Horace,

> The above article appears to support *my* position... The
article states
> that in 1980 medical costs consumed 8.8 percent of the
gross domestic
> product (GDP).  In 2000 it consumed 13.2 percent.

I don't think you read it carefully. If you pay attention to
the details in this and other analyses, and compare apples
to apples then the ~4.5 % bigger chuck of GNP over the past
20 years is mostly due to either "general inflation"
(oil-push) or to "consumerism" items that were not available
in 1980, and litigation, which you mentioned, but mostly to
several new generations of very expensive drugs, some of
limited value relative to cost, and a wide range of
discretionary service, such as cosmetic surgery and
especially cosmetic dentistry which isn't even called
cosmetic, better prenatal care, much more extensive testing
(MRI etc). Comparing the services which were available then
and now, it would suggest that there has been an actual
decrease in medical cost, due to productivity gains and such
things as lower duration hospital stays.

In contrast with oil and petrochemicals, where there is no
"consumerism" such as no better fuel choices etc. "medical"
is far different as far as being inflationary. There  is no
doubt that it takes a bigger chunk, but most of that chunk
is "voluntary" as it is a consumer issue, or for new
services, not-previously available or for new services
deemed necessary. But oil, in marked contrast, has pushed
everything else up as lagging inflation and it is the very
same old stinkin' product. Consequently none of the other
increase would have happened at all (except the "consumer
choice" issues and the improved products), but the
ridiculous litigation expense (which must be limited
somehow) had it not been for oil and petrochemicals as the
prime instigator.

You cannot blame the high cost of medical on the same type
of base-push inflation, when the "big items" which all of us
end-up paying for, which benefit the few, such things as
cosmetic surgery, and new drugs, some of which like viagra,
are not necessary for health, or drugs of marginal benefit,
which are taken by millions - like statins. When you ending
up paying for several million people taking statin at $600
per year per consumer, when fish oil + aspirin at $75 year
does almost as well in comparative testing, then this is not
exactly the same kind of inflation as in other segments of
the economy (and I am not suggesting that statins should not
be taken, only that they are a very poor value, and that it
is a "choice" issue).... Consequently when there is no
choice, and everyone is forced to pay arbitrary
OPEC/petrol-mafia style price increases for the same
unimproved item, things are FAR different for comparison
purposes.

There are very few inflationary items in our economy that
have the same basic inflationary **push** as oil - it all
starts with oil and petrochemicals.

Jones


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