Archive for October, 2009
Become an Organ Donor
Posted by: Todd Metheny in Healthy Living on October 29th, 2009

My father died when I was sixteen years old. It’s a topic I try to be careful about how I approach. As a kid, people would treat me a little different if they knew that about me, for whatever reason. Maybe because they felt sorry for me. I knew other kids that had experienced tragedy as well, and I honestly think how you carry it says something about you. Some people will constantly bring up their tragedy. Maybe they’re trying to use it for some kind of personal gain. Maybe they want people to feel sorry for them. Maybe they just need to talk about it. I’m really not trying to be judgmental. It did always sort of annoyed me when I felt like people were bringing things like that up out of place, so I try not to do that with my dad. In any case, that windy preface has little to do with what this post is about.
When people die, there’s a tendency to set them on a pedestal. It’s tempting to act like they were perfect people. When I look back honestly, I know my dad had his flaws. He was exceptional in ways, though, too. He was always known as being a generous person, with his time, effort and money. My dad stayed consistent with this perception that I had of him in his death. His final act of generosity was to people he’d never meet, who would never thank him or know exactly who helped them or why. My dad, like many people before him, was an organ donor.
That sounds like such a small, easy, almost trivial thing. And I’ll concede that it’s easy to become an organ donor. I’ll concede that it’s a small requirement for the donor (as far as we know, you’re not going to need those organs after you die). For the person on the receiving end of that donation, I assure you that there’s nothing trivial about being an organ donor.
I have a friend whose father is waiting on a kidney. You probably know someone, too. As of 2002, there were over 50,000 people in the United States on the waiting list for a kidney. So this post, inspired by my father and his, is a call to action. If it’s not against your personal religous beliefs, there’s really not a reason for you not to become an organ donor. It’s very easy to do. It’s also an opportunity to disprove, on some very small level, all those economists and social scientists that say there’s no such thing as altruism.
No one is going to pat you on the back for being an organ donor. No one is going to pay you anything (though I just read a chapter in SuperFreakonomics about how they allow you to sell your organs in India). On the other hand, it’s a chance to do something that helps other people. I don’t claim to know what the point of life is, but I wouldn’t be surprised if that had something to do with it. Thanks for reading.
10 Tips for a Healthy Life
Posted by: Rachel in Healthy Living on October 27th, 2009

I don't know if it works...but I LOVE APPLES!!!
This is my wife, Rachel’s first post. She’s got one in the back of her mind about what every kid should have in terms of shots, etc., too. I don’t know when we’ll see that one, but I sure appreciate her writing this one. It’s everything I always want my posts to be (but sometimes aren’t!): informative, interesting and pertinent (and well researched!). Hopefully you’ll find it helpful. She’d love it if you left a comment, too!
Hi, my name is Rachel. If you are a frequent reader of this blog, then I’m sure you have heard of me. (In case you don’t know, I’m Todd’s wonderful, smart, beautiful wife;) That’s what he told you, right? Anyway, I am really proud of Todd for keeping up with the blog and so I wanted to write an entry to give him a break for a night. As a physician, I thought that I would make a list of things that the average person could their doctor on their toes about. I know that there is a lot to keep up with in life and thinking about your health maintenance is not always at the top of the list (but it should be!). Here are ten tips to help you live a healthy life!
Okay so as an adult, do I still need to get shots? Yes! What and When?
1. Immunizations
a. Tetanus Vaccine: Every 10 years
b. Measles Vaccine: Booster for 1 dose if born after 1956
c. Rubella Vaccine: All fertile woman without proof of immunity, should receive the vaccination
d. Influenza Vaccine (Flu): Yearly, especially for older people!
More than 90 percent of influenza-related deaths occur among people ≥60 years of age, and these people experience significantly increased morbidity with this.
e. Pneumococcus (Pneumonia) Vaccine: One dose over age 65 years or if you have had your spleen removed.
The vaccination is also recommended for any age if you have one of the following diseases: Diabetes, heart disease, cancer, lung disease,or immunosuppression. You guys should receive one vaccine with a repeat immunization within five years.
