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	<title>Comments for The Homa Files</title>
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	<link>http://kenhoma.wordpress.com</link>
	<description>Professor Ken Homa, Georgetown University</description>
	<lastBuildDate>Wed, 11 Nov 2009 15:02:15 +0000</lastBuildDate>
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		<title>Comment on Time for a makeover: the future of brand managers by Peter Gasca</title>
		<link>http://kenhoma.wordpress.com/2009/11/10/time-for-a-makeover-the-future-of-brand-managers/#comment-1546</link>
		<dc:creator>Peter Gasca</dc:creator>
		<pubDate>Wed, 11 Nov 2009 15:02:15 +0000</pubDate>
		<guid isPermaLink="false">http://kenhoma.wordpress.com/?p=6425#comment-1546</guid>
		<description>Great article, and extremely pertinent these days.  Our new tequila company has already integrated so much of these concepts in our business plan (business direction), including utilizing social media and consumers for advertising, developing a different name/label for domestic vs Russia and China distribution, having monthly business direction meetings, and bringing and keeping the entire marketing operation (mostly creative development) in house.  Granted, we haven&#039;t launched anything or even come up with our strategies, but these are the underlying &quot;outside the box&quot; concepts we hope to pursue. 

Thanks for the article ... and thanks for putting me in touch with Amy.  I think we&#039;ll be able to work something out.</description>
		<content:encoded><![CDATA[<p>Great article, and extremely pertinent these days.  Our new tequila company has already integrated so much of these concepts in our business plan (business direction), including utilizing social media and consumers for advertising, developing a different name/label for domestic vs Russia and China distribution, having monthly business direction meetings, and bringing and keeping the entire marketing operation (mostly creative development) in house.  Granted, we haven&#8217;t launched anything or even come up with our strategies, but these are the underlying &#8220;outside the box&#8221; concepts we hope to pursue. </p>
<p>Thanks for the article &#8230; and thanks for putting me in touch with Amy.  I think we&#8217;ll be able to work something out.</p>
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		<title>Comment on Cash 4 Clunkers &#8230; or, make that Cash for a new Hummer &#8230; geez. by BJ D'Avella</title>
		<link>http://kenhoma.wordpress.com/2009/11/10/cash-4-clunkers-or-make-that-cash-for-a-new-hummer-geez/#comment-1544</link>
		<dc:creator>BJ D'Avella</dc:creator>
		<pubDate>Tue, 10 Nov 2009 20:19:48 +0000</pubDate>
		<guid isPermaLink="false">http://kenhoma.wordpress.com/?p=6783#comment-1544</guid>
		<description>And this was just a $2.8 billion program.  So I wonder - how well will the government administer its proposed shiny new $1 trillion+ &quot;healthcare reform?&quot;

+ Government administered health care cost taxpayers $754 billion in 2007, according to the government (http://www.cms.hhs.gov/NationalHealthExpendData/downloads/tables.pdf).  
+ According to a recent 60 Minutes report (http://www.cbsnews.com/video/watch/?id=5419933n&amp;tag=related;photovideo), Medicare and Medicaid fraud totals $90bn per year, and is so easy &#039;a fifth grader&#039; could perform it.  
+ $90bn of fraud out of $754bn means that roughly 12 cents for every healthcare dollar currently managed by the government is wasted - and that is irrefutable waste.  
+ The waste figure is probably actually a lot higher - fraud of the VA, DOD, and other government-run healthcare isn&#039;t included in the 60 Minutes numerator, but the cost is included in the NHE denominator. Add in needless testing and surgeries, as well as the fact that the government spending numbers include a lot more than medical claim payments (e.g. bloated beurocracy, some (but clearly not enough) budget to investigate fraud, etc.) and there&#039;s no telling how high it could be.  
+ But let&#039;s just use the math in front of us - $90 billion in fraud on $754 billion in spend. That means that every time the government spends 8 dollars on healthcare, a dollar is stolen.

If I sent a child to the store to buy food to feed my family, but every 8th day he came back from the store with nothing (due to any number of factors), would my best course of action would be to:
a. take measures to ensure that the chances of the child returning empty-handed were greatly reduced? or
b. give the child twice as much money from now on, and hope for the best?

