Since It’s The Weekend. . .

And a long one at that, I’ve got a philosophical question to throw out there. I’ve been thinking about this, tangentially, as I’ve been working through my women’s health piece that I still intend to post, as well as other reading I’ve been doing lately.  To include Scott’s piece tonight on higher education costs.  So here’s the question:

At what age does one become an adult?

The context for my wondering about this is that I think that the most commonly legally accepted answer in the US–18–is an artifact of our educational system.  But is that really the age at which one becomes an adult?  Jewish tradition as I understand it says it’s 13 (Mormon tradition mimics that, at least for males).  Historically for girls it was the age of menarche.  Drivers’ licenses are issued at 16.  Drinking age (which also used to be the voting age, until the Vietnam war threw a monkey wrench into the thing) is 21.   What do you guys think (and why)?

OT even before I post:  talk about a war on women: the auto-correct dictionary doesn’t recognize the word “menarche”

Inflation for me, but not for thee

So the reason I have been largely absent from ATiM for the last week is because I started the ritual college visits with my oldest daughter, who will be graduating from high school next year.  It has been quite an eye opening experience.  

QB has frequently commented here about the left-wing academic atmosphere that is pervasive on most college campuses.  What struck me during my visits, however, was the degree to which left-wing ideology has taken over the financial aspect of college admissions.  College tuition inflation has been the topic of much discussion in recent years, but after this trip I have come to believe that the levels of inflation are hugely exaggerated, and largely a function of a marketing strategy which masks the socialist reality of college fees.

This is perfectly exemplified by the information I was given at the University of Richmond, in Virginia, although this was by no means atypical. For the current school year, tuition, room and board comes to just over $52,000.  That is quite a daunting number on it’s face.  However, as the university boasts in its info material, 47% of its students qualify for some kind of needs -based financial aid, and that aid (again, as the university itself brags) averages over $38,000 per recipient.  So that means that nearly 50% of students are actually paying on average a mere $14k for what is purported to be a $52k education.  

This, BTW, includes only needs based financial aid.  When students who receive sports or academic merit scholarships are included, a full 70% of students are receiving some form of tuition break, averaging $32,000 in aid per student.  So, to sum up, the average cost to the vast majority of students, 70%, is just $20k, while for a select 30%, the cost is over 150% higher at $52k.

How is the “needs based” aid doled out?  Here is where the leftist ideology gets quite explicit.  At most universities (certainly all of them I visited this past week) the admissions process is proudly proclaimed to be “needs blind”, meaning that ability to pay is not a consideration in the admissions process.  Once accepted, parents of the students are then required to submit tax returns, and, based on these returns, the university itself will decide how much the applicant can afford, and the tuition bill to the student will reflect this cost. So in fact the existence of a headline tuition price tag is a complete and utter fabrication, designed to mask the actual system that is in place. There is no actual tuition price tag.  Tuition is strictly a function of one’s perceived ability to pay it, or, more accurately, one’s parents perceived ability to pay.  It is a system designed so that a select few, in the case of UoR 30%, are used to subsidize/finance the vast majority.  It is a classically leftist utopian system. 

(One thing I will say in defense of Richmond is that at least it still does offer academic merit scholarships.  At Georgetown, I was explicitly told that no such merit scholarships are offered, and only “needs-based” tuition breaks were available.  Only my daughter’s stern look telling me to shut up prevented me from sarcastically inquiring whether their sports scholarships were also offered only on strictly a “need” basis.)

Of course, it is no surprise, then, that the headline price tag for tuition (which so few actually pay) continues to rise into the stratosphere.  Since ability to pay is no longer necessary to gain access to the product, demand naturally will rise and that demand will derive precisely from those least able to pay.  So those who actually are carrying the cost load will necessarily have to pay more and more in order to support this increasing population of non-paying/low-paying demand.  Tuition inflation, it seems, is largely a myth for most people, and exists primarily just for a small group of high income earners.

