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	<title>Comments for Smithers MINNEAPOLIS</title>
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	<link>http://smithersmpls.com</link>
	<description>"Where hacks come to spew nonsense" - B2B</description>
	<pubDate>Wed, 23 Jul 2008 18:41:29 +0000</pubDate>
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		<title>Comment on The failing of capitalism by Bike Bubba</title>
		<link>http://smithersmpls.com/2008/07/16/the-failing-of-capitalism/#comment-16675</link>
		<dc:creator>Bike Bubba</dc:creator>
		<pubDate>Wed, 23 Jul 2008 17:12:07 +0000</pubDate>
		<guid isPermaLink="false">http://smithersmpls.com/2008/07/16/the-failing-of-capitalism/#comment-16675</guid>
		<description>Y'all, it's hard for me to believe that you know full well that the price of food, gas, or bicycle components will influence what and how much you purchase, and the wages you earn influence what job you'll take, but you absolutely refuse to apply these same basic economic principles to medicine.  

Separate a man from the consequences of his health decisions, as HMOs/employer paid healthcare/Medicare/Medicaid/MNCare do, and what do you expect to happen to demand?  It goes up, right?

Now, separate a man's compensation from the results of his work, as all bureaucracies do, and what do you think happens to the quality of his work?   If you said "Amtrak!", go to the head of the class.

Is this really so complicated to you?  Yes, those government programs appear to be a benefit, since you haven't seen anything different.   The reality, though, is that prior to government involvement, the price of medicine was a lot lower.  Here, for example, is an accounting of a live birth in 1941.

http://www.lewrockwell.com/rozeff/rozeff112.html

In the same way, the bills for my birth (1969) and my brother's (1971) are about $1000 then, or about $6000 today.

Real bills for a C section birth today are about four to five times that amount.  Yes, you get more care in some ways, but that much?  This is what you get when you let government into the mix.</description>
		<content:encoded><![CDATA[<p>Y&#8217;all, it&#8217;s hard for me to believe that you know full well that the price of food, gas, or bicycle components will influence what and how much you purchase, and the wages you earn influence what job you&#8217;ll take, but you absolutely refuse to apply these same basic economic principles to medicine.  </p>
<p>Separate a man from the consequences of his health decisions, as HMOs/employer paid healthcare/Medicare/Medicaid/MNCare do, and what do you expect to happen to demand?  It goes up, right?</p>
<p>Now, separate a man&#8217;s compensation from the results of his work, as all bureaucracies do, and what do you think happens to the quality of his work?   If you said &#8220;Amtrak!&#8221;, go to the head of the class.</p>
<p>Is this really so complicated to you?  Yes, those government programs appear to be a benefit, since you haven&#8217;t seen anything different.   The reality, though, is that prior to government involvement, the price of medicine was a lot lower.  Here, for example, is an accounting of a live birth in 1941.</p>
<p><a href="http://www.lewrockwell.com/rozeff/rozeff112.html" rel="nofollow">http://www.lewrockwell.com/rozeff/rozeff112.html</a></p>
<p>In the same way, the bills for my birth (1969) and my brother&#8217;s (1971) are about $1000 then, or about $6000 today.</p>
<p>Real bills for a C section birth today are about four to five times that amount.  Yes, you get more care in some ways, but that much?  This is what you get when you let government into the mix.</p>
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		<title>Comment on Pool Update by Tuffy</title>
		<link>http://smithersmpls.com/2008/07/23/pool-update-2/#comment-16672</link>
		<dc:creator>Tuffy</dc:creator>
		<pubDate>Wed, 23 Jul 2008 16:21:54 +0000</pubDate>
		<guid isPermaLink="false">http://smithersmpls.com/?p=2196#comment-16672</guid>
		<description>Big congrats to El Hombre Pequeno on winning the Smithers' pool.  Hitting the entire podium is amazing...</description>
		<content:encoded><![CDATA[<p>Big congrats to El Hombre Pequeno on winning the Smithers&#8217; pool.  Hitting the entire podium is amazing&#8230;</p>
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		<title>Comment on The failing of capitalism by pcomeau</title>
		<link>http://smithersmpls.com/2008/07/16/the-failing-of-capitalism/#comment-16583</link>
		<dc:creator>pcomeau</dc:creator>
		<pubDate>Wed, 23 Jul 2008 01:58:20 +0000</pubDate>
		<guid isPermaLink="false">http://smithersmpls.com/2008/07/16/the-failing-of-capitalism/#comment-16583</guid>
		<description>checkbook

I've come to the conclusion we're entering a tautology with Bubba.
Gov interference is bad.
Gov non-interference is bad.

