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What’s really obstructing left-wing dreams - The Washington Post
"But the left’s base doesn’t want to hear about taxing itself. So left-wing policy analysts are forced to fund every proposal with the same few pieces of high-income tax capacity — eliminating the cap on Social Security taxes and raising the top marginal income-tax rates on high earners. Together, some of these proposals come close to confiscating every dollar that these people earn above the level of the next-lowest quintile. But perhaps you, budding socialist, see that as a feature rather than a political disaster. The question remains: After you’ve taken this money to pay for Medicare-for-All, what do you do for an encore? You cannot spend this money on Medicare-for-All and free college and expanding Social Security and a universal basic income or a job guarantee. Until the left acknowledges that the welfare state they want means ordinary people sacrificing a great deal of current consumption, we are not going to have that welfare state."

and

"Notably, almost all the foreign programs that American social democrats envy were enacted during Europe’s long post-war economic and demographic boom. That meant that the initial cost of these systems was fairly low — young people don’t need much in the way of health care or pensions, and economies at full employment don’t spend a lot on unemployment insurance or job retraining. As incomes soared, it was comparatively easy for government to skim some of the surplus for their new social insurance schemes, because even as their taxes went up, workers still got to take more money home every week. Governments ran into problems when the boom stopped, of course, but by then, political sentiment had cemented those programs in place."

and

"What was easy in 1960 looks herculean as 2020 approaches. Economic growth has slowed, and populations are aging, which raises the cost of any proposed program and requires you to fund heavy losses on someone to fund it, either workers in those industries, or taxpayers. As psychologists tell us, people are 'loss averse' — they care much more about losing something they have than about equivalent potential gains. Given the mammoth cost of socializing the U.S. economy now, and the huge number of people who face substantial losses, I’d argue that we should probably change 'herculean' to 'impossible.'"
megan-mcardle  welfare-state  healthcare  taxes  government  politics  policy  social-democracy 
may 2018 by actualitems
Why has the prevalence of obesity doubled? | SpringerLink
The prevalence of obesity has doubled over the last 25 years. We estimate the effects of multiple socio-environmental factors (e.g., physical demands at work, restaurants, food prices, cigarette smoking, food stamps, and urban sprawl) on obesity using NLSY data. Then we use the Oaxaca–Blinder decomposition technique to approximate the contribution of each socio-environmental factor to the increase during this time. Many socio-environmental factors significantly affect weight, but none are able to explain a large portion of the obesity increase. Decreases in cigarette smoking consistently explains about 2–4 % of the increase in obesity and BMI. Food stamp receipt also consistently affects the measures of weight, but the small decrease in food stamp program participation during the period we examine actually dampened the increases in obesity and BMI. Collectively, the socio-environmental factors we examine never explain more than about 6.5 % of the weight increases.
study  sociology  medicine  health  epidemiology  public-health  obesity  trends  roots  explanans  labor  supply-demand  food  welfare-state  urban-rural  variance-components  volo-avolo  questions 
february 2018 by nhaliday
Emergency Medical Treatment and Active Labor Act - Wikipedia
The Emergency Medical Treatment and Active Labor Act (EMTALA)[1] is an act of the United States Congress, passed in 1986 as part of the Consolidated Omnibus Budget Reconciliation Act (COBRA). It requires hospital Emergency Departments that accept payments from Medicare to provide an appropriate medical screening examination (MSE) to anyone seeking treatment for a medical condition, regardless of citizenship, legal status, or ability to pay. Participating hospitals may not transfer or discharge patients needing emergency treatment except with the informed consent or stabilization of the patient or when their condition requires transfer to a hospital better equipped to administer the treatment.[1]

EMTALA applies to "participating hospitals." The statute defines participating hospitals as those that accept payment from the Department of Health and Human Services, Centers for Medicare and Medicaid Services (CMS) under the Medicare program.[2] "Because there are very few hospitals that do not accept Medicare, the law applies to nearly all hospitals."[3] The combined payments of Medicare and Medicaid, $602 billion in 2004,[4] or roughly 44% of all medical expenditures in the U.S., make not participating in EMTALA impractical for nearly all hospitals. EMTALA's provisions apply to all patients, not just to Medicare patients.[5][6]

