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Government’s Taking Children Based on Flawed Test Is a Warning Sign

As we consider empowering law enforcement and judges to infringe on Constitutional rights based on things they think people might do in the future, and as we hear of parents’ losing custody of their children because the government has decided to enforce transgender ideology as law, and as progressives continue to push for socialized medicine despite British illustrations of what that means for parents’ rights, we must pay careful attention to warning signs like this:

Whiteman’s situation was not an isolated error but part of a scandal ripping through the Canadian child welfare system. The injustice was put in sharper focus this week with an independent commission report showing more than 50 custody cases like Whiteman’s were tainted by flawed drug and alcohol testing from the same Toronto lab. …

The commission found the lab’s testing did not meet international forensic standards and test results were “frequently misinterpreted.” Looking specifically at 1,271 cases handled by the lab between 1990 and 2015 in Ontario, the commission determined Motherisk’s flawed testing played a critical role in 56 cases.

… the commission was blunt about the irreparable damage done. Many of the children who were uprooted based on the tests are now in new living situations. Some have even been adopted. So far, children have been reunited with parents in only four instances, according to the Star.

As we come to put all-consuming faith in testing and planning and government’s ability to fix every problem, we may find ourselves in a nightmare that used to be only imaginable to novelists.

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Shouldn’t Journalism Be Understated?

In some ways, this is a minor critique of promotion, but in other ways, it seems related to huge problems in our country these days.  WPRI’s Ted Nesi just retweeted the following, wherein CNN Executive Producer Katie Hinman promotes a story currently on her organization’s Web site.  Keep in mind that the linked story is about a single controversy with a single insurer in a single state:

Hinman is extrapolating from this one story — which is definitely newsworthy — to assert outrageous behavior by an entire industry.  One needn’t be a fan of that industry in order to think that’s irresponsible behavior from a news executive.

Most definitely, CNN should keep digging to find out whether Aetna’s behavior is even more scandalous, because unique, or the scandal is much bigger in scope, because universal.  Before doing that digging, though, CNN is just hoping that the story plays out in a particular way and trying to gain attention for a conclusion based on work that it hasn’t done.

If this is modern journalism, then that’s outrageous, explosive evidence of how news companies actually function.

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The Only Way to Better Health Care

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Fake Claims From The Progressive Land Of Make-Believe

The legislative onslaught from the left has begun. As the poster child of their desire for government-control over the lives of residents and businesses, Rhode Island’s progressive-Democrats announced they will introduce legislation this week to establish an estimated $13.2 billion single-payer health insurance system.

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Are We Trying to End a Positive Trend?

The story of vaping in schools has appeared in a number of places in the past few days. Here’s Jessica Picard reporting in the Valley Breeze:

“Our concern is that we are seeing an increasing trend in vaping. We thought it was important that we share with parents what we are seeing,” said Supt. Robert Mitchell.

Increased use of e-cigarettes is not just in the high school, but in the middle schools as well, said school officials.

According to the Centers for Disease Control and Prevention, current use of electronic cigarettes increased among middle and high school students from 2011 to 2016. The CDC reported that in 2016, about four out of every 100 middle school students and 11 out of every 100 high school students said they had used e-cigarettes in the past 30 days.

In isolation, this may indeed be a bad thing, but that’s not how we should look at it.  According to the federal Department of Health & Human Services, “from 2011 to 2015, the percentage of 12th-grade students who had ever used an e-cigarette increased from 4.7 to 16 percent.”  But over that same period of time, the percentage of seniors who said the same about actual cigarettes decreased from 10.3% to 5.5%.  Smokeless tobacco (like snuff and chewing tobacco) is down from 8.3% to 6.1%.  (These groups aren’t exclusive, meaning that there’s some overlap between them.)

As of 2014, more students had used an e-cigarette than an actual cigarette.  The question that the advocates and (in turn) the journalists miss is this:  If the alternative to e-cigarettes is not nothing, but smoking or chewing tobacco, isn’t this outcome positive?

Looking at the trend for teenage smoking, the line is down, down, down since the mid-90s.  That’s what one would expect as the rules and social pressure have changed.  When I was a high school smoker back then, we were still able to go out to the smoking area behind the library.  No doubt as that convenience decreased, fewer kids bothered.

