A Health Care Coverage Step

Alexander Acosta, Steven Mnuchin, and Alex Azar, respectively Secretaries of Labor, Treasury, and Health and Human Services, are in the process of offering one.  They’re putting together a rule that would expand HRAs, Health Reimbursement Arrangements.  These are plans that allow employers to reimburse employees for certain qualified health expenses.  Their expansion consists of two parts:

  • permit[ting] employers to offer HRAs to reimburse employees for health insurance purchased in the individual market—allowing employers to provide a contribution as significant as they would have made for the premiums of a traditional employer-sponsored plan.
  • allow[ing] employers that offer a traditional group plan to offer an HRA of up to $1,800 a year to reimburse an employee for certain qualified medical expenses such as stand-alone dental benefits.

Both of these parts would be done on an income tax-free basis for the employee.

Of course, this would compete against Obamacare, and that’s anathema for the Progressive-Democrats in the House and Senate.

Their ire notwithstanding, the rule would be that step toward competition, and competition is one of the ways of making health care and health care coverage less economically onerous to a family.

Building It

Chao Deng’s piece in Saturday’s Wall Street Journal chronicled the failure of People’s Republic of China rampant infrastructure spending to stimulate economic activity.

China bolstered economic growth for decades by pouring trillions of dollars into roads, factories, railroads and more, and doubled down to protect the economy from the global financial crisis of the last decade.

Deng went to lengths to point out that, for all those trillions, businesses did not appear, factories remain unused, roads and railroads are only lightly traveled, and even the high rise apartment buildings remain largely empty.

He—and the PRC government—missed the root cause of the fruitlessness of that spending.

Build it and they will come only works in a free market economy where no one needs government permission to engage in economic (or any other) activity.

Pharma and Drug Prices

The Trump administration has proposed a rule that would require companies advertising drugs to provide the list prices of those drugs in their advertising—including their television advertising.  Big Pharma is opposed, and wants instead to be left to voluntarily provide pricing information by having links in their advertising that would guide folks to a separate Web site.

I sympathize with Big Pharma on this. Government regulation already is out of hand; the Trump administration is reducing that, and this is an unnecessary addition.

There is an alternative.

The FDA could compile a list of drug list prices; region-by-region retail prices at places like Walgreens, CVS, Walmart, amazon (note that this is not an exhaustive list of retailers); and the tier within which each drug sits.  This list then could be made available on the FDA’s Web site home page above the fold.

This more central source, in addition to encouraging competition among drug companies, would encourage more competition among retailers.

Feinstein’s Weapons Distortion

Senator Dianne Feinstein (D, CA) isn’t only dissembling in the course of her Progressive-Democratic Party’s shambles-making of the Judge Kavanaugh Supreme Court Justice confirmation process.  She’s dissembling regarding our right to keep and bear Arms, also.  Using the hoo-raw the Party created during the Senate Judiciary Committee hearings (she’s the Ranking Democrat on that committee), she had this comment in the lead up to a question she had for Kavanaugh:

I’m talking about your statement on “common use.”  Assault weapons are not in common use.

There are two cynical distortions in that claim.  One is her “assault weapons” nonsense.  There are no assault weapons available to civilians in the United States.  Assault weapons are weapons capable of fully automatic fire (some of which can be possessed, but not borne, by collectors under very narrow circumstances) and heavy weapons—antitank weapons, crew-served fully automatic weapons, and the like.  Feinstein is carefully conflating the term “assault weapons” with semi-automatic rifles, which most assuredly are in common use in our nation, as she tries to emotionalize a completely rational matter with her scary term.

The other is her business about common use.  Here’s the 2nd Amendment in its entirety:

A well regulated Militia, being necessary to the security of a free State, the right of the people to keep and bear Arms, shall not be infringed.

There’s nothing in there about common use.  The Supreme Court has ruled on the need for common use, but this flies in the face of that Amendment on two grounds: one is the Court’s manufactured standard—it’s law-making from its bench—of commonness of use.  The other flies in the face of history and of the environment in which We the People ratified our Amendment: a significant fraction of the cannons used by our side during our Revolutionary War were privately owned.  Plainly, given their expense in obtaining, maintaining, and operating, they were possessed only by the wealthy—they were not in “common use.”  The Court’s ruling simply wants reversal so as to bring the matter back in line with our Constitution.

That second point might be a bit obscure, but the first is blindingly obvious.  Even to a Progressive-Democrat.

Promise

The People’s Republic of China has been rolling out its system for spying on surveilling its citizens for a while now.  This is the system that develops social scores for every PRC citizen, and the system has bennies for achieving high scores:

…waived deposits on hotels and rental cars, VIP treatment at airports, discounted loans, priority job applications, and fast-tracking to the most prestigious universities.

Things that can detract from those high scores include

[j]aywalking, late payments on bills or taxes, buying too much alcohol, or speaking out against the government….
Other mooted punishable offences include spending too long playing video games, wasting money on frivolous purchases, and posting on social media….

Get too low a score, and citizens will be punished:

…los[e] the right to travel by plane or train, social media account suspensions, and being barred from government jobs.

The system isn’t all bad, though, assuming private citizens can learn their scores.  Those with low scores are showing themselves to be trustworthy—at least by their fellow citizens—and high scorers expose themselves as puppets of the government.