Tuesday, August 14, 2007

Stosh Finds Common Ground with Bush

George Bush says people should shop for medical care as they do for deodorant or kosher pickles. One more bad idea from his feeble mind.

But under our present system, maybe he has half a point: the prices are hidden from the consumer. Remind me, why is that?

I thought about this yesterday, two months after my one-day trip to the hospital. In two months I had received only one bill; it was from the hospital, which seemed to assigned a portion of the bill to me in the most arbitrary way. And not a word from Blue Cross. This surprised this healthcare virgin; I thought my mail box would runneth over with paper.

So I called Blue Cross. The person on the line was not Nice. Maybe Nice was on vacation, and Crisp was filling in. Ms. Crisp seemed shocked that I would seek such private information as how BC determined my share of the cost. She actually stated "it's up to you" to figure that out. When I asked for help, Crisp admitted she could not figure it out either, and indeed it looked wrong to her. Incredibly, she managed to stay Crisp during this brief Admission Phase of our chat.

So she said she would ask a higher power to write to me "within 30-60 days" (The hospital is gonna be in a bad mood by then...up to 4 months from service, no payment from me. I kinda like that part.)

I'm wandering. Here's the point, if there is one...

I pressed on. "Where is the bill from the surgeon?" Crispy moved closer to Grouchy now. It was as if I had asked "What's your cup size?" How inappropriate. Finally, under gentle pressure, she rattled off some numbers. She ran through four names who got respectively $1900, $2800, and two got exactly $5000. (This was on top of the hospital's $21,000 and who knows what else.) Whoa there, Crispy. That last guy is the surgeon but the other three... just who are they? She then morphed directly to Ms.Snotty and s-l-o-w-l-y explained that in a hospital there are behind-the-scenes folks looking out for me, and I could never understand just what they might actually do.

I suggested it might be in BC's interest for customers to actually know who gets paid for what, and perhaps even question it, since BC is paying the majority of the money to these cats. She snapped back into Crisp persona and our time together came to an abrupt close.

Which left me wondering... maybe Bush has a point. As a NY Times piece cogently argued a week ago, a big factor in the medical cost difference between the USA and Europe is what the doctors rake in here. Post the chart. Let the sun shine in.

Ps. I investigated a little and found that the other $5000 went to the surgeon's partner. $5000 for each of them, for four hours. I think Gershwin said it: Nice work if you can get it.

Monday, July 30, 2007

Stosh Battles Media Bias

The Detroit Free Press Sunday front page screams the news that Michigan has a higher percentage of millionaires than America. Woo-hoo, we are in the pink after all.

I snatch the paper from Maggie. I gotta see this. Surely there will be charts and graphs that I crave with my coffee.

Nope. No charts, no graphs, not even a fun-fact except that 3% of USA households have assets over $1 million but 4% of Michigan households do. Much ink over nuthin.'

But I read on. And on. Through the huge inside continued. It turns out, the article is actually about Anyone Can be a Millionaire, Through Hard Work. This is not on Border's out-sized Self Help Shelf, but the front page lead of Michigan's big paper. One guy in Bloomfield Hills made it by the time he was 26, working "90 hours a week." The careful reader notes that his name sounds familiar; turns out that his pop owns a huge car dealership out in the burbs somewhere.

Hmm. A millionaire begets a millionaire. Maybe that could be news. So I move my coffee to the computer and pen a helpful suggestion.

Sent: Sunday, July 29, 2007 10:13 AMTo: Tompor, SusanSubject: Millionaires

Ms. Tompor,

I read your millionaire piece with interest. Interesting that 3% of USA households have $1 mil or better in assets, but 4% in Michigan.

I have a critique to offer, which leads to a suggestion for another piece.

In a long article, you have only one clause with a clue on the #1 reason for the growth in the number of millionaires ("wealthy families passing along their money to children and grandchildren...")

I would suggest that most of those millionaires got there by that method, and fewer by the means you indicate in the article: hard work.

They inherit money from parents and grandparents; working folks often instead financially take care of parents or grandparents. Big difference.

Long before inheritance time, they also have trusts and gifts to put their kids thru college; free down payments on a house as a nice wedding gift to avoid any debt; same for cars, private schools for the kids, smooth sailing thru college and law school, money passed along if they get into some difficultly or have an illness, you name it. Working folks dont often have those benefits.

