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Universal healthcare revisited: The public option

October 30th, 2009

The physician: I have spent twelve years in high school, four years for undergraduate study, four years in medical school and two years in residency, so I have the right to charge you whatever I want. My student loans total about $300,000, so I have the right to charge you whatever I want. This clinic costs me thousands to operate, so I have the right to charge you whatever I want. My malpractice insurance costs me about $100,000 per year, so I have the right to charge you whatever I want. If I make a mistake, you can take me to court. And, probably, you will be awarded millions. I did have passion when I was in school. But, in the real world, I must protect myself. And, I have the right to make a lot of money because I am a licensed professional. Not everyone can do what I do. You pay a high price to see me because I am one of the best. That is how capitalism works. You can seek another doctor if you want to save some money.

The patient: (silent)

The insurance company: If you read section IV, Part 3, Paragraph (i), Point (a), it tells you that your condition is not covered by your current plan because it is classified as a pre-existing disease, meaning you had had it for years before you bought our product. We understand that you possibly did not know about it. Or, perhaps, you did know about the disease but lied to us when you purchased our product. Honestly, had you told us about your condition, I am assuming that if you had known, we would not have sold our product to you in the first place anyway. Sorry, we are in this business to make a profit. 

The patient: That is ridiculous. I have been paying a very high premium. And, now, when I need it most, you deny to take care of me. Honest to God, I did not know anything about the condition. I am not a doctor, you know. But, the reason I buy insurance is to protect me in a situation like this one. Is there anything that I can do? Can I appeal?

The insurance company: We have to charge you a high premium to cover our costs. Again, we are a publicly traded company, so we must make a profit. Also, when you have time, take a look at your bill, last month you had a cataract surgery on your left eye, your doctor charged us ten thousands dollars. There are doctors out there who are very greedy and dishonest. They overcharged us. And, many of them even charge money for procedures that they do not perform. To answer your question, I do not know exactly how the appealing process works, but I will be glad to find out. Can I call you back in a few days?

The patient (confused and lost): Yes, please. Bye now.

President Obama: I am deeply sorry to hear your story. I know that many others are facing the same problem as you are. I want everyone to have health coverage because I believe that it is one of the fundamental rights promised to us and that is that we all have the right to pursue “happiness”. To be happy, we must feel secured about our job, our family, our retirement, our health, etc. My idea is to insert into our current healthcare system a public option that is more affordable and most importantly covers all members and their dependents without the pre-existing condition bull, please excuse my language. But, there are many cowboys and hotshots in Congress who oppose my plan because they think it will cost too much money to run. They are afraid that the government will fail because everything the government touches turns into cow dung. I just want to do it because we have been waiting for too long. So many have been suffering. Let us use tax payers’ money to take care of tax payers. I know the line will be long when you go to the hospital, but at least you know you will receive care. The doctors might not be the best and brightest, but they would be good enough to get the job done. I know that many will abuse the system to steal money from tax payers. But, hey, no system is perfect. I will fix it as I go. I hope I will be re-elected because there are so many things that I want to do for you. And, I need more than four years. And, I need your support to bring changes to America. I promise you that.

The patient (smiled and felt comforted): Thank you.

My personal opinion

I support the public option because my heart tells me that it is the right thing to do. I am willing to pay higher taxes to take care of my less fortunate neighbors. I am not trying to be a hero. Simply, I just believe that because life is short, we all need to be less greedy and more compassionate. However, I will not stop fighting to become wealthy because although money cannot buy happiness, it can buy me a lot of time. And, time is what I value the most.

How to become wealthy: cash flow and time

August 10th, 2009

Scenario 1: It is June, 2004. Mary sells her house in California and makes $250,000. She wants to multiply her money quickly, so she purchases ten brand new houses in Texas and rents them out. Each house is priced at $120,000, so she puts down $20,000 and finances $100,000 at 6.25% for 30 years. She and her family also decide to move to Texas, so she uses the leftover money ($50,000) as a down payment to purchase a $250,000 homestead house. She has to finance $200,000 at 6.25% for 30 years. she does not have any problems finding a new job in the new state because she is an experienced manager. However, her husband does, so he stays home to take care of their kids. She brings home about $4000 per month.

