’s important to note that yesterdays code compliant structure isn’t going to meet todays code but that doesn’t mean there are flaws. A 2×4″ structure cannot be built in the northeast but that doesn’t mean existing 2×4″ structures are a violation.
Obviously, the older the structure, the more skeptical I’d be of any improvements. Beware of balloon framed structures (pre-WW2 era), look closely at any foundations that are constructed of field stone, foundations that are painted, foundations with cracks wide enough to slip paper in, basements with sump pumps, ridge lines with sag are a screaming indicator of settlement somewhere below, etc etc. I’d be inclined to walk away from any of these structures I mentioned above.
Sound structures with a major punchlist of flaws makes good bargaining points ;). Anchor yourself to the punch list and be prepared to walk.
The library is actually a good source. Check out some books on home construction and home inspection and spend some time studying them.
While a home inspector recommended by your agent may very well be a great inspector, I tend to distrust those whose business is too closely linked and dependent upon the local REIC. The home inspector we have chosen (for when we finally do buy) is based about an hour’s drive away. Its worth paying his travel time to know he won’t walk on eggshells, afraid of killing a local agent’s deal.
Also look for an inspector who promises to climb up on the roof and into the attic or crawlspace. Be there during the inspection. Take notes and ask questions. Don’t hire an inspector who will put a time limit on the inspection - the one we picked is known for his five-hour inspections. Test for mold, radon, asbestos, and lead. Ask if they will provide you with a preventative maintenance schedule.
The seller of the house that I just bought had meticulous records of permits, etc., as well as plan sets for me. This made my review easy.
However, there were some items that were not included in the package. For those bits of information, I went right to the City. In our City, they were willing to give any information except the plans (which I needed to get the architect’s approval to release–he gave approval, which was nice). The main thing I was looking for was the geotech report (which confirmed soils conditions, recommendations by the soils engineer, and records of the soils engineer being on-site when the foundation was poured–confirming that their advice was being followed), which the City copied for me for a minimal charge.
Provided that you have the time, I would try to get my hands on the original plans, take a look at what was originally built, and what is there now, and go down to the City to see what work was permitted, what was not, and try to figure out what was done without a permit. The disclosures should include lots of this stuff…provided of course that the current owners are aware of the work.
And all of CarrieAnn’s comments should be well taken. Being built appropriately is one thing, confirming that the home has been well maintained is another…getting a professional’s eyes on the home is always a good thing.
(Reuters) - The high unemployment rate means the Fed’s ultra-easy money policies remain the right course of action, top Federal Reserve officials said on Wednesday.
High unemployment is not a “quickly resolvable problem,” but April’s job gains show that the economic recovery is on a firmer footing, Cleveland Fed President Sandra Pianalto said.
“We’ve got a long way to go before labor markets can be described as healthy again,” Pianalto told the Columbus Metropolitan Club.
Recent rises in food and energy prices mean inflation will likely be temporarily higher this year, she said. But both wages and the public’s long-term expectations of inflation remain subdued, she noted.
Given that backdrop, she said, current monetary policy is appropriate. Pianalto’s views tend to hew closely to those of Chairman Ben Bernanke and the center of the Fed’s policy-setting committee.
Fed Vice Chair Janet Yellen similarly endorsed the Fed’s stance of promising to hold rates near zero for an extended period as it completes $600 billion of bond purchases by the end of June.
“The current accommodative stance of U.S. monetary policy continues to be appropriate because the unemployment rate remains elevated and inflation is expected to remain subdued over the medium run,” she said in a speech on assessing potential financial imbalances to a conference in Tokyo.
Once complete, the U.S. central bank’s two rounds of asset purchases will boost GDP by about 3 percent and add about 3 million jobs by the second half of next year, San Francisco Federal Reserve Bank president John Williams said in a speech at the regional bank’s headquarters. They also probably kept the United States from falling into deflation, he said.
Exactamundo. The Federal Reserve can do nothing to increase employment. Only Congress can do that, since they are in charge of international trade policy.
In the former Soviet Union there was a saying that there was no Pravda in Izvestia and no Izvestia in pravda. They were the two main sources of news in the Soviet Union. With Pravda meaning truth and Izvestia meaning news. I feel this pretty well sums up our sources of news today, either we only hear about the stars, which is no news in my opinion or we hear lies.
“Recent rises in food and energy prices mean inflation will likely be temporarily higher this year, she said. But both wages and the public’s long-term expectations of inflation remain subdued, she noted.”
so higher prices with no wage increase is their goal?
The Fed can not win. Raising interest rates will collapse the debt structure. Keeping them low will delay the collapse but continue distorting the economy.
I think raising rates would be better in the long term for the general populace, but worse for the rich and powerful in the short term. Not much doubt what they’ll do.
Crass Struggle is about how the ultra-rich respond to the human condition, namely, separation, meaninglessness, powerlessness, and fear of death, as well as the devastating global social, economic, and environmental consequences of their behavior. For those in the top 1 percent of the world’s population who own 50 percent of the world’s wealth, life is all about having – owning, possessing, manipulating and controlling money, power, people, and things – very expensive things such as precious metals, gemstones, diamonds, art objects, historical artifacts, rare coins, fine wines, Cuban cigars, scarce fish, exotic birds, wild animals, and elephant tusks.
To cope with meaninglessness and fear of death many of the super-rich spend their entire lives pretending they are invincible. One of the ways in which they try to convince themselves that they will live forever is through conspicuous consumption. They think they can spend their way into a state of never-ending self-actualization without paying any psychological dues for a life of unrestrained pleasure. They live by the slogan, “I’ve got mine, Jack, and the rest of the world be damned.”
And damned it is, the world which supplies the super-affluent with their expensive toys, playthings, food, and drink. Naylor describes it as “the low side of the high life, the bad side of the good life, or, more poetically, the underbelly of the potbelly.” It’s all about the dark underworld which supports the world’s fat cats through debauchery, deceit, bribery, smuggling, fakery, forgery, tax evasion, and virtually every other known form of human criminal activity.
It’s all about the dark underworld which supports the world’s fat cats through debauchery, deceit, bribery, smuggling, fakery, forgery, tax evasion, and virtually every other known form of human criminal activity.
Sounds like most of the rest of the world on every class level.
Although, you would think with all the education and opportunities they might turn out a little better…
“For those in the top 1 percent of the world’s population who own 50 percent of the world’s wealth, life is about having - owning, possessing, manipulating and controlling, money, power, people and things …”
As for the “people” part of the above statement most of the people who are controlled by this one percent WILLINGLY GIVE to this one percent the power to be controlled and manipulated and owned and possessed.
The once percenters are running the game and most of the ninety-nine-percenters are willingly playing it.
Was it the One Percenters that were behind the idea of convincing millions of Ninety-Nine Percenters that they should willingly go into hock up to their eyeballs and send the vig to the One-Percenters?
How did that work out? The Ninety-Nine percenters get to go to work everyday (if they are lucky) and then they get to send a big chunk of their paychecks to the One Percenters.
What a bunch of dummys.
(Comments wont nest below this level)
Comment by Arizona Slim
2011-06-02 10:09:17
Was it the One Percenters that were behind the idea of convincing millions of Ninety-Nine Percenters that they should willingly go into hock up to their eyeballs and send the vig to the One-Percenters?
“As for the “people” part of the above statement most of the people who are controlled by this one percent WILLINGLY GIVE to this one percent the power to be controlled and manipulated and owned and possessed.”
Mostly because:
1) they are unaware that its happening.
2) Do they have any other choice? Can they buy their gas from someone other than big oil, their meds from someone other than big pharma or their food from someone other than big agra?
This won’t change until they little people have nothing left to lose. And we seem to be headed that way.
You gotta realize combo that the masses are indoctrinated from a very tender age into being “consumers”. Just watch any new young children’s cartoon show, they are 23 minute toy commercials for the most part. Once they are trained to be “consumers” they belong to the 1%ers.
(Comments wont nest below this level)
Comment by Blue Skye
2011-06-02 06:35:25
Up to age 18 you can be a victim. After that you are a volunteer.
Comment by combotechie
2011-06-02 06:37:17
“Once they are trained to be ‘consumers’ they belong to the 1%ers.”
As I said, what a bunch of dummys.
Comment by combotechie
2011-06-02 06:41:15
The Ninety-nine Percenters don’t have to worry anymore about thinking, the One Percenters will do all their thinking for them.
Comment by Big V
2011-06-02 09:45:19
Like the parents can’t intervene?
Comment by In Colorado
2011-06-02 09:48:09
“Up to age 18 you can be a victim. After that you are a volunteer.”
So some magic switch gets flipped at 18 and people into rational beings?
Once upon a time people used to learn to think at school. Now they are simply trained to do a job.
Comment by Arizona Slim
2011-06-02 10:10:19
Like the parents can’t intervene?
My parents sure did! They used the word “no.” A lot.
Can they buy their gas from someone other than big oil, their meds from someone other than big pharma or their food from someone other than big agra?
Oh, but we don’t have monopolies in this country!
(Comments wont nest below this level)
Comment by Happy2bHeard
2011-06-02 20:52:37
Those who drop out can still end up being owned by the 1%-ers. The small landowner who grows his own food can find himself on the wrong end of rezoning or eminent domain.
The tribe in New Guinea that has never become part of the world order can find themselves thrown off their land for a palm oil plantation.
Play the game as part of the 1% and you are responsible for the misery of millions. Play the game as part of the 99% and you share responsibility for creating misery. Don’t play the game - do you share responsibility because you have not tried to change it?
“(After his death) at (his estate) Xanadu, Kane’s vast number of belongings are being cataloged, ranging from priceless works of art to worthless furniture. During this time, Thompson finds that he is unable to solve the mystery and concludes that (Kane’s deathbed utterance) “Rosebud” will forever remain an enigma. He theorizes that “Mr. Kane was a man who got everything he wanted, and then lost it. Maybe Rosebud was something he couldn’t get, or something he lost.” In the ending of the film, it is revealed to the audience that Rosebud was the name of the sled from Kane’s childhood—an allusion to the only time in his life when he was truly happy. The sled, thought to be junk, is burned and destroyed by Xanadu’s departing staff in a basement furnace.”
Many of us repeatedly chase the wrong things putting in more energy, trying harder and harder instead of just pointing ourselves in the direction that would make us happy. Why should the wealthy be any different? It’s just that the collateral damage of their personality disorders rains down on us. As combo points out we go there willingly. We give them their power by going along with their systems.
“Many of us repeatedly chase the wrong things putting in more energy, trying harder and harder instead of just pointing ourselves in the direction that would make us happy.”
I think a lot of people don’t know what will truly make them happy as that requires time for thought and insight that a lot of people never seem to get around to.
Between our “job training” oriented educations and our pervasive advertising driven consumer culture it’s fairly easy for people to think that “stuff” is the answer.
Has anyone here ever read “Why people buy things they don’t need” by Danziger? Interesting marketers guide to how people rationalize/justify spending.
Yeah, but this really gets perverted when someone gets the idea that one can actually build an economy, let alone the world’s largest economy, around that inner emptiness.
whyoung
That is part of our curriculum in shopping center school. Envirosell “A Call To The Mall” -book) is a New York based research and consulting firm specializing in studying retail and service environments, and the Boston Marketing Grp looks at market trends.
During the tech and housing/finance bubbles, trading up was fashionable. Now, trading down is. The dollar store retail segment is going gang busters right now.
A lot of retail is about filling voids.
(Comments wont nest below this level)
Comment by whyoung
2011-06-02 11:04:01
Silverstein’s 2003 book “Trading Up” is also interesting.
Paco Underhill’s (of Envriosell) “why we buy” is also good.
The trading up / trading down phenomenon has been around for a while, I think of it as a “canary in a coal mine” in that - before our recent economic troubles - people were “trading up” where it showed (i.e. stupidly priced designer handbags, etc.) and down where it doesn’t show as much (”commodities such as paper towels, dish soaps, etc.) and not necessarily thinking if it as sacrificing as the result of growing income imbalances, just a driving need for the latest status symbols.
Now I think it is more of a necessity for a lot of folks.
There’s an anecdotal economic indicator that says sales of underwear (one of the ultimate things that usually don’t show in public) can tell you a lot about the current state of things.
Comment by Awaiting
2011-06-02 12:27:48
whyoung
I saw Paco Underhill give a speech once. The rumor was he got paid something like $30K to address our trade association. He’s a bright dude. There are many like him.
The men’s underwear indicator was around in the 80’s when I went to ICSC/U San Diego Mgmt School. Boy, I am getting old. That’s almost 30 years ago! You seem on top of the pulse. You must be a marketing type? I am so burnt out on shopping centers and consumers. That was my life.
Comment by Arizona Slim
2011-06-02 14:04:35
I saw Paco Underhill give a speech once. The rumor was he got paid something like $30K to address our trade association. He’s a bright dude. There are many like him.
I heard Peter Glenn speak at Interbike, the bicycle industry’s annual trade show. He was *good*.
“Has anyone here ever read “Why people buy things they don’t need” by Danziger? Interesting marketers guide to how people rationalize/justify spending.”
Or you could read Edward Bernays. I think these eye openers sealed my fate as a born again cynic.
I think this can all be boiled down to the obvious (as usual). There is no way that one human being could ever earn a billion dollars. If someone has that much, then they probably stole it.
Spoken like a true liberal! Congratulations on your adherence to logic and reason as any left wing person has in great amounts; if you don’t believe it just ask them. I assume of course that you think you earned everything you have no matter how small or large. “From each according to their ability, to each according to their need”; a Marxist paraphrase. Good luck with making that dog hunt!
Article: Possible Double-dip Recession - By Robert Reich ~ FT.com
“American consumers, who constitute 70 per cent of the total economy, cannot and will not buy enough to get it moving. They justifiably worry that they will not be able to pay their bills, or afford to send their children to college, or to retire. Banks, with equal justification, are reluctant to lend to them. But as long as consumers hold back, companies remain reluctant to hire new workers or raise the wages of current ones, feeding the vicious cycle.”
~~Surely Dr. Reich provides a solution? Not really. He believes federal government is our ultimate salvation but the present “Washington paralysis in the face of a stalled economy is bad news.” This paralysis is the fault of the GOP, of course, and is postponing the beautiful day when the Gross Domestic Product is so huge a monster federal debt won’t matter.
Reich will soon be urging Quantitative Easing #3 by the Federal Reserve. Watch!
Total gov spending is actually flat, the Fed gov has been able to maintain spending but state and local have not. Thus there has been no stimulus only enough to keep things from getting worse quickly.
You can argue that QE is bad in the long run but in the short run it is undeniable that things would be a lot worse w/o it and by worse I mean massive unemployment and people starving. Tax revenues would be down as well.
Again spending more during bad times is only part of Keynesian thinking. During the good times the gov spent like a drunken sailor. War, tax cuts for elite, Medicare prescription drug plan you name it. Without these 3 things we’d be in much better shape now.
(Comments wont nest below this level)
Comment by Anon In DC
2011-06-02 20:18:24
tax cuts for elite = tax cuts for those who pay the most taxes
So what does cutting government spending in a down economy do? If business won’t spend (in this country) and consumers won’t spend and government gets cut, what will restart the economy?
This late in the game and they still can’t get past the idea of the conumser/service economy. Is the consumer/service economy the penultimate state of human existence? Is there nothing after this that does not entail anything short of evolution into sparkly gaseous all-knowing beings a la some Star Trek episode?
We need an economy based on cleaning up the damage the manufacturing AND service economies have done to our environment and society. That might even be rewarding on a human level. Dare to dream…
Let’s just spend our way out of this mess! It will be far less painful (right this second) than all that other icky hard stuff. Heck, my ex-wife could be a nationally recognized economist!
Thanks to the HBB, every time the S&P 500 passes 1300, and I expect it to happen quite a bit in both directions over the next decade, I’ll think of Eddie.
If his advice was to ride up and then sell out before the suckers catch on, then I suppose it was good advice for those who are willing to play that way.
If he actually thought that’s what stocks are worth given our long term economic situation and the years required to get out of it, he’s gonna get hosed.
I was at a conference about a year ago. One of the speakers was a fairly high up strategist at one of the major banks. His essential message was this:
1. All this stuff about Greek debt, US debt, etc. was a distraction. Greece was too small, and eventually the US would be forced to address their issues, etc.
2. The main thing globally that people should be focusing on is the development of emerging markets–HUGE numbers of consumers are being created right under our noses…provided of course that such progress is not derailed (he cited the number of protests in China and the government’s attempt to keep the upset folks at bay). Ultimately, this will be a major source of global economic growth for many players in the market.
3. When they put all their numbers into their giant Ouija Board, they saw a number of years of the market bouncing along in a relatively flat market for upwards of 8-10 years…at this point, he would probably say that we are 3-4 years into this. After that, they are anticipating a secular bull run for the next several years.
That would put the start of the next major expansion starting in 2015-2017…assuming there is not some calamitous global economic event in the meantime, in which case, they will put more data into the Ouija Board and come up with an equally impossible to predict, but rational sounding prediction.
Most likely. The current level of corruption cannot continue. Someone is going to get very mad at someone else or be backed into corner and have nothing to lose.
Recent events overseas, anyone?
How many countries are we now militarily actively involved in. (don’t split hairs over Libya, we’re there)
Greece is just one final straw away from a military coup according to the CIA which could happen any day.
India is a democracy. The others will need to have improving standards of living for their peasants, or else lose power. There will be some gains other than the corporate elite.
With a bit of luck DSK will soon be an inmate and be forced to perform “maid services” on fellow inmates.
The thought alone gives me a case of Schadenfreude overload.
Terrible storms in Massachusetts last night. My parents were a couple miles from one tornado, but they are okay. Sounds like a few insurance companies are going to take something of a hit. I hope all you MA HBBers out there are safe. My father reported in this morning:
“4 dead, 30 injured so far with many missing. The final toll is likely to change some but many of the missing are likely OK but just have not checked in with anyone. They have 1000 national guard, and local fire and police from all over New England helping with the search, and road clearing efforts.
They are reporting that there were 2 or 3 tornados that touched down a total of 6 or 7 times in different places. The cities and towns of Springfield, Munson, Sturbridge, and Southbridge suffered the most damage. The downtown area of Springfield has the most damage where two tornados touched down.
There are thousands of houses, commercial buildings, cars, and trees destroyed. They credit the low death and injury rate to both early warning by the media, and the fact that most New England homes have basements where people were able to hide. One person took a picture of a hail stone next to a baseball. Most hail reports were golf ball sized.
They have identified some debris 50 miles from its source. There are pictures of whole houses turned upside down and laying on their crushed roofs. They found the entire roof of a sports bar in Springfield 2 blocks from where the building was located. Several churches lost their steeples, and several schools suffered a lot of damage. One condo building has the entire brick front wall torn off while pictures remain on the wall on the opposite side of the exposed rooms. One car dealer lost his building and all his cars. There are many houses with either holes through the wall or debris sticking in the wall. 10s of thousands of windows were blown out or broken, and some houses have the siding peeled off and in some cases folded up over their roofs. Many roads remain closed this morning due to debris and downed trees.”
America can handle these type of things, even if it means $pending more$ Gubmint$ monie$, u$ing Gubmint$ resour$es, still will not help to calm the “TrueReduceTheDeficitNow!Today!™” everything “Diz-the-Gubmint’$ fault” now, now we are Angry! types.
Hwy inserts Rolling Stones: “I can’t get no satisfaction, and I’ve tried, I’ve tried, I can’t get no, no, no, no Sat-is-faction…
Having been raised in the NE, and never having experienced anything more than the occasional blizzard or nor’easter, this sort of thing is a bit of a shock to me. It is pretty much unheard of to have tornados of this magnitude in the region.
But I find it interesting that we’re seeing devastation on the order of what is commonly seen in most third world countries during natural disasters. Floods, fires, tornados, etc. Well, what the heck, we’ve seen massive immigration, legal and illegal, by people from the third world, and they do seem to want the US to assimilate to them, seems to be working out that way.
I will be very interested to see how the recovery goes. Not sure ole’ Deval is up to the task.
But I find it interesting that we’re seeing devastation on the order of what is commonly seen in most third world countries during natural disasters. Floods, fires, tornados, etc. Well, what the heck, we’ve seen massive immigration, legal and illegal, by people from the third world, and they do seem to want the US to assimilate to them, seems to be working out that way.
Are you saying that:
more illegal immigration = more natural disasters?
?????
Maybe the response of a 3rd world banana republic to a natural disaster compared to that of the USA…
more illegal immigration = more natural disasters?
?????”
I don’t recall saying that, in fact I mentioned both legal and illegal immigration. I’m saying it is an interesting coinkydink that the US is becoming more like the turd world every day, including the effects natural disasters. Wherever you go, there you are.
As to the response of a third world banana republic, just ask some of the Gulf Coast residents how the oil spill aftermath is going. Check out the aftermath of the floods, and the tornados in the Joplin a year or so down the road.
I’m just sayin’, wait and see.
I do think Massachusetts will get a lot more help than Missouri, given the relationship between Bammy and Deval. That’s how it works these days.
(Comments wont nest below this level)
Comment by X-GSfixr
2011-06-02 11:47:54
Illegal immigration is a “natural disaster”. For those communities that have to deal with it.
Have been telling my brother in the Border Patrol that if he ever catches an illegal investment banker, or politician, give them a free pass……in fact, buy them a bus ticket to NYC or DC. I’ll pay for it.
If enough of them get across,eventually you will see the Bradleys and Abrams parked track to track on the Rio Grande.
Comment by In Colorado
2011-06-02 12:40:07
“I do think Massachusetts will get a lot more help than Missouri”
” It is pretty much unheard of to have tornados of this magnitude in the region.”
Before our time, but not unheard of.
The Flint Tornado and Worcester Tornado - June 8-9, 1953
The last single tornado to kill over 100 people struck the north side of Flint, Michigan. 115 were killed and 844 injured. This weather system would continue eastward spawning another tornado that would become the deadliest New England twister on record. It smashed through eastern Massachusetts, killing 94 people, 60 in Worcester alone. Over 4000 buildings were damaged or destroyed.
“My parents were a couple miles from one tornado, but they are okay.”
I can empathize, as the St Louis airport tornado in April tore through my old neighborhood, and knocked down a tree which landed on a house two blocks from where my parents live. It has been an unbelievably bad tornado season across the U.S. Even California has recently reported tornadoes.
