Procedural Difference

Ezra Klein toots:

There’s a difference between “we have the best health-care system in the world” and “I can buy the best health care in the world.”

Absolutely goddamned right there is. The sentence that usually comes out of the mouth of someone positing the “best healthcare” trope is one about some Sultan or Prime Minister coming here for a procedure. Nobody says that our capability to perform procedures isn’t among the best or the very best in the world. What we don’t do well, if at all, is fix somebody’s high blood pressure. Or monitor their diabetes. Or screen them for colon cancer while it’s fixable. You simply cannot do those things through the Emergency Room (where the “best healthcare” folks always point out you can receive free care).

It’s precisely these little things that markedly reduce life expectancy in this country, and concomitantly increase cost as the folks who haven’t been dealt with turn up and need incredibly costly end-of-life care. This is why we pay at least twice as much as the next nearest “Western” nation while getting remarkably worse outcomes across the board.

Bake and destroy

The dirty little secret behind Grape Nuts? Not grapes, not nuts:

Mixed with yeast (one cup per 2,000 pounds) and water, the flour turns to dough, gets chopped into 10-pound loaves and sent into a huge oven – 1,610 loaves at a time. “Now it gets interesting,” Mr. Vargas said at his workstation, watching the loaves emerge from the oven and catapult into the darkness. An instant later, they hit the fan – a whirling high-speed shredder that rips them to smithereens.

Did you say knives? Rotating knives, yes.

I think up until now I had inadequately divined Grape Nuts’ attitude towards its loaves.

Equivalency of Everything

Ashlee Vance is mystified by HP’s poor performance in the mobile phone market:

Hewlett-Packard is one of the world’s most successful makers of desktop computers, laptops, servers and printers. It owns a powerful consumer brand, and it is a growing provider of services for businesses. In the first quarter, the company’s sales rose 8 percent.

But in smartphones, H.P. has been on a steady slide into irrelevance.

[…]

Sales of HP’s hand-held products, including its iPaq smartphone, dropped to $25 million in the quarter, down from $57 million in the same period last year. Apple, by contrast, had sales of $5.6 billion for iPhones and related products during its most recent quarter.

HP’s anemic performance in the smartphone market has left analysts perplexed.

Indeed, most analysts tend to use this construction:

  1. Apple is a large computer company
  2. HP is a very large computer company
  3. Apple is making billions selling a mobile phone that doesn’t even have FM radio built in
  4. Q.E.D.: HP should be making even-more-billions selling a mobile phone with FM radio built right in; any other outcome is either an aberration or a mirage, but is clearly not the result of consumer opinion re: HP’s product offerings

The experience of the phones in question just doesn’t enter into it. Ever. That no customer has yet successfully activated that all-important FM radio without being directed step-by-step just isn’t even worth considering. Those are just user errors. Customers want a robust feature check-list at the expense of all other considerations, don’t they? Overall customer satisfaction isn’t something worth wondering after.
HP sells a bunch of commodity hardware running Windows, so they automatically should sell a bunch of commodity hardware running Windows Mobile. That that OS is a well documented train wreck of an operating system, again, just isn’t worth wondering after. It’s got “Windows” in the name, thus people will buy it just as they do the various desktop OSes with “Windows” in the name. Any other outcome is attributed to Apple’s marketing expertise. What else could be responsible? It must be those damned catchy ads. How else do you explain the largest purveyor of Windows Mobile phones, HTC, seeing that segment collapse as Android phone sales on their platforms grow? Again, just Apple and their catchy ads misleading the consumer. After all, it’s called Windows,

Remember, these are professional analysts we’re talking about here.

The article closes with this priceless quote from Phil McKinney, the chief technology officer in H.P.’s personal systems group:

“There is clearly a gap that has opened up for a device that has north of a 3.5-inch screen and less than a 9-inch screen.”