So... what then?
Corporate subsidized health care is bad (even though its a benefit, to encourage me to work at company a, b, or c. Bubba forgets, imo, that healthcare subsidized by your workplace is not required and not everybody gets it.)

And I'm not even going to get into national vs. regional health insurance (e.g. my company is national, hence use of BC/BS. Cheaper then using multiple regionals like Medica.)

So in short... all I can glean from Bubba's point is.. I should quit my job and find one with the health insurance I need. Regardless of the other ramifications.

Next up... best cardboard box for inclement weather.</description>
		<content:encoded><![CDATA[<p>checkbook</p>
<p>I&#8217;ve come to the conclusion we&#8217;re entering a tautology with Bubba.<br />
Gov interference is bad.<br />
Gov non-interference is bad.</p>
<p>So&#8230; what then?<br />
Corporate subsidized health care is bad (even though its a benefit, to encourage me to work at company a, b, or c. Bubba forgets, imo, that healthcare subsidized by your workplace is not required and not everybody gets it.)</p>
<p>And I&#8217;m not even going to get into national vs. regional health insurance (e.g. my company is national, hence use of BC/BS. Cheaper then using multiple regionals like Medica.)</p>
<p>So in short&#8230; all I can glean from Bubba&#8217;s point is.. I should quit my job and find one with the health insurance I need. Regardless of the other ramifications.</p>
<p>Next up&#8230; best cardboard box for inclement weather.</p>
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		<title>Comment on The failing of capitalism by checkbook</title>
		<link>http://smithersmpls.com/2008/07/16/the-failing-of-capitalism/#comment-16559</link>
		<dc:creator>checkbook</dc:creator>
		<pubDate>Wed, 23 Jul 2008 00:16:41 +0000</pubDate>
		<guid isPermaLink="false">http://smithersmpls.com/2008/07/16/the-failing-of-capitalism/#comment-16559</guid>
		<description>&lt;i&gt;And hey–I’ve given you some examples of people who literally have gone broke due to bad business decisions.&lt;/i&gt;

Oh, you mean Kareem Abdul Jabar and Donald Trump?  These are not examples of &lt;b&gt;corporate executives&lt;/b&gt;, bubba.  An ex-basketball star who mismanaged his finances and an ego-maniacal entrepreneur are not what we're talking about.  So, sorry, you didn't.  You can definitely try again though!

My grandfather (who worked for GM most of his life after emigrating to the states) has seen his pension disappear the last couple of years (as in terminated).  Tell him that an executive's million-dollar base salary is something to scoff at cause there's no bonus attached to it *this year* and see if he doesn't smack you.  That, buckaroo, is called loosing one's shirt.  Is there anyone in GM's executive circle who has zero dollars of any sort of income as a result of their financial troubles?  Yes, it's a slap on the wrist/"bad job!" to &lt;b&gt;not&lt;/b&gt; get that bonus at the end of the fiscal year as an exec, but who's arguing that?  We're arguing that it doesn't constitute loosing one's shirt.  Missing the point is turning into your MO.


&lt;i&gt;Checkbook, you are aware that I’m primarily referring to paying the bill, right[?]"