Our agent sent an email last night. She found another job and is exiting the real estate business. I had posted in the last week or two about how I felt she was trying to cut us loose. Well there you have it.
Not sure if we’ll work with another agent or try the strategy of working (duel agent) with the listing agents on properties of interest.
My agent has talked about leaving the business. That’s particularly interesting since earlier she was saying other agencies were trying to steal her from her present place. It sounds like she’s been busier lately but it’s hard for me to know whether that’s just showings or actual closings. A few months ago she talked about having multiple deals falling apart at the last minute. She was talking about buyers being pretty spooked and cautious.
CarrieAnn and Arizonaslim- thank you for the kind comments yesterday.
As for agents leaving the biz for greener pastures…
My mother’s agent (who sold her abode on a short-sale: thank you Chase and Carrington!) is retiring. He told her he has had enough and has made very little $$ over the past 3 years (surprise!).
Belated Thank You’s to the HBB posters- last year (April 2010) after my father died unexpectedly, I asked you all for advice on what to do with my parent’s house. Mom did not want to stay there (too far from the Twin Cities) and too much work for her. From your advice, we moved her into a rental townhome in the suburbs on a 2 year lease, got her a newer car, then had her cease payments to Chase (1st Mtg) while continuing to pay Carrington (2nd Mtg) and list the house for sale.
Long story short, she closed on the sale 3 weeks ago (almost 1 year after listing), yes, it was a short sale for $89,900 ($35,000 less than the Chase mortgage balance), and she only had to pay $3000 to Carrington at closing to satisfy the 2nd mortgage debt (which was over $17000).
She is very happy to have the albatross off her neck and thoroughly enjoys suburban living in a relatively maintenance free rental townhome.
(Comments wont nest below this level)
Comment by Arizona Slim
2011-06-02 10:17:07
She is very happy to have the albatross off her neck and thoroughly enjoys suburban living in a relatively maintenance free rental townhome.
Methinks that your mom’s story will become quite common. And, when “real estate is an albatross” becomes as popular as the “your home is your best investment” meme, we’ll know that times have truly changed.
Comment by CarrieAnn
2011-06-02 11:50:11
Wow. Those are decent write offs. After reading Minneapolis’ numbers yesterday, I feel I understand the pressure the banks were under to stop the bleeding. Glad your Mom was happy to let the house go. Heck I’m happy to just hear the older set is listening.
“…mold and mildew may succeed in clearing the glut of foreclosed properties.
…
Perhaps the overhang of foreclosed homes will just rot away and have to be razed. Supply would shrink to equal demand. It would be destruction, and not the creative kind. But it is the inevitable result of the malinvestments produced by credit bubbles.”
I heartily disagree. Without government intervention to the tune of hundreds of billions of dollars, if not more, the market would eventually clear on its own. Too many banks are counting on the government to protect them from the consequences of their folly, which makes holding on to mildewed, moldy, rotten housing seem more desirable than selling it before its value drops to zero.
“Anti-Obesity” Housing Unveiled in Bronx
Thursday, Jun 2, 2011 | NBC New York
A new Bronx co-op apartment building is designed to help combat obesity.
The building, called the Melody, has a backyard with brightly colored exercise equipment for adults, and climbing equipment for children. It also has both indoor and outdoor fitness centers.
City officials say it’s the first in New York to be built with design elements aimed at countering obesity.
Two flights of stairs feature silhouettes of dancing women and jazz playing through speakers and motivational signs posted throughout the building tout the benefits of exercise.
The 63-unit building houses 63 units and is for families with incomes of $90,000 or less. Fourteen of the units will be owned by Habitat for Humanity’s New York City chapter families who helped build the project.
It was unveiled Wednesday by Blue Sea Development Company, Habitat for Humanity and city officials. It will be ready for occupancy this summer.
The housing complex in the Longwood section of the Bronx was named in honor of the neighborhood’s musical legacy, Mark Naison, co-director of the Urban Studies Program at Fordham University, told WFUV.org.
All my girlfriends that go to Curves or the Gym are still fat. I agree with oxide and Big V. It’s about carbs and doing the moving vs. lip service. I treadmill at home ($600 for 16 yrs plus the electricity).
My other half is making Focaccia -Style Flax Bread, twiking the yolks used and adding poppy and onion bits. Sounds divine! http://lowcarbdiets.about.com/od/breads/r/flaxbasicfoc.htm
Yep, you have to make it a lifestyle, both on the take (eating) and on the give (exercising/being active).
(Comments wont nest below this level)
Comment by MrBubble
2011-06-02 16:37:52
“you have to make it a lifestyle”
True. Took me 86 minutes to get to work on the bike this morning. I am focusing less on “the take (eating) and [more] on the give (exercising/being active).”
After they sold their great-big house, my father’s parents moved into an apartment building in Mount Vernon, NY. The place had an elevator, but it was glacially slow. So, whenever we visited, we used the stairs. Which I thought was kind of fun.
It’s not about the carbs or the Atkins non sense. It’s about eating a healthy well balanced meal full of whole grains, fruits, vegetables and legumes/beans. A very low fat, low sodium vegetarian diet without refined sugar or flour is a healthy diet. The combination of fat and sugar is lethal as evidenced in people consuming fast food. Once you give up the taste for meat your taste buds will change and a person living on a vegetarian diet usually likes the way they feel. Losing weight is so easy on a low fat vegetarian diet that you have to actually force yourself to eat to retain your weight. A low fat vegetarian diet also reduces blood pressure as well as cholesterol. Aerobic exercise 30 minutes a day will also do wonders for your health. Weight lifting on the other hand does nothing more than make you look good.
Weight lifting on the other hand does nothing more than make you look good.
I had to give it up on the weight training. Not that it was putting the pounds on my slender frame.
The real problem was that I was turning into a collection of aches and pains. Which, for some strange reason, have gone away since I dropped the gym membership.
Yeah, but a lowfat vegetarian diet without sugar or flour will also leave you half-hungry all the time, and you will rarely gain pleasure from your food.
My fast food routine is awesome. I can have two taco supremes from Taco Bell or a large chili with cheese, chicken fruity salad thing, or spicy chicken go wrap from Wendy’s for lunch. Then I just have to keep din-din around 400 calories, with milk in my coffee and a half-handful of cereal or nuts in the midmorning. I didn’t really need to eliminate the tortilla today, but I wanted to go the extra mile.
SUGuy
With all due respect, for women over 45, carbs do matter. It’s a hormonal thing for us gals. Also, I have higher than normal blood sugar, and control it med free with carb watching and exercise 45 minutes every day. I’ve brought all my “numbers” down (blood test) and have reached good health. I agree with your post, but it’s not a black and white thing.
Strength training is recommended for women over 50 who may have bone mass issues. When you strength train your muscles are worked to exhaustion and then forced to rebuild more efficiently. This more efficient muscle will burn calories at a faster rate. Also if you do repetititve cardio work like running or biking, strength training will help prevent injury. Osteo docs sometimes send their clients to minor strength training prior to surgery to keep them agile and experiencing less pain prior to joint replacements. So it does have more benefits than just looking good.
Arizona, since I know you are a very proficient outdoors person you may know your way quite well around the gym. However I wonder if you might hire a personal trainer just to get the form precise. Form can make a huge difference in injury prevention.
WASHINGTON (Reuters) – A high-level international commission declared the global “war on drugs” a failure and urged nations to consider legalizing cannabis and other drugs to undermine organized crime and protect their citizens’ health.
The Global Commission on Drug Policy called for a new approach to reducing drug abuse to replace the current strategy of strictly criminalizing drugs and incarcerating drug users while battling criminal cartels that control the drug trade.
“The global war on drugs has failed, with devastating consequences for individuals and societies around the world,” said the report issued by the commission on Thursday.
Master’s of the obvious. It funds Taliban, It funds drug gangs taking over Mexico, it fills our jails and courts. It taxes the military.
Just read an article regarding Holland… yep, they are starting the gradual “illegalization” of hashish and cannibis! Seems that they have had too many issues with legalized H&C and are starting to restrict the number of “coffee houses” as a first step.
I’ll take hollands problems in a minute over say Mexico. Seriously Mexico is on the verge of collapsing in my book. Drugs bring in more money than tourism and oil and can all be focused on weapons and buying politicians and police. I’ll take drug addicts urinating in the street to prevent a failed state next door.
The other issue of course is that Holland is alone in legalizing it so all the addicts go there. If everyone did it there would be no reason to travel.
Also money could be spent jailing muggers and thieves instead of drug users and small time sellers.
Maybe it would be better to focus on treatment instead of jail. There was a lady with a husband and children on the radio this morning who was imprisoned for 11 years for smoking crack. Why are my tax dollars being used to incarcerate harmless women and deprive families of their moms?
But there won’t be any money available for “treatment”.
Guy I’m acquainted with killed himself via O.D. a few months back. Has been in and out of rehab for 20+ years. Paid for by his employers when he managed to get a job, and by the state when he wasn’t.
In the end, it made no difference.
Anyone ever notice that most of our problems started getting worse, when we passed laws to form regulatory agencies (like EPA, OSHA, CPSC) in an effort to keep people from killing themselves?
My new Republican/Libertarian endorsed plan is to legalize EVERYTHING. And quit spending money on rehab. Or Trauma Centers. Or helicopter medivacs. In fact, just get the government completely out of health care and let the free market handle it. Eventually the problem will take care of itself.
Better yet, give all high school graduates free drugs, a 10 year old car, a new cellphone, and 1000 free text messages. Have kiosks at the malls and Wal-Mart.
As far as all those innocent people killed by crack/meth-ed up junkies in traffic accidents, robberies to pay for the drugs (anyone who thinks crime will be reduced by legalizing drugs is deluding themselves), industrial accidents, etc?
Collateral damage. Can’t make an omelet without breaking a few eggs. In fact, lets call the junkies “disabled”. Make it an ADA violation if you DON’T hire them. What the world needs more of, is more junkie truck drivers, bus drivers and airline pilots.
Besides, as we’ve seen for the last 2 years, we have about 25-30% more people than our economy can support.
(Comments wont nest below this level)
Comment by In Colorado
2011-06-02 12:38:07
Besides, as we’ve seen for the last 2 years, we have about 25-30% more people than our economy can support.
I wonder how many land whales will make it to minimum SS benefits age? When I see all these super obese folks waddling around I can’t believe they’ll even make it to 50 before their hearts explode.
Comment by Arizona Slim
2011-06-02 12:49:52
When I see all these super obese folks waddling around I can’t believe they’ll even make it to 50 before their hearts explode.
I don’t know if anyone here is from the EMT/paramedic world (I’m not), but I’ve heard that one of the difficulties in dealing with very overweight people is the fat around the heart. Makes it difficult to do any sort of CPR.
PBS Shows Will No Longer Be Ad-Free
First commercial breaks set for this fall.
By Stephen Spencer Davis | The Slate
PBS will soon end its long-standing practice of airing entirely commercial-free programming, one of its largest selling points to both viewers and sponsors.
At the network’s annual meeting held this month in Orlando, executives told member stations that shows like Nature and Nova will feature four commercial breaks beginning this fall, with the longest uninterrupted stretch of programming coming in at just under 15 minutes, the New York Times reports.
The switch is intended to combat the problem of viewers “fleeing” to other stations during the network’s blocks of commercials between programs, which can last up to eight minutes. Under the new model, PBS will adopt a “hot switch,” with no break between programs. John F. Wilson, PBS’s chief programmer, told the Times that viewers will never be more than 100 seconds from actual content. (The Atlantic Wire, meanwhile, has a nifty graphic that shows the plan in detail.)
The change will present obstacles to writers accustom to producing content watched in uninterrupted blocks, the kind of viewing many say is vital for in-depth documentary work like Frontline and dramas like Masterpiece Theatre. PBS’s Wilson said that some programs may be spared from commercial breaks, but that many producers will be forced to adapt.
The change comes at a tumultuous time for the network. The Times recently reported that at least half a dozen member stations are considering leaving PBS, citing funding concerns. Orlando’s major public network says they are unable to pay their approximately $1 million in PBS dues and will end their contract with the network on June 30. A station in Los Angeles quit PBS on January 1, and a station in Waco, Texas, closed last year.
The diagram from the Atlantic Monthly article is very helpful. If you count it up closely, they are adding the amount of commercial interruption.
“Nobody wants to snap out of the Ken Burns zone for even a few seconds…
…a number of stations were withdrawing from the network because of record high dues, in some cases to be replaced with programming from religious networks. ”
They are correct about viewers fleeing during those 8 minutes. I can take a shower between the credits of the NewsHour and the first appraisal on Antiques Roadshow. However, I think PBS is making a huge mistake. The moment the first promo hits the air, every PBS member — yours truly included — is going to pull their donations* pronto. If they want to act like a commercial network, they’ll have to fund themselves like a commercial network.
On a positive note, maybe this will be the end of the geriatric doo-wops and Celtic woman.
——————
*Last week some PBS wag tele-begged me for donations. He actually had the nerve to say ‘commercial free.’ I said, what do you mean commercial free? I have to sit through propaganda from Chevron and Boeing and BoA all the time. The guy then asked me to donate $900. I finally hung up on him.
Last week some PBS wag tele-begged me for donations. He actually had the nerve to say ‘commercial free.’ I said, what do you mean commercial free? I have to sit through propaganda from Chevron and Boeing and BoA all the time. The guy then asked me to donate $900. I finally hung up on him.
Which is why I wouldn’t volunteer to handle phones for the local PBS station on a bet. I’m down with KXCI Community Radio, baby.
I do a lot of phone answering during the KXCI pledge drives and it’s a blast. Ever had people call up and tell you how much they love you? Happens all the time on the pledge phone. People are that devoted to KXCI.
Oh, and when we call donors, it’s to say “thank you.” That’s it. Just “thank you.”
Technically they are considered sponsorship recognition, not ads. To be an ad, it has to either provide cost information or urge you to buy something. I think. Don’t have time to look up the regs right now.
At KXCI, we refer to them as underwriting. And the deejays do tend to put a unique spin on them.
Like JimmyD, who’s an attorney in real life, saying, “Support of KXCI is provided in part by Yoiks Toy Store. Wait a minute, I just invented a store! It’s Yikes Toy Store.”
Phone-book delivery disappearing
By Wendy Koch, USA TODAY
Phone books, long a staple of U.S. life, are fading quickly as lawmakers and phone companies see green benefits in limiting their delivery.
Most targeted are the residential white pages that list home numbers. An increasing number of states are approving requests by phone companies, which want to stop delivering these unprofitable, generally ad-free books unless requested by land-line customers.
The result: Many customers in half of U.S. states will soon no longer hear that multipound thud at their doorstep.
•Verizon has received the OK to cease automatic delivery from 11 of 12 states where it has land-line customers and expects permission from California and the District of Columbia by the end of September.
•AT&T expects, by the end of this year, to stop unsolicited delivery in 14 other states where it does land-line business. “We give people the option,” company spokeswoman Dawn Benton says.
“We all know fewer and fewer people use the phone book every year.… It’s an antiquated industry,” says Scott Cassel of the Product Stewardship Institute, a non-profit that aims to limit the environmental impact of consumer products.
The ad-packed Yellow Pages that list businesses are also a target. To reduce paper waste and recycling costs, two U.S. cities recently passed ordinances restricting the delivery of Yellow Pages and at least five states are considering the same.
Found ours on our doorstep this week and were p1ssed. I didn’t feel like shredding it for the compost so into the recycling bin it went. What a waste of resources.
Every time I’ve done one, I always end up wit 50 pages of useless links. And you need internet access. Pain in the azz when you have grease/chemicals on your hands.
They will have to pry my paper copy of the Yellow Pages out of my cold, dead fingers
I kind of bounce between the two. If I already know what I’m looking for the dexknows dot com usually works well, but sometimes I do prefer to use the old fashioned phone book. Of course it helps that in out small burg it isn’t very big.
WHO: E. coli outbreak caused by new strain ~ Associated Press
LONDON – An entirely new super-toxic bug is causing the frightening food poisoning outbreak that has sickened at least 1,600 people and killed 18, researchers and global health officials said Thursday.
The DNA of the new E. coli strain, believed to have contaminated salad vegetables, was analyzed by Chinese and German scientists. It contains several genes that cause antibiotic resistance and is similar to a strain that causes serious diarrhea and is found in the Central African Republic, according to a statement from the Shenzhen, China-based laboratory, BGI. Those scientists were working together with the University Medical Center Hamburg-Eppendorf.
“This is a unique strain that has never been isolated from patients before,” Hilde Kruse, a food safety expert at the World Health Organization, told The Associated Press. The new strain has “various characteristics that make it more virulent and toxin-producing” than the many E. coli strains people naturally carry in their intestines.
Preliminary genetic sequencing suggests the strain is a never before seen combination of two different E. coli bacteria, with aggressive genes that could explain why the outbreak appears to be so massive and dangerous, the agency said.
As with the spinach e. coli contamination of a couple of years back, (which was dubiously blamed on “wild pigs rooting in the spinach field,”) what is left unspoken in all of this is it that the spinach in question was a genetically modified RoundUp Ready strain which is bioengineered with…surprise, surprise… genetically modified e. coli bacteria.
Because e. coli mutates so readily. It being a virus and all….
I’m betting the veggies involved in this most recent outbreak are GM strains as well. But you’ll never hear Monsanto mention that.
We are so jealous. All we have is room for two wine barrels, an 8×1x1 planter, two composters and some assorted pots. However, we are getting all of the lettuce, arugula, parsley, dill, chives and mint that we can eat (which is actually a lot when that’s what you have around). Green beans are doing well and are prodigious producers once they get going. If the weather ever turns warm, we’ll have all the tomatoes we can eat too.
O, but for an 1/8 acre. We are saving for land. Eff the house; all we want is land.
E.coli is not a virus. It’s a bacterium. Furthermore, the e.coli was only used to grow DNA segments, which were then insterted into viruses that infected seeds. There is no actual E.coli in a genetically modified spinach seed. The process of genetically engineering a seed does not cause it to be contaminated with e.coli.
And I would argue that the resultant RNA is indeed viral and that inserting strands of genetically-modified e. coli into spinach or any other substance may have unforeseen recombinant effect.
(Comments wont nest below this level)
Comment by Big V
2011-06-02 10:58:35
Yeah, but let’s be real here. Let’s not start crying from the rooftops that genetically modified food is actually contaminated with E.coli. If your spinach is dirty, then it will have dirt on it, whether it’s genetically modified or not.
Comment by measton
2011-06-02 13:23:20
Also let’s not forget where a lot of fertilizer comes from. My guess is that this is more likely.
I’d also wonder about a terrorist act.
Walk through stores spraying random veg and fruit.
Comment by Arizona Slim
2011-06-02 13:41:42
I’d also wonder about a terrorist act.
Walk through stores spraying random veg and fruit.
Which, ISTR, is what the followers of Bhagwan Shree Rajneesh did back in the 1980s. In Oregon.
I’m along with you on the unintended consequences with the bacteria RNA. Most biological fidelments I have know of were packed with unintended consequences, unnoticed until fully deployed. The incentive is to deploy something, not to be all conservative and careful.
Africanized honey bees, gypsy moth, and on and on. Pandora’s Box as it were.
Boy regrets selling his kidney to buy iPad
By Pan Zheng | 2011-6-2 | Shanghai Daily News ONLINE EDITION
A 17-year-old student in Anhui Province sold one of his kidneys for 20,000 yuan only to buy an iPad 2. Now, with his health getting worse, the boy is feeling regret but it is too late, the Global Times reported today.
“I wanted to buy an iPad 2 but could not afford it,” said the boy surnamed Zheng in Huaishan City. “A broker contacted me on the Internet and said he could help me sell one kidney for 20,000 yuan.”
On April 28 Zheng went to Chenzhou City in neighboring Hunan Province for the kidney removal surgery arranged by the broker. His parents knew nothing about it, Zheng said. He was paid 22,000 yuan after his right kidney was taken out at the Chenzhou No. 198 Hospital.
When he returned home, his mother found out and reported to the police immediately. But they could not locate the broker whose cell phone was always powered off, the report said.
It turned out that the Chenzhou No. 198 Hospital was not qualified to perform organ transplant. The hospital claimed they had no idea about Zheng’s surgery because the department that did the surgery had been contracted to a Fujian businessman.
The case is still under investigation, the report said.
“I wanted to buy an iPad 2 but could not afford it,” said the boy surnamed Zheng in Huaishan City. “A broker contacted me on the Internet and said he could help me sell one kidney for 20,000 yuan.”
Well, ya know something? I can’t afford an iPad 2 either. Which is why I’m waiting for cheaper alternatives to hit the market.
NEW YORK (CNNMoney) — States are gearing up to spend nearly 19% more of their money on Medicaid as enrollment rises and federal stimulus funds dry up.
Governors have proposed spending $15.9 billion more on Medicaid in fiscal 2012, according to a survey released Thursday by the National Governors Association and the National Association of State Budget Officers.
At the same time, they are slashing spending on higher education by $5 billion, on public assistance by $3.5 billion and on K-12 education by $2.5 billion.
State officials have been wrestling with rising Medicaid costs since the Great Recession began driving more people to the government assistance program. Enrollment is projected to rise 3.8% in fiscal 2012, which would represent a 17.3% increase over a three-year period.
Since early 2009, federal stimulus money has helped states cope with the steep downturn in tax revenue. All told, states used $135 billion in emergency stimulus support.
But that funding is now ending, leaving states to shoulder their Medicaid burden alone. This is forcing states to cut provider payments, limit spending on prescription drugs and reduce benefits since the federal government is not allowing them to kick participants out of the program.
Yeah, and a country where health “care” (i.e., health insurance) is supposed to be provided by the employer. So prices go way up (since it’s “free” to the user, which causes artificial demand), and then they can’t even dream of affording it when the job goes bye-bye. That leaves only the government to pick up the tab, with fewer tax dollars to pay the government back. Smart, eh?
“You could call it a soft patch, but it’s the second or third soft patch we’ve seen in the recovery,” said Paul Ashworth, chief U.S. economist with Capital Economics. “For a recovery that is less than two years old, it’s troubling to say the least.”
