Posted by
Jimcason on Saturday, November 07, 2009 2:33:57 PM
Dear Congressman, Saturday, November 07, 2009
I would like you to know my positions of the various issues facing our country at this time:
A. Healthcare-not at this time of duress on the economy; and certainly not without careful consideration for such massive changes over such a large area of our lives. And I still see missing tort reform, which is where it should start from. Where is the ‘fix’ for Medicare and Medicaid? Why is competitive bidding prevented by Congress? Why do you insist in addressing the demand side of equation side without working to expand supply of services in an efficient manner? Setting up easily accessible clinics manned by nurse practitioners’ would be a first step. Funding scholarships for nurses capable of enhanced education, to increase the supply of providers.
My background in is cost accounting. Even for the so-called emergency room visits of extreme cost, there is something wrong with either the way Hospitals setup for this service for lesser medical challenges, or the cost structures are distorted. For instance, the true marginal cost of seeing a patient with a cold takes only one room for a short time and one practitioner to diagnose and prescribe a cure. So it is either that the hospitals do not setup a different track for these patients or else their accounting techniques lead to distortion as the true marginal cost should be minimum and not assigned arbitrarily the full overhead burden of the hospital. If I am correct, then there are understatements in cost of other services the hospitals perform. My instincts as a cost accountant, is that the accounting is very flawed.
The answers to the specified issues above are that Congress is placing special interests above the good of the people. Also in its mad haste, Congress is not defining the real issues involved so will make huge and terrible mistakes.
B. Cap and trade-I believe this area has not an acceptable model of the climate yet to take such drastic measures as to take down on purpose, our economy further and again, in the middle of a depression. I understand the sciences now indicate not a Global Warming but instead a Global Cooling. Is that not proof enough that Congress has no justification of making such massive and ill-considered changes in the structure of our economy at such a dangerous time in our economy?
And again Congress seems to take on the demand side and not the supply side of solutions which appear to be so intuitive. For instance, where is the fast track approval system for nuclear energy production? Where is the increased funding for research into clean coal burning technology or sequestration? Where has allowing the harvesting of federal timber been cleared rather than letting it build and build until it is finally so overgrown that it enables wildfires to take place?
Again in this area, I see Congress as listening to special interests rather than doing well thought-out work to address the needs of the people.
C. America has a problem in the economy. This is an emergency now and nothing should be done by Congress other than to work in this area with intelligence and far-sightedness, other than to provide for the common defenses.
Here the issues are multifaceted;
At issue here are; credit availability, government crowding out the demands of the private sectors for available credit due to massive deficit funding needs, the failure of the Stimulus program to be immediate and well-thought out in terms of targets for stimulating our economy. Is it really a stimulus to target unemployment insurance or is that a reactive solution? Is it really stimulus to fund the Detroit public schools for I believe it was $570 million even though they had a $60 million probable fraud unaccounted for, plus a complete failure in doing its function which was I thought to educate and not fund teachers and administrators? Education is important so why didn’t this money go for a more proven model of an effective school system? However, I do think this is not fairly called an economic stimulus measure. Its aim is far more long-sighted and again, I think it demonstrates Congress is reactive to special interests and not sufficiency contemplative of its real mission which was to stimulate the economy.
The issues on Main Street are the tightening of credit by banks at the worse time in our economy thus shrinking demand, the unknowns facing small business owners of these large and secretive programs Congress is acting on such as Heath care, Cap and Trade, increased taxes, unmanageable federal deficits and the issues that presents in terms of possible devaluation of the dollar and foreign trade, continued government programs that do not encourage ‘made in America’, a seemingly unending supply of remaking America overnight proposals instead of first, insuring America goes to work, an administration that instead of eliminating special interests merely concentrates on becoming closer to the most parasitic of those special interests such as unions, trial lawyers, teachers, to name a few, and simply on and on.
We small business people do not see the bottom yet and instead more changes which are part of the equations we use to determine what we should do individually in terms of our business; all very much under laying a Congress and President who address other issues rather than the one that effects us most which is the economy. As the saying goes: “It’s the economy stupid”.
One additional comment please. President Obama is in a perfect position to address for the good of society the broken family structure of America which seems to lay at the core of education failure, decreasing morality, the dignity of jobs rather than subsistence levels of living off the public dole, etc. And in no segment of society is that worse than in the black communities. This was CHANGE we all wanted and needed.
James C. Featherston