It could be that some percentage of teenagers will simply do something “adult” and addictive like smoking.  It’s probably better to allow that to be something like smoking, rather than smoking itself.

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Regunberg’s Drug Innovation Disincentive Act

Barely out of the gate in the new legislative session, progressive Democrat Representative Aaron Regunberg of Providence is proving exactly how dangerous he is to the health and well-being of Rhode Islanders:

The bill (2018-H 7042), which Representative Regunberg introduced Jan. 3, would establish a board of pharmacy to examine how prescription drug manufactures set the price for certain prescriptions, and give it the authority to set a maximum allowable price to protect the Rhode Island consumers.

The price-fixing scheme would give nine unelected board members, most of them pharmacists with a financial interest in the industry, deep access to the private information of drug companies and the power to set prices for drugs — particularly those that are among the most innovative and life changing — below the level that companies believe necessary to make it worthwhile to develop more.

There is no reason to expect pharmacists to understand every aspect of drugs’ production and sale generally, let alone the internal operations of a particular company.  If companies are forced to justify pricing decisions to Rhode Island’s socialist-nine board members and beg their indulgence, the potential for corruption is immense.  If the members are cycled out every three-year term, then they’ll lack a long-term perspective, but if they’re kept on the board for much longer, they’ll become less accountable.

The minimum price for a drug in the state will always be zero… in the sense of being unavailable.

Given the critical nature of its products, our health care market does need controls against price gouging, but we should go the route of reform and competition, not the philosophy that has brought Venezuelans into the gutter.  Reform patent laws, giving generic drug manufacturers more opportunity.  Take the thumb off of insurance companies so they’ll have more leverage against drug companies.  Take the restrictions off of health care providers and consumers so they’ll have leverage to shop around for drugs, insurers, and types of treatments.

Above all, Regunberg’s bill illustrates how close we are to the end game of government control, and that’s an extremely unhealthy place to be.

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The Necessary Schemes of the Government Plantation

Red Jahncke describes one part of the government plantation funding strategy:

… 42 states tax hospitals. Why? One answer is the perverse incentives built into the Medicaid law. When a state returns tax money to hospitals through Medicaid “supplemental payments,” it qualifies for matching funds from Washington. Connecticut hospitals will pay $900 million in taxes, but the state will offset that with $600 million in supplemental Medicaid payments—matched with $450 million of federal funds, meaning Hartford comes out ahead in the whole scheme by $750 million. Nice work if you can get it.

As Jahncke closes his essay by suggesting, if government wants to do this, it should be straightforward about it. The problem is that, increasingly, the business model of government is to seek people to whom to provide benefits or services and then find ways to make taxpayers at all levels of government pay for it.  If the wealth transfer were more obvious, then the people paying the bill would more quickly decline to do so, especially for those portions funded across state lines by the federal government.

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Pawtucket Senators’ Wrong Focus

Yesterday, the Rhode Island state senators who cover Pawtucket put out a press release (which does not appear to be online):

The Pawtucket delegation to the Rhode Island Senate today expressed their profound disappointment at the closure of Memorial Hospital, effective January 1, 2018. They had taken many steps to avoid the closure. Earlier this year, they won enactment of legislation they sponsored to facilitate the hospital’s sale. When negotiations for the sale of the hospital broke down, they implored the Department of Health to reject the closure plan and laid out potential steps forward that could keep medical services in the community. …

Senator Nesselbush (D – Dist. 15, Pawtucket, North Providence) said, “For more than a century, Memorial has been relied upon by the people in our community for affordable, quality health care. The detrimental impact of Memorial’s closure is substantial to us in the community. We are grateful for the attempts being made by the Department of Health to address some of the unique challenges associated with the closure, but remain concerned that nothing can replace the accessible care we have come to know and expect at Memorial.”

Rhode Island needs its legislators to stop trying to maintain the status quo in the face of the state’s deterioration.  Want to maintain a vibrant medical offering in your community?  Then stop trying to find ways to restrict people and business and start trying to free them.  Take restrictions off of medical providers and insurers specifically and businesses in general.

Not only will providers be able to make a profit, but the economy will revive and the tide will start coming into the Ocean State, rather than inexorably sliding away. A state that sees itself as mainly serving the people who need services will find fewer and fewer people willing to constrain their ambitions — their lives — in order to pay the bills but be unserved.

