Author: SustainMe

  • How much should a hip replacement cost? CBS News

    How much should a hip replacement cost? Study raises more questions than answers – CBS News:

    Paying cash for a procedure can get wild in terms of the prices. (They did this for a similar ailment and got similar results.)

    Offering to pay cash, and pay up front will result in serious discounts, say 70%.

    But this is still a Mad, Mad, Mad, Mad world of medicine.

    What’s missing is transparency. If you can’t figure out how much something is going to cost, how can you plan for it.

    Oh, and here is a case in point on the Hip-to-be-squared problem. If hip is a pre-exiting condition, then you have to pay out-of-pocket. But, if you let your insurance laps, then you can not be denied… BUT in next year, 2014, more of Obamacare will kick in and then it’s no worries (maybe?).

    This whole area of healthcare is fuzzy and morphing, so it really is not sane to try to make rational decisions.

    Maybe the best idea is to go an medical tourism vacation. Trip it up to Canada, down to Costa Rica or drink it up in Spain. It seems that the pain before and after surgery, just might, kinda put a damper on the whole vacation thing though. But the $50-100,000 would be a nice incentive to enjoy the trip.

    It’s going to be hard to bring healthcare costs under control when the mess in pricing and the lack of transparency is out of control.

    It’s a Mad, Mad, Mad, Mad World of medicine.

    ‘via Blog this’

  • Pres Obama steps out to wave down the run-a-way climate train!

    It was a little bit of a surprise that Obama stepped up as forcefully about taking on climate change as he did.

    Check out this post by Peterman at Huffington:
    http://www.huffingtonpost.com/keith-peterman/state-of-the-union_b_2674448.html

    Many environmentalists are going to complain that this is not enough, but it really is better to start late than even much much later.

    As Peterman shows, it looks like we are aiming for 6+ degrees C, not the 2+C that many people were hoping to achieve. At that rate, sea-level rise would be measured in yards, not feet.

    Not much on details. Federal government can take some action for government buildings and transportation,

    Reduce energy consumption by 50% in 20 years should be, surprisingly, far easier than most people think. 25-30% could be achieved in buildings within a couple years, with a payback of months… And a gigantic Return on investment.

    Easier said then done, though.

    But to continue doing “business as usual” would be, well, irresponsible.

  • Clean Coal Might Really Be a Possibility!!! WOW!

    Energy | Homeland Security News Wire:

    Clean Coal Might Really Be a Possibility!!! WOW!

    It may take me years to take back all the trash talk I have had about Coal.

    Dirty, Dirtier, Dirtiest Coal… But no such think as Clean.

    Dr. Fan at Ohio State has pioneered the technology called Coal-Direct Chemical Looping (CDCL). This lab project has contained 99% of the carbon dioxide from coal. 

    Well maybe. This will bear some watching as it moves forward out of the labs and into the power plant.

    Coal, of course, is still not a renewable resource (unless you count charcoal — good for my Kamado grill, but not so much so for mainstream energy production!-)

    Wow, if we could find a cure for coal, that would put us 30-40 years ahead. Of course, it would have to be cheap, or we (China, US and India) wouldn’t use it. And then we’d be back in the same dirty boat, right up to our coal ash.:-(

    ‘via Blog this’

  • Electric Fiat 500 rated at 116 mpg

    Electric Fiat 500 rated at 116 mpg

    This is a pretty cool achievement. 87 mile range. More than 100 MPGe, but other cars do that as well.

    Marketed as “environmentally sexy”… !:)

    An issue, of course is how does the electricity get generated?

    Pretty cool though…

  • Taxes, This is No Laffing Matter.

