A discussion venue about the role (and misrule) of big government and high taxes. Also a second website of Minimal Government Thinkers.
Saturday, July 25, 2020
Interview with ABS-CBN on huge public debt
Friday, July 24, 2020
Drug Price Control 49, The FEF statement
I think Yes, but perhaps after a year of delay when these have been launched in more mature markets which have no drug price dictatorship policies. This scenario is not imaginary and fictional but based on actual experiences where many newly-invented and more disease-killing medicines were available in the developed world but are either not available in the Philippines, or made available only after more than two years (see Table 2),
If this happens, desperate patients in the PH will have to buy the vaccines from the US, Europe, Japan, Singapore, S Korea, etc. And the people who clapped Sec. Duque's drug price control policies part 1 (2009) and part 2 (2020) will also clap at this scenario? That we will see soon.
See also:
Drug Price Control 48, DOH orientation on MWP, MRP, June 30, 2020.
Sunday, July 19, 2020
BWorld 443, Vaccine to avert more IPD, pneumonia deaths
From 2016-2018, pneumonia killed on average about 57,000 people per year in the Philippines. It is the fourth most deadly disease in the country next to heart diseases, malignant neoplasms/cancer, and cardiovascular diseases.
A virulent bacteria called Streptococcus pneumoniae is a major cause of disabling and sometimes fatal infections like acute otitis media (AOM), pneumonia, sepsis, meningitis and invasive pneumococcal disease (IPD).
The pneumococcal conjugate vaccine (PCV) is a successful invention to control this bacteria and its various serotypes. PCV10 can control 10 types of the bacteria and was used by the Department of Health (DoH) until 2013. By 2014, the agency shifted to PCV13 to cover three more types of the bacteria at a higher cost.
There has been some controversy on the procurement of PCV13 vs PCV10 so the DoH’s Health
Technology Assessment Council (HTAC) conducted a study and a report was released last week, on July 1, entitled “Reassessment of 10- versus 13-valent Pneumococcal Conjugate Vaccines (PCV) in the Philippines: Evidence Summary.”
The paper’s Figure 3 chart is useful because it shows projected avoided or averted cases/sicknesses and deaths of the two vaccine types compared with no immunization.
Then Table 4 shows the yearly and total costs of both vaccines under multiple dose and single dose methods (MDV) and (SDV). I computed the difference in benefits (averted cases and deaths) and the yearly average cost, the result is interesting (see the table).
This means that for an extra P1.6 billion per year of MDV (the HTAC’s preference) PCV13 can avert or avoid 41,364 cases more of IPD, Pneumonia, and AOM than PCV10. Plus save 4,051 lives from IPD and pneumonia than PCV10.
If we split the P1.6 billion/year into half, P800 million for averting cases and P800 million for averting deaths, this is equivalent to spending P19,340 in extra tax money to avert one case of IPD, pneumonia, or AOM. Plus spending P197,482 of extra tax money to avert one death from IPD or pneumonia.
Is this a good trade-off between public spending and public health? How do we know?
In 2019, the Philippines had a GDP of P18.613 trillion, collectively contributed by 43.15 million employed workers, professionals, and entrepreneurs. This means that on average, each employed person contributed P431,356 to the economy last year.
Assuming a person pays a total of 35% of their income in tax to the government (personal income tax, VAT, excise tax, withholding tax, vehicle registration tax, etc.), the person has paid nearly P151,000 in taxes to the government. Plus P280,000 of spending or savings for himself/herself and the family, friends. In just one year.
So with more than one year of work, the person whose life has been saved by a vaccine like PCV13 can already pay for the extra public spending.
Ergo, spending extra tax money to save extra lives is worth it. Procurement of more expensive but more life-saving PCV13 will be more beneficial to both public health and the macroeconomy.
The HTAC Report observed that: “Modeling suggests that PCV 13 may result in larger savings with a potentially greater number of averted cases and/or deaths due to IPD, clinical pneumonia, and AOM compared to PCV10 as a result of greater serotype coverage (Figure 3). This is also with the assumption that the government would pay for the vaccines. With this, the Council recognizes that PCV13 use will incur lesser household financial impact as compared to PCV 10.” (Page 13 HTAC Report)
But it did not specifically recommend either vaccine, only the 11 serotypes that must be addressed. This is an implicit proposal to downgrade use of PCV10.
