Re: Growth Will Force a Lake Bridge

Posted on 2008-05-15 by David

It must be nice to be paid to publish your opinions – especially when there is nobody to dispute your position. With the power of the press you get to proclaim who is right and who is wrong, and you get to make your living taking the time to make a considered opinion not only about the right answer to current issues, but also to the best way to sell that position without regard to the truth. Such an attitude appears to be the driving force behind the Editorial Board of the Provo Daily Herald (DHEB) as they criticize Lehi city for what they see as the inevitability of a bridge across Utah Lake.

Using little more than their own words and logic from that one editorial it is clear that they are using Lehi as a scapegoat on an issue that is uncomfortable but which has no real villain.

Based on their words, only 17% of wage earners in Cedar Valley will be heading north for work in 2040. Would those headed East be very excited to drive to 2100 N in Lehi to travel to Provo/Orem just because it is a full freeway instead of a 6 or 8 lane arterial road (which it will undoubtedly be by 2040)?

The DHEB argues that there are “a dozen east-west corridors of five to seven lanes each” in Salt Lake County and only two in Utah County. If we compare apples to apples then we must recognize that the “measly two-lane compromise that Lehi forced on Utah County” is actually a 4 lane road (two lanes each direction) and will likely be at least 6 lanes within 15 years. That’s respectable compared to the 5 – 7 lane roads in Salt Lake County they are comparing it to as well as the 6 or 8 lane freeway that it is replacing. In addition, this compromise should be built in under 5 years rather than the 2100 N freeway which would not even be started for nearly 10 years. This early increase in capacity should allow for Main Street in Lehi to receive a long overdue widening as well so we could have an extra 10 east/west lanes within 15 years (not counting the 4 lanes at 1000 S. in Lehi). Between main street, 2100 N, and 1000 S, Lehi will have at least 14 east-west lanes for travel on the west side of I-15 – you could hardly expect more form a single city.

Do I expect that 14 lanes would be able to handle the traffic from 1/4 Million people expected to be in Cedar Valley? No. The real limitation on east-west travel in the county is that we have a lake spanning most of our north-south distance between our east and west side communities – why should the DHEB blame that on Lehi? The only possible solutions to that problem are a bridge over the lake or else a reduction in the necessity of east-west travel. Even the DHEB wording that this “will only hasten the construction of an east-west bridge across Utah Lake” is a reminder that such a bridge is a matter of when more than if. Is there any extra environmental impact if it is built 5 years earlier rather than 5 years later?

I find it ironic that it is the Mayor of Lehi, and not the DHEB, that has been talking for years about the need for a Cedar Valley highway (that DHEB is now calling an inevitability) and a lake bridge.

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Picking Up the Pace

Posted on 2008-05-14 by David

I realized yesterday that I have been losing steam on my review of the Federalist papers partly because the idea of 84 posts is rather daunting. I also realize that I am not obligated to break them up exactly as they were published. I have determined that I could have covered 2 – 5 in one post 6 & 7 in another and 9 & 10 together as well. Right there I would have cut the number of posts so far in half. In the future I will combine papers as it seems appropriate to me.

Another realization was that, while I hope to generate some discussion and even awareness of the contents of these founding documents, another result of this undertaking is to solidify the foundation of my own thoughts on issues of government so that I can write more soundly as well as return to a record of my conclusions.

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Fortune 535

Posted on 2008-05-13 by David

Check out the Sunlight Foundation’s Fortune 535. It gives numbers of the net worth of each member of Congress based on congressional reporting requirements. Some of the numbers won’t be very surprising, but others will probably make you take a second look. In any case, make sure you do more than just look at the final number. For example – I looked at the Utah congressional delegation and saw that Sen. Bennett was the richest of the 5 ($5 million) and Rep. Bishop was the poorest ($16,000). Another glance shows that there’s more to the story. Rep. Bishop started his congressional career 6 years ago with a net worth of negative $55,000 and Sen. Bennett has seen his net worth drop by $43 million over the last decade (losing nearly 90% of his original worth).

I’m not trying to argue who is a good guy, or a bad guy. Nor am I trying to stir up pity for either of them. They just make a good illustration of the need to look deeper than any one number to get a better picture of the intersection of money and political figures.

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Federalist No. 10

Posted on 2008-05-13 by David

Federalist No. 10 makes a statement that really rings true for me at both the federal and the state level of my government.

Complaints are everywhere heard from our most considerate and virtuous citizens, equally the friends of public and private faith, and of public and personal liberty, that our governments are too unstable, that the public good is disregarded in the conflicts of rival parties, and that measures are too often decided, not according to the rules of justice and the rights of the minor party, but by the superior force of an interested and overbearing majority. However anxiously we may wish that these complaints had no foundation, the evidence, of known facts will not permit us to deny that they are in some degree true.

Of course, the important thing is not the statement of the problem, but the analysis of the available solutions. The primary solution offered is that the form of government being proposed in the Constitution would be supportable over a larger republic and thus would be less susceptible to factions (as it would be harder to form a majority) and that the multi-level structure of government would allow for issues of local concern to be solved at a local level with only “the great and aggregate interests being referred to the national.”