Not to oversimplify - there are people out there who need health coverage who can&#039;t get it or can&#039;t afford it, and we need to cover those people (as long as they want to be covered, and are legally in the country - or can prove that they&#039;re making good faith efforts to gain legal status).  

But the government has proved itself singularly unable to administer the current government-run healthcare system effectively, after having had 50 years to tinker with it.  So what we don&#039;t need is the government to step in, take more control, and lose more taxpayer dollars to fraud.  

What they can do is come up with a stop-gap plan for those who don&#039;t qualify for Medicaid and those left uninsured due to pre-existing conditions.  That will be a much smaller, more manageable program, possible by simply expanding Medicaid, and cost a heck of a lot less. 

That will buy the government time to get serious about the business of running a healthcare system.  Reduce fraud to &lt;1%.  Then come ask taxpayers to give them more money for universal healthcare.  Maybe then we&#039;ll listen.</description>
		<content:encoded><![CDATA[<p>And this was just a $2.8 billion program.  So I wonder &#8211; how well will the government administer its proposed shiny new $1 trillion+ &#8220;healthcare reform?&#8221;</p>
<p>+ Government administered health care cost taxpayers $754 billion in 2007, according to the government (<a href="http://www.cms.hhs.gov/NationalHealthExpendData/downloads/tables.pdf)" rel="nofollow">http://www.cms.hhs.gov/NationalHealthExpendData/downloads/tables.pdf)</a>.<br />
+ According to a recent 60 Minutes report (<a href="http://www.cbsnews.com/video/watch/?id=5419933n&amp;tag=related;photovideo)" rel="nofollow">http://www.cbsnews.com/video/watch/?id=5419933n&amp;tag=related;photovideo)</a>, Medicare and Medicaid fraud totals $90bn per year, and is so easy &#8216;a fifth grader&#8217; could perform it.<br />
+ $90bn of fraud out of $754bn means that roughly 12 cents for every healthcare dollar currently managed by the government is wasted &#8211; and that is irrefutable waste.<br />
+ The waste figure is probably actually a lot higher &#8211; fraud of the VA, DOD, and other government-run healthcare isn&#8217;t included in the 60 Minutes numerator, but the cost is included in the NHE denominator. Add in needless testing and surgeries, as well as the fact that the government spending numbers include a lot more than medical claim payments (e.g. bloated beurocracy, some (but clearly not enough) budget to investigate fraud, etc.) and there&#8217;s no telling how high it could be.<br />
+ But let&#8217;s just use the math in front of us &#8211; $90 billion in fraud on $754 billion in spend. That means that every time the government spends 8 dollars on healthcare, a dollar is stolen.</p>
<p>If I sent a child to the store to buy food to feed my family, but every 8th day he came back from the store with nothing (due to any number of factors), would my best course of action would be to:<br />
a. take measures to ensure that the chances of the child returning empty-handed were greatly reduced? or<br />
b. give the child twice as much money from now on, and hope for the best?</p>
<p>Not to oversimplify &#8211; there are people out there who need health coverage who can&#8217;t get it or can&#8217;t afford it, and we need to cover those people (as long as they want to be covered, and are legally in the country &#8211; or can prove that they&#8217;re making good faith efforts to gain legal status).  </p>
<p>But the government has proved itself singularly unable to administer the current government-run healthcare system effectively, after having had 50 years to tinker with it.  So what we don&#8217;t need is the government to step in, take more control, and lose more taxpayer dollars to fraud.  </p>
<p>What they can do is come up with a stop-gap plan for those who don&#8217;t qualify for Medicaid and those left uninsured due to pre-existing conditions.  That will be a much smaller, more manageable program, possible by simply expanding Medicaid, and cost a heck of a lot less. </p>
<p>That will buy the government time to get serious about the business of running a healthcare system.  Reduce fraud to &lt;1%.  Then come ask taxpayers to give them more money for universal healthcare.  Maybe then we&#039;ll listen.</p>
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		<title>Comment on That TV show on obesity &#8230; well, it sold a ton of ads. by obesity informaton</title>
		<link>http://kenhoma.wordpress.com/2009/11/03/that-tv-show-on-obesity-well-it-sold-a-ton-of-ads/#comment-1542</link>
		<dc:creator>obesity informaton</dc:creator>
		<pubDate>Sun, 08 Nov 2009 23:01:28 +0000</pubDate>
		<guid isPermaLink="false">http://kenhoma.wordpress.com/?p=6583#comment-1542</guid>
		<description>waw..very nice info.thx</description>
		<content:encoded><![CDATA[<p>waw..very nice info.thx</p>
