Shorter Megan McArdle:
TBogg Endorses Truthiness
I don't know what either "truthiness" or "concern troll" means.
They did.
Shorter Megan McArdle:
TBogg Endorses Truthiness
I don't know what either "truthiness" or "concern troll" means.
Posted by
NutellaonToast
at
3:49 PM
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Labels: plain old idiocy, shooting down coutner arguments that don't exist, shorter
No, we really weren't. But let us dream. My thoughts on the week:
1) Megan doesn't know what a link farm is. It continually amazes me that someone whose ostensible job is to write doesn't even bother to get the basic things right. Link farm is a common phrase, yet she can't be bothered to throw it into google before she starts using it thrice weekly to show us stupid articles.
2) Somehow this hasn't gotten mentioned: Megan is reposting Glenn Beck clips again: Only this time, approvingly! Yes! Of course! When a women says something about Mao and Mother Teresea being her favorite philosophers any reasonable person who knew that Mao hated religious people and Teresea was possibly catholic would think she was being literal. Here's Megan in the comments:
Guys, it was a moronic thing to say. That's all. This does not mean Obama is a communist, etc. It just means that his communications director said something moronic. And it was moronic. Beyond calling Chairman Mao one of her favorite political philosophers, her speech is borderline incoherent.Guys, just cause we say Megan McArdle should be fucking fired doesn't mean she's incompetent, lazy and stupid. It just means we think she should be fired. I don't know how you could possibly think we're saying there's anything wrong with her just by constantly linking to her disapprovingly.
Matt, the problem with this quote is that it is precisely the attribute she is praising--Mao's indifference to the opinions of others, as well as a pig-headed unwillingness to acknowledge the potential downsides of his actions--that caused the millions of deaths. It's one thing to approvingly quote Roman Polanski on film. It's another thing to approvingly quote him on sexual morality.Which is a major speaking comprehension fail as the speaker was quite obviously talking about perseverance. Which is cool. I mean, I can't understand Hugh Jackman so I guess Mille is allowed to not understand whatever this woman's name was.
I have to admit, I'm kind of shocked by the number of people willing to advance the theory that political speech done by trade associations is not real political speech, or that it's okay to use the threat of regulatory punishment to shut down political speech just as long as you don't actually seize the printing presses.How many kinds of fail can we count in here? Well, first I'm kind of shocked that she doesn't link to a single person saying that. Maybe there are some people out there. Next to some unicorns and a pot of gold. Second, we've got the absurd proclamation that Obama is threatening to muzzle the insurance companies, which makes sense if time goes backwards and the study to which she is vaguely alluding happened before Obama decided to take on health care. Third, we have this crazy bum-fuck confusion about what freedom of the presses means, or, rather, what it's paired with ie freedom of fucking speech in general. Guess what doesn't matter? WHO THE FUCK SAYS WHAT! The whole "printing press" bullshit or whatever she's talking about just doesn't make any fucking sense. I believe now we're two out of ten for misinterpreting the bill of rights.
Posted by
NutellaonToast
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11:13 AM
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Labels: Glenn Beck fans, let's just make shit up, plain old idiocy, shooting down coutner arguments that don't exist, Will she ever just admit that she's a Republican?
Mark Kleiman is half right;
So when the usually intelligent Megan McArdle announces loftily thatMegan, sensing the respect of someone slipping, goes classy:it’s kind of ludicrous that anyone is even trying to argue that Barack Obama truly deserves this Nobel Peace Prizeshe is, to put it bluntly, talking through her hat.
Hmm. Well. Call me crazy, but I think that maybe to earn the Nobel prize, a million dollars, and all the associated prestige, you ought to have made efforts somewhat more heroic than chairing a meeting in which you said that you thought we ought to have fewer nuclear arms--even one in which you said that the US also thought we ought to have fewer nuclear arms.Yeah! Snarking at someone who calls you usually intelligent! That's great!
That’s not to mention the importance of killing the “missile shield” that threatened a new arms race with Russia, or the work for “fraternity between nations” done by making it clear that the United States of America was no longer fighting a “crusade” against al-Islam, or putting an end to the torture regime.Woah, call me crazy, but I think the president has to do more than end torture, reach out to enemies we've been at war with for eight years and end plans that antagonize Russia in order to be called "peaceful."
You should, I don't know, deliver a deal or something.Yeah, like why not do something substantial such as getting the Iranians to agree to greater oversight of their nuclear program AND to deliver their enriched uranium to Russia. Do something like that, Obama, and THEN WE CAN TALK!
As for the notion that this strengthens our hand when dealing with Iran and North Korea, I'm really skeptical that this does anything at all.You all will be shocked to learn that not only do people hold these views, they are also expressed so frequently and fervently that McArdle doesn't even need to link to a single person who's said anything like that at all.