In theory the advantages of a larger nation controlling the influence of factions is good, but that advantage breaks down when large groups of people abandon their own thinking in favor of adopting the thinking of someone else – as Frank Staheli suggested yesterday.

Likewise, the advantages of a multi-level governmental structure evaporate when the vast majority of issues are presented as falling into the category of “great and aggregate interests.” Because of our propensity to elevate everything to the level of national importance the state governments are often left in the position of simply administering programs which are not within their control.

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Establish Criteria, Not Quotas

Posted on 2008-05-09 by David

My wife was politically low-key when I first met her. I have enjoyed the fact that she has started to become more interested in political issues and principles of good government. This morning at breakfast, without any warning, she asked me about my thoughts on the issue of immigration. The conversation that followed led to some interesting insights (and must have been incomprehensible to our children).

First, as I have stated before, we need to make an informed decision on where we stand on the issue of immigration. Knee-jerk reactions (whether it’s “close the border” or “grant some legal status”) don’t fix the fundamental problem that we have created immigration laws that we are unwilling or unable to enforce.

One of the things that came out of the conversation was the idea that quotas are an arbitrary, and hence therefore poor, method for determining who can legally enter the country. In fact, quotas are a bad way to make any public policy. No matter where you set the numbers they are essentially arbitrary. There is no reason why person X+1 has greater potential to burden the nation than person X.

If we think that we should not have completely open borders then we should set criteria for who is allowed to come and then allow all people who meet the criteria to enter. Prior to 1924 when we started using quotas the criteria were essentially that we allowed anyone without major criminal backgrounds or communicable diseases to enter the country. I think those are good criteria to keep and there is no reason that we cannot develop other criteria to keep immigration at sustainable levels and make sure that we are getting the people that we want. For example, if we are looking for people to do menial jobs for us then we should allow people in who have arranged to take those jobs. If we only want people who will work to become citizens then we set criteria that they must achieve citizenship within a set amount of time or be deported.

I’m not saying what criteria we should use – I think that’s a national debate that we need to undertake – but I am saying that the land of the free should not be free only to the first 10000 people in line each year.

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Delving Into “Six Steps”

Posted on 2008-05-07 by David

Joe Jarvis is a doctor and a candidate for the Utah legislature. I was very interested in exploring the six steps to bring about true health-care reform in Utah that he outlined in the Salt Lake Tribune. He has been kind enough to answer some of my questions and I want to share what I have learned from him and from digging into his sources.

Health underwriting

Every critically ill or injured person will be treated in our health system whether they have health insurance or not.

The realization that doctors and hospitals are obligated under the law to treat people in need should really change the way we look at the issue of universal coverage and the underwriting process. It deserves to be one of the areas we look at to make fundamental change to improve our health care system.

Unsafe hospital practices

Another cause of inefficiency in the system. Dr. Jarvis pointed me to studies by the Institute of Medicine demonstrating the statistical results of accidents and poor industry practices. (I say statistical to make it clear that the above link does not lead to grotesque images of hospital injuries.)

Inappropriate care

Inappropriate care seems to be the symbol of all that is wrong with our system. It appears to be a direct result of a medical industry that is being controlled by the insurance industry which is more interested in avoiding legal repercussions than in keeping people healthy

Perverse incentives

Dr. Jarvis quoted an article from the Wall Street Journal on April 5. I was unable to find that article to confirm the numbers he quoted (“if everyone in America went to the Mayo Clinic, our annual health-care bill would be 25 percent lower (more than $500 billion) and the average quality of care would improve.”) I did find an article from April 7th in the Wall Street Journal, More Choices Drive Cost of Health Care, that appeared to be the same except that it had different numbers ($50 billion saved over 5 years). (Follow the link here to see more than the free preview.) While I could not verify the numbers he quoted, the concept that we must eliminate the perverse incentives that drive the health care system is sound.

Market-based health policy

Dr. Jarvis argues that “health care is not subject to market forces, such as a lowered price increasing demand. No one ever had an appendectomy because the price was right. The occurrence of illness and injury primarily determine demand for health services.” While I would agree with him in the case of an appendectomy there are services (lasik, orthodontics, or well child checkups for example) where demand will rise as prices fall. Besides that, the WSJ article cited above indicates that many people, fueled by a “more is better” attitude, will indulge in available health services that are unnecessary. This would probably not be the case if they had to pay more than a token amount for those extra procedures. Also, at times when the patient is not the driving force behind extra procedures the findings are that

More office visits, hospital stays and diagnostic procedures likely indicate poor coordination among doctors and facilities that can lead to worse care and outcomes.

So far I am not convinced that real market forces do not have a significant role to play in radically improving our health care system.

Benefit denial

I had never previously considered the cost associated with claim denials, but Dr. Jarvis provided some eye opening data. In his article he stated that “Claims costs are at least 10 percent higher in Utah than would be optimally efficient.” He was gracious enough to allow me to look through the data he used to arrive at that figure and answer my questions to help me understand what I was seeing.