BTW, this whole model seems to be based on the premise that wealthy parents are ready and willing to pay almost any cost to send their kids to college.  But suppose a parent simply refuses to?  Does an 18 year old with a wealthy but stubborn father have less “right” to financial aid than someone from a low income household?  It’s hard to imagine why that would be the case.  A father can’t force his 18 year old to vote Republican. He can’t prevent his 18 yr old from getting an abortion.  In fact, I am reliably informed that a father cannot even call and get information about his 18 year old from the very university to which he is paying tens of thousands of dollars a year in tuition without his 18 yr old’s consent.  In other words, an 18 year old is, in virtually all relevant ways, considered to be an independent adult capable of making and responsible for his own decisions.  So on what warped reasoning ought an 18 yr old’s cost for a given product be dependent upon his parents’ ability to pay for it?  

The whole system seems ripe for an Atlas Shrugged II, in which high income people begin to refuse to pay for their children’s tuition, thus forcing them to apply based on their own income.  Since that income will be zero, they certainly ought to qualify for even more aid than anyone else.  And the whole despicable system will collapse of it’s own weight.

Bits & Pieces (Friday Night Open Mic)

DNA Nanorobots can deliver a cancer-destroying payload to take the fight to leukemia. Yay, technology!

How was it that bad ass bounty hunter Boba Fett could be killed accidentally by a blind Han Solo? Finally, the truth can be told.

 

 

You can’t make this shit up: $6 Trillion in Fake U.S. Bonds Seized in Mafia Probe Were Part of a Plan to Buy Plutonium.

Oh, Obama. I want to keep liking you, but you make it so hard. Among the many campaign promises President Obama has largely broken, his promise to leave medical marijuana legalization to the states (where it ought to be, IMHO) has come to naught.

I may have mentioned, I am an on and off writer of various fictions (mainly off), but here’s one I wrote that I like: “Rain on Mars“. How can it rain on Mars? Read it and see!

I’m in the process of sporadically writing a fantasy novel that apparently engages in every fantasy cliche every committed by aspiring unpublished writers of fantasy novels. “Black Apple” is a short story I wrote in 1990 set in the same fantasy world, and featuring one of the characters. Not that you care, but I’m short on other stuff right now. As regards to writing a fantasy novel, that is nothing but tired fantasy cliches and a collection of the common pitfalls of such writing (too slow to start, too many locations, heavy on explanatory dialog, etc) . . . well, it’s mostly for my own edification, anyway. So there.

That’s it for me. See you next week! — KW

What You Don’t Know About Marriage

No, I’m pretty sure I do. Nevertheless, as a long-married feller myself, this was a fun watch.

Jenna McCarthy is not the same person as Jenny McCarthy. I misread the name when I first went to watch it. Lesson for you women wanting to hold on to your man? Don’t win the Best Actress Oscar.

Morning Report

Vital Statistics:

Last Change Percent
S&P Futures 1356.5 1.7 0.13%
Eurostoxx Index 2522.1 32.8 1.32%
Oil (WTI) 102.95 0.6 0.63%
LIBOR 0.4931 0.000 0.00%
US Dollar Index (DXY) 79.214 -0.165 -0.21%
10 Year Govt Bond Yield 2.02% 0.04%

World stock markets are rising this morning on optimism of a Greek deal and tame inflation numbers.  The Consumer Price Index showed a 2.9% rise year on year, indicating inflation (at least as measured by the CPI) remains in check. Leading Economic Indicators comes out at 10:00 this morning.  The Street is looking for a .5% increase. Bonds and mortgage backed securities are lower.

For those who follow technicals, the S&P 500 is right at resistance.  Expect large intraday volatility as stops get triggered.

The CFPB wants to regulate debt collectors and credit reporting agencies. This would extend from payday lenders to the large credit reporting agencies like Fair Issac, home of the FICO score.

Slow news day ahead of a 3 day weekend.

 

Health Care Report

Here is the first of what I hope to be a weekly post on Health Care.  This will be largely oriented towards the legal side of the health care world because that is the information I get on a daily basis.  But if anyone, especially, NoVa, wants to add links, please do so.