When the DoH shifted to use PCV13 in 2014, it was backed up by a study by Dr. Issa Alejandria, an infectious disease specialist and clinical epidemiologist at the UP College of Medicine who made a comparative study of the two vaccines. Among her findings are: 1.) PCV13 has helped avert 379 more cases of IPD, 8,044 more cases of pneumonia, and 54,675 more cases of AOM, for a total of 63,098 cases more than PCV10. And, 2.) the former vaccine helped prevent 495 more deaths.
So, considering the high number of averted cases and deaths, the above observation by HTAC Report, and the previous study by Dr. Alejandria, better protection of public health can be done by using PCV13. Controlling infectious and virulent diseases should be a priority now as shown by the current public scare of this infectious COVID-19 virus.
Erratum: Meanwhile, apologies dear Readers for my mistake
in my previous article of June 25
(https://www.bworldonline.com/decline-in-pneumonia-incidence/). The Philippines’
total deaths in 2013 was 532,176, not 433,375 as stated in the table. So the
pneumonia death over total death then was not 12.3% but 10.0% (PCV10 in use).
Still, there was a decline to 9.9% in 2016 (PCV13 in use) and further to 9.6%
by 2018.
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BWorld 442, GDP, CO2 emissions, and coal-gas consumption, July 06, 2020.
Saturday, July 18, 2020
Covid 15, False positives and Sweden success in "flattening the curve"
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Roy W. Spencer
A COVID-19 story & the dangers of politicizing a
virus:
I just asked a friend in a major U.S. city who owns a successful medical testing business his opinion about masks. He is on the advisory board to one of the top hospitals in the country (you'd recognize the name), and is an expert in immunology, epidemiology, and a couple other medical-ologies. His wife is an ER nurse. They both believe that the public wearing masks is probably doing more harm than good, because cloth masks are being reused, laid down on unsanitary surfaces, and recycling bacteria from the wearer.
But that wasn't the main point he wanted to make.
He told the story of a friend whose wife recently got very sick with COVID-like symptoms and was admitted to a very good hospital in the city. She was told she had COVID by three top medical professionals.
The husband called my friend to say her health was failing and was not expected to live. My friend told him to INSIST she be tested for other illnesses. They did, and discovered she had Legionnaires disease, which is bacterial, not viral. She was treated and released a day or so later.
(He also related that he has personally known more people to commit suicide in recent months than have had COVID.)
COVID-mania is causing harm. "Following the
science" means making rational decisions, but when the government pays
hospitals extra $$ for having COVID patients, you can bet that every illness
will suddenly look more like COVID than before the financial incentive existed.
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Two recent good articles I discovered,
(1) Why Sweden
Succeeded in “Flattening the Curve” and New York Failed
Wednesday, July 15, 2020
By Jonathan “Jon” Miltimore, Managing Editor of FEE.org
https://fee.org/articles/why-sweden-succeeded-in-flattening-the-curve-and-new-york-failed/
The reason New York
failed to "flatten the curve" and Sweden succeeded probably has
little to do with lockdowns.
Sweden took such an
approach (NO LOCKDOWNS) for two reasons:
First, as Tegnell
has publicly stated, there is LITTLE TO NO SCIENTIFIC EVIDENCE that lockdowns
work.
Second, as evidence today shows, lockdowns come with WIDESPREAD UNINTENDED CONSEQUENCES: mass unemployment, recession, social unrest, psychological deterioration, suicides, and drug overdoses.
(2) The Media's Jihad against Sweden's No-Lockdown Policy
Ignores Key Facts
07/14/2020 Ryan
McMaken
https://mises.org/power-market/medias-jihad-against-swedens-no-lockdown-policy-ignores-key-facts
As soon as it became clear that the Swedish state had no plans to implement harsh lockdowns, global media organizations like the New York Times have implemented what can only be described as an ideological jihad against Sweden.