DEBT CEILING: Moody’s Just Threatened To Slash The US Credit Rating
Joe Weisenthal | Jun. 2, 2011 http://www.businessinsider.com
Finally, a logical warning on US credit.
Moody’s is out with a comment saying that if there’s no imminent progress on the debt ceiling fight, the US credit rating will be cut.
This makes total sense, and we applaud Moody’s for doing their job: Identifying an imminent (real) issue, and sensibly advising (ahead of time) about what could be a threat to US debt holders.
This should help put an end to this idea that a technical default would be just fine, and that somehow all this brinksmanship would be good for US credit somehow.
Back in January, we called on Moody’s to do exactly this: Threaten a ratings cut as a way of warning about the harmful effects of this fight.
They work for big money and big money has a plan.
Countries that go against big money face downgrades and those that do exactly what big money wants get fantasy ratings.
Don’t know if it’s nationwide, but a lot of the vets that our local hospital sees don’t have a whole lot. Many have practically nothing, including a decent change of clothes. Some of these guys avoid seeing their families, because they don’t have anything decent to wear.
A lot of these guys have health “issues” that causes them to ruin their clothes. In many cases, clothes they can’t afford to replace.
Our local hospital runs a “clothing store” that tries to outfit these guys with essentials, and a few changes of clothes. All volunteer. No $100K/year “administrators.
~ I don’t blame them one bit, a bunch of out of control thugs and punks. Been around that kind of crap once and once is enough!
Rally To Urge City Leaders To End Urban Beach Weekend
MIAMI BEACH (CBS4) – Saying ‘enough is enough’ several community activists are gathering forces for a rally Friday evening in front of Miami Beach City Hall to urge city leaders to end Urban Beach Weekend.
Herb Sosa, who publishes the online magazine Ambiente, is a leading figure to end the unofficial Memorial Day weekend event which draws hundreds of thousands of visitors to South Beach.
In an open letter to Miami Beach Mayor Matti Bower, Sosa writes that the Urban Beach weekend “shows our city as nothing short of a warzone – Filthy streets, a drive by shooting, multiple cars crashed in the process, and total chaos on the streets. This is unacceptable and must be controlled before we totally lose our city, tourism & residents. It is not limited to Ocean Drive or Collins – there isn’t a residential street in South Beach not affected by tons of garbage, crime to our vehicles, excessive noise 24 hours a day, and simply a lack of respect for our community, citizens & property.”
Peter Joseph Tapia has set up a Facebook page is support of the rally and ending the Urban Beach weekend. The page has more than 3,200 ‘Likes’.
On the page, Antero Blanco posted:
“Tomorrow we all gather to demand MIAMI BEACH remains well-preserved and a safe haven for all our residents and tourists! Unruly and unlawful visitors are NOT welcome in our city!”
Tapia said the rally, which will begin at 6 p.m., will hopefully send the message to city leaders that their neighborhoods should remain safe and respected, and not overrun by ‘Fear, Mobs & Filth’.
A passage from Sterling Hayden’s autobiography Wanderer published in 1963, as cited in Wikipedia:
To be truly challenging, a voyage, like a life, must rest on a firm foundation of financial unrest. Otherwise, you are doomed to a routine traverse, the kind known to yachtsmen who play with their boats at sea… cruising, it is called. Voyaging belongs to seamen, and to the wanderers of the world who cannot, or will not, fit in. If you are contemplating a voyage and you have the means, abandon the venture until your fortunes change. Only then will you know what the sea is all about. I’ve always wanted to sail to the south seas, but I can’t afford it.” What these men can’t afford is not to go. They are enmeshed in the cancerous discipline of security. And in the worship of security we fling our lives beneath the wheels of routine - and before we know it our lives are gone. What does a man need - really need? A few pounds of food each day, heat and shelter, six feet to lie down in - and some form of working activity that will yield a sense of accomplishment.
That’s all - in the material sense, and we know it. But we are brainwashed by our economic system until we end up in a tomb beneath a pyramid of time payments, mortgages, preposterous gadgetry, playthings that divert our attention for the sheer idiocy of the charade. The years thunder by, The dreams of youth grow dim where they lie caked in dust on the shelves of patience. Before we know it, the tomb is sealed. Where, then, lies the answer? In choice. Which shall it be: bankruptcy of purse or bankruptcy of life?
It looks like we bailed out banks so they can run commodity prices up, so we all get to pay for the housing bust.
“Wall Street is tapping a real gusher in 2011, as heightened volatility and higher prices of oil and other raw materials boost banks’ profits.
A group of 10 large banks—including Goldman Sachs Group (NYSE: GS - News) , Morgan Stanley (NYSE: MS - News), J.P. Morgan Chase (NYSE: JPM - News), Citigroup (NYSE: C - News), Bank of America (NYSE: BAC - News) and Barclays PLC (NYSE: BCS - News)—saw their commodities revenues increase by 55% in the first quarter, according to Coalition, a firm that analyzes the performance of investment banks. After a disappointing 2010, commodities was the fastest-growing segment in banks’ fixed-income businesses in the first three months of this year, even though it still accounts for just 7% of banks’ total fixed-income revenues, Coalition said.
Commodities trading is a bright spot for institutions that face new regulatory clampdowns on practices that previously fattened bank profit margins, such as trading with their own capital and slapping customers with hefty “overdraft” fees. Oil is up about 10% so far this year, settling at $100.29 a barrel Wednesday, and commodities such as gold and copper are close to all-time highs.
J.P. Morgan has emerged as one of the biggest beneficiaries of the commodities boom sweeping Wall Street. The bank’s commodities unit—which employs about 1,800 people, more than any of its rivals—made more money during the first quarter than through all of last year, according to people familiar with the matter. So far this year, the unit has earned roughly $750 million and is on course to beat its 2011 internal target of $1.2 billion, these people added. The J.P. Morgan unit earned just $514 million for all of 2010, falling far short of its goals.
We are top in spending but close to the bottom in Graduation rates.
Syracuse, NY — Once again, New York is tops in school spending.
School districts in New York an average of $18,126 per student in 2008-2009, according to the U.S. Census Bureau. That’s 73 percent higher than the national average of $10,499. Schools raised $20,645 per student, also first among the states.
New York’s top position is driven by spending on salaries and benefits paid to instructional employees – primarily teachers. Benefits are more than double, and salaries are nearly double, the national average.
Every town has it’s own administration and it’s own tax rate. It’s not done that way everywhere. This explains why certain districts want for nothing and just down the street they don’t even have enough books and the cafeteria has a smell like a broken bathroom pipe. A commenter for that article who had moved to Maryland mentioned Maryland has a very weak teacher’s union compared to NY. I know in the last two states I lived in the schools didn’t yield the power they do here.
Did you see the recent Post Standard op ed where someone suggested unifying all districts in a county wide umbrella? Unfortunately, I bet the people who just dug deep to get their kids into certain districts, the same towns where a number of those residents have some real nice political connections at the state level, would allow that to happen.
“I fight like hell for people, but I’m also constantly telling my clients that at the end you’re probably going to lose it,” says Mark Stopa, a Tampa Bay defense lawyer.
Tech luminaries who point to all the bubble talk as proof we know more this time around may need a history lesson.
FORTUNE — Marc Andreessen reportedly said this today at the AllThingsD conference: “A key characteristic of a bubble is that no one thinks its a bubble … If everybody’s upset, it’s a good sign . . . I hope there are lots of bubble stories.”
The trouble with his declaration is that it’s the precise opposite of the truth. Seconds after I read that quote in TechCrunch, I logged on to Facebook, where I saw this status update: “A universal rule of financial mania. If there’s widespread, worried speculation about whether there is a bubble — then it’s a bubble.”
That far more sensible, historically accurate statement came from Jason Pontin, editor and publisher of Technology Review.
Andreessen’s idea that “no one thinks it’s a bubble” is a persistent myth surrounding all bubbles. This myth is spread both during a bubble’s expansion and, especially, after it has popped. That’s when people start asking “How did we not see this coming?” and “Where were the watchdogs?” But in all cases, plenty of people saw it coming.
…
Name:Ben Jones Location:Northern Arizona, United States To donate by mail, or to otherwise contact this blogger, please send emails to: thehousingbubble@gmail.com
PayPal is a secure online payment method which accepts ALL major credit cards.
I want to respond to some assertions made about my comments on healthcare being uninformed and the statements made by my doctor wife being lies.
First, of all :
http://www.sandiego6.com/news/local/story/Medication-Errors-at-Teaching-Hospitals-Spike-in/lG1Qh5ZYykCI-lxmg_yRkA.cspx
It is a studied fact that med students and residents, especially new ones cause errors, including fatal errors, and at a higher rate with the less experience they have. If you get to a really good institution, this can be negated, but as snopes says, it’s not just July that cause problems for teaching hospitals:
http://www.snopes.com/medical/myths/july.asp
“at teaching institutions where oversight of new staff is less stringent, the “July effect” lasts not merely for the summer, but apparently for the rest of the calendar year. While risk-adjusted mortality rates may rise by roughly 4 percentin the July-August period, that increase remains at between 2 and 4 percent until the New Year, resulting in 8 to 14 additional deaths per annum at a typical teaching hospital.
”
Which in turn cites its sources.
So first off I’d like the apology for that plain ignorant rebuttal that med students don’t cause more errors. Plain common sense should tell you it’s the case, but simple research will confirm it for you.
Second, work on your basic reading comprehension:
Quoting me:
“The VA is one of the primary avenues for residency programs to send their students to for training.”
Can you possibly dispute this? Are you trying to say there are no med students in the San Diego VA? Long Beach VA? Los Angeles VA? Omaha Nebraska VA? For each of these locations, VA duty was one of the primary places my wife spent her time. Do you take offense at this simple fact for some reason?
The only inference I draw from this is that these hospitals (not just VA, in case you are still having reading comprehension probs) are benefiting from low priced medical labor.
Previous thread poster:
“Are you saying VA hospitsals use more residents than other hospitals? Prove it.”
Uh yes. Some hospitals use med students and residents. Some don’t. The ones that do are called teaching hospitals. Also, see above for statistics on teaching hospital mortality rates. I didn’t say the VA used more med students than other teaching hospitals… but they are getting cheaper labor than non-teaching hospitals… I don’t claim this accounts for the entire lower cost of the VA. Again.. reading comprehension.
And next:
“NCQA’s seal of approval is the gold standard in the health-care industry.”
well nice report from 2005 there buddy
The website that came from immediately follow that statement up with this:
http://www.washingtonmonthly.com/features/2005/0501.longman.html
“Not convinced? Consider what vets themselves think. Sure, it’s not hard to find vets who complain about difficulties in establishing eligibility. Many are outraged that the Bush administration has decided to deny previously promised health-care benefits to veterans who don’t have service-related illnesses or who can’t meet a strict means test. ”
Hmm, so if you turn away a huge portion of the population you are supposed to serve, you can better serve the remaining people and save money? Who would have guessed!
By the way I applaud the VA for giving excellent care to those they do serve. If you get over your bias, you will see that I am pointing out rates of errors that are something like 8 in 10000 vs 16 in 10000. It’s not even my main point. The main point is, you can only BENEFIT from the cheap help of med students(it is a cost benefit IMHO) if they will put up with your pittance of pay in hopes of getting 5-10x as much when they get out.
Again quoting me:
“What happens if you take that away by making healthcare public? Nobody really knows, but I doubt the residents & med students would work for the same current pittance.”
So rather than quibbling over some of the simple things I laid out, why don’t you try to answer some of those hard questions:
1) Is the US subsidizing worldwide healthcare with our heavily regulated private system?
2) What happens to physician pay and motivation when the healthcare system is nationalized/ made public?
3) If medicare/universal care is so good, why is the VA doing a better job than medicare?
4) Are the costs of these public universal healthcare plans really sustainable?
http://www.businessweek.com/magazine/content/07_28/b4042070.htm
Business week says France, rated #1 in healthcare in the WHO report is basically riding on the backs of the doctors making 55k per year. Unsurprisingly, they cite several factors in the rapidly rising costs of the system in large part due to doctors trying to find ways to make some money ( extra tests, high price “private” consults, etc).
Hmm lets look at some other stories about french docs:
Job Satisfaction Low Among French Docs
http://www.medpagetoday.com/PublicHealthPolicy/GeneralProfessionalIssues/23720
Oh and I thought this was funny, Western Europe is getting a bunch more docs, only because the absolute failure of socialism in eastern europe is driving those docs west!
http://www.france24.com/en/20110401-frustrated-eastern-european-doctors-head-west#
More of the same:
http://www.cafebabel.co.uk/article/35721/may-2011-eu-health-summit-french-romania-migration.html
Which country can *we* rape of their doctors so that we can meet our health cost goals? Actually we already do this with docs from the Phillipenes. They come here and are NURSES!!! just to make some extra cash..
Here’s the thing though, we don’t need to be ideological enemies. I think reducing healthcare costs and improving outcomes is a “good thing”(TM). Could a national healthcare plan be *A* means of accomplishing this goal? Possibly….. Could reform also be implemented a different way so that we don’t put politicians in Washington in charge of another big slush fund like Social Security? Possibly… Is it reasonable to ask that people retain a choice in this supposedly “free” country on how they want to pay for their health care? Possibly…
Finally, one thing I noticed is this: Per capita patient costs are always compared in country A vs country B. for example, In France healthcare is
3k vs the US it is 6k
But in france GDP per capita is 34 k vs the US is 47K
using a different figure, median household income is
31,111 in the US vs 19,615 in france.
So except in the case of bankruptcy through medical bills, I am coming out 10k/year ahead on average in the US or 8.5k/yr using median income with our current systems…
http://en.wikipedia.org/wiki/Median_household_income
Lets look at Germany:
21,241 median income 3,171 cost per capita
http://www.infoplease.com/ipa/A0934556.html
In other words, coming out 6.5k a year ahead in the US system.Why are we complaining again?
Of course, all this is just a bunch of BS when you are an individual and you need a liver transplant. However, I just checked at ehealthinsurance.com, and catastrophic healthcare insurance is
262/mo for my mom who is pretty overweight and was born in 1951. That comes out to 3144/yr with a $3500 deductible. (you can get a quote there yourself if you need the verification).
I don’t know why any of us is complaining, because that is pretty damn reasonable even for a 60 year old, and we have more money to pay for it than any other nation on earth. Maybe we should stop this whole healthcare debate and go back to housing debates and stopping the 3 current wars we are in.
“Bush administration has decided to deny previously promised health-care benefits to veterans who don’t have service-related illnesses or who can’t meet a strict means test”
Yes I am a viet-nam vet and I can use the VA. Is there a means test, yes. It just means that I have to pay a lot more out of pocket and use my health insurance. Is it fair? Definitely! Is the care better than my local hospital? That depends on the type of service needed and requires investigation on my part.
Having worked at a County teaching hospital for 25+ years I can assure you that your chances of survival from trauma were far better than the other private hospitals. I also worked for a year at Loma Linda Hospital which also had a great staff and at the time furnished staffing for the VA hospital down the road.
and your point is?
Math guy-
Can you show a study that says accidents or errors are higher at VA hospitals than private hospitals?
No. Because they aren’t.
The question was never ‘do residents make more mistakes’? The question was ‘are theses rates of mistakes higher at VA hospitals’ .
They aren’t.
The rest of your questions:
1) Is the US subsidizing worldwide healthcare with our heavily regulated private system?
Prove that it is. You just say it is, with no backing. It’s not our job to prove a negative, it’s your job to prove your assertion.
2) What happens to physician pay and motivation when the healthcare system is nationalized/ made public?
Is there a shortage of doctors or people who want to become doctors in national health coverage nations? I’ve never seen such a finding, and you can’t show us one.
3) If medicare/universal care is so good, why is the VA doing a better job than medicare?
Because medicare works within our current for-profit health care system, hence it doesn’t work as well as the government-run VA system, which does not.
4) Are the costs of these public universal healthcare plans really sustainable?
Per person costs are much higher in our system than in the public universal healthcare systems, and our costs are increasing rapidly. I fail to see how that makes our system more sustainable.
If you need proof, here’s some from the OECD via wikipedia:
Health Care costs as percentage of GDP:
Australia 8.7%
Canada 10.1
France 11
Germany 10.4
Japan 8.1
Norway 9
Sweden 9.2
UK 8.4
US 16
So we pay almost twice as much as most of these countries, as percentage of our GDP. And that’s your sustainable model?
Oh, and every one of those countries has longer average life expectancies than the US.
“Is the US subsidizing worldwide healthcare with our heavily regulated private system?
Prove that it is. You just say it is, with no backing. It’s not our job to prove a negative, it’s your job to prove your assertion.”
Well, for one thing, it’s known that we pay far higher prices in the US for prescription drugs. If memory serves, legislation permitting US citizens to get prescription drugs from Canada was struck down during the Bush admin. But I’ve seen this phenomenon with my own two bloodshots travelling in the Caribbean. Even over the counter meds are significantly cheaper in many areas outside of the US.
A potentially good point, but here are the top ten pharmeceutical companies by revenue. Note only 3 are based in the US, with the other 7 being based in nations with universal health care coverage.
wikipedia
1 Pfizer USA
2 Novartis Switzerland
3 Merck & Co. USA
4 Bayer Germany
5 GlaxoSmithKline United Kingdom
6 Johnson and Johnson USA
7 Sanofi-Aventis France
8 Hoffmann–La Roche Switzerland
9 AstraZeneca United Kingdom
10 Abbott Laboratories USA
oops- 4 out of 10 are US. Still, there’s clearly no shortage of development in other countries, and Europe has a long and successful history of medical research, long predating the absurdly high prices we pay for restless leg syndrome pills here in the US.
These companies based in other countries have significant manufacturing presence in the US. I’m not convinced drug costs in the US have anything to do with where pharma company HQs are.
“I’m not convinced drug costs in the US have anything to do with where pharma company HQs are.”
They could probably locate anywhere in the world, although they apparently choose not to. Nonetheless, these are mostly old, established companies in these countries, that have been developing new drugs and treatments for much longer than our system has been so out of whack. We didn’t create these companies with our overpriced health care.
Alpha:
Most of those companies are US companies. They are merely manufacturing (offshoring) elsewhere.
“Most of those companies are US companies.”
Which ones?
1 Pfizer USA
2 Novartis Switzerland
3 Merck & Co. USA
4 Bayer Germany
5 GlaxoSmithKline United Kingdom
6 Johnson and Johnson USA
8 Hoffmann–La Roche Switzerland
9 AstraZeneca United Kingdom
10 Abbott Laboratories USA
It’s a matter of contracts.
I take exception to the claim that these are US companies. Take Bayer for example; very old established German chemical company. We stole their trademark name at the end of WWII, and they have only recently gotten it back. Yes they manufacture in the US, but I can say they in no way consider themselves to be a “US company”. Customer of mine.
Of course Bayer says they’re German. They have been developed by the US, and most of their current projects are being done based on US contracts. Thanks to the decline of the United States due to our stupid trade policies, they have sorta kinda gone back to being German.
I find it telling that corporations can look for employees outside of the country, but we cannot look for resources WE want from outside of the country. Just trinkets stuffed into walmart bins.
These numbers are why I think that the U.S needs to create a system modeled after the IHS and VA to handle the uninsured. It would work something like this: (1) Medicaid funds would be block granted to states if they agreed to create a system of clinics and hospitals for the poor and others who wish to participate in a system of lower costs thus lower billing (2) the system would have cost controls similar to European hospitals (3) Tort reform would only allow for actual damages for patients treated at these hospitals. (4) They would be staffed as followed: The cap on new doctors that Clinton put in place would be eliminated. (The cap is really that the fed government will only pay for a limited number of doctors to be trained.) I would make future doctors pay the full cost of their own education unless they agree to work for this system for 20 years, if they leave early they have to pay back treble the amount spent on them on a pro rata basis. (5) non-poor would charged only the cost of the service at a fee per service or they could buy a government insurance that is based on the costs of the system. No one would pay extra because they paid cash and all cross- subsidies would be prohibited.
This system would also reduce costs in the present private system since hospitals would not be charging other patients higher rates to make up for medicaid and non-paying patients. We might have 50 different systems and we could pick from the best practices. We would have both a European and our private system and innovation in the private would still occur. To me it is the best of both worlds affordable health care for those with none but it would not prevent anyone from having access to the present system if they can pay for it.
Just a quick chime in. “Sick Around The World” Documentary PBS Frontline (online now-free) investigated 5 countries with universal health care. In Japan for instance, an MRI is $100 iirc, because the mfgs make small units, and there are more of them. The govt has its finger on the pulse of profit for human need. None of the 5 were “perfect”, but the U.S. ranked 37th, overall. We ranked high in emergency and surgical type care.
I read the book that accompanied that documentary. In one Japanese hospital that the author (TR Reid) visited, there was a wall poster stating that the patient was the entire reason for the hospital’s existence. And that it was the hospital’s policy to speak softly and kindly to the patients.
Imagine that happening in an American hospital.
Az Slim
Thank you for the book lead. I’ll pick it up. I am not surprised that the patient is the center of the Japanese hospital experience.
In the US, the customer of the hospital is the doctor.
Look what I found, Az Slim:
T.R. Reid: Looking Overseas For ‘Healing Of America’
http://www.npr.org/templates/story/story.php?storyId=112172939
His other books look interesting as well.
This Neuroscientist is really into the brain, and I found this so interesting as well:
Dr. David Eagleman -Baylor Medical School
http://www.npr.org/2011/05/31/136495499/incognito-whats-hiding-in-the-unconscious-mind -time slows in accidents
Also listen to why Eagleman thinks we perceive time to speed up as we age:
http://www.npr.org/templates/story/story.php?storyId=122322542
“I am not surprised that the patient is the center of the Japanese hospital experience.”
Neither am I since the Japanese people are xenophobic.
abq:
Appreciated your thoughtful comments from yesterday and glad you followed up today.
What you outline here essentially describes the US Public Health System in the 1950’s to 1960’s before LBJ came in and “socialized” medicine with Medicare. (Remember Ronald Reagan’s hysterical propaganda film on behalf of the AMA?)
Teaching facilities were located next to VA Hospitals and clinics, and physicians did their internships and often residencies within its auspices. Those choosing to practice for four years within the Public Health Service Clinic System after board certification, had all or part of their medical education subsidized. The USN still does the same for its medical ensigns-Lt. Commanders. We pay for your training, you work for us for X years.
