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2009/11/27

game theory and health care

Filed under: Politics,Rant — claud9999 @ 09:33

Been thinking about game theory stuff (and I have a book, but busily reading PKD and Expressive Processing. But on the drive in to work today (yeah, working post-tday, commute == awesome) got to musing. What if we applied game theory techniques to health care and insurance payment? I’m sure there is already some of that going on with their complex models, but I have to wonder if they could come up with some sort of auction model or whatnot to pay for treatments based on the expected outcomes of those treatments. For example, say a person gets a diagnostic test (like, perhaps, a mam…oh I don’t want to get into that argument!) and that test resulted in identifying disease early and allowing for a successful treatment. The payment for the next patient wishing to get that test should be reimbursed more. If the test, on the other hand, resulted in a false positive or caused ill effects (infection, induced cancer, etc) the reimbursement rate should be lowered for the next patient. If the framework was clear and open, folks would realize that it’s not that the insurance company is trying to screw them out of a test or treatment, it’s just that they are going to be expected to pay out of pocket for a test based on how likely the test will result in positive outcomes.

Or reverse, everyone pays for everything (or a high percentage) out of pocket, and is reimbursed based on their individual outcome. Think your test is worth taking? Pony up the $ and let’s see.

2009/01/30

outside the box thought for today

Filed under: Politics,Rant — claud9999 @ 09:51

Support squatters in empty homes

I really like folks who are connecting forclosed homes with homeless folks, perhaps cities might want to make this more official and less legal?

Invest in the future, today

Given the amount of money the government pays to water/fertilize/cut grass, hedges, and whatnot on their government facility, how about a mass-hiring of gardeners (just about anyone can garden, assuming they’re in reasonable physical shape) to rip out the grass, hedges, and other traditional landscaping and replace them with natives and low-water plantings? The savings will pay off in the future and folks will have $ in their pocket.

2009/01/11

outside the box thoughts for today

Filed under: Politics,Rant — claud9999 @ 17:32

I’ve been thinking about what “outside the box” ideas I could come up with for an economic stimulus.

-10% sales tax for a week

Tax rebates are OK, but folks are likely to save them. How about 1 week of reverse federal sales tax? 10% given back immediately for all purchases made over the span of a week, no matter how small, with a cap of, say, $5,000. Or if you want cars to be included, $30,000. Give the money back immediately, none of this “rebate check” or credit, folks will not spend if they have to wait for the money to get back to them. A rebate check is more likely to end up paying off debts, not that that is a bad thing, but better to give an incentive to spend the money.

free physicals and basic medical for all for two years

Using the Medicare network, offer to provide free checkups, plus any medical, dental, or optical needs identified by the physician for two years. No questions asked. Can this possibly be larger than $.7T we’ve thrown at the banks? If Congress doesn’t like it, they can pass something to override.

*repair* infrastructure

I am all in favor of infrastructure projects, a commentator on Marketplace raised a good question, infrastructure spending should not be for new construction, we need to focus on repairing and replacing what is in significant need. Why spend a bunch of money to support the ‘burbs to the detriment of what was recently renewing urban areas?

2008/11/12

health care reform idea

Filed under: Politics,Rant — claud9999 @ 09:42

For the next year or two, offer to pay for any medical costs for any US citizen of any age through medicare (or S-CHIP). This would be an excellent stimulus package, an excellent trial balloon of single-payer universal healthcare, but have an expiration so employers would be far less likely to dump their provided coverage. In the two years the coverage would be available, Congress can haggle over what the long-term solution is, or if there’s large-scale objection to this then they can pass a law prohibiting doing this.

2008/11/05

Snatching defeat from the hands of victory?

Filed under: Politics — claud9999 @ 06:56

(Disclaimer: I’m a big fan of Obama, life-long Democrat, and all-around Liberal.)

The oft-spoken phrase about the Democratic campaigns of times past now seems to clearly apply to McCain’s ill-executed campaign. Based on the numbers, had he selected someone less questionable as a running-mate, had he stuck to his original beliefs on the Bush tax cuts instead of adopting the voodoo-economics of the party, had he made far fewer slip-ups during the campaign and stuck to a solid message, had he gathered more money from his supporters, had he stuck with a positive message, I believe he may have been able to pull it off. Then again, voodoo economics, conservative “family values”, negative campaigning may have been the only way he would have had a chance in the south?