The cost of emergency care required by EMTALA is not directly covered by the federal government. Because of this, the law has been criticized by some as an unfunded mandate.[7] Uncompensated care represents 6% of total hospital costs.[8]
usa  government  policy  law  history  mostly-modern  cold-war  wiki  rot  healthcare  redistribution  welfare-state 
november 2017 by nhaliday
Dollar General Hits a Gold Mine in Rural America - Bloomberg
“It reminds me of a craps table,” Brown, the commercial real estate analyst, says. “Essentially what the dollar stores are betting on in a large way is that we are going to have a permanent underclass in America. It’s based on the concept that the jobs went away, and the jobs are never coming back, and that things aren’t going to get better in any of these places.”

HOW DOLLAR GENERAL BECAME RURAL AMERICA’S STORE OF CHOICE: https://www.wsj.com/articles/how-dollar-general-became-rural-americas-store-of-choice-1512401992

The Supply Chain In Lieu Of The Welfare State: https://gnxp.nofe.me/2017/12/04/the-supply-chain-in-lieu-of-the-welfare-state/

http://marginalrevolution.com/marginalrevolution/2018/01/u-s-fact-day-2.html
“Over the last five years a new Dollar General opened every four-and-a-half hours…”

That is from The Economist. The article attributes much of the success of the chain to its location decisions, such as opening near churches, schools, highways, and post offices.
news  org:mag  org:biz  trends  business  class  coming-apart  dignity  usa  urban  labor  aphorism  malaise  multi  gnxp  scitariat  commentary  org:rec  quotes  urban-rural  welfare-state  econotariat  marginal-rev  links  org:anglo  rot  stagnation 
october 2017 by nhaliday
Who Emigrates From Denmark? – LaborEcon
Ilpo Kauppinen, Panu Poutvaara, and I have just finished a paper that examines the selection characterizing emigrants from Denmark, one of the richest and most redistributive European welfare states.

The paper makes a neat theoretical contribution. It derives the conditions that determine whether the skill distribution of the emigrants stochastically dominates (or is stochastically dominated by) the skill distribution of the stayers. Because the rewards to skills in Denmark are low (relative to practically all possible destinations), the model predicts that the emigrants will be positively selected, and that the skill distribution of the movers will stochastically dominate that of the stayers.

Our analysis of administrative data for the entire Danish population between 1995 and 2010 strongly confirms the implications of the model. Denmark is indeed seeing an outflow of its most skilled workers. And that is one of the consequences that a very generous welfare state must learn to live with.

The paper is forthcoming in the Economic Journal.
econotariat  borjas  economics  macro  labor  redistribution  welfare-state  europe  nordic  migration  human-capital  compensation  inequality  egalitarianism-hierarchy  anglosphere  correlation  selection  study  summary  🎩  stylized-facts  wonkish  policy  unintended-consequences  comparison  polisci  political-econ  nationalism-globalism  dysgenics 
september 2017 by nhaliday
Does Polarization Imply Poor Representation? A New Perspective on the “Disconnect” Between Politicians and Voters*
Broockman-Ahler 2015

immigration positions under B.2: http://www.dougahler.com/uploads/2/4/6/9/24697799/ahler_broockman_ideological_innocence.pdf#page=42
distribution: http://www.dougahler.com/uploads/2/4/6/9/24697799/ahler_broockman_ideological_innocence.pdf#page=53

https://twitter.com/tcjfs/status/904024125030756356
https://archive.is/BrnpJ
38% support immediate mass deportation of all illegals (Broockman 2015). This view has zero representation in either house of congress.

Do you understand the GOP play here by the way? I'm genuinely puzzled. Is it a moral conviction? Because it can't be a vote play.
In my view it's a mix of mindless sentimentality, the donor class, and existing in an hermetically sealed ideological bubble.

https://twitter.com/tcjfs/status/951989543653265408
https://archive.is/ya2sz
cheap labor lobby, public choice (votes), & subversive elites gripped by multiculti zealotry

https://twitter.com/tcjfs/status/911291455762845696
https://archive.is/dw6OO
In a 2014 radio interview, Paul Ryan was asked if "immigrants from the 3rd world are more or less likely to support conservative policies":
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september 2017 by nhaliday

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