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The Reaganomics Fraud:

So did these oppressive regulations only hit you during the Clinton and Obama administrations? Or did you have any of these crisis moments during the Regan, Bush41 and Bush43 years too?

My point being do the GOP administrations show any sign of lightening the load of oppressive regulations?

And have you ever tried to express your concerns to your Congressperson or Senator?


I know you directed this at Plunkey but i need to chime in. Yes, I have. The president often gets more credit for economic and regulatory power than he deserves. Those powers rest primarily with congress. And as I pointed out previously, liberals have maintained power in congress for most of the last 50 years. That and a tremndous number of republicans are very poor examples of conservatism. Those elements have contributed mightily to our predicament.

Conservatism isn't the easy road. It requires discipline and self responsibilty. And the more people drift to "it's not my fault" or "what can you do for me?" the further from conservatism we fall.
 
So did these oppressive regulations only hit you during the Clinton and Obama administrations? Or did you have any of these crisis moments during the Regan, Bush41 and Bush43 years too?

My point being do the GOP administrations show any sign of lightening the load of oppressive regulations?

And have you ever tried to express your concerns to your Congressperson or Senator?

A lot of the FDA regulations stem from the 1976 Safe Medical Devices Act. And it's a great example of how things can go wrong. It laid-out a pathway for approval of medical devices called "Substantial Equivalence" through something called the 510(k) process. Here's how reasonable it started: If you wanted to market a device that is substantially equivalent to something sold in 1976 or before, you simply had to notify FDA. If they didn't respond with an objection within 90 days, you were approved.

Then FDA got a flash of pure bureaucratic genius: If you ask a question about the application on day 89, you could then reset the 90-day counter and delay the approval. They had found a mechanism to delay approvals virtually forever. And when manufacturers started screaming over multi-year approvals, the answer was simple: FDA simply needed more funding. That's when they should have scrapped it and put a better system in place. But who's going to oppose safe medical devices? That's the beauty of the naming of these bills. Always pick a name that only evil people could possibly oppose.

So the new rub worked this way. Business-friendly administrations would either starve FDA funding or redirect their activities. A classic example was Bush II's de novo initiative. It was a way for devices that didn't technically qualify for 510(k) to have a lower-cost pathway than a PMA (PMA's can cost billions, whereas 510(k)'s are only hundreds of thousands). Less business-friendly administrations always announced crackdowns. Clinton's crackdown was appointing David Kessler, who was an absolute nightmare. Approval times for 510(k) went to years. If he hadn't overstepped and lost a supreme court case trying to get cigarettes reclassified as a drug delivery device, it would have been much worse.

The latest problem is enforcement. In the old days, FDA sent you 483 violations when you were out of compliance. If you really screwed-up, you got a warning letter. Warning letters were an absolute disaster. Used to be, a company would rather get a Federal Indictment than a warning letter. But now, they are sending-out warning letters left and right. It kicks-in a much more elaborate (and expensive) answer process, but what they've done is a two-fold mistake: 1) They've greatly increased both their and manufacturer's costs and 2) Diluted the impact of a warning letter. But what it does is lets FDA say: "We're cracking down. We've issued twice as many warning letters this year than under previous administrations."

And to answer your question about senators and congressmen, there's an unwritten rule. You can lobby all you want for changes to laws, but it's considered bad form to bring a congressman down on an agency. For example, if you called-out FDA on an administrative decision, you might win with the congressman on your side but you'd be facing yearly inspections and multi-year approvals on everything else. And yes, the non-political administrative personnel in these agencies 1) are essentially employed there forever 2) have long memories and 3) are very vindictive. It's weird too, because you can lobby like hell and make all kinds of noise legislatively, but it's still bad form to go outside that specific process.
 
Why have the tolls gone up over 80% on that road since 2006 if costs have decreased ?
How is that comparable to Illinois and Ohio toll rates over the same period? You can't throw out a number without comparable metrics.

The Ohio turnpike , state run, increased its toll rates 82% from 1995 to 1998 to deal with increasing costs. They further increased rates by 48% for cars in 2009....
Ohio Turnpike to up cash tolls 48%, freeze electronic tolls, go to axle classes 2009Q4 | TOLLROADSnews

They (Ohio turnpike) increased rates so harshly on commercial vehicles that we have serious safety issues in Ohio on our state routes due to commercial vehicles exiting the Indiana toll system and using the state routes to navigate to their destinations. In an attempt to attract commercial vehicles back to the system they (Ohio turnpike)increased the speed limit for commercial vehicles but to no avail because the cost benefit isn't there for companies and private operators.

Also, the Ohio turnpike was sold to the taxpayers as a "limited toll road" where once the cost of construction was paid off the tolls would end. However, it proved to be such a money maker for the general fund the tolls continued and the bureaucracy grew...The Ohio turnpike has learned a lesson from the free market, consumers have a limit on what they will pay, but they have a government mentality where the only solution is charging more for something fewer people see as a premium they are willing to pay for convenience.


More on Daniels...
Mitch Daniels: Governing by the Numbers - BusinessWeek
 
A lot of the FDA regulations stem from the 1976 Safe Medical Devices Act. And it's a great example of how things can go wrong. It laid-out a pathway for approval of medical devices called "Substantial Equivalence" through something called the 510(k) process. Here's how reasonable it started: If you wanted to market a device that is substantially equivalent to something sold in 1976 or before, you simply had to notify FDA. If they didn't respond with an objection within 90 days, you were approved.