I have to wonder how McCain would have governed, perhaps he’ll “come clean” sometime in the future. Would he have stuck to the party lines or would he have returned to his true “maverick” beliefs in cutting corporate welfare, helping the middle class, being green, etc. I suppose we’ll always wonder, and we’ll find out how Obama governs soon enough.

Regarding Palin, I seriously believe the world dodged a huge bullet there…McCain, while healthy, would have been at significant risk of having serious medical problems or worse, leaving Palin in charge. Why would that have been a problem? She’s hinted repeatedly that she’s a believer in the “End of Days”, that the end of the world as described in Revelation is going to come to pass, and she’s likely even at the level of Rev. John Hagee, who believes the end is coming “any day now.” Did we really want to have someone who believes that the end of the world is nigh and that she and all her Christian friends would be taken to heaven having a finger on the nuclear button?

Oh, and one last pot-shot, then I’ll shut up. (And I hope I don’t sound like a masogonist, which I’m not!) McCain’s proposal to run the treasury…Meg Whitman? EBay just layed off 10% of its workforce. Not exactly a ringing endorsement for her ability to run the company or the American economy.

2008/05/02

living wages for folks who skip security lines

Filed under: Labor Unions,Politics,Rant,Uncategorized — claud9999 @ 09:14

The South Bay Labor Council (AFEU is an affiliate, and I’m an officer of AFEU) has been fighting for a living wage for employees who work at the SJC airport. It is shocking that employees who regularly work inside the security zone as “passenger service workers” (the folks who help out the disabled with wheelchairs and electric carts, for example) are paid an average of $16,640 a year and they do not receive health care or other benefits. Not only is this unfair and inappropriate, it poses a risk to the security of passengers and planes.

Read the full report: http://www.buildingabetterairport.com/other/BBAReport.pdf

And more details at: http://www.buildingabetterairport.com

(Note that San Francisco International [SFO] has a living wage ordinance and employers saw an 11% reduction in turnover of these employees. Less turnover results in reduced costs and increased airport security.)

Feel safe flying, now?

2008/04/08

whoops

Filed under: Politics,Rant — claud9999 @ 12:24
  • The pottery barn rule.
  • Mission Accomplished.
  • As they draw up, we draw down.
  • The surge is working.
  • Six-month surge.

2007/12/06

Iran and the NIE

Filed under: Politics,Rant — claud9999 @ 08:38

First, it’s interesting that the much-touted NIE was held up for over a year by Cheney ’cause they didn’t like what it had to say. Does that mean that W knew for a year that Iran had no nuke weapons program? (Thanks to Harry Shearer’s Le Show for that “outside the bubble” news item.)

Second, what I haven’t heard any pundit, representative, or anyone (not even David Kay, hello? Mr. Ex-inspector man…) suggest is to insist on Iran have inspectors monitor their weapon program as a pre-req for lifting sanctions. Duh.

2007/07/11

Horrors of war, brought to our shore

Filed under: Politics,Rant — claud9999 @ 06:49

IVAWThe Iraq Veterans Against the War organization has been staging brilliant re-enactments of military actions in urban settings. These actions bring home the emotional trauma and disturbing impact of the military operation in Iraq. I commend these folks for their bravery in developing this idea and bringing it to frightening fruition. Many thanks for TruthDig.com for bringing this to my attention, truly deserving of their 2007 Webby.

A couple weeks ago, we watched Children of Men. While it was touted as a 21st Century “Blade Runner”, I was surprised as to the representation of terrorism and urban combat. The realism and brutal violence almost left us feeling visually and emotionally raped. If you ever think war is glamorous or glorious, watch that movie. I’d claim that the movie was more a mix of Full Metal Jacket, Farenheit 451, and 1984 than Blade Runner, but who am I to proclaim?

(Helped that we watched it on my projector and with my good sound system.)

2007/07/03

Why commuting Scooter was bad…

Filed under: Politics,Rant — claud9999 @ 06:21

I forget which commentator said it, but he/she said it quite well. Having Libby serve time was going to apply pressure on him to spill the beans on who was giving him direction, and who might have really been committing a crime. He was the little fish, and the govt was hoping to apply heat to get the big fish. While he won’t be able to practice law, I’m sure he’ll land himself a sweetheart job as an executive. Sad.

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