Pneumonia is a significant cause of morbidity and mortality in the elderly…Get your shot!
f. Hepatitis B Screening and Immunization: Once in your life.
g. Herpes Zoster Vaccine: Once in healthy adults over 60.
Herpes zoster (shingles), is from reactivation of your past infection with chicken pox. It causes a painful localized rash and can affects about 30% of people over their lifetime, with an increase in risk (8 to 10 fold) in late life.
2. Cancer Screening
a. Colorectal Cancer: If you’re 50 or older you should be getting a colonoscopy every 10 years until age 75. Fun, Fun! But it is better than getting cancer! Flexible sigmoidoscope every five years with stool testing every three years or stool testing every year can be done instead.
The evidence supporting occult blood screening is associated with a 15 to 20 percent decrease in cancer specific mortality, however current recommendation favor colonoscopy.
b. Cervical Cancer: Pap/HPV from age 21-65 years or within three years of sexual activity. Those of you aged 11-26, should also recieve your HPVimmunization to prevent HPV and thus significantly reduce your risk of getting cervical cancer.
Most recommendations now indicate that screening may be discontinued for women who have had at least three normal Pap smears over the preceding 10 years and/or are older than 65 to 70 years. Screening may also be stopped among those who have had a hysterectomy for a benign indication.
c. Breast Cancer: We all recognize the pink ribbon, but do we all follow the preventative recommendations? Self breasts exams are still recommended starting at age 20. Mammogram and physician breast exams should be performed yearly after age 40. It really is worth it…screening mammography for breast cancer shows an approximate 30% reduction in breast cancer mortality among screened versus unscreened women.
d. Prostate Cancer Screening: Prostate Specific Antigen (PSA) and Direct rectal exams are recommended yearly after age 50 or after age 40 for African Americans.
3. Hypertension (High Blood Pressure)
Regardless of age, everyone should be screened every one to two years.
Hypertension is highly prevalent among older adults (60 to 80 percent) and remains the leading risk factor for ischemic heart disease and stroke! There are medications and diet regimens that can dramatically improve your outcomes. It’s so easy to fix!
4. Hyperlipidemia (High Cholesterol)
Starting at age 20, everyone should get their blood levels checked.
There is good evidence that lipid lowering drug therapy decreases the incidence of coronary heart disease in people with abnormal lipids and causes few major harms. Why not find out if you need treatment. Eating a low fat, low cholesterol diet and exercising routinely also never hurt anyone!
5. Osteoporosis/Osteopenia
Women aged 65 and older should be screened routinely for osteoporosis using bone densitometry. Women at increased risk for osteoporotic fractures (caucasian females, smokers, alcoholics, women with early menopause and those with low body weight), should get screened starting at age 60. Osteopenia is found in 37 percent of post-menopausal women, and osteoporosis is found in 7 percent of these women. If you are in the older age group and have had recent fractures you may need vitamin D and Calcium replacement or possible other medications. Talk to your doctor about testing and treatment.
6. Abdominal aortic aneurysm (AAA)
One-time ultrasonography screening for abdominal aortic aneurysm (AAA) is recommended by several organizations for men ages 65 to 75 who have ever smoked. These aneurysms can be very deadly and surgery can be performed to correct these and thus save your life.
7. Diabetes
Fasting glucose levels should be measured every three years starting at age 45. If you are diabetic and do not know it, you could be causing severe damage to your kidneys, eyes, and other organs.
Glaucoma screening yearly for those over the age of 40 is recommended. Glaucoma is increase pressure behind the eye and can lead to blindness. You know that you do not want to miss any sunsets, or beautiful people watching…do you?
9. Lung Cancer Prevention
One of the best things that you can do if you smoke is to…QUIT TODAY. Since 1965, more than 49 percent of all adults who have ever smoked have quit. If they can do it, can’t you? Tobacco smoking remains the number one cause of preventable death. Start preventing it!
- After quitting for one year, the excess risk of coronary heart disease caused by smoking is reduced by half. After 15 years of abstinence, the risk is similar to that for people who’ve never smoked.
- In 5 to 15 years, the risk of stroke for ex-smokers returns to the level of those who’ve never smoked.
