Wednesday, August 3, 2011

Private behavior has a public cost: We all will spend more


Cigarette smokers have taught us that private behavior has a great public cost. Governments have no problem imputing large taxes on smokers and shaming them through tax-supported public service announcements. When it comes to smoking, we get it. But, when it comes to sex, not so much.


“Don’t impose your morals on me,” is the common cry of not just libertines, but all of us. The idea here is that private behavior is private and, as long as it does not affect others, people should be left to their own wills. This worked well when society expected people to exercise personal restraint. It was enough that public consensus kept people in line; few government sanctions were necessary. Healthcare reform, however, is exposing flaws in that argument as it applies today.


The Federal Secretary of Health and Human Services, under the authority granted by the Affordable Care Act of 2010 (ACA), recently issued eight mandates on private health insurance. The Secretary’s order means that in the future, health insurance must pay 100 percent of the cost of preventive care for these eight mandated categories. At least five of these mandates are directly related to sexual promiscuity. We will all pay the cost in higher insurance premiums.

Specifically, the new Federal guidelines require that all Health Insurance policies must cover preventive care for these five behavior-oriented conditions:   
  • Human papillomavirus (HPV) DNA testing for women 30 years and older;
  •  Sexually-transmitted infection counseling;          
  • Human immunodeficiency virus (HIV) screening and counseling;  
  • FDA-approved contraception methods and contraceptive counseling; 
  •  Domestic violence screening and counseling.

Before moving on, read the list again. It is true, of course, that even the most careful, pious person or monogamous married couple could conceivably suffer from one or more of these conditions: but the incidence of such is certainly low enough not to allow a federal official to order preventive healthcare payments for medical tests related to these behaviors.
HPV, STDs, and HIV, for the most part, are diseases resulting from promiscuous sexual behavior. American society has, for the most part, considered medicinal contraception acceptable, although tens of millions reject it on religious grounds. No one that I know of considers domestic violence acceptable behavior; about this, society continues to impose moral and legal strictures.
Physicians are expected to withhold moral judgment while deciding whether to treat an individual. No matter the cause, a hurting or ill person needs medical attention. The man infected with HIV or AIDS should get medical care. The woman suffering from STDs or cervical cancer should get medical care. Despite potential medical, emotional, and psychological dangers, we do not withhold medicinal contraceptives from single or married women who desire to prevent pregnancy. We tolerate cohabitating partners as a price we pay to keep government out of private lives (and we celebrate it in our popular culture). These all come with a price tag, and now, the Secretary has increased it for everyone.
You see, there really is a financial cost to all of us for not embracing the “old” morality, the morality that reserved sexual intimacy for marriage between a man and woman. We have fallen so far from this higher moral standard that today, a Federal official orders that everyone must pay more just to screen for diseases that naturally follow promiscuous behavior.
“We cannot put enough policemen on the street if there is no policeman in the heart,” to paraphrase Alan Keyes, who has sent this on numerous occasions. Public morality flows from private morality, and a lack of it costs all of us.
We do not want government to impose morals on us, but we should not want government to order us to pay for the results of immorality.

Wednesday, June 29, 2011

“Mandatory Life Insurance,” Cries California Congress Person

Perfect Match for Health Insurance Exchanges

BROADMOOR, CA. June 29, 2011: “Tomorrow I plan to introduce the Affordable Life Insurance Empowerment Act in Congress,” said Arly Esperson, Congressperson from California’s 54th Congressional District. “Now that the Sixth Circuit Court of Appeals has ruled the health insurance mandate is constitutional, I think it’s time we take the next step.”

Today, a three-judge federal appeals court in the Sixth District upheld the cornerstone of the Affordable Care Act of 2010. “The progressives in Congress wanted to be sure the court upheld the mandate before we started moving ahead with the rest of our agenda,” Esperson explained. Esperson spoke about the controversial ACA provision known as the individual mandate that will require every American resident to enroll in a health insurance plan by 2014.

Progressives breathed  a sigh of relief over the decision, Esperson said. Esperson leads the Latte Party Caucus in Congress, a group of lawmakers who believe government needs to do more for “working people. And that’s why I am moving ahead with this new bill.”

The Affordable Life Insurance Empowerment Act (ALIE), Esperson explained, would require all United States’ residents to purchase a minimum of $10,000 in what Esperson called “lifetime coverage.” Ron Kelly, a spokesman for New Mexico Life Insurance clarified the term: “Esperson means whole life or cash value insurance, and it lasts a lifetime, or, well, until death.”

