California Poised To Hit 50 Percent Renewable Target a Full Decade Ahead of Schedule (cleantechnica.com)
An anonymous reader quotes a report from CleanTechnica: Every year, the California Energy Commission releases its Renewable Portfolio Standard (RPS) report, which gives details about the mix of energy experienced by all utilities within the state during the preceding 12 months. The report for this year, released in November, shows that all three of the state's investor-owned utilities -- Pacific Gas & Electric, Southern California Edison, and San Diego Gas & Electric -- are projected to derive 50% of their electricity from renewable sources by 2020. That is a full decade ahead of schedule. PG&E reports it used 32.9% renewable energy in the past year. The figure for SoCal Edison was 28.2%. San Diego Gas & Electric led the pack with 43.2% renewable energy. Now that the 50% goal is within reach, California is looking ahead to its next milestone -- 80% renewables by 2050. "Once we get to about 50 percent, we're going to start to run into new challenges -- the second 50 percent will be trickier than the first 50 percent," Brown notes. Part of the challenge will be balancing the grid using new technologies to avoid the need for fossil fueled "peaker plants" to provide additional electricity when demand is high.
Run nuclear plants as peakers -- yes, it can be done with the right design.
Nuclear isn't renewable, but it's a hell of a lot cleaner than fossil fools.
Renewables get more than the ~$500bil coal gets every year from externalized healthcare costs?
From Forbes: California's Growing Imported Electricity Problem "California now imports 33% of its electricity supply from fast growing neighbors". Looks like a numbers game to me, but what do I know.
That is not true. I just moved from Houston, Texas, the "energy corridor" to the Central Coast of California. I know it's not true because I have first-hand experience paying the bills in both places.
Gasoline is high at the pump, but electricity and natural gas don't work out to be much higher than in Houston. Plus, living here is worth every penny.
Also, food is more expensive in Houston - even meat, and property taxes are lower. Schools are better by a long shot, the air is cleaner, the streets are cleaner, the girls are prettier and there's surfing.
You are welcome on my lawn.
California Electricity that is.
There are several plants in the state that do nothing but make electricity for California.
Hydro needs to be used as a "peaker" to balance wind and solar. Using it for baseload let alone 100% is being anti-social.
"Subsidies for renewables, which far exceed those of fossil fuels, are used to make them appear cost effective."
No, they are used so that people will have an incentive to adopt renewables, thus creating an economy of scale whereas renewables become commonplace. It's not just "for looks"
Hydro isn't "green" or "renewable" energy by California's law.
All those "save the earth" coastal cities with money should be required to obtain all of their water from desal. Stop taking it from those who can't afford to buy water and don't have an ocean to obtain it from. Ag needs the water anyway, especially in drought years.
In significant measure, because of fixed distribution costs which need to be recouped from a low per-capita consumption of electricity. Party climate, and party attitudes and renewables.
Now, solar and wind make electricity and competitive commodity prices.
The private utilities are expensive and partly because of cost padding and profits, but the socialized municipal utilities in Los Angeles and Sacramento are quite cheap and also run on clean energy.
Renewables are about 20% cheaper in the Middle East than natural gas, with zero subsidies. In certain parts of the USA, they are cheaper than fossil fuel, but most of the USA still needs subsidies, but it's estimated they won't be needed is 3-5 years. The cost per unit of generation for solar and wind is dropping about 10% per year.
We already have. Residential water use is a minor part of water use. Bulk is agriculture, followed by industrial. Most of the things to save on the residential side have already been put in place (primarily low flow shower and toilets, and xeriscaping).
So on that front we are simply using not that much. On the desal front, new one opened in Carlsbad just 2 years ago.
That's called biomass. But to use it usefully requires logging, something environmentalists hate.
(T>t && O(n)--) == sqrt(666)
Did you know that air pollution costs us up to $1,000 per person per year? Are you factoring that into the economics of renewables versus fossil fuels? (Probably not.)
Any sufficiently unpopular but cohesive argument is indistinguishable from trolling.
So-called 'renewables' have serious opex associated with them. Anything with moving parts, especially turbines and generators, will require significant and frequent maintenance. Even solar panels require ongoing maintenance. Yeah, you can skimp on such maintenance, but then the lifetime of the investment will be measured in terms of months. Anyone who claims that 'renewables are free after the capital cost' is utterly clueless about the actual costs involved.
"Ag" can kiss my hairy renewable ass. "Ag" sucks up as much water as possible to flood Rice and Cotton fields in Desert areas, mostly for export. The whole Central Valley gets Federally subsidized Legislation-proof/Lawsuit-proof Water under Century or longer contracts. Until very recently, they had zero incentive to manage Water Resources- They just yell "Southern California Swimming Pools!" and everybody goes Squirrel.
"Ag" consumes about 80-85% of California's Water, with the rest divided about equally between Industry and Residential, and until very recently, they were the only ones doing any Water Conservation.