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Life Expectancy and Drug Overdose Deaths Don’t Fit the Identity Politics Narrative

The headline that the Providence Journal gave to a Washington Post story, “Fueled by drug crisis, US life expectancy declines for a second straight year,” hides the key point:

Overall, life expectancy dropped by a tenth of a year, from 78.7 to 78.6. It fell two-tenths of a year for men, who have much higher overdose death rates, from 76.3 to 76.1 years. Women’s life expectancy held steady at 81.1 years.

American women now have five full years of additional life, on average, than American men.  You better believe that if the sexes were reversed that would be not only the headline, but a theme for national coverage everywhere for a week.

Looking at a leading cause of the change only amplifies the point:

Men of all ages (26 deaths per 100,000) are twice as likely to die of a drug overdose as women (13 per 100,000).

In Rhode Island, where female Democrat Governor Gina Raimondo hosts an annual student contest that discriminates against boys, the number of overdose deaths among men is almost three times that of women:

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The most important antidote to drug use and overdose isn’t a government program, it’s hope.  Unfortunately, that’s only a word on our flag in Rhode Island.

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The Market Will Produce a “Comfortable Default”

Fred Schwarz makes a point that unfortunately appears to be accurate:

One reason that conservative health-care schemes are less popular than we’d like is this: They assume that what Americans want is choices, when in fact what most Americans want is a comfortable default. The same goes for school choice, even in otherwise conservative areas. New York City has a vast number of options for schooling your kids — large, small, public, private, parochial — and I have yet to meet parents who consider it anything but a burden. Customizing health insurance and education options is like customizing Microsoft Word — yes, that little elevated “th” every time you type an ordinal number is annoying, but hardly anyone bothers to fix it. That’s why people say they like their employer-provided health insurance: It’s not because of the benefit structure or the customer service, but because you don’t have to do anything to get it; it’s just there.

There are caveats.  As I’ve written before, the availability of school choice in Vermont is associated with higher property values, for example.  We shouldn’t be surprised if New York City is a somewhat unique circumstance; throughout most of the country, the options will be more manageable than in the most bustling metropolis on the planet.

Similarly, support for conservative health care policies might improve if they’re explained (accurately) as allowing for just the “comfortable default” that people tend to want.  That’s the beauty of conservative reliance on the market.  Policy wonks may make the public feel like they’d be facing an incomprehensible maze of options, because that’s what excites wonks, policy but in the absence of overwhelming government regulation, the market will provide simple options, too.

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General Assembly and Projo Editors Show Nurses Who Owns Them

Don’t miss Jennifer Bogdan’s article in the Providence Journal, about the hassles that the State of Rhode Island created for nurses in the state by failing to pass legislation to remain in the interstate Nurse Licensure Compact, which allowed nurses in any of the 25 participating states to carry use licenses across borders.

…  a bill was never even introduced in last year’s General Assembly thanks in part to strong resistance from nurses unions that argue the compact has deprived Rhode Island nurses from opportunities to work here.

The situation has left local nurses who pick up out-of-state work scrambling to quickly acquire other state’s licenses. Meanwhile, out-of-state nurses currently working in Rhode Island under the compact are flocking to the Department of Health with their $139 applications for Rhode Island licenses in tow.

Donna Policastro, executive director of the Rhode Island State Nurses Association, which supports the compact, said she’s been fielding calls from concerned nurses who’ve learned about the change. In one case, a nurse is working from home advising for a national company in 16 states. The woman now needs 16 additional licenses.

The Projo’s editors did Bogdan a huge disservice by recasting her article — completely inverting both the angle of the story and the significance of recent events — with the headline, “Unions: Compact deprives R.I. nurses of work.”  The bias of the headline writer is apparently so deep that he or she created the false impression that there is currently a compact in effect in the state.  The headline should have been something like, “Nurses scramble for licenses after state quits compact.”

More important, though, is the lesson on our relationship with our government.  Think of it:  These folks, mainly women, have to beg the General Assembly to keep their jobs possible every year, and this year, the unions managed to brush them aside to ensure more-total ownership of our lives in the Ocean State.

None of this should be acceptable, across the board.

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