Dying In America Is Too Expensive
Dying In America Is Too Expensive
https://www.youtube.com/watch?v=WTBKxyfOLmc
A big insurer backed off its plan to pay less for anesthesia. That’s bad.
“this particular fight was not actually about putting the interests of patients against those of rapacious corporations. Anthem’s policy would not have increased costs for their enrollees. Rather, it would have reduced payments for some of the most overpaid physicians in America. And when millionaire doctors beat back cost controls — as they have here — patients pay the price through higher premiums.”
…
“the avarice and inefficiencies of private insurers are not the sole — or even primary — reasons why vital medical services are often unaffordable and inaccessible in the United States. The bigger issue is that America’s health care providers — hospitals, physicians, and drug companies — charge much higher rates than their peers in other wealthy nations.”
…
“In 2023, the average physician salary in the United States was $352,000. In Germany, that figure was $160,000; in the United Kingdom, it was $122,000; in France, it was $93,000.
This discrepancy is partly explained by the fact that those European nations have more socialized health care systems, in which the government imposes more cost controls on medical providers. In the past, progressives have emphasized that a Medicare-for-all system would reduce overall health care costs by forcing providers to accept lower payments.
With its new policy, Anthem was attempting to do precisely this: force anesthesiologists to accept lower rates of reimbursement.
And the case for forcing down payment rates for anesthesiologists is especially strong. According to Medscape’s 2024 Anesthesiologist Salary Report, the average salary for an American anesthesiologist in 2023 was $472,000. This represented a $70,000 increase over the field’s average salary in 2022. This puts anesthesiology in the top 10 highest-paid physician specialties in the United States.
If we want America’s health care system to treat more patients — while charging us all less money for coverage — then there is no alternative to forcing myriad specialists to accept lower payment rates.”
https://www.vox.com/policy/390031/anthem-blue-cross-blue-shield-anesthesia-limits-insurance
Are WE The Baddies?
Ukraine has paid the U.S. in information crucial to understanding the military learnings of the war in Ukraine. This includes successful tactics and data on how our weapons perform.
https://www.youtube.com/watch?v=hTm0of2znlE
The Fallout From Zelensky and Trump’s Oval Office Meltdown
Zelensky points out flaws in Trump’s and Vance’s positions and rhetoric, then Vance and Trump get pissed. Trump starts ranting about Hunter Biden and “hoaxes” about Russia. Trump basically says: go along with what I want, or we abandon you.
After the conversation, Zelensky still wants a deal; the Trump team says no.
Senator Graham blames everything on Zelensky, as opposed to what actually happened, showing that he has no dignity or honesty in service of Trump.
https://www.youtube.com/watch?v=-B0qHCWvgjc
Trump Admin Argues DOGE Is Exempt From Records Requests in FOIA Lawsuit
“In response to a Freedom of Information Act (FOIA) lawsuit, the Trump administration is arguing that its much-hyped Department of Government Efficiency (DOGE) is exempt from public records requests.”
…
“”All aspects of the government must be fully transparent and accountable to the people,” Musk posted on X earlier this month. “No exceptions, including, if not especially, the Federal Reserve.”
At a White House press conference earlier this month, Musk said, “We are actually trying to be as transparent as possible, so all of our actions are maximally transparent. I don’t know of a case where an organization has been more transparent than the DOGE organization.”
And again, Musk declared last November: “There should be no need for FOIA requests. All government data should be default public for maximum transparency.”
But DOGE has struggled to make its data public while also claiming exemption from FOIA, which is a recipe for maximum opacity, not transparency.
Between the shifting claims of how much taxpayer money DOGE was going to save, the release and quiet deletion of error-filled data, and now attempts to hide DOGE from public record laws—well, it doesn’t inspire confidence.”
https://reason.com/2025/02/28/trump-admin-argues-doge-is-exempt-from-records-requests-in-foia-lawsuit/
Tariffs on Imports From Canada and Mexico Are Still a Terrible Idea
“Part of his administration’s solution to the high price of eggs? More imports. As part of a $1 billion plan to combat the bird flu, the U.S. Department of Agriculture (USDA) announced..that it would seek to expand imports of eggs”
…
“A sudden constraint on supply—in this case, the bird flu—has pushed prices higher, and finding alternative suppliers might help ease the pain.
Now, someone in the White House might want to apply that same analysis to Trump’s plan for more tariffs on two of America’s biggest food suppliers.
Trump backed down from his threats to slap 25 percent tariffs on all imports from Canada and Mexico earlier this month, but at the time, he said those tariffs were merely delayed by 30 days.”
…
“Canada and Mexico accounted for 28 percent of all imports to the U.S. last year. If the costs of Trump’s tariffs are fully passed down the supply chain, consumers could be facing $225 billion in higher costs, according to an estimate by the American Action Forum (AAF). The energy and manufacturing sectors figure to be the hardest hit, thanks to the deeply integrated North American supply chains for products ranging from crude oil to critical minerals like cobalt and zinc.
Food prices would likely rise too. The U.S. imports more food than ever before, Bloomberg noted this week, and many of those imports come from America’s two neighbors. Mexico is America’s largest source of agricultural imports, according to the USDA. That includes 63 percent of U.S. vegetable imports and 47 percent of U.S. fruit and nut imports. All of that would be affected by the new tariffs.”
https://reason.com/2025/02/28/tariffs-on-imports-from-canada-and-mexico-are-still-a-terrible-idea/
So Much For RFK, Jr.’s Promise of ‘Radical Transparency’ at HHS
“The Food and Drug Administration’s (FDA) upcoming Vaccine and Related Biological Products Advisory Committee meeting on March 13 was abruptly canceled via email on Wednesday. The committee was to consider the selection of strains to be included in the influenza virus vaccines for the 2025–2026 flu season. This is the second vaccine-related advisory meeting canceled since Robert F. Kennedy, Jr. took over at the Department of Health and Human Services (HHS).