Note, I'm fine with Desalinization for Potable Water for the Coasts... as long as the Central Valley goes back to being a Desert, or the Watersuckers there pay Market-Rates for Water... which ain't ever going to happen.
"Stop taking it from those who can't afford to buy water..."
Like the fucking Millionaire Central Valley Ag-Businesses? Cry me literally a fucking river, you deliberately ignorant Gombeen.
And have a nice day.
California, the second-largest U.S. hydroelectric producer, set goals for renewable energy sources in 2002 and 2011... But the state set a limit on the inclusion of hydropower. It allows utilities to count only the hydropower produced by smaller hydropower projects—those capable of producing 30 megawatts or less—toward the renewable mandate.
Yep, only tiny hydro installs (typically private, on private land - good luck getting a permit to make your own hydro plant and flood some land deemed valuable to someone) count. The big hydro we have installed in California - about 99% of all of it - is NOT renewable per the State. So yeah - no hydro for us!
Browsing at +1 - no ACs, I ignore their posts. So refreshing!
Solar and wind plants do not last 100 years, and they also have a significant environmental impact on the land they use and, in the case of wind turbines, down-wind.
Browsing at +1 - no ACs, I ignore their posts. So refreshing!
I call BS. Houston power starts at $0.087 per kWh. And power from PG&E for the Paso Robles area (central coast) start at $0.199 per kWh and go up. That's over twice as much. Using GasBuddy.com, gas in CA averages $3.07 per gallon, and in TX it is around $2.12 per gallon.
Paso Robles, CA is around 1.44 times the national average for cost of living, Houston is at 1.02 - just about average for the US.
Property tax rates in CA are fairly low compared to TX, but the average home in Houston is around $220,000. In Paso Robles, houses are twice that price. Sure, property taxes are a bit lower in CA, but we also have a 13.3% income tax compared to 0% for TX. If you make just about anything more than $10,000 per year, your property tax "savings" in CA are swallowed up by State income tax.
Browsing at +1 - no ACs, I ignore their posts. So refreshing!
Keep in mind that medicine in the US is another industry that suffers from extreme price distortion due to various sorts of government intervention (such as excessive regulation, excessive education requirements, an artificially limited supply of practitioners, mandatory insurance that encourages excessive billing, and so on).
So you agree that coal leads to health problems, and you don't have a problem with that, you only have a problem with the way health costs are accounted? A 6 year with asthma is fine as long as the cost to treat him is accounted for properly?
Actually, Statewide, average water use is roughly 50% environmental, 40% agricultural, and 10% urban. It's environmental concerns, like delta smelt and trying to maintain scenic rivers, that suck up half our State's fresh water supply.
Browsing at +1 - no ACs, I ignore their posts. So refreshing!
The State of California does not consider hydro as a renewable resource:
California, the second-largest U.S. hydroelectric producer, set goals for renewable energy sources in 2002 and 2011... But the state set a limit on the inclusion of hydropower. It allows utilities to count only the hydropower produced by smaller hydropower projects—those capable of producing 30 megawatts or less—toward the renewable mandate.
Yep, only tiny hydro installs (typically private, on private land - good luck getting a permit to make your own hydro plant and flood some land deemed valuable to someone) count. The big hydro we have installed in California - about 99% of all of it - is NOT renewable per the State. So yeah - no hydro for us!
Large hydro plants typically come with huge amounts of environmental destruction - while today it would be unthinkable to flood Yosemite valley to use as a source of water and electricity, Hetch Hetchy Valley is said to rival Yosemite in beauty, yet it was flooded 100 years to to build O’Shaughnessy Dam.
Smaller hydro projects can be built with less (or no) environmental destruction.
Skipping meds is really bad.
I call BS. Houston power starts at $0.087 per kWh.
Those rates assume 2000KWh of energy use/month - which is 6 months of my power usage in California since the climate is mild enough to need little heating or cooling.
Plus they don't include TDSP delivery charges (which vary between 3.6 and 7.6 cents/KWh (plus $3.50 - $10/month)) depending on your energy provider. So the true cost is somewhere between 12.3 - 16.3 cents/KWh.
and power from PG&E for the Paso Robles area (central coast) start at $0.199 per kWh and go up.
Those prices don't include any credits, the true cost ends up being around 15.6 cents/KWh
Though if you're going to look at prices for living on California's central coast, you ought to pick a town that's actually on the coast, not 45 minutes inland.
mdsolar remains undiagnosed to this day.
Yea but in the desert, the environmental side-effects of solar and wind power installations (increased shade and reduced erosion) are both considered basically beneficial or at least harmless. You can't say the same for a hydroelectric dam even on a good day when it's not drowning 150,000 people.
I haven't turned on heat or A/C since I've been here. Tonight's supposed to get chilly though, so I might relent. My utilities for the year project to be less than 20% of that in Houston, where you need A/C 10 months out of the year. Hell, the new houses going up in Houston don't even have windows that open.