Esperson’s bill would go farther and require everyone older than 35 to own a minimum of $250,000 in term life insurance in addition to the $10,000 whole life policy.  “This will do several things for working people,” Esperson explained. “First, there will be money for burial cost. Second, it will help settle estates. And third, and just as important, the federal tax of 25 percent on the death benefit will help to reduce the national debt.”

ALIE overcomes two hurdles that might otherwise doom the bill: premium cost for low-income people, and accessibility coverage. 

First, Esperson explained that low-income people – the threshold is set at family income of less than $50,000 a year – will receive help paying their mandatory life insurance premiums. “America’s richest individuals often use life insurance to dodge paying estate taxes,” Esperson said. “We will levy a 35 percent tax on the life insurance proceeds of all plans that exceed $500,000.” In this manner, “we will make sure the rich pay their fair share.”

Second, Esperson plans to fold enrollment in mandatory life insurance plans in the Health Insurance Exchanges required by the ACA. “Hey, every state must have the Exchanges, and it would be nothing for Exchange enrollers to fill out life insurance applications.” 

Under ALIE, insurance companies will have to issue life insurance to anyone, regardless of their medical condition or age. “That’s why we mandate ownership,” Esperson explained, “to eliminate cherry picking of insured people, as the life insurance companies do now.”

The other ALIE key feature will help keep the premiums low for everyone, according to Esperson. “We will limit the premium rates on a three to one ratio, so that the younger people will not get stuck paying too high of premiums.” People under 33, according to ALIE, would pay one-third as much as people older than 65.

“This is the perfect adjunct to the Affordable Care Act,” Esperson said. “For the first time in our nation’s history, everyone will have health and life insurance.”

President Obama has remained silent on ALIE.

Saturday, June 18, 2011

We elected Sue Johnson as President proving girls can govern


Cong. Michelle Bachmann
Michelle Bachmann wants to be President of the United States. She’s a girl. I can attest to this because I have met her personally. You can take my word for it.

But can a girl win the presidency? Yes, and on this you can also take my word for it.

In 1961, Sue Johnson defeated me, Dave Racer, for the Presidency of Dr. James Phillips’ Ninth Grade Core Class. Sue served admirably. I think I became secretary of something.

Alright, running a Ninth Grade class isn’t exactly like being The Most Powerful Leader in the World. I grant you that.

But what makes a good U.S. President? It depends on the times and the challenges.

For my money, the next president have a demonstrable record of commitment to solid principles of faith, family, thrift, limited government, and understand that we are going broke. In my family, it’s the girl that worries most about budget – and not overspending.

Okay. I am convinced that Michelle Bachmann is qualified to be President of the United States for the times in which we live. She may not be the only candidate so qualified, but she is the Real Thing.
In fact, I am willing to say it straight: If any one of the GOP boys want to be President, they should quickly adopt Bachmann’s convictions. I’m pretty sure that Mitt Romney can’t do it, and I wonder about Newt Gingrich. Ron Paul has convictions, but not for these times (he is either two centuries too late or 10 years too soon).

I see Tim Pawlenty, my governor, as an enigma. This is because I am not a pragmatist, and because I am an idealist. Pawlenty governed exceptionally well, but faced a Democrat legislature most of the time. Pawlenty also had to deal with Minnesota’s GOP “conservatives,” many  of whom are to the left of a Missouri Democrat. Clearly, he can do the job, but he also knows how to cut a deal – and I’m thinking this is not the era where we need deal-cutters.

But I got off course. My purpose in this odd piece is to demonstrate that the problems we face in the United States are so ponderous that we have to throw aside the trivial arguments about race and gender, and find someone to bring about a change in course. The change, of course, is to give Barrack Obama the chance to play golf everyday – even twice daily if he wishes, and keep him away from the White House.

Don’t carp at me that Michelle Bachmann kissed George Bush, or said something silly about Paul Revere. Every politician is flawed. This is because they are human beings. Even Sue Johnson had flaws, but far fewer than mine. 

If you don’t want a girl to be president (or at least the girl named Bachmann) then lean on the boys to prove they can do it.

