I come to bury Build Back Better, and dance on its grave

Link:https://marypatcampbell.substack.com/p/i-come-to-bury-build-back-better

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Productivity gains in consumer electronics have not been able to exceed the erosion of the currency’s value.

Bills such as Build Back Better are just a piece of the reason — we have more coming. We have a huge demographic issue, and a huge Social Security and Medicare bill not yet paid. Shoveling out more money and writing more IOUs will not help matters.

So, RIP, BBB. Please stay dead.

Author(s): Mary Pat Campbell

Publication Date: 21 Dec 2021

Publication Site: STUMP at substack

Covid Mortality Update for November 2021: Before the Omicron Variant

Link:https://marypatcampbell.substack.com/p/covid-mortality-update-for-november

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As noted earlier, the Hispanic excess mortality was about a level as the other non-White groups, but then spiked with Wave 2 and stayed very high.

The Asian group saw its excess mortality peak with Wave 3 — remember, that’s the large wave with the most COVID deaths. But they have been at about 30 – 35% excess mortality for the other waves.

The Black group looks like it’s slightly rising in excess mortality, but staying within a fairly narrow range of about 33% to 37% excess mortality.

The White group is definitely showing an increasing trend of excess mortality. Interesting.

Due to the White group’s increasing excess mortality, the overall population is showing an increasing trend — look, Whites have been the majority of deaths for a long time, as they’re the majority of old folks. That’s how that works.

Author(s): Mary Pat Campbell

Publication Date: 28 Nov 2021

Publication Site: STUMP at substack

Chicago Police: Vaccine Mandates and Pension Threats

Link: https://marypatcampbell.substack.com/p/chicago-police-vaccine-mandates-and

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Both Chicago Police and Chicago Fire plans have active-to-beneficiary ratios of about 90%, and have been at that level for some years. Chicago Police, specifically, had such a ratio starting in 2012.

So, there are more people taking police pensions than are active employees already. If I take the numbers given, and shift 38% from active to beneficiaries, that gives one an active-to-beneficiary ratio of 52% (assuming you don’t get new actives, which you would, but still… this is a point-in-time estimate).

Author(s): Mary Pat Campbell

Publication Date: 21 Oct 2021

Publication Site: STUMP at substack

Vaccines Reduce Risk: A Look at the Changing Age-Related Mortality Risk of COVID

Link:https://marypatcampbell.substack.com/p/vaccines-reduce-risk-a-look-at-the

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I will put a few facts in front of you, and you think it through:
– The population age 85+ in the U.S. in 2020 was 6.3 million
– Through July 2021, there were a little over 180K COVID deaths for that group
– That’s about 3% of the age 85+ population

Do you think only 3% of the age 85+ population is vulnerable to COVID?

Pretty much all of them are “vulnerable”. The mortality rate for people age 85 (much less older) was 7.3% for females and 9.5% for males in the most recently available tables. It only goes up from there.

There is a huge difference in mortality by age for just non-pandemic years, and it’s also true for COVID.

There may be a few hardy souls with a base risk similar to the middle-aged without vaccines, but the percentage is not high.

The vaccines have been having an effect in cutting risk.

Author(s): Mary Pat Campbell

Publication Date: 18 Oct 2021

Publication Site: STUMP at substack

Revisualizing the Financial State of the States: 2021 edition

Link:https://marypatcampbell.substack.com/p/revisualizing-the-financial-state

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One large benefit of a tile grid map is you can see the geographically small states, which are often more obscured when you a geographically accurate map.

When viewed in this way, with the states colored by their grades, you can see that there’s a Northeastern Rogue’s Gallery, in addition to the expected stinkers of Illinois, Kentucky, and California (also, Hawaii, but many people don’t expect that one.)

But I want to point out that a lot of “red” states, in the political sense, also have crappy finances.

Texas is a particularly bad offender here, with a taxpayer deficit of -$13,100 per taxpayer. It’s not just the “expected” states where pensions are grossly underfunded — mind you, pretty much every single taxpayer sinkhole here has grossly underfunded state-level pensions — but it is a widespread problem.

Author(s): Mary Pat Campbell

Publication Date: 29 Sept 2021

Publication Site: STUMP at substack

Spanish flu v. COVID-19: Comparing the Numbers and Forgetting the Lessons

Link: https://marypatcampbell.substack.com/p/spanish-flu-v-covid-19-comparing

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So, period life expectancy dropped about 12 – 13% in 1918 in the U.S., mainly due to the Spanish flu, because there was an outsized effect from young adults being the main group killed by the disease (also, period life expectancy was relatively short — under 60 years!). That was a drop of about 7 years.

But life expectancy dropped only about 1 year in 2020 due to COVID impacts, and that was a decrease of less than 3% compared to 2019.

So if you want to compare the effect of the Spanish flu vs. COVID-19 on the U.S. population, all of these rates —- percentage change in period life expectancy, age-adjusted death rates, or even crude death rate — are all more reasonable choices than simply number of people who died.

Author(s): Mary Pat Campbell

Publication Date: 22 Sept 2021

Publication Site: STUMP at substack

Social Security: Benefit Terminations and the Trust Fund Running out

Link: https://marypatcampbell.substack.com/p/social-security-benefit-terminations

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Through the mechanism of the Trust Fund, Congress can put off having to act on the fundamental demographic problem that they can’t do much about. They hope they can run the Magic Money Machine to cover all the goodies they want, and in 2034, the Boomers will mostly be over age 80. Maybe another pandemic will deal with them….