And this doesnt even get to the connections that wealth brings, connections that bring more wealth.

As you indicate, 500 GM management people have $1 mil or better in just their 401(k), while 5 hourly workers do. Interesting ratio. How many of those management folks got up that high simply by "hard work" and how many came from well-to-do families?

Punchline: I think it would be interesting to do a piece on this factor of wealth-thru-inheritance. With stats on what percentage of millionaires got the bulk of their wealth by such transfers. Interesting, and informative, on such issues as the inheritance tax debate. If most rich people worked hard 90 hrs a week collecting pop bottles to get there, then the inheritance tax may seem unfair. If most are just lucky-by-birth, even if wonderful folks -- though there are plenty like Paris Hilton -- then the inheritance tax looks a lot different.

I hope this is of interest.

Stosh Pulaski
Detroit

And I got this response:

Thanks for your note. I appreciate your comments.
Susan

Thursday, July 5, 2007

My Very Own Sicko

If I made a movie about American healthcare, I would not make France the positive example. Too alienating to the American mainstream. Not only did they go to France, but then the director squished his fat self into a teeny-weeny frogmobile to head out on a "house call" (Americans do not want doctors coming to their house; they barely let their neighbors come there.)

And I would think twice before having one of my stars mention that some American doctors want five fancy cars. Too alienating to the middle class left; that's my core audience.

Speaking of stars, would I make the film's political guru a Labor Party has-been, who speaks in that stiff British accent we love to mock? Don't think so.

And for chrissake the last frigging thing I would ever do is put Cuba in the damn thing. What was he thinking?!

That's what I would do. A clean case, straightforward, on the mark. No distractions.

No one would come to see it. Weekend gross would be exactly zero. My friends would glumly accept a free DVD and tell me it was good, the way you tell your mom her meatloaf is good.

This is why I do leaflets and Mike Moore does films. They are tightly scripted for sure, but they veer off course. I suspect that the mass demo scenes in France (no way would those get in my movie) were actually conceived by the unscripted remarks of one of the interviewees.

I think the Canada-England-France-Cuba odyssey made the film. The first half of personal stories of American medical evils, that part was good. But some seemed over the top. Like a woman's policy was cancelled after the fact, sticking her with five-figure bills, because she previously failed to disclose she had a yeast infection. (I have a five-figure medical bill lying around here somewhere, and I am not fearing that Blue Cross will say I failed to disclose my childhood measles. Then again, perhaps I should be.) The personal stuff was good, but the case for every-other-country-does-it-better, in its Moore-ish trek and screwball manner, made the movie. Yes, including the wacky, inappropriate Cuba ending.

It made the case for socialized medicine in a real way, without charts and graphs.

So the Nation review (interesting, and positive to be sure) says the Cuba part spoiled the movie, by turning off all the anti-commies. I'm giving that a thumbs down. It makes me realize that the only thing more boring than my movie would be one made by the editorial board of the Nation. Even the foundation that gave them the grant wouldn't watch that puppy.

$4.6 million the first weekend. I dont know if that is on track with Fahrenheit or not. Hope so. It's his most important film yet.