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		<title>Comment on Add some pop to your resume … by Brad</title>
		<link>http://kenhoma.wordpress.com/2009/11/05/add-some-pop-to-your-resume/#comment-1539</link>
		<dc:creator>Brad</dc:creator>
		<pubDate>Thu, 05 Nov 2009 16:23:07 +0000</pubDate>
		<guid isPermaLink="false">http://kenhoma.wordpress.com/?p=6358#comment-1539</guid>
		<description>I think this is great advice.  I have tried this approach with some success, but have also had countless interviews with hiring managers who are unwilling to discuss anything other than a chronological history of my work experience.  Any thoughts on how to deal with &quot;old fashioned&quot; interviewers who can&#039;t imagine anything other than working their way up your resume from the oldest to the most recent job?</description>
		<content:encoded><![CDATA[<p>I think this is great advice.  I have tried this approach with some success, but have also had countless interviews with hiring managers who are unwilling to discuss anything other than a chronological history of my work experience.  Any thoughts on how to deal with &#8220;old fashioned&#8221; interviewers who can&#8217;t imagine anything other than working their way up your resume from the oldest to the most recent job?</p>
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		<title>Comment on Bulls 83, Bucks 81 &#8230; what&#8217;s the significance ? by SMH</title>
		<link>http://kenhoma.wordpress.com/2009/11/05/bulls-83-bucks-81-whats-the-significance/#comment-1538</link>
		<dc:creator>SMH</dc:creator>
		<pubDate>Thu, 05 Nov 2009 14:16:22 +0000</pubDate>
		<guid isPermaLink="false">http://kenhoma.wordpress.com/?p=6771#comment-1538</guid>
		<description>He&#039;ll probably be tuned into the Real World/Road Rules challenge when the $20 billion in yearly Goldman Sachs bonuses materialize.</description>
		<content:encoded><![CDATA[<p>He&#8217;ll probably be tuned into the Real World/Road Rules challenge when the $20 billion in yearly Goldman Sachs bonuses materialize.</p>
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		<title>Comment on The elections: Checkbooks, Adult Supervision, Pookie, and Buyer&#8217;s Remorse &#8230; by The &#34;Pookie Effect&#34; &#8230; no, I didn&#8217;t make Pookie up. &#171; The Homa Files</title>
		<link>http://kenhoma.wordpress.com/2009/11/04/the-elections-checkbooks-adult-supervision-pookie-and-buyers-remorse/#comment-1537</link>
		<dc:creator>The &#34;Pookie Effect&#34; &#8230; no, I didn&#8217;t make Pookie up. &#171; The Homa Files</dc:creator>
		<pubDate>Thu, 05 Nov 2009 13:01:15 +0000</pubDate>
		<guid isPermaLink="false">http://kenhoma.wordpress.com/?p=6750#comment-1537</guid>
		<description>[...] For those who missed the original post, here&#8217;s what I said: The Pookie Factor:  At the risk of  political incorrectness … I know Pres Obama was just trying to be cute with his “get lazy cousin Pookie off the couch and get him to vote”.  I think there was some backlash to the comment.  I know a lot of folks who are repulsed by the thought of lazy cousin Pookie deciding the direction of the country.  Perhaps lazy cousin Pookie should get off the couch and get an education or get a job. http://kenhoma.wordpress.com/2009/11/04/the-elections-checkbooks-adult-supervision-pookie-and-buyers... [...]</description>
		<content:encoded><![CDATA[<p>[...] For those who missed the original post, here&#8217;s what I said: The Pookie Factor:  At the risk of  political incorrectness … I know Pres Obama was just trying to be cute with his “get lazy cousin Pookie off the couch and get him to vote”.  I think there was some backlash to the comment.  I know a lot of folks who are repulsed by the thought of lazy cousin Pookie deciding the direction of the country.  Perhaps lazy cousin Pookie should get off the couch and get an education or get a job. <a href="http://kenhoma.wordpress.com/2009/11/04/the-elections-checkbooks-adult-supervision-pookie-and-buyers.." rel="nofollow">http://kenhoma.wordpress.com/2009/11/04/the-elections-checkbooks-adult-supervision-pookie-and-buyers..</a>. [...]</p>
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		<title>Comment on &quot;Vote for me because my opponent is too fat&quot; &#8230; you gotta love NJ politics. by BJ D'Avella</title>
		<link>http://kenhoma.wordpress.com/2009/11/02/vote-for-me-because-my-opponent-is-too-fat-you-gotta-love-nj-politics/#comment-1534</link>
		<dc:creator>BJ D'Avella</dc:creator>
		<pubDate>Wed, 04 Nov 2009 13:37:11 +0000</pubDate>
		<guid isPermaLink="false">http://kenhoma.wordpress.com/?p=6738#comment-1534</guid>
		<description>For example, the independent candidate Daggett garnered 5% of the vote.  As recently as two weeks ago he was polling at 12-13%, and was seen as a strong candidate to play spoiler, in Corzine&#039;s favor.  Then the RNC came in a began a massive attack campaign against Daggett, and in the end, Chrsitie successfully did what John Kerry could not - ran an &quot;I&#039;m not the incumbent, so vote for me&quot; campaign.  