The main difference though is that when I woke up in the morning in Houston, and I walked out the door, I was in Houston. When I walk out the door here, I'm in paradise. I do miss two things from Houston though: barbecue and Christmas tamales.
You are welcome on my lawn.
The subsidies for renewables are tiny compared to fossil and nuclear anyway. And renewables are now profitable without subsidy in some cases. As far as I'm aware no major fossil fuel plant has ever been profitable subsidy free.
const int one = 65536; (Silvermoon, Texture.cs)
SJW, n: "Someone I don't like, and by the way I'm a fuckwit" - AC
Oh, I'm with you, but the ostensible reason is that it's not guaranteed to be drinkable because of air pollution. Also, the same concrete river in question channeling all that flood water to the ocean also is used by numerous factories for dumping gray water.
Fossil fuel plants and nuclear also have moving parts. In a wind farm the number of moving parts is higher, but the failure of a unit is smaller fraction of the overall output, which changes the dynamic of maintenance required, and you can even let a unit fail if you want to batch maintenance with one or more other units that are nearing failure. With steam or gas turbines you have fewer, so you have to be more proactive with maintenance, as each one is a very significant portion of your revenue stream.
I worked on mechanisms for predicting failure in those moving parts across a range of power generation.
Your entire post represents perhaps the most gigantic misunderstanding an/or willful misrepresentation of facts about health care I have ever read, and I've been discussing the matter for several years with people here and elsewhere as someone who works for the public health care sector of Finland.
Let's get something clear:
1. The US health care system is the most privatized model in advanced economies, you're the only OECD member state that still doesn't have universal coverage
2. The US model is the most expensive model on the planet per capita, The combined tax+private spending is about 2-3 times that of most western economies, and even that's an understatement, because the per capita cost in your case divides the sum of total costs with all Americans, that is, including those who do not in fact have coverage. Therefore the total cost per citizen actually covered is even higher.
You have it entirely backwards. It is the lack of universal public insurance model that's causing the costs to skyrocket. In here, the government has a vested interest in making sure the system is cost-effective, because it ends up being paid for by the tax payer in most cases (well, we do have private clinics and insurances but those are used only by a tiny fraction of the wealthy for mainly non-urgent procedures). For the government, health care is a cost, like the police and the fire department. The government also suffers if people are not treated, because high levels of untreated people lead to increased unemployment, loss of productivity and tax income.
The current center-right government has been trying to open up our model and move it more towards the direction of an american model but maintain the universal nature, so that private hospitals could provide basic healthcare and the cost would be paid by the tax payer as it is now. The claim is that increasing private presence on the production side would increase efficiency and hence decrease cost, but this is blatantly false, which is why the bill has been slammed by every single expert analysis because data from the world, especially the US is clear that such a change will only increase costs as the private chains will start to charge overheads, which the public system obviously does not do, and because health care demand is inelastic. That is, increasing supply will not affect the demand, so building more (private) infrastructure to partially compete with the public one will only raise the costs for both the private and the public side, as each instance now treats only a part of the patients while having equal fixed costs. I wrote more about this and gave an actual example of how the inelasticity makes an entirely private market highly inefficient in keeping costs down for example here.
Healthcare is one of those subjects in which the political discussion is often entirely detached from the scientific data we have on performance and cost-effectiveness. Again, all western nations besides the US have been running universal models - some based on a single payer model like here in the Nordics, others based on a mix of public and private insurance like in Germany - for over half a century and we've been doing so consistently with lower costs and equal or better treatment outcomes to that of the US. People live lon
"It is the business of the future to be dangerous" -Alfred North Whitehead
The incentive to adopt renewable technologies should come from them naturally being better from an economic standpoint
Capitalism doesn't care about what is good for mankind. The market doesn't necessarily provide the best solution.
Maybe these economic forces can be manipulated in the short term, but in the long term they win out, even if the repercussions are disastrous.
Disastrous how?
Like causing an extinction level event?
We can survive a couple of more depressions.
The incentive to adopt renewable technologies should come from them naturally being better from an economic standpoint (which they obviously aren't, in reality, thus the need for subsidies).
You're presenting a circular chicken and egg argument. The point of a subsidy is to kick-start an industry and create economies of scale. The end goal is to have all subsidies removed once it has reached a self sustaining level.
Although as evidence with coal and oil it would seem that nothing can ever self-sustain.
subsidies worked well for the fossil industry and they are still getting subsidies after 100 years of market development...
"The hands that help are better far than lips that pray." - Robert Ingersoll (1833-1899)
I do miss two things from Houston though: barbecue and Christmas tamales.
If you haven't already, you'll find tamale ladies around. They are literally everywhere in California. However, most of them try to murder you with masa. A little meat, please.
"You're right," Fisheye says. "I should have set it on 'whip' or 'chop.'"
"Subsidies for renewables, which far exceed those of fossil fuels, are used to make them appear cost effective."
