Saturday, January 31, 2009

Facebook: Hold Bankers Accountable

Join (Nassim Taleb & Nouriel Roubini) on Facebook today:

http://www.facebook.com/group.php?gid=51818722129

We need a parallel group for the health insurance industry.

When / if the health insurance industry crumbles, we will see, I suspect, a parallel situation emerge "in which it's the worst of capitalism and socialism, a situation in which profits were privatized and losses were socialized. We taxpayers have the worst."

Of course, folks like Jay Parkinson and Sean Khozin at Hello Health are hard at work trying to build a positive Black Swan hit platform that prevents this entire malaise. 

Friday, January 30, 2009

The Parallels: Healthcare Finance has a lot to Learn from our Banking Blow Ups



Read here: "Save capitalism and free markets from the banks - Nassim Taleb." (thanks to Dave Lull and to Navanit Arakeri).

Nationalise the banks, limit the rewards to those who work in what he calls the “utility” part of the system and have a completely uninsured second leg that can take all the risks it wants and lose its shirt, he said in an interview in Davos at the World Economic Forum.

“They rigged the game. We pay them for their profits, there is no clawback so their incentive is to hide the risk they are taking.”

“Which is why eventually as someone who loves free markets, a total nationalisation of the part of the business that requires insurance and does clearing and payments needs to happen.” [emphasis mine]

“I am angry with U.S. policy. What we had is exactly the opposite of socialism, they got TARP to pay their bonuses and to take more risk.”

He describes his plan as Capitalism 2.0. It would have a barbell structure, with the insured utility-like part on one end and the free market bit with privatized risk on the other. [emphasis mine]

He describes banking bonuses as asymmetric because the banker gets the upside but does not share in the liability which ultimately may be funded by taxpayers, as we have seen.

My title: "Save healthcare and the patient of one from the health insurance companies."

The parallels between banking and healthcare are crystal clear.

If crisis provides opportunity, then the above insights on bank reform could prove fruitful in transforming healthcare sans a negative Black Swan hit. As I have stated before, on the asymmetric healthcare spectrum barbell, catastrophes (car accidents or strokes, for instance) fall into the "insured utility-like part" and lifestyle choices (exercise or nutrition, to name a few) fall in "the free market bit with privatized risk."

I will keep reflecting upon the bolded sections above; that's the core of it all in healthcare. Well, that is, if we ever want to really address the most tricky problem in our current health systems: cost.