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Looming Problems in Primary Care

Val Willingham at CNN writes “nearly half the respondents in a survey of U.S. primary care physicians said that they would seriously consider getting out of the medical business within the next three years if they had an alternative.”  Many cite the red tape of insurance and government reimbursement and soaring costs of malpractice insurance as their biggest issues.  According to the American Medical Association, the United States is staring at a shortage of nearly 40,000 primary care physicians within twenty years.  According to the article, the universal healthcare plan proposed by the Obama Administration is likely to further increase the strain on an already fragile system.

Random thought:
With an aging US baby boomer population, a shortage of primary care physicians poses a massive problem.  Instead of insuring everyone so that they can go see doctors who no longer exist, how about actually fixing the healthcare delivery system?  I refuse to believe that the cost of providing healthcare has truly risen so dramatically faster than inflation.  Instead of throwing more money after a bad process by massively increasing the size of the insured pool without fixing the system, let’s actually solve the problem.  Let’s implement the wellness and preventative medicine programs that are so drastically needed in this country.  Let’s work on tort reform to limit malpractice claims against doctors we so desperately need.  Let’s work on intelligent legislation that helps to fix the already-spiraling-out-of-control healthcare costs imposed upon us.

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Did Obama Actually Call For A Civilian Militia?

Recently there has been much-to-do about a speech that Obama gave calling for a civilian national security force. The YouTube video has been viewed nearly a million times, fueled by Representative Paul Broun’s comments on Obama being a Marxist. If one spends about 3 minutes researching this, they find the full context of this quote which I’ve included below. Once again, this type of fear-mongering has no place in politics. I realize this is a staple of Presidential politics, but can’t we please grow up? I, like many other Republicans, am concerned about Obama’s lack of military experience from both personnel and strategic perspectives. However, perhaps we should do a little more fact checking before embarrassing ourselves.

YouTube Video:

Obama, July 2, Colorado Springs, CO: “[As] president I will expand AmeriCorps to 250,000 slots [from 75,000] and make that increased service a vehicle to meet national goals, like providing health care and education, saving our planet and restoring our standing in the world, so that citizens see their effort connected to a common purpose.

People of all ages, stations and skills will be asked to serve. Because when it comes to the challenges we face, the American people are not the problem – they are the answer. So we are going to send more college graduates to teach and mentor our young people. We’ll call on Americans to join an energy corps, to conduct renewable energy and environmental clean-up projects in their neighborhoods all across the country.

We will enlist our veterans to find jobs and support for other vets, and to be there for our military families. And we’re going to grow our Foreign Service, open consulates that have been shuttered and double the size of the Peace Corps by 2011 to renew our diplomacy. We cannot continue to rely only on our military in order to achieve the national security objectives that we’ve set.

We’ve got to have a civilian national security force that’s just as powerful, just as strong, just as well-funded. We need to use technology to connect people to service. We’ll expand USA Freedom Corps to create online networks where American can browse opportunities to volunteer. You’ll be able to search by category, time commitment and skill sets. You’ll be able to rate service opportunities, build service networks, and create your own service pages to track your hours and activities.”

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Ron Paul’s Prescription For Righting the Republican Ship

Ron Paul recently wrote an op-ed piece for CNN in which he discussed his views on the current problems plaguing the Republican Party.  Representative Paul clearly articulates what went wrong over the last eight years:

“The opportunity finally came in 2000 to do something about the cancerous growth of government. This clear message led to the Republican success at the polls.  Once the Republicans were in power, though, the promises faded, and all policies were directed at maintaining or increasing power by trying to whittle away at Democratic strength by acting like big-spending Democrats.”

Paul also talks about his being questioned on his Republican credentials during the Presidential debates.  I find this amusing considering he has acted more conservative, if not overly conservative, than many other members of Congress and has been one of the more vocal proponents of limited government, which has long been a tenant of Republican politics.  Representative Paul may take his views to an extreme, but he certainly does what he believes is in the best interest of his party.  He goes on to offer a solution to getting more young people involved in the party which he believes centers around the message of liberty (and frankly who disagrees with this?).

