More On Medicare Slotists

Lots of feedback, mostly indicating that people just don't get it...In a nutshell:

POINT ONE: Health care crisis = cost crisis...Medicare is the biggest cost in the system

Currently, there is a severe crisis in health care costs. Drastic, pernicious measures being used right now to reverse this problem include:

-curbing research
-curbing reimbursements to hospitals
-decreasing subspecialty physician positions
-decreaing approval rate of new procedures and diagnostics
-decreasing physician reimbursement
-denying reimbursement for infrequuent or expensive procedures and drugs

Medicare entitlements will cost $3 trillion in the next ten years. The baby boomer generation is predicted to bankrupt the system during that time.

With such a crisis, and such dire predictions, we cannot afford to allow wanton misuse of discretionary income by those receiving federal (taxpayer) entitlement dollars.

POINT TWO: Slot Machines Are Elegant Money Shredders

Like evaluating coin flips, one must look at a statistically significant sample before judging outcome probabilities. Viewed in this way, slots must always produce losses because they are rigged. Legally rigged, with a built-in "hold" for the house. Therefore, no matter what result any one slot-user achieves, when viewed as a whole, slot users are losers. Massive losers.

If you consider the entire population of people who use slot machines as ONE person, then THAT person loses $40 billion every year. That number can never improve. There can never be a year when slotists are in the black. Never.

No matter what the jackpots paid; no matter what any individual wins; the entire mass of people have $40 billion less to spend at the end of the year. And that number will grow as slots continue to proliferate around the country.

A significant percentage of these people -- who are shredding $40 billion a year -- are receiving government entitlements, most onerously, Medicare.

POINT THREE: Slotting is not Gambling

Using slot machines IS NOT gambling. Gambling, by the dictionary, is: To bet on an uncertain outcome, as of a contest.

The outcome, in slots, is fixed by a computer chip. It is not uncertain.

One does not stand in front of the machine, add up the chances of success, weigh this against the predicted failure rate, and then decide to take a fling. There are no calculations to be done. No assessment of the odds. No counting cards. There is no skill. No thinking. ACTUALLY, THERE IS NO RISK because risk is the possibility of suffering harm... and in slots you are guaranteed to suffer harm. There is no risk, only certitude.

POINT FOUR: Medicare Slottists Shred Billions of Dollars Every Year, Instead of Helping Out With Their Health Care Costs. This is wrong and it must be changed

Seniors do not have a right to shred dollars under the morally vapid rationale that shredding dollars represents discretionary expenditure on entertainment.

First, one is morally compelled to refute the notion that shredding taxpayer dollars -- no matter how elegantly--is entertainment.

Second, there is ample precedent for government to influence the behavior and habits of those to whom it extends its largesse, under the threat of loss of the entitlement. Campaigns for integration, DUI laws and anti-smoking laws were all promulgated in this way. In addition:

1. Food stamps cannot be used to purchase liquor or cigarettes

2. Restaurant owners with liquor licenses are leveraged to obey any number of government dictums about how they run their businesses, who they hire, and who they allow into their establishments, under threat of license loss

3. Universities are forced to follow Title IX regulations and affirmative action mandates or risk losing federal subsidies, loans, and grants

4. Even states are muscled to follow federal party line with any number of policies or risk losing federal dollars such as highway construction subsidies

Likewise, the federal government needs to act to negatively influence Medicare Slotists from pursuing this wanton waste of taxpayer money.

Some correspondents suggest to me that Medicare Slotists are literally using their own cash over which we ought not have moral or legal control.

My response is that we must begin to means test Medicare recipients; i.e., ask them to list their assets, and then reduce their Medicare reimbursements according to a formula that indicates what they can reasonably afford out of pocket. MEANWHILE we educate people hard and clear on just what this obsessive behavior of slotting is all about...THEN if Medicare Slotists still want to shred their discretionary dollars, fine.

But not until then.

PROPOSALS:

MEANS-TEST MEDICARE RECIPIENTS

TAX SLOT MACHINES 50% -- DIRECTLY TO MEDICARE

INITIATE CLASS ACTION SUITS AGAINST CASINOS AND GAME MACHINE COMPANIES

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