Sunday, October 11, 2015

Buggery of the Colonoscopic and Political Kind

As to the colonoscopy, just do it.  The other choice is maybe dying of ass rot.  Don't be such a fookin' girl about it.  Get it done.  Move along.

Note:  cancer of the colon apparently doesn't hurt because there are no pain receptors so you wouldn't even know you had the ass rot.


As to the political buggery ... well ... we have medical care, don't we.

The political buggery is regarding ... fooking everything in the medical system, top to bottom, back to front ... turn it upside-down and it all comes out the same.  It's a mess like it was designed by Keystone Kops.  On this much I'm sure we're agreed.

Political Buggery of the 1st Part

There's all manner of cost associated with medical care, particularly with the Affordable Care Act over the last eight years.  Oh, it will cost a trillion dollars ... at least.

Yah, over ten years, twenty years, whatever.  In budgeting, we typically refer to annual costs, etc rather than projecting the life of the program and regarding it as one swallow, it's not.

The same applies to the F-35 program as it is charged to cost a trillion ... or so.  It's Washington, who counts the zeroes.

That's not the annual cost of the F-35 program but rather the cost over all the years it runs.

It's worthwhile to consider the full impact of a program before budgeting anything but there's no way to know the full impact from the ACA because it won't ever stop so long as there is a need for medicine.

Political Buggery of the 2nd Part

Nothing else in Washington is considered in terms of the total program cost ... except the ACA and, for this, it's got a glaring focus ... on a number which really doesn't mean very much.  For example, maybe over a hundred years it costs tens of trillions.  Um, so what.  The number isn't faintly realistic and the only actual impact is the annual budgeting.


Political Buggery of the 3rd Part

Privatization is more efficient and effective than any governmental process.

Proponents of this thinking seem to carry the idea it makes money so therefore it is efficient.  If it did not make money that would show its inefficiency and thus it goes out of business.  However, that only shows Company B was less efficient than Company A.  It doesn't prove Company A was ever any model of efficiency in the first place, the only validation of anything is it makes money.

There's no reason to believe a governmental organization is any less efficient than a private management structure because the same class of people design them.  There isn't too much variation in a hierarchical management structure anywhere and the biggest imagined variable is motivation.  In the private sector people are motivated by money whereas the government sector isn't motivated by anything.  That's an extreme statement of it but that's the general view.


Here at the Rockhouse on the Socialist Left, we would ...

we would ...

shit-can the lot of it.  The entire medical care system is a travesty of management with runaway costs in multiple areas.  There's Martin Shkreli showing the value of private enterprise by jacking the price of an important drug to $750 from an originally-low price.  He said he would reduce it to a reasonable level.  He did not do it.  There is no protection in law from this kind of gouging and that's only the most obvious example of it.

That kind of skimming is all over the place in the industry and it's all attributable to the insurance companies which, in concert with drug companies, have created a devil's brew of incestuous financial manipulation, all to the expense of the American people.


Here on the Socialist Left, we will budget for the actual medical costs of the year without the enormous overhead of insurance companies.  These monies will be disbursed directly to the medical resources which actually provided the care.  The people who worked in the insurance companies will be left to be eaten by mongooses.  Life is hard here on the Socialist Left ... but not if you're a mongoose.

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