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The Rise of the Risk Management Industry

As he was leaving office, Dwight Eisenhower felt a responsibility to warn the nation of coming threat from within, “In the councils of government, we must guard against the acquisition of unwarranted influence, whether sought or unsought, by the military industrial complex.” These turned out to be words booth wise and unheeded, as our military expenditures now total nearly that of the rest of the combined nations of the world.

I’m seeing a new threat from within, rising and to some extent already risen. The risk management industry, with insurance companies at its core, has wormed its way, insidiously and  in many layers, throughout nearly every industry and organization in these United States. This cancer has grown much deeper, though through much the same mechanism as the military industrial complex; by taking advantage of fear, both that of the general populace and corporate and government entities.

A friend of mine recently posted a saying: “A book is the only thing you can buy that can make you richer”. I would argue that another profitable purchase would be a Congressman. While I do think there are some career fence sitters in office who pretty much just vote in whichever direction offers them the most favors, I like to think most individuals in government feel like they are doing the right thing, though I think getting to that coveted and contested office nearly requires one to be of the opinion that the ends justify the means, and that it would be distasteful to look too closely at how the sausage was made.

Unlike these individuals, organizations, such as corporations, unions, and political parties, are generally run or heavily influenced by committee and legal advisers. The people of these committees see it as their job to do what is in the interest of those they represent. If, for example an industry of large donors made it clear that their donations to a political party would keep coming so long as the party voted in their favor, then it is quite likely that the party would choose to endorse candidates who have agreed to vote accordingly. They justify this by telling themselves that if they don’t go along, then the other party will, and will win, which logically they would see as being a worse choice than taking the support themselves and  then trying to enact their own ideology. The beauty of this situation from the donor’s perspective is that they really can’t lose. All they need to do is give support to both sides and threaten to withdraw it from the one who gives them the least in return.

These days, everyone in business is obsessed with avoiding liability. The blame usually comes down on people who start frivolous lawsuits, but really, the system is designed to encourage such things. There are three main players in this: businesses trying to avoid being bankrupted by a large lawsuit, insurance companies trying to sell coverage without actually having to pay anything out, and the individual or government agencies trying to get money for a perceived violation.

Kaufman’s Law: A policy is a restrictive document to prevent a recurrence of a single incident, in which that incident is never mentioned.

Business will hire people to keep track of regulations and create appropriate policies, and it isn’t just legal regulations they are following. Insurance companies have their own regulations, some of which must be followed to get coverage, and others which will nullify their responsibility to pay if they are not followed. The nature of such preventative policies is that they raise both the cost and the complexity of doing business to the point where it is nearly impossible for a small business to be competitive. The regulations have gotten so thick that no one even knows them all. This is of course fine with government and insurance companies alike, since anyone not knowing they have violated a regulation is still going to end up paying a fine or be denied coverage as a consequence.

The profit motive of insurance companies should not be discounted. If nothing else, the mere fact that they are profitable means that they are an inefficiency in the system, a middleman who increases wait times, and decreases care options. Obamacare pretends to be a cost saver in the system. The early claims were that it wouldn’t raise costs to taxpayers, that the healthy would be made to pay for the sick. I was disgusted to read this piece of economic ignorance on CNN Money:

“Getting subsidy-eligible people to enroll is important for the overall success of the exchanges. The first to sign up are likely those desperate for health insurance, so they are a sicker and costlier population. They’ll pay for insurance with or without subsidies. But they must be balanced out by younger and healthier folks, many of whom are likely to be enticed by subsidies, experts say. The subsidies were expected to be very popular: The Congressional Budget Office projected that 86% of the 7 million people enrolling in the exchanges for 2014 would be eligible.”

The second problem is one of outreach. Many people, particularly among the lower income, don’t know that they are eligible for subsidies or even that they have to sign up for insurance, said Dan Mendelson, chief executive of Avalere Health, an advisory company for insurers.
“This requires aggressive messaging,” he said. “They need to go into these communities and get them to sign up. The president has been spending his time apologizing.”

So first, the healthy were going to be made to pay for the sick. Now the healthy will have money taken out of their taxes and handed back to them, only to be forced to give it to the insurance companies. And then there is this article in Businessweek, showing that there is a provision in the bill making sure that if the insurance companies find their costs to be too high, that the government will backstop their losses, and also that there are cost saving measures set to make everything seem cheaper at the beginning, which fade out after three years.  Combine this with the website problems and various postponements, and it really looks to me like they are trying to stall until the midterm elections and put forward the appearance that things are great and they are just working out a few minor glitches, rather than making a bubble that will lead to bailing out the insurance companies that we have already paid three times over.