And, unfortunately for HP, that gap’s name is vastly more likely to be iPad than it is to be HP Commodity Doodad, now! with Windows Mobile Classic and a built in FM radio. You know: for kids!

Thus by my admittedly simple classification scheme, this would suggest that 14 of the 19 times reconciliation was used between FY1981 – FY2005, it was used to advance Republican interests. Or, to put this more precisely, it was used to advance bills that were signed by Republican presidents or vetoed by Democratic presidents.

Joshua Tucker

Jobs are PAMtastic

What a surprise:

The Senate easily passed a $15 billion jobs bill on Wednesday morning amid hope that the measure could provide a blueprint for other items on President Obama’s agenda.

The measure passed 70 to 28, with 13 Republicans joining 57 Democrats in support of the package. One Democrat, Sen. Ben Nelson of Nebraska, voted against it.

Stunning that so many in the GOP who so very recently were so opposed to this bill that they wouldn’t even let it come to a vote changed their minds on it. Thank Christ Scott Brown so bravely crossed the lines and let this bill come to an up or down vote such that these teeming hordes of Republican Senators, who so very recently were mortally opposed to it even being considered, could rethink their positions on jobs-creation. A victory for independent thinking!

Or: how the GOP sticks a fig leaf onto its blanket opposition to any votes on any matter, large or small, by letting Brown appear to break ranks, knowing that serially shit-canning jobs bills is tantamount to political suicide.

We report, you decide.

[W]hen people thought the earth was flat, they were wrong. When people thought the earth was spherical, they were wrong. But if you think that thinking the earth is spherical is just as wrong as thinking the earth is flat, then your view is wronger than both of them put together.

Isaac Asimov

Memo to Code Brown 2: Judgement Day

Scott Brown, local imbecile, said through a spokesman yesterday that:

If the Democrats try to ram their health-care bill through Congress using reconciliation, they are sending a dangerous signal to the American people that they will stop at nothing to raise our taxes, increase premiums and slash Medicare. Using the nuclear option damages the concept of representative leadership and represents more of the politics-as-usual that voters have repeatedly rejected.

The problem is that using reconciliation is neither “the nuclear option” (that’d be this, a technique both invented and brandished by one Grand Old Party) nor is the use of said reconciliation in any way unprecedented, either in terms of budgetary measures (precisely the reason the damned thing was created in the first place) or healthcare reforms (which often are entirely or nearly entirely budgetary issues). NPR provides us with a partial listing of the many uses of reconciliation in recent years:

  1. 1982 — TEFRA: The Tax Equity and Fiscal Responsibility Act first opened Medicare to HMOs

  2. 1986 — COBRA: The Consolidated Omnibus Budget Reconciliation Act allowed people who were laid off to keep their health coverage, and stopped hospitals from dumping ER patients unable to pay for their care

  3. 1987 — OBRA ‘87: Added nursing home protection rules to Medicare and Medicaid, created no-fault vaccine injury compensation program

  4. 1989 — OBRA ’89: Overhauled doctor payment system for Medicare, created new federal agency on research and quality of care

  5. 1990 — OBRA ’90: Added cancer screenings to Medicare, required providers to notify patients about advance directives and living wills, expanded Medicaid to all kids living below poverty level, required drug companies to provide discounts to Medicaid

  6. 1993 — OBRA ’93: created federal vaccine funding for all children

  7. 1996 — Welfare Reform: Separated Medicaid from welfare

  8. 1997 — BBA: The Balanced Budget Act created the state-federal childrens’ health program called CHIP

  9. 2005 — DRA: The Deficit Reduction Act reduced Medicaid spending, allowed parents of disabled children to buy into Medicaid

Conveniently left off that list are several that are specifically damaging to the GOP’s case for grievance here. Like both of the Bush tax cuts. Reconciliation. Additional oil drilling courtesy of W. Reconciliation. Medicare Part D (aka W Bush’s unfunded cost explosion). Reconciliation. Various W trade authorities. Reconciliation. And, of course, there’s this hypocrisy that’s never mentioned by the MSM:

the very senators who speak reverentially of the filibuster now, voted for reconciliation then. Judd Gregg, in fact, voted for reconciliation every time it was used in the Bush era.