Your statement implies that patients don't pay attention to costs of care because they don't have to pay the bill themselves, and thus seek treatment willy-nilly for whatever reason, and that this, in turn, creates unnecessary demand driving up medical costs.  Are YOU aware that this is all occurring in your "free market" health care system?  Anyway, if you have issue with this false demand for medical treatment you need look no further than the pharmaceutical industry for their efforts in drug marketing.   Drug mfg's market the living crap out of their products, telling people they need X drug for X sickness: "if you have trouble sleeping/walking/breathing/eating/shitting/et al. go talk to your doctor about (our product) today!"  Talk about artificially created demand.   And if there are that many more people (than there ought to be, as you imply) who are using a good (medical treatment for a given illness, say for one's heart) then shouldn't the insurers be able to negotiate better pricing -- you know, volume discount, what they are supposed to be doing?  Now I hear you typing already... this is exactly what BC/BS is doing walking away from Fairview cause Fairview &lt;b&gt;still&lt;/b&gt; feel the prices are too darn high.  But we're not talking about a car-purchase here, are we?  We're talking about a human being's life and quality thereof.  Should it not be treated with a bit more reverence?  (after all, you are vociferously anti-choice, aren't you?)  This begs the question: whose interests are most important here?  The patient's?  The insurance companies?  The underlying theme of this debate for me is that I don't want the cheapest medical service, I want the best medical service.  If I'm happy with my doctor and have a relationship, who is my insurer to decide for me that it's too expensive?  Expense should have nothing to do with it; only quality of care.  And if I find a doctor who I feel provides the best quality of care out there, I want to be able to see this doctor.

&lt;i&gt;pcomeau, it doesn’t matter what YOUR heart disease comes from in this matter. Rather, it matters why your provider thinks they can charge more than Blue Cross is willing to pay.&lt;/i&gt;

One should also ask why is it that Blue Cross feels they need not pay the fair market value of a given medical service?  Perhaps more importantly, how does this argument of yours reconcile with your arguments elsewhere on this blog regarding let-the-free-markets-roll-sans-regulation.  Do you want someone to regulate what providers are able to charge for various procedures/services?  Sounds here like yes, but that goes against what you've said elsewhere.  I'm confused!</description>
		<content:encoded><![CDATA[<p><i>And hey–I’ve given you some examples of people who literally have gone broke due to bad business decisions.</i></p>
<p>Oh, you mean Kareem Abdul Jabar and Donald Trump?  These are not examples of <b>corporate executives</b>, bubba.  An ex-basketball star who mismanaged his finances and an ego-maniacal entrepreneur are not what we&#8217;re talking about.  So, sorry, you didn&#8217;t.  You can definitely try again though!</p>
<p>My grandfather (who worked for GM most of his life after emigrating to the states) has seen his pension disappear the last couple of years (as in terminated).  Tell him that an executive&#8217;s million-dollar base salary is something to scoff at cause there&#8217;s no bonus attached to it *this year* and see if he doesn&#8217;t smack you.  That, buckaroo, is called loosing one&#8217;s shirt.  Is there anyone in GM&#8217;s executive circle who has zero dollars of any sort of income as a result of their financial troubles?  Yes, it&#8217;s a slap on the wrist/&#8221;bad job!&#8221; to <b>not</b> get that bonus at the end of the fiscal year as an exec, but who&#8217;s arguing that?  We&#8217;re arguing that it doesn&#8217;t constitute loosing one&#8217;s shirt.  Missing the point is turning into your MO.</p>
