Friday, October 11, 2019

Today’s Things Which Make Me Wonder



        Not much to smile about today, so let’s start with the old reliable- "Florida oddities." It seems two young stalwarts in South Florida illegally captured a small alligator. As an aside, I remember when the ‘gator was threatened as a species. Now they may show up (literally, it happened recently two doors down) on your doorstep. Anyway, after videoing it biting one of them on the arm (small gator, remember) they also videoed themselves forcing it to drink beer.
        Based on documented fan behavior at University of Florida football home games, this might qualify for the Guinness Book of World Records as the only time a ‘Gator has ever had to be forced to drink beer.

        An article in the local section featured locals bitching about the measly “1.6 % Cost of Living Allowance” increase for Social Security this year. The complaint was some variation of the “prices are goin’ up faster” than Social Security. Obviously, at first glance, these rustics are computer illiterate or economically challenged, which is a more realistic option, since a quick Google search shows the CPI (Consumer Price Index) for 2019 to be 1.7%, while the COLA was “only” 2% in 2018 and will be 2.8% in 2019. (Spoiler Alert: “but wait, There’s more!”)

       So, what is this CPI, of which you speak Obi Wan?  The Consumer Price Index is a measure that examines the weighted average of prices of a basket of consumer goods and services, such as transportation, food, and medical care. It is calculated by taking price changes for each item in the predetermined basket of goods and averaging them. Overall it is the generally accepted metric (statistic) used to define “annual inflation” also. The problem, which may be driving the complaints of those who do, is that “weighted average” part.

       What that means to the average consumer is that there are several components sampled (price wise) which are not equal in impact to the CPI. There are 8 major groups of commodities/services sampled. These are Housing (42.02%), Food and beverages (14.31%), Transportation (16.35%), Education and Communication (6.6%), Recreation (5.69%), Apparel (clothing) (2.6%), Other Goods and Services (3.2%), and Medical Care (8.68%). This “market basket” of expenditures and their increase or decrease in price has been unchanged for some time. The percentages above are the weighted average cost share which makes up the CPI.  

       What anyone acquainted with statistics will note is that the effect of an increase or decrease in Housing of 1% is equivalent (because of the 42% weighting of that sector) to an increase of almost five times that much in medical/health care costs. However, Housing costs, tend to be more or less stable in many regions and tend lower in Baby Boomers. So, what is affecting these people who claim that their SS doesn’t go as far as it should? Considering the age of SS recipients, it should come as no surprise that, as a percentage of income, spending on seven of the eight categories that are sampled to calculate the CPI for seniors (over 65 and on Social security /Medicare) goes down, while one escalates markedly. That one, of course is Health Care/Medical expenditures, which average 30% higher than the national average for all age groups.

        What this means is that, while indexing COLAs is an apolitical method of determining them, which removes Congress from the process  (contrary to the blatant lies of some Republicans who claim that “Democrats didn’t give them enough raise” or some other totally bullshit fallacy) the CPI as currently calculated, while valid for the “average” (whatever that is) household is not truly representative of the challenges faced by seniors, since for them, while seven of the component sectors of the CPI actually decrease when over 65, health care is a much larger portion of household expense. This comes at a time when, again for (many) retirees over 70, household income is about 25% lower, drug and other medical expenses are about 30% higher.  Meanwhile, per the bureau of labor statistics, average per person health care expenditures even for those continues to increase faster than the CPI.

       OK, enough stats, what a you trying to tell us? Simply that the components which are factored into the CPI were defined before the Robber Barons of the Healthcare and specifically Big Pharma, skewed the playing field, as they continue to do. Congress is taking the heat for the wrong thing, which is the reality that weighted health care components of the CPI are no longer proportional to their actual share of expenditures by Boomers and newly Social Security eligible households, and it isn’t even close! What Americans should be angry about is the gutless Congressional refusal to tell Pharma to keep their lobbying bucks ($27.5 million - that we know about this year) and enact meaningful legislation either 1) shortening patent periods or 2) Even better, pass legislation requiring Pharma to prove their development costs to the FDA, to obtain permission for initial pricing (you know – “regulation in the public interest?” ), with any increases over patent life indexed to the CPI.  And, 3) Replace the Medicare Part D prohibition allowing Medicare to negotiate drug prices like every single civilian insurer already does.

       Another nice touch would be to ban DTC (direct to consumer) media advertising of drugs ($5.1 billion in 2018), like every other civilized nation of the world, except New Zealand, does.  Of the nearly $30 billion total that health companies now spend on medical marketing each year, around 68 percent (or about $20 billion) goes to persuading doctors and other medical professionals—not consumers—of the benefits of prescription drugs. And that's according to an in-depth analysis published in January of this year in the Journal of the American Medical Association!  

       Okay, I quit, that’s all I got on this slow news day, other than a deep sense of sorrow for those innocents caught in the Turkish-Kurdish conflict which our illustrious President facilitated. When Pat Robertson criticizes you (he said Trump may have lost the “mandate of heaven” [gag me with a chainsaw]) you are well and truly fucked. This is the one and only time I have ever hoped that Evangelicals will listen to this Blood Diamond facilitating, Misogynistic, bag of offal.


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