Top of the Charts

November 2, 2009
Posted by Jay Livingston

In case you wondered about what we in the US pay for health care compared with those unfree unfortunates who suffer under various forms of socialized medicine, here are some graphs showing the advantages of what Republicans here tell us is “the best health care system in the world.”

The graphs are from the International Federation of Health Plans. I’ve selected only four – to show the relative costs* of

• an office visit
• a day in the hospital
• a common procedure (childbirth without complications)
• a widely used drug (Lipitor)

(Click on a chart to see a larger version.)

You can download all the charts here, but be warned: it gets boring. We’re number one in every chart, at least in this one category of how much we shell out.

Since we have the best health care in the world, this must mean that you get what you pay for. Our Lipitor must be four to ten times as good as the Lipitor that Canadians take.


*Udate: As Phenompbg says in his comment below, these amounts are what providers are paid by governments or other insurers, not what the patient pays, which in many Eurpean countries is essentially nothing. See the footnotes for the tables in the original document. Or look at the comments on this at Boing Boing, a discussion which is remarkably civil (do they monitor comments?).

Hat tip: Ezra Klein.

It’s Your Funeral

November 2, 2009
Posted by Jay Livingston

“Current funeral fashions . . . illustrate the sad truth that, as a society, Americans are no longer sure what to do with our dead.” So says theologian Thomas Long in an All Souls’ Day op-ed in the Times.

He mentions some of these fashions:

coffins emblazoned with sports logos; cremation urns in the shape of bowling pins, golf bags and motorcycle gas tanks; “virtual cemeteries” with video clips and eerie recorded messages from the dead; pendants, bracelets, lamps and table sculptures into which ashes of the deceased can be swirled and molded.

If you don’t believe him, take a look on line, here for example.

(Click on the image for a larger view.)

But the source of this diverse emporium of funeral stuff isn’t our uncertainty over what to do with our dead. Instead, it rises at the intersection of two cherished American ideals: capitalism and individualism.

The American tendency to turn ceremonial occasions into commerce is certainly not news. As Robert Klein said of Washington’s Birthday (back when there still was a Washington’s Birthday and not the generic Presidents’ Day), “I’m sure the father of our country would be pleased to know that his birthday is being honored with a mattress sale.”

Even our most solemn moments, funerals, are opportunities to cash in, as was noted long ago by two Brits – Evelyn Waugh in a comic novel (The Loved One, 1948), and Jessica Mitford in a book of serious reporting (The American Way of Death, 1963).

The combination of capitalism with our value on individualism and freedom of choice gives us in funerals what it gives us in everything from automobiles to breakfast cereal: a wide variety of products.

The loser here is tradition. But tradition has never held much power in the US. “Because that’s the way we’ve always done it” doesn’t win many arguments here, especially not when it goes up against rational utilitarianism (“but it would be cheaper and quicker to do it this way”). Tradition is also losing out to self-fulfillment and self-expression. Tradition emphasizes the community – past, present, and future – over the individual. It links the individual with past generations and future generations. In most societies, funerals emphasize the primacy of the group and celebrate the deceased as a member of that group, whatever his particular individual quirks might have been.

The new look in funerals celebrates the individual for precisely those things that made him an individual – his particular interests – even though these have nothing to do with the traditions of the community.

One family asked for a memorial service on the 18th green of their father’s favorite golf course, “because that’s where dad was instead of church on Sunday mornings, so why are we going to church,” Mr. Duffey said. “Line up his buddies, and hit balls.” Another wanted his friends to ride Harleys down his favorite road, scattering his ashes. [From an article in the Times four years ago.]

The same trend has transformed other religious events like confirmations (“Select a confirmation party theme that celebrates the guest of honor’s hobbies or passions”) and of course, bar mitzvahs.

a beach themed party will put everyone in a tropical mood. Decorate with orange, pink and green lighting and maybe even some tiki torches! String tiny lanterns across the ceiling and use brightly colored flowers in vases for the centerpieces. Everyone will enjoy a limbo contest especially when it’s played along with some Hawaiian music.