No, they are used so that people will have an incentive to adopt renewables, thus creating an economy of scale whereas renewables become commonplace. It's not just "for looks"
That statement should be in the past tense. Fossil fuel extraction costs are an upward trending proposition because of increasing extraction costs. Once in a while you get dips like you got with the shale bubble but on the whole the trend is upward. The price of renewable energy technology is on on a downward trend due to economy of scale, you don't have do drill through the earth's crust or dig away mountains to get sun and wind. We are now at a place where renewables are getting cheaper than coal and gas without subsidies. With battery technology undergoing an economy of scale and engineering revolution things do not look good for fossil fuels. Anybody buying a coal or gas fired power plant these days is being sold a pup.
That's called biomass. But to use it usefully requires logging, something environmentalists hate.
Logging is a big part of how we got into this mess regarding fires in California. First, logging the whole state. Then, treating the whole state as a tree farm, instead of letting some growth get old and fire resistant. The entire california coast from a place south of point sur is meant to be covered in redwoods, for example — they should be a thick, unbroken strip along the coast all the way up into Canada. The fact that we have removed that contiguous forest of old giants has actually altered the weather along the entire coastline. Redwoods actually trap fog on their leaf-like needles (or is that needle-like leaves?) which causes it to effectively rain beneath them. This not only provides water needed by the redwoods, but it has a significant effect on weather patterns in general. And hey, water vapor is a greenhouse gas...
"You're right," Fisheye says. "I should have set it on 'whip' or 'chop.'"
excessive regulation, excessive education requirements, an artificially limited supply of practitioners, mandatory insurance that encourages excessive billing
This is very misleading and also wrong. The regulations and education requirements do bring up the price of healthcare but account for a very small part of the increase. Do you honestly think regulations are why those general drug makers are increasing prices by 500% in a short time?
As for excessive billing... have you ever been billed for healthcare? Regulations have little to do if it. An uninsured person will get billed 4-5x the rate of an In Network insured patient. This was true before Obamacare. The insurance companies negotiated low rates but the end effect was to just raise prices on those without insurance.... the ones who can not afford the lower rate in the first place.
Additionally billing for a overnight stay at a hospital is horrendous. No one can give you an estimate for costs without a 20% margin! They can give you a rough likely price but say you could see additional billings from other providers?!? You will get a heavily discounted bill for the room that you do not need to pay until the insurance partially covers it. Then the rest is on you. And that might be corrected again later ending in a credit or additional billing.
Of course that is just the hospital. You came in through ER, another bill. Did the hospital use an external anesthesiologist, another bill. Did they use an external lab, another bill. Did you use an ambulance, another bill. Did your primary care physician come to check on you, another bill. Did a specialist come to check on you, another bill. Did they order special medication for you, another bill.
Each of these bills go through the back and forth discount, partial payment , review, adjustment, invoice, etc process. Many times people do not know their bill for 3-5 months! None of this is regulations based. Because the system charges those who can not pay more, there is a lot of unpaid bills. No one wants to be the bill collector and aggregate/bundle the costs. So each spends resources billing and negotiating their part of the equation.
Most readers are thinking that they do not see this complexity. You have the standard old plan of paying just the deductible. But this all happens in the background even for you and is handled by a complex network of healthcare payers and payees. People with HSAs will see a little behind the curtain. Those without proper insurance will see more and also deal with debt collectors who might contact them 6-12 months after service!
That horrible inefficient system is further burdened by arcane IT systems. Each provider has different ways to collect. Some only accept bank draft, others mailed/called CC info, others will have a website with disfunctional forms, etc. The reference that they provided you to tie back to the service is the cryptic procedure/medicine, its provider ID code, your name, date of procedure, billing company name, date of bill. That is it, good luck keeping track of all the bills if you visit an ER 2x in one year.
All these costs bundle into the cost of healthcare. And there is no incentive to reduce the complexity because you, the patient, do not get to choose the service nor provider nor know the bill up front. You are a captive customer.
Imagine going into a Kroger (grocery store) and walking out, not getting billed. Then a month later the bill arrives. Then another for each of the non-Kroger brands you bought. And you get a 70% discount if you are a member. No other industry is this absolutely stupid in IT and billing.
The industry has created a massive price distortion all by itself over the last 40 years. Congress knew about it and has been incompetent it addressing it for that long! Regulations have not really helped, but they are hardly a quarter of the pie. Insurance for all partially helps because you do not bill people for what they can not pay and avoid the resource wastage of that whole process!
"Subsidies for renewables... are used so that people will have an incentive to adopt renewables, thus creating an economy of scale whereas renewables become commonplace. It's not just "for looks"
If the subsidy doesn't automatically come off as the amount of subsidized construction reaches specified goals, then it's for looks.
Also "baked in subsidies for the oil and coal business" total in the trillions of dollars. And that's ignoring the 2 trillion dollars and 4,000 lives the u.s. spent fighting for oil in Iraq.
Google the quote above and you'll get multiple examples of the many kinds of subsidies the fossil fuel industry receives.
