Readers Write: Early Retirement, Health Care, Canada, and Averting A Ben Affleck Marathon

Ricky:  Boys, what is up with me getting shot with three darts, and it didn’t even affect me?  I must be like a superhero or something.

Julian:  Maybe you’ve got so much dope in your system, you’re immune, Rick.

– Trailer Park Boys

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See, your health care dollars are being spent on useless signs!  An outrage!

It’s always nice to get feedback about the column in a letter that doesn’t begin with an anatomical impossibility.  I mean, how would my head even have gotten in there in the first place?  And what does my mother have to do with anything?  But, I thought this would be a great chance to take a few excerpts from the letter and mix with other communications I’ve had to revisit the topics of early retirement and health care from last week (Early Retirement: Things to Consider (cough Health Care cough)).

Comments in quotes are from my friend.  Comments in [brackets] are from me.  Comments in purple are a figment of your imagination.  You should talk to someone or cut back on the recreational stuff.

“So, I laughed when I read this post yesterday.  I’ve been spinning off after reading the NY Times article on the FIRE movement and Mr. Money Mustache and others – and wondered if you knew about them… of course you did!”

Yes.  John Wilder knows everything that a mortal man can know, with the exception of how to properly mud and tape drywall.  That’s magician/wizard-level skill.

“Since I’m new to MMM [Mr. Money Mustache – link to him here-JW] and others in the FIRE [Financially Independent, Retiring Early] community I was curious and excited, and then realized that I’ve known versions of people like this since my youth [but] they just seemed like weirdos at my parent’s church who recycled aluminum foil from pot luck dinners, rode tandem bikes to church, the husband hired himself out as a handyman outside his day job, and rode his bike to job site with his old timey tool box, etc.  They seemed cheap, not enlightened, but it looks like they were on to something!”

If you’re going to be rich, a good thing to be is . . . invisibly rich.  No private plane.  No flashy cars.  Just the satisfaction of knowing that you actually own the ’04 Ford™ Taurus© in the driveway of the nice but modest house.  And this avoidance of spectacle also tends to reinforce the concept of not being a slave to your desires or needs for consumer products.  Except for drones – you need a drone – life is not worth living without a drone.

I recall living in Houston and sitting at the stoplight in my three year old Ford® that I got for $12,000 (cash) next to a $180,000 Mercedes® SLWhateverX, and thinking . . . mine is paid for.  I don’t know if theirs was (my bet is that it wasn’t) but I knew that mine was.  And that I got to live with the lack of stress associated with no payments on a car.  I felt this way when I was driving $2000 Chevy™ Lumina©, too.

“While many [Early Retirement folks] got their start in higher paying professions like software engineering or investment banking, and then consciously live on 30-40% or less of their income, it does seem like a movement geared to minimalist millennials with few obligations.  I can live on 60% of my pay without dipping into savings, but much less isn’t possible with obligations of a relatively cheap [Expensive Home Area] mortgage, frequent trips to [Home Area], living in a 65 year old house, and maxing out 401K contributions.”

Yes.  Agreed – at various stages of my life I’ve been down to my last $50 in the checking account – with a pretty hefty negative net worth.  And, yes, obligations cost money.  But almost all of the obligations we take on are (outside of death, child support, alimony, and taxes – but I repeat myself) voluntary servitude.  And it’s okay, as long as you realize that the servitude was entered into . . . voluntarily.  Unless there was tequila involved and she looked pretty after enough of it.  Thankfully, since 2005 or so, I’ve been on the other end of it (wealth, not tequila goggles), but in large part that was due to severing that voluntary servitude, either through paying down debt (student loans) or not getting into debt (new cars).

“[Specific Investment Stuff] Plus, I like what I do and where I live.  [More Specific Investment Stuff].”

This is the most important line in the letter.  If you love what you do, and like where you live, why would you even consider retiring early?  Financial independence is nice, but if you’re gonna keep working because you want to and can save a nice chunk of cash while fully funding a 401K, why bother hurrying it?

“[More Specific Investment Stuff and Personal Stuff] So how to build wealth when you still have obligations and don’t feel confident on putting your money to work in the market, or buying real estate in distant locations, etc.?”

Cash is a long term loser – but it sounds like you’re funding your 401K to nearly the max.  I’m not going to get into specific investment advice on the post (okay, ammunition, PEZ® and panty hose are always winners) but the first part of wealth is reduction in need.  Just like the most expensive food in the fridge is the food you throw out, the biggest wealth destroyer is stuff you don’t ever use.  Like that stupid drone.

And, as for wealth?  [Spoiler Alert] If we don’t fix health care, our financial system will implode (more below).  Oops.  Does that make me a Debbie Downer?  If so, do I have expanded restroom options?

“And then you hit the big nail on the head . . . “

Naturally.

