Does Boulder’s 4-20 smoke-out denigrate a CU degree?

Does the 4-20 smoke-out “denigrate” the value of a CU degree “by helping to label CU-Boulder as a party school,” as CU-Boulder Vice Chancellors Frank Bruno and Julie Wong wrote in an e-mail to all students advising them not to attend?

After all, Playboy magazine ranks CU-Boulder as this year’s “top party school,” claiming that “nearly half the university’s 24,000-plus undergrads turn out for the annual 4/20 smoke-out.”  This figure is flimsy — Playboy isn’t known for hardcore scholarship after all. Wikipedia lists the peak attendance as 11,000 in 2008. Further, “University officials estimated that about 75 percent of those in attendance were not affiliated with CU,” reports the Camera.

In any case, recent research by Northwestern Professor Lauren Rivera lends credence to the Vice Chancellors’ claims. Rivera analyzed how elite investment banks, law firms, and management consulting firms “use and interpret educational credentials in real-life hiring decisions.”  She concluded the “that educational credentials were the most common criteria employers used to solicit and screen resumes.” When evaluating resumes, “school prestige was the most commonly used criterion … evaluators privileged candidates from the ‘top’ of ‘the list’ regardless of their grades, coursework, major, area of specialization, or prior work experience.”  When screening resumes, about 75% of recruiters used school prestige, while only 25% used standardized test scores.

So what to do?  One way to deflate 4-20 is to repeal the immoral and authoritarian laws against marijuana sales and use. That’s just one reason that CU Chancellors should support marijuana legalization.

This was originally published in the Boulder Daily Camera on April 23 2011.

See commentary on Rivera’s research at Arnold Kling’s EconLog post.

If low-income Coloradans spend big bucks on booze, candy, & movies, they can afford higher Medicaid copays

Are Colorado Medicaid recipients spending hundreds of dollars on candy, booze, cigarettes, and movies while the state forces taxpayers to fund their medical care?  Yes, suggests the 2009 Consumer Expenditure Survey.

“Colorado faces a deficit of about half a billion for next year,” the Associated Press reports.  Instead of increasing taxes, Colorado legislature should spend taxpayers’ money more wisely. One way is to increase enrollment fees and co-payments for Medicaid and the Children’s Health Plan Plus (CHP+). These programs account for ten percent of the state budget.

Typical Medicaid co-pays are at most $3. CHP+ co-pays are at most $5, and enrolling one child is just $25 annually. The 2009 Expenditure Survey data suggests that some Medicaid recipients and parents with kids in CHP+ can afford more.

On average, the lowest income households, less than $5,000, spend almost $1,900 on sweets, alcohol, tobacco, and entertainment. Oddly, households with incomes between $5,000 and $10,000 spend less on these items – around $1,400. The groups’ non-income demographics are similar: people, wage-earners, children, and retirees per household.

Colorado CHP+ could emulate New Hampshire’s tax-funded “Healthy Kids” program. As in Colorado, parents earning between 185% and 250% of the Federal Poverty Level are eligible, though well above the poverty line. The monthly fee is $32.  Typical co-pays are $10, $100 for ER visits, and between $10 and $30 for prescriptions.

Many parents in this income range buy private insurance for their kids, reports the Congressional Budget Office. Higher fees and co-pays could encourage more parents to follow suit.

The Boulder Daily Camera published this article on March 26, 2011.

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One objection that I’ve seen to higher-copays is that patients or parents of children will forgo treatment, and wait until medical conditions get very serious before seeking treatment. If so, the argument goes, it would cost taxpayers more in the long run.

For sake of argument, let’s say this is true.  Then:

1. This shows one reason that replacing Medicaid with a voucher for  nominally “private” insurance is better. After all, government issues food stamps for food rather than running its own grocery stores.

2. Would you choose to donate to a charity that allows its recipients to spend money on entertainment and leisure while skimping on medical care?   I don’t think so. If Medicaid & CHP+ recipients respond this way to higher co-pays, this reveals a flaw with the programs themselves.  A good private charity would not allow such behavior. Or, if it did, it would quickly lose donations when word got out.