It includes things like special accounting methods which save them billions in taxes, low cost mining and drilling on federal lands at no where near the cost they would pay privately, and so on.
And despite those subsidies, alternative energies are already competitive with everything except nuclear and natural gas. And- when you include the *real* decommissioning cost for nuclear plants ( eg: one estimated to cost $39 million is over $600 million and counting ) and the fact that even when decommissioned they have no place to put the nuclear waste, natural gas is the only genuinely lower cost solution.
But it produces co2.
And we are are already are past the budget for a 1C increase by 2100. We blow out the carbon budget for a 1.5C temperature increase by 2025.
We produce 37 gigatons of carbon a year now (down from 50 gigatons in 2004).
But the budget to stay below a 2.0C temperature increase by 2100 is a total of about 880 gigatons of carbon. That's about 11 Gigatons per year between now and 2100.
We are going over budget 26 gigatons of carbon per year. So basically, we are already certain to increase at least 2.0C degrees.
So we really need to get off natural gas as much as possible as soon as possible.
She was like chocolate when she drank... semi-sweet at first and then increasingly bitter.
Yet when you look at power generation around the world, hydro is the king of renewables. All the other renewables are a rounding error compared to hydro. In California political correctness trumps (sorry!) mere science and engineering.
You're absolutely correct of course. The evidence is overwhelming. Privatized healthcare works only a few limited domains -- dentistry, optometry, cosmetic surgery. For most things, governments consistently deliver healthcare comparable to the US with costs between half and two thirds those of the US.
Go with what works. Governments should run healthcare. Capitalists should run department stores.
However, I should warn you, that logic and data have no affect on Americans at either political extreme -- either conservative or liberal. They are just as impervious to both as are the inhabitants of the Middle East.
You can't see ANYTHING from a car, You've got to get out of the goddamned contraption and walk...Edward Abbey
"Subsidies for renewables, which far exceed those of fossil fuels."
That statement is patently false. Renewables receive about 1/10th the annual subsidy of oil and gas alone. Nuclear previously dwarfed even O&G, but that is winding down.
http://i.bnet.com/blogs/dbl_energy_subsidies_paper.pdf
> The incentive to adopt renewable technologies should come from them naturally
> being better from an economic standpoint
Absolutely!
> (which they obviously aren't
Renewables are dramatically less better from an economic standpoint without any subsidies.
For PPAs signed today in the US, wind is an average of 4.5 cents/kWh, PV is about the same, and natural gas CS is about 5.5. Nuclear averages about 15 cents, and cola is about 8.5.
https://www.lazard.com/perspective/levelized-cost-of-energy-2017/
So, then, you fully support renewables. Good!
> Citation for what renewable energy is profitable without a subsidy or some other form of crutch?
https://www.lazard.com/perspective/levelized-cost-of-energy-2017/
Citation provided. You can find hundreds more by googling "lcoe renewables"
> So-called 'renewables' have serious opex associated with them
They are among the cheapest forms of power in OPEX terms:
http://www.power-technology.com/features/featurepower-plant-om-how-does-the-industry-stack-up-on-cost-4417756/
> Anything with moving parts
PV has no moving parts, so there's that.
Beyond that, it's also the *number* of moving parts that has an effect; more complex systems are generally more expensive to operate. And as you'll see at that source, this is clearly seen in the data - a NG plant, which basically has two moving parts, costs much less to run that a coal plant, which has many moving parts (the cooling loops) which costs a lot less than a reactor which has both many more parts as well as radiation to deal with.
> Anyone who claims that 'renewables are free after the capital cost' is utterly clueless about the actual costs involved
I have a dozen panels on my roof and worked for a company that did maybe 100 MWp of installs. So Mr Anonymous Coward, why don't you go ahead and tell me why I, and the entire power industry, is "utterly clueless"?
Idiots like the GP poster seem to think that someone in an ambulance suffering a heart attack will engage in negotiations with hospitals to find the cheapest treatment for their ER treatment.
Even if that were true, this administration is making price comparison far more difficult by removing regulations that require accurate price quotes (including taxes, fees, etc.).
The real "Libtards" are the Libertarians!
If you want to end up totally baffled about costs, let me recommend that ultimate source for most of the numbers being batted around. https://www.eia.gov/outlooks/a... Wonderful document. You can cherry pick just about any answer you want from one or another of the tables. The exception being that there is probably not enough lipstick in the world to make Coal with CCS, Solar-Thermal or offshore Wind look attractive.
I'd also point out that the numbers for non-dispatchable sources -- wind, solar, hydro(as they model it) do NOT include the affect on backup facilities operating costs. I'm pretty sure that's not because the affect on backup costs is unimportant. It's because it's too difficult to calculate in a general manner.
You can't see ANYTHING from a car, You've got to get out of the goddamned contraption and walk...Edward Abbey
So - how about the environmental destruction of hundreds of acres of solar panels covering the Earth? Or thousands of wind turbines on the ridge of a mountain? Does that count as well? Or is it just the change from a valley to a lake which is bad?