Memo to Code Brown

Hey, what do you know, the stimulus worked, added jobs, and increased real, inflation adjusted GDP relative to the GOP approach: don’t do anything (aka: go die in the streets):

CBO estimates that in the fourth quarter of calendar year 2009, ARRA added between 1.0 million and 2.1 million to the number of workers employed in the United States, and it increased the number of full-time-equivalent (FTE) jobs by between 1.4 million and 3.0 million. Increases in FTE jobs include shifts from part-time to full-time work or overtime and are thus generally larger than increases in the number of employed workers. CBO also estimates that real (inflation-adjusted) gross domestic product (GDP) was 1.5 percent to 3.5 percent higher in the fourth quarter than would have been the case in the absence of ARRA.

Grey Medal

NPR nails it:

The basic problem with NBC’s coverage is that they haven’t improved the fundamentals of the coverage in spite of massive changes in the way people take in content. The prime-time coverage is largely as it’s always been: a few events (including figure skating) are heavily showcased, a few other events (most skiing and speed skating fall into this category) are usually shown in an abbreviated format regular viewers instantly recognize as “USA-Plus” (meaning you see the Americans, plus a few other people who are relevant because they either do very well or wipe out spectacularly), and two events – hockey and curling – are shown as complete events, but they’re shoved off to cable.

Yep. They grew addicted to doing it this way when the Olympics were held on the other side of the world…all the events are happening at crazy hours relative to US television schedule so the delay-and-repackage thing feels less blatantly false…and but so why bother to change anything when the games are inconveniently held right in our neighborhood?

This goes to NBC’s entire approach to television of late: when in doubt, fall back on the old ways, the old models. Ride them to the bitter end and, probably, for a few years beyond the end. If an incremental change proves insufficient, retreat back to the older thing.
And this has always been their approach to the Olympics. They have three networks ostensibly available to them to broadcast the games and yet still manage to show a vanishingly small fraction of the actual sporting events. As NPR notes, complete games/events coverage is limited to some hockey and curling matches. Period. Add in more or less complete coverage of opening and closing ceremonies and you’ve got a “complete” events list that numbers four covering an event spanning two weeks. Unless, of course, you count the skating; there you get USA-first style coverage, with the Americans, the ultimate winners if they don’t happen to be ‘Merican, and one or two nobly failing foreigners to pad out the necessary space for commercials.
This is indefensible. Does the West Coast typically have to wait three hours to watch a highlights package of an East Coast Superbowl? Or, even more to the point, does the West Coast have to wait three hours to watch a highlights package of a Superbowl played in Los Angeles? Would that seem a reasonable approach for the TV production of that game? The Olympics are no different. Or shouldn’t be.
Last night, rather than show something, anything actually sports-related on the main prime-time broadcast, they spent an entire segment chatting with…swimmer Michael Phelps, who won’t be seeing any Olympic action for another two years. Clearly it was critical to get his thoughts in place of covering the actual games going on that day. Likewise the interminable recaps of whatever figure skating outrage is queued up for the day.

I’d wager that most people are past ready to dispense with the old model of tape delayed spoon feeding and endlessly narcissistic “Up close and personal” side stories that only serve to distract from whatever it is that’s going on in the first place. Such a broadcast could be accomplished with far fewer individuals on the payroll, and without weeks of run-up production time and the expense of same. Just place some cameras, hire some operators, and have a bit of talent stationed around to interpret where necessary. Honestly, it’s in your financial interest and that of your shareholders to run off as cheap a broadcast as you possibly can. Actually broadcasting Olympic sporting events is just how you do that.

I, for one, would pay to see it done that way.