The leaders of Iran and North Korea do not, to put it mildly, look up to us. They don't want us to think that they're nice, moral people. They want us to think that they are terrifying military forces whose desires must be assuaged.Wow, that doesn't sound racist at all. It's also completely 100% true because McArdle is a fucking expert in psychology of people she's never met from cultures of which she's only dimly aware and about whom is she extremely biased. Just take it from the person who was right about Saddam's love of WMD's and Putin's love of invading Georgia.
The people of North Korea and Iran don't like us either, but even if you thought that this was likely to have a big impact on their opinion, this would be purely hypothetical, because both countries have very tightly controlled media which will report whatever the leaders want them to think.Yeah, those hating backward ignorant foreigners. How dare they both HATE US IRRATIONALLY and NOT KNOW ANYTHING ABOUT US! Who do they think they are, Megan McArdle?
If the best you can come up with is that he made some impressive-sounding statements at the UN--well, I think a majority of the world's leaders are equally deserving. I don't see any actual foreign policy scholars advancing the theory that this was a landmark achievement on par with say, SALT or the Camp David accords.If the best you can do is read only the first sentence or two of someone who calls you an idiot, well, maybe you've proven their point. I mean, that's not on par with throwing salt in your own eye, or trying to book a site at Camp David, but it's pretty fucking dumb.
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NutellaonToast
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4:06 PM
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Holy shit, my commentors are such knee jerk conservative sycophants that even I can't take it anymore. Fucking morons with the temerity to disagree with me.
And yes, I think that the people who are claiming that Rush is inciting a race war or a revolution are also humorless twits.Huh-Ha! The imaginary liberal response is just as bad as the actual Limbaugh thing that happened! It's a tie!
Posted by
NutellaonToast
at
3:17 PM
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Labels: let's just make shit up, Megan has stupid friends, Megan is enlightened, obviously, poop=comments, racism is the new equality, shooting down coutner arguments that don't exist
Shorter Megan:
Correction: Community Rating Turns Out to Be Even Worse Than I Thought:
The fact that I don't know what I'm talking about is central to my point.
Posted by
NutellaonToast
at
10:00 PM
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Labels: Ask the expert, I'm so pretty, let's just make shit up, plain old idiocy, shooting down coutner arguments that don't exist
Did you know that Megan blogs on senate procedural matters? Neither did I!
Jonathan Zasloff's defense of using budget reconciliation for health care?Hey, Megan, what's reconciliation? 'Cause you might wanna provide a little bit of background on topics you've NEVER FUCKING MENTIONED BEFORE. Oh, wait, but I wrote that with the false premise that Megan wants anyone to understand her rather than hear just herself talk. My bad.First, Ezra's assertion that the reconciliation rules ban health care reform is at best unproven and contrary to the plain language of the law. Those rules bar putting things in a reconciliation bill that have only an "incidental" effect on the budget. But, say, prohibiting discrimination against pre-existing conditions would have more than an incidental effect. Such a move, for example, could save billions from Medicaid, because it would allow people to get insurance in the private market who might otherwise have to go to Medicaid.
As far as I know, Medicaid eligibility is generally restricted to those who are pretty low income[sic]. And[sic] the waiver-program[sic] premia[sic] (Intellectual fail.) are usually lower than any private entity would charge, even in Europe (Which is not a country.). With community rating (WTF is community rating? Oh, there I go again!), the prices of private insurance[sic] will go up even further. What the heck is Zasloff talking about (NOT the price of private insurance)? How many people does he really think are quiting[sic] their jobs and deliberately impoverishing themselves in order to qualify for Medicaid, rather than earning an income which can support the $350 or so per person that gets charged for an HMO in a community-rated[sic] state like New York (Which is also not a country.) with generous mandatory benefits (Not sure if this deserves a sic, but fuck, I thought I wrote sentences that had too many long clauses)? I'm sure that there are enough for an enterprising New York Times reporter to write a trend piece, but enough to make a noticeable dent in the budget? The best ways to get Medicaid are to go on welfare, or disability. Both of which imply insufficient income to buy insurance. Or substantial fraud. (Welfare and disability imply substantial fraud?)Italics mine, of course.
Posted by
NutellaonToast
at
10:22 AM
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Labels: Elements of Style©, healthcare for me and not thee, plain old idiocy, shooting down coutner arguments that don't exist
Making a Bundle Out of iTunes:
Well, she's got the capitalization down. Now only if she could make some sense.
I suspected that this was some sort of an elaborate troll, but no, this chap at PC inciter actually wants to break up Apple's monopoly over the iTunes store, the iPhone, and the iPod.Megan is right, although the concept of her harping on someone else for misusing a word is pretty much the best Allaanniiss Mmoorriisseettee song, ever.