Then FDA got a flash of pure bureaucratic genius: If you ask a question about the application on day 89, you could then reset the 90-day counter and delay the approval. They had found a mechanism to delay approvals virtually forever. And when manufacturers started screaming over multi-year approvals, the answer was simple: FDA simply needed more funding. That's when they should have scrapped it and put a better system in place. But who's going to oppose safe medical devices? That's the beauty of the naming of these bills. Always pick a name that only evil people could possibly oppose.

So the new rub worked this way. Business-friendly administrations would either starve FDA funding or redirect their activities. A classic example was Bush II's de novo initiative. It was a way for devices that didn't technically qualify for 510(k) to have a lower-cost pathway than a PMA (PMA's can cost billions, whereas 510(k)'s are only hundreds of thousands). Less business-friendly administrations always announced crackdowns. Clinton's crackdown was appointing David Kessler, who was an absolute nightmare. Approval times for 510(k) went to years. If he hadn't overstepped and lost a supreme court case trying to get cigarettes reclassified as a drug delivery device, it would have been much worse.

The latest problem is enforcement. In the old days, FDA sent you 483 violations when you were out of compliance. If you really screwed-up, you got a warning letter. Warning letters were an absolute disaster. Used to be, a company would rather get a Federal Indictment than a warning letter. But now, they are sending-out warning letters left and right. It kicks-in a much more elaborate (and expensive) answer process, but what they've done is a two-fold mistake: 1) They've greatly increased both their and manufacturer's costs and 2) Diluted the impact of a warning letter. But what it does is lets FDA say: "We're cracking down. We've issued twice as many warning letters this year than under previous administrations."

And to answer your question about senators and congressmen, there's an unwritten rule. You can lobby all you want for changes to laws, but it's considered bad form to bring a congressman down on an agency. For example, if you called-out FDA on an administrative decision, you might win with the congressman on your side but you'd be facing yearly inspections and multi-year approvals on everything else. And yes, the non-political administrative personnel in these agencies 1) are essentially employed there forever 2) have long memories and 3) are very vindictive. It's weird too, because you can lobby like hell and make all kinds of noise legislatively, but it's still bad form to go outside that specific process.

Can you explain to me how those supporting Obamacare arrive at the conclusion where taxing medical device manufacturer's brings down the cost of health care? :confused:
 
Can you explain to me how those supporting Obamacare arrive at the conclusion where taxing medical device manufacturer's brings down the cost of health care? :confused:

Don't get me started on that. That's a train wreck.

- It was meant to be a 2.9% tax on high-margin device makers (i.e. joint replacements and cardiac implants)

- The Minnesota delegation (home of Medtronic) got it changed to a 2.3% tax on every device manufacturer (lobbying at its finest)

- What they didn't realize is that some segments of health care don't even make 2.3%. Some segments (i.e. custom procedural trays) run significantly below that. Those markets would actually go negative with that tax.

- Manufacturers are already building price increases into their product, even though the tax doesn't kick-in until 2013

- But something more insidious is happening. Manufacturers are discontinuing lines that can't clear the 2.3% tax threshold. So where we offer a "good", "better" and "best" product, sometimes the "good" can't clear the 2.3% hurdle. The key is to cut commissions to the sales force on "good" to zero, then eventually discontinue the product. In these situations, moving from "good" to "better" can easily be a 5%-10% cost increase.

- Between the tax itself and discontinued products, I'd guess the overall raw price increase will be around 5%. But hospitals turn-in these costs for their Medicare Cost Reports (the data the government uses to determine reimbursement rates). A typical calculation involves using a ratio of cost to charge (RCC) and a typical number would be around five (that's how you see those crazy bills like a $10 aspirin). So for reimbursement rate determination, that little 2.3% tax will snowball up into about a 25% increase in the material component of Medicare costs.

Here's the good news. The Dems and Repubs both know this is really messed-up. They get it now. We've retained a democratic lobbyist but in this fight, we're just a gnat on the horse's ass. We'll put our two cents in, but companies much larger than us will clean this up (most likely).
 
Yeah, taxation is obviously what's holding us back, and exterminating the middle class:

Analysis finds U.S. tax burden lowest since 1958 - Political Hotsheet - CBS News

The tax burden facing Americans is lower than it has been in more than 50 years, according to an analysis by USA Today.

Bureau of Economic Analysis data shows that Americans are now paying 23.6 percent of their income to cover federal, state and local taxes. In the 1970s through 1990s, they were paying about 27 percent of their income in taxes.
 
ol' DB moght be able to fill RedSam's vibrams with the requisite amount of all natural pot fogg intake, therefore making his poasts 400% more efficient.
 
You are so dumb you make me sick, whitey.
Well I'm getting kinda fond of you too, spook
 
Yeah, taxation is obviously what's holding us back, and exterminating the middle class:

Analysis finds U.S. tax burden lowest since 1958 - Political Hotsheet - CBS News

Here's my favorite part of the article:

The tax burden fell most recently thanks to a cut in Social Security taxes as part of December's budget compromise which saves taxpayers $2,000 per year on $100,000 in income.

Now I'm pissed off that you and Musclemom aren't paying your fair share.
 
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