For many weeks,
there has been an incessant drumbeat of articles with titles touting the
"the failure of the country's no-lockdown coronavirus strategy," that
"Sweden Has Become the World's Cautionary Tale," and "How Sweden
Screwed Up."
Indeed, looking at this, one might conclude that thanks to Sweden we know what both lockdown and nonlockdown countries look like: they look remarkably similar in some cases.
My Swedish friend Peter Eriksson also commented, The Swedish government is getting a lot of
shit since the are not promoting use of masks as general. It can be useful in
some situations such in small isolated areas with bad air flow. But in open
spaces the use of masks increase the possibility to get sick.
Back to the Philippines.
Pneumonia, an infectious and contagious disease, has
killed on average 57,278/year, 2016-2018 in the country. Or 157 deaths per day, every
single day. We never heard a single proposal to have a lockdown to stop the
spread of pneumonia.
Tuberculosis, another infectious and contagious disease,
has killed 23,409 people in the PH in 2018, average 64 TB deaths per day, every
single day. No proposal for any lockdown to control the spread of TB.
Now virus cases and deaths are rising recently, why?
At least two possible reasons. One, these are deaths many weeks ago and reported only recently. And two, just my hypothesis -- hard lockdown the past four months didn't
prevent the spread of the virus. But it made many people poorer, hungrier,
sicklier, have weaker immune system and become more vulnerable to viral and bacterial
infections, diseases.
Open up the economy, remove the government lockdown and encourage more personal responsibility in personal and household hygiene, scared people to have double mask, double the 6ft social distancing if they want. But the economy must open up, wide and clear. Lockdown dictatorship should end.
---------------
See also:
Covid 12, Open up the economy, lockdowns are wrong, June 03, 2020
Covid 13, Hard lockdown and hysteria caused the 17.7% unemployment rate, June 09, 2020
Covid 14, Selected articles by Mahar Mangahas on the pandemic, July 05, 2020.
On Congressional franchising
(photo here from BWorld)
I have taken a neutral position on the ABS franchise, neither favor or against. My beef here is on Congressional franchising system itself, a Constitutional provision. I remember it was discussed in Econ 102, undergrad Microeconomics, monopolies and oligopolies are created by the government via franchising. Some franchise given by Executive agencies (inter-island shipping franchise by MARINA, provincial and city buses, jeeps, taxi and TNVS by LTFRB, etc.), some by local governments like tricycle routes.
Thus, all businesses that require government franchise are 100% politicized. Business owners must be yummy chummy to the franchise giving agency otherwise they will not get a franchise.
One solution to depoliticize business is to abolish the franchise system especially from Congress. People just put up businesses and let the market, the consumers of their goods and services, decide whether they deserve to survive and flourish or go extinct, bankrupt.
What about "guarding the truth" in the case of
media? Right, and Congress is not exactly a truthful body or institution to
decide and judge what are truthful or not. Often the judges are micro bodies
like an individual or company or government office unfairly accused in media and libel cases can be
filed. Congress has zero relevance here because it cannot and must not micro manage, defend or prosecute, all business enterprises. Whereas Congress and its officials can only make huge
money in opportunity for extortion as many businesses come begging for that single but
important business permit -- franchise law.
There are ideas that since the Lopezes were perceived to be closed to the previous Aquino administration, they should have applied for an early franchise in 2014 or six years ago. Assuming that this story is true, it is still not possible to give ABS an early franchise, six years before exppiration because many other companies (media,
electric coops, cable TV, water firms,...) would also apply for an early
franchise and if the admin would not give it to them, the admin would be
lambasted.
Now an old joke on PH media:
1. Boy: GMA 7 ka ba?
Girl: bakit naman?
Boy: kasi Kapuso na Kita.
2. Suitor: ABS CBN ka ba?
Girl: bakit naman?
S: kasi gusto Kita maging Kapamilya.
3. Girl asked back: TV 5 ka ba?
Suitor: Bakit naman?
G: kasi Kapatid lang tingin ko sa yo (hehe, busted).