What monopoly, you may ask, and indeed, I did. Apple has a monopoly over these things only in the trivial sense that P&G has a monopoly over Charmin, and I have a monopoly over the chocolate cake I baked last night.
Well, I'd like to get takeout from Ray's Pizza and enjoy it in the stunning ambience of Cafe des Artistes. If the waiter refuses to let me do so, is that a monopoly?Well, yes, because they don't currently charge you for the seat, only the food. The seat is implied with the purchase. Totally like iTunes, which gives its phones and mp3 players away for free and then charges you only for the music. What an awesome analogy. It only fails almost entirely.
No, that's what we call "bundling". Most people hate bundling. That's because most people are under the impression that they would pay less if things were unbundled. Sometimes this is true. But if you forced Cafe des Artistes to "unbundle" the location from the food, that doesn't mean I'd be able to enjoy a cut rate meal in a beautiful location. They'd just charge me $100 for the seat.
Similarly, people who want their cable unbundled because they only want to pay for a few channels are under the delusion that they could save huge bucks by cutting off the Golf Channel. But cable companies don't save any money when you drop the Golf Channel, because they stream all the channels down the coax at once.Through a series of pipes and tubes..... O_o ???? ¿que?
Indeed, it may cost them money; the Golf Channel now has fewer potential viewers, and hence falling ad revenues, and they have to hassle around with custom packages for every customer, which is labor intensive, and thus extremely expensive (and also more likely to break).Potential viewers, the dream of every advertising man. I love that she calls cajoling people into buying shit they don't need "labor."
Like cable, iTunes is mostly fixed cost, which means that unbundling would make their profit fall much faster than their revenue.This is such utter horseshit and completely contrary to Apple's entire business model, which is to make things
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NutellaonToast
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12:45 PM
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Labels: I heart apple, libertarian idiocy, shooting down coutner arguments that don't exist, Strawbabies are so cute
Two multi-paragraph posts today. This portends a week or two of prolific output. I'm sure brad and M are with me when I say "FUUUUCCKKKKK." I really need to find a new way to screw off at work.
Let's see what Megan's ass has to say about Medicare today. I'm sure it's lovely.
Medicare's Mythical Administrative Cost SavingsAngry? Not so much. I feel more a sense of pity. This is basically Megan's every-post about something she doesn't like. It's old hat. It's like getting angry over the need to brush your teeth. We're used to her stupid shit by now.
The title of this post is going to make some of my readers very angry. Medicare has lots of administrative cost savings, they will say. This may be so. But I mean mythical in another sense: there's ultimately no way to prove or disprove these amazing savings. The problem is indeterminate.
Jon Cohn, who I respect greatly, spends a lot of time on the money and time that insurance companies put into denying claims. This is undoubtedly true. But I have two caveats. First, some of that effort is a good thing: without it, there would be fraud.I know, right. Whenever I'm in lab I constantly skip doing experiments to avoid having done experiments that didn't work. It's a great, efficient, time saving maneuver.
No, not the automatic denials so many insurers are fond of, and I'm not defending. But Medicare should probably spend a lot more effort rooting out excessive billing. And I don't know what percentage of claims denial consists of refusing to line the pockets of doctors and labs.Medicare should totally spend more time doing something Megan doesn't know how much time it spends doing. Remember, when presented with the Hobson's choice of catching fraud or making sure sick people get the care they need, it's all about catching the fraudsters. It's far more important to punish the guilty rather than not punish the innocent. That's the
But the more important point is that I doubt this is the majority of their administrative costs, or even the difference between their administrative costs and Medicare's.Oh, she doubts something. I'm sure she has a good reason for that.
I'm not trying to justify the bullshit automatic claims denial, but that's not actually a very costly process: a hospital submits a bill, they deny it, you yell at them. Nor is refusing to cover people with pre-existing conditions, or any of the other multifarious complaints of single-payer advocates.Actually, it is costly to pay someone to answer calls from irate customers whose dialysis claim was rejected despite their lack of functioning kidneys. It also costs the customer and or doctor money to make the call. Finally, it costs the insurance provider money when they finally pay the fucking claim that they improperly rejected in the first palce. Other than those costs, though, it's totally costless.
Rather, private insurers have costs that Medicare doesn't have within the agency. Private insurers bill. Medicare does too, but the IRS has its own budget--hell, its own courts--which don't show up on Medicare's balance sheet.Anyone who can tell me where the "rather" came from, what the fact that insurance companies "bill" matters, or what the fuck the IRS has to do with anything gets free health insurance that doesn't cover any pre-existing or post-existing conditions.
My guess would be that these explicit costs are still lower than Medicare's. But then there are implicit costs to government fiat that markets don't have. As Tyler Cowen points out, taxation has deadweight losses, and Medicare is a tax on employment, which is something we are particularly anxious not to suppress right now.Guessing, huh? Well, heh, at least she admits it.