Thursday, May 31, 2007

Drink Coke in Vegas

Everyone in the whole world knows about Coca Cola. Hunter gathers in the Amazon basin have fridge-packs. They might even know the Secret Formula.
Here in America, half the people know about the theory of evolution, the other half thinks Iraq caused the 9/11 attacks, but 100% know the fabulosity of Coke.
Why would this corporation pay good money to advertise?
Because everyone wants to be with the crowd. If it’s approved by Tiger Woods or Tom Cruise, we gotta drink it.
Everyone but me. When a product is advertised, my supermarket buggy won’t make that stop.
I don’t have to work at this, like I do if I go on the exercise machine. It just feels good to hop off the American Crowdmobile as often as possible. That’s my happy place.
So I see in the paper everyone is leaving Michigan. This makes it seem swell to me.
This came to mind the other night in the sports bar, as I’m watching the Pistons with Maggie (they don’t put NBA playoffs on network TV anymore, so we can’t see the games at home). The guy next to us is cellphone-loud, yelling to his buddy, the TV, the world. I avoid eye contact.
He announces that he wants to move to Vegas. He says everyone’s movin’ there. He’s right about that: it’s America’s fastest growing city.
Las Vegas means "the meadows"… musta been named by the same comedian who named "Greenland."
I’m thinking, as the Pistons are busy losing to the Cavs, that Michigan is looking good. Loud morons who crave outsized casinos in the desert are leaving. Are we thinning the herd of the droopy IQ’s?
But I keep hearing that all the educated young people are leaving. That’s bad. Maybe the bar dope won’t make it to Vegas. He’ll get stuck in Lincoln Park, left eating the dust of the brainiacs busting out of the big mitten.
But is it really true? Where are all those Michigan-bred literati headed? Vegas? I think not. LA? Same desert, with longer commutes. It can’t be Buffalo, that’s a downsized Detroit with extra snow. Could it be Florida, with all that plastic? How smart are people that elect that other Bush? They build mansions on barrier islands then act surprised when hurricanes knock em down. The Big Apple would appeal to me. But it’s already overcrowded, and if the rust-belters are heading there, bumping into all those Caribbean islanders coming on board, it’s gonna be sardine-land. Besides, it has a whiny quality that can drive one to hard drink. I love the Northwest, maybe the smarties are Portland-bound. I do know some geniuses there who seem happy. If I go there, maybe I can pass for one.
Then again, Michigan may be just the ticket. In a world headed for ruination of every square meter, less population pressure doesn’t sound too bad. No to Coke. Yes to Faygo.

Wednesday, March 21, 2007

Blowing off Gas

Today’s front page headline blares "What’s Fueling Gas Prices?" in 3" type. I didn’t read it, as I’m confident I know the answer better than the Detroit News reporter assigned to crank this crap out. But I’m all over the chart. In truth, the charts are my favorite part of any news article. I love ‘em. Including the bad ones.

After careful study of this humongous full-color graph, I have learned that I can, on average, save 1.3c per gallon if I skip buying on Saturday and head for the local Caldeans on Wednesday. My new motto: "hump day is pump day." I can save 13c on a 10 gallon trip.

Americans are dumb – that’s the premise here, you knew that in advance. But the fetish with gas prices provides fresh proof, in case your faith in American dumbassity has weakened.

Dumb? Dear one, this is beyond that, it’s dumbest. Americans love to buy a new car for $20,000, drive it 135,000 miles and sell it for essentially nothing. Do that math, that’s 15c a mile. They buy car insurance, a scam that makes a Nigerian spammer blush, for up to $3000 a year. At 20,000 miles, that’s another 15c a mile. Many people finance those chubbies, to the tune of another 10c a mile.

Hmm. We’re up to 40c a mile to roll their butts down Michigan Avenue. Don’t let me start on the electronic gadgets they pay extra for, which break more often than Bush lies. If you aren’t strong enough to crank open a window, please stay on the porch.

Then they whine that gas went up 50c a gallon. At 20 mpg, which is being generous for a typical chubby, that’s a 2.5c per mile hike. 2.5c? Didn’t you notice you paid that for the fucking cup warmer? Or the refrigerated glove box? Hell, look what you paid for insurance, which has a street value hovering 2 millimeters above zero. Gasoline at least gets you to the mall, where there are more gadgets to get.

In Europe gas costs $6 per gallon. Man, if they were gringos we could hear the whine all the way across the Atlantic. In California, maybe even the long way, over the Pacific.

The difference is all tax. The price of crude oil is global, the price of refining is global, and the corporations and their profits sure as hell are global. The price of crude oil constitutes the bulk of gasoline price in the good ol’ USA. Refining and transport do add in, but are quite efficient. Refineries are down to like four workers, and one of them is gonna take a buy-out.

Gas is taxed 50c in the USA and $4 in Europe. Could this be a clue to why all the attention is focused on gas prices, in the country with the cheapest gas in the whole world? (Ok, there are a couple political oddball lands that subsidize it, but they don’t count, do they?).

In fairness – and we must above all be fair here -- American economists have long noted this nuttiness. That people will waste enormous sums buying new cars laden with gadgets, finance them, insure them from corporate grifters, even own multiples, and then whine about the smallest cost -- the part that actually makes the thing go. But their reasoning is shallow. It often goes like this: the price is advertised on big signs on every block, so people tend to dwell on it way too much.