This is sort of not news because everyone knew it was going to to happen, but the scheduled 27% cut in Medicare fees for doctors is not going to happen. The “Doc Fix”, as it’s commonly known, is going to be part of the payroll tax deal. Maybe NoVa has heard differently, but I think hosptials and physicians know this dance can’t go on forever and that eventually reimbursement rates will be cut.

The administration was bragging about its success in fighting fraud. The DOJ attributes the success to city specific anti-fraud teams. As I’ve said before, a lot of the success is due to the spread of electronic health records.

This is a bit “inside baseball”, but CMS just issued a proposed rule regarding a provision in the ACA that requires providers to report overpayments within 60 days of “identifying” those overpayments. I don’t recommend reading the actual propose rule (unless you have trouble sleeping), but I mention this for several reason. First, it is a big deal for providers. Second, it’s an example of the (slow) legislative process. The ACA was passed 2 years ago and we are just now getting regulations on this aspect of the law. This is just the proposed rule after which people submit comments. After reviewing the comments, a final rule will be published. Lastly, it is an example of something posters have talked about here, where an unelected body (CMS) is, to a large extent, legislating. I don’t necessarily agree with some of the viewpoints expressed on that topic, but I think it can lead to an interesting discussion.  [Also of note is the look-back period.  CMS wants it to be 10 years, which is unheard of.  Currently, CMS can reopen a claim within 1 year of payment for for any reason and within 4 years is “good cause” is shown – NoVA]

According to CMS and HHS 86 million Americans took advantage of the “free” preventative services required by the ACA. The quotes around free are mine since I’m pretty sure we’re paying for these one way or another. As NoVa has pointed out several times, there is also a question as to the efficacy of these preventative treatments.

Speaking of preventative care, at least one insurer is increasing reimbursement for primary care doctors. According to the article, the plan is supposed to pay for itself through decreased ER visits and hospital admissions.

This focus on preventative care is part of a broader trend towards ephasizing wellness. In addition to cheaper and more efficient treatment of chronic and acute conditions, hospitals and doctors are going to try and keep people healthy. Why? Because under payment models like Accountable Care Organizations, hospitals well earn money if they get you out of the hospital faster or prevent complications from arising once you are in the hospital. But they will earn even more money if you never come to the hospital or doctor. While it’s nice to see the current incentives (more care = more money) turned on their head, there still seems to be incentives (other than good health) for health care consumers to buy into this. As things stand, providers will laregely be held responsible for patient non-compliance. Needless to say, that is a concern for hospitals and doctors.

A couple more random links: The Washington Times demagogues the daylights out of ACOs. I could spend a long time pointing out the errors in that article. Meanwhile, Forbes talks about how private insurers are adopting some of the payment models in the ACA.
____________________________

An article from the New England Journal of Medicine about the new American College of Physicians ethics manual guidelines of “parsimonious care” and how that relates to health care costs.
Mike
________________________________________

Here’s a link to the WSJ editorial QB referenced in his comment. I am familiar with the Center for Medicare and Medicaid Innovation, but not at all familiar with this task force. While I’m unlikely to see it as the menace QB does, I do appreciate being made aware of it.

Fox News Questions Media Matters Tax-Exempt Status

Like the poor, put-upon Pastor Manning (follow link at your own risk, dude is one Obama-hating trip; he’s like the Rev. Wright’s Evil Twin), Fox News thinks Media Matters should be investigated regarding their tax-exempt status.

[redaction–couldn’t embed Mediaite player, go watch it over there, I guess]

And . . . Media Matters tax-exempt status may face new scrutiny from Congress.

According to Rush Limbaugh, Tucker Carlson is actually Chatsworth T.Osborne, Jr.

And is Fox News working with Tucker Carlson on this vicious smear campaign?

If Tucker Carlson is pulling this all out of his ass and their t’ain’t nuthin’ to it, why hasn’t Media Matters corrected the story?

In the meantime, The Daily Caller has launched an all out assault on MM, with such pieces as these Interesting Nuggets from Media Matters 2010 Tax Records and this bit about Media Matters taking a donation to expand monitoring and fact checking (shouldn’t that be faith checking?) of religious broadcasts.