Monday, July 06, 2020
BWorld 442, GDP, CO2 emissions, and coal-gas consumption
This year marks several important global milestones in macro-economy and the energy sector. These include the coveted $100 billion/year of climate money starting 2020 as promised by the rich countries to poorer countries during the Paris Agreement in 2015, and steep decline in global GDP growth and energy demand because of the various lockdowns by many countries in response to the COVID-19 pandemic. The world hit an all-time high primary energy demand of 584 Exajoules (EJ, 1 EJ = 23.88 trillion tons oil equivalent, or 277.78 tera-watt hours, TWH) in 2019, up from 576 Exajoules in 2018.
Despite the economic hardships worldwide with many rich countries expected to have GDP contraction anywhere from -2% to -10% this year, many leaders in poor countries, big environmental NGOs, and renewable firms demand that the $100 billion/year should be given to them. The money will largely finance energy transition from fossil fuels especially coal, to intermittent renewables especially wind-solar, to reduce global CO2 emissions.
This is a simplistic and parochial goal and does not look
at global economic realities that countries and economies have developed and
modernized as they used more fossil fuel energy. I compared two decades of GDP
(2019 are estimates by the IMF World Economic Outlook, WEO) and CO2 emissions.
The positive correlation is very clear: countries with at least 2x expansion in
CO2 emissions have at least 4x expansion in GDP size (see the table).
Now there is endless pressure for the Philippine government to hasten the transition away from coal and move towards wind-solar plus more use of natural gas, imported LNG once the Malampaya gas is exhausted in a few years.
Go back to the table : the Philippines’ coal consumption in 2019 of only 0.73 EJ is similar to those in Thailand and Malaysia, less than half of Taiwan, only 1/3 of Vietnam, 1/5 of South Korea, and 1/7 of Japan. Ours is not big, not scary or Frankensteinish so that exit from coal should be hastened or even desirable.
The natgas lobby is correct in saying that our gas consumption is small. As shown in the table above, our gas consumption was only 0.15 EJ in 2019, that is because we only rely on domestic supply from Malampaya gas field. Lobbying for imported LNG, even having nuke power, more big hydro, can be done without calling for killing coal power.
It is also notable that anti-coal Greenpeace has also turned anti-natural gas too on the ground that gas has high methane emission.
The Philippines with 109 million people remains to have a small GDP size of only $357 billion in 2019, comparable to Singapore with only 5.7 million or Malaysia with 33 million people. We need to expand our economic size fast, and a big supply of energy at cheaper or competitive prices will be badly needed.
How about the environment or the planet?
CO2 is not an evil pollutant gas as what we often hear or read. CO2 is the gas that humans and animals exhale, the gas that plants and crops use to produce their own food via photosynthesis. It is a useful gas so that more CO2 leads to more trees regenerating naturally, and more food production.
Meanwhile, there is a new paper published by Ateneo de Manila University on June 23, “COVID-19, Coal, and the Energy Transition in the Philippines” by Dr. Majah-Leah V. Ravago and Dr.James A. Roumasset. They concluded that “FIT subsidies are actually retarding investment relative to free market levels. Using COVID-19 to justify further subsidies is likely to be counterproductive, in spite of recent proposals to extend the feed-in-tariffs. A better approach is for government to facilitate faster approval of unsubsidized projects.”
Right. More subsidies for solar-wind, higher excise tax
for coal to make it artificially more expensive, and exempting gas from excise
tax to make it look cheaper, are three sides of wrong, anti-consumer policies.
Consumers, not government or environmental NGOs or RE lobbies should decide the
appropriate energy mix.
----------------
Sunday, July 05, 2020
Covid 14, Selected articles by Mahar Mangahas on the pandemic
(1) Allow people the freedom to earn a living
By: Mahar Mangahas - @inquirerdotnetPhilippine Daily
Inquirer / 05:05 AM April 18, 2020
https://opinion.inquirer.net/129000/allow-people-the-freedom-to-earn-a-living
The responsibility for surviving the COVID-19 pandemic ultimately lies with the Filipino people, not the Philippine government. The government, having been set up by the people, is tasked with helping to protect the people, by means of scientific, intelligent, and credible guidance and assistance….