I warned you that it would be shallow. Here, we go deep.

All that whining serves a purpose. It has a populist gloss "Sunoco’s loco! Hex on Exxon!" but the content is all-corporate. We want gas, lots of it, and we don’t want no stinkin’ taxes. We will conquer any people, bomb any homeland, and rape any wilderness for our joy juice. Tax it? No way.

If big oil isn’t paying off the Detroit News and the rest of the media, it just goes to show that American capitalism is working beautifully, without resorting to blatant corruption. Keep ‘em whining, keep it flowing.

Let’s meet next Wednesday down by the pump, we can whine together.

Thursday, March 8, 2007

Doing My Taxes

You hate doing your taxes, right? I do too, but I also like it. I find myself playing with various tax tables. I prefer the paper ones that smell of newsprint. But I settle for the on-line ones and print the ones that I really want to get close to.

Today’s output from this time-waster: America has achieved a flat, totally regressive income tax. I knew it, but now I know it for real. It took some effort, because there is no table for the capital gains tax, the one rich people pay. You have to find the right form to figure out the rates and brackets.

Wealthy people, most of whom get the bulk of their income from dividends and appreciation of stocks, bonds and other investments, (rather than salary) pay only 15% income tax. This "capital gains" tax rate was first slashed to 20%, then more recently down to 15%. (It’s even lower – 5% -- at modest income levels.)

So the wealthy pay the exact same 15% tax rate that I pay. Along with other modest-income folks. We have a flat tax, except for the poor. And consider this: The right wants to lower the capital gains down to zero; I haven’t heard the Democrats counter by proposing to raise it. Could I soon be in a higher tax bracket than the Fords and DuPonts?

I don’t know whether to laugh or cry. So I move on to my State Forms.

I find a cool chart with all 50 states compared.

Michigan is one of six states which has a flat income tax (3.9% flat rate). Four of these Worst Six are so-called blue states: Massachusetts, Pennsylvania, and Illinois, along with Michigan. Blue means what now, exactly? We have to register our guns? Could we trade that gun thing for a progressive tax?

Nearby Ohio has a steep progression, from .7% to 7% (the latter starts at $200K adjusted gross income). California has brackets from 1% up to 9%. Do ya think all the movie stars will re-locate to Livonia? Some states (including Tennessee) tax only dividends and capital gains, not wages. The most conservative state in the USA, Utah (70% for Bush), has tax brackets from 2.3% to 7%. We need more Mormons around here. Maybe not, I don’t want to have to go to Toledo for beer. And I need one right now.

I gotta get out of these damn tables.

Sunday, March 4, 2007

White Europeans: the Next Dodos

It’s in the New York Times, that makes it official: there are too few white people. This is leading to "dire predictions about a vanishing people." Wow, and I’m one the vanishers.
I wouldn’t make it up. Well, I might, but you can check it out for yourself at "The Motherhood Experiment" in today’s NYT Magazine.

In America there are two sides to every issue. Never three, or, heaven forbid, six, but we do get two. You know that because you’ve seen "Nightline." There’s that short guy who was Clinton’s PR man, and some right winger who says global warming is a hoax. Two sides.

But not on this one. "Scholars blame several phenomena" but apparently all these scholars agree on the gravity of the situation. "America has escaped such problem…staving off a crisis"…only due to immigration of breeding Mexicans.

Criminy, it’s beyond a problem, it’s a crisis.

It’s not just today’s article, I’ve read a dozen. They all assume, without so much as a qualifying footnote, that there is a crisis of low birthrate in Europe, and it will sweep through North America as soon as that wall is high enough or fortified with enough voltage.

No pundit ever seems to say "low birthrates are good." No one even says they are neutral, or not-so-bad. Low birth rates for white people are like Hugo Chavez: all bad, all the time.

No one in these articles says --

the population is projected to reach 10 billion at mid-century, way beyond sustainability, or…

in a few decades people are not likely to enjoy the wealth that white people do today, or…

fewer people means more sustainability, and fewer wars over scarce resources, or…

if there’s a crisis of extinction in North America or Europe, why not remove the walls and install freeways, or…

when you go to the concert or the ball game, don’t you love it when there are empty spots in the expensive seats, so you can sneak down, or…

it already takes 90 minutes to drive your SUV to work in California traffic, or…

… Ok enough already.