The final point is that while people commonly think of administrative costs as "wasted", in fact, they are an important part of the market system.Well, yeah, if your goal is to be an asshole and not pay for people's health insurance, she's right as cancer.
As Alex Tabarrok points out, and I have myself from time to time (o_O ~ed), many of the arguments in favor of national health care are literally socialist. And no, I am not using that term to apply to "anyone who is in favor of redistribution" or "government programs". But consider the following common arguments:Cover your nose people, here comes a very shitty list.
* National health care will be cheaper because we will reduce administrative overheadAnyone who can figure out how the first three items are socialist gets a free copy of "Liberal Fascism." Anyone who can figure out why economies of scale at Walmart are capitalism deluxe but economies of scale for health care are evil socialism gets a free lunch with Megan McArdle. Anyone who can explain what the fuck the last point even means gets a free psychiatric evaluation.
* National health care will reduce wasteful competition in the form of me-too drugs
* National health care will reduce wasteful competition in the form of advertising and other marketing expenses
* National health care will allow us to rationally distribute care to where it does the most good rather than the current messy, wasteful hodge-podge
* National health care will use resources for production instead of profits
* National health care will achieve economies of scale in purchasing and record-keeping
* People will not overuse free goods because there are hard limits to desired consumption
But why were they discredited? That list looks really, really good on paper, even to my jaded libertarian eyes. A lot of the answer lies in the reason that we don't like monopolies--even though that list is just as true of monopolies as it is of the government.Right. That's why the liberal idea of having the government
My critics will want me to explain why, then, Europe can do it cheaper. The answer is threefold. First, most European nations have better governance than we do--the American political system is a Public Choice disaster. Second, they pay people less money in a way that's hard to replicate here (and even if it wasn't, would be a one time savings that wouldn't check the rate of growth). Third, we're still driving quite a bit of product innovation. Our messy, organic, wasteful, unfair, irrational system allows experimentation, and they cherry pick the best results. If we stopped doing this, their system would stop looking so good.First, maybe if idiots like our muse would stop voting for people like, oh say, George W Bush, to pick a random example, we might get some decent governance. Second, oh, it's hard to replicate. Well, that explains why several countries in Europe have all replicated it. I guess Europe is a country, now. I thought that that kind of thing only happened in Africa. Canada is also apparently in Europe now. Third, there are in fact new products made in Europe, you stupid, American exceptionalist piece of shit.
Posted by
NutellaonToast
at
8:16 PM
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Labels: healthcare for me and not thee, libertarian idiocy, shooting down coutner arguments that don't exist, When will liberals learn?
Wow. Just . . . wow.Title of her post "Paul Krugman's Prophetic Prescience." The quoted paragraph is from a 2002 Krugman article.
The basic point is that the recession of 2001 wasn't a typical postwar slump, brought on when an inflation-fighting Fed raises interest rates and easily ended by a snapback in housing and consumer spending when the Fed brings rates back down again. This was a prewar-style recession, a morning after brought on by irrational exuberance. To fight this recession the Fed needs more than a snapback; it needs soaring household spending to offset moribund business investment. And to do that, as Paul McCulley of Pimco put it, Alan Greenspan needs to create a housing bubble to replace the Nasdaq bubble.
As Arnold Kling says, there's a paragraph I'm sure glad I didn't write.
Posted by
NutellaonToast
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8:58 AM
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Austan Goolsbee recently complained on television that they're only embroiled in the auto mess because the Bush administration "kicked the can down the road". Keith Hennessy, who was in the Bush administration, says that's not quite how it happened: the administration proposed a more definitive resolution process, but the Obama transition team, which wanted more control over the process, declined.I though Bush was a manly man? What did he care for what the sissy Obama thinks? I call shenanigans!
It seems to me that the Bush administration could hardly have resolved things any more quickly than they did; restructuring a company takes time.Hrmmmm.... ok. I guess that's why Obama took a whole 5 months to start the process. He had a lot of free time.
But perhaps my old professor was voicing my secret suspicion: that the Bush administration only gave the automakers loans because they wanted to leave the incoming Democrats with an ugly, expensive, mess on their hands. If Bush had had a few more years in office, he might simply have let the automakers fail.Ohhhhhh! I see why you said something incredibly stupid, now! It's because the stupid thing you're about to say is going to look smart in comparison! It's also great how she suggests that a real expert agrees with her as long as you read between his lines! Now her argument totally carries the weight of a very important person, if you squint right.
But this way, he kept Michigan competitive(Michigan stayed competitive?!?!?! More like on a fucking lifeboat! -ed.), and forced the Democrats to spend huge, unpopular sums on a fairly naked bailout of a key labor constituent.OMG! Is she saying that a Republican engaged in dirty politicking without regard for the good of the country? Thanks God she blew the whistle! By implication! Months later! While complaining about something else!
