Tag Archives: Income

Evaluating common criticisms of American health care

Here is a must-read article from my friend Matt Palumbo at the American Thinker. It’s extremely high quality. (I removed the links in my excerpt – but he linked all the sources in his post)

Excerpt:

The oft-cited “46 million uninsured” is breathtakingly easy to break down to size.  Keep in mind that there is overlap in the following statistics, as many people listed in them belong to multiple categories.  Around 10 million of the uninsured aren’t even citizens.  Another 8 million are aged 18-24, which is the group least prone to medical problems.  The average salary of a person in this age group is $31,790, so affording health care would not be a problem.  Seventeen million of the uninsured make over $50,000 a year, and within that group, 8 million make over $75,000.  These people are usually referred to as the “voluntarily uninsured.”  Another large group of these 46 million are uninsured in name only, as they are eligible for government programs that they haven’t signed up for.  Estimates on how large this group is vary, the range being from 5.4 million as estimated by the Kaiser Family Foundation to as large as one third of all the uninsured, as estimated by BlueCross BlueShield.  The number of people without care because they cannot afford it is around 6 million — still a large number, but a fraction of 46 million, and no reason to restructure the entire health care system.

Then comes the issue of lifespan.  Of all attempts to discredit the American system, lifespan has been the worst.  Although lifespan gives a good indicator of a nation’s health at a glance, it does have its problems under analysis.  We get a strange paradox when examining two statistics: life expectancy and cancer survival rates.  Estimates vary on how we rank exactly; the World Fact Book showing that we rank as poorly as 50th worldwide.  Even the best estimates in our favor place us far behind most developed nations.  Despite this, the United States excels at cancer survival.  Of the 16 most common cancers, the United States has the highest survival rate for 13 of them.  Overall, the five-year cancer survival rate for men in the States is 66.3%, and 47.3% in Europe.  Women have an advantage too, with a survival rate of 62.9% in the States, and 55.8% in Europe.  So that said, how is it that our system takes better care of us, and doesn’t grant added lifespan to boot?  Quite simply, the lifespan measurement commonly cited doesn’t factor in many variables which shorten lifespan, many of which medical care cannot prevent.  Among these factors are murders, suicides, obesity, and accidents.

He looks at the uninsured number, the infant mortality rate, and other interesting things in the article, showing how the statistics that impugn the US health care system have been misused. There are some good articles linked, like this post from Commentary magazine by Scott Atlas, entitled “The Worst Study Ever?”. Atlas is the same guy who listed out how the US health care system compares to others, which I blogged about before.

You can check out Matt’s blog “The Conscience of a Young Conservative“. Not sure how scalable that blog name is. Because of the “young” part, not because of the conscience or conservative part.

Law schools are not preparing law students to practice law

The New York Times explains why law school may not be worth the money.

Excerpt:

 The lesson today — the ins and outs of closing a deal — seems lifted from Corporate Lawyering 101.

“How do you get a merger done?” asks Scott B. Connolly, an attorney.

There is silence from three well-dressed people in their early 20s, sitting at a conference table in a downtown building here last month.

“What steps would you need to take to accomplish a merger?” Mr. Connolly prods.

After a pause, a participant gives it a shot: “You buy all the stock of one company. Is that what you need?”

“That’s a stock acquisition,” Mr. Connolly says. “The question is, when you close a merger, how does that deal get done?”

The answer — draft a certificate of merger and file it with the secretary of state — is part of a crash course in legal training. But the three people taking notes are not students. They are associates at a law firm called Drinker Biddle & Reath, hired to handle corporate transactions. And they have each spent three years and as much as $150,000 for a legal degree.

What they did not get, for all that time and money, was much practical training. Law schools have long emphasized the theoretical over the useful, with classes that are often overstuffed with antiquated distinctions, like the variety of property law in post-feudal England. Professors are rewarded for chin-stroking scholarship, like law review articles with titles like “A Future Foretold: Neo-Aristotelian Praise of Postmodern Legal Theory.”

So, for decades, clients have essentially underwritten the training of new lawyers, paying as much as $300 an hour for the time of associates learning on the job. But the downturn in the economy, and long-running efforts to rethink legal fees, have prompted more and more of those clients to send a simple message to law firms: Teach new hires on your own dime.

“The fundamental issue is that law schools are producing people who are not capable of being counselors,” says Jeffrey W. Carr, the general counsel of FMC Technologies, a Houston company that makes oil drilling equipment. “They are lawyers in the sense that they have law degrees, but they aren’t ready to be a provider of services.”

[…]Consider, for instance, Contracts, a first-year staple. It is one of many that originated in the Langdell era and endures today. In it, students will typically encounter such classics as Hadley v. Baxendale, an 1854 dispute about financial damages caused by the late delivery of a crankshaft to a British miller.

Here is what students will rarely encounter in Contracts: actual contracts, the sort that lawyers need to draft and file. Likewise, Criminal Procedure class is normally filled with case studies about common law crimes — like murder and theft — but hardly mentions plea bargaining, even though a vast majority of criminal cases are resolved by that method.

[…]“We should be teaching what is really going on in the legal system,” says Edward L. Rubin, a professor and former dean at the Vanderbilt Law School, “not what was going on in the 1870s, when much of the legal curriculum was put in place.”

This is one of the reasons why I give the advice I do about studying STEM (science, technology, engineering and math). Universities are politicized. They are run by people who want to push a secular leftist ideology. For such people, the more isolated you can be from feedback from the real world, the better. And that is why it is often (but not always) useless to study anything that isn’t STEM. If you’re going to the university at all, study STEM areas. That is, if your goal is to actually make money so you can support a family.