Read this article at CNN:
http://www.cnn.com/2008/POLITICS/11/11/paul.republican/index.html?iref=newssearch

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Ignorance is not the way forward for the GOP

Republicans must solidify around a message, not stupidity.  Comments like the following from Representative Paul Broun of Georgia really set back the Party and make it difficult for everyday Americans to connect with the GOP:

From CNN Politics:
http://politicalticker.blogs.cnn.com/2008/11/12/congressman-sorry-for-likening-obama-to-hitler/

“Broun told the AP Monday: “That’s exactly what Hitler did in Nazi Germany and it’s exactly what the Soviet Union did. When he’s proposing to have a national security force that’s answering to him, that is as strong as the U.S. military, he’s showing me signs of being Marxist.”

“We can’t be lulled into complacency,” Broun added. “You have to remember that Adolf Hitler was elected in a democratic Germany. I’m not comparing him to Adolf Hitler. What I’m saying is there is the potential.”

We apparently now have a race between Representative Murtha of Pennsylvania (who called his own constituents racists and rednecks) and Representative Broun to see who can make the most ignorant comments.  This kind of stuff has no place in politics.  Let’s argue the issues, please no more fear-mongering.

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A Need For Real Change

I realize this blog is dedicated to finance and investing, but given the historic events that have taken place tonight, I felt the need to express my opinion on the topic.  Congratulations to Barack Obama and his staff.

What we witnessed in tonight’s election results was a voice screaming at the top of its lungs for change.  This was a voice of both young and old, black and white, Hispanic and Asian, inner city, suburban and rural America.  This was truly a voice representing Americans from all walks of life.  Mind you, neither candidate truly offered any groundbreaking new ideas.  Instead, the Democratic Party succeeded in beating a tired Republican Party at its own game of marketing.  The Democrats managed to position themselves as the party of reform and fiscal responsibility.  The exit polls even indicated that people felt that an Obama administration would provide more favorable tax policy, and that Obama, a man with no military experience, would prove a steadier, more able commander-in-chief.  This is a wake up call.  This is a call to return to the days when Republicans stood for reform, not runaway spending.  It is a call to return to new ideas and real leadership instead of non-action.  Whether you agree or disagree with his ideas, Ronald Reagan was likely the last leader of the Republican Party to bring great new ideas to the table – those being the fall of communism and supply side economics.  Since then, the party has become content.  Too content, in fact.  A party that used to represent fiscal conservatism gave way to runaway spending in Washington and unchecked executive powers.  The visionary Party of Lincoln and the fiery spirit of the Bull Moose became a party afraid of change and unable to connect with the people and, from observing this election season, seemingly oblivious to the change in demographics and dreams of middle class America.  Conservatism and progress need not be polar opposites.  Indeed, we can move forward while remaining true to our roots.  We must recognize there is a happy medium between tradition and transformation.  I challenge all Republicans to channel disappointment into creating a better Party and ultimately a better America.

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The Financial Crisis Continues, Especially For The Middle Class

This is truly a scary time for America.  Our pensions and 401Ks are being depleted faster than we thought possible.  Our government is printing money like there’s no such thing as inflation.  The US Treasury has injected close to $2 trillion of liquidity in the world economy with little or no effect.  Bedrocks of American business like General Motors, Ford, Citigroup, AIG, and Morgan Stanley are struggling for their very survival, while others such as Lehman Brothers have simply vanished.  Iceland is on the verge of bankruptcy.  Equity markets are plunging.  Credit markets are frozen.  Our national debt and budgetary deficits are recklessly out of control.  Social Security is on track for insolvency.  House prices and mortgage values continue to fall.

I believed that a bailout plan was necessary to fix the years of sleeping on the job for our elected official in Washington, but I believe the jury is still out as to whether or not it will be successful.  The biggest problem I see now is that the government has taken the approach that injecting liquidity is the key to jump starting the economy.  I think they’re wrong:  You can make all the cheap cash in the world available to a bank but if that bank is already fully leveraged, they can’t take advantage of it.  Banks must maintain certain capital ratios to be considered well capitalized.  If a bank had $100 in assets and $8 in capital, they are well capitalized.  Now assume that $2 in assets go bad.  Now that bank has $98 in assets but only $5 in capital.  The bank went from a capital ratio of 8% to 5%.  That bank is in dire need of more capital, not cheap money borrowed from the government.  The Treasury finally announced yesterday that they are considering buying equity stakes in financial institutions.  I think this is a great idea for two reasons:  first, the taxpayers take a direct stake in the future upside of the institutions when the markets eventually recover, and second, this help the banks deleverage their balance sheets, thereby allowing them to make more loans.

