In Memoriam

As I was walking the dogs this morning, we passed a tall flagpole in the front yard of a house on our normal route. Instead of the usual two flags – the U.S. flag above the Australian flag – only the U.S. flag was displayed, at half-mast, clearly in memory of former President Jimmy Carter.

Jimmy Carter was, as his entire life demonstrated, a good man. He wasn’t the best politician the United States has had as President, but he was far from the worst. Like many men who are successful in business, he tended to try do too much himself and he strove to make things better, excellent if possible. This is a great temptation in government, since successful government is based on compromise, simply because too many people want more from their government than any government can deliver, and compromise too often undermines excellence.

In the end, in his administration, despite his success on many fronts, Carter wasn’t successful in persuading people of his real achievements as President, and the combination of inflation and the Iran crisis led to his loss in the 1980 election. Ironically, the credit for one of his greatest accomplishments – appointing and supporting Paul Volcker and the policies that finally broke the near-runaway inflation of the 1970s – went largely to Ronald Reagan, a pattern that persists to this day, because most Americans are too focused on today and too ignorant about how government and economics really work and how long it takes to change economic conditions.

Whether history will be kinder and more objective about the Carter administration remains to be seen, but there’s no doubt about the accomplishments of his post-presidential career, including the 2002 Nobel Peace Prize for his life-long humanitarian efforts.

Somehow, I think I’ll remember seeing that sole United States flag at half-mast for a long time.

Another form of Insanity

CEO turnovers are up — considerably, at possibly the highest rate in years.

One of the reasons cited by analysts is that while the profits of the “Magnificent Seven” (Microsoft, Apple, Amazon, Alphabet, Nvidia, Meta Platforms, and Tesla) have ballooned in recent years, the returns of other corporations, while perfectly decent, aren’t keeping pace, and the corporate boards of other corporacions are demanding more from their CEOs.

So… everyone wants more profits, and CEO’s who don’t deliver get sacked or are forced out.

At the same time, there are only three ways to increase profits – be more innovative, cut costs, and raise prices. Being more innovative usually means using knowledge and technology to do more with fewer people or less material. Fewer people means more stress on those who remain, and even more stress on those who lose jobs. Less material means less durable products and higher costs to customers over time. Cutting costs means paying people less or paying fewer people and/or paying suppliers less.

In short, pushing for more and more profit screws pretty much everyone (and sometimes even CEOs) except large shareholders.

Or put another way, when is more profit too much? Or is it ever too much?

Not Personal

So often in my life, I’ve heard, or overheard, phrases along the lines of, “It’s not personal; we need to make a change…” Or it’s not personal because corporate headquarters, or the state legislature, or someone else cut the funding. It might not be “personal” because the business is failing.

But whatever the cause, to the person or people affected, it’s personal; it’s very personal.

And for large corporations, such as United Healthcare, it’s definitely never personal. It’s just about the need to maintain profit, and whether the so-called “impersonal” axe falls on employees being let go or policyholders not getting the benefits they paid for, the corporation seldom, if ever, considers the personal costs.

Yet, in a way, many of the “personal decisions” are in fact personal, just not in the way most people would consider personal. Corporate profit increases tend to boost the price of the stock, and, in the case of most CEOs, increasing profits and stock prices increase their compensation. According to the latest publicly reported information, Brian Thompson was paid slightly more than $10 million annually. But his salary was only one million dollars. The rest, 90%, came from stock, stock options, and bonuses.

So those decisions on how to raise profits had a decidedly personal effect on Mr. Thompson. He may not have considered the algorithms “personal,” but they not only increased the negative effects of healthcare denials and delays on policy holders in order to increase profits., but also significantly increased his personal compensation.

Not personal… really?

The Humanizing Fallacy

In the case of Brian Thompson’s murder, there’s been a decidedly strong reaction on both sides, and that clouds the underlying issues that led to his death.

According to all reports, Thompson was a devoted and dedicated husband and family man, and a respected and well-liked colleague by those in the health insurance field. The healthcare industry is clearly stunned by the public reaction and how many people viewed his death with little or no sympathy.

But the fact is that Thompson was also a cold-eyed, analytical, profit-maximizing executive who clearly had no difficulty making decisions and implementing programs and systems that devastated thousands, if not hundreds of thousands, of families in order to maintain or increase corporate profit margins. During his tenure as President of United Healthcare, Thompson raised profits from $10 billion to $16 billion, a sixty percent increase in three years. During that period, UnitedHealthcare was rated the worst of all U.S. healthcare firms in denying claims, turning down 32% of all claims, twice the industry average of 16%. For this, he was paid over $10 million last year.

What I find disturbing is the “mainstream” news media’s emphasis on Thompson the family man and nice guy persona, who was unjustly murdered. I’m not condoning the murder or the murderer, who appears to personify anti-establishment zealotry, and represents, on the other side, the same lack of humanity that Thompson represented professionally in his time with United Healthcare.

Just because Thompson was a loving devoted family man in his personal life and a good professional colleague doesn’t mean that he wasn’t a cold-blooded bastard in designing, implementing, and using methodologies designed to deny healthcare to people who had already paid for what they believed was adequate coverage.

At least one media newscaster made a comment along the lines that Thompson was just doing his job, but what was his job? Was it to effectively fund the healthcare of millions of Americans so that they could receive proper medical treatment, or was it principally to increase the profits of United Healthcare? That 32% rejection rate and 60% profit increase strongly suggest that the health of United Healthcare’s Medicare Advantage and other patients came in a distant second place to increased profits.

And the healthcare insurance industry is stunned by the reaction to his murder?

Tax Cut Hypocrisy

Utah state legislators are “renowned” for talking out of both sides of their mouth. One of their proudest achievements is reducing state income taxes for four straight years, by more than a billion dollars. But what they’re not telling constituents and taxpayers is how little those tax cuts really mean… and what they actually cost.

For example, the latest tax cut was estimated to reduce the tax bill of Utah taxpayers by $167 million, which sounds significant, but isn’t. The lowest quintile of taxpayers would only get a $24 tax cut. Upper middleclass taxpayers, those making $200,000, would receive $174. In addition, Utah is one of only eight states to tax Social Security income.

In the meantime, the legislature just mandated a fifteen-million-dollar budget cut for the university (SUU) where my wife works and a hiring freeze, as well as comparable cuts for all state universities. Utah House Speaker Mike Schultz, a Republican, recently stated that, in addition to that cut, the Legislature was exploring cuts of around ten percent across all sixteen of the state’s public colleges and universities in 2025.

This might make some sense if enrollment were declining, but Utah is the only state in the union where non-immigrant population is growing, almost certainly because the Mormon faith continues to emphasize large families. In response, SUU’s enrollment grew by 1,000 students this school year (up to nearly 16,000), and total public university enrollment grew by over 8,500 students, one of the largest increases in years.

Yet the legislature is mandating that universities accommodate more students and provide more services with less funding. This is at a time when an increasing percentage of teaching employees are leaving the field because of comparatively low pay and increasing bureaucratic and administrative loads having nothing to do with teaching. One of the unmentioned side effects, also, is that the legislature mandated a 3.5% tuition increase for the 2024-2025 school year, so that students and their parents pay more (roughly $300 per student just this year ) while the state funds a smaller and smaller percentage of the costs of running the universities.

But the politicians continue to trumpet near-meaningless tax cuts.