So you have two choices, in my view. Trade school/apprenticeship right out of high school. Or study STEM areas in university. That’s it.

A friend of mine who is a software engineer was thinking of doing an MBA a while back, and then decided on a Masters in securities and investing. I think that’s the right way to go. Stay as far away from anything that can be politicized as possible. Don’t give people who are embarked on perpetual adolescence any of your money (than they already get through taxpayer-funded research subsidies).

Bradford Wilcox: Is cohabitation a bigger problem for society than divorce?

Bradford Wilcox answers questions about cohabitation and divorce in the Washington Post.

The intro:

A new report says cohabitation has replaced divorce as the biggest source of instability for American families. Brad Wilcox, the report’s author, chatted about why this is.

Here are some of the questions:

Can you talk a little about the reasons behind the shift toward cohabitation, rather than marriage?

What is the definition of “cohabitation”? Is there a difference in the study between a child living with biological parents who are unmarried or when one adult in the house is a non-biological parent (boyfriend or girlfriend). I can see the disadvantage for kids living in a household where mom or dad is living with a girlfriend or boyfriend. From my personal experience the whole situation rests on the mother. I know women who have not made the best choices in life and invite boyfriends to live with them and this causes instability in home for the kids. I guess I’m wondering if it is really the type of cohabitation or the reasons behind the couple living together unmarried that causes bad outcomes for the children involved?

How does the problem of cohabitation and its detrimental effects on children correlate with social class? It is my impression that cohabitation is less common in middle-class households with college-educated parents. Isn’t there something of a vicious cycle with parents not marrying because of low incomes, so their children aren’t exposed to marriage and the resulting improved incomes and other benefits? It seems that this may be contributing to the income inequality that is widely reported in the US.

Were you able to sift families based on the length of cohabitation? It seems unlikely to me that a family with parents cohabiting for 10 years with children would be less stable than a family with parents married for 10 years. I would buy that a family with a serial monogamist parent who lives with each partner for a short amount of time (under 5 years) would be quite unstable.

Mr. Wilcox, what does your research (or what is your opinion) regarding those families in which the married couple functions day-to-day essentially as a divorced couple whilst living under one roof? Does research favor parents remaining married and physically under one roof with irreconcilable differences for the sake of children, or is it healthier for the parents to divorce and live physically separately?

Dr. Wilcox, I’m curious what your research indicates about the stability of children in families with two moms or two dads who are not able to get married in their state. Do you find that this type of co-habitation is any stronger/weaker than not? Do civil unions (where applicable) make an adequate substitute for marriage in this instance? Regards

Is “worse” meant to suggest that cohabitation is simply more prevalent than divorce, or does it really mean there is evidence that cohabitation leads to worse outcomes (of some kind) for children than divorce does?

And here’s a sample:

Correlation vs. causation on cohabitation

Q. It seems to me that those negative consequences of cohabitation are derived not from the cohabitation itself but from social trends in communities that tend to cohabit. Is encouraging people to marry really the answer, or does the answer lie in fighting drug abuse, child abuse, and neglect within the communities that most experience it?

A. Good question.

It certainly is the case that cohabiting couples who have children tend to be less educated, poorer, and less committed to their relationship than couples who have children in marriage.

So one reason that children are less likely to thrive in cohabiting families than in intact, married families is that their parents, or the adults in their lives, have fewer of the resources that they need to be good parents.

But the best research on cohabitation and child well-being controls for factors like income, education, and race/ethnicity. And even after you control for these factors, you still find that children in cohabiting families are significantly more likely to suffer from depression, delinquency, drug use, and the like.

For instance, one study from the University of Texas at Austin found that teens living in a cohabiting stepfamily were more than twice as likely to use drugs, compared to teens living in an intact married family–even after controlling for differences in income, education, race, and family instability.

In fact, children in cohabiting stepfamilies did worse on this outcome than children in stable single-parent families.

Research like this suggests to me that cohabitation has an independent negative impact on children, above and beyond the factors that make some Americans more likely to cohabit with children in the first place.

So the answer, I think, is for the nation to improve our children’s home environments in a variety of ways–from improving our nation’s educational system to improving job opportunities to discouraging parents from cohabiting.

Cohabitation vs. single mothers

Q. How does cohabitation compare with children brought up by single mothers?

A. The Why Marriage Matters report focused in its first two editions on divorce and single parenthood.

But as I was reviewing the literature on families for this third edition with my colleagues, I was struck by this fact:

On many outcomes, children in bio- and step-cohabiting families look a lot like children in single-parent families, even after controlling for socioeconomic differences.

So even though kids in cohabiting families have access to two adults they don’t generally do better than kids in single-parent families except on economic outcomes.

I think this is probably because cohabiting relationships tend to be characterized by less commitment, less sexual fidelity, more domestic violence, more instability, and more insecurity, compared to married relationships. Needless to say, these kinds of relationship factors don’t foster an ideal home environment for children.

And it’s also very clear from the research that kids living in a stable, single-parent home are less likely to be abused than kids living in a cohabiting household with an unrelated adult male.

I think this is a great area for Christians to be doing quality research in, because it helps us to be able to speak with authority on marriage and family issues when we have evidence. I think people take the decision to have sex, move in together, and marry lightly because they aren’t aware of the consequences of having things not work. If they knew the consequences up front, then they might put more effort into reading about how to do things right. A friend of mine on the East coast has been chatting with me about how little effort people there put into preparing themselves for marriage, selecting a mate and studying marriage and parenting. It’s scary. Even in my office a lot of people are doing this thinking there is nothing wrong with it… how did we get so far away from chastity and courting?