<p><i>Checkbook, you are aware that I’m primarily referring to paying the bill, right[?]&#8221;</p>
<p>Your statement implies that patients don&#8217;t pay attention to costs of care because they don&#8217;t have to pay the bill themselves, and thus seek treatment willy-nilly for whatever reason, and that this, in turn, creates unnecessary demand driving up medical costs.  Are YOU aware that this is all occurring in your &#8220;free market&#8221; health care system?  Anyway, if you have issue with this false demand for medical treatment you need look no further than the pharmaceutical industry for their efforts in drug marketing.   Drug mfg&#8217;s market the living crap out of their products, telling people they need X drug for X sickness: &#8220;if you have trouble sleeping/walking/breathing/eating/shitting/et al. go talk to your doctor about (our product) today!&#8221;  Talk about artificially created demand.   And if there are that many more people (than there ought to be, as you imply) who are using a good (medical treatment for a given illness, say for one&#8217;s heart) then shouldn&#8217;t the insurers be able to negotiate better pricing &#8212; you know, volume discount, what they are supposed to be doing?  Now I hear you typing already&#8230; this is exactly what BC/BS is doing walking away from Fairview cause Fairview <b>still</b> feel the prices are too darn high.  But we&#8217;re not talking about a car-purchase here, are we?  We&#8217;re talking about a human being&#8217;s life and quality thereof.  Should it not be treated with a bit more reverence?  (after all, you are vociferously anti-choice, aren&#8217;t you?)  This begs the question: whose interests are most important here?  The patient&#8217;s?  The insurance companies?  The underlying theme of this debate for me is that I don&#8217;t want the cheapest medical service, I want the best medical service.  If I&#8217;m happy with my doctor and have a relationship, who is my insurer to decide for me that it&#8217;s too expensive?  Expense should have nothing to do with it; only quality of care.  And if I find a doctor who I feel provides the best quality of care out there, I want to be able to see this doctor.</p>
<p></i><i>pcomeau, it doesn’t matter what YOUR heart disease comes from in this matter. Rather, it matters why your provider thinks they can charge more than Blue Cross is willing to pay.</i></p>
<p>One should also ask why is it that Blue Cross feels they need not pay the fair market value of a given medical service?  Perhaps more importantly, how does this argument of yours reconcile with your arguments elsewhere on this blog regarding let-the-free-markets-roll-sans-regulation.  Do you want someone to regulate what providers are able to charge for various procedures/services?  Sounds here like yes, but that goes against what you&#8217;ve said elsewhere.  I&#8217;m confused!</p>
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		<title>Comment on Here is where I am right now by Ray</title>
		<link>http://smithersmpls.com/2008/07/21/here-is-where-i-am-right-now/#comment-16555</link>
		<dc:creator>Ray</dc:creator>
		<pubDate>Tue, 22 Jul 2008 23:21:00 +0000</pubDate>
		<guid isPermaLink="false">http://smithersmpls.com/?p=2195#comment-16555</guid>
		<description>Save some money for tree removal.</description>
		<content:encoded><![CDATA[<p>Save some money for tree removal.</p>
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		<title>Comment on The failing of capitalism by jkruse</title>
		<link>http://smithersmpls.com/2008/07/16/the-failing-of-capitalism/#comment-16546</link>
		<dc:creator>jkruse</dc:creator>
		<pubDate>Tue, 22 Jul 2008 22:41:52 +0000</pubDate>
		<guid isPermaLink="false">http://smithersmpls.com/2008/07/16/the-failing-of-capitalism/#comment-16546</guid>
		<description>&lt;i&gt;I’ve given you some examples of people who literally have gone broke due to bad business decisions.&lt;/i&gt;