Calculations for Mary’s real estate investment: The monthly rent per unit is $1200. The mortgage payment for each unit is $615. The property tax is $200 per month per unit. The property management cost is about 10% of the rent or $120 per month. The insurance cost is $65 per month per unit. The total cost per rental unit is $1000 ($615 + $200 + $120 + $65). The positive cash flow per unit per month is $200.

Calculations for Mary’s personal expenses: The homestead mortgage is about $1200 ($200,000 at 6.25% for 30 years). The monthly combined cost of property tax and insurance is about $400. The total cost of other personal expenses including food and utilities is about $1400 per month. Therefore, every month she has about $1000 leftover from her take-home money ($4000 - $1200 - $400 - $1400). Let us assume that her ten rental units are “always” occupied, so she would bring home about $2000 per month ($200 per month per unit x 10 units). Her monthly total take-home is about $3000 ($1000 + $2000).

Scenario 2: It is June, 2004. John, a more conservative investor, has $250,000 in cash. He pays $200,000 for a brand new house to live in and puts the $50,000 leftover money in an online saving account that offers a 3% annually compounded interest. Let us assume that John and Mary are in the exact situation. He works. His wife stays home with their kids. Therefore, John’s monthly total take-home is $2200 ($4000 from his job - $400 cost of property tax and insurance for his house - $1400 cost of food and utilities). I would like to point out that John’s homestead house is cheaper than Mary’s, but to avoid complex calculation I am using the same number, $400, for the cost of property tax and home insurance in both scenarios. John probably pays less for utilities because he owns a smaller house, but I would like to use the same number of $1400. Also, let us assume that John will not touch his $50,000 emergency money in the online account for 30 years. It will become $121,363.

To be a successful investor, one must foresee future risks. Let me reveal several things to you and you will understand my points. What if I tell you that in order to finance the ten rental units at the same time Mary has to use 5-year adjustable rate mortgages. Now, it is 2009. Will she be able to refinance them in the current situation? What if I tell you that currently five of her ten rental units are vacant. Where can she find the money to cover the mortgage payments? What if I tell you that she loses her job in 2009. Of course, she can always find another job, but it will take several months. How can she take care of her family during these months?

I am like John. I believe that wealth is accumulated gradually over a long period of time. To become wealthy, one must understand two concepts: cash flow and the value of time. Although Mary’s monthly total positive cash flow is higher than John’s ($3000 vs $2200), $2000 is produced by her real estate investment, which is not very stable, because it is based on the assumption that all of her ten units must ”always” be occupied. For John, he can invest his $2200 in the stock market, which of course has also gone down in the past couple of years, but his overall financial situation is still more stable than Mary’s in 2009.

Time can be a very difficult concept to understand. However, for me, time is life. One’s time starts when one is born, and it ends when one is dead. During this period of life, one must decide what is most important and what is not. Each person has his or her own perception about life. Therefore, each person assigns a different value to his or her time. Some believe that eventually they will die anyway, so why not live for the present. Others love to plan for the future even though they know that death is inevitable because they enjoy the feeling of being in control of life. There is nothing wrong with living for the moment. And, it is not always right to have a plan for everything in life because sometimes it is fun to just go with the flow. In other words, one must be fully aware of one’s past, present and future. What does it have to do with making money? When one understands and loves life, one will have an endless source of energy to pursue one’s financial goal. Gradually, as one becomes financially richer, one will understand that money is not the winning prize, but the quality of life is. I know that not all rich people are happy, but I also know that rich people do not have to worry about housing, healthcare, food and clothes. Because they have fewer worries, they spend the extra “time” seeking new ways to make more money. On the other hand, the poor spend their “time” working at minimum wage at fast food restaurants to cover their basic needs. I am not going to waste my time to explain why there is inequality in this world. However, I would like to point out that to win the American game one must understand the value of one’s time. One must have the desire to be wealthy because wealth will give one more “time”, not just money, to be with one’s family.