Paul Krugman, an Eighth-Grader at Princeton

Evidently Princeton University thinks enough of the economist Paul Krugman to employ him to teach in their hallowed halls. Evidently the New York Times thinks enough of him to have him write a regular op-ed piece for them. It was with no small amount of amazement, therefore, that I read his recent NYT screed linked above entitled Universal Health Care Opponents Have no Case.

Back in eighth grade I learned from a very wonderful English teacher and debate coach what an ad hominem attack was and that not only was I never to use this gutter tactic when engaged in argument, that I was, in fact, to allow any opponent who used it to speak freely and at length as they would kill their own side. As briefly explained by wikipedia an ad hominem attack... "is most commonly used to refer specifically to the ad hominem abusive, or argumentum ad personam, which consists of criticizing or personally attacking an argument's proponent in an attempt to discredit that argument."

For instance, if I were to begin the rest of this post as follows, you, my friend, would do best to quit reading... "Paul Krugman, "professor" of economics at Princeton, besides looking like a cheap version of Wolfman Jack, is also well known for spitting on babies and stealing pension checks from the elderly while pushing them down flights of stairs. He secretly hates women, puppies, and eskimos and for all the above reasons can not be trusted when he speaks about economics."

Imagine my surprise when this Princeton professor and New York Times columnist began a recent piece on "Universal Health Care" (again, linked above) with the following quote: "OK, it's not news that (President) Bush has no empathy for people less fortunate than himself. But his willful ignorance here is part of a larger picture: by and large, opponents of universal health care paint a glowing portrait of the American system that bears as little resemblance to reality as the scare stories they tell about health care in France, Britain, and Canada."

This guy is a famous economist? A Princeton professor? What follows in his article is a confusing mish-mash of pseudo statistics and anecdotal evidence (he cites a "recent Business Week article based on statistics and anecdotes") that our health care system is terrible because sometimes both the insured and the uninsured have to wait a long time for short term care. This is the best I can do at untangling this guy's logic. It seems he's comparing apples to oranges and complaining that the safety net which IS the Emergency Department is overcrowded and sometimes overcrowded to the point that that uninsured and insured alike must wait for a while to be seen. That's right, it's called triage, and thanks for the news flash professor.

To the extent that I can understand the rest of his piece it's no more than a pitiful attempt to gin-up an issue for the upcoming election cycle and confuse the public into believing that "universal health care" will solve all our ills. As has been detailed extremely well on Panda Bear, MD's site there's about a million reasons that this is a terrible idea. Having worked as an active duty military physician, a physician in the Veteran's Administration system, and in the private sector I can not imagine a worse idea than growing a government bureaucracy to administer a single-payer system. Do you enjoy going to the DMV? Are you a vet now? Do you get your care through the VA? Ever read about Walter Reed Army Hospital?

Krugman and his ilk, and pretty much anyone who comments on the current health care crisis neglect to mention what I believe to be the key factor to solving the majority of our problems. Patients, all patients, need to be made to be responsible for their health care. It is not a RIGHT it is a RESPONSIBILITY. Now there is ABSOLUTELY NO MONETARY INCENTIVE for patients to make healthy choices in their lives, to actually get a primary physician, to take their medicines as prescribed, or to get that operation they were told to get three years ago because THEY CAN, in fact, go to the Emergency Department 24/7/365 and have someone like me arrange it all for them.

The economics is simple. People have chosen to drop their health insurance OR have chosen not to purchase it because it is expensive (for me and my family of five we pay $460 a month) OR simply can't be bothered to open a phone book and call a doctor. Under EMTALA it doesn't matter, Emergency Physicians, Surgeons, and other specialists must see these patients in the Emergency Department regardless of their ability to pay, regardless of whether they are wanted by the police, regardless of whether they are in the country illegally, and regardless of the fact that many of them were seen just the day before for the exact same problem. And, as you know by now, the government that brought us EMTALA does not pay us anything for these donated services nor does it allow us protection from malpractice suits related to cases we treat under EMTALA.

When we make Emergency Department visits more expensive than a visit to the local pediatrician, internist, of family practitioner (and I mean collecting a small co-pay with EVERY VISIT) then the Emergency Medicine crisis will vanish. And no, what I'm proposing is not heartless, I'm not asking to bankrupt our underprivileged, I'm merely asking that they forego something, make some contribution towards their care, give up their 1800 minutes/month cell phone plan and settle on the 1400 minutes/month plan, give up their visit to the movie theater this week, don't get their nails done... you know, pony up $50 or so. It's amazing how behaviour changes when money is involved. I would think a brilliant economist like Professor Krugman would understand this, but then again he's just an ivy-league douche bag.

I have to 'Laff'

The New York Times is a generally well-written newspaper. They have a (self-admitted) liberal bias, but if you read the reporting with this in mind, it is an excellent and readable news source. Unfortunately, the quality plummets when you turn to the editorial pages (the health reporting is also horrific, but that is a subject for another day).

Paul Krugman is a regular editorial columnist: a Princeton professor of economics with a Yale undergraduate degree and a PhD from M.I.T. He often comments on health care issues, so I read his column. Then I take the paper and wipe my ass with it.

I certainly don’t make any claims to have an answer to grand health care policy problems, but I did take one course in economics in college and got a B-, so I figure Prof. Krugman should be able to teach me something. Wrong again.

Here is a gem from a recent article of his called “Voodoo Health Economics” (if you don’t get the political reference, watch “Ferris Bueller’s Day Off” again):

“It’s about time someone … made the case that Mr. McCain’s approach to health care is based on voodoo economics — not the supply-side voodoo that claims that cutting taxes increases revenues (though Mr. McCain says that, too), but the equally foolish claim, refuted by all available evidence, that the magic of the marketplace can produce cheap health care for everyone.”

Um … OK genius. I think it was page 54 of my “Macro-economics for Dummies” text that introduced the Laffer Curve. For you econo-morons, look at the above picture: now think … hmmm, if I tax everyone at 100%, my tax revenues will be … ZERO! Yeah, because no one will work for free, idiot! Not only that, but statisticians have shown definitively that higher taxes DO NOT increase tax revenues (see http://politicalcalculations.blogspot.com/).

One idiotic statement I can take, but when he scornfully dismisses the “magic of the marketplace”, I start pulling out my hair. Adam Smith is going to haunt your tweed- wearing, arrogant, bearded, ivory-tower, smug, pseudo-intellectual ass after he reads your retarded article. (begin sarcasm) I can’t imagine how a capitalist model could produce an efficient economic system! The US has flailed in ignorance for these past two hundred and thirty two years! Thank you for your insight Professor! (end sarcasm)

I’m glad I went to East Tumecula Community College and not Princeton so I didn’t have to listen to this type of bozo for 6 years. Prof. Krugman should stop patting himself on the back for being so fucking clever and go re-take Econ 101. Maybe the “Bloom Picayune” would hire him.

Scooping the New York Times

It used to be that scooping the New York Times by a few hours would make your career. Now scooping them by years means Jack-squat. It used to be that promising what you knew you couldn't deliver was political suicide. Let's hope it still is.

Who knew it took ten years to train a doctor? Who knew becoming a doctor was a daunting, expensive, and often thankless task? Who knew EMTALA and Obamacare would wreck our system? Hint!!! Not the New York Times. 

And Paul Krugman is still a pantywaist shill.