An Impact of Artificially Low Interest Rates?

Recall that, since shortly before the Panic of 2008, the Fed has been suppressing interest rates to artificial, and very low, rates.  I’ve written about other impacts of these government-manipulated rates.  The table below could well be an illustration of an unrolling of the failure in the insurance industry first mentioned in the linked-to article.

It seems that two of the smaller insurers in the long-term care sector of the health insurance industry are about to be liquidated, proximately because they badly miscalculated the costs involved in paying out on long-term care policies.  Gary Hughes, American Council of Life Insurers General Counsel, had this on the reasons for the failures:

Penn Treaty [owner of the two failing insurers] is the poster child for what happens if everything goes wrong—when key assumptions on…claims, morbidity and interest rates go wrong—and then companies are unable to get justified rate increases[.]

This is true as far as it goes: actuaries need to be accurate in assessing future costs and the drivers of them, and State insurance commissions are reluctant to grant premium increases needed to cover rising costs.

However, premiums are not the only income source for insurers.  Far from it.  A significant income source comes from investments of those premiums, so they’re not just sitting around waiting to be paid out on a claim: they’re earning additional funds for the insurer, and those additional funds are critical bolsterers of the company’s ability to make its payout commitments.

To be safe, though, those premium investment vehicles focus on safety and liquidity.  That drives those investments to favor safe debt instruments: Federal instruments and commercial instruments that are highly rated by Moody’s, Fitch, and/or Standard & Poor’s.  That means that a significant fraction of the insurer’s additional income comes from interest payments on those debt instruments.

And that brings me to the table, with particular attention to its middle row.interestratetable

Hmm….

Republic of China and President-Elect Donald Trump

It’s time to start correcting some errors of long standing, and it may be (it is too soon to be confident of this) that President-Elect Donald Trump is beginning to do that with his telecon with the President of the RoC.

“The one-China policy is the cornerstone of the healthy development of China-US relations and we hope this political foundation will not be interfered with or damaged,” [Chinese Foreign Minister Yi] Wang was quoted as saying.

This illustrates one of those errors.  The Republic of China is separate from the People’s Republic of China—that’s why Chiang Kai-shek and his Kuomintang followers and lots of others left the mainland for the island of Taiwan.  They wanted no part of Mao Tse-tung’s butcherous communist state, including declining to be a part of that.

[RoC President Ing-wen] Tsai also told Trump that she hoped the US would support Taiwan in its participation in international affairs, the office said, in an apparent reference to China’s efforts to isolate Taiwan from global institutions such as the United Nations.

It said the two also discussed “promoting domestic economic development and strengthening national defense[.]”

Indeed.  We need to be plusing up the RoC’s ability to defend itself and loudly repeating our commitment to the nation’s defense, especially against the backdrop of the PRC’s naked aggression in the East and South China Seas and its occupation of the latter.

Of course, the Obama administration objects to this apparent show of non-timidity.  A carefully anonymous “senior Obama administration official,” who’s not supposed to be talking at all “because of the sensitive diplomatic relations involved” complained

The White House learned of the conversation after it had taken place

No hypocrisy here at all.  Its not at all like Congress learning of the White House’s immigration moves with “refugees” that Australia had rejected only after the fact.  Nossir.  Never mind that the President-Elect, nor does any American, have any obligation to seek the President’s permission to make or take a telephone call.

The administration isn’t the only gang with trouble with this call, though.  The whole of the Left is up in arms; their dismay is exemplified by this from Bonnie Glaser of the Center for Strategic and International Studies:

I think privately, they [the PRC] will definitely seek to educate this incoming president and ensure that he understands the sensitivity of Taiwan[.]

Because an American President should be taking guidance—education, even—from America’s enemies.  Glaser (and the PRC) are right, though, that matters relating to the RoC are sensitive–just not for her reasons.  The island nation’s freedom is hanging on a thread.

Along these same lines, I look forward to the new President Trump hosting the Dalai Lama at a State Dinner sometime this winter.

A couple of small nits from the article at the link, too: it’s the Republic of China; the island on which the nation sits is Taiwan.  Also, the citizens of the RoC have been increasing their push for independence from the People’s Republic of China over the last several years; Tsai Ing-wen was just elected President of the RoC in no small part because of her and her party’s long-standing push for independence.

In sum, we absolutely need to tighten and strengthen our relationship with the RoC, and that includes working closely with them politically, economically, and militarily.

Some Context For The Latest Headline Unemployment Rate

Here are some graphs, via The Wall Street Journal, that show why that headline rate of 4.6% isn’t all it’s cracked up to be.outdidelaborforce

The WSJ emphasized two points here, aside from the fact that this age group being outside the labor force has nothing to do with retirement or being in school:

First, a small but ever growing minority of 25-54-year-old men are no longer in the labor force. In the 1960s, just 2.7% of men that age were outside the labor force. As of November, it’s 11.5%.