Wednesday, June 8, 2011

Resisting Federal Encroachments: Founders v. Today

“Prudence, indeed, will dictate that Governments long established should not be changed for light and transient causes; and accordingly all experience hath shown, that mankind are more disposed to suffer, while evils are sufferable, than to right themselves by abolishing the forms to which they are accustomed. But when a long train of abuses and usurpations, pursuing invariably the same Object evinces a design to reduce them under absolute Despotism, it is their right, it is their duty, to throw off such Government, and to provide new Guards for their future security…”
The Declaration of Independence – 1776
Why not read those words again before you move ahead with this blog. Do they sound extreme to you? I mean, “throw off such government;” that certainly sounds extreme, doesn’t it? Or does it?
Throwing off the chains of oppressive government meant taking up arms to the Founders. They did not have the protection of a Constitution they had dutifully adopted, endorsed, and wished to defend.
The Founders cited the primary reason for establishing government to be to “secure these [unalienable] rights,” the God-given rights to life, liberty and the pursuit of happiness (translated in the Bill of Rights and the Fourteenth Amendment to mean, the right to own property). Simply, a government that no longer defends life, liberty, and property, said the Founders, must be thrown off.
“The individual mandate is outside Congress’ Commerce Clause power, and it cannot be otherwise authorized by an assertion of power under the Necessary and Proper Clause. It is not Constitutional,” [i] wrote Federal Judge Roger Vinson. (Vinson ruled on the individual mandate to purchase health insurance required by the Affordable Care Act of 2010, passed by Democrats in Congress, and signed by President Obama.) Other judges have disagreed with Vinson, and the Supreme Court will ultimately decide.
When Congress acts in such a manner so as to attack liberty and property, as Vinson stated clearly in his ruling, what should we as citizens do? Well, if we agree that no one should be coerced by government to purchase something they may not want (in this case, health insurance), maybe we should resist? Sam Adams and the other Declaration signers would cheer us on.
Has the time come to resist?
The Declaration speaks of “a long train of abuses and usurpations” as a critical element in deciding whether to “throw off such government…” Judge Vinson’s decision looked back at how Congress has butchered, sliced, and diced the enumerated powers of the Commerce Clause; mostly since the 1930s. Vinson identified a train of ever-increasing, ever-broadening Congressional encroachments on private commerce. He quoted the Congressional Research Service and the Congressional Budget Office, both of which stated the individual mandate is an unprecedented expansion of the reach of the Commerce Clause.
When Congress decides to tell us that we must purchase health insurance has their action crossed the line into tyranny, or is that too strong of word? Would you supply me with an alternative? And is this a one-time assertion of power, or evidence that Congress intends to continue a long train of usurpations?
When you view the growth of government under the light of the Founders’ reasoning, and then under the scrutiny of history (including recent history), you see the “long train of abuses and usurpations” upon which the Founders based their claim to independence. The Founders chose to fight a hot war of rebellion as their answer, but resistance can take many other forms long before war becomes the only option. This is one of the chief blessings of our United States Constitutions.
What methods of resistance?
We express resistance to tyranny at the ballot box. We elect individuals to represent our views. If our view is that Congress does not have the power to force someone to purchase health insurance, we will resist Congressional tyranny by electing a different Congress. In fact, we started that process through the 2010 election, and hopefully, will continue it in 2012. So elections are an alternative to taking up arms, as an expression of resistance – God be praised.
Are there other ways to resist tyranny beyond the next election?
Lawsuits, such as the one Judge Vinson ruled upon, are one way to resist. Another is to ask state and federal lawmakers that are currently serving to use every possible legal scheme of which they can conceive to resist all federal encroachments on liberty. It means asking lawmakers to scrutinize all legislation related to the Affordable Care Act of 2010, searching for any instance in which they dare to challenge the federal government by taking no action, or taking adverse action.
There is an ultimate form of resistance to tyranny that falls short of the Founders’ resort to arms: If millions of Americans choose en masse to resist laws that threaten unalienable rights to life, liberty, and property, Congress and the Courts will notice. Perhaps, if the individual mandate stands, we should incite millions of Americans to drop health insurance coverage as a form of civil disobedience; sort of like dumping tea into Boston Harbor.
On the other hand, millions of Americans may remain indifferent. Today’s elected state lawmakers may choose, instead, to capitulate to Congress. If so, James Carville may prove to be right when he said recently, “…we’re going to start to see civil unrest in this country. I hate to say that, but I think it’s imminently possible.”[ii]


[ii] Carville, J. (2011) “Carville: There Will be Civil Unrest—Over Economy.” Newsmax.com. June 6, 2011. http://www.newsmax.com/InsideCover/Carville-Obama-Clinton-civilunrest/2011/06/06/id/398990. Retrieved June 8, 2011.