How many times over do we need to pay for our health care? Back in the day a patient went to the doctor with an ailment, saw them promptly, made decisions between the two of them and then the patient payed a reasonable fee. Now we pay insurance companies, our doctors and hospitals pay insurance companies, the government pays insurance companies, and in return, the insurance companies make us go to a doctor who is in their network, they decide what care to pay for, and if you have a problem with your bill, they leave you on hold until the creditors show up. And if that weren’t bad enough, we can’t even wash our hands of the whole thing and take care of ourselves. We’re mandated to pay for the care we don’t use.

Leadership Vs. The Separation of Powers

The CNN headline today reads “Obama gets an ‘A’ for effort from Schwarzenegger“. I had a good laugh at this one.

When Swarzenegger was running for Governator, I was of the opinion that he had a good environmental and fiscal platform and that he had a large multi-partisan base. I found myself at odds with others on the right who were voting for him because of his ‘character’, and because he was going to go in there and clean house, squeeze some pencil-neck bureaucrats, etc. Clearly, this wasn’t the case.

Swarzenegger found out in short order that the legislature was dug in and had no obligation to do what he wished. He has turned out to be a slightly better than average governor on the sense that he has done little harm; done little of anything in fact. It’s not for lack of trying, but the way our government is set up.

One branch of government can do very little without the cooperation of at least one other branch. I had higher hopes for Obama. He went into  this with an extremely strong mandate and a knack for finding common ground between opposing groups. Thus far, his failings have been the opposite of those of the Governator; he has been too trusting and willing to compromise. He has passed some of the most massive legislations in history, but only after all that is good in them has been sucked out and replaced with corporate welfare, and done so by his own supposed allies.

I found the above headline funny because I get the feeling both of them are looking at each other and saying, “wow, this isn’t as easy as it looks”.

Don’t Ask, Don’t Tell

Obama seems to be testing out what I imagine will become another great speech soon. In today’s speech he set the stage for the destruction of the DADT policy, saying, “I’ve called on Congress to repeal the so-called Defense of Marriage Act to help end discrimination“, and “I’m also urging Congress to pass the Domestic Partners Benefits and Obligations Act, which will guarantee the full range of benefits, including healthcare, to LGBT couples and their children.”, and finally, “I want to say a word about “don’t ask, don’t tell.” As I said before — I’ll say it again, I believe “don’t ask, don’t tell” doesn’t contribute to our national security. In fact, I believe preventing patriotic Americans from serving their country weakens our national security. Now, my administration is already working with the Pentagon and members of the House and the Senate on how we’ll go about ending this policy, which will require an act of Congress.“

I think of DADT as good manners, but lousy policy. One’s sexual orientation is not relevant to the job at hand; it’s a distraction. Making an issue of it while on duty should be punishable by reprimand rather than discharge. I feel the same way about religion.

On a separate note, women will never have equal rights in this country until they have equal responsibilities. This includes registering for the draft. The government either needs to do away with it or apply it without discrimination.

Update: It’s interesting to see how this has played out through the Obama presidency. Overall he has advanced gay rights quite a lot. In some ways I think that is a positive, in that it gives them access to things previously denied. On the other hand, things like forcing businesses to go photograph a wedding they otherwise would have refused, or putting the military on the hook for gender reassignment surgery on our tax dollars, I think is going to cause a lot more injustice than it solves.

Sonia Sotomayor, and Affirmative Action

Sonia Sotomayor

A few weeks back when Obama had yet to publicly pick a nominee for the Supreme court, CNN put up a picture on their front page of a large grid of faces, each a likely choice for the nomination. In a fraction of a second, before I even recognized any of their identities, I picked Sotomayor as the obvious political choice.  I find this troubling. It’s true that she could be the best of the bunch, but I think that is improbable for reasons I’ll go into below.

Pat Buchanan has repeatedly referred to Sotomayor as an affirmative action pick. While I can see how he would think that, I think it is more complicated than that. Obama got two thirds of the Hispanic vote, and 56% of women. He might be trying to directly appeal to his base. As much as it may have been one of his greatest obstacles at many points on the path, I’m of the belief that Obama’s ethnicity was a positive for him in the final presidential vote. He could arguably claim that he has a mandate to shake up the old white guy club that is Washington D.C.

Obama has both the Constitutional background and the advisers to tell him the history and expectations connected with a Supreme Court nomination. There has been something of a tradition of ‘reserved seats’ on the courts for various groups, such as Catholics (Catholics now make up two thirds of the court). I don’t like such traditions. I think the appointment should go to the most qualified individual, based on impartiality, and an understanding of the Constitution and our legal system. I don’t think we should legislate this, but I do think a strong legal background is a plus. I think as much as possible, the government should be blind to race, gender, and religion.