Second, from the 1960s to late 1990s, 25-54-year-old women became less and less likely to be outside the labor force (this is primarily driven by a decline of stay-at-home mothers, as more women took jobs). But in the last 15 years, the share of women outside the labor force has been growing too. It’s now up to 25.3% from 23.2% in November of 2000 just before George W. Bush took office.

Which might contribute to and why, perhaps, there’s so little wage growth, as shown in this graph:wagegrowth

There’s just too much slack in the population’s ability to work.

Four Pillars of a Health Care System?

The Wall Street Journal posited this in a Wednesday op-ed.

1. Provide a path to catastrophic health insurance for all Americans.

The WSJ then supports this with old saws: being covered generally leads to better medical results, health insurance is good for the wallet, and so on.  Then they want a government solution—while they carefully avoid saying how they would pay for it:

The ObamaCare replacement should make it possible for all people to get health insurance that provides coverage for basic prevention, like vaccines, and expensive medical care that exceeds, perhaps, $5,000 for individuals.

Those Americans who don’t get health insurance through employers, or Medicare and Medicaid, should be eligible for a refundable tax credit….

They don’t even say why catastrophic health insurance should be particularly targeted by Government.  They ignore an actual market solution for this: free market competition, accompanied with lower tax rates (which leave more money in people’s pockets), and no annual or income caps or requirements for high deductible insurance plans (and no requirement for any insurance plan at all) on Health Savings Accounts.  Folks are fully capable of making their own decisions about the structure of their health insurance plans without the Know Betters of Government holding them by the hand.  And insurance companies, in a fully competitive environment, are fully capable of developing and delivering the products actual customers want without Government mandates.  If that includes catastrophic insurance plans, those will appear.

2. Accommodate people with pre-existing health conditions.

See above regarding free markets.  Of course such coverage would come at a higher cost than other sorts of health coverages; the risk being transferred to the insurer is higher.  But even this risk is not certain.  Folks who’ve had a heart attack (or more than one), for instance, have a preexisting condition (unless a single heart attack has occurred sufficiently far in the past that a medical doctor (the patient’s, not the insurer’s or a Government hireling) says it’s a one-off and not preexisting), but not everyone who’s had heart attacks will have their next one simultaneously.  Even a preexisting condition can be amortized across time given a free market that allows pooling of [those who’ve had heart attacks] so that premiums can be adjusted to match the actual payout requirements, the actual risk—just like “ordinary” insurance plans.

So as long as someone remains insured, he should be allowed to move from employer coverage to the individual market without facing exclusions or higher premiums based on his health status.

This conflates two separate questions.  The preexisting question is addressed just above.  The mobility of an insuree (or someone who’d like to buy a health insurance plan) is separate: and yes, in a free market environment, an insuree would be able to take the plan he’s purchased, whether originally obtained through his employer (unless it was the employer who actually did the purchase and the premium payments) or bought on the individual market, with him wherever he went or to whatever job he moved.  The latter case, too, would reduce or eliminate the need for the new employer to offer health insurance coverage through his benefits program.

3. Allow broad access to health-savings accounts.

There should be a one-time federal tax credit to encourage all Americans to open an HSA and begin using it to pay for routine medical bills. And HSAs combined with high-deductible insurance should be incorporated directly into the Medicare and Medicaid programs.

Another Government solution—again carefully unpaid for—and it’s much too timid.  I addressed HSAs and their market availability above.

4. Deregulate the market for medical services.

This is the only move necessary.  It’s the move to enable the free market solution.

Full stop.

Obstruction

With full control of Congress and the White House, Republicans have anticipated being able to repeal the law using a special budget maneuver that would allow them to get around a filibuster by Democrats in the Senate.

Yes and no.  The budget maneuver is reconciliation, and it’s usable only on budget matters.  That means that Obamacare will be defunded pretty straightforwardly, but the law itself still will be on the books—for a future Progressive-Democratic Party-controlled Congress to re-fund using the same budget reconciliation maneuver.  The law itself needs to be fully repealed, too; defunding it can only be a stop-gap measure.

Eight honest Progressive-Democrats are going to have to find the moral courage to step up and support actual repeal.

And there’s this.

[T]o replace it, they likely would need the support from eight Democrats and all 52 Republicans in the Senate (if Republican John Kennedy wins a December 10 runoff in Louisiana) to reach the 60 votes needed to clear the chamber’s procedural hurdles.

That procedural hurdle is the filibuster.  For this, too, eight honest Progressive-Democrats are going to have to find the moral courage to step up and support replacement with legitimate health insurance market paradigms.

Fat chance, but the fight needs to be carried out loudly, with no room for Senate Progressive-Democrats to hide behind their excuses and their crocodile tears over Americans being too stupid to take care of themselves and so need these Know Betters to do for them.

Senate Minority Whip Richard Durbin, a Democrat from Illinois, predicts Republicans will have difficulty passing a replacement health law.

Yup.  Look for continuation of Progressive-Democrats’ past six years of obstructionism into the next two or more years.