That would imply, of course, that like me, my former professor thinks GM should have been allowed to fail.Similarly, my opposition to the Iraq war proves that I was right about universal health care! See, I was against killing people for no reason and it turned out to be a bad idea so naturally the solution was actually to send them to a doctor. QED, BITCHES!
Posted by
NutellaonToast
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1:13 PM
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Labels: Ask the expert, fact free, plain old idiocy, shooting down coutner arguments that don't exist
"Why is This Bubble Different From All Other Bubbles?" Megan asks. Someone wrote a story about how wealth creation should be centered around making actual wealth instead of cardboard houses hours away from any urban center and Megan goes all "That doesn't make any sense! Let me put on my thinking cap and think a hole through their argument!" Well, there's a hole in something. We do, as usual, marvel at her decision to properly capitalize the title. She does do brief flings with minimal competence.
James Surowiecki has a very interesting column arguing that this bubble was different because unlike the earlier banking booms, there was no point to the wild spending. The bubble didn't bring us railroads and electrification; it brought us . . . houses. Lots and lots and lots of houses.This is a stellar fucking point. I'm sure Surowiecki (Whose name can be only cut and pasted, not spelled correctly on a whim) was thinking as he wrote this article that all previous bubbles were based around only one stock. It's like those crazy people that say crack had something to do with the crime rates of the 80's. What they don't realize is that other, non-drug related crimes were also committed in the 80's so crack obviously had nothing to do with anything.
I'm of two minds on this. On the one hand, I think that this is an interesting point. On the other hand, of course, the bubble in the 1920s was not limited to electric stocks, or even stocks. Lots of money was wasted on railroads, Florida real estate, mining concerns, and many other unrelated phenomena. And if you look at the history of the 1920s, you see the same thing we see in the 1998-2008 era: markets awash in too much money.
So I wonder if there isn't a sort of post-hoc, ergo propter hoc reasoning to these "explanations" of the previous booms and busts. A market bubbling over wtih too much credit will end up plowing a lot of money into some technology or industry which ends up being really, really important twenty years later. (The electric revolution continued, surprisingly rapidly, in the 1930s). We look back and interpret the bubble as having been "about" that technology. But at the time, when it's not obvious what the big winner is going to be, it just looks like a giant mess.That last little bit is almost certainly how the people who hired Megan are feeling right about now, assuming they feel things.
Post hoc ergo propter hoc, Latin for "after this, therefore because (on account) of this", is a logical fallacy (of the questionable cause variety) which states, "Since that event followed this one, that event must have been caused by this one."So either she's arguing that it was a coincidence that rapid expansions preceded booms and were concomitant with the introduction of technology that radically increased productivity or she doesn't know what the fuck post hoc blah de blah means or when to properly invoke it. That is, she is not arguing that what goes up must come down, but rather coming down is a naturally occuring phenomenon which happens without warning, regardless of height. Things flat on the ground have been known to come down spontaneously all the fucking time. While there is apparent correlation between being up and then coming back down, this does not imply causation. It is certainly possible to come down without having first attained some height above the ground. Ipso facto QED E pluribus unum, BITCH!
Posted by
NutellaonToast
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1:29 PM
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Labels: inability to make a point, Me fail economics that unpossible, No one could predict, plain old idiocy, shooting down coutner arguments that don't exist
Megan wants to know if there's a doctor in the house. She hints (but does not link) to an NYT article (presumably this) about a shortage of doctors. She then modestly states "Gee, where have I heard this before?" Luckily, she didn't forget to link to herself.
The link is to a post "Is there a better way?" which attempts to address this comment:
You're a long way from establishing your critical point, focusing only on the downsides of unionism to productivity. What about the downsides of focusing only on the next quarter's return? Any individual corporation would be best served by a return to servitude (company towns, anyone?). The system as a whole may well be better served by having a systematic counterweight to maximizing short-term profits.Strangely, it doesn't mention health care at all.
Just curious. Are you paid on a piece-work basis or do you draw a salary? Given what you do here, shouldn't you be paid on a piecework basis?
As you think about that, remember that there are other values in this world than maximizing short-term productivity, like treating people with dignity. Who knows, maybe the people who get paid a little more can actually afford to buy the products that the economy generates.
