Getting Old Sucks

I wasn’t impressed with Ezekial Emanual’s article, Why I Hope to Die at 75.

Arnold Kling calls it “excellent and important” and asks commenters to spare him the “snark about Emanuel, Obamacare, and death panels.”

I’m not sure what annoyed me more, Emanual’s article or Kling asking to be spared the blindingly obvious, and in my opinion, wholly deserving snark.

I’m assuming the snark Kling doesn’t want is something like:

Since, Emanual is an architect of Obamacare, you see, and now he’s writing that he doesn’t want to live past 75 because life just isn’t worth living past that point (according to him), you see, and there was this whole (we were politically-correctly brainwashed to believe) stupid political meme about Obamacare leading to government “death panels” deciding who is worthy of being allocated precious medical resources and who is not and should just die so as to not be a burden on “society”, you see, it kind of seems like…uh…there may have been something that stupid meme, but we are still too brainwashed want to admit that?

The resistance to snark reminds me of the resistance people like Elie Wiesel’s family and friends had to the warning signs that their lives were changing in early 1940s in Transylvania as German troops approached and occupied their enclave.

The secondary title of Kling’s blog is “taking the most charitable view of those who disagree.” Wiesel’s enclave took a too charitable view with those approaching troops and Hitler’s intentions and they suffered mightily for it.

David Henderson is less charitable on Emanual’s article. He found the article and Emanual “troubling”. Thank you! He describes Emanuel’s attitude as:

“Sometimes wrong; never in doubt.” The man (Emanuel) really does seem to think he knows how everyone should live.

In his article, Emanual tries to convince the reader that this whole dying at 75 thing is just his personal opinion and he’s not suggesting anything by it. Henderson says to that, “Basically, I just don’t believe him.”

My opinion on Emanual’s article: It’s dumb.

I think it’s a good example of personal preference bias. At age 57, Emanual holds a personal preference for his life to end at 75 because of some stats that says he has a 50/50 shot have reduced faculties after 80.

While he assures us he’s properly taken his current age and state of mind into account and will not change his mind as he approaches 75 (though he doesn’t plan suicide), talk is cheap.

The rationale he provides in the article affirms for me that he is a dangerous idiot. His view on what constitutes a life worth living at a different age is unimaginative and narrow, and reminiscent of all of us proclaiming at 18 that if life can’t be like it is when we’re 18, it ain’t worth living.

Tyler Cowen is more imaginative in thinking about how life could be worth living at an old age with reduced faculties:

And to sound petty for a moment, I don’t want to pass away during the opening moments of a Carlsen-Caruana match, or before an NBA season has finished (well, it depends on the season), or before the final volumes of Knausgaard are translated into English.  And this is a never-ending supply.  The world is a fascinating place and I fully expect to appreciate it at the age of eighty, albeit with some faculties less sharp.  What if the Fermi Paradox is resolved, or a good theory of quantum gravity developed?  What else might be worth waiting for?

For those who make it another 23 years, look forward to Emanual’s follow-up: Life after 75: I was wrong! Why I was still thinking like a teenager when I was 57.

More good stuff from Cochrane on health care

I recommend reading John Cochrane’s op-ed in today’s Wall Street Journal, What to do when Obamacare unravels. It’s a great follow-up to my health care reforms.

Here are a couple quotes from Cochrane’s piece that addresses some common concerns over non-government medicine.

What about the homeless guy who has a heart attack? Yes, there must be private and government-provided charity care for the very poor. What if people don’t get enough checkups? Send them vouchers. To solve these problems we do not need a federal takeover of health care and insurance for you, me, and every American.

And (emphasis mine)…

No other country has a free health market, you may object. The rest of the world is closer to single payer, and spends less.

Sure. We can have a single government-run airline too. We can ban FedEx and UPS, and have a single-payer post office. We can have government-run telephones and TV. Thirty years ago every other country had all of these, and worthies said that markets couldn’t work for travel, package delivery, the “natural monopoly” of telephones and TV. Until we tried it. That the rest of the world spends less just shows how dysfunctional our current system is, not how a free market would work.

“I promise a chicken in every pot (chicken not included)”

Tyler Cowen was ‘somewhat surprised‘ to find out that a higher percentage of the uninsured disapprove of Obamacare. I’m not sure whether his surprise was that the disapproval wasn’t higher or lower.

I wasn’t surprised that more disapprove.

As I wrote in my “Wait…What?” post in July of 2012, Obama won votes by promising to solve the problem of the uninsured. Those voters didn’t realize that his solution would be to penalize the uninsured for not buying insurance.

It’s like the old Doctor joke.

Patient: Doc, it hurts when I do this. Can you fix it?

Doc: Yes I can.

Patient: Really? Great! How?

Doc: Stop doing that.

In July 2013, I didn’t think many people had made that connection, yet. I predicted they might when they had to pay the fine. They haven’t paid the fine yet, but are discovering that Obama’s solution was the same as the Doc’s above. Stop not buying insurance.

I offered what I think is a better medical mandate in this post (edited slightly).

If you choose not to purchase insurance and you need medical care, you will be expected to pay for your medical care.

Mine isn’t that much different than Obama’s. But, it doesn’t require government intervention.

Update: James Taranto, at the Wall Street Journal, does a great job of making my first point:

In short, what ObamaCare means to the uninsured who were not uninsurable is higher prices for a product they already were disinclined to buy, along with a punitive tax on not buying it. That seems more like a mugging than a benefit.

If it can help just one…

A common political sales tactic is the ol’, “Even if this government action helps just one person, then it’s worth it” snow job.

It seems we are beyond that snow job now with Obamacare. Apparently, if it only hurts 5% of the population, that’s acceptable.

The Affordable Care Act?

1. Why didn’t the government just use eHealthInsurance.com instead of trying to recreate it?

2. You can go to eHealthInsurance.com now and compare available plans for 2013 and 2014.

I did. I found out that for 2013 plans for my family start at $152 per month. That is comparable to the high deductible plan that I currently have. I also have 58 plans to choose from.

I also found that Obamacare-compliant plans for 2014 start at $515 per month and I have 25 plans to choose from.  And, yes, that is for a high deductible plan.

Say what?

Is the cost of my insurance about to increase by $4,300 a year because of the Affordable Care Act?

I encourage you to give this a try. Go to the working website, eHealthInsurance.com and get rate quotes for you for 2013 and 2014. You only need provide a zip code, ages of the plan participants and whether each has used tobacco. It takes about 30 seconds.

Solving the wrong problems

I work with two contractors who are evaluating health insurance options because of Obamacare. They have been happy with their high-deductible, low premium insurance.

They are now discovering that the deductibles on their plans are too high to qualify as Obamacare plans and their insurance companies will not continue to offer them. They figure that changing to a lower-deductible, Obamacare-approved plan will increase their monthly insurance costs by $600 – $800 per month.

It seems I remember someone saying something like, if you’re happy with your insurance plan you can keep it (though, I guess not literally).

Two good ones from Greg Mankiw

I like it when well-respected Harvard economist, Greg Mankiw, gets snippy. In this post on his blog, he snips at Kathleen Sebelius’ lack of understanding of the the term insurance.

Also, I recommend reading Mankiw’s Sunday NY Times opinion column about what fiscal sustainability means.