Beyond Labels

A 360° Discussion of Foreign, National and Local Policy Issues

Mike Wolf

The Miller Plan and some data that might support it

As our last meeting, Scott proposed that we could lower health care costs by motivating people–by an income adjusted tax or premium on health insurance payments–to follow good diets and to exercise. I thought it was a great idea, and dubbed it “The Miller Plan”

I thought this was a great idea, and dubbed it “The Miller Plan”

Below I’ve linked to a video giving a great talk about the reasons for the high cost of medical care. Brawley is Chief Medical and Science Officer of the American Cancer society.  (Profile here)

At the end of the talk, he provides some evidence in support of The Miller Plan. He tell us that obesity, high caloric intake, and lack of physical activity–it’s a three-legged stool–is the number two cause of cancer in the United States. Right now smoking is number one. And as smoking continues to decline, it will become the number one cause. It also causes many other adverse (and expensive) health outcomes. Elsewhere he points out that it disproportionately affects certain populations. About 50% of black women, he says, are obese.

The link is to the part of the talk that is relevant to the Miller Plan. If you are interested, you can move the slider to around 2:00 (skip the intro and watch the whole thing) I encourage you to do so. It does not suffer if you use the Settings (gear icon) to watch it at 1.5x speed or even faster if you can keep up.

Here’s another talk by Brawley. Covers some of the same territory, and some new as well.

h/t to Dr. Michael Murnik at BHMH for turning me on to Brawley.

Notes from 3/27

Comments on the VA hospitals in Reddit (mostly people who worked in the VA or are closely connected)

Atul Gawande article on unnecessary healthcare in the New Yorker.

Article in the New Yorker that Sarah referred to about the Republican position on healthcare.

US versus European Healthcare costs, data.

Value of exercise on health outcomes.

Evidence of health benefits of increased physical activity.

Article in the Lancet.

COSTCO employee health benefits. Wow!

COSTCO health marketplace.

Vehicle insurance in the United States

 

Notes from 20 March 2017

How things change:

In 1986, Justice Scalia was confirmed by a vote of 98 to 0.  On some accounts, Gorsuch is a well-qualified judge and the next Scalia.

SCOTUSblog review of Gorsuch.

So…

In 1993, Justice Ruth Bader Ginsburg was confirmed by a vote of 96 to 3.

Confirmation of Clarence Thomas: 52-48.

Confirmation of Sotomayer: confirmed by 63-37

When did McConnel say he wanted to make Obama a one term president? October 2010.

Obama says “Elections have consequences…I won.”

Expanded quote in the New York Times: ““Elections have consequences, and at the end of the day, I won. So I think on that one I trump you.”

Filibuster in the United States Senate in Wikipedia.

Recommended reading and watching:

The Whistleblower

The Siege of Jadotville

The Handmaid’s Tale

(Margaret Atwood says Trump has made it a best seller again)

“It’s too early to say”

A farmer gets a horse, which soon runs away. A neighbor says, “That’s bad news.” The farmer replies, “Good news, bad news, who can say?”

The horse comes back and brings another horse with him. Good news, you might say. The farmer says, “Good news, bad news, who can say?”

The farmer gives the second horse to his son, who rides it, then is thrown and badly breaks his leg. Bad news, says a friend.

The farmer replies, “Good news, bad news, who can say?”

The horse comes back and brings another horse with him. Good news, says a friend.

The farmer gives the second horse to his son, who rides it, then is thrown and badly breaks his leg.

“So sorry for your bad news,” says the concerned neighbor.
“Good news, bad news, who can say?” the farmer replies.

In a week or so, the emperor’s men come and take every able-bodied young man to fight in a war. The farmer’s son is spared.

Good news, of course.

So is Trump good or bad for the Left? Or the Right?

“Too early to say.”

 

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