Government shouldn’t force taxpayers to donate to a specific charity, or any charity. But if government “must” force donations, at least it’s better to allow taxpayers to choose the charity. For more, see: <a href="http://www.huffingtonpost.com/brian-t-schwartz/questioning-your-compassi_b_574030.html”>Questioning your “compassionate” politics.

Public-sector unions: Two wolves & a sheep vote on what’s for lunch

“Two wolves and a sheep voting on what to have for dinner.” James Bovard’s critique of democracy also applies to public-sector unions. Unions and union-backed politicians are the wolves. Taxpayers are the sheep.

Public-sector union representatives “will often be on both sides of the collective bargaining table,” explains law professor Stephen Bainbridge. Union leaders are on one side; their “bought and paid for politicians” are on the other.  Unions fund politicians’ campaigns, and the politicians reciprocate by facilitating extravagant union wages, benefits, and protections.

The “process of collective bargaining … cannot be transplanted into the public service.” warned the pro-union Franklin Delano Roosevelt. Time columnist Joe Klein adds: “Industrial unions are organized against the might and greed of ownership. Public employees unions are organized against the might and greed…of the public?”

Public-sector unions are organized against the tax-paying public. A unionized private-sector firm risks losing customers if its union successfully strikes, protects lazy workers, resists labor-saving technologies, abuses pension policies, secures excessive job security, or demands exorbitant compensation. Not so with public-sector unions. Taxpayers are stuck paying for expensive government services.

How expensive? Wages for unionized local and state government employees exceed their nonunion counterparts by more than 11%, concludes labor economist James Sherk.  They are also more likely to receive pensions and have their employers pay all of their medical insurance premiums. It’s no surprise that highly unionized governments burden taxpayers with more debt, as Cato Institute policy analyst Chris Edwards notes.

With public-sector unions, taxpayers just get fleeced.

The Boulder Daily Camera published this article on February 26, 2011.

See also:

 

Education needs freedom, not phony “investments” in the government school cartel

Beware politicians’ “investment” con. People typically invest their own money for their personal gain.  But politicians “invest” by confiscating taxpayers’ money for their own political gain. The education “investments” in the 2011 State of the Union address take your money to strengthen the bloated government school cartel. In return, the President and his political allies receive campaign contributions from teachers’ unions.

President Obama praises the post-Sputnik “investment” in education. But subsequent PSAT math scores fell or stagnated for decades while school funding soared. Now he wants to “prepare 100,000 new teachers” in engineering, science, and math. Why? Since 1970, the number of teachers per student has increased by 50% and the cost of K-12 government schools has almost quadrupled. Meanwhile, national standardized test scores have not improved.

The president is no better with higher education.  He has increased tax-subsidies for higher education and says the United States should have the “highest proportion of college graduates in the world.”

But thanks to political meddling, there may be too many college students already.  ABC news just reported that “After four years, 36 percent of [college] students did not demonstrate significant improvement” in “key measures of critical thinking, complex reasoning and writing.” Economist Richard Vedder found that “30 percent of the working college graduates in the U.S. … have jobs that do not require a college degree.”

President Obama says “our free enterprise system … drives innovation.” Then instead of restricting parents’ school choice with monopolistic politically-controlled schools, he should promote free enterprise in education.

A version of this article was published in the Boulder Daily Camera on January 29, 2011.

Other responses to the state of the union:

  • John Stossel his own address
  • economist Don Boudreaux:

    My concern about the president’s cozying-up to business differs greatly from the concern that animates the political left. Contrary to popular presumption, being friendly to business is not the same as being pro-economic growth or pro-free-market.

  • columnist David Harsanyi: “Obama says that ‘none of us can predict with certainty what the next big industry will be or where the new jobs will come from.’”  But then Obama goes and picks winners with your money.

