Monday, July 27, 2009

Health Costs, Leaders and the CBO

Here is a copy of the graph of cost from the health care program projected out over time as presented by the CBO. It is not pretty. http://cboblog.cbo.gov/wp-content/uploads/2009/07/slide10.jpg The solutions are fewer old people and/or less care for them. There is an overall point here. These politicians are not doers. They just say things but do not manage them. If there was a plan to fix a problem, there would be a big separation between recognizing the problem, offering a solution and managing the plan that would solve the problem. Forget how distorted the first two parts are; recognizing the problem and offering a solution are twisted, bribe and lobbying influenced processes that rarely create anything of value. But the big problem here is that the legislature-executive divide, so reasonably created by the framers who did not envision great government expenditures and projects, breaks down when distorted ideas and projects are created by the legislature and then administered by the executive. These people simply are not any good at it. In business when you have a vision and fail at it you go out of business and work for your brother-in-law. In government, when you develop a failed project you you stay a legislator or become an ambassador or a lobbyist but the rest of us are stuck with the stupid idea and implementation until the next inept go-round.

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