Showing posts with label Affordable Care Act (ACA) of 2010. Show all posts
Showing posts with label Affordable Care Act (ACA) of 2010. Show all posts

Thursday, June 14, 2018

econlife - Do Mandatory Calorie Labels Matter? by Elaine Schwartz


Through the calorie count labels required by the Affordable Care Act, regulators hope we will consume less fattening food.

But before we consider the impact of the mandate, let’s look at an alternative…

Activity Equivalent Labels

Some say activity equivalent labels are more meaningful then calories.

To burn the calories in five chicken wings, you would need to jog for an hour:



One serving of pasta salad would necessitate 30 minutes of situps:



And, you could offset the calories in three chocolate chip cookies with a long power yoga session:



Instead of exercise, though, larger U.S. restaurant chains are posting their calorie count equivalents.

The Calorie Label Mandate

According to the 2010 Affordable Care Act, 2011 was the year that specified food vendors and restaurant chains with more than 20 locations had to post calorie counts. One reason for the delay was “Big Pizza’s” resistance. Domino’s even said that their custom pizzas could have 34 million calorie permutations. (Is that possible?)

But still, the regulators persisted and yesterday, the mandate began. The FDA summarized what we can expect from them:



However, no one is quite sure about the impact.

Our Bottom Line: Supply and Demand

Supply

On the supply side, we do know how some firms have responded to mandatory calorie labels in the past. Eater tells us that a Johns Hopkins study found more lower calorie food options were offered. Similarly, NPR reported that Starbucks was offering smaller pastries with lower calorie counts.

However, Domino’s cal-o-meter was most interesting. Do note that their serving metric for a meal is a single slice. Consequently, a hand-tossed Ultimate Pepperoni 10″ pizza has just 250 calories…if you eat one-sixth of it.



Demand

As for demand, I wonder if our response to calorie counts echoes how we usually compare short term benefit and long term cost. The pleasure from chicken wings, pasta salad, and chocolate chip cookies makes it easy to ignore future health problems.

So, returning to where we began, perhaps an “activity equivalent” would not meaningfully change our preference for short term pleasure.

Here are more activity equivalents:


My sources and more: Perfect calorie focused overviews, this Vox article and MarketWatch have it all. But if you want to read more, Eater and CNN and the Washington Post each had a different perspective.

Our featured image is from Ed Ou/AP through an NPR story.


Ideal for the classroom, econlife.com reflects Elaine Schwartz’s work as a teacher and a writer. As a teacher at the Kent Place School in Summit, NJ, she’s been an Endowed Chair in Economics and chaired the history department. She’s developed curricula, was a featured teacher in the Annenberg/CPB video project “The Economics Classroom,” and has written several books including Econ 101 ½ (Avon Books/Harper Collins). You can get econlife on a daily basis! Head to econlife.

Thursday, October 12, 2017

econlife - Choosing the Best Healthcare Country by Elaine Schwartz


The one number we can be sure of for the Cassidy-Graham Healthcare Plan is 141. Its length is 141 pages.

With no “score” from the Congressional Budget Office, lawmakers have no shared estimate of its fiscal and coverage impact. Meanwhile, predictions vary among respected experts. So, because the healthcare legislation has been in the news, let’s begin will a quickie summary of the plan and then an international overview that could be helpful in the future.

Under the Affordable Care Act, the federal government has a direct massive financial obligation in these three areas:

What_you_need_to_know_about_the_GOP_s_Graham-Cassidy_health_care_bill_-_YouTube
But, under Cassidy-Graham, those $1.4 trillion in federal obligations get shifted to individual states through block grants. And, each state can decide what it wants to do with those responsibilities. And, the amount states get will not necessarily correspond to what they now receive. So, depending on the state, a lot can change.

In this quickie video from a healthcare expert, you can get a sense of the legislation. Although Dr. Carroll’s bias is quite clear, still, the facts come across:


 The Best Healthcare Country

The Best Healthcare Country


Through a healthcare tournament, the NY Times let five experts and more than 50,000 readers choose a winning healthcare country. The competitors were eight nations. The ladder was like any in a tennis or soccer match.

Britain v. Canada

When Great Britain and Canada battled each other for the single payer title, Britain won. While Britain’s single payer has government paying and providing the care, the Canadians pay and then primarily have the private sector provide. Britain won for its lower cost and faster access. The expert vote was 4 to 1 while participants were 76% to 23% pro Britain.

U.S. v. Singapore

The main theme for the U.S./Singapore competition was the many ideas that each system combined. Here, the U.S. won for its capacity to innovate. Again, the expert vote was 4 to 1. Although Singapore spends much less and controls much more, there was considerable opposition to its 37% wage tax. The popular vote was U.S. with 56% to Singapore’s 43%.

France v. Australia and Switzerland v. Germany

In the rest of the ladder, we had France against Australia with France winning for its accessibility. Last, Switzerland beat Germany. Then, in the semi-finals, the U.S. lost to France because accessibility topped innovation. With Switzerland against Britain, the market drew more votes.

The Finals

That left them with Switzerland and France and a split opinion. Switzerland won, 3-2 for the experts who especially liked its public/private combination and cost control. But in the popular vote, readers favored France, 57% to 42%.


Our Bottom Line: Fiscal Policy


Because we define fiscal policy as spending, taxing and borrowing, healthcare legislation relates to all three. In the U.S., with the financial problems that Medicare and Social Security will soon experience, the expense of healthcare policy looms large.

However, Cassidy-Graham and the NY Times tournament show us that there is so much more.

When the tournament’s experts expressed their votes, they cited taxes and wait times. They were concerned with accessibility and quality for all socio-economic groups. They brought up efficiency and innovation.

Where does this leave us? With many different variations of universal coverage.

My sources and more: You could start or end with the 141 page Cassidy-Graham Plan or skip it entirely. Instead, I recommend the NY Times Tournament and a series of superb YouTube videos. They covered key healthcare topics and were brief. The Graham-Cassidy video is above. But Aaron Carroll also did healthcare system overviews of the eight countries in the “tournament.” It was a perfect shortcut to some grasp of a complex topic. At the least, it will help you decide and defend your own opinion more knowledgeably.

Please note that I had to decide between Cassidy-Graham and Graham-Cassidy. In the media, there was no consistency.

Hazlegrove-6763_6bIdeal for the classroom, econlife.com reflects Elaine Schwartz's work as a teacher and a writer. As a teacher at the Kent Place School in Summit, NJ, she’s been an Endowed Chair in Economics and chaired the history department. She’s developed curricula, was a featured teacher in the Annenberg/CPB video project “The Economics Classroom,” and has written several books including Econ 101 ½ (Avon Books/Harper Collins). You can get econlife on a daily basis! Head to econlife.

econlife - Who Will Sacrifice Civil Liberties During a Pandemic? by Elaine Schwartz

  In a new NBER paper, a group of Harvard and Stanford scholars investigated how much of our civil liberties we would trade for better heal...