(And I was worried that the previous post’s picture of a Weimaraner wearing a tallith and yarmulke might have been seen as sacrilegious. What was I thinking?)

Trick or Treat

October 31, 2009
Posted by Jay Livingston

Lisa over at Sociological Images has been giving a lot of thought to her Halloween costume. And everyone else’s. One of the themes she notes is the ethnic caricature: Asian, Mexican, Indian, Middle Eastern, etc. There’s a “Rapsta” child’s outfit. And costume companies even have outfits for dogs.

(Click on the image to see a larger version.)

(Note that the above costume is in the “Religious Gifts” section of the Website.)

The other theme is Sexy, especially in female costumes. I was going to say “women’s costumes,” but as Lisa and many other commentators have pointed out, even the costumes for pre-teen girls are often sexualized – fishnet stockings and the like.

During the recent (and future) flap over Roman Polanski, there was some talk of the idea that while American attitudes categorically condemned sex with younger teenagers, Europeans were less absolute, more tolerant. I don’t know whether that assessment of sexual mores is accurate, but you certainly wouldn’t know it by looking at the Halloween costumes on sale here in the US. Not only are costumes for girls sexualized, but as Lisa notes, the costumes for adult females include sexualized versions of young girls. The sexy schoolgirl is probably the classic example, though this year she is joined by her classmate from Hogwarts.

But you can also now find Dorothy from the Wizard of Oz, Alice (from Wonderland), Little Red Riding Hood, Goldilocks, a generic Girl Scout, and probably others.

I wondered if a French costume site would have similar costumes. Admittedly, this is not thorough research, but everything listed under enfant>fille was Disney-pure. Perhaps the French draw the line between enfant and adulte at a lower age. But in the costumes for women, I didn’t find the variety of sexualized pre-teens that Lisa found at the US site. One Little Red Riding Hood, one Gretel, and one schoolgirl, as opposed to the dozens of variations at the US site.

The French site did have several different nun costumes. This fits with the strategy of sexualizing a status that in reality is usually unsexy: soldier, police officer, nurse, pirate, witch, angel, etc. Or even sponge (bottom left).

(Click on the image to see a larger version.)

Note the price of the Bob l’Éponge Sexy costume, more than twice the nun. Must be the licensing fees. (The Olive Oyl costume – not shown, and not sexy – goes for 79€.)

Happy Halloween

A Sell-by Date for the Tax Breaks

October 30, 2009
Posted by Jay Livingston

Maybe you missed yesterday’s special section on Wealth and Personal Finance in the New York Times. Maybe you didn’t need to read articles like

• “Exotic Bets to Hedge a Portfolio”
• “Foreign Bonds Provide a Buffer . . .”
• “ . . . Keeping the Heirs Quiet”
• “For Equestrians, a Buyer’s Market in Horses”

Maybe you wondered who those articles were for. If so, you could have opened to page 8, to this chart, which is not to be missed, especially by those who might have thought that the benefits of the Bush tax cuts were broadly distributed and didn’t go just to the very rich.

(Click on the chart for a larger view.)

The people in that big, blue circle, that’s who those article are for. The top 1%, the folks (to use a Bushian locution) yes, the folks who take down over $ ½ million a year and more, much more, and had their taxes reduced by nearly as much, those are the folks the Times must have had in mind with this special section. (Full article by David Cay Johnston here.)

When the Bushies bestowed this largesse upon the wealthy, they had to make it look a little less devastating to the federal budget, so they wrote in an expiration date – the end of 2010. The Bushies and their friends probably expected the Republican domination of all three branches of government to continue in perpetuity, so that when the time came, the tax breaks would be extended. They also expected that the economic strategies of tax cuts and deregulation would usher in an era of permanent prosperity rather than the worst economic period since the 1930s.

But a funny thing happened on the way to Republican paradise, and it now looks as though the sun will set on these tax breaks. Nearly a decade of the government going deep into debt in order to give you fistfuls of money as though it were trick-or-treat candy is not such a bad deal. But now . . .

What’s a poor millionaire to do? Buy another horse? Another house? Hedge the portfolio? Or might the heirs be quieted more with foreign bonds? Decisions, decisions.