Health Care

Retrotech, Revitalized

by

A triple-expansion steam engine, which was used for water pumping in Phillipsburg NJ, has been restored to operating condition thanks to a small group of dedicated volunteers.  The engine, which pumped 6 millions gallons per day to a reservoir 265 feet above its level, was built in 1913 and was in continuous operation until 1969, when it was put into standby status (the pumping duties having been taken over by electric pumps) and finally removed from service in 1982.  Here’s a video of its final run in 1982, which has turned out to not be so final.

The boilers have not yet been restored; test runs were done using a portable commercial rent-a-boiler as the steam source.  The team intends to restore one of the boilers as well in the future.

When people think about the vast improvements in health and lifespan over the past century and a half, attention tends to be focused on antibiotics, better medical care, x-ray and scanning equipment, etc.  Public water systems, enabled initially by waterwheels and especially by engines like this one, played an important role as well.

The restoration team has a Facebook page, here.

See also my posts 301 Years of Steam Power and 175 Years of Transatlantic Steam.

CON Does Seem Like an Appropriate Acronym

by

Thirty-five states and the District of Columbia currently impose certificate-of-need (CON) restrictions on the provision of healthcare. These rules require providers to first seek permission before they may open or expand their practices or purchase certain devices or new technologies. The applicant must prove that the community “needs” the new or expanded service, and existing providers are invited to challenge a would-be competitor’s application.

…from a Mercatus article on healthcare “Certificates of Need”, linked by The Advice Goddess.

In most other industries, collusion of providers in order to keep supply down–and, hence, prices up–is considered an antitrust violation and can carry heavy civil and criminal penalties.

Does anyone see any legitimate public-policy rationale for the requirement for the CONs in healthcare?

Citizens, Subjects, and Audience

by

I am distracted this week, through having to oversee and assist with a spot of home renovation, and the launch of Book Six of the Luna City Chronicles One Half Dozen of Luna City, which is available as of today in print, Kindle and other ebook formats although by no means have I not paid attention to various news hiccups which caught my fleeting attention as they went past.

As a parent, I can’t help but be sympathetic and supportive of little Alfie Evans’ parents, whose medical situation was as heartbreaking as it was mysterious and likely terminal. Just as I cannot help being viciously cynical regarding the decision by hospital and National Health Service administrators to set the poor tot on the so-called Liverpool Care pathway. Over the strenuous objections of his parents, the church which his parents apparently belonged to, any number of advocates for the rights of parents all life support cut off, including oxygen, nourishment and water, with the powers of the State and its police minions standing by to enforce the dictates of the state.

Read more

“ObamaCare Fines Nailed The Working Class In 2017 And Other Unpopular Truths”

by

Investor’s Business Daily:

Preliminary data from the 2017 tax season are in, and they’re shocking. Not only does it look like the working class bore the brunt of ObamaCare individual mandate penalties this year, but people with relatively modest incomes apparently paid a lot more than the Congressional Budget Office anticipated.
 
[. . .]
 
The 2017 tax data offer new evidence that there’s much to be gained by moving away from the individual mandate and much to lose by sticking with it. Tax returns that had been processed as of April 27 included 4 million that paid ObamaCare fines (officially known as individual shared responsibility payments), with an average payment of $708.
 
What is striking about the data is that the average payment is barely higher than the minimum payment of $695. Since people were required to pay the greater of $695 or 2.5% of taxable income above the filing threshold ($10,350 in 2017), one takeaway is that most of the $2.8 billion in fines paid through April appear to have come from people with modest to moderate incomes. As a frame of reference, CBO’s 2014 analysis implied that the average mandate payment for this tax season would be roughly $1,075 and that the total amount paid by people earning up to three times the poverty level would barely exceed $1 billion.

There is much more interesting information in the article. Worth reading in full.

Access, Access, Access

by

“Access, Access, Access” Rick Perry repeated to Bret Baier. It seemed a grilled candidate’s non sequitur to Baier’s question: weren’t many Texans uninsured? But I was struck by its truth. Insurance is of little use if no doctors take it, no medicine is available, deductibles and premiums are unmanageable. Positive rights – to food, to medicine, to jobs – are not rights. The theory never stands up to experience.

Perry’s run was brief; now, his task is encouraging access to energy of all kinds. Trump seemed an example of excess still is, I guess. But a nation not just energy independent but energy dominant is one empowered, free. And we can free others: a Europe not beholden to Russian oil is a healthier Europe. Neither Trump nor Perry invented fracking nor could Obama stop its success. But this administration respects it, clears the way for its natural flow.

Access, access, access how much does access to energy change our lives each day? How many are alive today because of access to energy forms unknown or at least unused 300 years ago? (Without air conditioning, I would have left my husband years ago. Then, again, he might have come with me.) Consider, though, the other extreme: we would be shocked to hear of elderly couples found frozen in the depth of winter, not uncommon in other times and places. How much more food is generated because of cheap energy? How broadly is food distributed?

Read more