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Is healthcare a bigger problem than housing?


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2006 Oct 17, 4:21am   14,156 views  182 comments

by Peter P   ➕follow (2)   💰tip   ignore  

Healthcare is just like housing. They are both outside of inflation measures.

Will we have a healthcare crisis in the future? Or is it reallt a question of when?

What are the possible solutions?

#housing

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91   requiem   2006 Oct 17, 8:41am  

DinOR raises an excellent point. If I had easy access to garlic mashed potatoes I'd be in trouble! At least during soccer season my workouts beat the "powder puff" gym workouts.

92   Peter P   2006 Oct 17, 8:41am  

I agree. I think a fair solution is to reduce the length of patents and have governement only subsidize the generics. The main key is to minimize moral hazard.

Reducing the patent will reduce incentive for developing new drugs because the period of enhanced profit will be shorter.

On the other hand, if patents are longer then companies will be compelled to develop new drugs to go around patents for competition.

So longer patents are actually better.

We should make the development/approval cycle cheaper and shorters though.

93   Peter P   2006 Oct 17, 8:48am  

Also, we as a society need to learn to accept more mishaps.

Drugs companies should not be sued for liability if they are not criminally negligent.

Why are people so worried after a just few E Coli deaths? People die every day.

94   HARM   2006 Oct 17, 8:48am  

@DinOR,

I still eat pasta & even pizza (thin crust of course :-) ) on occasion, though obviously not as often. The key thing for me is LOW-carb, not NO-carb. It's actually more accurate to call it a low-SUGAR or low-REFINED carbs diet.

A lot of people have the misconception (mainly thanks to Dean Ornish & other reflexive, intolerant Atkins-haters) that Atkins = zero carbs or zero veggies/fruits. Not true. It's just that the carbs you do eat should come mostly in naturally occuring forms: nuts, fruits, beans & green, leafy vegetables (the eColi spinach scare's been a real bummer, btw... :-( ). Almost anyone can adapt a basic low-carb diet to meet their personal tastes & dietary needs.

95   requiem   2006 Oct 17, 8:49am  

On the other hand, if patents are longer then companies will be compelled to develop new drugs to go around patents for competition.

This assumes that the patent applies to the drug and not the technique. A patent on a drug that targets a particular receptor is good, a patent on a technique critical to the production of an entire class of drugs is somewhat more anticompetitive.

(I'm in favor of drug patents, but against software patents in part for this reason.)

96   Peter P   2006 Oct 17, 8:51am  

(I’m in favor of drug patents, but against software patents in part for this reason.)

I agree. Are software patents ever enforceable though?

97   HARM   2006 Oct 17, 8:53am  

I still don’t know how you do it. I like meat, but the idea of that much makes me ill. I need fruit to stay sane.

@SQT,

A popular misconception, perpetuated mainly by people who have a visceral hatred of Atkins and his methods. See my comments to DinOR above. I eat vegetables and/or salads practically every single day. If you are moderately vegan (eggs & fish ok, but no meat), then you can handle the diet just fine. If you are a militant hard-core vegan, then it would be quite difficult.

98   skibum   2006 Oct 17, 8:55am  

@SFWoman,

Your lifestyle you describe is essentially what is touted as so great and fantastic in that book, "Why French Women Don't Get Fat." It's basically a lot of common sense and moderation.

99   Peter P   2006 Oct 17, 8:55am  

If you are a militant hard-core vegan, then it would be quite difficult.

Very.

100   requiem   2006 Oct 17, 8:56am  

I am shocked, shocked I tell you that courts would award damages if criminal negligence did not occur!

Hmm... The one-click patent nonsense seemed to hold up, but I think they passed that off as a business method patent. Wait.. are those patentable? It's been some time since I watched that debate. Personally, I'd be happy if the PO started applying the "novel" and "nonobvious" tests instead of assuming the courts would clean up after them.

101   HARM   2006 Oct 17, 8:56am  

@SQT,

Posted before I saw your comment --I agree. I believe the old 2-week induction phase was unnecessary and helped give the diet a bad name. Most people just assume the extreme no-carbs phase IS the diet and don't bother researching any further.

102   skibum   2006 Oct 17, 8:57am  

A lot of people think that if they exercise a little they can eat like crazy but that’s really the wrong way to think about it.