Expand this system to include the training of more nurse practitioners, RNs, medical and pharmacy technologists, hospice workers, and allow them the option of having their training paid for in exchange for four years of clinic duty past their board certification. Many choose to stay rather than fight the politics, malpractice premiums, start-up costs, paperwork, job insecurity etc. inherent in private or group practice. Others return when the exigencies of solo practice prove too stressful.
Existing storefront facilities, mobile outreach clinics, underutilized private hospitals, could all be incorporated into the public health system which would be fully funded by federal mandate for (and this is key,) public health issues only.
Private elective care can still be handled by fee-for-service practitioners, particularly those like plastic surgeons, bariatric physicians, fertility specialists, et al which have no business being compensated out of the public weal.
The redundancies and inefficiencies of today’s medical system are the result of twenty-three layers of middlemen and brokers between the physician and the patient. Eliminate them and you’ll eliminate a commensurate proportion of the waste and graft.
+ 1,000. Thank you.
The medical profession is undergoing profound changes already. The old model of the (largely male) solo independent practioner or small group practices is being replaced by an increasingly female ( now at around 50% of medical students) population. Many of these young people are choosing to be employed by hospitals. Their employer sets up their office, deals with insurance companies and other bureacracy. They are salaried, and they consider the loss of autonomy more than compensated by not having to conquer the maze of byzantine insurance practices on their own.
Alpha:
I can tell you that the US healthcare system is definitely subsidizing the rest of the world. I work in the medical industry, on the R&D side of things. I know that our foreign customers typically pay 50% of full price for everything from medical devices to pharmaceuticals to supplies. It is the US consumer who pays for corporate R&D, and the US taxpayer who covers university R&D (which is even more important).
Also, the globalization trend has brought along with it an increasing warmness toward foreign students and foreign workers in the medical and scientific fields. So these foreign countries do not harbor an environment conducive to industriousness or research, but their citizens can still come here and profit from the environment created by us, at our expense.
Comparing per-capita medical expenses from socialist country to capitalist country is an apples-to-oranges comparison.
“I know that our foreign customers typically pay 50% of full price for everything from medical devices to pharmaceuticals to supplies.”
Turns out those ’socialist’ systems are smarter than ours- they use their size to bargain for good prices- a logical action that occurs regularly in the ‘free market’, but it’s somehow socialist if our government does the same thing.
They are taking advantage of the fact that a US company is willing to give them a lower price, so as to add to the bottom line, just as they are willing to hire foreign citizens.
There was even a lawsuit about this some years back. Some Americans argued they were being ripped off because they were being charged more. The decision was that the company is allowed to charge different rates in different economies if they want to. More globalist BS, if you ask me.
The products we are developing now could not happen if it weren’t for the higher-paying US customers. Of course, the CEOs could afford to take a $10 million/year paycut, but IMO that paycut should come in the form of hiring US workers.
“The products we are developing now could not happen if it weren’t for the higher-paying US customers.”
That’s certainly the last flimsy wisp of an argument that those defending the US healthcare system have. I’ve still yet to see any evidence to back it up.
Hearsay and anecdote don’t count.
Alpha:
It is not heresay when an industry insider tells you what they know from industry experience and exposure to propreitary data. The fact that you choose to ignore this input only displays your stubbornness.
We pay universities grant money to developed drugs and then the universities sell the patents to drug companies who charge us for the drugs. We get to pay twice.
I love capitalism!
Exactly. A large portion of our ‘free market’ pharma research in the US is done in our universities (many of them government run!)
It’s just the profits that are privatized.
A large part of ALL our R&D is, and has been done, by universities because the corps decided is was too much overhead.
Hey:
I didn’t read your whole post, but I think it’s obvious that a teaching hospital will have more students and newbies than a non-teaching hospital, which would clearly result in more errors.
My only contention is the part about “low-priced medical labor”. You show me a low-paid doctor, and I will show you a volunteer. Residents and working medical students get paid a lot more than most other Americans with similar amounts of education.
Big V ,
Again, with a wife who is in fellowship program I can give a firsthand breakdown
Med student: PAYS 20-50k yr — 4 years of volunteer service right there.
Resident 3-8 years depending on specialty. Roughly 40-45k/yr. (With 8 years of college and med school as education) From which to pay your college debt + med school debt… I know, PhD’s make this entry level too in the cases of liberal arts. Most other sciences or engineering are kicking in at 60 - 100k
Fellowship- another 2-4 years of about 50k.
Now, those salaries might look pretty decent.. Then you remember that the education institutes are always getting in trouble for ignoring the 80hr/wk work limit they put in place to try to limit fatigue in docs in training. Docs are doing 24 hour calls multiple times per week. They have rooms set up in hospitals so docs can sleep at their jobs for a few minutes a night, so the nurses can more easily wake them up when the next 2am patient comes in. Wow, great for family life huh?
So after all this, finally, private practice. My wifes specialty will earn an equivalent of somewhere between 250k and 800k per year at an hourly rate of 125-400 depending on a variety of factors.
We’re pretty sure we will try to set it up so she’s only working 20-30 hr’s a week for a bit after she finishes so she can recover from an on the job injury.
So yes, training hospitals get docs at reduced rates.
I agree that the 80-hour limit is unacceptable. They just do that to eliminate competition, which is criminal. However, I have never met a student who makes $20-40k/year. That’s huge. A post-doc makes like $23 at the higher-paying institutions. Associate professors make $40. Industry scientists with PhDs living in California are getting $80k to start ($100 if they’re in the phyiscal sciences). Top-ranking Nobel Laureates running prestigious labs in expensive cities get $200k/year.
Scientists are expected to work overtime and holidays for free - all.the.time.
So yeah, the doctors are making more than they should.
Big V, graduate students in the hard sciences get tuition waived and they get stipends. Med students are paying big bucks for med school. That 20 to 40k figure that mathguy quoted (which I consider to be way low) is the amount that med students pay per year. Nobody pays for med school except the Navy, and they own you for years afterwards. I don’t know how MD/PhD programs handle students’ expenses. Having said that, I agree that science doesn’t pay well. I should know, as my husband is a former research microbiologist.
Grad students work full-time for the university as a part of the deal. It’s not so much that they get free tuition, rather they pay for their own tuition through their work as researchers. Also, the stipend is in exchange for teaching. They get nothing for free.
IMO, the price of med school is directly linked to the expected profit down the line (and yeah, the AMA contributes to that). In other words, I think doctors are overpaid.
Uh, their are pure research stipends, Big V. I had one. No teaching, just slaving in the lab and tuition covered. I made $20,400 a year and considered it a great deal.
Nice. Typos in my response will make it look super intelligent!
I can makee more typoos than yu. Anyway, you still had to work for the stipend.
In other countries students go straight into med school, and skip the whole majoring in “pre-med” or biology thing that is done here.
We have allowed the AMA to create huge barriers to entry in the USA and the cost of becoming an MD here is unreal (as are all medical costs in the USA).
Yes, the AMA definitely keeps people out for money reasons. But doctor’s salaries have skyrocketed over the last generation, which is the only reason some people are still willing to jump through those hoops. If the salaries weren’t so bloated, then the AMA would have to back down.
1. More doctors does not mean lower priced health care. It means more doctors trying to make a living. Oh you have some pain in the right lower quadrent well you need your appendix out. You have a cold you need antibiotics. You have cancer and can barely stand up you need more chemotherapy. You have mild chest pain entirely consistent with heartburn, you need a full angiogram.
2. Doctors pay amounts to 10% of health care spending. Insurance company manageral fees and advertising can be over 20%. Infact they went ape sht when Obamas plan proposed they cap it at 20%.
They limit the number of Navy Seals they train, too. And for good reason.
The truth is that medical schools are hugely selective not because of “The AMA” but because it takes a certain special kind of intellect/character to make it through medical school, internship, residency, and preceptorship/fellowships. It is INSANELY expensive to educate a qualified physician, (ever try building and maintaining a state-of-the-art regional medical center and university with a big enough patient base to offer exposure to the whole panoply of human physical ailments– along with its support networks?)
This enormous expense is why admission is limited to only the very few who can be expected to make it through the training (of which the 80-hour weeks and years of mental rigor are an integral part.) If you screw up the culture in a petri dish, or miswrite a line of code, you don’t have to explain yourself to its grieving relatives.
That money is not recouped, even with the astronomical tuition and “free” patient care provided by trainees. Consequently State and Federal governments must heavily subsidize regional medical care and training facilities. And why these centers must have private fund-raising auxiliaries to keep them operating.
BTW: The AMA is about as cohesive a voice for MD’s as NORML is for marijuana use. That is to say, not very.
Wow that was a lot of hooey
Mathguy “The only inference I draw from this is that these hospitals (not just VA, in case you are still having reading comprehension probs) are benefiting from low priced medical labor”
Completely wrong - Residents and interns don’t save save hospitals money. Physicians have to train said residents which takes time. They order far more tests which costs money. They don’t discharge patients as quitckly. There are several layers ie intern, resident, fellow vs say one nurse practitioner.
Mathguy ; Hmm, so if you turn away a huge portion of the population you are supposed to serve, you can better serve the remaining people and save money? Who would have guessed!
Wrong again - Cost comparisons are per person. The VA has a much lower cost per person and delivers better results. The VA population is often a pretty sick population as well.
Mathguy Finally, one thing I noticed is this: Per capita patient costs are always compared in country A vs country B. for example, In France healthcare is 3k vs the US it is 6k
But in france GDP per capita is 34 k vs the US is 47K
using a different figure, median household income is
31,111 in the US vs 19,615 in france. So except in the case of bankruptcy through medical bills, I am coming out 10k/year
I”m not sure where you are going with this. What does GDP have to do with anything? The bottom line is they pay less per person than the US and have comparable outcome. The GDP arguement is just confetti it has absolutely nothing to do with which health care system is better.
Mathguy : I don’t know why any of us is complaining, because that is pretty damn reasonable even for a 60 year old, and we have more money to pay for it than any other nation on earth. Maybe we should stop this whole healthcare debate and go back to housing debates and stopping the 3 current wars we are in.
What kind of a cap on coverage is there?
How many restrictions on care? Will they pay for experimental? Will they insure people who have pre existing conditions? How do you think the fact that they will transfer her to medicare in 4-5 years if she gets sick plays into their pricing?
Also WE don’t have more money to pay for this. In case you haven’t noticed the middle class is dieing in this country adn wealth is being concentrated into fewer and fewer hands. The Ryan plan would continue that process.
Wowie, that was a long thread! Did anyone’s opinion or belief change as a result of all the posts?
Not me!
Sorry, one more healthcare thing regarding the VA and then I’m done…
Did anyone ever stop to consider that perhaps the VA is also having better outcomes because they are treating a disciplined, trained, in shape fighting force with a high motivation level? Give me a platoon of maimed Iraq war vets and I bet I can run any CA DMV with double its current efficiency. And sorry if I offended any war vets by lowballing your efficiency there.
Damn you guys make me proud.. I just wish we did you all the service of not making you fight except in defense of our shores in the first place.
OK. One more post and then I’m done:
Time Magazine
“Until the early 1990s, care at VA hospitals was so substandard that Congress considered shutting down the entire system and giving ex-G.I.s vouchers for treatment at private facilities. Today it’s a very different story. The VA runs the largest integrated health-care system in the country, with more than 1,400 hospitals, clinics and nursing homes employing 14,800 doctors and 61,000 nurses. And by a number of measures, this government-managed health-care program–socialized medicine on a small scale–is beating the marketplace. For the sixth year in a row, VA hospitals last year scored higher than private facilities on the University of Michigan’s American Customer Satisfaction Index, based on patient surveys on the quality of care received. The VA scored 83 out of 100; private institutions, 71. Males 65 years and older receiving VA care had about a 40% lower risk of death than those enrolled in Medicare Advantage, whose care is provided through private health plans or HMOs, according to a study published in the April edition of Medical Care. Harvard University just gave the VA its Innovations in American Government Award for the agency’s work in computerizing patient records.
And all that was achieved at a relatively low cost. In the past 10 years, the number of veterans receiving treatment from the VA has more than doubled, from 2.5 million to 5.3 million, but the agency has cared for them with 10,000 fewer employees. The VA’s cost per patient has remained steady during the past 10 years. The cost of private care has jumped about 40% in that same period.”
So the socialized VA has higher customer satisfaction, lower mortality rates, and its prices, unlike in the private realm, are remaining steady.
What exactly are we supposed to fear?
My wife’s ob/gyn retired. Retired from private practice.
Went to work for the VA here in Medford. Top of the
line Doc who just got fed up with the crap he had to take
from the insurance companies, Medicare, Medicade, a
Oregon health.
My good friend, specialized orthopedic surgeon, closed
his office January. Same reasons.
I think the fear is self evident from Math’s writing–that his wife would only make $55k per year and suffer from low job sanctification like those doctors do in France.
It would help too if we could lower the barrier of entry to the medical profession–many countries do not require an MD to practice medicine. Of course higher degrees would certainly be available for those who choose to earn them, and in turn we can have a spectrum of sophistication in the medical field, with varying costs. Indeed, I think it would also be a great idea for the government to complete subsidize the medical training at the lowest level, so that the new doctors would not be burdened by high level of student debt, and making $55k per year would not lead to a sub-standard living.
But of course, Math’s wife’s trade union, the AMA, would never go for that.
Agree 100%.
AMA like ABA is truly evil…..
“AMA like ABA is truly evil….”
Can we cut this crap about AMA? The AMA only represents 15% of American physicians and play little if any role in the size of medical schools in America. The nursing union in the US is magnitudes more powerful than the AMA. If only the AMA were that powerful, doctors won’t be walked all over by the lawyers, hospitals, politicians and even nurses.
It’s expensive to train medical students. You don’t just create a classroom and suddenly you get doctors. You need teaching hospitals that offer a wide diversity of specialties and patient cases.
Can we cut this crap about AMA? The AMA only represents 15% of American physicians and play little if any role in the size of medical schools in America.
I once heard Andrew Weil call the AMA a very ineffective organization. His reason: “Whatever it opposes comes to pass.”
BTW, he expressed this viewpoint while making a public presentation at the University of Arizona. He’s on the UA med school faculty.
Allowing more medical schools would help as well.
Look how well that worked out with law school grads.
Amen to that. I think I speak for my wife when I say we would be happier with a reduced final salary (we don’t need anywhere near 800k/yr) in exchange for reduced school debt, shorter work hours, and modestly higher training salary over the past 10 years.
“It would help too if we could lower the barrier of entry to the medical profession–many countries do not require an MD to practice medicine.”
Or its easier to earn them. The US is one of the few countries in the world where you need a bachelor’s degree to get into med school,
And the barriers are high. I know a woman from Lithuania who was an MD there. She pretty much had to start all over in the US, jumping through hoops and taking tests that were so hard that most US Med school grads would fail them. After years of hard work she was certified to practice medicine in the USA.
Colorado: “She pretty much had to start all over in the US, jumping through hoops and taking tests that were so hard that most US Med school grads would fail them. After years of hard work she was certified to practice medicine in the USA.”
Most US med school grads will fail? You have absolutely no idea what you are talking about. The pass rate of board exams in the US is 95% for American med school grads and less than 60% for foreign trained medical grads. The USMLE licensing exam is required for all medical doctors in the US. It’s the same test given to everyone in order to obtain a residency spot and become licensed to practice in the US.
The sheer amount of ignorance, jealousy and BS is mind blowing here regarding the US medical system. You guys (with the exception of mathguy) should stick with talking about the housing bubble.
Thanks for the voice of informed sanity here, Jonathon. It’s obvious from the comments that many of our posters are talking out of their arses.
Medicine is not engineering. The rigor of the training is in no way comparable, nor is it fungible with that of many other countries, where certification as a “medical doctor” is on a par with becoming a chiropractor or massage therapist here in the US. By all means, let’s let more Mexican beauticians inject Restalin and treat colon cancer. That’ll bring down costs fer shure.
As for the AMA being a “union,” or even a representative lobby, ROTFLMAO.
“The sheer amount of ignorance, jealousy and BS is mind blowing here regarding the US medical system. You guys (with the exception of mathguy) should stick with talking about the housing bubble. ”
We just proved math guy’s points wrong. And we did it with links and sources, unlike your diatribe.
Sounds like we hit too close to home for you, too. Someone around the house making big medical bucks? It can warp your perception of facts. Money has that effect.
Maybe the AMA isn’t an actual union, but something more powerful:
Forbes magazine
“But that’s not how it has worked in medicine since 1910 when the Flexner report, commissioned by the AMA, declared that a surplus of substandard medical schools in the country were producing a surplus of substandard doctors. The AMA convinced lawmakers to shut down “deficient” medical schools, drastically paring back the supply of doctors almost 30% over 30 years. No new medical schools have been allowed to open since the 1980s.
Still, the AMA along with other industry organizations until recently had issued dire warnings of an impending physician “glut” (whatever that means beyond depressing member wages), even convincing Congress to limit the number of residencies it funds to about 100,000 a year. This imposes a de facto cap on new doctors every year given that without completing their residencies from accredited medical schools, physicians cannot obtain a license to legally practice medicine in the U.S. Even foreign doctors with years of experience in their home countries have to redo their residencies–along with taking a slew of exams–before they are allowed to practice here.”
Alpha,
Without disparaging your basic contention, with which I agree wholeheartedly, citing Forbes as an authority on the practice of medicine in this country is really reaching.
In 1910, when the Flexner report was commissioned by the newly-formed AMA, anyone with a patent medicine and a horse-drawn wagon, a barbershop, or a hankering to hack or irradiate, could call themselves a doctor and practice whatever and however they wanted. There was zero regulation, which is why the AMA was formed in the first place– to get some standardization and accountability into the profession to keep people from dying at the hands of quacks.
After WW2, medicine in the US took a giant leap forward in research and efficacy, largely due to government funding of medical education via the GI bill, and subsidies to research institutions. I agree, it’s again time for more.
But as for the “glut” you mention, citations and context would be nice here. IIRC, there was such a shortage of family practitioners in the late seventies, that the AMA successfully lobbied Congress to ENCOURAGE foreign graduates to come into the country and set up practices in underserved rural, ethnic, and inner city areas.
Many of these foreign grads ended up doing their residency training at the VA, as the after-effects of the Viet Nam war began to seep through the lower strata of American society. The standard of care there was notoriously awful at the time (and through the 1990’s,) due largely to the fact that the VA was a dumping ground for underqualified foreign graduate physicians. Psychiatrists who didn’t speak English, for example. Radiologists who had just discovered angioplasty and were grateful to have a stream of near-indigent patients to experiment on…. Trust me, you wouldn’t have wanted them anywhere NEAR your body, let alone poking around in it.
I think a reasonable solution at this point would be for the federal government to ramp up its funding of training programs for more specialized ancillary personnel, rather than lowering its standards for physician licensure. Substandard medical care is the last thing we need right now.
But the VA is also treating a lot of elderly and middle-aged people whose fighting years, if any, were long ago.
My own brother in law is currently getting top-notch medical care at the Tampa VA. He never saw combat. He qualified for low- or no-cost care because he is low income. I’ve been pretty impressed with his doctors there.
I have neighbors who go to the VA for treatment of various ailments. Including service-related PTSD. While I’ve heard them grouse about various things, hey, that’s what we do on this little hill in central Tucson. We’re grousers.
As for the care at the VA, my neighbors seem satisfied, despite the grousing.
I agree, VA care is pretty good in many cases. It’s too bad they are turning away so many of our veterans after promising them care. Bravo to providing excellent care to the vets who are getting it in a highly rated way. This is the least we can do for their service to our county.
As civilian citizens, I think if we didn’t want to provide care for these soldiers after they return from combat, even non-combat related care post military, we shouldn’t have sent them out to fight in the first place.
Yeah, but the VA patient population is pre-selected… We can agree on that right?
A lot of people getting care at the VA were from the years of the draft. Which means those that were unhealthy at age 18 to 24 or so were not in the pool, but it is nothing remotely like the pre-selection we are seeing in an all volunteer military.
The 70s/early 80s volunteers were far from the cream of the crop.
I’m sitting here laughing at the memory of my long-ago med student rotations at the Ann Arbor VA. Hallways full of ancient, grizzled alcoholic smokers in wheelchairs. Good times.
Were you working at the Ann Arbor VA when the murders of the patients happened? ISTR that the murderer was a VA nurse.
No I wasn’t. I’m not even certain that happened while I was in A2.
Don’t know where you are at, but the vast majority (as in 90% or more) of patients in our local VA hospital are WWII/Korea/Vietnam era guys.
From what I’ve heard, VA Tucson has a similar patient census.
Did anyone ever stop to consider that perhaps the VA is also having better outcomes because they are treating a disciplined, trained, in shape fighting force with a high motivation level?
I couldn’t laugh harder. Have you ever been to a VA hospital or spoken with a physician that works at one. Seriously ask any physician who has worked at the VA if the vets that get their medical care at the VA are a healthier well disciplined population of patients.
The reality is the VA costs 5k per patient and US average is close to 7k.
Why
1. Drug costs - The VA is allowed to bargain for lower priced prescription drugs. The medicare prescription drug plan pushed through by GWB does not. VA pays 60% less.
2. Electronic records - VA was an early and benefited.
3. Pay incentives don’t encourage gouging the system. The doctor that recommends the CT doesn’t own the CT scanner.\
4. Quality review programs and a focus on prevention.
Here is how the VA did it
How did the VA do it? Enter the forceful outsider determined to shake up an entrenched bureaucracy: Kenneth W. Kizer. A former Navy diver, emergency medicine physician, and top health official in California, Kizer, 54, became the VA’s undersecretary for health in 1994.
By any measure, the veterans’ health system was sick. Veterans’ groups attacked its quality of care. Government auditors called it bloated. Some even questioned its existence. But Kizer was intrigued. “I thought that it had great potential,” he says.
What struck him most was how poorly the agency was using its resources. Only 10 percent of patients had primary-care physicians. That meant vets - many of whom suffer from chronic conditions such as heart disease and emphysema - had to see a different specialist for each ailment rather than getting everything treated at one time.
Furthermore, there was no standardized approach for doctors to follow in treating a chronic illness. Fewer than a third of all patients, for example, were receiving flu shots and other critical immunizations. “Too many patients were falling through the cracks,” Kizer says.