Donald Trump's business filed for bankruptcy.  

I never saw him driving a '79 Pinto.</description>
		<content:encoded><![CDATA[<p><i>I’ve given you some examples of people who literally have gone broke due to bad business decisions.</i></p>
<p>Donald Trump&#8217;s business filed for bankruptcy.  </p>
<p>I never saw him driving a &#8216;79 Pinto.</p>
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		<title>Comment on The failing of capitalism by Bike Bubba</title>
		<link>http://smithersmpls.com/2008/07/16/the-failing-of-capitalism/#comment-16545</link>
		<dc:creator>Bike Bubba</dc:creator>
		<pubDate>Tue, 22 Jul 2008 22:11:11 +0000</pubDate>
		<guid isPermaLink="false">http://smithersmpls.com/2008/07/16/the-failing-of-capitalism/#comment-16545</guid>
		<description>Checkbook, you are aware that I'm primarily referring to paying the bill, right, and that there is no evidence that the very prosperous quit working when they arrive at a certain threshold, right?

Reality is that no matter what level of income one attains, more or less will influence behavior.  And hey--I've given you some examples of people who literally have gone broke due to bad business decisions.  It's a reality that government workers generally don't face.  Rather, they get their pensions no matter what.

It affects the quality of their decisions, too.</description>
		<content:encoded><![CDATA[<p>Checkbook, you are aware that I&#8217;m primarily referring to paying the bill, right, and that there is no evidence that the very prosperous quit working when they arrive at a certain threshold, right?</p>
<p>Reality is that no matter what level of income one attains, more or less will influence behavior.  And hey&#8211;I&#8217;ve given you some examples of people who literally have gone broke due to bad business decisions.  It&#8217;s a reality that government workers generally don&#8217;t face.  Rather, they get their pensions no matter what.</p>
<p>It affects the quality of their decisions, too.</p>
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		<title>Comment on The failing of capitalism by pcomeau</title>
		<link>http://smithersmpls.com/2008/07/16/the-failing-of-capitalism/#comment-16544</link>
		<dc:creator>pcomeau</dc:creator>
		<pubDate>Tue, 22 Jul 2008 22:05:04 +0000</pubDate>
		<guid isPermaLink="false">http://smithersmpls.com/2008/07/16/the-failing-of-capitalism/#comment-16544</guid>
		<description>&lt;i&gt;Incorrect. As mentioned before (by pcomeau?), insurance companies send patients a “non-bill” itemizing what was paid for, what is the patient’s responsibility (if any) and what the price agreed to pay in total was.&lt;/i&gt;

Correct in the industry this is known as an Explanation of Benefits or simply EOB.

Fairly standard procedure now a days, actually standard since at leas '98 (wife used to work in Fairview's billing dept. back then.)</description>
		<content:encoded><![CDATA[<p><i>Incorrect. As mentioned before (by pcomeau?), insurance companies send patients a “non-bill” itemizing what was paid for, what is the patient’s responsibility (if any) and what the price agreed to pay in total was.</i></p>
<p>Correct in the industry this is known as an Explanation of Benefits or simply EOB.</p>
<p>Fairly standard procedure now a days, actually standard since at leas &#8216;98 (wife used to work in Fairview&#8217;s billing dept. back then.)</p>
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		<title>Comment on The failing of capitalism by checkbook</title>
		<link>http://smithersmpls.com/2008/07/16/the-failing-of-capitalism/#comment-16521</link>
		<dc:creator>checkbook</dc:creator>
		<pubDate>Tue, 22 Jul 2008 20:49:06 +0000</pubDate>
		<guid isPermaLink="false">http://smithersmpls.com/2008/07/16/the-failing-of-capitalism/#comment-16521</guid>
		<description>&lt;i&gt;And yes, a bonus is not a guarantee, but if you want to keep people thinking about the interests of the business, you’re insane not to give them a cut of the profits, no? If a cut of the profits is a positive incentive, a cut of no profits is the same thing.

Yes, it’s hard for ordinary earners like myself to understand how someone would have “need” with a million dollar salary, but reality is that it works.&lt;/i&gt;


What works??  What does this even have to do with the question of whether executives "loose their shirts" (your words) when the companies they steer don't perform?  Nada, I'm not sorry to say.  Please, please, please try to stay on topic.  Re: Seagate specifically... the latest data I was able to dig up regarding top execs' &lt;b&gt;base annual&lt;/b&gt; salaries was something in the neighborhood of over 2.25 million shared among the top three executive officers (the CEO pulling in about a mil).  Even without the bonuses, explain to me how this constitutes loosing one's shirt.</description>
		<content:encoded><![CDATA[<p><i>And yes, a bonus is not a guarantee, but if you want to keep people thinking about the interests of the business, you’re insane not to give them a cut of the profits, no? If a cut of the profits is a positive incentive, a cut of no profits is the same thing.</p>
<p>Yes, it’s hard for ordinary earners like myself to understand how someone would have “need” with a million dollar salary, but reality is that it works.</i></p>
<p>What works??  What does this even have to do with the question of whether executives &#8220;loose their shirts&#8221; (your words) when the companies they steer don&#8217;t perform?  Nada, I&#8217;m not sorry to say.  Please, please, please try to stay on topic.  Re: Seagate specifically&#8230; the latest data I was able to dig up regarding top execs&#8217; <b>base annual</b> salaries was something in the neighborhood of over 2.25 million shared among the top three executive officers (the CEO pulling in about a mil).  Even without the bonuses, explain to me how this constitutes loosing one&#8217;s shirt.</p>
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		<title>Comment on The failing of capitalism by checkbook</title>
		<link>http://smithersmpls.com/2008/07/16/the-failing-of-capitalism/#comment-16515</link>
		<dc:creator>checkbook</dc:creator>
		<pubDate>Tue, 22 Jul 2008 20:44:38 +0000</pubDate>
		<guid isPermaLink="false">http://smithersmpls.com/2008/07/16/the-failing-of-capitalism/#comment-16515</guid>
		<description>&lt;i&gt;Government intervention (things I’ve listed and more) prevent the patient from seeing the bill, and hence the price of care is inflated by demand that otherwise wouldn’t be there.&lt;/i&gt;

Incorrect.  As mentioned before (by pcomeau?), insurance companies send patients a "non-bill" itemizing what was paid for, what is the patient's responsibility (if any) and what the price agreed to pay in total was.