Now on to the topic of this article: the destruction of the middle class.  So far this year, the Dow is down 40%, with the S&P and Nasdaq sustaining similar losses.  The middle class that has come to depend upon retirement accounts, mutual funds, and stock ownership to help build wealth has suddenly seen a decade of gains wiped out while the prices of gasoline, food, and other essentials continue remain high.  Conventional wisdom has taught us to keep the majority of our assets in the markets as they will bring us about 9% annual returns over the long run.  Assuming the average family had 60% of their assets in the stock market, that family has lost a quarter of its net worth.  Here’s where it could get worse in the days to come:  Now that the United States is printing money like inflation somehow disappeared from the equation like risk in a mortgage underwriting model and the country is stacking up debt as quickly as ever, we are on a collision course with massive dollar destruction.  Currently we’re being saved by the fear of collapse of the European Union and consequently the Euro, but that won’t last forever.  Asian investors are already pulling their money out of the British Pound and its valuation reflects the exodus.  Eventually foreign investors, who finance most of the mortgages in this country along with a considerable portion of our other debts, will demand the United States pay more to borrow their money.  Interest rates will rise and inflation will inevitably rear its ugly head.  Consumers who were dependent on borrowing money for things such as home purchases and financing college education find their disposable income severely diminished by increased interest payments, preventing them from saving money.  Granted, the savings rate in this country has been near zero for some time, but these events could well push it very negative.  In contrast, wealthier families who have considerable stockpiles of cash will be able to loan money to the government or other institutions for considerable returns.  Remember the early 1970s?

I’ve painted a pretty ominous picture here, so I’d like to leave you all with some words of wisdom, advice, and a little hope.  It hurts watching stock prices decline so drastically.  I personally take a little comfort in knowing that I own solid companies whose stock prices one day will again reflect the underlying value.  The famed investor Barton Biggs one said when asked how to mange a portfolio through a downturn something to the effect of “sell enough so that you feel like you’re doing something.”  I believe this is all that anyone can reasonably do.  Like any other crisis, you must not let fear and emotions prevail, instead maintain a steady hand to guide you through.  Hopefully you’ve raised some cash, and are ready to get back into the markets when the time is right.  If not, this is a great time to start saving as much as possible so that you can jump when the time is right.  At some point (hopefully soon) we will get an opportunity, which may only present itself once or twice in a lifetime, to purchase stocks at unbelievably low prices.  In the meantime, we must all become a little more prudent with our money and try to save a little more than usual if possible.  Even if you can only afford to put $50 or $100 a month into a high yield savings account like HSBC Direct, you must discipline yourself and protect your financial future.  Take a minute to write to your elected officials who believe that runaway spending is a problem for future generations to deal with.  We must hammer home the point that much like its citizens, America must become fiscally responsible and that the time is now, not tomorrow.

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Intelligent Investing That Anyone Can Do

Over the last few weeks I’ve fielded a lot of questions about investing and protecting wealth from friends and family. Additionally, when I was a guest on the John Rothmann show on KGO the other weekend, I fielded a lot of very good questions that I think deserve answering again for everyone to read. Before I dive into the details, I want to impress upon everyone the following: you don’t need to be Warren Buffett or Ben Graham to be an intelligent investor.

Do I need to spend a lot of time researching stocks and the market in order to make money?

I believe the answer to this question is no. Burton Malkiel, in his book A Random Walk Down Wall Street, proves that you are better off buying a basket of index funds or exchange traded funds (ETFs). Over the long run, money managers will underperform their benchmarks by their fees and trading commissions. For the individual wanting to obtain the market return (~9%) over the long run, ETF investing is a great way to go.

How do I set up a brokerage account? How do I choose a broker?