Unnecessary restrictions on personal movement. As long as persons wear face masks and keep adequate distance from each other, it does not make sense to inhibit them from moving across barangays, cities, or provinces within Luzon. The mere act of moving across a boundary does not imply the act of crowding. Checkpoints do not make sense; in fact, they promote crowding by creating queues where there were none.
Curfews do not make sense; in fact, being able to go somewhere at night lessens the need for it during the day. Use barangay tanods or even Boy Scouts, not armed policemen, to discourage partying. A one-entrance-one-exit policy does not make sense; in fact, having multiple entrances and exits for a public place makes it easier to keep one’s distance. Limiting the hours of groceries or banks does not make sense; in fact, the longer the hours, the shorter the queues (like at outdoor automated teller machines).
Public transportation does not have to be crowded. Trains, buses, taxis, jeepneys, and even tricycles can all be modified/configured to carry only as many face-masked passengers as will allow physical distancing (see “Restore jeepneys and tricycles,” Opinion, 3/21/20). Let associations of transport operators develop their own protocols for disinfecting their vehicles, and screening passengers for symptoms…
Let occupational groups find ways to operate and also observe physical distancing. With the use of face masks and shields, client screening, disinfecting, configuration of premises, and adjustment of business hours, there are ways for dental clinics, barbershops, salons, repair shops, exercise gyms, etc. to operate without compromising public health. Let them do their own protocols, without requiring approval from any agency. As it is now, their clientele will be limited.
A time of pandemic does not require any official determination of “essential” versus “non-essential” products, services, or occupations. What is truly essential is for the people to be able to freely earn a living.
(2) Hunger, fear,
caution, dependency
By: Mahar Mangahas
08:24 AM May 30, 2020
https://opinion.inquirer.net/130306/hunger-fear-caution-dependency
…from Social Weather Stations’ media releases in the past week, based on its May 4-10, 2020 mobile phone survey about the COVID-19 crisis.
1. The hunger rate exploded. The proportion of families that experienced hunger due to lack of food, in the three months before being interviewed, was 16.7 percent, almost double the rate of December 2019, when previously surveyed.
2. COVID-19 brought fear of illness to a record high. The survey found 73 percent of Filipinos worried a great deal that they or someone in their family might get infected by COVID-19. This compares to an extremely worried 49 percent about contracting the Ebola virus in 2014, 56 percent about getting Swine Flu in 2009, 48 percent about Bird Flu in 2006, 62 percent about Bird Flu in 2004, and 54 percent about severe acute respiratory syndrome (SARS) in 2003, based on SWS national surveys in those times.
3. In line with their fear of COVID-19, the great majority of Filipinos take proper precautions. With respect to using a face mask when going out, the SWS survey found 77 percent saying they do this always.
4. The lockdown has caused a state of dependency among the people. Given its continued reluctance for the people to resume their customary livelihoods—in particular, its sluggishness in permitting ordinary public transport to operate—the government must keep devising schemes to keep millions of people on “amelioration,” and new ways to finance the doles. Otherwise it may bring on a second wave of hunger.
(3) Try the
invisible hand
By: Mahar Mangahas -
05:05 AM July 04, 2020
https://opinion.inquirer.net/131421/try-the-invisible-hand
At this stage of the pandemic, the main problem afflicting the economy is the heavy hand of government.
After over three months of lockdown, only some—I think less than half—of the nation’s jeepneys are returning to service now. It is not because jeepney operators (the supply side, in tens of thousands) are unwilling to provide the customary service, or because commuters (the demand side, in the millions) are unwilling to use the customary service.
It is because the government is unwilling to allow the supply and demand sides to freely transact with each other. Why have a few sectors—agriculture, banking, the stock exchange, business process outsourcing, offshore gaming—always been allowed freedom to operate, but not the extremely vital transportation sector, which links very many sectors together?
Without need for prodding, public transport operators have reconfigured their vehicles to cope better with the pandemic. Without need for special warning, public transport users have limited their demands to travel. Both sides do this out of their own self-interest, for the sake of their livelihood and health.