Wednesday, June 1, 2011

Who should ration health care?


“Racer,” you may have already said, “why resort to false, emotional words like ‘ration’ when what we need is a serious discussion about health care reform?”

Easy. Rationing is an essential element of the ACA way. 

Fifteen commissioners, each earning $165,000 a year, will do the rationing. They are called the Independent Payment Advisory Board, and are foundational to how ObamaCare will function.

President Obama and the Democratic members of Congress, in passing the misnamed Affordable Care Act of 2010 (ACA), took $500 billion away from future Medicare payments. They did this knowing that more than 78 million Americans are beginning to qualify to enroll in Medicare. What happens when less money is available for more people? You choose your favorite term: I use the appropriate one: It’s called rationing.

Make no mistake about it. Rationing will happen as  revenue fails to keep up with cost of care. 

Medicare Revenue is directly linked to the expansion (or retraction) of the economy, except that President Obama does not believe this. Instead, he believe there is a finite amount of money, and the role of politicians is to divide it up.

The way to divide up a finite amount of money in Medicare is to ration care. The instrument to accomplish this is the Independent Payment Advisory Board (IPAB). This 15-member board, set up under the ACA, will decide what care will be allowed to be provided to Medicare enrollees, and what will be denied. Denial of care is called rationing.

It is true that there are other forms of rationing. If a person has no money, and there are not medical providers willing to care for that person, it is called rationing. But the Affordable Care Act will create more of this type of rationing, not less. Why? Because the ACA discourages individuals from becoming physicians. If there are no doctors, there is no health care – well, professional health care.

If a person has prepaid health coverage (some call it insurance), and the insurance company or Health Maintenance Organization (HMO) is in charge of deciding who gets what coverage, that is a form of rationing. But it is far different from the way the IPAB functions. There is at least some competition among health care insurance companies to provide coverage for individuals. If there would be only one insurance company, it could dictate – yes, dictate – who will get what care, when, where, and under what conditions. This is precisely what the IPAB will be able to do, because Medicare is single payer, government-run health care – it has no competitor. 

Repeat it. Tell the truth. ObamaCare, the ACA, is the process to ration health care. First, to senior citizens on Medicare, and then to the rest of society (as Exchanges give way to single payer systems, and as Accountable Care Organizations submit to the federal paymaster).

We start to fix this by repealing the IPAB. And the requirement for Exchanges. And the individual mandates. We fix it by expanding access to consumer-directed health care, Health Savings Accounts, and medical entrepreneurism. 

We cannot, absolutely cannot waste our time trying to fix the ACA. It cannot be fixed. It must be rationed out of existence.

Health care  decisions are the realm of patients, their families, and doctors. Communities join this process voluntarily. This is the way to pursue rational decisions about health care.

Sunday, May 29, 2011

A Father and Daughter Deploy to Afganistan

What ideas are so strong that Americans fight and die for them?
Today I stood in church next to a father and daughter, both members of the United States Army. The pastor asked them to stand and be recognized: They are both to soon deploy to Afghanistan.
Wow. Why do people volunteer for military service?
He introduced another man, an ex-Marine, whose combat ribbons and medals would cover the entire breastplate of uniform. Among other things, the Marine flow #2 on the Blue Angels. The glory from flying those Blue Angel airshows pales in comparison with the Marine’s war record.
Incredible. For what reason did this man risk his life time and again?
I served four years in the Air Force during Vietnam, but am humbled by the service of these others.
What drove me to enlist in the Air Force, knowing that Vietnam awaited, if the military so chose to send me? An honest answer includes my preference not to be drafted into the Army. Yet, I had a heart full of patriotism and love for America, and wanted to do my part (I know, these are old-fashioned ideas to modernists, and maybe even sound silly).
A few weeks ago, I asked a close friend of mine to list three non-negotiable issues for me. I asked, “If you served in the Minnesota legislature, tell me three issues where you would draw the line.”
He responded with life – he is prolife. And the other two resembled freedom and pursuit of happiness. Good answers.
What about you? The answers you give are the reasons we go to war, did you know that? These are the issues that make America different, and special. Life. Liberty. The Pursuit of Happiness.
Our founding fathers wrote that governments are created to protect inalienable rights, and when governments attack those rights or refuse to defend them, it is our right, and in fact, our duty to throw off “such government” and establish new forms that seem better suited to us to defend our inalienable rights. Heavy stuff, right? This is why America’s founding citizens went to war with England. And it is the same reason we fight for America today.
Now comes the tough question. Do you believe it? Do you believe that life, liberty, and the right to own property (pursuit of happiness) are willing to defend and protect, even to the point of sacrificing your life, fortune, and sacred honor? If you answer “yes,” then take some time to evaluate how you are doing so today, and how you might be doing the opposite.
I can think of one major problem that threatens our liberty: our increasing dependence on government, and more specifically, for our health care. I’ve spent the last six years studying this, and am convinced that too many of us are willing to defer to Big Government on this critical issue.
When the federal government controls all of health care, your life, liberty, and pursuit of happiness will be in total jeopardy.
I cannot imagine anyone willing to fight and die for single payer health care, can you? Such a thought would shake the hearts of America’s founders, and of the millions who have fought and died for our liberty.