On the other hand, if you exercise for a large enough portion of the day, you'll be too busy to find time to eat.

103   Peter P   2006 Oct 17, 8:59am  

SP, we need lobby groups who have sufficient resources to fight the proliferation of global vegetarianism.

If some people become fat because they make silly choices, so be it.

104   skibum   2006 Oct 17, 9:12am  

@SFGuy,

Yes, I've seen that stuff. Unfortunately, I think much of the increasing obesity is due to global proliferation of the American lifestyle. I was surprised the last time I was in Europe that there were so many US-style big box stores. There are tons of McDonald's, KFC's and Pizza Huts. European kids exercise less, too. More insidiously, there has been a proliferation of packaged foods throughout Europe and beyond, ala the "middle aisles" of US supermarkets. Trans-fats for everyone!

I don't know if you've read about this, but NYC is considering banning trans-fats from all its restaurants. What you might not have known is that Denmark and the Netherlands already do this, and Spain never adopted trans-fats very much. However, the EU is fighting the Danish ban - it would make it "hard" on the food industry.

105   Peter P   2006 Oct 17, 9:14am  

I don’t know if you’ve read about this, but NYC is considering banning trans-fats from all its restaurants.

We should be fair though. Arguments from all sides must be reviewed.

http://www.trans-fatfacts.com/

106   HARM   2006 Oct 17, 9:15am  

Over the past decade, the obesity rate among French children has doubled, from 6% to 12%, and between 1997 and 2003 the percentage of overweight and obese adults jumped from 37% to 42%. That growth curve parallels the one in the U.S. about 10 years ago.

It seems that the so-called "French Paradox" is about to be resolved. They are on track with the U.S. after all, just 10 years behind. :-(

107   Peter P   2006 Oct 17, 9:18am  

I do not want trans-fat banned for the same reason why I do not want horse-meat or whale-hunting banned. The slope is very slippery.

108   skibum   2006 Oct 17, 9:21am  

We should be fair though. Arguments from all sides must be reviewed.

@Peter P,

Do you work for the food industry? Again, if you click on the link at the bottom of your link ("About Us"), it forwards to, guess what, the Center for Consumer Freedom yet again, the same group that gave us the obesity is not a problem. These guys remind me of the tobacco industry lobbying groups.

This site is completely WRONG. There is OVERWHELMING evidence that trans-fats increase mortality from heart disease. And this is from multiple well-designed epidemiologic studies from several countries. Based on these studies, the amount of mortality benefit you get from either quitting smoking or taking lipitor, say, is completely wiped out by the increased mortality risk by just eating an extra doughnut every morning.

109   Peter P   2006 Oct 17, 9:22am  

But maybe we’ll find a way out of it and lead the Euros back to proper food.

But what is proper food?

We just need people to know all the facts and make their own choices.

I eat many things people considered maligned.

110   Peter P   2006 Oct 17, 9:23am  

Do you work for the food industry?

I wish.

111   HARM   2006 Oct 17, 9:23am  

I don't know about that, Peter P. Trans-fat is nasty, nasty stuff. It's not a naturally occuring compound (requires heating oils to very high temperatures), so it does not break down in the body easily. Not really fit for human consumption, IMO. Of course, it greatly prolongs shelf life for packaged, highly processed foods, so naturally trans-fat (along with HFCS) is the darling of snack foods & dessert manufacturers.

112   skibum   2006 Oct 17, 9:25am  

Peter P Says:

I do not want trans-fat banned for the same reason why I do not want horse-meat or whale-hunting banned. The slope is very slippery.

I'm just as libertarian as the next housing bubble blogger, BUT, there has to be some kind of regulation on this, I must say. I do not want to go to a local bistro and get steak frites (once in a blue moon, of course) and worry that they used partially hydrogenated oils to fry the frites. I'd be perfectly happy with full disclosure. You don't realize how much of our food supply is tainted with the stuff.

If you're worried about a "slippery slope," we should legalize recreational drugs, abandon the speed limit, and legalize prostitution. They're all "choices," after all.

113   Peter P   2006 Oct 17, 9:29am  

I would avoid trans-fat if at all possible. Even the site admits that it is unhealthy. But should it be banned?

I agree that restaurants should probably disclose any use of trans-fat though.