The good news was that everyone agreed that the system needed radical treatment. Soon after taking over, Kizer summoned a dozen top managers for a week-long brainstorming session in Washington. They decided to carve the country into a dozen territories, each with its own budget, managers, and performance goals. Every patient got a primary-care doctor. And over the next several years the agency shifted away from an expensive, hospital-based model to one that emphasized outpatient community clinics and primary care.
One of the keys to Kizer’s efforts was a deal he negotiated early on with the Office of Management and Budget that returned any savings to the VA. Kizer began bargaining hard with drug companies and other medical suppliers, wringing out hundreds of millions in annual costs.
As part of the overhaul, he reengineered the VA’s $1-billion-a-year pharmacy, creating a single list of approved medications. To free up pharmacists and to reduce errors, each hospital pharmacy installed systems to automatically refill prescriptions. Today, at the Manhattan VA, the robot-like Optifill system dispenses 1,000 prescriptions a day.
Kizer then used the savings from these changes to create Vista’s electronic health record. Vista’s origins date back to the 1970s, long before programs to help doctors treat patients were commercially available. The agency’s programmers began designing applications to help schedule appointments, track lab results, and perform other routine tasks. By 1989 the VA had some two dozen applications installed at 169 sites nationwide.
Sensing the potential of Vista, Kizer spent hundreds of millions rewiring hospitals and purchasing new computers, allowing distant facilities to talk to one another over speedy connections. VA programmers added dozens of new software programs to the growing suite of applications. By 1999, Kizer and his team had installed Vista at every VA facility in the country.
Today the numbers prove how the attention to detail that technology can provide pays off in better health. The VA’s pneumonia vaccination rate, lagging at 29 percent in 1995, has risen to become an industry-leading 94 percent in 2005. The number of at-risk vets screened for cervical cancer has increased from 64 percent in 1995 to 91 percent. The increased vaccination rate has reduced hospital admissions by 4,000 patients per year.
How did the VA do it? Enter the forceful outsider determined to shake up an entrenched bureaucracy: Kenneth W. Kizer. A former Navy diver, emergency medicine physician, and top health official in California, Kizer, 54, became the VA’s undersecretary for health in 1994.
By any measure, the veterans’ health system was sick. Veterans’ groups attacked its quality of care. Government auditors called it bloated. Some even questioned its existence. But Kizer was intrigued. “I thought that it had great potential,” he says.
What struck him most was how poorly the agency was using its resources. Only 10 percent of patients had primary-care physicians. That meant vets - many of whom suffer from chronic conditions such as heart disease and emphysema - had to see a different specialist for each ailment rather than getting everything treated at one time.
Furthermore, there was no standardized approach for doctors to follow in treating a chronic illness. Fewer than a third of all patients, for example, were receiving flu shots and other critical immunizations. “Too many patients were falling through the cracks,” Kizer says.
The good news was that everyone agreed that the system needed radical treatment. Soon after taking over, Kizer summoned a dozen top managers for a week-long brainstorming session in Washington. They decided to carve the country into a dozen territories, each with its own budget, managers, and performance goals. Every patient got a primary-care doctor. And over the next several years the agency shifted away from an expensive, hospital-based model to one that emphasized outpatient community clinics and primary care.
One of the keys to Kizer’s efforts was a deal he negotiated early on with the Office of Management and Budget that returned any savings to the VA. Kizer began bargaining hard with drug companies and other medical suppliers, wringing out hundreds of millions in annual costs.
As part of the overhaul, he reengineered the VA’s $1-billion-a-year pharmacy, creating a single list of approved medications. To free up pharmacists and to reduce errors, each hospital pharmacy installed systems to automatically refill prescriptions. Today, at the Manhattan VA, the robot-like Optifill system dispenses 1,000 prescriptions a day.
Kizer then used the savings from these changes to create Vista’s electronic health record. Vista’s origins date back to the 1970s, long before programs to help doctors treat patients were commercially available. The agency’s programmers began designing applications to help schedule appointments, track lab results, and perform other routine tasks. By 1989 the VA had some two dozen applications installed at 169 sites nationwide.
Sensing the potential of Vista, Kizer spent hundreds of millions rewiring hospitals and purchasing new computers, allowing distant facilities to talk to one another over speedy connections. VA programmers added dozens of new software programs to the growing suite of applications. By 1999, Kizer and his team had installed Vista at every VA facility in the country.
Today the numbers prove how the attention to detail that technology can provide pays off in better health. The VA’s pneumonia vaccination rate, lagging at 29 percent in 1995, has risen to become an industry-leading 94 percent in 2005. The number of at-risk vets screened for cervical cancer has increased from 64 percent in 1995 to 91 percent. The increased vaccination rate has reduced hospital admissions by 4,000 patients per year.
Money CNN article
Fed May Signal Balance Sheet Will Stay at Record to Counter U.S. Slowdown. (Bloomberg)
Janet Yellen, vice chairman of the U.S. Federal Reserve, in a Tokyo speech released late yesterday in Washington, said that “the current accommodative stance of U.S. monetary policy continues to be appropriate because the unemployment rate remains elevated and inflation is expected to remain subdued over the medium run.”
A wave of surprisingly weak data on the U.S. economy may spur Federal Reserve policy makers to support growth by making it clear they’re in no hurry to shrink the central bank’s record balance sheet.
There’s a “strong possibility” that the Federal Open Market Committee will say following the June 21-22 meeting that it will keep reinvesting proceeds from maturing debt for a while, said Michael Feroli, chief U.S. economist at JPMorgan Chase & Co. (JPM) in New York. Previously, the FOMC has said it will keep the benchmark interest rate near zero for an “extended period” without a similar pledge about its balance sheet.
Yesterday’s reports showing manufacturing grew at the slowest pace in more than a year in May and employers added fewer jobs than forecast prompted Feroli to cut his estimate for second-quarter economic growth. The slowdown may push policy makers to consider what options are left after their second $600 billion round of asset purchases sparked a Republican backlash. Saying the balance sheet won’t shrink immediately could dispel any notion that the Fed is about to push up borrowing costs.
” inflation is expected to remain subdued over the medium run.”
Well that`s good, because in the long run we are all dead.
A wave of surprisingly weak data
Is this a “take a drink” signal?
Banks Borrowed from U.S. Government and Loaned it Back at Higher Rates. ~ http://www.allgov.com
Banks have made a killing off the near-zero interest rate loans provided by the Federal Reserve during the 2008-2009 financial crisis—by taking the money and loaning it back to the U.S. Treasury at rates 12 times higher.
At the request of U.S. Senator Bernie Sanders (I-Vermont), the Congressional Research Service examined Fed loans to some of the nation’s largest banks, such as JPMorgan Chase, Citibank and Bank of America, and what the institutions did in turn with their money.
By the second quarter of 2009, JPMorgan Chase had taken an average of $7.6 billion in outstanding Fed loans with an interest rate of 0.25% interest. At the same time, it held $34.6 billion in U.S. government securities with an average yield of 2.3%.
Similarly, Citigroup during the same time period had more than $23 billion in Fed loans with an interest rate of 0.5%, while holding $24.3 billion in U.S. government securities with an average yield of 2.3%.
Fed officials said in 2008 that the emergency loans were needed so banks could provide credit to small- and medium-sized businesses that desperately needed funds to create jobs or to prevent layoffs. “Instead of using this money to reinvest in the productive economy, however, it appears that JPMorgan Chase, Citigroup, and Bank of America used a large portion of these near-zero-interest loans to buy U.S. government securities and earn a higher interest rate at the same time, providing free money to some of the largest financial institutions in this country,” Sanders said.
It was obvious then that the banks were being “Fed”, and it is still obvious.
Businesses desperate to borrow money to create jobs……right.
TARP is nickels and dimes. All you have to do is read This Time Is Different to see the real costs.
And to think, a major financial leader once said it was less damaging to deal with the consequences of a bust that try to contain bubbles.
The bad accounting standards are probably the biggest boon to bank executives. TARP provides a modest profit, while other programs are more generous. But pretending your massive losses aren’t really there…. Now that’s something you can really write a bonus check against.
At the end of the day, this is the real issue. And it is why we probably didn’t need to bail out the banks at all. Once they were given permissions to pretend that a security worth $x is really worth a lot more than $x for the purposes of meeting their regulatory requirements, why do more?
Of course, if you really wanted to do it “transparently” you would have required that they report both numbers - the one under the “we really don’t want all the banks to collapse” accounting rules and the one under the old accounting rules.
What happened to transparency again?
Well most magicians rely on misdirection, and the financial alchemists are no different. “Look at the Deficit!!” while hiding all the poo as collateral for loans for the Fed.
We are not trying to deal with the bust nor contain a bubble. We are trying to sustain a bubble. Most expensive choice ever.
Are GM Dealerships Gaming Chevy Volt Tax Credit?
nlpc.org/stories/2011/04/25/taxpayer-rip-dealerships-taking-chevy-volt-tax-credit
I recently set out to determine how honest General Motors is being when it claims that demand for the Chevy Volt is exceeding supply. It was not hard to discover that this is not the case as retail sales remain dismal. A web search on vehicle locator sites such as Autotrader and Cars.com exhibit sufficient supply of the Volt, one dealership within 70 miles of my location had six new Volts available for sale.
But I discovered something far more disturbing during my search. Many Volts with practically no miles on them are being sold as “used” vehicles, enabling the dealerships to benefit from the $7,500 credit supplied by the American taxpayers on each car. The process of titling the Volts technically makes the dealerships the first owners of the vehicles, which gives them the ability to claim the subsidies. The cars are then offered to retail customers as “used” vehicles.
The practice of dealerships purchasing from one another is not uncommon. “Dealer trades” are done all the time in the industry. What is very unusual is for the receiving dealership to be able to maximize profits at the expense of taxpayers by claiming tax credits of $7,500. It is also very rare for dealerships to part with any model that has higher demand than supply, as GM claims is the case with the Volt. In addition to qualifying dealerships for a $7,500 tax subsidy, the titling process also allows GM to record Volt sales even if the cars are sitting on dealership lots.
While most of the dealerships offering “used” Chevy Volts for sale are Chevy dealers, I also found other manufacturers selling Volts with low mileage as “used” cars. A Kia dealership in California that I contacted seemed to suspect that they were doing something a bit underhanded when I called them to inquire about a “used” Volt for sale with only 30 miles on it. After I identified myself as being an associate with the National Legal and Policy Center, I was placed on hold. I was then told by a sales manager that the Volts offered at that dealership were rental cars with higher mileage on them. I later called the same dealership back posing as a potential customer and confirmed that a “used” Volt with only 30 miles on it was available. This also raises the question of why GM or Chevy dealerships would be selling Volts to other manufacturers’ dealerships when they claim that there are not enough of the cars to meet retail demand.
A Chevy dealer in Chicago was more upfront with the info given on a “used” Chevy Volt with only 10 miles on it. The vehicle was being offered at MSRP. When I asked if I was eligible for the $7500 tax credit, I was told that I probably wasn’t since the dealership was applying for the subsidy. This practice is one of the more egregious abuses to date purloined upon taxpayers as a result of the GM bailout. The intent (even if misguided) of the $7500 tax credit offered on the Chevy Volt is to encourage consumers to buy “green” vehicles, not to offer an opportunity for dealerships to game the system and maximize profits at the expense of the taxpayers. I also suspect many purchasers of “used” Volts will attempt to claim the $7500 tax credit for themselves, thus bringing the total tax subsidy on such transactions to $15,000 if not disallowed by the IRS.
Can’t say I’m surprised, but apparently it’s not illegal. Just shows how loose and poorly these gubmint programs are laid out. Of course no one could have foreseen this possibility happening. Wonder who wrote the rules of the $7500.00 tax credit?
Here’s some good news, taxpayers will only have to take a hit of around $16 billion on the Gubmint Motors bailout! The clowns in D.C. see this as a success and cause for celebration.
As many on this board had said government would be much more effective if they would have promoted natural gas vehicles instead of electric. Government can prove useful in breaking impasses such as exist in NGVs where there is insufficient demand for the private sector to build fueling stations but demand cannot increase until there are fueling stations. Unfortunately, government usually backs things that are not commercially viable. Had Obama used a serious amount of the stimulus to promote NGVs we might have a viable new industry with the auto companies creating NGVs, the oil companies installing NG pumps, gas companies drilling more gas wells and consumers having an option to fight higher gasoline prices. Higher employment and lower prices would have resulted with the bonus of the money spent to commute staying in the country. Instead, money was wasted on home buyer credits, electric car credits and clunker credits which were all deadends.
How many jobs did that $16 billion save? I don’t really know, because I don’t know if those GM employees and parts manufacturers would have found other jobs. My guess is no. The industry would probably have globalized further and those jobs lost forever overseas.
A-dan, I’m not a fan of ngv’s because natural gas is another fossil fuel, with an inevitable “peak natural gas” point and probably more wars in the future. It will also contribute CO2 to the atmosphere. With electric vehicles, once the battery technology is straightened out and the refueling infrastructure is in place, there are several options for making electricity. Theoretically, you could plug an e-car into your personal waterfall, windmill, or solar panel, or into the grid powered by a nuke plant or NG plant or coal plant.
Yes, “theoretically” you could plug in to zero emission sources but in reality you will, more likely, be using coal fired power which produces more co2 than burning the natural gas. Yes, eventually natural gas will reach its peak point but in this country that is decades away. In a few decades, we might have an alternative with zero carbon emissions but we need to get away from decisions guided by ideology and more just based on hard facts.
By the way Oxide, we do disagree that health care is a “right”. I think that until we pass a constitutional amendment making it a right, providing health care is just good public policy when affordable. We had this housing bubble because some politicians started to treat owning a home as a “right”, these type of rights either bankrupt a country or cause people to lose the right to retain the majority of money they have earned and I am not just talking about the rich. I do believe in a safety net. However, I think Obama should offer to repeal Obama care except for the medicare cuts and a phased in one year increase in the retirement age in exchange for a elimination of the Bush tax cuts for the rich and a raise in the amount of income subject to ss taxes because the alternative to austerity is either default or inflating away of the debt either of which will inflict more pain on Americans. With the U.S spending more of its GDP on health care than any other country surely we can replace it with a program that both saves money and insures more people.
I’ll have to disagree again on the ngv’s. Yes you are correct that electric cars will be powered with fossil fuel power plants for a while; however, trasitioning from one major fuel to another is a huge investment in infrastructure. It took us upwards of 20 years just to get leaded gasoline out of cars and gas stations — and that’s when there was the political will to do it.
There is too much political wrangling and too many economic factors. Changing the infrastructure from gasoline to natural gas will take “decades” — just in time to reach peak ng. Then we’d have to go through yet another major infrastructure change.
I applaud the entertainment industry for taking the tougher road and choosing blu-ray.
—-
We had this housing bubble because some politicians started to treat owning a home as a “right.”
No, we had this housing bubble because some politicians removed some regulations, and some political appointees played with some interest rates which allowed some banks to make a whole lot of short-term profit and bonuses not based on fundamentals.
“we might have an alternative with zero carbon emissions”
Probably not. If you look at the research institutions and the work produced therein, you won’t find those alternatives. Really.
“having an option to fight higher gasoline prices”
Option 1: Leather Personnel Carriers
Option 2: Velocipede
Option 3: Telecommuting
Option 4: Car-sharing
Option 5: Car-pooling
Opt…
You see my point, of course.
A right cannot be derived from forcing someone else to do something. If not enough people become doctors to fulfil everyone’s right should the government conscript people to become doctors?
A few months ago Scientific American had an article that showed how, in much of the country where coal is the primary fuel for electricity, a pure battery-operated vehicle would generate more emissions over its lifetime than the Toyota Prius would.
GM is GOING to go bankrupt again.
Why? Because they did nothing to change their failed business model and they just papered over it with obama stimulus money (just like the banks).
So the $16 billion of US taxpayer money was entirely wasted and all it did was to allow this failed business to flounder for a few more years and to continue paying the outrageous UAW demands (which is recycled into support/volunteers and campaign donations to the democrat party).
not to mention…if i was a CEO of a company and used my connections in the MSM to pump up my stock price and then dump it at a premium on the public like the obama administration did with GM…I would probably be in jail.
It also doesn’t help that J6P can’t afford a new truck.
They’re big in China!
It also doesn’t help that J6P can’t afford a new truck.
I think In Colorado just hit the proverbial nail on the head. IMHO, the inability to afford goods and services is a key reason why the current economy is so slow.
As for GM not changing its “failed business model” they:
1) Got rid of a lot of expensive workers and are replacing them with kids that can’t afford to buy the cars they make.
2) They closed a lot of obsolete factories.
3) They stopped chasing sales at any cost. They raised prices and shrunk the rebates.
4) They are refocusing on cars (over trucks) by leveraging technolgy and designs from their European and Asian brands.
Have they executed perfectly? Of course not. But they did make 3.2 billion profit last quarter. That could vanish as the recession deepens (or as the media calls it: the double dip).
Have they executed perfectly? Of course not. But they did make 3.2 billion profit last quarter.
Wow - give me $16 billion that I never have to pay back and I will show a profit for a few quarters…
What GM did not do:
They did not reform their pension costs - this ALONE will kill them
They did not reform their health care costs - this ALONE will kill them
They did reform the UAW death grip on their work rules - this ALONE will kill them
Oh - and with a few/rare exceptions - they still build CRAP.
Google GM and channel stuffing. Their dealers TODAY have record inventories and we are heading into a double dip recession.
Add in the millions of people who will never buy another Obamamotors/GM product again.
And GM is already (again) giving “sub-prime” zero down loans to “fog the mirror” people to move their junk. Bankrupt former GMAC is now a government liability. They are heading down the same road.
The “new” GM stock is already 10%+ below its IPO price.
The Volt is an unmitigated disaster.
GM is going bankrupt again. After blowing $16 billion of taxpayer money…
Wonder if those “dealers” are paying state and local sales taxes on their acquisitions….
Typically (it varies from state to state), sales taxes are paid when you register/tag the vehicle for road use. I suspect they’ve found a way to title the car - to get the rebate - but not register, to avoid the sales and road taxes. Who knows, maybe they even have a MERS like entity set up to handle all the paperwork
Let’s see:
Chevy Volt $42,000.00
Honda Civic -20,000.00
equals $22,000.00 that can be spent on gas
$22,000.00/4.00 gal. = 5,500 gallons of petrol
5,500 gallons x 30 miles per gal. = 165,000 miles
Hence, if I buy the Civic over the Volt, I will save enough to buy 8-10 years of gas.
Anyone see the logic in buying a Volt?
Yep, this logic works on every hybrid I’ve tried it on…
And that’s without factoring in increased repair costs. Both because it’s a hybrid and a chevy.
I own a Prius. The repair costs are unbelievably low, mainly due to the reduced wear and tear on your engine, brakes, and transmission due to the auxillary electric motor and generators.
Big V–Have you had to replace the battery pack yet? It takes a long time before it’s needed, but it’s pretty unavoidable and expensive when it is. At least that’s what “they” say.
Jim:
I only have about 120k on my car, so I haven’t run into any problems yet. I do have a friend who had her battery replaced for $4k. This was on a lemon that she bought used for like $8k. I think that car had been through a flood or something because it had some other really weird problems too.
And what goes into making batteries? Heavy metals. And where do most of these heavy metals come from? China. Batteries on the scale required to replace any meaningful share of the gasoline market is not a viable solution. Heavy metals used in making batteries are relatively rare and no one has answered the question of what we do with all these batteries once they’re useful life is up. They’re very toxic. Given the choice between battery powered cars and NG powered cars, I’d pick natural gas every time. It’s not a long term solution, but it’s the most viable short to medium term solution that I’ve heard.
Recycling.
In your analysis, the Volt runs for free?
To simplify, I did not include what gas or DC the Volt uses, or the additional financing charges for $22,000.00, or the additional sales tax, or the additional insuarnce charge, etc. It keeps going and going.
I’m not going to defend the Volt here; but analysis like these always seem to neglect the biggest operational cost of all: depreciation. After 165K miles, what is the resale value of the two cars? The Civic is pretty easy to guess at- the Volt is a real unknown. If the technology proves to be rock solid, battery life is good, and fuel prices continue to rise… it might be much better than the Civic. If it turns out that there are problems down the road, then it might be terrible.
Factoring in depreciation, you might find that the cheapest cars to operate are surprising choices. That $22K Civic might depreciate $15K over 8 years of operation. Spend $22K on a 8 year old Corvette: take care of it, and in 8 years, you might sell it for… $22K. $15K pays for a lot of fuel, maintenance, and insurance. Plus, you’re driving a Corvette instead of a Civic
The trick is to find a car that’s near the bottom of it’s depreciation curve. 8-12 year old Corvettes are just an example.
The cost to replace the batteries in the prius is four thousand dollars and they only guarantee the batteries for 100,000 miles. Have to believe the cost for the batteries for a Volt is much higher. Could come as quite the shock for the owner.
Link: http://answers.yahoo.com/question/index?qid=20090510110216AAH8aH2
Dan:
The link you posted indicates that battery failures in the Prius are nearly unheard of, even after 200,000 miles. Are you aware that nonhybrid vehicles have parts that can break too?
We’re keeping an eye on plug-in’s. (My Volvo is at 300K+) Here is a treasure chest of information and links. (My other half is an EE.) Tesla is out in front on battery technology and is selling it to others.
Meet the fleet from different mfg’s.
http://www.plugincars.com/cars
http://www.plugincars.com/tesla-will-unveil-electric-suv-2011-and-30k-electric-car-2015-106704.html
Yes, but the Volt’s battery pack costs $10k+ to replace. If it goes, that’s a *big* repair.
Yeah, NOW it costs 10K to replace, but third party companies are making great strides with battery technology. By the time you need to replace it the cost could be much less with a higher MPGe output.
Worse, in Europe most cars are diesel engine driven. Diesel engine technology has come a long way in the last 30 years and these cars are clean meeting tough EU standards and getting easily double the mileage of a US car.
My sisters Volvo wagon (1.9 liter diesel) gets some 45 MPG when converted to US gallons. Smaller cars easily get 60 MPG.
There are differences in the roads such as use of roundabouts instead of the cheaper stop signs used here, so not as much stopping and starting, but not enough to justify the difference.