When choosing &quot;not the incumbent,&quot; I guess voters identify more easily with a &quot;fat guy&quot; than one who &quot;looks too French.&quot;  Which is unsurprising, since 23% of NJ adults are obese or overweight, according to the Trust for America&#039;s Health and the Robert Wood Johnson Foundation, while relatively few are of French ancestry...</description>
		<content:encoded><![CDATA[<p>For example, the independent candidate Daggett garnered 5% of the vote.  As recently as two weeks ago he was polling at 12-13%, and was seen as a strong candidate to play spoiler, in Corzine&#8217;s favor.  Then the RNC came in a began a massive attack campaign against Daggett, and in the end, Chrsitie successfully did what John Kerry could not &#8211; ran an &#8220;I&#8217;m not the incumbent, so vote for me&#8221; campaign.  </p>
<p>When choosing &#8220;not the incumbent,&#8221; I guess voters identify more easily with a &#8220;fat guy&#8221; than one who &#8220;looks too French.&#8221;  Which is unsurprising, since 23% of NJ adults are obese or overweight, according to the Trust for America&#8217;s Health and the Robert Wood Johnson Foundation, while relatively few are of French ancestry&#8230;</p>
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		<title>Comment on &quot;Vote for me because my opponent is too fat&quot; &#8230; you gotta love NJ politics. by BJ D'Avella</title>
		<link>http://kenhoma.wordpress.com/2009/11/02/vote-for-me-because-my-opponent-is-too-fat-you-gotta-love-nj-politics/#comment-1533</link>
		<dc:creator>BJ D'Avella</dc:creator>
		<pubDate>Wed, 04 Nov 2009 04:26:15 +0000</pubDate>
		<guid isPermaLink="false">http://kenhoma.wordpress.com/?p=6738#comment-1533</guid>
		<description>Glad I&#039;m not a betting man... Never thought Christie would win.  Not that it changes much of what I wrote - we&#039;ll see.</description>
		<content:encoded><![CDATA[<p>Glad I&#8217;m not a betting man&#8230; Never thought Christie would win.  Not that it changes much of what I wrote &#8211; we&#8217;ll see.</p>
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		<title>Comment on &quot;Vote for me because my opponent is too fat&quot; &#8230; you gotta love NJ politics. by BJ D'Avella</title>
		<link>http://kenhoma.wordpress.com/2009/11/02/vote-for-me-because-my-opponent-is-too-fat-you-gotta-love-nj-politics/#comment-1531</link>
		<dc:creator>BJ D'Avella</dc:creator>
		<pubDate>Mon, 02 Nov 2009 15:59:31 +0000</pubDate>
		<guid isPermaLink="false">http://kenhoma.wordpress.com/?p=6738#comment-1531</guid>
		<description>Not that it&#039;ll make a difference - this is New Jersey, where the government has accomplished what many in both parties have tried on a national scale - and failed (so far...) to do: make it so enough people make their living off the state government, either directly or indirectly, that - when their votes combine with those of the blind party line voters - those in government ensure incumbency for life. (That is, unless you screw up in the most colossal ways possible, like giving homeland security directorships to secret lovers - and even then, you get to &quot;voluntarily&quot; step down). 