(and nobody cares about us Gen Xers. In 2034, I won’t even be eligible for Social Security old age benefits.)

Nobody expects the Social Security benefits to be cut in 2034, or whatever other magic date when the Trust Fund runs out. The only thing the current Trust Fund mechanism requires is cuts… only if Congress doesn’t actually pass legislation to “fix” the issue.

They have been doing ad hoc “fixes” to Medicare and other parts for years so as to avoid massive cuts.

Author(s): Mary Pat Campbell

Publication Date: 6 September 2021

Publication Site: STUMP at substack

COVID and Simpson’s Paradox: Why So Many Vaccinated People are Among the Current Wave of Hospitalizations

Link: https://marypatcampbell.substack.com/p/covid-and-simpsons-paradox-why-so

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There you have it — for this slice of time, the beginning of August 2021, Israel shows that the vaccines reduced risk 80%+, for all age groups.

Yes, if you just do an aggregation at the whole population level, it looks like a 67% reduction. That’s the “magic” of Simpson’s Paradox. For any given age group, the percentage reduction is much larger. But due to the relative risks by age, even with such high reductions, the overall population result shows a smaller improvement.

Takeaway: COVID vaccines greatly reduce risk

This is the main takeaway: the COVID vaccines greatly reduce the risk of adverse outcomes.

By the way, this is also true of the annual flu vaccines, which range in efficacy based on how well the vaccine that year matches up with the strains circulating, and which strains are circulating (some strains, even if you formulated the vaccine perfectly, still infect.) I could give you flu/pneumonia death rates by age groups, and you would see that flu/pneumonia is a big killer of the elderly. Get your flu vaccines, please.

But, we should also expect a lot of people hospitalized with COVID to be vaccinated old folks. Just because of the huge risk slope by age, which will still exist after vaccination.

Author(s): Mary Pat Campbell

Publication Date: 19 August 2021

Publication Site: STUMP at substack

Taxing Tuesday: The SALT Cap Battle Continues

Link: https://marypatcampbell.substack.com/p/taxing-tuesday-the-salt-cap-battle

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 ….these representatives are doing exactly what they should be doing: representing the interests of the people of their districts.

This helpful site provides all sorts of statistics by Congressional district.

According to their data, Tom Suozzi’s district, NY-3, has a median household income of $120K. Gottheimer’s district, NJ-5, has a median household income of $110K.

….

Of the top 50 congressional districts by median household income, they are represented by 42 Democrats and 8 Republicans.

The top 17 districts are all represented by Democrats. You have to get to #18 to get to your first Republican.

Nancy Pelosi’s district is at #4. That must burn her britches. Do better, San Franciscans!

Suozzi’s district is at #5.

Gottheimer’s district is at #16.

Author(s): Mary Pat Campbell

Publication Date: 10 August 2021

Publication Site: STUMP at substack

Mortality with Meep: Cause of Death Trend — Cancer — 1999-2020

Link: https://marypatcampbell.substack.com/p/mortality-with-meep-cause-of-death-76e

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As with heart disease, we see improvement at all ages, but the percentage improvement is not as high with cancer as it was with heart disease.

One of the biggest things, though, is how death rates go up by age group. I will use 2020Q1 cause of death rates to make comparisons, as these are in the SOA report, and the COVID impact didn’t come fully until 2020Q2.

Heart disease death rate for those aged 85+ was 3766 per 100K, and those aged 75-84 was 986. That’s a ratio of 3.8.

Cancer deaths for those aged 85+ was 1562 per 100K, and those aged 75-84 was 1004. That’s a ratio of 1.6.

Two things to note:

Cancer death rate for those age 75-84 was higher than the heart disease death rate for the same group

Heart disease death rates climb much more rapidly than cancer death rates by age

Author(s): Mary Pat Campbell

Publication Date: 4 August 2021

Publication Site: STUMP at substack

COVID and Simpson’s Paradox: Why So Many Vaccinated People are Among the Current Wave of Hospitalizations

Link: https://marypatcampbell.substack.com/p/covid-and-simpsons-paradox-why-so

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when you’ve got really steep differences between subpopulations and the subpopulations are of very different sizes, the overall population average will be very different from simply looking at the average of the two populations.

Basically:

– The base risk rates for each group are extremely different (3.9 per 100K for young, and 91.9 per 100K for old)
– The percentage each subpopulation makes up in the larger population is very different (67% young, 33% old)
– The vaccination rates are very different by population (76% young, 92% old)

Author(s): Mary Pat Campbell

Publication Date: 19 August 2021

Publication Site: STUMP at substack

Mortality with Meep: Cause of Death Trend — Heart Disease — 1999-2020

Link: https://marypatcampbell.substack.com/p/mortality-with-meep-cause-of-death

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The long-term trend has been improvement for this cause of death, with it most obvious for the oldest age groups. This trend has been driven by improvement in medical treatment for the condition, but also due to the decrease in smoking rates… decades ago. Some causes of death have behavior that precedes the death by decades, which can get tricky to track for our top two causes of death: heart disease and cancer. Even so, smoking cigarettes has been a huge driver for both these causes, and made a large differentiator by sex and smoking status for a long time.

Author(s): Mary Pat Campbell

Publication Date: 26 July 2021

Publication Site: STUMP at substack