Sen. Bill Frist and Denver Hospitals

I have been upset for some time about HCA's takeover of a number of Colorado hospitals.  HCA is owned by the Frist family, whom Sen. Bill Frist represented in the Senate.  Health care is a mess; hospitals are making fortunes, and Bill Frist's is one of them.  Rather than using his expertise on health care to improve it while he was in the Senate, he used it mainly to enrich himself and his family.  Although he was Senate leader, he is remembered mainly for his provide-medical-care-at-any-cost argument to keep Terri Schiavo alive.  Frist is an example of what is wrong with the American health care system, and he was a leader in the Senate.  What is good for his wallet is not necessarily good for the country.

Now, Frist's for-profit HCA plans to take over many of Colorado's not-for-profit hospitals, creating concerns that the hospitals will no longer be run for the public benefit.

On the other hand, a Catholic-conected hospital systsem, SCL, plans to expand in Colorado, raising questions about whether the hospitals taken over will provide for the full range of women's health services that they provide now, since the Catholic church opposes contraception, abortion, etc.

Bernanke Lectures Aimed at Ron Paul

Fed Chairman Bernanke's lectures at George Washington University are aimed at Republican candidate Ron Paul, who represents a significant strain of thought about the Federal Reserve.  Paul believes that the Fed is evil because it interferes with the free functioning the American economy and most often encourages inflation.  Paul would like to see the US return to the gold standard.  Bernanke's first lecture dealt extensively with the issue, in particular recalling William Jennings Bryan's speech about "the cross of gold" on which the rich were crucifying average workers and farmers.

Bernanke correctly asked why the world economies should be restricted by the amount of gold that is mined around the world.  It's clearly better to have a money supply that can be managed to correspond the amount of goods and services being produced that the amount of gold being mined.  On the other hand, Paul is right that an irresponsible Fed can allow or encourage detrimental policies which might well increase inflation (or create deflation).  In an ideal world, however, the US would have a competent Fed which would maintain a proper money supply to facilitate growth and full employment.

One problem these days is that the US has no fiscal policy.  Congress is dysfunctional.  Republicans refuse to raise taxes; Democrats, to cut expenditures.  So, the full burden of trying to manage the American economy falls on the Fed, with some help from the Executive Branch, depending on what it can do by executive order, by the Treasury selling bonds, etc.

But Paul's gold bugs don't trust bureaucrats.  They would rather have the economy controlled by external forces, rather than the government.

I prefer to have Bernanke try to manage the economy rather than leave it hostage to South African gold miners.

Republicans Not Saving Money

In a legitimate debate about health care, Democrats would want single payer system assuring coverage for everybody.  Republicans would want a system that reduced costs.  What actually happened with Obama Care, however, was that the Republican insistence on using private heath insurance companies actually increased costs by increasing the power and profits of  insurance companies without reducing doctors' or hospitals' costs.  A single payer system would have given the government leverage to bring down costs; whether it would have actually done so will never be known.  Congress was quick to restore doctors' Medicare fees to the old, higher level when they were in danger of being reduced by some of the automatic budget reductions.  

Some doctors refuse to accept Medicare patients because Medicare pays less than private insurance.  If Congress had passed "Medicare for everybody," however, doctors would have had less opportunity to earn the high rates they currently do, although for the doctors who treat the richest "one-percent" price is irrelevant.  

In a New York Times report on the richest one percent,they found that after a general category called "managers," physicians made up the next largest portion of the one percent, with those working out of their own offices earning the most. Almost none of these rich doctors work in a world where fees are set by a free market; they are either paid by insurance companies or the government, in both cases with fees set in advance.  A patient who walks in the door of a doctor's office has no bargaining rights.  The doctors make sure up front that they are will paid.

The Republicans did nothing to insert free market principles in the health care law.  If anything, they strengthened the hands of the doctors in negotiating with the insurance companies and the government, assuring that the most expensive health care in the world will become even more expensive.  

Bankers Pay Obama for Dumping Warren

Bloomberg reports that JP Morgan and other banks are among the top donors to Obama's campaign.  Obama has sold out to the bankers.  For me Obama's  most egregious act was throwing Elizabeth Warren under the bus.  Jamie Dimon of JP Morgan led the campaign against her, and now he is paying Obama for dumping her.  It's good for Morgan, good for Obama, bad for America, and bad for the middle class.  Jamie Dimon has said that his bank does not want to do business with anyone who has less than $100,000 in his account.  Obama has sold out the majority of his supporters for Wall Street money, figuring that the middle class has nowhere else to go.  Right now the only thing that would get me to vote for Obama is for the Republicans to nominate Rick Santorum.  America is becoming the Roman Empire.  Nero start fiddling!  Caligula start partying!  Let's run a budget deficit of $5 trillion; who cares?  America ranks 34th in infant mortality according to Wikipedia.  The Republicans are against birth control and abortion because they love to kill babies after they are born.  This is NOT a great country.

Bloomberg has recently posted a story about how many payday lenders are supporting Romney, because he has pledged to overturn Dodd-Frank, which under the leadership of Elizabeth Warren, cracked down on payday lenders and other unscrupulous loan businesses through the Consumer Financial Protection Bureau, which Warren created. 

It's interesting that the big banks, like JP Morgan, have responded to the new regulations by supporting Obama for getting rid of Warren, while the little guys, like the payday lenders, have responded by supporting Romney, hoping to get rid of the regulation entirely.