No reason for the cancellation was given, and the committee members were warned against forwarding the email. It suggested that members decline to answer questions from media.
So much for Kennedy’s pledge earlier this month of “radical transparency.” He added, “We will make our data and our policy process so transparent that people won’t even have to file a FOIA [Freedom of Information Act] request.”
In addition to suggesting members of the FDA’s vaccine committee stifle themselves, the HHS will publish a notice next week in the Federal Register to eliminate public comment on that agency’s plans and decisions. While past meetings have been open to public scrutiny and participation, it is not clear if the new limits will apply to future meetings of the committee.”
…
“Noting that the U.S. is currently experiencing one of the worst flu seasons in a decade, Infectious Diseases Society of America president Tina Tan warns that “cancelling a critically important Food and Drug Administration meeting that is vital to the development of effective flu vaccines for next flu season is irresponsible.” She adds, “Cancelling this meeting means vaccine makers may not have the vital information and time they need to produce and distribute targeted vaccines before the next flu season. If the FDA meeting is not immediately rescheduled, many lives that could be saved by vaccination will be lost.”
RFK, Jr.’s HHS promises that the FDA “will make public its recommendations to manufacturers in time for updated vaccines to be available for the 2025-2026 influenza season.”
We’ll see.”
https://reason.com/2025/02/28/so-much-for-rfk-jr-s-promise-of-radical-transparency-at-hhs/
Ukraine Will Fight On, With or Without the West
“Ukraine is unlikely to accept separate peace provisions because they know what much of the rest of the world seems willfully blind to: Russia is on its knees. With casualties approaching three-quarters of a million—with some 1,400 casualties added daily—the Russian behemoth is staggering and nearing collapse. It has lost over 10,000 main battle tanks, six times the combined number possessed by the UK, Spain, France, Italy, and Poland. Its economy is teetering, its disparate regions restless, and its federation is fractured. A rapid dissolution is not only possible, it grows increasingly likely.
Yes, Ukraine has suffered substantially, and its people are tired, but the country is far from desperate. Most cities operate entirely normally: café life is vigorous, and families go about their business as if war was a distant thought. It is common now for soldiers to blast away at Russian advances in the morning, then calmly nosh pizza in a quiet street that afternoon. Internal supply lines are a very powerful advantage. The pressure on Ukrainians to accept an imposed “peace” simply isn’t there. Like the early days, when the Ukrainian government opened armories to “allow the Ukrainian people to take whatever they need to defend themselves and their families,” the idea of national resistance remains firm.
Politicos and pundits will gather and quibble in faraway places about Ukraine’s future, but the conclusions they arrive at will be empty, irrelevant scraps of paper to Ukrainians dead set on continuing to fight for their freedom.”
https://reason.com/2025/03/03/ukraine-will-fight-on-with-or-without-the-west/
Hegseth Accidentally Says The Quiet Part Out Loud
Trump fires top military lawyers so they aren’t roadblocks to anything Trump wants to do. But, the lawyers are supposed to be roadblocks! They are there to help the military follow the law and the Constitution.
https://www.youtube.com/watch?v=41qCPFPzsbw
Public housing didn’t fail in the US. But it was sabotaged.
“the demise of public housing was not an inevitable outcome. As my colleague Rachel Cohen has pointed out, other countries have successfully pulled it off. Governments around the world have shown that they can operate mixed-income housing developments that have reliable maintenance and upkeep and that public housing doesn’t have to segregate poor people away from the middle class.
So why did public housing in the United States age so poorly?”
…
“efforts to undermine public housing are about as old as the efforts to build it. From the outset, opposition was fierce. Many Americans didn’t like the idea of the government using their tax dollars to subsidize poor people’s housing, and real estate developers were concerned about having to compete with the government.
The Housing Act of 1949, which had a goal of providing “a decent home and a suitable living environment for every American family,” bolstered America’s public housing plans by heavily investing in the construction of new housing units. But by then, the federal government had already undermined its own stated plans by capping construction costs (which encouraged using cheap materials and discouraged modern appliances) and allowing racial segregation. Congress had also doomed public housing authorities’ ability to raise revenue through rents in 1936 when it passed the George-Healey Act, which established income limits for who can qualify for public housing — making mixed-income public housing models impossible for federally funded projects.
As housing projects started to draw more Black residents, white people who lived in public housing started leaving, especially after the Civil Rights Acts of the 1960s banned racial discrimination in housing. This was partly because the Federal Housing Authority pushed for more people to own homes and expanded its loans mostly to white people, helping white families move out of the projects. Black families didn’t receive the same opportunity.
“You saw a change in the racial composition, which simply added to the stigma and the pattern of administrative neglect that characterized many housing authorities,” the historian Ed Goetz told The Atlantic in 2015.
Starting with President Richard Nixon — who declared that the US government had turned into “the biggest slumlord in history” and suspended federal spending on subsidized housing — public housing started facing serious austerity measures and never recovered. Federal investments shifted away from building new public housing units and toward housing vouchers and public-private partnerships.
In the decades that followed, public housing started declining in quality, and Congress funded a program to demolish dilapidated public housing units and replace them with newly constructed or renovated mixed-income developments. But according to the National Low Income Housing Coalition, those demolitions were an “overcorrection”; public housing simply needed more funding and better management.”
https://www.vox.com/policy/390082/public-housing-america-policy-failure-poverty