On the fourth point, this is a silly canard. On an economy level, we cannot produce more by paying workers more, any more than you can increase the height of your house by calling the basement the first floor. The amount of stuff everyone has is determined (more or less) by the productive capacity of the economy. You can redistribute that stuff between people, and you can change the mix of stuff that gets made. But you cannot make more of it by changing the nominal price of labor. The only way to get more stuff as a society is to improve our productive capacity, mostly by research and capital investment.Which is, of course, total fucking bullshit. If we pay people who do useless shit like being lawyers a shit-ton and our productive members nothing, then we will produce less. Also, she isn't talking about fucking health care. She's stating a simplistic Econ 101 principle that applies TO THE ENTIRE ECONOMY and not A SPECIFIC PROFESSION. Naturally, it bears only a passing relation to the real world like all simplistic Econ 101 principles.
The core problem is that we don't actually have a ton more doctors and nurses. (...) But when I look at the numbers, I don't see all that much room to believe that getting rid of the AMA would let a thousand flowers bloom. In 2008, 42,000 people applied to medical school, and 18,000 enrolled.Hm, well, I see about 24,000 people's worth of wiggle room, myself. I also see that the focus of the NYT article is a lack of primary care doctors, not total doctors. It briefly mentions a lack of specialists but only cites examples of people having trouble getting access to them in rural areas -- an entirely different story.
Another problem is that a teaching hospital is a hard thing to construct--given how much training doctors need, we won't do that overnight. Teaching hospitals are very expensive, and receive heavy government subsidies. Obviously, we could increase the number of doctors by some amount, but it wouldn't take care of the supply problem.No! What will we do?! Not "very" expensive and "heavy" government subsidies! That sounds "really" hard! We can only increase doctors by "some" amount! That clearly won't be enough!
It's more reasonable to note that reimbursement structures are creating an undersupply of primary care physicians, compared to the number of specialists.Right, which is why the article focuses on that. I like how she destroys a strawbaby and then takes her "opponent's" actual argument as her own.
We reimburse for procedures, not wellness, so surgeons are well paid and GPs aren't.For someone who is an "economist" you'd think she would understand that we always reimburse for "things" rather than "intangible bullshit."
First of all, thanks to previous generations of these reimbursement policies, the AMA is dominated by specialists. It's a democratic organization, and there are more specialists than GPs, so guess who wins? They will launch an all-out war against any politician who changes the reimbursement policy, and the politician will lose, because they can't fight ads featuring sad, sick, telegenic grannies.Don't you love how when it comes to things like health care she's so pragmatic, always addressing the political reality rather than any flaws in that reality? I love it almost as much as I love how thoroughly she ignores those same realities when talking about things like invading countries, destroying medicare/social security etc.
Second of all, it's actually really, really hard to pay GPs well, at least in the context of cutting overall costs. Note that private insurers, who are presumably not attempting to ingratiate themselves with the AMA, also reimburse procedures, not wellness.I must be atypically smart because I can think of a million and one things that might be easy to do and involve paying GPs more money. One of them involves handing them some money. The rest are even more complicated. Also, procedures are given more money because they cost more. Specialists take as profit a certain percentage of that higher cost. Naturally they are paid more. This has fuck all to do with "wellness" or "paying for procedures" or whatever. It's a fucking consequence of everything in capitalism. There is more money to be made per capita in high cost goods. Whoops! I'm getting into advanced economics here which is over our poor woman's head.
Pay for office visits, and you will get a lot of unnecessary office visits. As David Cutler once told me, it's no coincidence that health care and education are the two fields where outcomes are hardest to monitor, and where costs are growing uncontrollably.No, the first is only true if the doctor's are struggling to fill their schedules. If they can already fill them with legitimate office visits, they won't prescribe extraneous ones.
Nor can you simply slash specialty reimbursements as a way of herding people into general practice, because med school applications are already declining; they're down 3.5% since 2001. Doctors are not, by and large, altruists who dream of living on a GS-13 wage. Nor can I blame them.But we're only enrolling 40% of applicants, and there are major opportunities for overhauls such as increasing care from less trained workers such as LPNs. As for wages, my father is a psychiatrist; one of the lowest paid branches of medicine. He probably doesn't know what the fuck GS-13 is, but I'm sure he's making more than it. He's not complaining about his pay. Frankly, I'd rather not have doctors around who are in it for the money. If you only care about money, then you will do what is profitable rather than what produces "wellness." Naturally, Megan doesn't blame them for that.
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4:47 PM
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Labels: Ask the expert, let's just make shit up, libertarian idiocy, shooting down coutner arguments that don't exist, Strawbabies are so cute
Update:Just to be clear for anyone who might second guess; yes Megan was not originally anti-torture.
Megan's talking about torture. Read the post or just use your imagination. It's all the same.
