Posts Tagged ‘medical costs’

What Everyone Should Know About The “Tit Tax” (or Why Your Boobs Are a Depreciating Asset)

December 2nd, 2009
I would tax these. Hard.

I would tax these. Hard.

If you are vain, or know someone who is, then this story might affect you.  Personally, I’m against the latest proposal to tax breast implants, tummy tucks, wrinkle-smoothing injections and other elective cosmetic surgeries if for no other reason than because some smarmy columnist had the bright idea to coin it the “Botax” and now we all have to live with that smug pun.  Second, we seem to have reached a point in society where they’re just making up s*** to tax.  And lest you think I’m being cynical, I quote from Senator Harry Reid’s spokesman, Jim Manley, as to the origins of such a random tax, “We needed money to make the bill work.”

I have to say, the cosmetic surgeons aren’t exactly putting up a compelling fight.  Their argument is basically that the point of the Democratic proposal is to hit ”wealthy, suburban Republican women” the hardest but the Senators misunderstand that those aren’t the surgeons’ primary clientele.  Rather, one should pity the “many newly jobless women [who] look for ways to make themselves more marketable to prospective employers…They’re competing with people 10 to 15 years younger than them and they want to look better.”  So says Dr. Phil Haeck, president-elect of the American Society of Plastic Surgeons.  These are, after all, challenging economic times, and “These women come in, they’ve lost their jobs, they don’t have the money for a facelift.”

It makes me sad to think that someone who just lost her job might be able to scrape together $5,000 from her rainy-day fund to afford a facelift ($5,031 average cost: link opens directly to a .pdf) but somehow couldn’t possibly scrounge up another $250 if pressed; but it makes me even sadder that a newly-unemployed individual with $5,000 in his or her pocket would think his or her next best move in life would be to walk past the job re-training office and instead seek out the nearest plastic surgeon.

The good news is that the original plan was for a 10% tax, so we can all breathe a sigh of relief that the measure currently being debated is only 5%.  It would provide an exemption for deformities and injuries, but does include procedures such as face lifts, liposuction, cosmetic implants, and teeth-whitening (from what I can tell, 90% of all internet advertising is for teeth-whitening, so if you wanted to tax something, tax those freaking ads!).  I’m unimpressed with the amount projected to be raised: $6 Billion over 10 years.  At just $600M per year, that barely makes a blip on our Official Ledger here at PopEconomy! but I give them points for trying. 

(I will have to decide whether or not to enter this item into the Ledger, since the “Tit Tax” is specifically proposed to offset the cost of HealthCare Reform, whereas I am attempting to pay down the Federal Deficit.  I am also aware, lest anyone point it out before I do, that you can’t necessarily straight-line these costs over 10 years.  In other words, it’s not particularly accurate to state that the “Tit Tax” will raise exactly $600M each and every year for 10 years.  It may start very small, and accelerate, or vice-versa.  The CBO will have that level of detail, and I haven’t seen it yet for this section of the Bill.  If you want to go that deep, you can find them at www.cbo.gov.  But really, come on.  Relax.  Scroll up and look at those boobs again.  Isn’t that a better use of your time?)

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Posted in HealthCare, Sin Tax | Comments (2)

What Everyone Should Know About Personalized Medicine (or Why Identity Thieves Will One Day Steal Your DNA)

October 10th, 2009
This is either a life-saving protein with the potential to save millions of lives, or the molecular structure for a highly toxic nerve agent...so help me I lost my notes and can't remember which is which.

This is either a genetically-engineered protein with the potential to save millions of lives, or the molecular structure of a highly toxic nerve agent-- so help me I've lost my notes and can't remember which.

They say we share more DNA in common with other species than with each other.  If there’s any chance it means I’m not related to this guy, I’m all in favor.  Having said that, you need to patent your own double-helix my friends, because personalized medicine is the wave of the future.  According to this Special Report from Genetic Engineering and Biotechnology News (did you get your copy yet this month?) the cost-saving potential of just three demonstration projects might exceed $6.2 Billion per year.

For example, according to the study’s authors “Genomic Health’s Oncotype Dx is a test with compelling cost-saving potential. It is used to predict chemotherapy benefit for patients who have node-negative, estrogen receptor positive (node-, ER+) breast cancer. By averting unnecessary chemotherapy, the test has been shown to save about $2,000 per patient. Extending this cost savings to the roughly 100,000 new cases of node-, ER+ breast cancer in the U.S. each year, this test could save the U.S. healthcare system up to approximately $200 million a year.”

The report continues, “Genentech/Roche’s Avastin costs $50–$100,000 per year of treatment but works in fewer than 50% of patients. Given that Avastin may generate $12 billion in peak sales, this low rate of efficacy translates into billions of dollars in misdirected healthcare spending. A test for Avastin response, such as that in discovery by BG Medicine, could save the system as much as $6 billion per year if all nonresponders could be removed from the treatment pool. Assuming that a test of this sort is introduced at the beginning of 2013 and is 100% adopted, cumulative savings of $40 billion could be realized by 2019.  This scenario, in which a drug with high sales but low efficacy is targeted by diagnostics companies, may become a pattern in the near future, multiplying cost savings.”

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Posted in Emerging Technologies, HealthCare | Comments (2)

What Everyone Should Know About Smoking (or Why the Truth Campaign is a Hard Habit to Quit)

June 27th, 2009
This product strengthens the father-son bond.  Presumably, some people have a problem with this.

This product strengthens the father-son bond. Presumably, some people have a problem with this.

Obama signed a new tobacco bill into law this week aimed at keeping kids from taking up the habit (Altria, RAI), and could there be a better posterchild than the President?  But nowhere in the press coverage did I find hard numbers telling me what it would save America economically.  Luckily, the folks at ProtectTheTruth.org have given us a clue: researchers from the Johns Hopkins Bloomberg School of Public Health (as published in the AJPM, 2/12/09) ran a cost-utility analysis on the national truth® campaign to prevent teen smoking.  They found that the $324M spent on the program between 2000 and 2002 recouped $1.9B in medical costs averted for society.

Bolstered by these findings, the ProtectTheTruth Commission believes that if the truth® campaign were to continue “for another five years (2009-2014) with similar effectiveness, there will be up to 500,000 fewer youth smokers with savings of up to $9.0 billion in future medical costs.”  Good enough for me– it’s going into the ledger!

But it got me thinking, this thing’s a cash cow– the more we put in, the more we recoup!  The only conceivable limit is Read the rest of this entry »

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Posted in HealthCare, New Legislation, Sin Tax | Comments (0)

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