You’ve heard on talk radio (or more likely read about talk radio in Nation) that low-lifes say we need to breed more white people to counter the lower races. Responsible citizens repudiate those foul-mouthed, Fox-addicted racists. The NYT editors don’t even own AM radios.

Seems to me that the NYT writer has the same line, but in polite lingo. Oh, they do note that Singapore has gone too far as it "encourages its better-educated citizens to start families, while at the same time discouraging poor and less educated." Note how delicately that is worded: they’re just a tad overzealous.

The Times piece notes that Italy is especially un-prone to breeding. They remind us, in case we forgot, that it’s Catholic, a status sure to put you in deficit with the elite crowd.

The solution? The Northern Europeans are starting to offer cash incentives to breeders, to avoid becoming a "vanishing people." Turns out that social democrats know how to go forth and multiply. With cash in hand. I always knew they were super-smart, but it’s nice to be reminded.

Saturday, February 10, 2007

Warning: The Health Food Store is Dangerous...

Warning: The Health Food Store is Dangerous to More than Your Personal Health

Well, not if you just duck in for a shot of pricey soy juice. And, assuming you avoid all the offers of potions will cure everything from diabetes to lumbago.

It’s the new-age anti-science that is dangerous.

Everyone I know is reading Richard Dawkins’ new book. I bought it for Maggie. It came in a chrome wrapper, like a 1957 Buick. Those Buicks had power. I hope it’s good, but does he talk about the health food store? I doubt it.

The future of humankind is on the line in this century. The destruction of the planet is probably going to get up close and personal in this century, possibly even in my short remaining time. As this happens, I fear that we’ll see more wars, genocidal brutality and famines as resources deplete and unequal distribution means many will face hard times or worse.

Salvation, as best I can tell, lies in movements from below that mobilize and inform and empower those with a collective and broad-based interest in addressing not only inequality, but protection of the planet.

But it also depends on a scientific approach. The technology-gone-wild society cannot be tamed by movements or revolutions alone. We need a widely-held appreciation of the problems and the solutions.

In the USA 50% of the population rejects the theory of evolution. Global warming? Who says so, some guy with bad hair from Harvard, or maybe even one with from India.

Another dangerous trend exists, also uniquely American, and it is entering the mainstream. On the plane home recently, the woman next to me read a book called "Qi". I peeked (don’t I always?). It was scary stuff. It says we are permeated by an invisible life force which can guide our society. A full-course individualist political philosophy, served with a side order of green tea.

Want to cure malaria? Send dogwood leaves. Don’t send vaccines: this crowd is actually joining the far right in opting their kids out of vaccinations. Vaccines, social medicine’s greatest victory, are on the hit list. Just like the Birch Society’s 1950s anti-floridation campaign.

Presently it’s a small threat, but it’s growing, and it’s got more 21st century oomph than the old backwoods anti-science. The villain in the Scopes trial was William Jennings Bryan. Bryan is not all over the world wide web like Qi dust.

The new anti-science may blend with the old in a noxious suburban stew. The NY Times magazine recently had an article on this cross-over of new age with the right wing.

Fundamentalism with Evian water instead of holy water. San Francisco and Dallas can meet in Phoenix, which is precisely where the Times piece found the convergence.

It needs to be confronted, with or without a chrome jacket.

Monday, January 29, 2007

It's America -- I Need Another Credit Card

A while ago some company misplaced their financial records, so I got a notice offering a free sub to TrueCredit. This outfit monitors your accounts to check for identity theft, or, more likely, your college-age kid looting your mastercard to play on-line poker.

It did say free, so I signed up.

Today I got a monthly report and instead of deleting it as usual, I read it. I learned of a wonderful opportunity to find out my "credit score," and since it again said free, I snapped it up.

My score is "748," which is pretty decent for the Verbal SAT so I figured I could go back to college. Then I saw the scale and it turns out I am "good" but well shy of "very good." I am in precisely the 78th percentile, which probably gets me into the Wayne State of Credit. Or maybe just WCCC.

I wondered why I didn't ace this test. I thought of yesteryear's indiscretions, when I operated on a cash-only basis, used other names, and skipped out on many bills. But those good ol’ days were a "free period." No computer, no foul.

