Friday, 25 January 2013

"Weird things happen when you take price out of the equation for consumers. For one thing, they stop looking for the best price."

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Yes. Obvious. I know. But this is NPR talking, which is what struck me.

(The topic is the breast pumps that must be paid for by health insurance companies under Obamacare.)
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Friday, 11 January 2013

"The ordinary people were not happy. They loathed the Emperor's interference in every detail of their daily lives."

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"Why should they be forbidden to bake ginger-bread just because Joseph thought it bad for the stomach? Why the Imperial edict demanding the breast-feeding of infants? Why the banning of corsets? From these and a thousand other petty regulations, enforced by a secret police, it looked to the Austrians as though Joseph were trying to reform their characters as well as their institutions. Only a few weeks before Joseph's death, the director of the Imperial Police reported to him: 'All classes, and even those who have the greatest respect for the sovereign, are discontented and indignant.'"

From the History of Austria. Joseph II, who ruled from 1780 to 1790.



Austria is our "History of" country today, as we proceed through the 206 countries of the world using the Wikipedia summaries. So much has happened in Austria over the ages. The "History of" project cannot begin to summarize the summary. I merely offer up a snippet, one thing that struck me as something that might have particular resonance. But it is only one of many things. For example, from 25,000 BC:

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Saturday, 5 January 2013

"The breast pump industry is booming, thanks to Obamacare."

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"Tucked within the Affordable Care Act is a provision requiring insurance companies to cover 'the costs of renting breastfeeding equipment'..."
“The law states that we must provide rental pumps,” said UnitedHealthcare spokesman Matthew Stearns. “These pumps are hospital-grade, and they are larger, harder to clean and more expensive than personalized pumps for women. We are providing women the option of getting a personal pump in lieu of renting the more-expensive pump.”
People will do what is incentivized. If breastfeeding is — as we've been told — extremely beneficial to the new baby (and the old baby?), then we ought to want to encourage women to do it. We can't force them to do it, but what we can do is make it easier. I'm very interested in the way the health-care law is going to be a mechanism for manipulating human behavior. By requiring the offering of something that feels like a gift, the government manages the moods of women who would be outraged — rightly outraged — to be told they must breastfeed.

Let's say, now that we're all becoming so involved in the overall economics of healthcare, that we wanted to boost the health of the babies in the insurance pool by making every mother breastfeed (unless she can't and gets a doctor's excuse note). You couldn't simple mandate breastfeeding, because it's too intimately concerned with the woman's body. You'd be violating her rights, but you wouldn't even reach that legal question, because it would be too politically ugly to go there. How about imposing higher health-care premiums for women who have babies, then choose not to breastfeed? That's also unpleasant. And how would you spy on women to check what they were doing? You could slap some big tax on baby formula, but that punishes even the women who can't breastfeed, and it nudges people to buy some alternative product — milk being an obvious substitution.

So make the pumps free so the manipulation feels good.

And here's a business sector that will do fabulously well: the pump-makers. The politicians score triply: 1. Female service to baby health is harnessed, 2. Women feel happy about getting things, and 3. A business booms.

ADDED: Times have really changed:
I remember in the early 70s, Ms. Magazine, in its early days, constantly attacked La Leche League, a pro-breastfeeding group. It was considered anti-feminist at the time to encourage women to breastfeed. Breastfeeding promoters had an ulterior motive (according to Ms.): keeping women at home.
The pump is a device to obscure this criticism. It represents a weird kind of freedom. This human organism needs your body, frequently, but you can get your distance if you attach yourself, diligently and efficiently, to the electrical suction machine. The aesthetics of breastfeeding are radically transformed. The leisure and the ease of natural breastfeeding while tending to various household tasks are superseded by a busy schedule stacked with duties — going to work, getting through work while slotting in the regular suctioning of the mammaries, getting home, taking care of all the same household tasks, and slotting in some time to bond with the child. Was this worth it? Hey, don't be glum. Here's a present for you: A milk-extraction machine. Happy?
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