Browsing at +1 - no ACs, I ignore their posts. So refreshing!
Lots of coal plants reached 60+ years old, will wind farms last that long?
Browsing at +1 - no ACs, I ignore their posts. So refreshing!
Which do you prefer to look at/use/enjoy: Lake Mead (hydro), or Ivanpah (solar)?
Browsing at +1 - no ACs, I ignore their posts. So refreshing!
Ahh, I see! So when we regulate and release water for delta smelt and to keep a river looking nice - it's not human use. When we regulate and release water for drinking or growing food - it's human use. Got it! Thanks AC for showing us the way to be TRUE hypocrites!
Browsing at +1 - no ACs, I ignore their posts. So refreshing!
Meanwhile, here in BC, I took a friend to emergency last week as he was puking and shitting blood. It was slow, at least 20 minutes to get in and almost an hour before he was in a bed in a room though most of that time was spent trying to get an IV into him. He just got out, after a week and surgery, total cost to him, zero, without hassle.
There were clear signs that without coverage, it was about $350 for Canadian residents and $750 for non-residents for an emergency room visit. When I go to the doctors, there are clear signs how much certain things cost such as about a $100 for a full exam (not covered when it is for work related stuff, like truck drivers or airplane pilots who need regular exams). Everything is transparent and the only shocks are the prices of medications, which are high in Canada and only covered in some cases (varies by Province as medical is a Provincial responsibility with the Feds just setting minimal care levels).
https://en.wikipedia.org/wiki/Inverted_totalitarianism
Actually, the biggest problem with the US's insane healthcare system is probably institutionalized cost shifting. Everybody routinely tries to shift their costs off onto somebody else. Furthermore, the rules of cost shifting are complex and truly archane. For the most part, individuals can't shift costs. They must sign up ahead of time with a player (i.e. an "insurer") who will try to shift their costs to other players who have no desire to pay those costs. Why anyone thinks this makes sense or could possibly work eludes me.
There are many other problems of course. For example, the extremely high costs of medical training in the US means that services must be costly in order for the practicioners to pay off the loans they took out to finance their education.
And the predatory legal system ... The US has roughly 1 lawyer for every 300 inhabitants. Japan has 1 lawyer for ever 12,000 inhabitants. Some of those lawyers make a living suing doctors, hospitals, medical equipment manufacturers, drug companies, and anything else who might have deep pockets. Who pays? Ultimately the patients.
The notion that even a government could come up with a worse "system" strikes me as being delusional.
You can't see ANYTHING from a car, You've got to get out of the goddamned contraption and walk...Edward Abbey
As for excessive billing... have you ever been billed for healthcare? Regulations have little to do if it. An uninsured person will get billed 4-5x the rate of an In Network insured patient. This was true before Obamacare. The insurance companies negotiated low rates but the end effect was to just raise prices on those without insurance.... the ones who can not afford the lower rate in the first place.
I work at a hospital. I'll recount what our billing people have told our management people in meetings. Insurance pays out a percentage based on the hospital's MCR (Master Charge Record) which is what they charge the patient. Medicare/Caid pay about 33% along with most others and even the best insurance (from the hospital side) pay only 66%. So, of course, the hospital has to up the stated charge for care, and what is charged to those without insurance, so they can actually make the real cost of care at 33%. Hospitals can't lower costs because then they would get less, and the insurance companies won't negotiate other methods of payment with them.
However, they will negotiate other methods with clinics and imaging centers by offering set amounts for certain procedures. This allows for them to undercut the hospitals for treatment. This is causing issues for the hospitals because not only are they missing out on the procedure costs, but diagnosis is often treated as a loss leader because they are expecting to do the procedure. Now hospitals are having to up their diagnosis costs because the procedure centers are using the hospitals as free diagnosis centers and then getting insurance companies to route patients to them for treatment.
You mean everyone doesn't haul out their cell phone and get three bids for emergency room treatment while the paramedics are trying to staunch the bleeding and stabilize their blood pressure? With consumers like that, how can any healthcare system work?
You can't see ANYTHING from a car, You've got to get out of the goddamned contraption and walk...Edward Abbey
20 minutes to get in and an hour for a bed - that's the long wait times that are the supposed downfall of the Canadian system? You're lucky to get in within an hour here, and it could be hours before you get a bed - if they don't "stabilize" you and kick you out first, leaving you thousands of dollars in debt for your trouble.
The cold hard truth is that all US states could easily meet 100 percent Renewable Energy and cut the hands off of Russia and the Middle East by 2025.
You just have to build and install a mix of modern solar, wind, and biofuels (like the ones the UW invented) to operate at a 120 percent peak load, with 10 percent storage (hydro, compressed air, batteries, modern appliances and cars which moderate usage depending on microgrid signals).
Easy.
Way cheaper than our current energy sources. Much much much cheaper. More reliable (I know that shocks you, but the EPA reports actually admit that, if you read the technical ones).