Wednesday, May 25, 2011

Elections that go our way have consequences - Sometimes we don’t like them


During the summer and fall of 2010, I traveled across Minnesota – and other states – to deliver a message to professional health insurance agents: Get involved in this election, because the next legislature will decide what kind of health insurance exchange you will have.

A funny thing happened on the way to the election. Minnesotans sent conservative Republicans to the state capital, and created a GOP majority. Not surprising, most of the new legislators are committed conservatives – and they refuse to create health insurance Exchange.

Without the votes of the freshmen legislators, the ones for whom many of us campaigned so vigorously, the Exchange went nowhere. It could resurface in a special session, or next year. But there is no indication the freshmen legislators would change their vote.

We elected principled conservatives and they actually voted that way (or in this case, withheld their vote). Elections have consequences, even when they go our way.

Consider the alternative. If we had not elected conservatives, Gov. Dayton would have signed an Exchange bill early in the session. We know what it would look like. These are some of the features of a bill passed by a liberal legislature and a liberal governor (who is on record supporting single payer):
1.       All health insurance sold in Minnesota would go through the Exchange.
  1. Health insurance agents would have no role in the Exchange.
  2. Health insurance agents would either go out of business or sell different lines of insurance.
I am not making this up. I have seen the bill offered by Minnesota liberals. If you believe in a market-based health insurance system, and especially, if you believe in the health insurance agent system, you will not like what liberal legislators and a liberal governor give you.

Last summer, I risked my health and safety, driving and flying thousands of mile, to ensure the new legislatures across the country would protect a private market health insurance system. I lectured insurance agents, and tried to motivate them to engage in the process to avoid a liberal legislature and liberal governor. We won, but our win resulted in the unexpected consequence that legislators would actually do what they said they would do.

The conservative governor candidate lost by several thousand votes – a tiny fraction of the total. If he had won, everything would have been different except one thing (and about this I speculate): With Tom Emmer as governor, and a conservative GOP legislature, there would be no Exchange bill passed in Minnesota.

So if you believe that your state needs an Exchange, don’t elect principled conservative legislators because, well, they will do what they promised to do: They will oppose “ObamaCare” on every level.
This leaves you with the very risky strategy of electing a moderate or liberal legislator and governor that you will work like crazy to influence, hoping to secure a market-friendly Exchange. After that, if successful, you will have committed yourself to electing the same kind of folks for the next decade, and then work to maintain your influence.

Conclusion: Elections have consequences. If you do not want to fight the Exchange, or fight “ObamaCare,” then do not elect conservatives. But, the trade-off is twofold: 1) You will work your fanny off for the rest of your carreer to influence legislators in order to protect your preferences, and 2) You will be more highly taxed, and have a more activist government than you might otherwise prefer.

I made up my mind decades ago: Three first principles - Life, Liberty, and the right to private property (pursuit of happiness).