Moreover, you are grossly oversimplifying the situation.  A person's need to visit a medical practitioner is not comprable to a person's want of a consumer product.  More importantly, your suggestion &lt;b&gt;necessarily&lt;/b&gt; cuts the poor out of the equation when it comes to who will have access to medical care.  Does a heart by-pass cost what it does because of "inflated demand" alone?  No.  I'm certain there is a basic price for the cost of the doctors, needed equipment and procedure itself ; and I'm equally certain that it isn't something the average american (much less poor american) can afford out of pocket.  I'll be the 2nd or 3rd person here to quote Plan B: "Conservatives consistently underestimate the level of unjust suffering in the world because they assume everyone is as lucky as they are, or they negate the role that luck and others’ help has played in their lives."

Bubba, why do you feel that those less fortunate deserve lesser or no medical care at all?</description>
		<content:encoded><![CDATA[<p><i>Government intervention (things I’ve listed and more) prevent the patient from seeing the bill, and hence the price of care is inflated by demand that otherwise wouldn’t be there.</i></p>
<p>Incorrect.  As mentioned before (by pcomeau?), insurance companies send patients a &#8220;non-bill&#8221; itemizing what was paid for, what is the patient&#8217;s responsibility (if any) and what the price agreed to pay in total was.</p>
<p>Moreover, you are grossly oversimplifying the situation.  A person&#8217;s need to visit a medical practitioner is not comprable to a person&#8217;s want of a consumer product.  More importantly, your suggestion <b>necessarily</b> cuts the poor out of the equation when it comes to who will have access to medical care.  Does a heart by-pass cost what it does because of &#8220;inflated demand&#8221; alone?  No.  I&#8217;m certain there is a basic price for the cost of the doctors, needed equipment and procedure itself ; and I&#8217;m equally certain that it isn&#8217;t something the average american (much less poor american) can afford out of pocket.  I&#8217;ll be the 2nd or 3rd person here to quote Plan B: &#8220;Conservatives consistently underestimate the level of unjust suffering in the world because they assume everyone is as lucky as they are, or they negate the role that luck and others’ help has played in their lives.&#8221;</p>
<p>Bubba, why do you feel that those less fortunate deserve lesser or no medical care at all?</p>
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		<title>Comment on The failing of capitalism by Bike Bubba</title>
		<link>http://smithersmpls.com/2008/07/16/the-failing-of-capitalism/#comment-16503</link>
		<dc:creator>Bike Bubba</dc:creator>
		<pubDate>Tue, 22 Jul 2008 19:42:09 +0000</pubDate>
		<guid isPermaLink="false">http://smithersmpls.com/2008/07/16/the-failing-of-capitalism/#comment-16503</guid>
		<description>And yes, a bonus is not a guarantee, but if you want to keep people thinking about the interests of the business, you're insane not to give them a cut of the profits, no?  If a cut of the profits is a positive incentive, a cut of no profits is the same thing.

Yes, it's hard for ordinary earners like myself to understand how someone would have "need" with a million dollar salary, but reality is that it works.</description>
		<content:encoded><![CDATA[<p>And yes, a bonus is not a guarantee, but if you want to keep people thinking about the interests of the business, you&#8217;re insane not to give them a cut of the profits, no?  If a cut of the profits is a positive incentive, a cut of no profits is the same thing.</p>
<p>Yes, it&#8217;s hard for ordinary earners like myself to understand how someone would have &#8220;need&#8221; with a million dollar salary, but reality is that it works.</p>
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		<title>Comment on The failing of capitalism by Bike Bubba</title>
		<link>http://smithersmpls.com/2008/07/16/the-failing-of-capitalism/#comment-16502</link>
		<dc:creator>Bike Bubba</dc:creator>
		<pubDate>Tue, 22 Jul 2008 19:40:16 +0000</pubDate>
		<guid isPermaLink="false">http://smithersmpls.com/2008/07/16/the-failing-of-capitalism/#comment-16502</guid>
		<description>pcomeau, it doesn't matter what YOUR heart disease comes from in this matter.  Rather, it matters why your provider thinks they can charge more than Blue Cross is willing to pay.