If you’re worried about a “slippery slope,” we should legalize recreational drugs, abandon the speed limit, and legalize prostitution. They’re all “choices,” after all.

Excessive speed has externalities on roads and other people's safety. I am not against decriminalizing drugs and prostitution.

114   skibum   2006 Oct 17, 9:32am  

@Peter P,
But restaurants and food manufacturers are "slipping" trans fats into our food supply without our knowledge (until this year for packaged foods, at least). This creates "externalities" that affect a far greater number of people in this country compared to auto accidents, for instance.

115   HARM   2006 Oct 17, 9:34am  

Excessive speed has externalities on roads and other people’s safety. I am not against decriminalizing drugs and prostitution.

Agree. Victimless crimes should not be crimes.

116   Peter P   2006 Oct 17, 9:35am  

But restaurants and food manufacturers are “slipping” trans fats into our food supply without our knowledge (until this year for packaged foods, at least). This creates “externalities” that affect a far greater number of people in this country compared to auto accidents, for instance.

Then perhaps a law requiring disclosure is more appropriate? I would never knowingly use or consume trans-fat.

117   skibum   2006 Oct 17, 9:36am  

BTW,
Chicago (DinOR would be glad to know) is also considering a trans-fat ban.

118   Peter P   2006 Oct 17, 9:37am  

Agree. Victimless crimes should not be crimes.

Exactly.

119   skibum   2006 Oct 17, 9:38am  

Consciously making some decisions should have implications to your Health Care. i.e. if you decide to smoke 3 packs a day, I do not want to pay for your lung cancer!

@J Galt,

Bingo! Thanks for bringing it back to the thread topic. The bigger problem is that most Americans want the gluttony (and other vices), but they don't want to pay for the consequences.

120   Peter P   2006 Oct 17, 9:38am  

Consciously making some decisions should have implications to your Health Care. i.e. if you decide to smoke 3 packs a day, I do not want to pay for your lung cancer!

I agree too.

121   skibum   2006 Oct 17, 9:39am  

SFWoman Says:

Popeye’s chicken uses pork fat to fry in. I asked them.

Thank goodness for lard! Honestly, though, lard is better for you than trans-fats. I wish McDonalds would go back to frying their fries in lard. It would at least be the better of 2 evils.

122   Peter P   2006 Oct 17, 9:41am  

Lard is good.

123   HARM   2006 Oct 17, 9:47am  

Said it before, I'll say it again:

Excessive junk food intake is analogous to excessive debt intake.

jumbo McAlbatross ~ jumbo McWaistline
subprime mortgage ~ sub-par junk food
useless bling ~ empty calories
leased SUVs ~ super-size McMeal
extra plasmas ~ extra fridges
NAAVLP ~ trans-fat

124   HARM   2006 Oct 17, 9:49am  

I was considered a bit zaftig and was told by a sales clerk that I had giant breasts once.

Please supply photos, so the uh, "experts", here at Patrick.net can evaluate more thoroughly.

125   Peter P   2006 Oct 17, 9:50am  

Any kind of social medicine should include mandatory periodic visits to a health care practitioner, (not necessarilly a doctor).

Not bad.

126   Peter P   2006 Oct 17, 9:53am  

Fair enough.

127   HARM   2006 Oct 17, 9:53am  

You can’t punish someone who is 60 today and started smoking 40 years ago, even if they’re a boomer.

Sure you can. The Surgeon General's warning went out over 60 years ago:
http://en.wikipedia.org/wiki/Tobacco_packaging_warning_signs

128   HARM   2006 Oct 17, 9:54am  

-over 60 years ago
+over 40 years ago

The point still stands, though.

129   skibum   2006 Oct 17, 10:06am  

RE: cigarette use and warnings, the interesting and sad thing I found out when I was rotating through a VA hospital as a student was that during WWII, the military would hand out cigarette cartons to the GI's in appreciation for their service. I've met many a Vet who ended up addicted to tobacco as a result.

130   skibum   2006 Oct 17, 10:09am  

@SF Woman and others,

Yes, in general, Europeans are slightly shorter than Americans. Scandinavia is an exception, and the Netherlands too. In fact, the Dutch are on average the tallest people on the planet. Just look at all those lanky speed skaters during the Olympics, or look at someone like Rik Smits. Interestingly, this is a relatively recent (20th Century) phenomenon. The reasons for this are unknown.

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