“I would hope that a wise Latina woman with the richness of her experiences would, more often than not, reach a better conclusion than a white male who hasn’t lived that life.” -Sonia Sotomayor

The above quote doesn’t come from anyone I’d confirm for for such a position. I’ve yet to hear anyone say that they think a white guy making the inverse statement would have any chance of confirmation.

I’ve heard the Obama administration’s statement that if Sotomayor were to make the statement again she would have used different wording. This wasn’t some offhand comment she made after a few drinks. This was in a published speech for a law review, specifically Law Raza Law Review, a play on La Raza,  or ‘the race’, a term of Hispanic pride. She is a member of The National Council of La Raza, a group dedicated to the advancement of Hispanics. She has used the above quote in many speeches and many places over a nine year period.

I’ve heard it suggested that the quote was just taken out of context. After reading the context it was in, I found it to be even worse. I find the quote inexcusable, and I see three possibilities for explaining it:

  1. It was poorly stated and not what she meant, in which case she is unqualified for a position in which all of her statements will be picked over for decades or centuries to come by lawyers and judges deciding people’s futures.
  2. She said it because she was pandering to Law Raza, in which case she doesn’t have the ethics for the job.
  3. She believes what she said, in which case she is guilty of ethnic discrimination, and doesn’t have the impartiality to be any kind of judge, much less on the Supreme Court.

The reason Barack gave for voting against Roberts was the he had the impression that Roberts most often ruled for the strong over the weak. This is a statement that brings me to the core of my beliefs about affirmative action. If Hispanics tend to be poor, should we give Hispanics some help? No. If you want to help the poor, help the poor, not the Hispanic. To do otherwise isn’t fair to the poor who aren’t singled out by their ethnicity, or to those Hispanics who are already successful, and it breeds resentment and the impression that people gained their positions through something other than their own merit. If Sotomayor is confirmed without addressing that quote, all of her decisions on discrimination cases will come with an asterisk.

As for her past work, Sotomayor has twice ruled on Second Amendment cases as if it did not exist.

I’ll be interested to hear what she has to say for herself in the confirmation hearings. The Democrats have control and it is expected Sotomayor will be confirmed. The Republicans don’t have the cojones to vote against a swing demographic, but who knows, it could yet get ugly enough to be contested.

Update: Pat Buchanan has an interesting post up referencing Sonia Sotomayor’s statements on affirmative action and how it affected her carreer.

Torture, Religion, Life, Death, and Fear

A doomish title if ever I’ve penned one. As seen in the video below, a recent poll has shown a strong link between churchgoing and the approval of torture.

While this comes as no surprise to those of us who have been paying attention, I think it deserve some further scrutiny. The obvious conclusion would be that religion causes a desire to torture, but I think that may be backwards. Another recent study showed the religious as being far more likely to seek extreme life prolonging measures when deathly ill. What does all this have in common? A fear of the unknown extreme enough to lead people to oppose the values they claim to have, just to scrabble at a scrap of hope. It is religion that is an irrational safety blanket for some very rational fears, that provides the self  righteousness and justification for the commission of atrocities that were already desired by those susceptible to it’s pull of absolution. It is the dichotomy of hope and fear that got both Bush and Obama elected by the same electorate. While hope and fear are polar opposites, they are two sides of the same coin.

It is as if the whole country is in a Kübler-Ross model of the political stages of grief.

  1. Denial: This is where we were between WWII and the Bush years. We were the greatest country on earth. It was our birthright, not just a side effect of being the last manufacturing power standing after the war due to the distance of our homes from the front lines.
  2. Anger: We clearly transition from denial to anger early in the Bush years. We believe all of our problems are external in nature, that it isn’t our fault. The Axis of Evil is the source of our pain. Wars ensue on multiple fronts.
  3. Bargaining: Hope. Perhaps if we elect a Democrat, they will fix everything. We will give the banks whatever they want, bail out the manufacturing industry, borrow money, whatever it takes. The final days of Bush and the first 100 days of Obama.
  4. Depression: This is where we are now. consumer confidence is low, the parties are fragmented, the future unclear.
  5. Acceptance: This is where we are going. We need to accept that our problems are fundamental and widespread, that the middle east won’t have peace, China isn’t going away, and the Dollar isn’t intrinsically strong. Our economy isn’t  in a downturn, it has seen a correction, and we aren’t going back to the golden age of the 1950’s any time soon. It is time to pick up the pieces, make some hard choices, and begin to move forward.

We are a government of the people, by the people. It hasn’t led us here, we have led it here. We can take it back, but we can’t do it without a majority. Our next president should be a Ron Paul.

Update: Are we seeing the final stage of the political stages of grief  in the 2016 election? Trump certainly embodies acceptance as I laid it out. Hillary seems to me to represent the opposite form of acceptance. Voting for someone you know represents just living with the worsening problem rather than going through the pain of rehab, chemo, or bankruptcy.

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