One bit part of this is that there are millions of people who have "earned" their heart disease through obesity and smoking, but will never receive the bill for the cost of their treatment.

Along those lines, financial incentives work.  Just ask someone whose job is to sell Hummers in an age of $4/gallon gasoline.  Chevy just cut truck production by about half, as did Toyota and Ford.

Government intervention (things I've listed and more) prevent the patient from seeing the bill, and hence the price of care is inflated by demand that otherwise wouldn't be there.</description>
		<content:encoded><![CDATA[<p>pcomeau, it doesn&#8217;t matter what YOUR heart disease comes from in this matter.  Rather, it matters why your provider thinks they can charge more than Blue Cross is willing to pay.</p>
<p>One bit part of this is that there are millions of people who have &#8220;earned&#8221; their heart disease through obesity and smoking, but will never receive the bill for the cost of their treatment.</p>
<p>Along those lines, financial incentives work.  Just ask someone whose job is to sell Hummers in an age of $4/gallon gasoline.  Chevy just cut truck production by about half, as did Toyota and Ford.</p>
<p>Government intervention (things I&#8217;ve listed and more) prevent the patient from seeing the bill, and hence the price of care is inflated by demand that otherwise wouldn&#8217;t be there.</p>
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		<title>Comment on The failing of capitalism by pcomeau</title>
		<link>http://smithersmpls.com/2008/07/16/the-failing-of-capitalism/#comment-16501</link>
		<dc:creator>pcomeau</dc:creator>
		<pubDate>Tue, 22 Jul 2008 19:04:52 +0000</pubDate>
		<guid isPermaLink="false">http://smithersmpls.com/2008/07/16/the-failing-of-capitalism/#comment-16501</guid>
		<description>on exec pay:
Bonus and stock options are payed above and beyond base salary. A bonus is not something one should count on getting. Stock options are usually ways to ensure an executive's loyalty to the company. He'll want to make sure the company does well on the market to make sure he can realize gains in the future.

But neither really affects an execs bottom line in the negative. If their base salary is not cut (and it rarely is) there is no loss. Just loss of potential profit (which, if they're so smart, they don't include when creating a budget. kKnda like realized vs. unrealized gains.)

On the health front:
What implications? We're talking simple negotiations between two companies. If they don't reach a deal I pay for it. I loose my doctor and have to find a new one, most likely doubling my drive time to go see them.

Yes my employer covers part of my insurance, but again that has nothing to do with the BC/BS vs Fairview issue.