“Health care.  Our system is a mess and many 30-somethings are choosing to go without coverage in order to save more.  That’s not an option at my age either, and I wonder how the FIRE folks living on the extreme cheap lifestyle will cope when they hit their 40’s and beyond as insurance rises beyond affordability.”

He ended with a note that certain countries seemed to like government-run health care.

To be as clear as I can be using the English language:  Like a Bush/Stalin lovechild, our hybridized system of health care combines the worst parts of rent-seeking crony capitalism and nanny-state big government socialism.

Let’s take the parts everyone likes:  Everyone must be treated at an emergency room regardless of ability to pay, government subsidies, and no pre-existing conditions.

Sure, everyone likes this!  Sounds compassionate (with other people’s money)!  Heck, if I were irresponsible, I’d like it, too.

But it sets up the system where emergency rooms are clogged with people with minor conditions because they can get free treatment.  It’s okay.  The people who actually pay bills to the hospitals can pay for them, too, right?  So, they pay for their care and the care of others.  But then they’re taxed so that they can pay for insurance for others.  And if there are no pre-existing conditions on health insurance, heck, don’t sign up until you get really sick or old, thus making insurance for people (like me) who have had it their entire lives amazingly expensive.  But it’s okay, the CIGNA health insurance company went from a high $20’s stock when Obamacare passed to a stock that is worth $200 today, a 600% to 700% increase.  Obamacare really stuck it to insurance companies.

No.  Insurance companies wrote Obamacare.  And don’t get me started on hospitals or prescription drug manufacturers.  While pretending to be a portion of the capitalist system, they really aren’t – they make use of government power to make rules that would be blatantly illegal for any other business.  Imagine a taking your car into the auto mechanic and getting a bill of $500 for a $5 belt.  Or a bill from a consulting mechanic who just walked by and asked if the car was doing okay.  And then drive off with the original problem not solved, and then bill your for your Taurus® giving birth to a Kia™, when everyone knows that a Taurus© identifies as male.

I don’t like socialism, but it appears we’ve socialized the responsibility while making the responsible pay with little to no benefit while corporate profits explode.

How does Canada do it?

In my YouTube® feed a video popped up about Canadian healthcare.  In it, a video pundit named Steven Crowder went to Canada and tried to obtain treatment (with his Canadian friend) for a variety of minor ailments.  No dice.  Hours waiting, and nada.  This is a similar story that I’d heard from others, so I thought I’d ask a friend who is Actually Canadian and eats nothing but back bacon while drinking Molson® and Moosehead™.

She loves their system.  Her mom had cancer, and got prompt treatments.  They even picked her mom up and dropped her off from her chemotherapy sessions.  And I hear if you’ve had a heart attack the system works very well.  And the care is good.

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This explains why the only good television from Canada is Trailer Park Boys.

But my friend also talked through the darker side that Crowder talked about – long waits – months for minor surgery like fixing a bum knee.  A full day to get a prescription for an ear infection.  Every system has a mechanism for rationing.  In a true capitalist system, it’s money.  In a socialist system, it’s something else.  In Canada?  Minor pain and time.  But like a year of minor pain – sort of like being forced to watch nothing but Ben Affleck movies for a solid year.

Are taxes higher?  Sure.  It isn’t a pure socialist system, and I haven’t dug into the darkest side, but socialized medicine eventually (as resources dwindle) becomes a game where resources are rationed more aggressively.  Except for the leaders – they still exempt for themselves the best of everything.

Canada’s system does have a safety valve – you can go to private clinics, too.  And pay cash to avoid the Affleckathon.

All of the above still sucks.  But it’s still better than the thing we have today.

But is there a capitalist solution?  Yeah.

I won’t go through the details, but Karl Denninger (LINK) has put together the “most” free-market alternative to our current system.  It doesn’t do like I would (letting folks die in the street is a big incentive to get insurance and drive costs down, plus it would mean much shorter lines at the checkout at WalMart®) but, would manage to save the financial system of the United States if implemented.  What would we lose?  High profits for insurance companies.  Huge numbers of bureaucrats.  High drug costs.  High insurance costs.

Do you lose exemptions for pre-existing conditions?  Yup.  But if you have insurance and have less than a 60 day lapse, those pre-existing conditions remain covered like they were in 2004.

It’s a good system, and necessary.  Because if we don’t fix healthcare?  It’s not gonna kill us.

It’s going to wreck the entire financial system of the United States, as I write about here (More Budget Doom, The Rolling Stones, an End Date, and an Unlikely Version of Thunderstruck).

So, no biggie.

Author: John

Nobel-Prize Winning, MacArthur Genius Grant Near Recipient writing to you regularly about Fitness, Wealth, and Wisdom - How to be happy and how to be healthy. Oh, and rich.