I've long said that we shouldn't waste time arguing that torture doesn't work. For one thing, the evidence for those arguments seems empirically shaky, especially since many people employing them insist on arguing that torture basically never works, rather than that it doesn't work very often and therefore has a bad cost-benefit ratio. For another, arguing that something doesn't work isn't necessarily an argument for not doing it--it could just as easily be an argument for improving our technique. And if advances in brain scanning research let us develop a reliable lie detector, as seems possible in the relatively near future, then torture will work very, very well.Megan's stupidity checklist:
If that happens, we're in a nasty spot. Most people who make this argument do not, in fact, care whether torture works. They would still be every bit as much against it if waterboarding worked perfectly. Yet when they argue about whether torture works, they're conceding that torture's effectiveness is relevant to the question of whether or not we should engage in it.
(...)
Thus I think it is much safer to keep arguments about torture on solid moral ground: we shouldn't torture because it's wrong.
Posted by
NutellaonToast
at
4:32 PM
6
comments
Labels: Ask the expert, bloggers are dumb, inability to make a point, let's just make shit up, plain old idiocy, shooting down coutner arguments that don't exist
Oh, Megan, you're so old and wise. Why, we need only look at your latest insightful piece about what it was like back in your day. From "The capitalist age gap", in response to Matty-Y saying the post office actually does a good job of hand delivering letters door to door for 40 cents:
I suspect that the real problem here is that Matt does not remember what the Post Office was like before FedEx and email--before, in short, the salutary effects of capitalist competition had made it clear that the organization had better shape up if anyone who worked for it wanted to continue enjoying their dizzyingly boring, but steady and lavishly benefitted, jobs. Or what the phone company was like before there were cell phones and long distance competition.Megan, you're
Posted by
NutellaonToast
at
4:12 PM
3
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Labels: bloggers are dumb, duh-I know business, let's just make shit up, libertarian idiocy, plain old idiocy, shooting down coutner arguments that don't exist
Megan's got a triple dose of dumb up today, but let's start with the good news. I'd like everyone to know that it is now 100% guar-un-TEED that we will avoid a depression. I know this, obviously, because Megan is convinced that we're in one already.
My reasoning for thinking of this as a depression, rather than a recession: roughly, that we don't understand how to get in or out of it.Megan is possibly the only person on earth who claims that we don't know what's going on. I've read at least a dozen articles about the causes of this recession, and most of them are in agreement (except for the crazy bastards blaming the black people). Megan can't be bothered to acknowledge them, however, because that would expose her readers to the idea that overly free markets played a role in this calamity andwecan'thavethatnowcanwe?
(...)
This kind of perfect financial storm is a rarer bird, and no one has plausibly claimed to have mapped the way out yet.
If you are a towing a child (and his gargantuan supply of diapers), it is much easier to bind him tightly into a car seat than manhandle him onto the bus.Megan's idea of motherhood; dragging children by their ears while carrying around 50 diapers and strapping them to car seats with knots that make their arms turn blue. What human thinks babies shit "a gargantuan" number of times per day?
And indeed, whenever I write anything at all in praise of city living, I am contemptuously informed that I only like it because I don't have kids.Hmm, and yet somehow you know all about how hard it is to raise them...?!?!?!!?!?!?!?!?!? And for fuck's sake, Megan actually swallows that bullshit parents say about it being "easier" to raise kids in the suburbs? Um, no, parents do that so their children don't have to sit next to any black kids in school, not because they like forcing their child to be utterly dependent on them until driving age rather than until they're old enough to read a map. She even acknowledges that in her next paragraph:
But this is not, really, a very good argument against city living. Most people spend the majority of their lives these days neither being nor having small children. And small children are the ones that make suburban living preferable. Older children are much easier to deal with in a city, because after age eleven or so, they no longer need to soak up hours of Mom's time being ferried around.She shoots down her own arguments now... is that progress?
That's not to say that we should force the suburbanites into the city, either. To each his own. But the mere fact that something is not convenient for toddlers, or their guardians, does not ipso facto mean we should discard it in favor of something that better pleases the Playskool set.Right, civil engineering is so nanny state. I mean, Megan's all for pricing negative externalities into things so long as that means no one has to actually make any of the sacrifices (like moving out of the suburbs) that would be required to actually mitigate those externatlities. And what the fuck is that last sentence supposed to mean? Now she's arguing against the suburbs? Wasn't her introduction in defense of them? What the fuck is this woman blathering about? I swear, she takes a straight jacketed stroll through la-la land and calls it a coherent analysis. She doesn't even know what a fucking thesis is!
Posted by
NutellaonToast
at
1:25 PM
10
comments
Labels: all Megan-all the time, doing our work for us, Me fail economics that unpossible, plain old idiocy, shooting down coutner arguments that don't exist, Why can't any of them write?
Back to the well of redundancy, she again uses a favorite title of hers. I don't even want to know how many hits a search of "Department of" in her archives would give.
Don't worry, there's also schizophrenia in this post.
Department of non-leading indicators:
I won't even quote here. Megan writes two sentences and provides an ~20 sentence quote to show us that Cubans really are poor.