Happy Thursday, all!

Medic 206 is Out of Service

 

 

Morning Report

Vital Statistics:

Last Change Percent
S&P Futures 1341.4 -0.8 -0.06%
Eurostoxx Index 2471.7 -22.2 -0.89%
Oil (WTI) 101.61 -0.2 -0.19%
LIBOR 0.4931 -0.002 -0.40%
US Dollar Index (DXY) 79.952 0.225 0.28%
10 Year Govt Bond Yield 1.96% 0.03%

Global equity markets are weaker this morning as European leaders delay a vote on the Greek bailout until 2/20.  The finance leaders were able to squeeze some more concessions from political leaders, but there are still differences over surveillance and control. Separately, Moody’s threatened a downgrade of the global banking sector. Bonds and mortgage backed securities are slightly lower as well.

GM posted a record profit! I am sure tomorrow’s editorial pages will be filled with columns praising the auto bailout and using this earnings announcement as justification. Well, if you repudiate your debt and get rid of all that pesky interest, you had better post record earnings.  GM’s numbers were still below estimates and the stock is down a couple of percent pre-open. As an aside, Chrysler has to issue senior secured debt at 8%.  That is a usurious rate for senior secured debt. See, that is what happens when you re-order the priority of creditors. Investors remember.

Economic data this morning:  Producer Price Index more or less in line with expectations, running at 4.1% annually.  Initial Jobless Claims continue to fall, coming in at 348k vs 365k expected. We are more or less back in the historical “normal” range. Housing starts came in at 699k, above expectations, but still very low. In prior recessions, housing starts bottomed at 750k – 850k.  The last time we were above 1 million units was June of 2008.  1.5 million is normal. The lack of residential construction has been the achilles heel of the recovery so far.

Chart:  Housing Starts:

The minutes of the FOMC meeting were released yesterday. They really don’t add anything to what was said in the press conference after the rate decision.  The minutes don’t really address the question most had regarding the recent good economic data. “Many participants noted some indicators bearing on the economy’s recent performance had shown greater-than-expected improvement, but a number noted less favorable data…” The tone of the minutes was that the economy was improving, albeit slowly, and there is no reason to take our foot off the gas for the moment.  Maybe the Fed believes the Greek negotiations are simply a big kabuki dance and that a default is unavoidable.

RealtyTrac has released its U.S. Foreclosure Market Report for January 2012. Key Quote: “Although overall foreclosure activity was down from a year ago for the 16th straight month in January, we continue to see signs on a local and regional level that the frozen-up foreclosure process is beginning to thaw.” They predict increasing foreclosures in the coming months especially given the settlements in early Feb between the nation’s largest lenders and 49 state attorney generals. Clearing out the shadow inventory of foreclosed homes is a necessary but not sufficient condition for a recovery in house prices.

Bits & Pieces (Wednesday Night Open Mic)

The Rev. Manning advised Ron Paul to whip Obama’s behind with the Constitution. Or did, can’t link to it now because his YouTube account has been suspended and he’s under a federal investigation for being a birther. How come this happens to him, but not Donald Trump, eh? Well, here’s a clip from one of Rev. Manning’s interesting rants now set to music. Jammin’!

Also from World Net Daily, John Stossel explains that when politicians talk about “cutting” spending, that word does not mean what they think it means.

Bruce Carlson of My History Can Beat Up Your Politics tackles the long history of negative campaigning. I cannot recommend his podcast enough. He asserts that early newspapers were essentially the blogs of the day, and also tackles the economics of the emancipation of the slaves.

4 Things Star Wars Fans Need to Accept About George Lucas.

Whose a scruffy lookin' Nerf Herder now, your highness?

Media Matters wanted to hire gumshoes to dig up dirt on the employees of Fox News in order to “discredit” them. That such a strategy might backfire, and make their side look like the bad guys while not impacting Fox’s viewership a jot or a tittle apparently never occurred to them.

That’s it for me! — KW