Wow, 748. Not 7 of 10, not even 74 of 100, but a really precise, highly scientific "score." So how can I become a better person?

The answer was just a scroll away. It was addressed "Dear Stosh" so I feel sure it was personally crafted for me.

TrueCredit had two important pieces of advice for me.

"Consider opening a new account to strengthen your credit report and improve your score." To get a good score, I need to get more credit cards! From looking at the wallets (yes, I peek) of fellow customers at the grocery store, they must ace this puppy.

"It is a good idea to use your credit cards regularly but remember to keep your balances at or below 35 percent of your available credit limits." OK. Not only do I need more cards, but also I must "use them regularly." Run them up to 35% of the limit ($15K on my present card, so that would be $5,250 debt to carry at 17% interest.) I need multiple cards used regularly to become a "very good" citizen, credit-wise.

So the banking industry gives you a high "score" if you open more credit cards at their banks and use them regularly to pay the banks enormous interest rates. And their "score" pretends to be science, and determines how much mortgage interest you pay.

After careful consideration, I decided to retain my relatively modest credit status, and just work on boosting my self-esteem in other ways. I'll bet someone sells scores for that, too.

Thursday, January 11, 2007

Passin' Thru the Back Door of the Medical Industry

Passin’ Thru the Medical Industry’s Back Door: How I Learned to Love Big (Nice) Brother

The excitement of visiting Dr. Bigpipe for my first-ever colonoscopy had time to build: 24 hours, more or less. That’s how long I couldn’t eat any solid food. So I went on a unique "7-Up Diet." Actually it was something called "Sierra Mist" that I found in the fridge at work. I first tried some leftover apple juice but that stuff is sweeter than pop, so I rejected it for the Mist. Along with water and coffee.

By the end of the work day I lusted after every nosh, mint or crumb that caught my eye. People were munching chips within my sight, which was just plain cruelty. So I went home and drank laxatives.

Whoa, that’s some potent stuff. Don’t plan a flight to Tokyo after a hit of that joy juice. It all came out fine, though.

Then the big morning came. My sweet Maggie drove me to the burbs, the seat of the American Medical Industry. Where everyone was Nice.

I mean really nice. It turns out that all of the medical personnel went to Nice School. The nurses, assistants, the nobodies and even The Man. In Nice School they apparently learn to answer questions politely while smiling. I asked lots of questions, testing the limits of this Nicetude. It almost crossed over to Too Nice, like when the sales guy wants to sell you the Extended Warranty. You know how Nice that can be.

All that Nicety was important, especially after they told me to show up at 8:00, then ignored me till 8:45 and then acted like I was nuts when I asked what was up with that.

Another thing I learned today – this was my first visit to a hospital since I was born -- is that the nerve center of the hospital is the Legal Department. I cannot tell you how many forms I signed, waiving my rights or acknowledging my lack thereof. A clipboarder would read me something as they signed that they were reading it to me, then another Nice One would come in and read the same thing again.

After the "procedure," they claimed I was too groggy to put on my clothes and skedaddle. But though allegedly too goofy to pull my shorts up, I was given yet another form to sign. My reading glasses were in the plastic bag with my clothes. But I gladly signed. It was just like the end of 1984: I loved Big Brother.

The third thing I learned – well, I surely knew it but now it was up close -- is that despite the Nice atmosphere, the old plantation scene is not completely dead. In the pre civil rights era south, a 60 year old man was a Boy, meant to address a young buck as Sir. Here, the 60-year old is "Stosh," the yet-more-senior nurse is "Sue," and the 30-something is "Doctor Goldsmith." Quick, name one other field where this is the case. Stumped? Me too.

Dr. Goldsmith seemed Nice. He even went to personally talk to Maggie, which surprised me. Because I saw the production line of butts waiting for him. I can hardly wait to see the fee and then multiply by the that butt count. My calculator may need more battery power for that day’s income.

One last thing about Goldie: I brought up the recent study which indicated that doctors who schedule too many colonoscopies go too fast and miss things, so people get cancer and needlessly die. He said "You’d be surprised. Six minutes is a long time." That was the very moment at which the anesthetic worked its magic.

The big poke itself? I slept through it.