Who the hell is she talking to? I mean, yeah, I live in Berkeley. I know there's more than a few stupid hippies that think Cuba is a swell place to live, but are there really enough of them that Megan needs to waste her breath? Does she think that any of them read her blog? Is she convinced that she might actually persuade them to shower, shave, get a job, and stop fucking all of their friends in weed soaked orgies while singing "Hail pappa Castro?"
I just imagine Megan, sitting at her desk, trembling and muttering to herself "I won't eat meat. Cuba is bad. I won't eat meat. Cuba is bad," occasionally screaming "HEATH LEDGER IS THE DEVIL!" while Ross and Andrew pet her hair soothingly saying "Calm down, Megan. The men in white coats are almost here." and thinking to themselves "I bet we can find her stash of uppers."
I wonder what kind of fit she throws when she finds out they don't make straight jackets in elongated elf sizes.
Posted by
NutellaonToast
at
2:07 PM
0
comments
Labels: It wasn't clever the first time, plain old idiocy, shooting down coutner arguments that don't exist
From the daily drivel:
The bigger puzzle is why everyone is treating "natural" as a synonym for "good" or "right". Death in childbirth is natural; so is rape. These are not a good guide for either our behavior or our standards of living.Do you give up? I certainly do. Unconditional surrender. As in "lie back & enjoy it."
I'm a little under the weather today, so rather than go out, I whipped up lunch from the rather lean contents of my cabinet:I'll not reprint the contents of her cabinet (Dr. Caligari? A very small kitchen? Keeps everything in just one cabinet, as further indication of "issues" w/ comestibles?) but I'll share the outro:
Toss Craisins on top and cook for an additional 10-15 minutes. Mix together with a fork and stir. Total prep time: 10 minutes. Not having to leave the house: priceless.Blah blah blah: Priceless. That is, w/o value or worth.
Posted by
M. Bouffant
at
6:11 PM
5
comments
Labels: Elements of Style©, Food Fetishes, M. Bouffant, plain old idiocy, shooting down coutner arguments that don't exist
Seriously, she just can't let it drop despite the fact that she makes no sense at all. Oh it hurts.
Protect them from themselves:
A number of people in my commenters have come out in favor of food stamps not as a political expediency, but as a first best policy option because they force people to spend money on food that might otherwise have gone somewhere else. This comes in two varieties:
Both of these arguments are somewhat undone by the fact that food stamp recipients can always monetize their grants to some extent, by buying food and then exchanging it for cash. It's just that the process is extremely inefficient, and the sale will net much less than the full value of the food stamps
1) If I'm giving you my money, I damn well get to determine how you spend it2) Poor people might make bad decisions with cash, so better force them to use it on food.
More broadly, do I get to attach strings to the money you get from the government? If you have a mortgage, and deduct the mortgage interest, thus getting a hefty government benefit paid by those of us who are not homeowners, does this entitle me to go over to your house and make sure that you're not spending the money on something I disapprove of?Brilliant analogy! Tax refunds for money spent on living expenses are EXACTLY the same as providing basic necessities to those who can't afford them at all. Why didn't I see this glaring correlation?
As to the second argument, I recognize an obligation to ensure that those who are genuinely incapable of earning a minimally decent living for themselves have the ready needed to secure the basics. I do not recognize an obligation on my part to ensure that they actually do so. Nor do I think that I am the best judge of what people need.Projecting much, Megan? I think food stamps are a good idea, but not because I think poor people are too stupid to spend their money wisely. See, like you, I recognize that any attempt to give aid by the government will be abused by some people. Unlike you, I have a heart, so I'm willing to allow for this negative because I feel the positive of feeding poor people outweighs it substantially. Ensuring the money is spent on food is the best, albeit imperfect, way of reducing graft.
If people are genuinely so screwed up that when given enough money to buy what they need, they fail to purchase enough food to sustain life, then what they need is not food stamps, but 24 hour supervision. If people will buy alchohol or some other unnecessary instead of feeding their children, then they are probably neglecting their children in other ways requiring a stronger intervention than an EBT card. One could argue that right now, incomes are not high enough to purchase basic necessities (and indeed, I think the EITC should be increased, as I've said numerous times.) But that still doesn't make the case for food stamps for me; if the poor take money out of their food budgets to buy something else, it is presumably because they think they need that something even more than they need their next meal. Who am I to second guess them?
This has nothing to do with the appropriate level of spending on the poor, or even the structure. But assuming a basic basket of cash that we are prepared to spend on improving peoples' lives, it seems clear to me that none of that cash should be handed out in the form of food stamps.
Posted by
NutellaonToast
at
5:57 PM
1 comments
Labels: libertarian idiocy, shooting down coutner arguments that don't exist, sold her heart to get through grad school?