I would recommend an online discount brokerage account to most investors. These accounts allow you to trade for very low cost, and are protected by the SIPC for up to $500,000 (they protect against the brokerage going out of business, not your stocks losing value). Examples of brokerages are Schwab, Zecco, and Scottrade. Zecco gives 10 free trades each month for accounts worth more than $2,500. To set up an account, you just need to visit the broker’s website and fill out their application. Some brokerage have minimum amounts required to open an account, some do not.

Should I invest now? Isn’t the economy in pretty bad shape?

I believe that the best investment strategy for most people is to invest a little bit each month. This is called dollar cost averaging. The reason this strategy is good is because by investing a little more each month, you average out the price paid for each security, avoiding investing only at market peaks, and it keeps your investment strategy disciplined. Because I recommend averaging into stock positions over a long period of time, starting to invest in a down market is a good idea. It will help you build positions at lower prices than when the market stabilizes and eventually reverts to normal. The market is certainly performing poorly now, but investing in times like this when the 5 and 10 year cumulative returns of the Dow Jones Industrial Average is 0 should set up for a nice return over the coming years (as seen in the graph below). Even if you only invest $100 a month, it’s a start. For those of you only investing a small amount each month, you might consider Zecco as your brokerage. They give 10 free trades each month, so all of your money goes into the investment, not to trading commissions.

How do I figure out which stocks or securities to invest in?

While I’m not going to recommend specific securities to anyone reading my blog, I will recommend using the tools at MarketRiders (www.marketriders.com) to help you figure that out. Based on things such as how soon you need the money and your risk tolerance, it can help you determine what you should invest in. I would also recommend the following books:

A Random Walk Down Wall Street

http://www.amazon.com/Random-Walk-Down-Wall-Street/dp/0393330338/ref=pd_bbs_sr_1?ie=UTF8&s=books&qid=1223273164&sr=8-1

Stocks For The Long Run

http://www.amazon.com/Stocks-Long-Run-Jeremy-Siegel/dp/0071494707/ref=pd_sim_b_6

Why not just put all my money in Certificates of Deposit (CDs) or cash?

While putting your money in CDs or cash is a safe bet as long as you’re under the FDIC insured limit, you will relatively poorer over time as your returns are lower than the rate of inflation. If you get 3% on a money market account but inflation grows at 4%, then you’re losing 1% each year in terms of real dollars.

I will follow up later with more questions and answers. Please let me know if you have anything specific that you’d like me to cover.

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A Bailout Plan That Can Succeed

We all know by now that the House of Representatives rejected HR 3997, the $700 billion, poorly constructed Emergency Economic Stabilization Act of 2008. Let’s be clear. This bill was a disaster. Nearly every member of Congress that I heard speak during debate today agreed that the bill was a not what they would like to see, but for some reason concluded that even though it wasn’t any good, they should still vote for it.

The fun didn’t end there. I heard several members of Congress talk about how mark-to-market accounting rules are causing this mess. Instead of having banks mark a worthless asset to zero; these individuals would rather allow a bank to carry an asset at an artificially high valuation, thereby prolonging this crisis. Marking assets to higher valuations than they’re worth does not solve the problem. It merely turns a gaping into a constant wound that will eventually cause the institution to bleed out.

Let’s get real. Taxpayers don’t like this deal because it bails out Wall Street and will likely not solve the problem. Shifting capital from taxpayers to banks without an actual plan to fix foreclosures and asset valuations is a net wash, not a solution.

I’m going to propose a simple solution that I believe could work:

Instead of providing handouts to bankers, announce that the Federal Government will nationalize any bank unable to meet capital requirements and unable to raise private capital. Like Sweden in the early 90’s bleed all private capital from the bank, write down every loan as aggressively as accounting rules allow, and then inject taxpayer capital in exchange for substantial stakes in banks worth saving. Allow other banks to fail, but pass FDIC reform that temporarily guarantees all deposits and transition those deposits to other institutions that the taxpayers now own. With an increase in the FDIC insured limit, depositors can feel confident in putting their money in United States banks once again. Pass legislation that encourages mortgage forbearance or renegotiation for responsible borrowers, thereby stemming the tide of foreclosures. Once markets recover, unlock taxpayer value by taking the nationalized banks public again. This plan in no way bails out Wall Street, gives the taxpayer every advantage, and directly attacks the foreclosure problem.