Here’s what I learned; the claims cost is the percentage of the insurance company’s revenue that is spent in evaluating and denying claims – it does not count the cost of claims paid, just the cost of processing the claims. The 10% figure is a bit misleading. Let me try to clarify the numbers. The most efficient insurance provider in Utah is apparently the Public Employees Health Plan (PEHP) which spends nearly 4% of revenue in processing claims. The data from the other major health insurance providers (IHC, Blue Cross, Altius, and UHC) shows that they spend between 12% and 19% of revenue on the processing of claims. To put that in perspective, PEHP spends 1 of every 25 dollars in claims processing while the other providers spend between 1 in 8 and 1 in 5 dollars. That is 3 to 5 times higher than optimal. It is a difference of 10% of their revenue but it is not evidence that they spend 1.1 times the optimal amount on claims processing.

Conclusion

Even where I do not fully agree with the details of Dr. Jarvis’ claims about these six steps I do agree that all six of these steps are important issues to address if we are to come up with a decent approach to improving health care in our state. I also agree wholeheartedly with Dr. Jarvis that the system requires a major overhaul, not just some tinkering if we are to avoid the looming crisis in the health care system.

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A Good Summary of the FLDS Situation in Texas

Posted on 2008-05-06 by David

I really liked the content of the well titled San Angelo Witch Hunts. The author does a good job of outlining the case and demonstrating that so far we have ample evidence that the authorities are and were violating the Constitutional rights of the FLDS people (even if they were breaking the law) and that we have zero solid evidence that the FLDS people were actually violating the laws. Either there is a lot of evidence that is not being made public (which would still not excuse the illegal actions of the authorities) or else this is an example of authorities who have zero respect for the most fundamental laws of the nation.

I don’t think anyone could read that post and still excuse the actions of the Texas authorities.

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Hillary Clinton: Babysitter in Chief

Posted on 2008-05-05 by David

Here is another gem from Laura. She came in to my office this afternoon and told me that she had just seen a bit of a speech by Senator Clinton. She thought it very important that I be aware that Hillary Clinton had just told her audience that they wanted a President who would solve their problems, take care of their families and watch out for their children. (I don’t claim that to be verbatim.)

Of course my first thought is that I would prefer a president who would enforce the laws of the land, defend the Constitution, and tell the truth to the American people. I don’t need someone to keep pushing the lies that there are painless, if complex, solutions to the problems we have been busy creating for ourselves.

Upon reflection I realized that maybe Senator Clinton is really making a good offer – free babysitting of my kids. I’ll bet she’s a lot more dependable than many a teenage babysitter. Of course by the time I finished writing this I realized that she never said she would babysit for free – or even for cheap.

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Willing Suspension of Disbelief

Posted on 2008-05-03 by David

Reports from the CBO that a Universal Health Coverage Bill would be budget neutral are obviously based on the third kind of lie (namely statistics). Commonhealth sums up the effects of the bill like so:

The legislation:

  1. gets rid of employer based insurance (employers that contribute to coverage would give employees that money at first, and eventually shift to a federal health coverage tax)
  2. requires all Americans to have health insurance
  3. offers subsidized coverage up to 400% FPL (Mass is up to 300%)
  4. sets up purchasing pools (like the Connector)

Could someone please point out to me where this plan gives health care providers an incentive to provide efficient, high-quality care? It seems to me that insuring all our uninsured citizens will never pay for itself in a system that thrives on inefficiency – as the current system does. Adding inefficiency couldn’t possibly pay for itself.

Ending employer based insurance is potentially a good thing. Requiring everyone to buy insurance looks like an incentive for more inefficiency and even price gouging. And one of my senators is sponsoring this. I think he should have his head examined.

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A Thin Red Line

Posted on 2008-05-03 by David

I stumbled upon a great statement on the line that separates civilization from anarchy. Timothy Gatto writes this in response the the FLDS situation:

While you might not agree with what the FLDS is doing, it doesn’t warrant any civil authorities to act outside of Constitutional law. When civil authorities bypass or ignore the Constitution, we are all put in jeopardy, and we are that much closer to living under a totalitarian government that makes up its own laws as it goes along. Sometimes the issues are larger than the crimes. I think I can safely say that most Americans abhor the practice of using young girls as ‘breeders” and in the process satisfy the lust of old men, but that issue isn’t as important as civil authorities acting outside the law. We are supposed to be a nation that believes in the rule of law. That premise is behind the definition of a civilized state. The law is for everyone to obey, the governors as well as the governed. Once the line that separates civilization from lawlessness is crossed, the result is anarchy, no matter who crosses that line first. There were other ways of stopping what was happening to these young girls. The authorities didn’t have to violate anyone’s constitutional rights.

While he is speaking specifically to that one case, the line he draws – the respect for law by those who govern and those who are governed – is a universal line. It’s a line we really can’t afford to cross.

Posted in culture, National | Tagged , , , | 5 Comments