So please explain your reasoning... I'm not a smoker. My need for a cardiologist stems from a childhood birth defect. The defect itself based on random happenstance (e.g. nothing the mother does or doesn't do causes it. Just pure chance.) So I don't know where the smokers tangent is coming from. Let alone talking existing programs vs. creating something new that could help people.</description>
		<content:encoded><![CDATA[<p>on exec pay:<br />
Bonus and stock options are payed above and beyond base salary. A bonus is not something one should count on getting. Stock options are usually ways to ensure an executive&#8217;s loyalty to the company. He&#8217;ll want to make sure the company does well on the market to make sure he can realize gains in the future.</p>
<p>But neither really affects an execs bottom line in the negative. If their base salary is not cut (and it rarely is) there is no loss. Just loss of potential profit (which, if they&#8217;re so smart, they don&#8217;t include when creating a budget. kKnda like realized vs. unrealized gains.)</p>
<p>On the health front:<br />
What implications? We&#8217;re talking simple negotiations between two companies. If they don&#8217;t reach a deal I pay for it. I loose my doctor and have to find a new one, most likely doubling my drive time to go see them.</p>
<p>Yes my employer covers part of my insurance, but again that has nothing to do with the BC/BS vs Fairview issue.</p>
<p>So please explain your reasoning&#8230; I&#8217;m not a smoker. My need for a cardiologist stems from a childhood birth defect. The defect itself based on random happenstance (e.g. nothing the mother does or doesn&#8217;t do causes it. Just pure chance.) So I don&#8217;t know where the smokers tangent is coming from. Let alone talking existing programs vs. creating something new that could help people.</p>
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		<title>Comment on The failing of capitalism by Bike Bubba</title>
		<link>http://smithersmpls.com/2008/07/16/the-failing-of-capitalism/#comment-16496</link>
		<dc:creator>Bike Bubba</dc:creator>
		<pubDate>Tue, 22 Jul 2008 17:56:03 +0000</pubDate>
		<guid isPermaLink="false">http://smithersmpls.com/2008/07/16/the-failing-of-capitalism/#comment-16496</guid>
		<description>Checkbook, pcomeau; if you want an example of someone who's gone belly up as a result of poor business decisions, what about Donald Trump, who's declared bankruptcy twice?  Or any number of celebrities who invest in any number of get-rich schemes?  Remember Kareem Abdul-Jabbar abruptly switching from Converse to "LA Gear"?  Reason was...he was broke.

Executives tend not to do so as much--like most of us, they put aside money in financial instruments not linked to their primary business.  That noted, can we seriously claim that the executives of a company whose profitability and stock price are sliding are not taking a financial hit?  That, say, the executives at GM aren't taking a big hit from that company's lack of profitability and stock slide?  That, say, Seagate execs didn't take a hit with no bonuses last year, and a sliding stock price that erased the value of their recent stock options?

And your cardiologist, pcomeau?  Well, consider the implications of Medicare, Medicaid, MNCare, employer paid healthcare, and HMOs, all created by governent.  A huge portion of obese, sedentary smokers know that they pay the same for health insurance whether they shape up or not.  Think that might move the demand curve a bit?  Do ya think that if they had to pay a bigger share of the costs, they might be more likely to ditch the coffin nails, eat a salad, and take a walk?</description>
		<content:encoded><![CDATA[<p>Checkbook, pcomeau; if you want an example of someone who&#8217;s gone belly up as a result of poor business decisions, what about Donald Trump, who&#8217;s declared bankruptcy twice?  Or any number of celebrities who invest in any number of get-rich schemes?  Remember Kareem Abdul-Jabbar abruptly switching from Converse to &#8220;LA Gear&#8221;?  Reason was&#8230;he was broke.</p>
<p>Executives tend not to do so as much&#8211;like most of us, they put aside money in financial instruments not linked to their primary business.  That noted, can we seriously claim that the executives of a company whose profitability and stock price are sliding are not taking a financial hit?  That, say, the executives at GM aren&#8217;t taking a big hit from that company&#8217;s lack of profitability and stock slide?  That, say, Seagate execs didn&#8217;t take a hit with no bonuses last year, and a sliding stock price that erased the value of their recent stock options?</p>
<p>And your cardiologist, pcomeau?  Well, consider the implications of Medicare, Medicaid, MNCare, employer paid healthcare, and HMOs, all created by governent.  A huge portion of obese, sedentary smokers know that they pay the same for health insurance whether they shape up or not.  Think that might move the demand curve a bit?  Do ya think that if they had to pay a bigger share of the costs, they might be more likely to ditch the coffin nails, eat a salad, and take a walk?</p>
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		<title>Comment on Here is where I am right now by jim r</title>
		<link>http://smithersmpls.com/2008/07/21/here-is-where-i-am-right-now/#comment-16491</link>
		<dc:creator>jim r</dc:creator>
		<pubDate>Tue, 22 Jul 2008 14:41:41 +0000</pubDate>
		<guid isPermaLink="false">http://smithersmpls.com/?p=2195#comment-16491</guid>
		<description>Oh sure...hiding under a blue umbrella to avoid getting your ass kicked on the Tough Guy ride.</description>
		<content:encoded><![CDATA[<p>Oh sure&#8230;hiding under a blue umbrella to avoid getting your ass kicked on the Tough Guy ride.</p>
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