But fossil fuels want their tax subsidies, tax exemptions, and subsidized foreign shareowner lifestyles.
-- Tigger warning: This post may contain tiggers! --
Not really, we have this thing called interstate utility sharing. We send energy to them, they send energy to us, helps us all manage loads, makes it cheaper.
It's 2017, not 1999.
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That would be because there is no reliable refining capacity in the ME which means they have to export their oil and import their gas.
Even if that were true, this administration is making price comparison far more difficult by removing regulations that require accurate price quotes (including taxes, fees, etc.).
I don't see anything wrong with that. I mean, it's not like having informed consumers was ever a basic axiom of a free-market economy.
20 minutes is NOTHING compared to the US. My dad, a friend, and I have been to the ER once over the last 5 years.
-Dad: The forms took 30 minutes to fill out. We spent 6 hours going to different rooms getting checked out (4 tests). The nurses didn't know what test was already done and what he was waiting on. The only people who knew the status, was the front RECEPTIONISTS who were already busy accepting walkins. Half the testing stations asked & took down the same damn information over and over again. Everything was put into computers & tablets with complex forms. Every single thing was scanned in followed by scanning his wrist band.
-Friend: Had a bad bike fall & minor cut that wouldn't stop bleeding. They checked him all in within 30 minutes. Bandaged him up and put cold press on it while he was waiting for stitches. After waiting 2 hours on a bed in a cold hallway, he stopped one of the nurses to get an ETA. Another hour later, he just left and went to another ER further away where they fixed him up in 2 hours. He still got a huge bill from the first ER that equated to $250/hour.
-Me: I had a nose bleed that wouldn't stop. Clinic said to go to ER. I knew one a bit further away but was rarely packed. Took 30 minutes to get a bed. There were maybe two other patients. Got pretty good service compared to most places. Released me after IVs and 4 hours of monitoring and a small prescription. Bill was roughly $300/hour. The clinic was $155 for the entire checkup.
ER is very fast if you have a life threatening emergency. But once you are stable (ie: still have that bullet in you), you might as well use your cell to find a doctor who will take care of you and walk out. The ER will just forget about you.
And honestly, it is not the ER's fault. I don't blame them. All the specialists I saw, knew exactly what they were doing. They knew the machines, and got people out very quickly. It was the receiving, discharge, and waiting overhead between tests that was unbearable. They are just busy. Everything in the US gets sent to ER. None of the above would need an ER in other countries. About 1/3 of what clinics do can be done at home via first aid. After the xrays and basic prescription stuff, they pretty much tell you to go to ER unless you can wait 1-2 weeks for a doctor or a referral to go to a specialist in 2-4 weeks.
And all the IT systems seemed geared toward billing. Or more accurately, provide all the reasoning, time, cost, and usage of everything so that the evidence speaks for itself when someone disputes. Its a colossal waste of resources. It hardly seems to help the doctors or nurses. They just tab or scroll over to the memo section and see the comments & actions taken thus far and add their own.
No, California's big problem is that the 20th century was geologically speaking really fucking wet for California and it's now going into what looks like a dorught period, which again geologically speaking, happen very often and some are in the century plus range. Redwoods on the coastline won't help the inland areas from catching on fire in drought conditions.
It was partially luck, a quiet night, would have been worse on the weekend or on welfare day and partially the triaging. Last time I went, for a nasty cut, it took a while due to a stream of people showing up in worse shape.
https://en.wikipedia.org/wiki/Inverted_totalitarianism
Much is similar here, my friend got in quick as he had lost a lot of blood, so was triaged quick, it was a quiet night which really helped. Go to some hospitals on the weekend and they're busy and if you have a minor problem , the wait can be long.
The part we don't have is the bullshit about billing. Give them your health card (looks like a drivers license now as we've had a lot of problems with Americans faking being Canadians and you used to just need your number), put some stuff in the computer, mostly just double checking in my friends case as he'd been there before and you're' in.
We do have problems with people going to emergency who shouldn't and the government has been expanding the number of clinics to combat it but every time I've been in emergency, there always seems to be people there who should have just seen a doctor. In a way a small user fee, perhaps $10, would help there as when stuff seems to be free, some people take advantage of it.
https://en.wikipedia.org/wiki/Inverted_totalitarianism
The middle east is a lot closer to the equator, which improves solar efficiency remarkably. A more reasonably comparison would be Denmark or Germany, which also do a lot of solar, though I don't know the cost figures.
OTOH, if you're comparing the LA area, Texas, or Florida, that swath, then the middle east is a much more reasonable comparison. I believe that LA is about the same latitude as Israel.
I think we've pushed this "anyone can grow up to be president" thing too far.
You're correct that large scale hydro (30Mw generating capacity and up) are not counted as renewable by California in it's progress toward its energy goals. However, it sure looks to me like SDG&E at least is probably counting all hydro including out of state hydro (Hoover Dam) as "renewable" in its press releases. Not entirely sure as I found myself drowning in fluff reading their stuff and gave up.