- Male smokers who quit between ages 35 to 39 add an average of 5 years to their lives. Females who quit in this age group add 3 years. Men and women who quit at ages 65 to 69 increase their life expectancy by 1 year.
10. Oral Supplementation
Should you take vitamins to supplement your health? Well, the daily intake of vitamin D in older adults should be at least 800 IU (IU is the unit that Vitamin D is measured by, this is usually two tablets). Elemental calcium is also important and often needs to be supplemented. Every adult should take in about 1.2 grams of elemental calcium. No data supports the effect of multivitamins on morbidity or mortality. However, supplementation with multivitamins is associated with a reduced risk for several chronic illnesses. Why not at least chew a Flinstone’s today!
Many medical illnesses can be avoided or minimized by preventive medicine. The earlier you start taking care of yourself, the better you’ll feel when you get older. Make yourself focus on at least a couple of these things this year. If you can get yourself to quit smoking or start exercising, you’ll feel much better about yourself. I promise;) Let me know if you have any questions or thoughts. Thanks for reading! (That was for Todd)
3 Random Things You May Have Missed
Posted by: Todd Metheny in Frugal Living, Green Living, Managing Finances, Reviews on October 21st, 2009

In case you missed it...
I’ve been working on a pretty interesting appellate brief at work. It’s interesting, challenging, and mentally stimulating. It’s the kind of work we always say we want. It’s also hard. Seth Godin refers to the time when things get hard as “The Dip” (and wrote a book by the same name). It’s a phrase I’ve liked since I first heard it, and I find myself trying to push through things sometimes by telling myself, “you’re just in the dip right now, Todd, push through this.” So I’m pushing through it.
The three things I decided to pimp in this post are all things that should make your life easier, in some small regard, either by organizing data for you (see number 3), saving you a couple bucks (see number 2), or by making it easier for you to make sure your stuff is put to good use when you’re done with it (see number 1). I’m calling it the 3 things you may have missed, because if you’re the kind of person that reads a lot of blogs (and maybe even if you aren’t), you’ve probably either used or heard of these tools. Or maybe I’m just suffering from the curse of knowledge, and assuming, as people subject to the curse do, that anything I’ve heard about you’ve heard about. Obviously that’s not always the case. Without further ado:
1. Freecylce.org – I’m including Freecycle because I just think it’s a pretty cool idea. That’s why I wrote about Pimp this Bum. The concept is simple, people form local groups in their area. When you have something you don’t want anymore, you post the group and let them know what you have to offer. If you see something posted that you’re interested in, you can let them know that you’d like to have it. ”It’s the whole, one man’s trash…” philosophy. It’s green, too. They don’t want you to throw your old stuff away, because someone else might still be able to get some use out of it. Of course, you could give your stuff away (or sell it) on Craigslist or a like site as well, but Freecycle seems to be more of a community thing. If you’ve ever used it, I’d love to hear about your experience with it. My community here in St. Louis has over 6000 members. I’m thinking about checking it out. I’ll have a better read on how much value it adds after I do.
2. Restaurant.com – I’ve written about this little number before, and I tell people about it every chance I get. So does my wife. Between the two of us, I think Restaurant.com owes us for all the word of mouth promotion we’ve offered to help tip their site. If you’re not familiar with it, Restaurant.com typically offers you the opportunity to buy a $25 gift card for just $10. There’s a caveat and a bonus. The caveat is, you’ve got to spend $35 at the restaurant. Some other restrictions may apply. I’ve seen some that can only be used during the week. Some restaurants won’t allow you to use the certificates on alcohol. For the most part, though, you can use them as you please. The other thing to keep in mind is that these are usually newer restaurants or places trying to get noticed. Your favorite place probably won’t be on there (but hey, try something new). Those are the caveats.
The bonus is, if you sign up for email updates from Restaurant.com, you never have to pay $10 for the $25 gift card. Every week, you’ll get a coupon code by email that gives you at least 50% off. About once every two months, the discount code will give you 80% off (just $2 for a $25 gift card!). The week of 9/9/09 it was 90% off, but that’s the only time I’ve seen that after using Restaurant.com for about 2 years. For what it’s worth, this week’s discount is 70% and the password this week is “pumpkin.”