I think the Euros have the right idea: spend 2 grand more and get a diesel car.
“Jeeps for America!” “Go Jeep!”
Chrysler Group LLC said its May U.S. vehicle sales rose 10 percent from a year ago to 115,363, driven by a 55 percent jump in sales of Jeep models.
Bring your own wine and NO touchy-feeling-x-ray-body-parts of your family members!
“All Aaaaboard! Amtrak!”
Lucy: “Hwy50, you’re such a BLOCKHEAD!!!!!!”
Those dealerships still have to sell the Volts. They may not make money on the deal if they have to sell them cheap.
Unfortunately, it is against the law in Texas for GM to sell cars directly to the consumer so Texans may never get that tax break.
Auto dealers are probably the single biggest impediment to auto sales.
I agree. Anyone ever have a pleasant car-buying experience?
The key to having a pleasant buying experience is to have a cost-is-no-object budget and to not get hung up on getting hosed at every turn. Just lie back and enjoy the experience.
Personally I’ve never owned a new car, because I’ve never fit that model and I get really annoyed about three sentences into any interaction with a salesman. I’ve never met one so far that knew more about his product than I did. It just gets worse from there…
Not at a dealershp. Buying my current car off the leasing company that my old employer used was fairly painless. I sent them a bank check (for the estimated auction price) and they sent me the title and told the guy who was driving it that he had permission to give me possession.
“The American Dream” is a 30 minute animated film by Tad Lumpkin and Harold Uhl that attempts to show You The People how you’ve been scammed by the most basic elements of the Global Banking Cartel. Do you know how your money is created? Or how banking works? Why did housing prices skyrocket and then plunge? Do you really know what the Federal Reserve System is and how it affects you every single day?
http://mikephilbin.blogspot.com/2011/06/american-dream-animated-film-tad.html
Meanwhile, the housing slump has now wiped out 8 years of price increases.
Bloomberg is on the story:
Home prices in 20 US cities dropped in March to the lowest level since 2003, showing housing remains mired in a slump almost two years into the economic recovery.
The S&P/Case-Shiller index of property values in 20 cities fell 3.6 percent from March 2010, the biggest year-over-year decline since November 2009, the group said today in New York. At 138.16, the gauge was the weakest since March 2003.
Other reports today showed consumer confidence unexpectedly declined in May to a six-month low, and business activity in the US cooled more than forecast.
Nineteen of the 20 cities in the index showed a year-over-year decline, led by a 10 percent slump in Minneapolis. The exception was Washington, where values climbed 4.3 percent.
Prices in 12 markets dropped to fresh lows in March from their 2006, 2007 peaks: Atlanta, Charlotte, Chicago, Cleveland, Detroit, Las Vegas, Miami, Minneapolis, New York, Phoenix, Portland, Oregon, and Tampa.
Builders are gloomy and project demand will remain depressed into next year, Bill Wheat, chief financial officer of D.R. Horton Inc., told a housing conference in New York on May 11.
“We still see housing demand at very weak levels,” Wheat said. “It could still be a struggle in 2012.”
~~ Clipped from TDR
It was my understanding that this sort of thing is impossible. Can you PROVE any of it, or is all just numbers on a computer screen? Must be fake.
A couple of ideas, maybe some discussion topics for the weekend as well.
Some of these topics came up last weekend (I’ll post stuff tomorrow, as I was watching ‘Holmes Inspection):
First, if you were buying a used house, would you ask the seller to provide building permits. I understand that a home inspector can’t see behind walls etc… but if their was a major reno in the past couple of years, would you not like to see a sign off ? Watching Mike Holmes, clearly some people ignore major investments just done in the place they are buying!!
On the show they show some clear building code violations: some that should easily be caught, ie. improper venting, illegal draining. I’ve never bought a house, but do you guys look for these things? How can you avoid them. This links into Q #2:
Second, writing from my ‘parents house: Neighbour house sold for $479K in 2008. The new homeowners (although sold from Calgary = lots $$$) have had to put over $50K in basic repairs (roof, extension). The old neighbours were not flippers (they bought in 1989; one was an inner city teacher,the other a golf pro[who I curled with for 5 years]), generally stand up people (Ie. not Armando Montelongo or Casey Serin). House built at the same time as my parents, nor did seem bad the times I was in the house. So what should a new home buyer look for?
Is that “curl with” or spoon with?
Lol!
Our poster is Canadian. Curling is a sport that is quite popular in Canada.
Not JUST Canada, there’s actually a curling rink in Laurel MD.
http://www.curldc.org/
My husband is a former builder. Our inspector is his friend and has been doing this for decades. They’ll tell you you cannot find everything. Having said that my husband absolutely zeroes in on code violations because if they’re everywhere he doesn’t want to bother w/the expense of having the inspector come in. He’ll just lose interest in the house fearing the shortcuts are everywhere. I’ve been on 5 inspections w/my husband. I still cannot pick out some structural things he shows me like when they took shortcuts on the support structures. But call an inspector you’re going to use and ask him what to look for in the basement if everything is still exposed.
What I can pick out: drainage. Gutters on house and pointing completely away from the foundation? Sometimes there are gutters but the water drops off at the bottom of the verticle pipe and rolls back toward the house. Over time, not good. You can tell by looking at basement walls and floor if they’ve had issues. If the walls are freshly painted I may be suspect depending on the state of the rest of the home. Is there a smell in the house? Can you identify what’s caused it? Many times water is involved. Is there a sump pump? Does it run the whole time you’re there? That will spike your energy use and may mean in a storm or spring thaw in the north you’ll have issues. We look for water damage under kitchen sinks and around tubs and shower stalls.
We look at kitchen and bath cabinetry for rot and deterioration. Go to lots of open houses in different price points. You’ll soon be able to id durable vs cheap cabinetry. Look for dovetailed instead of glued corners. Look for drawers that move in and out easily instead of sticking. Check lazy susans. I see few that don’t need replacement.
Roofs: You can usually see when a roof is at the end of its life. Moss is a particularly bad sign on asphalt. LOL
Outdoors: Look for animal and bug damage or splits caused by weathering in cedar siding. Make sure there is no damage to electrical line going into home. I’ve seen some dangerous stuff out there. We had to fix one of our homes where water drainage had enough force over the years to pull the wires away from the house.
The dates of the hot water heater, furnace and a/c units are on them encoded in what I think may be their serial numbers. So you can tell their age. I don’t want to move in a home and have something important die w/in months.
Ahhh…and double check what you think you’re buying against the tax records and especially the survey. Can’t tell you the number of homes I’ve found where the sq footage or lot lines had been (ahem) misreported. You also want to make sure you’re aware of any easements where you can’t alter or build anything on that part of your lot. Good luck.
Outdoors: Look for animal and bug damage or splits caused by weathering in cedar siding. ”
I’ve seen homes were dirt was piled against the wall to make raised planters against the house, not good in a stucco walled home.
It is structural elements that are the high dollar cost repairs. Alot of times structural failures are covered under homedebtors insurance. It’s important to note that yesterdays code compliant structure isn’t going to meet todays code but that doesn’t mean there are flaws. A 2×4″ structure cannot be built in the northeast but that doesn’t mean existing 2×4″ structures are a violation.
Obviously, the older the structure, the more skeptical I’d be of any improvements. Beware of balloon framed structures (pre-WW2 era), look closely at any foundations that are constructed of field stone, foundations that are painted, foundations with cracks wide enough to slip paper in, basements with sump pumps, ridge lines with sag are a screaming indicator of settlement somewhere below, etc etc. I’d be inclined to walk away from any of these structures I mentioned above.
Sound structures with a major punchlist of flaws makes good bargaining points ;). Anchor yourself to the punch list and be prepared to walk.
The library is actually a good source. Check out some books on home construction and home inspection and spend some time studying them.
While a home inspector recommended by your agent may very well be a great inspector, I tend to distrust those whose business is too closely linked and dependent upon the local REIC. The home inspector we have chosen (for when we finally do buy) is based about an hour’s drive away. Its worth paying his travel time to know he won’t walk on eggshells, afraid of killing a local agent’s deal.
Also look for an inspector who promises to climb up on the roof and into the attic or crawlspace. Be there during the inspection. Take notes and ask questions. Don’t hire an inspector who will put a time limit on the inspection - the one we picked is known for his five-hour inspections. Test for mold, radon, asbestos, and lead. Ask if they will provide you with a preventative maintenance schedule.
The library is actually a good source. Check out some books on home construction and home inspection and spend some time studying them.
Look for books published by RS Means and Taunton.
RS Means is the standard for all that is construction estimating.
“Be there during the inspection. Take notes and ask questions.” Can’t be overemphasized.
The seller of the house that I just bought had meticulous records of permits, etc., as well as plan sets for me. This made my review easy.
However, there were some items that were not included in the package. For those bits of information, I went right to the City. In our City, they were willing to give any information except the plans (which I needed to get the architect’s approval to release–he gave approval, which was nice). The main thing I was looking for was the geotech report (which confirmed soils conditions, recommendations by the soils engineer, and records of the soils engineer being on-site when the foundation was poured–confirming that their advice was being followed), which the City copied for me for a minimal charge.
Provided that you have the time, I would try to get my hands on the original plans, take a look at what was originally built, and what is there now, and go down to the City to see what work was permitted, what was not, and try to figure out what was done without a permit. The disclosures should include lots of this stuff…provided of course that the current owners are aware of the work.
And all of CarrieAnn’s comments should be well taken. Being built appropriately is one thing, confirming that the home has been well maintained is another…getting a professional’s eyes on the home is always a good thing.
Be aware that building codes change every year and vary by town.
Also, what is part of a town today, may have been unincorporated (and code-less) 10 years ago.
These people are completely delusional…
COLUMBUS Ohio | Thu Jun 2, 2011
(Reuters) - The high unemployment rate means the Fed’s ultra-easy money policies remain the right course of action, top Federal Reserve officials said on Wednesday.
High unemployment is not a “quickly resolvable problem,” but April’s job gains show that the economic recovery is on a firmer footing, Cleveland Fed President Sandra Pianalto said.
“We’ve got a long way to go before labor markets can be described as healthy again,” Pianalto told the Columbus Metropolitan Club.
Recent rises in food and energy prices mean inflation will likely be temporarily higher this year, she said. But both wages and the public’s long-term expectations of inflation remain subdued, she noted.
Given that backdrop, she said, current monetary policy is appropriate. Pianalto’s views tend to hew closely to those of Chairman Ben Bernanke and the center of the Fed’s policy-setting committee.
Fed Vice Chair Janet Yellen similarly endorsed the Fed’s stance of promising to hold rates near zero for an extended period as it completes $600 billion of bond purchases by the end of June.
“The current accommodative stance of U.S. monetary policy continues to be appropriate because the unemployment rate remains elevated and inflation is expected to remain subdued over the medium run,” she said in a speech on assessing potential financial imbalances to a conference in Tokyo.
Once complete, the U.S. central bank’s two rounds of asset purchases will boost GDP by about 3 percent and add about 3 million jobs by the second half of next year, San Francisco Federal Reserve Bank president John Williams said in a speech at the regional bank’s headquarters. They also probably kept the United States from falling into deflation, he said.
add about 3 million jobs by the second half of next year
Yeah right. And will those jobs be in the US?
Exactamundo. The Federal Reserve can do nothing to increase employment. Only Congress can do that, since they are in charge of international trade policy.
Very efficient article. It would be difficult to craft more lies and misdirections in fewer words.
In the former Soviet Union there was a saying that there was no Pravda in Izvestia and no Izvestia in pravda. They were the two main sources of news in the Soviet Union. With Pravda meaning truth and Izvestia meaning news. I feel this pretty well sums up our sources of news today, either we only hear about the stars, which is no news in my opinion or we hear lies.
“Recent rises in food and energy prices mean inflation will likely be temporarily higher this year, she said. But both wages and the public’s long-term expectations of inflation remain subdued, she noted.”
so higher prices with no wage increase is their goal?
“higher prices with no wage increase ”
The perfect combination to stimulate job growth.
The Fed can not win. Raising interest rates will collapse the debt structure. Keeping them low will delay the collapse but continue distorting the economy.
I think raising rates would be better in the long term for the general populace, but worse for the rich and powerful in the short term. Not much doubt what they’ll do.
That’s central banker code for: “don’t worry Capital, our manipulations won’t result in any little people getting a break - you can rest easy”
And to think, the Keynesians actually think these guys have our backs!
Sounds like the Fed is already building the case for QE3.
I heard Chuck Schwab speak at a conference. His line:
“The Fed is trying like hell to create inflation…and eventually they will be successful.”
Sounds pretty apt to me…if so, here comes QE3…
asset purchases will boost GDP by about 3 percent and add about 3 million jobs by the second half of next year
That easy, huh? These guys must stay in holidday in express regularly or they have Staples’ easy button….
How do asset purchase creat jobs? That doesn’t make sense to me. It’s a nonsequitor.
Naylor book review from Counterpunch:
Crass Struggle is about how the ultra-rich respond to the human condition, namely, separation, meaninglessness, powerlessness, and fear of death, as well as the devastating global social, economic, and environmental consequences of their behavior. For those in the top 1 percent of the world’s population who own 50 percent of the world’s wealth, life is all about having – owning, possessing, manipulating and controlling money, power, people, and things – very expensive things such as precious metals, gemstones, diamonds, art objects, historical artifacts, rare coins, fine wines, Cuban cigars, scarce fish, exotic birds, wild animals, and elephant tusks.
To cope with meaninglessness and fear of death many of the super-rich spend their entire lives pretending they are invincible. One of the ways in which they try to convince themselves that they will live forever is through conspicuous consumption. They think they can spend their way into a state of never-ending self-actualization without paying any psychological dues for a life of unrestrained pleasure. They live by the slogan, “I’ve got mine, Jack, and the rest of the world be damned.”
And damned it is, the world which supplies the super-affluent with their expensive toys, playthings, food, and drink. Naylor describes it as “the low side of the high life, the bad side of the good life, or, more poetically, the underbelly of the potbelly.” It’s all about the dark underworld which supports the world’s fat cats through debauchery, deceit, bribery, smuggling, fakery, forgery, tax evasion, and virtually every other known form of human criminal activity.
” the dark underworld which supports the world’s fat cats through debauchery…”
Hey, that’s us, we got mentioned!
It’s all about the dark underworld which supports the world’s fat cats through debauchery, deceit, bribery, smuggling, fakery, forgery, tax evasion, and virtually every other known form of human criminal activity.
Sounds like most of the rest of the world on every class level.
Although, you would think with all the education and opportunities they might turn out a little better…
“For those in the top 1 percent of the world’s population who own 50 percent of the world’s wealth, life is about having - owning, possessing, manipulating and controlling, money, power, people and things …”
As for the “people” part of the above statement most of the people who are controlled by this one percent WILLINGLY GIVE to this one percent the power to be controlled and manipulated and owned and possessed.
The once percenters are running the game and most of the ninety-nine-percenters are willingly playing it.
once percenters = one percenters
Was it the One Percenters that were behind the idea of convincing millions of Ninety-Nine Percenters that they should willingly go into hock up to their eyeballs and send the vig to the One-Percenters?
How did that work out? The Ninety-Nine percenters get to go to work everyday (if they are lucky) and then they get to send a big chunk of their paychecks to the One Percenters.
What a bunch of dummys.
Was it the One Percenters that were behind the idea of convincing millions of Ninety-Nine Percenters that they should willingly go into hock up to their eyeballs and send the vig to the One-Percenters?
Yes it was!
…and Susan researched it!
Suzanne!
“As for the “people” part of the above statement most of the people who are controlled by this one percent WILLINGLY GIVE to this one percent the power to be controlled and manipulated and owned and possessed.”
Mostly because:
1) they are unaware that its happening.
2) Do they have any other choice? Can they buy their gas from someone other than big oil, their meds from someone other than big pharma or their food from someone other than big agra?
This won’t change until they little people have nothing left to lose. And we seem to be headed that way.
You gotta realize combo that the masses are indoctrinated from a very tender age into being “consumers”. Just watch any new young children’s cartoon show, they are 23 minute toy commercials for the most part. Once they are trained to be “consumers” they belong to the 1%ers.
Up to age 18 you can be a victim. After that you are a volunteer.
“Once they are trained to be ‘consumers’ they belong to the 1%ers.”
As I said, what a bunch of dummys.
The Ninety-nine Percenters don’t have to worry anymore about thinking, the One Percenters will do all their thinking for them.
Like the parents can’t intervene?
“Up to age 18 you can be a victim. After that you are a volunteer.”
So some magic switch gets flipped at 18 and people into rational beings?
Once upon a time people used to learn to think at school. Now they are simply trained to do a job.
Like the parents can’t intervene?
My parents sure did! They used the word “no.” A lot.
Can they buy their gas from someone other than big oil, their meds from someone other than big pharma or their food from someone other than big agra?
Oh, but we don’t have monopolies in this country!
Those who drop out can still end up being owned by the 1%-ers. The small landowner who grows his own food can find himself on the wrong end of rezoning or eminent domain.
The tribe in New Guinea that has never become part of the world order can find themselves thrown off their land for a palm oil plantation.
Play the game as part of the 1% and you are responsible for the misery of millions. Play the game as part of the 99% and you share responsibility for creating misery. Don’t play the game - do you share responsibility because you have not tried to change it?
from Wikipedia
Citizen Kane/Rosebud
“(After his death) at (his estate) Xanadu, Kane’s vast number of belongings are being cataloged, ranging from priceless works of art to worthless furniture. During this time, Thompson finds that he is unable to solve the mystery and concludes that (Kane’s deathbed utterance) “Rosebud” will forever remain an enigma. He theorizes that “Mr. Kane was a man who got everything he wanted, and then lost it. Maybe Rosebud was something he couldn’t get, or something he lost.” In the ending of the film, it is revealed to the audience that Rosebud was the name of the sled from Kane’s childhood—an allusion to the only time in his life when he was truly happy. The sled, thought to be junk, is burned and destroyed by Xanadu’s departing staff in a basement furnace.”
Many of us repeatedly chase the wrong things putting in more energy, trying harder and harder instead of just pointing ourselves in the direction that would make us happy. Why should the wealthy be any different? It’s just that the collateral damage of their personality disorders rains down on us. As combo points out we go there willingly. We give them their power by going along with their systems.
“Rosebud”
Lol. Rosebud was the special name Willian Randolph Hearst had for the very special place on the body of his girlfriend Miss M. Davies.
“Many of us repeatedly chase the wrong things putting in more energy, trying harder and harder instead of just pointing ourselves in the direction that would make us happy.”
I think a lot of people don’t know what will truly make them happy as that requires time for thought and insight that a lot of people never seem to get around to.
Between our “job training” oriented educations and our pervasive advertising driven consumer culture it’s fairly easy for people to think that “stuff” is the answer.
Has anyone here ever read “Why people buy things they don’t need” by Danziger? Interesting marketers guide to how people rationalize/justify spending.
Yeah, but this really gets perverted when someone gets the idea that one can actually build an economy, let alone the world’s largest economy, around that inner emptiness.
whyoung
That is part of our curriculum in shopping center school. Envirosell “A Call To The Mall” -book) is a New York based research and consulting firm specializing in studying retail and service environments, and the Boston Marketing Grp looks at market trends.
During the tech and housing/finance bubbles, trading up was fashionable. Now, trading down is. The dollar store retail segment is going gang busters right now.
A lot of retail is about filling voids.
Silverstein’s 2003 book “Trading Up” is also interesting.
Paco Underhill’s (of Envriosell) “why we buy” is also good.
The trading up / trading down phenomenon has been around for a while, I think of it as a “canary in a coal mine” in that - before our recent economic troubles - people were “trading up” where it showed (i.e. stupidly priced designer handbags, etc.) and down where it doesn’t show as much (”commodities such as paper towels, dish soaps, etc.) and not necessarily thinking if it as sacrificing as the result of growing income imbalances, just a driving need for the latest status symbols.
Now I think it is more of a necessity for a lot of folks.
There’s an anecdotal economic indicator that says sales of underwear (one of the ultimate things that usually don’t show in public) can tell you a lot about the current state of things.
whyoung
I saw Paco Underhill give a speech once. The rumor was he got paid something like $30K to address our trade association. He’s a bright dude. There are many like him.
The men’s underwear indicator was around in the 80’s when I went to ICSC/U San Diego Mgmt School. Boy, I am getting old. That’s almost 30 years ago! You seem on top of the pulse. You must be a marketing type? I am so burnt out on shopping centers and consumers. That was my life.
I saw Paco Underhill give a speech once. The rumor was he got paid something like $30K to address our trade association. He’s a bright dude. There are many like him.
I heard Peter Glenn speak at Interbike, the bicycle industry’s annual trade show. He was *good*.
“Has anyone here ever read “Why people buy things they don’t need” by Danziger? Interesting marketers guide to how people rationalize/justify spending.”
Or you could read Edward Bernays. I think these eye openers sealed my fate as a born again cynic.
I think this can all be boiled down to the obvious (as usual). There is no way that one human being could ever earn a billion dollars. If someone has that much, then they probably stole it.
To roughly (and badly) phrase Gandhi:
“It is possible, thought not easy, for an honest businessman to make a good living. It is impossible for him make a fortune.”
Spoken like a true liberal! Congratulations on your adherence to logic and reason as any left wing person has in great amounts; if you don’t believe it just ask them. I assume of course that you think you earned everything you have no matter how small or large. “From each according to their ability, to each according to their need”; a Marxist paraphrase. Good luck with making that dog hunt!
Current events, how do they work?
Dow 20k says Altucher:
http://www.marketwatch.com/story/next-stop-dow-20000-2011-06-02?dist=beforebell
“every day it seemed a new blogger was using this as an excuse to write a blog specifically trashing me”
True genius is so rarely appreciated.
Forgot to mention that the article appears to have been written by a fourth-grader.
Article: Possible Double-dip Recession - By Robert Reich ~ FT.com
“American consumers, who constitute 70 per cent of the total economy, cannot and will not buy enough to get it moving. They justifiably worry that they will not be able to pay their bills, or afford to send their children to college, or to retire. Banks, with equal justification, are reluctant to lend to them. But as long as consumers hold back, companies remain reluctant to hire new workers or raise the wages of current ones, feeding the vicious cycle.”