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What’s Another $25 billion for Detroit Automakers?

Lost in this weekend’s news about the $700 billion bailout package for the banking industry was a $25 billion loan package for United States auto manufacturers.  This package comes at a time when apparently Congress and the President believe that the American people will see $25 billion as a pittance compared to the $700 billion they’re already planning to spend on mortgages.  While there certainly is precedence for this move - the government loaned $675 million to Chrysler in 1980, this loan package is several magnitudes of order larger.

I’d like to point out the immense irony here.  General Motors, Ford, and Chrysler are currently struggling significantly against Japanese and other foreign manufacturers who have spent the last many years improving fuel efficiency and developing hybrid and other alternative technologies.  If Detroit had spent as much time, money, and effort in research and development as they did lobbying Congress to keep fuel mileage standards low, and made competitive non-gas guzzling vehicles, I would venture a guess these loans wouldn’t be necessary.

I believe that most people understand a mortgage bailout was necessary.  I’m not so sure that I understand how the failure of Detroit could cripple the United States economy.  There are plenty of foreign auto manufacturers with operations in the United States - Toyota, Honda, and Nissan - who could easily pick up the slack.  Their vehicles are outselling American automobiles.  They are building plants in places like East Liberty, OH and Lincoln, AL, providing jobs for people displaced by the failure of Detroit.

Jim Press, Vice Chairman of Chrysler said that this loan package will reduce America’s dependence on foreign oil.  Given that other manufacturers are already well at work on these technologies without the need for this money, I find his statement hard to swallow.  Chrysler Chairman Bob Nardelli was quoted as saying this money “…is not a bailout.”  This is simply not true.  Detroit was relegated to borrowing from the government because the private capital markets are shut off to it due to bad credit ratings and history of financial losses.

I, for one, am outraged at this loan package.  It is anti-competitive to startup companies like Tesla Motors who are investing their own money in alternative technologies like battery power.  $25 billion is a lot of money.  Detroit should not be able to argue for 30 years against improved fuel mileage and better technology, and then come back to the same government they persuaded into facilitating their failure, for a bailout.

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What’s Another $25 billion for Detroit Automakers?

Lost in this weekend’s news about the $700 billion bailout package for the banking industry was a $25 billion loan package for United States auto manufacturers.  This package comes at a time when apparently Congress and the President believe that the American people will see $25 billion as a pittance compared to the $700 billion they’re already planning to spend on mortgages.  While there certainly is precedence for this move - the government loaned $675 million to Chrysler in 1980, this loan package is several magnitudes of order larger.

I’d like to point out the immense irony here.  General Motors, Ford, and Chrysler are currently struggling significantly against Japanese and other foreign manufacturers who have spent the last many years improving fuel efficiency and developing hybrid and other alternative technologies.  If Detroit had spent as much time, money, and effort in research and development as they did lobbying Congress to keep fuel mileage standards low, and made competitive non-gas guzzling vehicles, I would venture a guess these loans wouldn’t be necessary.

I believe that most people understand a mortgage bailout was necessary.  I’m not so sure that I understand how the failure of Detroit could cripple the United States economy.  There are plenty of foreign auto manufacturers with operations in the United States - Toyota, Honda, and Nissan - who could easily pick up the slack.  Their vehicles are outselling American automobiles.  They are building plants in places like East Liberty, OH and Lincoln, AL, providing jobs for people displaced by the failure of Detroit.

Jim Press, Vice Chairman of Chrysler said that this loan package will reduce America’s dependence on foreign oil.  Given that other manufacturers are already well at work on these technologies without the need for this money, I find his statement hard to swallow.  Chrysler Chairman Bob Nardelli was quoted as saying this money “…is not a bailout.”  This is simply not true.  Detroit was relegated to borrowing from the government because the private capital markets are shut off to it due to bad credit ratings and history of financial losses.

I, for one, am outraged at this loan package.  It is anti-competitive to startup companies like Tesla Motors who are investing their own money in alternative technologies like battery power.  $25 billion is a lot of money.  Detroit should not be able to argue for 30 years against improved fuel mileage and better technology, and then come back to the same government they persuaded into facilitating their failure, for a bailout.

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