    Taxes, This
    is No Laffing Matter…


    A general Republican philosophy is that cutting taxes will
    lead to increased investment, increased economic growth AND ultimately to
    increased tax revenue to the government. Empirical evidence, including the
    article(s) discussed here bear only part of that out. True, true and not
    necessarily true. Reducing taxes does increase the private sector investment
    and it does increase economic growth. The end result of this does not
    necessarily result in more money for the federal government. It depends.
    In the midst of this debate is the Laffer curve. It is a
    visual approach to killing the golden goose. As the government taxes more and
    more, the people/companies start working less and less. If the government taxes
    at 100% it is very reasonable to expect zero output and zero tax revenues. At
    what point, then do you raise taxes so high that you kill off the productive
    and entrepreneurial spirit. At what point does the increase in taxes cause the
    government revenues to actually go down because people actually produce less,
    take more vacations (move to another country or lie/cheat about their taxes).
    Here’s a great video about the famous Laffer Curve. But the
    source within it is what got me and a lot of other people thinking.
    Video on Laffer Curve: 
    http://www.youtube.com/watch?v=ayad5mbSSrU
    (5:52 min, Dr. Groseclose)
    This video has the following description:
    Published on Sep
    9, 2012.
    If you raise taxes does it automatically follow that you’ll
    raise more revenue? Is there a point at which tax rates become
    counterproductive? UCLA Economics professor, Tim Groseclose, answers these
    questions and poses some fascinating new ones.
    And it references an article/research by Romer & Romer
    (2007, 2010) to establish the “hump” of the Laffer curve at 33%. Unfortunately,
    that’s not what the article by Romer & Romer say.  Here’s the actual article (draft) and a great
    discussion about the video & the article by EconoCat (Penny Wise & Euro
    Foolish).
    ·        
    Romer & Romer article: http://elsa.berkeley.edu/~cromer/RomerDraft307.pdf
    ·        
    EconoCat Discussion of the Groseclose video on
    Laffer Curve: http://econocat.wordpress.com/2012/11/04/not-the-laffer-curve-again/
    Note that Romer and Romer’s 
    research does not include the Great Recession since it was written in
    2007 based on statistics from prior years.
    First, there is no evidence, certainly not in this article
    to suggest that 33% is the hump in the Laffer Curve. But Groseclose is right in
    that we, and our friends from other countries, seem to be discovering the hump.
    He says that his text book from (early) college thought the hump might be at
    70%. I’ve always seen it drawn very symmetrically at 50%. Intuitively, 50%
    certainly works as a cutoff point; once the government wants to take half of
    whatever I make (in profits), I really become less motivated to make more.  Plus, at that level, the disruptions to the
    economy (and the deadweight costs) become huge and disruptive… France, trying
    to institute a 75% top-end tax bracket (personal) has obviously failed, in more
    ways than constitutionally; actors, for example, simply move to another country
    (in Europe, where the tax rates are a paltry 50% or less). See Fouquet and Katz
    (2012).
    At low rates of tax, say 5% to 15% there is typically very
    little disruption to the market (or economy). It doesn’t typically change
    investments to make otherwise good projects unprofitable, or significantly
    disrupt “normal” behavior. Probably 20% to 25% is more disruptive to a market
    (or the economy).
    The findings of Romer & Romer (2007) do strongly suggest
    that tax increases do reduce economic output (and vice versa).  There doesn’t really seem to be a direct tie
    of this output to the government revenues. The evidence strongly suggests that
    increasing taxes with the explicit purpose of long-term debt reduction works
    pretty well. Short-term change in the tax levels  (to help through recessions and such) appear
    to be far less effective.
    Ahah. The 2010 article that is the final version published
    by Romer & Romer (2010) looks much more readable with the graphs in place
    within the article. It seems a little stronger on the impact on output (GDP)
    from tax cuts. But it still does not take any steps to directly address the
    Laffer curve concepts of government revenue. As well, there is no indication,
    if each of the tax change occurs before the hump, or after it.
    More on Taxes
    One of the issues that I have with the whole Laffer curve
    thing, is effective rates, marginal rates and tax-code rates. The very high
    earners pay less than 30% income tax rates. It’s the middle and upper-middle
    class that get wacked with the highest tax rates.
    We could easily have the tax code simpler, straight forward
    and at lower rates and still generate more income/revenue to the government.  Laffer curve or no laffer curve. Also, not all
    taxes are created equal; and a big influence of the full impact of taxes is
    what’s done with the money raised.
    It should not take the average person 20 hours to a week or
    more to do taxes. The costs associated with incomprehensible tax codes are
    huge.
    No matter what you think is the “hump” in the Laffer curve,
    everyone everywhere has to appreciate that there is no tax rate that will solve
    our federal deficit. It the optimum (short-term or longer-term) is a little
    low, or a little higher, that still doesn’t make much difference in the federal
    deficit. At some point the out-of-control spending has to be addressed. At some
    point, the federal deficit has to be meaningfully reduced.
    The Elephant in the
    Room, is NOT Tax Revenues…
    One way to reduce the deficit is through growth. One is
    through increased tax revenues (this debate). One is through spending cuts and
    controlled fiscal discipline. The first two are closely tied obviously; and it
    depends somewhat how effective the government spending is as to how impactful
    that increased tax revenues are to the overall economy.
    There’s no solution ever, however, without controlling
    spending. The out of control healthcare costs will (Medicare, Medicate and
    private) will bankrupt the nation within a decade or two. Check out the Debt
    Clock to get an idea of what our really deficit is; when you consider the
    unfunded mandates the US owes. The unfunded mandates of Social Security,
    Federal Drug program and Medicare are about $122T, fully 7 times our current
    GDP. The deficit we are always talking about ($16.4T) is only 1 times our GDP
    ($16.3T).
    ·        
    US Debt Clock: http://www.usdebtclock.org/
    The problem is that the unfunded mandates are growing at a
    very fast rate, and they will continue to do so until/unless we address them.
    This is so non-sustainable that you don’t know whether to laugh or to cry. And,
    at this time, we have a lot of elected leaders fiddling in Rome – I mean D.C.
    Check out the article by Hall & Knab (2012) entitled Social irresponsibility provides opportunity
    for the win-win-win of Sustainable Leadership
    .
    It’s too bad we didn’t get a good, clear indicator of the
    hump in Laffer’s Curve. It would help settle the tax levels for countries, a
    point that only the foolish and the French would attempt to exceed. Then
    government could focus attention on the really important issues at hand and
    start to aim for sustainable practices.
    Anything else would be, well, irresponsible.
    References
    Hall, E., & Knab, E.F. (2012, July). Social irresponsibility
    provides opportunity for the win-win-win of Sustainable Leadership. In C. A.
    Lentz (Ed.), The Refractive Thinker: Vol. 7. Social responsibility (pp.
    197-220). Las Vegas, NV: The Lentz Leadership Institute.
    (Available from www.RefractiveThinker.com,
    ISBN: 978-0-9840054-2-0)
    Fouquet, H., & Katz, A. (2012, December 29). French
    court says 75% tax rate is unconstitutional. Bloomberg. Retrieved from http://www.bloomberg.com/news/2012-12-29/french-court-says-75-tax-rate-on-wealthy-is-unconstitutional.html
    Romer, C. D., and Romer, D. H. (2007, March). The
    macroeconomic effects of tax changes: Estimates based on a new measure of
    fiscal shocks. University of California, Berkeley. Retrieved from:  http://elsa.berkeley.edu/~cromer/RomerDraft307.pdf
    Romer, C. D., & Romer, D. H. (2010). The macroeconomic
    effects of tax changes: Estimates based on a new measure of fiscal shocks.  American
    Economic Review
    , 100(3), 763-801.
    doi:http://dx.doi.org.ezproxy.apollolibrary.com/10.1257/aer.100.3.763