Colorado Medicaid reform: federal matching funds promote waste

The Colorado legislature should cut wasteful spending by Medicaid and the Child Health Plan Plus. When these programs spend a dollar from a Colorado taxpayer, the federal government gives them a dollar taken from a taxpayer in another state.  Hence, Medicaid and the Child’s Health Plan program administrators are rewarded for spending more and punished for spending less.

These programs devour about ten percent of the state budget. Hence it’s no surprise that “Colorado faces a budget deficit of between $50 million and $257 million for the rest of this fiscal year,” reports the Denver Business Journal. Balancing next year’s budget could require $1.1 billion in cuts — about 5% of the budget.

Federal matching funds rewards extravagant spending. Administrators can expand their budgets, staff, and salaries. Programs stray from serving the truly needy, as the Independence Institute’s Citizens Budget documents. So lax was the recent Child Health Plan Plus expansion that about six of every ten new enrollees had private insurance.

Low enrollment fees and copayments also encourage imprudent spending. For example, it’s just $2 for a podiatrist visit.

A penny squandered is a penny “earned.” Colorado Medicaid made errors processing claims more often than private insurance, which cost taxpayers thousands of dollars. But the feds reward them for this, too.

Instead of federal matching funds for Medicaid, Colorado should request a lump-sum block grant. This would reduce perverse incentives.

A version of this article was printed in the Boulder Daily Camera on January 15, 2011.

How to keep New Year’s resolutions

“New year’s resolutions doomed to failure,” trumpeted a Guardian.uk headline this time last year. The article describes a study by psychologist Richard Wiseman, which found that not even one in four people “managed to stick to their resolutions.”

But we can learn from the minority who kept their resolutions. They “tended to have broken their goal into smaller steps.”  This echoes the advice of David Allen, author of the best seller Getting Things Done.

Those successful with resolutions also told friends about their resolutions and rewarded themselves when achieving goals, reported the Guardian. Economist Tyler Cowen offers an intriguing way to combine these practices. If you resolve to exercise, you can “post a bond with your friend, your spouse, your exercise partner, or someone you won’t (or can’t) lie to. You lose the money if you don’t exercise according to a pre-arranged plan with well-defined quantitative goals.” Cowen suggests that gyms can be the “enforcer” by collecting “a bigger upfront fee and they pay us each time we show up” and complete specified exercise program.

If this sounds far-fetched, consider the success of similar strategies for smokers who want to quit.  Known as contingency management programs, participants receive a reward when they stop smoking. Summarizing a study published this month, Local Tech Wire reports that “smokers will quit if rewards are right.”

This was published in the Boulder Daily Camera on January 1, 2011.

Boulder Valley Comprehensive Plan: buy open space yourself, don’t tax others

If you want open space, buy it. Don’t tax others.

Billboards tarnish the Flatirons while houses climb the foothills to meet them. This is what “city planners believe the Flatirons could look like today if the city had not enacted restrictive land-use policies,” reported the Daily Camera. Boulder’s Department of Community Planning and Sustainability spent your tax dollars on such images to convince residents that only its authoritarian land-use restrictions can prevent such a dystopian scene.

Not so. For over a hundred years private land trusts have preserved open space — not with government force — but through voluntary cooperation and donations.  The Land Trust Alliance lists 34 local Colorado land trusts.  “Land trusts have protected over 1.57 million acres in Colorado, more than 80% of all conserved land,” reports the Colorado Coalition of Land Trusts. This is four times the acreage that local Colorado governments restrict through forced open space policies.

Leonard May of PLAN-Boulder County refers to those with a “philosophical objection to (government and) restrictions” to whom he “can’t explain” the benefits of open space. He ignores the difference between preserving open space through land trusts versus doing so through legal restrictions.

Land trusts depend on voluntary cooperation, taking responsibility for promoting one’s own values, and respecting the rights of others to pursue theirs. Compare this with government-enforced open space, which forces everyone, willing or not, to fund it. It’s elitist legislation that effectively excludes poor residents from town by propping up homeowners’ property values.

The Boulder Daily Camera printed this article on December 4, 2010.

For more on open spacing and planning, see the work of Randal O’Toole and R.J. Smith.