This is true of both parties - tho the Dems have, historically, been better at it. And this is why, even though we&#039;re taxed higher than any state in the country - we rank at or near the top in all of property, sales, and income taxes - and even though he&#039;s done slightly more than jockey (unsuccessfully) for federal appointments, the smart money says Corzine will be re-elected.  By a wide margin.</description>
		<content:encoded><![CDATA[<p>Not that it&#8217;ll make a difference &#8211; this is New Jersey, where the government has accomplished what many in both parties have tried on a national scale &#8211; and failed (so far&#8230;) to do: make it so enough people make their living off the state government, either directly or indirectly, that &#8211; when their votes combine with those of the blind party line voters &#8211; those in government ensure incumbency for life. (That is, unless you screw up in the most colossal ways possible, like giving homeland security directorships to secret lovers &#8211; and even then, you get to &#8220;voluntarily&#8221; step down). </p>
<p>This is true of both parties &#8211; tho the Dems have, historically, been better at it. And this is why, even though we&#8217;re taxed higher than any state in the country &#8211; we rank at or near the top in all of property, sales, and income taxes &#8211; and even though he&#8217;s done slightly more than jockey (unsuccessfully) for federal appointments, the smart money says Corzine will be re-elected.  By a wide margin.</p>
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		<title>Comment on Instead of old people, how about rationing care to fat people ? by Sara</title>
		<link>http://kenhoma.wordpress.com/2009/08/06/instead-of-old-people-how-about-rationing-care-to-fat-people/#comment-1530</link>
		<dc:creator>Sara</dc:creator>
		<pubDate>Sun, 01 Nov 2009 19:53:41 +0000</pubDate>
		<guid isPermaLink="false">http://kenhoma.wordpress.com/?p=5611#comment-1530</guid>
		<description>This post bothered me when I first read it, but not because I think you&#039;re heartless.  So, when I came across this article in the WSJ today, it brought your post back to me.
http://online.wsj.com/article/SB125702881246120983.html?mod=WSJ_hps_LEADNewsCollection 
I am more in favor of taxing junk food than charging obese people more for health care because I think that this would actually make the problem worse.  I think there are a couple of issues here:
1 - Of all of the statistics you reported, I think you left out a very important one: the percentage of obese people who are also poor - I believe the two are highly correlated - http://www.medicalnewstoday.com/articles/96634.php
2 - Therefore, charging higher rates for health insurance or premiums would only serve to exacerbate the problem
3 - Whereas, if fresh fruit and vegetables were and more accessible than cheaper than cheeseburgers and sodas, people would be incentivized financially to make healthier choices for themselves and their families.</description>
		<content:encoded><![CDATA[<p>This post bothered me when I first read it, but not because I think you&#8217;re heartless.  So, when I came across this article in the WSJ today, it brought your post back to me.<br />
<a href="http://online.wsj.com/article/SB125702881246120983.html?mod=WSJ_hps_LEADNewsCollection" rel="nofollow">http://online.wsj.com/article/SB125702881246120983.html?mod=WSJ_hps_LEADNewsCollection</a><br />
I am more in favor of taxing junk food than charging obese people more for health care because I think that this would actually make the problem worse.  I think there are a couple of issues here:<br />
1 &#8211; Of all of the statistics you reported, I think you left out a very important one: the percentage of obese people who are also poor &#8211; I believe the two are highly correlated &#8211; <a href="http://www.medicalnewstoday.com/articles/96634.php" rel="nofollow">http://www.medicalnewstoday.com/articles/96634.php</a><br />
2 &#8211; Therefore, charging higher rates for health insurance or premiums would only serve to exacerbate the problem<br />
3 &#8211; Whereas, if fresh fruit and vegetables were and more accessible than cheaper than cheeseburgers and sodas, people would be incentivized financially to make healthier choices for themselves and their families.</p>
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