This is how a free market works, for the benefit of both sellers and buyers. Of course, prices of commodities and services shall have to adjust accordingly, in order to equalize demand and supply; so be it. (That’s the time for parties that feel socially mistreated to seek assistance from government.)…
Adam Smith, one of the founders of economics, observed centuries ago (“The Theory of Moral Sentiment,” 1759; “The Wealth of Nations,” 1776) that there is “an invisible hand” that keeps an economy in order, and benefits society as a whole, even as individual people freely pursue their personal self-interest.
It was my good fortune to study at the University of Chicago, and learn first-hand from the great economic freedom fighter Milton Friedman (“Capitalism and Freedom,” 1962: “Free to Choose,” 1980). For Friedman, freedom is the end, and capitalism is a means.
I am a founding member of the Foundation for Economic Freedom (fef.org.ph), where the prevailing general sentiment, I believe, is that the people’s economic well-being has already suffered too long from the government’s overly restrictive policies.
The authorities, both national and local, have issued too many questionable rules. Preventing senior citizens and youngsters from going out is discriminatory. Many families have children cared for solely by the grandparents; when outdoors, they would not want to walk six feet apart, for the children’s security.
Curfews are not justified by the pandemic. The COVID-19 virus does not travel any more swiftly by night than by day. Using the nighttime for work (as well as play) allows more physical distancing in the daytime.
Family members who live indoors unmasked do not need to avoid close contact with each other when outdoors. It is cruel to disallow masked riding on a motorcycle behind a spouse, parent, or sibling (and to question their family relationship is an invasion of privacy).
The invisible hand
promotes cooperation without coercion, at no financial expense.
---------------
After 5 months, February until today, all the scary Frankenstein scenarios of massive deaths (tens or hundreds of thousands in PH alone) from Wuhan virus, it should be clear by now that the scenarios are not true. Fictional and not real. Many medical professionals also observed that this virus is not as dangerous as previously thought.
We should focus on the economy and jobs. Millions have been displaced. PSA labor stats April 2020, unemployed 7.3 M plus 3.0 M didn't join the labor force, didn’t bother to look for a job, total 10.3 M working age people were idle. The economic damages are real and factual, not fictional. The continuing hysteria continues to wreak havoc on soooo many lives. If we can, we should go out and spend money somewhere and help those that govt has forced to be jobless or impoverished.
Cases are not deaths. Infection are not deaths. Covid
cases may rise 200%, even 1,000% but deaths may be flat or decline. If we are
tested today of Ebola virus, H1N1 virus, MERS virus, etc, some of us may even
be positive. But asymptomatic, not sick, not needing hospitalization. Group or
herd immunity. We already have immunity to the estimated 380 trillion viruses
in our body, adding a few mutated ones won't cause another round of massive
deaths. Only massive hysteria by people who want to "feel good" that
they are "doing something." Like prolonged lockdown and killing jobs
and businesses.
---------------
Covid 12, Open up the economy, lockdowns are wrong, June 03, 2020
Saturday, July 04, 2020
Weekend Fun 72, Airline mergers
Lots of corporate bankruptcies going on because of the various lockdowns, so lots of mergers happening too. Among the dangerous mergers:
1. PAL + Thai air = PaThai.
2. Korean air + PAL = KoPal.
3. PAL + Cebu Pac = PalPac.
4. Garuda air + Cebu pac + Qantas Air = GCQ.
5. Etihad air + Cebu pac + Qantas Air = ECQ.
For possible mergers 4 and 5, frequent riders will be NTF and IATF
bureaucrats and their supporters.
Disallowed by SEC:
1. Previous merger of Metrobank and Combank = MetroCom.
2. Start up from rebel stockholders of Goldilocks forming
Goldilocks Downtown = Lockdown.
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Philippines Psidential Mottos:
Marcos -- Mabuhay ang Pilipino
Cory -- Tayo ay Pilipino
Ramos -- Taas noo, Pilipino
Erap -- Mabuhay Casino Filipino
Gloria -- Hello Garcillano
Noynoy -- Demanda mga Tsino
Duterte -- Mabuhay POGO GCQ
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1. Life is like a bikini, it is brief.
2. Statistics are like bikini. What they reveal is
interesting but what they conceal is vital.
3. I'll do algebra, I'll do trigonometry, even
statistics. But graphing is where I draw the line.
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