Photo credit: The Daily Camera article on the Boulder Valley Comprehensive Plan.

Should you trust the Colorado Trust?

Should you trust the Colorado Trust?  Its CEO, Dr. Ned Calonge, repeats a common health care falsehood: that the cost-shift from the uninsured’s outstanding medical bills justifies mandatory insurance (Nov. 19). While the cost-shift increases premiums, the amount is small compared to cost-shifting from mandatory insurance and Medicaid.

In Colorado, the cost-shift from the uninsured is just $85 per insured person. This is according to research done for Colorado’s 208 Commission, which Dr. Calonge himself praises.

Key findings include that “the uninsured pay for about half of their care out-of-pocket” while only “20 percent is uncompensated care from providers.” An Urban Institute study provides further evidence that uninsured cost-shifting is small — at most “only 1.7% of private insurance premiums.”

By outlawing affordable plans, mandatory insurance increases premiums by much more. Consider the federal health control bill, HR 3590. It requires that all plans include at least ten mandated benefits, such as maternity care and substance abuse treatment, whether you want them or not. A typical mandated benefit increases premiums by about 0.75%, concludes a 2008 MIT study.

By underpaying doctors, Medicaid is also guilty of large cost-shifting. But Dr. Calonge withholds this information when noting that HR 3590 expands Medicaid eligibility. A Milliman actuarial study concluded that the cost-shift from Medicaid and Medicare adds $1788 to the annual insurance premium for a family of four. The uninsured pay more of their medical bills than Medicaid does for its participants, reported Reuters in 2008. What’s more, a CDC study found that people “with Medicaid coverage were more likely to have had multiple visits to [emergency departments] … than those with private insurance and the uninsured.”

Dr. Calonge wants to “promote an honest debate” about health care. But the cost-shift argument for mandatory insurance has no place in one.

This letter to the editor was published in the Northern Colorado Business Report on December 3, 2010.

This is a shorter version of my article, Amendment 63 vs. Cost-Shift Hypocrisy, published in the Huffington Post.

Amendment 63′s Foes Only Want You for Your Body

Should Colorado mandate that each car owner buy a comprehensive lifetime vehicle warranty? By the logic of a common argument against Colorado Amendment 63 and for mandatory medical insurance, the answer is “Yes.” Mandatory insurance treats your body as a means to political ends, rather than respecting your rights as an individual.

An editorial in the Boulder Daily Camera provides an example. It states:

The individual mandate widens the pool of people with bodies — bodies that, inevitably and without fail, need some medical care at some point — that pay for health insurance. The mix of the extremely healthy, the healthy, the sick and the acutely ill is one way to make our health care system healthier.

This argument illustrates H.L. Mencken‘s observation: “For every complex problem there is an answer that is clear, simple, and wrong.”

Read the rest of this article at the Huffington Post: Amendment 63′s Foes Only Want You for Your Body.

Colorado Amendment 63: refuting the “cost-shift” & other flawed opposition

Health care needs real reform, but mandatory insurance does the opposite by entrenching the worst of current policies. It bans affordable insurance, increases costs, and further extends insurers’ government-granted privileges at patients’ expense. Amendment 63 would prohibit the Colorado legislature from imposing mandatory insurance. Don’t be seduced by flawed arguments against Amendment 63, which the Colorado Legislative Council summarizes in its “Blue Book” mailed to voters.

Mandatory insurance will not remedy rising medical costs. Medical care and insurance prices soar because insurers, Medicaid, Medicare have replaced patients as paying customers for routine and discretionary care. Thanks to mandated insurance benefits, a pro-insurance tax code, and Medicare and Medicaid, most health plans are prepaid health care rather than insurance. Patients don’t care about prices or lower-cost treatment options. Doctors have an incentive to exaggerate diagnoses that justify costly treatment.

Prices stabilize or decline when patients pay directly for treatment. Examples include cosmetic surgery, refractive eye surgery, and like it or not, abortion. Meanwhile, prices of high-deductible insurance have increased less than comprehensive prepaid plans.

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