~~Surely Dr. Reich provides a solution? Not really. He believes federal government is our ultimate salvation but the present “Washington paralysis in the face of a stalled economy is bad news.” This paralysis is the fault of the GOP, of course, and is postponing the beautiful day when the Gross Domestic Product is so huge a monster federal debt won’t matter.
Reich will soon be urging Quantitative Easing #3 by the Federal Reserve. Watch!
“But as long as consumers hold back, companies remain reluctant to hire new workers or raise the wages of current ones, feeding the vicious cycle”
I would posit that even if individuals returned to their borrow and spending ways that there wouldn’t be any hiring, at least not in the USA.
You can bank on it.
I heard Shiller suggest QE3 to save housing in an interview this morning.
Why can’t Reich and Shiiler let go their Keynesian wet dreams?
More of the same solution will end up in more of the same problem…..
Total gov spending is actually flat, the Fed gov has been able to maintain spending but state and local have not. Thus there has been no stimulus only enough to keep things from getting worse quickly.
You can argue that QE is bad in the long run but in the short run it is undeniable that things would be a lot worse w/o it and by worse I mean massive unemployment and people starving. Tax revenues would be down as well.
Again spending more during bad times is only part of Keynesian thinking. During the good times the gov spent like a drunken sailor. War, tax cuts for elite, Medicare prescription drug plan you name it. Without these 3 things we’d be in much better shape now.
tax cuts for elite = tax cuts for those who pay the most taxes
So what does cutting government spending in a down economy do? If business won’t spend (in this country) and consumers won’t spend and government gets cut, what will restart the economy?
“Save housing.” You mean inflate away Fannie and Freddie.
“…QE3…to save housing…”
From what — affordable prices?
“Reich will soon be urging Quantitative Easing #3…”
So will the half of the GOP if we can wait that long.
Actually it’s more than half of GOP.
This late in the game and they still can’t get past the idea of the conumser/service economy. Is the consumer/service economy the penultimate state of human existence? Is there nothing after this that does not entail anything short of evolution into sparkly gaseous all-knowing beings a la some Star Trek episode?
“Is there nothing after this that does not entail anything short of evolution into sparkly gaseous all-knowing beings a la some Star Trek episode?”
Melvar in Futurama?
We need an economy based on cleaning up the damage the manufacturing AND service economies have done to our environment and society. That might even be rewarding on a human level. Dare to dream…
Reich was big on outsourcing and H1-B visas. He knows all about the service economy. He helped create it.
Reich is an idiot with an audience.
Can’t spend what you haven’t got nor can’t get.
Marie Antoinette didn’t get it either.
Let’s just spend our way out of this mess! It will be far less painful (right this second) than all that other icky hard stuff. Heck, my ex-wife could be a nationally recognized economist!
Thanks to the HBB, every time the S&P 500 passes 1300, and I expect it to happen quite a bit in both directions over the next decade, I’ll think of Eddie.
If his advice was to ride up and then sell out before the suckers catch on, then I suppose it was good advice for those who are willing to play that way.
If he actually thought that’s what stocks are worth given our long term economic situation and the years required to get out of it, he’s gonna get hosed.
I was at a conference about a year ago. One of the speakers was a fairly high up strategist at one of the major banks. His essential message was this:
1. All this stuff about Greek debt, US debt, etc. was a distraction. Greece was too small, and eventually the US would be forced to address their issues, etc.
2. The main thing globally that people should be focusing on is the development of emerging markets–HUGE numbers of consumers are being created right under our noses…provided of course that such progress is not derailed (he cited the number of protests in China and the government’s attempt to keep the upset folks at bay). Ultimately, this will be a major source of global economic growth for many players in the market.
3. When they put all their numbers into their giant Ouija Board, they saw a number of years of the market bouncing along in a relatively flat market for upwards of 8-10 years…at this point, he would probably say that we are 3-4 years into this. After that, they are anticipating a secular bull run for the next several years.
That would put the start of the next major expansion starting in 2015-2017…assuming there is not some calamitous global economic event in the meantime, in which case, they will put more data into the Ouija Board and come up with an equally impossible to predict, but rational sounding prediction.
I predict another world war.
Most likely. The current level of corruption cannot continue. Someone is going to get very mad at someone else or be backed into corner and have nothing to lose.
Recent events overseas, anyone?
How many countries are we now militarily actively involved in. (don’t split hairs over Libya, we’re there)
Greece is just one final straw away from a military coup according to the CIA which could happen any day.
Unless Chindussia suddenly goes democratic, all those gains will go to the corporate elite. Wage arbitrage.
India is a democracy. The others will need to have improving standards of living for their peasants, or else lose power. There will be some gains other than the corporate elite.
O’ no one of the defenders of the former IMF Chief is in trouble:
http://www.dailymail.co.uk/news/article-1393078/Dominique-Strauss-Kahn-ally-Jack-Lang-accused-orgy-little-boys-Morocco.html#ixzz1O4omMH52
Sounds like a typical Thursday night in any muslim country…
With a bit of luck DSK will soon be an inmate and be forced to perform “maid services” on fellow inmates.
The thought alone gives me a case of Schadenfreude overload.
I don’t think he will be pitching in prison.
P.S. this is why I think that justice will be done in the end, for DSK.
Wow, perverts galore over there.
My only question is why is a bankster staying in a cut rate $900 a night hotel?
http://www.dailymail.co.uk/news/article-1393028/Egyptian-banker-Mahmoud-Abdel-Salam-Omar-denies-sex-attack-hotel-maid.html
If you are a socialist bankster, you can. No explanation needed.
Maybe the $3000 room was already taken?
Maybe the maids are cheaper as well?
Terrible storms in Massachusetts last night. My parents were a couple miles from one tornado, but they are okay. Sounds like a few insurance companies are going to take something of a hit. I hope all you MA HBBers out there are safe. My father reported in this morning:
“4 dead, 30 injured so far with many missing. The final toll is likely to change some but many of the missing are likely OK but just have not checked in with anyone. They have 1000 national guard, and local fire and police from all over New England helping with the search, and road clearing efforts.
They are reporting that there were 2 or 3 tornados that touched down a total of 6 or 7 times in different places. The cities and towns of Springfield, Munson, Sturbridge, and Southbridge suffered the most damage. The downtown area of Springfield has the most damage where two tornados touched down.
There are thousands of houses, commercial buildings, cars, and trees destroyed. They credit the low death and injury rate to both early warning by the media, and the fact that most New England homes have basements where people were able to hide. One person took a picture of a hail stone next to a baseball. Most hail reports were golf ball sized.
They have identified some debris 50 miles from its source. There are pictures of whole houses turned upside down and laying on their crushed roofs. They found the entire roof of a sports bar in Springfield 2 blocks from where the building was located. Several churches lost their steeples, and several schools suffered a lot of damage. One condo building has the entire brick front wall torn off while pictures remain on the wall on the opposite side of the exposed rooms. One car dealer lost his building and all his cars. There are many houses with either holes through the wall or debris sticking in the wall. 10s of thousands of windows were blown out or broken, and some houses have the siding peeled off and in some cases folded up over their roofs. Many roads remain closed this morning due to debris and downed trees.”
Good to hear your folks are OK.
America can handle these type of things, even if it means $pending more$ Gubmint$ monie$, u$ing Gubmint$ resour$es, still will not help to calm the “TrueReduceTheDeficitNow!Today!™” everything “Diz-the-Gubmint’$ fault” now, now we are Angry! types.
Hwy inserts Rolling Stones: “I can’t get no satisfaction, and I’ve tried, I’ve tried, I can’t get no, no, no, no Sat-is-faction…
Having been raised in the NE, and never having experienced anything more than the occasional blizzard or nor’easter, this sort of thing is a bit of a shock to me. It is pretty much unheard of to have tornados of this magnitude in the region.
But I find it interesting that we’re seeing devastation on the order of what is commonly seen in most third world countries during natural disasters. Floods, fires, tornados, etc. Well, what the heck, we’ve seen massive immigration, legal and illegal, by people from the third world, and they do seem to want the US to assimilate to them, seems to be working out that way.
I will be very interested to see how the recovery goes. Not sure ole’ Deval is up to the task.
But I find it interesting that we’re seeing devastation on the order of what is commonly seen in most third world countries during natural disasters. Floods, fires, tornados, etc. Well, what the heck, we’ve seen massive immigration, legal and illegal, by people from the third world, and they do seem to want the US to assimilate to them, seems to be working out that way.
Are you saying that:
more illegal immigration = more natural disasters?
?????
Maybe the response of a 3rd world banana republic to a natural disaster compared to that of the USA…
“Are you saying that:
more illegal immigration = more natural disasters?
?????”
I don’t recall saying that, in fact I mentioned both legal and illegal immigration. I’m saying it is an interesting coinkydink that the US is becoming more like the turd world every day, including the effects natural disasters. Wherever you go, there you are.
As to the response of a third world banana republic, just ask some of the Gulf Coast residents how the oil spill aftermath is going. Check out the aftermath of the floods, and the tornados in the Joplin a year or so down the road.
I’m just sayin’, wait and see.
I do think Massachusetts will get a lot more help than Missouri, given the relationship between Bammy and Deval. That’s how it works these days.
Illegal immigration is a “natural disaster”. For those communities that have to deal with it.
Have been telling my brother in the Border Patrol that if he ever catches an illegal investment banker, or politician, give them a free pass……in fact, buy them a bus ticket to NYC or DC. I’ll pay for it.
If enough of them get across,eventually you will see the Bradleys and Abrams parked track to track on the Rio Grande.
“I do think Massachusetts will get a lot more help than Missouri”
It doesn’t pay to live in flyover country.
” It is pretty much unheard of to have tornados of this magnitude in the region.”
Before our time, but not unheard of.
The Flint Tornado and Worcester Tornado - June 8-9, 1953
The last single tornado to kill over 100 people struck the north side of Flint, Michigan. 115 were killed and 844 injured. This weather system would continue eastward spawning another tornado that would become the deadliest New England twister on record. It smashed through eastern Massachusetts, killing 94 people, 60 in Worcester alone. Over 4000 buildings were damaged or destroyed.
http://www.weather.com/encyclopedia/tornado/1940-80.html - 93k -
“My parents were a couple miles from one tornado, but they are okay.”
I can empathize, as the St Louis airport tornado in April tore through my old neighborhood, and knocked down a tree which landed on a house two blocks from where my parents live. It has been an unbelievably bad tornado season across the U.S. Even California has recently reported tornadoes.
All time record number of tornadoes in the US. Or soon will be.
On a different note…
Our agent sent an email last night. She found another job and is exiting the real estate business. I had posted in the last week or two about how I felt she was trying to cut us loose. Well there you have it.
Not sure if we’ll work with another agent or try the strategy of working (duel agent) with the listing agents on properties of interest.
Real Estate Agent duels would solve many problems.
My agent has talked about leaving the business. That’s particularly interesting since earlier she was saying other agencies were trying to steal her from her present place. It sounds like she’s been busier lately but it’s hard for me to know whether that’s just showings or actual closings. A few months ago she talked about having multiple deals falling apart at the last minute. She was talking about buyers being pretty spooked and cautious.
CarrieAnn and Arizonaslim- thank you for the kind comments yesterday.
As for agents leaving the biz for greener pastures…
My mother’s agent (who sold her abode on a short-sale: thank you Chase and Carrington!) is retiring. He told her he has had enough and has made very little $$ over the past 3 years (surprise!).
Belated Thank You’s to the HBB posters- last year (April 2010) after my father died unexpectedly, I asked you all for advice on what to do with my parent’s house. Mom did not want to stay there (too far from the Twin Cities) and too much work for her. From your advice, we moved her into a rental townhome in the suburbs on a 2 year lease, got her a newer car, then had her cease payments to Chase (1st Mtg) while continuing to pay Carrington (2nd Mtg) and list the house for sale.
Long story short, she closed on the sale 3 weeks ago (almost 1 year after listing), yes, it was a short sale for $89,900 ($35,000 less than the Chase mortgage balance), and she only had to pay $3000 to Carrington at closing to satisfy the 2nd mortgage debt (which was over $17000).
She is very happy to have the albatross off her neck and thoroughly enjoys suburban living in a relatively maintenance free rental townhome.
She is very happy to have the albatross off her neck and thoroughly enjoys suburban living in a relatively maintenance free rental townhome.
Methinks that your mom’s story will become quite common. And, when “real estate is an albatross” becomes as popular as the “your home is your best investment” meme, we’ll know that times have truly changed.
Wow. Those are decent write offs. After reading Minneapolis’ numbers yesterday, I feel I understand the pressure the banks were under to stop the bleeding. Glad your Mom was happy to let the house go. Heck I’m happy to just hear the older set is listening.
LOL… haven’t had my caffine this AM.
Should be: dual agent.
Mold doesn’t lie: Prices will fall:
http://finance.yahoo.com/banking-budgeting/article/112836/solution-housing-collapse-barrons?mod=bb-budgeting
“…mold and mildew may succeed in clearing the glut of foreclosed properties.
…
Perhaps the overhang of foreclosed homes will just rot away and have to be razed. Supply would shrink to equal demand. It would be destruction, and not the creative kind. But it is the inevitable result of the malinvestments produced by credit bubbles.”
I heartily disagree. Without government intervention to the tune of hundreds of billions of dollars, if not more, the market would eventually clear on its own. Too many banks are counting on the government to protect them from the consequences of their folly, which makes holding on to mildewed, moldy, rotten housing seem more desirable than selling it before its value drops to zero.
“The American Dream is to own a home. Home prices are falling. And this is bad news? Now Keynesianism makes perfect sense to me!”
~Rev. H.R. Curtis
“Anti-Obesity” Housing Unveiled in Bronx
Thursday, Jun 2, 2011 | NBC New York
A new Bronx co-op apartment building is designed to help combat obesity.
The building, called the Melody, has a backyard with brightly colored exercise equipment for adults, and climbing equipment for children. It also has both indoor and outdoor fitness centers.
City officials say it’s the first in New York to be built with design elements aimed at countering obesity.
Two flights of stairs feature silhouettes of dancing women and jazz playing through speakers and motivational signs posted throughout the building tout the benefits of exercise.
The 63-unit building houses 63 units and is for families with incomes of $90,000 or less. Fourteen of the units will be owned by Habitat for Humanity’s New York City chapter families who helped build the project.
It was unveiled Wednesday by Blue Sea Development Company, Habitat for Humanity and city officials. It will be ready for occupancy this summer.
The housing complex in the Longwood section of the Bronx was named in honor of the neighborhood’s musical legacy, Mark Naison, co-director of the Urban Studies Program at Fordham University, told WFUV.org.
Unless they have a doorman confiscating carbs on the way into the building, this is not gonna work.
PS
I’m hungry. On a diet. Eliminated the tortilla from my Wendy’s Go Wrap today. Need to whine.
All my girlfriends that go to Curves or the Gym are still fat. I agree with oxide and Big V. It’s about carbs and doing the moving vs. lip service. I treadmill at home ($600 for 16 yrs plus the electricity).
My other half is making Focaccia -Style Flax Bread, twiking the yolks used and adding poppy and onion bits. Sounds divine!
http://lowcarbdiets.about.com/od/breads/r/flaxbasicfoc.htm
Sell your car. Pounds go “bye-bye”!
Unemployment. Works ever better!
Yep, you have to make it a lifestyle, both on the take (eating) and on the give (exercising/being active).
“you have to make it a lifestyle”
True. Took me 86 minutes to get to work on the bike this morning. I am focusing less on “the take (eating) and [more] on the give (exercising/being active).”
I always thought that 5-story walkups were the best anti-obesity plan.
After they sold their great-big house, my father’s parents moved into an apartment building in Mount Vernon, NY. The place had an elevator, but it was glacially slow. So, whenever we visited, we used the stairs. Which I thought was kind of fun.
This place sounds like a lot of fun. Too bad I’m just learning about it now, because I would have loved to help Habitat with the building part.
It’s not about the carbs or the Atkins non sense. It’s about eating a healthy well balanced meal full of whole grains, fruits, vegetables and legumes/beans. A very low fat, low sodium vegetarian diet without refined sugar or flour is a healthy diet. The combination of fat and sugar is lethal as evidenced in people consuming fast food. Once you give up the taste for meat your taste buds will change and a person living on a vegetarian diet usually likes the way they feel. Losing weight is so easy on a low fat vegetarian diet that you have to actually force yourself to eat to retain your weight. A low fat vegetarian diet also reduces blood pressure as well as cholesterol. Aerobic exercise 30 minutes a day will also do wonders for your health. Weight lifting on the other hand does nothing more than make you look good.
Weight lifting on the other hand does nothing more than make you look good.
I had to give it up on the weight training. Not that it was putting the pounds on my slender frame.
The real problem was that I was turning into a collection of aches and pains. Which, for some strange reason, have gone away since I dropped the gym membership.
Yeah, but a lowfat vegetarian diet without sugar or flour will also leave you half-hungry all the time, and you will rarely gain pleasure from your food.
My fast food routine is awesome. I can have two taco supremes from Taco Bell or a large chili with cheese, chicken fruity salad thing, or spicy chicken go wrap from Wendy’s for lunch. Then I just have to keep din-din around 400 calories, with milk in my coffee and a half-handful of cereal or nuts in the midmorning. I didn’t really need to eliminate the tortilla today, but I wanted to go the extra mile.
SUGuy
With all due respect, for women over 45, carbs do matter. It’s a hormonal thing for us gals. Also, I have higher than normal blood sugar, and control it med free with carb watching and exercise 45 minutes every day. I’ve brought all my “numbers” down (blood test) and have reached good health. I agree with your post, but it’s not a black and white thing.
Strength training is recommended for women over 50 who may have bone mass issues. When you strength train your muscles are worked to exhaustion and then forced to rebuild more efficiently. This more efficient muscle will burn calories at a faster rate. Also if you do repetititve cardio work like running or biking, strength training will help prevent injury. Osteo docs sometimes send their clients to minor strength training prior to surgery to keep them agile and experiencing less pain prior to joint replacements. So it does have more benefits than just looking good.
Arizona, since I know you are a very proficient outdoors person you may know your way quite well around the gym. However I wonder if you might hire a personal trainer just to get the form precise. Form can make a huge difference in injury prevention.
My 86 year old mother lifts weights to combat osteoporosis.
WASHINGTON (Reuters) – A high-level international commission declared the global “war on drugs” a failure and urged nations to consider legalizing cannabis and other drugs to undermine organized crime and protect their citizens’ health.
The Global Commission on Drug Policy called for a new approach to reducing drug abuse to replace the current strategy of strictly criminalizing drugs and incarcerating drug users while battling criminal cartels that control the drug trade.
“The global war on drugs has failed, with devastating consequences for individuals and societies around the world,” said the report issued by the commission on Thursday.
Master’s of the obvious. It funds Taliban, It funds drug gangs taking over Mexico, it fills our jails and courts. It taxes the military.
Just read an article regarding Holland… yep, they are starting the gradual “illegalization” of hashish and cannibis! Seems that they have had too many issues with legalized H&C and are starting to restrict the number of “coffee houses” as a first step.
Too much of a good thing perhaps?
Tourists ruin everything.
I’ll take hollands problems in a minute over say Mexico. Seriously Mexico is on the verge of collapsing in my book. Drugs bring in more money than tourism and oil and can all be focused on weapons and buying politicians and police. I’ll take drug addicts urinating in the street to prevent a failed state next door.
The other issue of course is that Holland is alone in legalizing it so all the addicts go there. If everyone did it there would be no reason to travel.
Also money could be spent jailing muggers and thieves instead of drug users and small time sellers.
Maybe it would be better to focus on treatment instead of jail. There was a lady with a husband and children on the radio this morning who was imprisoned for 11 years for smoking crack. Why are my tax dollars being used to incarcerate harmless women and deprive families of their moms?
Maybe it would be better to focus on treatment instead of jail.
I agree. And I’ll betcha money that, if the treatment programs were community-based rather than institutional, they’d work pretty well.
But there won’t be any money available for “treatment”.
Guy I’m acquainted with killed himself via O.D. a few months back. Has been in and out of rehab for 20+ years. Paid for by his employers when he managed to get a job, and by the state when he wasn’t.
In the end, it made no difference.
Anyone ever notice that most of our problems started getting worse, when we passed laws to form regulatory agencies (like EPA, OSHA, CPSC) in an effort to keep people from killing themselves?
My new Republican/Libertarian endorsed plan is to legalize EVERYTHING. And quit spending money on rehab. Or Trauma Centers. Or helicopter medivacs. In fact, just get the government completely out of health care and let the free market handle it. Eventually the problem will take care of itself.
Better yet, give all high school graduates free drugs, a 10 year old car, a new cellphone, and 1000 free text messages. Have kiosks at the malls and Wal-Mart.
As far as all those innocent people killed by crack/meth-ed up junkies in traffic accidents, robberies to pay for the drugs (anyone who thinks crime will be reduced by legalizing drugs is deluding themselves), industrial accidents, etc?
Collateral damage. Can’t make an omelet without breaking a few eggs. In fact, lets call the junkies “disabled”. Make it an ADA violation if you DON’T hire them. What the world needs more of, is more junkie truck drivers, bus drivers and airline pilots.
Besides, as we’ve seen for the last 2 years, we have about 25-30% more people than our economy can support.
Besides, as we’ve seen for the last 2 years, we have about 25-30% more people than our economy can support.
I wonder how many land whales will make it to minimum SS benefits age? When I see all these super obese folks waddling around I can’t believe they’ll even make it to 50 before their hearts explode.
When I see all these super obese folks waddling around I can’t believe they’ll even make it to 50 before their hearts explode.
I don’t know if anyone here is from the EMT/paramedic world (I’m not), but I’ve heard that one of the difficulties in dealing with very overweight people is the fat around the heart. Makes it difficult to do any sort of CPR.
It’s simple once you follow the money.
I’ve seen crack smokers. There is nothing “harmless” about them.
It’s the same with all the harder drugs.
PBS Shows Will No Longer Be Ad-Free
First commercial breaks set for this fall.
By Stephen Spencer Davis | The Slate
PBS will soon end its long-standing practice of airing entirely commercial-free programming, one of its largest selling points to both viewers and sponsors.
