We have seen the enemy, and it is us

medical insurance scam.jpgThe Washington Post’s Robert J. Samuelson has seen the problem with the American health care finance system — it’s us:

Americans generally want their health care system to do three things: (1) provide needed care to all people, regardless of income; (2) maintain our freedom to pick doctors and their freedom to recommend the best care for us; and (3) control costs. The trouble is that these laudable goals aren’t compatible. We can have any two of them, but not all three. Everyone can get care with complete choice — but costs will explode, because patients and doctors have no reason to control them. We can control costs but only by denying care or limiting choices.
Disliking the inconsistencies, we hide them — to individuals. We subsidize employer-paid health insurance by excluding it from income taxes (the 2006 cost to government: an estimated $126 billion). Most workers don’t see the full costs of their health care; a reported Bush proposal to add new tax subsidies would magnify the effect. A similar blindness applies to Medicare recipients, whose costs are paid mainly by other people’s payroll taxes. Despite complaints about rising co-payments and deductibles, out-of-pocket costs are still falling as a share of all health spending. In 2004, they were 12.5 percent; in 1993, they were 15.8 percent.
We’re living in a fantasy world.

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The fountain pen con

fountain_open.jpgI swear, you can’t make this stuff up:

Richard B. Roper, United States Attorney for the Northern District of Texas, announced that . . . Mauricio Aguirre-Orcutt [had been sentenced to 57 months in prison] following his guilty plea in October to a one-count Information charging him with mail fraud. . . . Orcutt admitted that he ran an elaborate scheme, full of lies and deception, to defraud [Pen World International Magazine publisher] Glen Bowen out of thousands of dollars worth of expensive fountain pens. . .
Orcutt, while corresponding with Bowen, falsely represented that he had been a special assistant and advisor to former Presidents Ronald Reagan and George H.W. Bush and had been a State Department official who helped finalize the North American Free Trade Agreement. He also represented that he was an advisor to President George W. Bush and that heíd met with President Bush earlier in the day.
To bolster the misimpression, Orcutt falsely represented to Bowen that he was meeting with United Nations Secretary General Kofi Annan in New York on September 15, 2004 and was going to ìmarketî Pen World to the Secretary. Orcutt suggested giving Secretary Annan of Pen World a Delta 20th Anniversary fountain pen. Bowen acquired the Delta Pen and mailed it to Orcutt so that Orcutt could make the presentation to Secretary Annan as a gift from Pen World. Later, Orcutt advised Bowen that he had met with Secretary Annan and had given him the Delta Pen, which the Secretary used to sign a United Nations Resolution. A few days later, Orcutt sent Bowen an altered digital photograph of Secretary Annan that purportedly shows the Secretary signing some document with the Delta Pen. Orcutt, however, never met with Secretary Annan and kept the Delta Pen for himself.

Read the entire DOJ press release, which also relates Orcutt’s con of Bowen over a pen for President Bush.
My sense is that Mr. Bowen will be receiving quite a few emails of this nature over the next several months.

A Key Evidentiary Issue in the Lay-Skilling Case

The Chronicle’s Mary Flood leads today with this timely article on the key evidentiary issue in the upcoming criminal trial of top Enron executives, Ken Lay and Jeff Skilling — to what extent the prosecution will be able to get around the hearsay rule by using out-of-court statements made by alleged co-conspirators against Messrs. Lay and Skilling.

The issue is important because, according to the Enron Task Force, just about anybody who worked in Enron’s upper management ranks was a co-conspirator.

In an unprecedented move, the Task Force has named over 100 co-conspirators in the case. So, the potential definitely exists for substantial testimony about out-of-court statements going to the jury without the defense ever having an opportunity to cross-examine the persons who made the alleged statements.

Moreover, fingering unindicted co-conspirators is an equally effective technique for the Task Force to prevent testimony that is favorable to the defense because persons named as unindicted co-conspirators are likely to the assert their Fifth Amendment privilege against self-incrimination and thus, not be defense witnesses during the trial.

Thus, the Task Force’s liberal use of the co-conspirator tag has a double-whammy effect — not only does it allow the Task Force to use out-of-court statements against defendants without having the declarant of the statements subjected to cross-examination, it has also effectively prevented previous Enron-related defendants from obtaining crucial exculpatory testimony from alleged co-conspirators who have elected to take the Fifth and declined to testify.

The co-conspirator tactic has had a huge impact on two of the previous Enron-related trials.

During the Nigerian Barge trial, the Task Force used out-of-court statements of co-conspirators regarding the key factual issue in the case — that is, what was said during a conference call between several Merrill and Enron executives, including former Enron CFO Andrew Fastow — without ever having to put a witness on the stand who actually participated in the call.

Similarly, none of the dozens of unindicted co-conspirators testified on behalf of the defendants during that trial, so the Task Force’s use of the tactic effectively prevented the Merrill Lynch executives in that case from providing the jury with exculpatory testimony.

Not surprisingly, the Task Force’s liberal use of the co-conspirator tactic has become a key appellate point for the Merrill executives in the appeal of their convictions.

Similarly, the importance of the co-conspirator issue on freezing out exculpatory testimony was brought into full focus during the trial of the Enron Broadband case last year.

In a trial that, at the outset, appeared to be a sure-thing for the prosecution, the Task Force’s case unraveled quickly as witnesses Lawrence Ciscon and Beth Stier both testified to a riveted jury about how the Task Force’s threats of prosecution against them gave them second thoughts about providing the exculpatory testimony that they gave during the trial.

That trial ended in a disastrous mix of acquittals and jury deadlock on the prosecution’s charges.

Thus, Judge Lake’s handling of the issue could have an equally dramatic effect on the Lay-Skilling trial.

Although reasonable people can disagree about whether the charges against executives such as Lay and Skilling would be better sorted out in a civil case rather than a criminal one, there is no reasonable justification for allowing the government to prejudice Lay and Skilling’s right to a fair trial by manipulating the unindicted co-conspirator tactic to use otherwise inadmissible hearsay testimony and to chill witnesses from providing exculpatory testimony.

That the government feels compelled to use such dubious tactics to obtain convictions of Lay and Skilling is strong evidence that the government’s criminalization of agency costs in the post-Enron era is contrary to justice and the rule of law.