St. Petersburg

photoI’m on a family trip and the first stop is St. Petersburg Russia. It’s an amazingly beautiful city. I knew very little about it before coming here so I didn’t know what to expect and the place has blown me away. Here are a few initial observations:

1. SUVs! Unlike places I’ve visited in Europe, people drive nice cars. I’ve seen a number of BMWs, Range Rovers, CR-Vs and many others all around the city. There are very few scooters and small cars do not seem to be the norm

2. The buildings are low. No building is more than 6-7 stories high so you can see lots of sky at all times. Not sure I agree with the economics of this, but it makes for a beautiful sight.

3. Parks and trees everywhere. St. Petersburg is known as the “Venice of the North” because it is made up of dozens of connected islands. But the city has also made a conscious effort to build parks and plants trees everywhere you look. It’s also spotless – I don’t think I’ve seen a piece of garbage on the sidewalk yet

4. Everyone is fit. Part of this may be that people walk more in the city but I’ve seen very few people overweight here. That’s just my observation and maybe I’m wrong but I don’t think I could walk around any major American city for a day and not see a number of obese people.

Those are just my first thoughts. I’ll hopefully have more later – I want to look up some more information on the city layout and population density.

It’s also the “White Night” period here as it is never dark. I took the picture above from my hotel room at 12:30 AM and while not necessarily bright out, you can still see sky and clouds clearly. I’ll post some more photos soon and check my twitter for more frequent updates.

To the Class of 2013

As you can see, I haven’t posted here much recently and just started Tweeting again after a hiatus. I’m proud to say I graduated from Duke on May 12 with degrees in Economics and Public Policy. The past six weeks have been a whirlwind and I haven’t had time to follow the news, much less write on it so that’s the reason this blog has been dead. I’m gonna pick back up now so check back often!

As for Duke, it’s been an amazing four years and I can’t say I’m happy to leave. But I am very excited to start a new chapter of my life, though I cannot yet say what that will be. Hopefully, I’ll have a clearer answer in the next few weeks. I’m not one to get very sentimental so instead I figured I’d post my two favorite commencement addresses. Melinda Gates spoke at our graduation this year and while good, these two speeches are tops in my book.

The first is by David Foster Wallace in 2005 to Kenyon College:

The next one is at Princeton in 2012 by Michael Lewis, author of numerous books and writer for Vanity Fair:

Enjoy!

California Does NOT Fudge the Math on Obamacare

Over the past few days, fans of the Affordable Care Act have been celebrating the news that the expected premiums for California’s health care plans have come in well below expectations. Sarah Kliff summarized the story nicely on Wonkblog. Just a bit ago, former policy director for Mitt Romney, Lanhee Chen, wrote an article for Bloomberg View arguing that California did not compare plans correctly and that premiums would actually increase. Here’s Chen:

Covered California, the state-run health insurance exchange, yesterday heralded a conclusion that individual health insurance premiums in 2014 may be less than they are today. Covered California predicted that rates for individuals in 2014 will range from 2 percent above to 29 percent below average small employer premiums this year.

Does anything about that sound strange to you? It should. The only way Covered California’s experts arrive at their conclusion is to compare apples to oranges — that is, comparing next year’s individual premiums to this year’s small employer premiums.

I hadn’t seen any push back on the California numbers so this immediately intrigued me. Chen goes on to offer what he deems a direct comparison of California health care plans:

So, let’s make an actual apples-to-apples comparison for the hypothetical 25-year-old male living in San Francisco and making more than $46,000 a year. Today, he can buy a PPO plan from a major insurer with a $5,000 deductible, 30 percent coinsurance, a $10 co-pay for generic prescription drugs, and a $7,000 out-of-pocket maximum for $177 a month.

According to Covered California, a “Bronze” plan from the exchange with nearly the same benefits, including a slightly lower out-of-pocket maximum of $6,350, will cost him between $245 and $270 a month. That’s anywhere from 38 percent to 53 percent more than he’ll have to pay this year for comparable coverage! Sounds a lot different than the possible 29 percent “decrease” touted by Covered California in their faulty comparison.

I wanted to find out where those numbers came from so I dug into the Covered California report (PDF). Here’s the important table from page 39 of the report:

Covered California

The three most expensive plans range from $245 to $270 but Chinese Community Health Plan and Anthem both offer cheaper plans! That $174 plan is actually $3 per month cheaper than the current plan that Chen outlines. Am I missing something here or did Chen just deliberately choose the more expensive plans as examples to prove his point? If he did, it’s just blatant dishonesty. Otherwise, I’m not really sure why he excluded Chinese Community Health Plan and Anthem. I’m not an expert on health policy and certainly not one on the San Francisco area, but this seems pretty straightforward to me.