At the network’s annual meeting held this month in Orlando, executives told member stations that shows like Nature and Nova will feature four commercial breaks beginning this fall, with the longest uninterrupted stretch of programming coming in at just under 15 minutes, the New York Times reports.
The switch is intended to combat the problem of viewers “fleeing” to other stations during the network’s blocks of commercials between programs, which can last up to eight minutes. Under the new model, PBS will adopt a “hot switch,” with no break between programs. John F. Wilson, PBS’s chief programmer, told the Times that viewers will never be more than 100 seconds from actual content. (The Atlantic Wire, meanwhile, has a nifty graphic that shows the plan in detail.)
The change will present obstacles to writers accustom to producing content watched in uninterrupted blocks, the kind of viewing many say is vital for in-depth documentary work like Frontline and dramas like Masterpiece Theatre. PBS’s Wilson said that some programs may be spared from commercial breaks, but that many producers will be forced to adapt.
The change comes at a tumultuous time for the network. The Times recently reported that at least half a dozen member stations are considering leaving PBS, citing funding concerns. Orlando’s major public network says they are unable to pay their approximately $1 million in PBS dues and will end their contract with the network on June 30. A station in Los Angeles quit PBS on January 1, and a station in Waco, Texas, closed last year.
The diagram from the Atlantic Monthly article is very helpful. If you count it up closely, they are adding the amount of commercial interruption.
“Nobody wants to snap out of the Ken Burns zone for even a few seconds…
…a number of stations were withdrawing from the network because of record high dues, in some cases to be replaced with programming from religious networks. ”
http://www.theatlanticwire.com/business/2011/05/pbs-commercial-breaks/38285/
They are correct about viewers fleeing during those 8 minutes. I can take a shower between the credits of the NewsHour and the first appraisal on Antiques Roadshow. However, I think PBS is making a huge mistake. The moment the first promo hits the air, every PBS member — yours truly included — is going to pull their donations* pronto. If they want to act like a commercial network, they’ll have to fund themselves like a commercial network.
On a positive note, maybe this will be the end of the geriatric doo-wops and Celtic woman.
——————
*Last week some PBS wag tele-begged me for donations. He actually had the nerve to say ‘commercial free.’ I said, what do you mean commercial free? I have to sit through propaganda from Chevron and Boeing and BoA all the time. The guy then asked me to donate $900. I finally hung up on him.
Last week some PBS wag tele-begged me for donations. He actually had the nerve to say ‘commercial free.’ I said, what do you mean commercial free? I have to sit through propaganda from Chevron and Boeing and BoA all the time. The guy then asked me to donate $900. I finally hung up on him.
Which is why I wouldn’t volunteer to handle phones for the local PBS station on a bet. I’m down with KXCI Community Radio, baby.
I do a lot of phone answering during the KXCI pledge drives and it’s a blast. Ever had people call up and tell you how much they love you? Happens all the time on the pledge phone. People are that devoted to KXCI.
Oh, and when we call donors, it’s to say “thank you.” That’s it. Just “thank you.”
Technically they are considered sponsorship recognition, not ads. To be an ad, it has to either provide cost information or urge you to buy something. I think. Don’t have time to look up the regs right now.
At KXCI, we refer to them as underwriting. And the deejays do tend to put a unique spin on them.
Like JimmyD, who’s an attorney in real life, saying, “Support of KXCI is provided in part by Yoiks Toy Store. Wait a minute, I just invented a store! It’s Yikes Toy Store.”
I refuse to watch live TV at all because of commercial breaks.
goldman subpoena?
Stock takes 10% hit. Nothing comes out of subpoena or they settle out of court, either way the stock goes up by 30%.
Glodman always wins.
I can not remember the last time I used one.
Phone-book delivery disappearing
By Wendy Koch, USA TODAY
Phone books, long a staple of U.S. life, are fading quickly as lawmakers and phone companies see green benefits in limiting their delivery.
Most targeted are the residential white pages that list home numbers. An increasing number of states are approving requests by phone companies, which want to stop delivering these unprofitable, generally ad-free books unless requested by land-line customers.
The result: Many customers in half of U.S. states will soon no longer hear that multipound thud at their doorstep.
•Verizon has received the OK to cease automatic delivery from 11 of 12 states where it has land-line customers and expects permission from California and the District of Columbia by the end of September.
•AT&T expects, by the end of this year, to stop unsolicited delivery in 14 other states where it does land-line business. “We give people the option,” company spokeswoman Dawn Benton says.
“We all know fewer and fewer people use the phone book every year.… It’s an antiquated industry,” says Scott Cassel of the Product Stewardship Institute, a non-profit that aims to limit the environmental impact of consumer products.
The ad-packed Yellow Pages that list businesses are also a target. To reduce paper waste and recycling costs, two U.S. cities recently passed ordinances restricting the delivery of Yellow Pages and at least five states are considering the same.
Found ours on our doorstep this week and were p1ssed. I didn’t feel like shredding it for the compost so into the recycling bin it went. What a waste of resources.
I’ve heard that the Scandinavian countries did away with phone books years ago.
I haven’t used one in years.
i remember delivering to the Heinz “mansion” in the sixties, when in was a teen growing up in Pittsburgh
Internet phonebooks/phone # searches suck.
Every time I’ve done one, I always end up wit 50 pages of useless links. And you need internet access. Pain in the azz when you have grease/chemicals on your hands.
They will have to pry my paper copy of the Yellow Pages out of my cold, dead fingers
I kind of bounce between the two. If I already know what I’m looking for the dexknows dot com usually works well, but sometimes I do prefer to use the old fashioned phone book. Of course it helps that in out small burg it isn’t very big.
WHO: E. coli outbreak caused by new strain ~ Associated Press
LONDON – An entirely new super-toxic bug is causing the frightening food poisoning outbreak that has sickened at least 1,600 people and killed 18, researchers and global health officials said Thursday.
The DNA of the new E. coli strain, believed to have contaminated salad vegetables, was analyzed by Chinese and German scientists. It contains several genes that cause antibiotic resistance and is similar to a strain that causes serious diarrhea and is found in the Central African Republic, according to a statement from the Shenzhen, China-based laboratory, BGI. Those scientists were working together with the University Medical Center Hamburg-Eppendorf.
“This is a unique strain that has never been isolated from patients before,” Hilde Kruse, a food safety expert at the World Health Organization, told The Associated Press. The new strain has “various characteristics that make it more virulent and toxin-producing” than the many E. coli strains people naturally carry in their intestines.
Preliminary genetic sequencing suggests the strain is a never before seen combination of two different E. coli bacteria, with aggressive genes that could explain why the outbreak appears to be so massive and dangerous, the agency said.
As with the spinach e. coli contamination of a couple of years back, (which was dubiously blamed on “wild pigs rooting in the spinach field,”) what is left unspoken in all of this is it that the spinach in question was a genetically modified RoundUp Ready strain which is bioengineered with…surprise, surprise… genetically modified e. coli bacteria.
Because e. coli mutates so readily. It being a virus and all….
I’m betting the veggies involved in this most recent outbreak are GM strains as well. But you’ll never hear Monsanto mention that.
That does it. For years I’ve been considering turning my lawn into a vegetable patch. It’s time to act.
We are so jealous. All we have is room for two wine barrels, an 8×1x1 planter, two composters and some assorted pots. However, we are getting all of the lettuce, arugula, parsley, dill, chives and mint that we can eat (which is actually a lot when that’s what you have around). Green beans are doing well and are prodigious producers once they get going. If the weather ever turns warm, we’ll have all the tomatoes we can eat too.
O, but for an 1/8 acre. We are saving for land. Eff the house; all we want is land.
Yuck.
ahansen:
E.coli is not a virus. It’s a bacterium. Furthermore, the e.coli was only used to grow DNA segments, which were then insterted into viruses that infected seeds. There is no actual E.coli in a genetically modified spinach seed. The process of genetically engineering a seed does not cause it to be contaminated with e.coli.
And I would argue that the resultant RNA is indeed viral and that inserting strands of genetically-modified e. coli into spinach or any other substance may have unforeseen recombinant effect.
Yeah, but let’s be real here. Let’s not start crying from the rooftops that genetically modified food is actually contaminated with E.coli. If your spinach is dirty, then it will have dirt on it, whether it’s genetically modified or not.
Also let’s not forget where a lot of fertilizer comes from. My guess is that this is more likely.
I’d also wonder about a terrorist act.
Walk through stores spraying random veg and fruit.
I’d also wonder about a terrorist act.
Walk through stores spraying random veg and fruit.
Which, ISTR, is what the followers of Bhagwan Shree Rajneesh did back in the 1980s. In Oregon.
Should have read, “it NOW being a virus and all.”
I’m along with you on the unintended consequences with the bacteria RNA. Most biological fidelments I have know of were packed with unintended consequences, unnoticed until fully deployed. The incentive is to deploy something, not to be all conservative and careful.
Africanized honey bees, gypsy moth, and on and on. Pandora’s Box as it were.
Boy regrets selling his kidney to buy iPad
By Pan Zheng | 2011-6-2 | Shanghai Daily News ONLINE EDITION
A 17-year-old student in Anhui Province sold one of his kidneys for 20,000 yuan only to buy an iPad 2. Now, with his health getting worse, the boy is feeling regret but it is too late, the Global Times reported today.
“I wanted to buy an iPad 2 but could not afford it,” said the boy surnamed Zheng in Huaishan City. “A broker contacted me on the Internet and said he could help me sell one kidney for 20,000 yuan.”
On April 28 Zheng went to Chenzhou City in neighboring Hunan Province for the kidney removal surgery arranged by the broker. His parents knew nothing about it, Zheng said. He was paid 22,000 yuan after his right kidney was taken out at the Chenzhou No. 198 Hospital.
When he returned home, his mother found out and reported to the police immediately. But they could not locate the broker whose cell phone was always powered off, the report said.
It turned out that the Chenzhou No. 198 Hospital was not qualified to perform organ transplant. The hospital claimed they had no idea about Zheng’s surgery because the department that did the surgery had been contracted to a Fujian businessman.
The case is still under investigation, the report said.
Asians are more intelligent than Westerners.
That’s right, palmie.
The hospital contracted out a department to a foreign businessman???
Truth really is stranger than fiction.
Forgot to add, this happened in a “communist” country.
“I wanted to buy an iPad 2 but could not afford it,” said the boy surnamed Zheng in Huaishan City. “A broker contacted me on the Internet and said he could help me sell one kidney for 20,000 yuan.”
Well, ya know something? I can’t afford an iPad 2 either. Which is why I’m waiting for cheaper alternatives to hit the market.
I think selling organs to buy some hot new gizmo qualifies as the top of the ipad bubble.
“Free market” anyone?
States in crisis
States pour money into Medicaid
NEW YORK (CNNMoney) — States are gearing up to spend nearly 19% more of their money on Medicaid as enrollment rises and federal stimulus funds dry up.
Governors have proposed spending $15.9 billion more on Medicaid in fiscal 2012, according to a survey released Thursday by the National Governors Association and the National Association of State Budget Officers.
At the same time, they are slashing spending on higher education by $5 billion, on public assistance by $3.5 billion and on K-12 education by $2.5 billion.
State officials have been wrestling with rising Medicaid costs since the Great Recession began driving more people to the government assistance program. Enrollment is projected to rise 3.8% in fiscal 2012, which would represent a 17.3% increase over a three-year period.
Since early 2009, federal stimulus money has helped states cope with the steep downturn in tax revenue. All told, states used $135 billion in emergency stimulus support.
But that funding is now ending, leaving states to shoulder their Medicaid burden alone. This is forcing states to cut provider payments, limit spending on prescription drugs and reduce benefits since the federal government is not allowing them to kick participants out of the program.
And we continue to lurch towards the abyss, in an economy that cannot provide full employment
Yeah, and a country where health “care” (i.e., health insurance) is supposed to be provided by the employer. So prices go way up (since it’s “free” to the user, which causes artificial demand), and then they can’t even dream of affording it when the job goes bye-bye. That leaves only the government to pick up the tab, with fewer tax dollars to pay the government back. Smart, eh?
Let’s not forget we are paying 100% more for health care per person vs all those countries we compete against.
Scary Signs for Jobs
“You could call it a soft patch, but it’s the second or third soft patch we’ve seen in the recovery,” said Paul Ashworth, chief U.S. economist with Capital Economics. “For a recovery that is less than two years old, it’s troubling to say the least.”
350+ comments
I wish the Ministries of Truth and Plenty would quit talking about this so called “recovery”
There is indeed an ongoing recovery… for the rich.
DEBT CEILING: Moody’s Just Threatened To Slash The US Credit Rating
Joe Weisenthal | Jun. 2, 2011 http://www.businessinsider.com
Finally, a logical warning on US credit.
Moody’s is out with a comment saying that if there’s no imminent progress on the debt ceiling fight, the US credit rating will be cut.
This makes total sense, and we applaud Moody’s for doing their job: Identifying an imminent (real) issue, and sensibly advising (ahead of time) about what could be a threat to US debt holders.
This should help put an end to this idea that a technical default would be just fine, and that somehow all this brinksmanship would be good for US credit somehow.
Back in January, we called on Moody’s to do exactly this: Threaten a ratings cut as a way of warning about the harmful effects of this fight.
They’ve done exactly that.
One positive development coming out of the economic collapse: More honest ratings agencies.
Are they being honest…or just playing a supporting part in a plan?
BINGO
They work for big money and big money has a plan.
Countries that go against big money face downgrades and those that do exactly what big money wants get fantasy ratings.
That was my thought as well. And there is the MSM (Biz Insider) promoting and “applauding” right along with the plan.
Speaking of the VA…….
Don’t know if it’s nationwide, but a lot of the vets that our local hospital sees don’t have a whole lot. Many have practically nothing, including a decent change of clothes. Some of these guys avoid seeing their families, because they don’t have anything decent to wear.
A lot of these guys have health “issues” that causes them to ruin their clothes. In many cases, clothes they can’t afford to replace.
Our local hospital runs a “clothing store” that tries to outfit these guys with essentials, and a few changes of clothes. All volunteer. No $100K/year “administrators.
Check into it.
I hit the Salvation Army/Goodwill store about twice a year.
I am amazed at the amount of clothing I can buy that fits me for $20.
Lots of designer stuff too. Some with the tags still on it.
And, yes, I am a vet.
The PPT will be kicking it tomorrow, like to close green on Friday. I am sure some “unexpected” good news will pop up very soon!
“Better than expected” jobs report, perhaps?
Oh, a wise guy, eh?
~ I don’t blame them one bit, a bunch of out of control thugs and punks. Been around that kind of crap once and once is enough!
Rally To Urge City Leaders To End Urban Beach Weekend
MIAMI BEACH (CBS4) – Saying ‘enough is enough’ several community activists are gathering forces for a rally Friday evening in front of Miami Beach City Hall to urge city leaders to end Urban Beach Weekend.
Herb Sosa, who publishes the online magazine Ambiente, is a leading figure to end the unofficial Memorial Day weekend event which draws hundreds of thousands of visitors to South Beach.
In an open letter to Miami Beach Mayor Matti Bower, Sosa writes that the Urban Beach weekend “shows our city as nothing short of a warzone – Filthy streets, a drive by shooting, multiple cars crashed in the process, and total chaos on the streets. This is unacceptable and must be controlled before we totally lose our city, tourism & residents. It is not limited to Ocean Drive or Collins – there isn’t a residential street in South Beach not affected by tons of garbage, crime to our vehicles, excessive noise 24 hours a day, and simply a lack of respect for our community, citizens & property.”
Peter Joseph Tapia has set up a Facebook page is support of the rally and ending the Urban Beach weekend. The page has more than 3,200 ‘Likes’.
On the page, Antero Blanco posted:
“Tomorrow we all gather to demand MIAMI BEACH remains well-preserved and a safe haven for all our residents and tourists! Unruly and unlawful visitors are NOT welcome in our city!”
Tapia said the rally, which will begin at 6 p.m., will hopefully send the message to city leaders that their neighborhoods should remain safe and respected, and not overrun by ‘Fear, Mobs & Filth’.
A passage from Sterling Hayden’s autobiography Wanderer published in 1963, as cited in Wikipedia:
To be truly challenging, a voyage, like a life, must rest on a firm foundation of financial unrest. Otherwise, you are doomed to a routine traverse, the kind known to yachtsmen who play with their boats at sea… cruising, it is called. Voyaging belongs to seamen, and to the wanderers of the world who cannot, or will not, fit in. If you are contemplating a voyage and you have the means, abandon the venture until your fortunes change. Only then will you know what the sea is all about. I’ve always wanted to sail to the south seas, but I can’t afford it.” What these men can’t afford is not to go. They are enmeshed in the cancerous discipline of security. And in the worship of security we fling our lives beneath the wheels of routine - and before we know it our lives are gone. What does a man need - really need? A few pounds of food each day, heat and shelter, six feet to lie down in - and some form of working activity that will yield a sense of accomplishment.
That’s all - in the material sense, and we know it. But we are brainwashed by our economic system until we end up in a tomb beneath a pyramid of time payments, mortgages, preposterous gadgetry, playthings that divert our attention for the sheer idiocy of the charade. The years thunder by, The dreams of youth grow dim where they lie caked in dust on the shelves of patience. Before we know it, the tomb is sealed. Where, then, lies the answer? In choice. Which shall it be: bankruptcy of purse or bankruptcy of life?
Contrary to popular mythology, most people don’t have a choice. The gilded barbed wire cage is all around us.
I tried that whole “follow your dream” bullcrap. Without money, it’s a complete lie.
It looks like we bailed out banks so they can run commodity prices up, so we all get to pay for the housing bust.
“Wall Street is tapping a real gusher in 2011, as heightened volatility and higher prices of oil and other raw materials boost banks’ profits.
A group of 10 large banks—including Goldman Sachs Group (NYSE: GS - News) , Morgan Stanley (NYSE: MS - News), J.P. Morgan Chase (NYSE: JPM - News), Citigroup (NYSE: C - News), Bank of America (NYSE: BAC - News) and Barclays PLC (NYSE: BCS - News)—saw their commodities revenues increase by 55% in the first quarter, according to Coalition, a firm that analyzes the performance of investment banks. After a disappointing 2010, commodities was the fastest-growing segment in banks’ fixed-income businesses in the first three months of this year, even though it still accounts for just 7% of banks’ total fixed-income revenues, Coalition said.
Commodities trading is a bright spot for institutions that face new regulatory clampdowns on practices that previously fattened bank profit margins, such as trading with their own capital and slapping customers with hefty “overdraft” fees. Oil is up about 10% so far this year, settling at $100.29 a barrel Wednesday, and commodities such as gold and copper are close to all-time highs.
J.P. Morgan has emerged as one of the biggest beneficiaries of the commodities boom sweeping Wall Street. The bank’s commodities unit—which employs about 1,800 people, more than any of its rivals—made more money during the first quarter than through all of last year, according to people familiar with the matter. So far this year, the unit has earned roughly $750 million and is on course to beat its 2011 internal target of $1.2 billion, these people added. The J.P. Morgan unit earned just $514 million for all of 2010, falling far short of its goals.
GoldmanSachs gets a subpoena, yay!
http://dealbook.nytimes.com/2011/06/02/goldman-receives-subpoena-over-financial-crisis/?hpw
We are top in spending but close to the bottom in Graduation rates.
Syracuse, NY — Once again, New York is tops in school spending.
School districts in New York an average of $18,126 per student in 2008-2009, according to the U.S. Census Bureau. That’s 73 percent higher than the national average of $10,499. Schools raised $20,645 per student, also first among the states.
New York’s top position is driven by spending on salaries and benefits paid to instructional employees – primarily teachers. Benefits are more than double, and salaries are nearly double, the national average.
http://www.syracuse.com/news/index.ssf/2011/06/new_york_leads_all_states_in_s.html
Every town has it’s own administration and it’s own tax rate. It’s not done that way everywhere. This explains why certain districts want for nothing and just down the street they don’t even have enough books and the cafeteria has a smell like a broken bathroom pipe. A commenter for that article who had moved to Maryland mentioned Maryland has a very weak teacher’s union compared to NY. I know in the last two states I lived in the schools didn’t yield the power they do here.
Did you see the recent Post Standard op ed where someone suggested unifying all districts in a county wide umbrella? Unfortunately, I bet the people who just dug deep to get their kids into certain districts, the same towns where a number of those residents have some real nice political connections at the state level, would allow that to happen.
Realtors Are Liars
Say it ain’t so!
Realtors run over squirrels on purpose.
Opinion Journal: Making a Mortgage Disaster
June 2, 2011
Gretchen Morgenson and Joshua Rosner, authors of Reckless Endangerment, explain the corrupt culture behind the housing crisis.
Good find.
Yup, a rogue’s list of neo-cons swindlers.
LMFAO. Love this guy:
“I fight like hell for people, but I’m also constantly telling my clients that at the end you’re probably going to lose it,” says Mark Stopa, a Tampa Bay defense lawyer.
http://www.tampabay.com/news/confusing-lawyer-fees-complicate-foreclosure-battles/1173271
But the fees keep rolling in…
A most excellent short video, between two electronic bears, discussing the Fed and quantitative easing:
http://www.youtube.com/watch?v=PTUY16CkS-k
If it looks like a bubble and walks like a bubble…
By Dan Mitchell, contributor June 2, 2011: 6:25 PM ET
Tech luminaries who point to all the bubble talk as proof we know more this time around may need a history lesson.
FORTUNE — Marc Andreessen reportedly said this today at the AllThingsD conference: “A key characteristic of a bubble is that no one thinks its a bubble … If everybody’s upset, it’s a good sign . . . I hope there are lots of bubble stories.”
The trouble with his declaration is that it’s the precise opposite of the truth. Seconds after I read that quote in TechCrunch, I logged on to Facebook, where I saw this status update: “A universal rule of financial mania. If there’s widespread, worried speculation about whether there is a bubble — then it’s a bubble.”
That far more sensible, historically accurate statement came from Jason Pontin, editor and publisher of Technology Review.
Andreessen’s idea that “no one thinks it’s a bubble” is a persistent myth surrounding all bubbles. This myth is spread both during a bubble’s expansion and, especially, after it has popped. That’s when people start asking “How did we not see this coming?” and “Where were the watchdogs?” But in all cases, plenty of people saw it coming.
…