Friday, May 13, 2011

Medicare Funds Dining

This short article will change how you perceive Medicare. You will realize how vital Medicare is to our economy, but you will view this in a new light. (maybe, like me, it will seem ironic and a bit troublesome.)
Walk into your favorite family restaurant. In Minnesota, I mean Perkins, but this will be true at Denny’s. Huddle House, even McDonalds. The best time is between 9:00 AM and 2 PM. Look around for people who appear to be 65 or older.
My bet is that “seasoned citizens” far outnumber the others. It is safe to assume that almost all of those older folks are Medicare enrollees. The fact is, without Medicare, some of them would be “pushing up grass” (to quote Rush Limbaugh).
Instead, there they are, some of them every day, or several times a week, eating a price-discounted breakfast or lunch, sipping on a “senior coffee,” and having a great time. At 63, I think I can say this openly: I love old people, especially when they’re having a great time.
The idea struck me, as it will strike you now, that without Medicare and Social Security, most older Americans would have barely enough money for necessities – like home-cooked food, and shelter (and health care).
Think of it. Without Medicare and Social Security, many older folks might have to rely on younger people, maybe even live with them. Our society decided decades ago to ensure that grandparents remained independent from their adult children. About this, I make no value judgment, but it has created an irony, and a very expensive one that at. Every American aged 30 or younger today owes $289,000 just to pay the unfunded Medicare debt.
You might be thinking that I have this all wrong. After all, don’t we pay Social Security and Medicare taxes on income to prepay our own cost of government retirement benefits? Well, no. The taxes we pay today pay the cost of benefits for today’s retirees. It won’t be long when two income earners will be required to pay the Social Security cost of one retiree. Today’s young people will receive Social Security and Medicare from children not yet born.
But thanks to Medicare, since it protects older folks from financial catastrophe due to illness, there is money for a daily trip to Perkins. There is also money for Branson, time shares, golf, a winter home, Starbucks, shopping malls, travel, symphonies, and most church donations. Without Medicare, young working Perkins’ servers, paying income, Social Security, and Medicare taxes, would have no job at all. (Or, wait a minute. Maybe they would have a better job. We can’t know that.)
A Boston actuary calculated that each Medicare recipient will spend about $250,000 more in health benefits that they paid into the system. By my calculations that will buy 41,650 Perkins lunches at the senior discounted price of $6.00.
To add a little fun to your next trip to Huddle House, see if the older fellow at the next booth orders off the senior discount menu. Thank you President Lyndon Johnson for Medicare.

Thursday, May 12, 2011

Medicare makes dining possible


This short article will change how you perceive Medicare. You will realize how vital Medicare is to our economy, but you will view this in a new light. (maybe, like me, it will seem ironic and a bit troublesome.)

Walk into your favorite family restaurant. In Minnesota, I mean Perkins, but this will be true at Denny’s. Huddle House, even McDonalds. The best time is between 9:00 AM and 2 PM. Look around for people who appear to be 65 or older. 

My bet is that “seasoned citizens” far outnumber the others. It is safe to assume that almost all of those older folks are Medicare enrollees. The fact is, without Medicare, some of them would be “pushing up grass” (to quote Rush Limbaugh).

Instead, there they are, some of them every day, or several times a week, eating a price-discounted breakfast or lunch, sipping on a “senior coffee,” and having a great time. At 63, I think I can say this openly: I love old people, especially when they’re having a great time.

The idea struck me, as it will strike you now, that without Medicare and Social Security, most older Americans would have barely enough money for necessities – like home-cooked food, and shelter (and health care). 

Think of it. Without Medicare and Social Security, many older folks might have to rely on younger people, maybe even live with them. Our society decided decades ago to ensure that grandparents remained independent from their adult children. About this, I make no value judgment, but it has created an irony, and a very expensive one that at. Every American aged 30 or younger today owes $289,000 just to pay the unfunded Medicare debt.

You might be thinking that I have this all wrong. After all, don’t we pay Social Security and Medicare taxes on income to prepay our own cost of government retirement benefits? Well, no. The taxes we pay today pay the cost of benefits for today’s retirees. It won’t be long when two income earners will be required to pay the Social Security cost of one retiree. Today’s young people will receive Social Security and Medicare from children not yet born.

But thanks to Medicare, since it protects older folks from financial catastrophe due to illness, there is money for a daily trip to Perkins. There is also money for Branson, time shares, golf, a winter home, Starbucks, shopping malls, travel, symphonies, and most church donations. Without Medicare, young working Perkins’ servers, paying income, Social Security, and Medicare taxes, would have no job at all. (Or, wait a minute. Maybe they would have a better job. We can’t know that.)

A Boston actuary calculated that each Medicare recipient will spend about $250,000 more in health benefits that they paid into the system. By my calculations that will buy 41,650 Perkins lunches at the senior discounted price of $6.00.

To add a little fun to your next trip to Huddle House, see if the older fellow at the next booth orders off the senior discount menu. Thank you President Lyndon Johnson for Medicare.