BTW the big dams are used for irrigation water, domestic water, and flood control as well as power generation, so using them only for peak power and renewable backup, attractive as the idea is, probably isn't feasible.
You can't see ANYTHING from a car, You've got to get out of the goddamned contraption and walk...Edward Abbey
Then the question becomes, what is the specified goal and has it been reached yet? If the goal has not been reached yet.. then it's still valid.
While we're at it, what exactly is the incentive for fossil fuel subsidies and has that goal been reached?
O, a government clearly *could* come up with a worse system, it just didn't. (You don't think the current system wasn't crafted by government, do you?)
That said, the accounting games played in the US system add substantially to the cost. And the rake-off that the "insurers" get is substantial. They're playing the part of "the house" in a casino, with the advantage that they can often find ways to avoid paying off the bet. But the entire system is not only facilitated, but ensured by various pieces of legislation, some of it well intentioned.
I think we've pushed this "anyone can grow up to be president" thing too far.
You underestimate the time delays. I've gotten a bill for something that happened two years ago, and what it was was only identified by a code number. How the fuck am I supposed to know whether that's valid or not, much less whether the price is reasonable.
I think we've pushed this "anyone can grow up to be president" thing too far.
I don't know about current panels, but it's not just the panels. Our solar panels were purchased over a decade ago (I'd need to look it up) but the regulations for how they are mounted have been changed, so now that the roof need to be replaced there's a whole new expense, because the solar panels can't just be dismounted and then replaced, they need an entirely new set of mounts. And, AFAIKT, this is purely because the regulations have changed.
Now the panels still work, but the remounting costs are sufficient that it makes more sense to replace them with an entirely new system. So make that lifetime 15-20 years.
I think we've pushed this "anyone can grow up to be president" thing too far.
As you appear knowledgeable in the field, what do you think of PG&E's molten salt solar plant in the Mojave?
I think we've pushed this "anyone can grow up to be president" thing too far.
What regulations do you think impact the specific problems outlined in the post you're replying to?
Because it sounds like it's just an inefficient way of doing business due to the obfuscation enabled by employer-funded health insurance.
As long as we agree that we're letting 50% (or maybe more?) of our water rush out without any utilization for humans. But apparently you believe we're worth a little less than the delta smelt, or the way a wave breaks on a rock in a river...
Browsing at +1 - no ACs, I ignore their posts. So refreshing!
ACs - classy since 1997!
Browsing at +1 - no ACs, I ignore their posts. So refreshing!
> what do you think of PG&E's molten salt solar plant in the Mojave?
I think it has moving parts. I think that's bad.
There is an inherent problem with these machines in that they depend on Carnot, and thus need to operate as hot as possible. This limits them to places where they get really great sunlight, even a little cloud and your CF dies. Mohave is certainly the right place to try it.
The problem is that you can do PV just about anywhere - from my garage roof to a billion panels in farmers fields. And it's output is pretty linear with insolation, so 10% cloud is 10% less power, not 50% less. Lots of PV means there's a *whole lot* of demand for storage, but in most cases that won't be salt, it will have to be something else.
And that's a deadly combo. On one side we have a tech that only works in a couple of places and costs a lot up front. On the other we have a tech that costs a couple of hundred bucks to start with, works everywhere, and they all want storage. I don't think it's a mystery where this is going...
Who said anything about coal? Ahh ACs, non-sequiturs and straw men as far as the eye can see!
Browsing at +1 - no ACs, I ignore their posts. So refreshing!
Redwoods on the coastline won't help the inland areas from catching on fire in drought conditions.
They actually will, because the redwoods actually crossed not just the first mountain range, but up here in nocal, the second as well. That brings water into the inland valleys. Nice try, though.
"You're right," Fisheye says. "I should have set it on 'whip' or 'chop.'"
Yes, when you were praising the effects of mountaintop removal and praising the glory of it all, you were totally talking about some other mining concern in Coal Country. Gee, what else can you pretend to us about?
I was? Where? Oh ACs, making shit up so they can argue anyway...
Browsing at +1 - no ACs, I ignore their posts. So refreshing!
LOL.... google US military renewables
"The hands that help are better far than lips that pray." - Robert Ingersoll (1833-1899)
US healthcare is far from a free market, laws and regulations greatly restrict availability and inflate costs. Healthcare providers must obtain an expensive education but admissions to medical schools are capped. The ability to practice is dependent on difficult to obtain licenses. I wouldn't say the government awarding patents to corporations for drugs and medical devices could be called a free market.
We already have single payer for part of the population. My wife went to nursing school for free at a state tech school. She also got $2400 cash for expenses. She is a home care provider for severely disabled children. Her employer is funded by Medicaid. I am retired and on Medicare. In my opinion all healthcare providers should get free education and be employed by the government and all citizens should be on Medicare. Might as well wish for peace in the Middle East, never happen.
I local dentist will cut your bill in half if you don't use insurance. Says dealing with insurance increases their costs nearly 100%.