3. Mint.com – The other day I was talking to a mother of four, and she said something to me to the effect of, “I don’t know where all the money goes. We live frugally. We drive old cars. My kids wear second hand clothes. We don’t do anything extravagant. And yet the money is never where we need it to be.”
Keeping and maintaining a budget is hard to do. I admire people that can do it. Mint.com isn’t necessarily a budget substitute, but it sure can help. It can definitely help you answer the question – “where does the money go?” Mint tracks your purchases and spending, and categorizes it for you and attempts to develop a budget. It will also send you alerts when your bills are due, and has several other handy tools.
The annoying thing about Mint is that at first you spend a lot of time re-categorizing expenses that were they haven’t categorized properly. Mint does get smarter if you stick with it. It ends up being something that requires almost no effort on your part. The best thing about Mint is that it’s free. So if you don’t like it, nothing has been lost.
Hopefully one, some or all of these things offered value to some of you. Thanks for reading.
People Respond to Incentives
Posted by: Todd Metheny in Economics on October 19th, 2009

Are deductions for these guys a good idea?
The title of my post is one of my favorite economic maxims. People aren’t always rationale. People don’t always do a cost benefit analysis before making a particular decision. We don’t always make a decision that will optimize our benefit. As a general rule of thumb, though, I think it’s safe to say that people usually respond to incentives.
We’ve seen people respond to incentives created by the government lately, with the $8000 first time homebuyers credit and the Cash for Clunkers program. People are more likely to borrow money when interest rates are low. The Federal Reserve attempts to lower interest rates to give people (and businesses) this incentive. The tax code is littered with incentives, all created to encourage people to respond with some sort of behavior that legislators feel will be favorable for the economy or for the country in some non-economic way.
Companies create incentives for their employees to try to optimize productivity. All kinds of incentive based programs exist. Salespeople earn commissions. Executives have special compensation programs that are tied to their stock prices (people differ as to whether this is an effective incentive – it encourages risk taking for short term gain).
The question becomes who should decide what behavior we’re trying to encourage. Policy makers can be wrong, can’t they? I saw an interesting tax deduction on the table to be added in the near future the other day. It appears that U.S. Representative Thaddeus McCotter (R-MI) has introduced a bill that would create a tax break for pet owners.
Before I go any further, I’d like to openly proclaim that I love animals. And I’d like to go ahead and concede that owning a pet is extremely expensive. The question I have, that I’d like to raise with this particular piece of legislation is, what incentive are you trying to create? It appears to me that this piece of legislation would create and incentive to own a pet. What government purpose would this serve? Will this create more tax revenue in some way? What is the opportunity cost?
Josh, a new contributor to the site (his first post likely coming in early November), astutely pointed out to me that pet services create jobs. If more people owned pets, then they would buy more pet food, buy more chew toys and spend more money on veterinary services and services such as kenneling. He was saying this somewhat tongue in cheek – but he’s right. All of those things would be stimulated.
In a situation like this, I would think that it would be necessary to look at the opportunity costs. Will this create more tax revenue than you lose? Is there another place we could use this deduction that’s more productive? What about another $3500 for people that start manufacturing businesses? Or another $3500 dollars worth of deductions for people who put solar panels on their homes (something that would pay for itself in saved energy costs very quickly), or another $3500 for people who get engineering or hard science degrees? Those are just examples, but legislators need to be thinking about what kind of behavior we’re trying to encourage on a daily basis. If you’re in a position where you have the responsibility of shaping policy, you owe it to us to try to maximize your ability to do so. As nice as it would be to save money for having pets, I’m not sure I agree with this – though I love the novelty of it (that’s why I’m writing about it). What do you think about tax deductions for pets? What am I missing? Thanks for reading.
Remember When Greed Was Good? Me Neither.
Posted by: Todd Metheny in Uncategorized on October 16th, 2009
I love old video footage. I found this gem on YouTube. I was actually looking for footage of Ivan Boesky’s “greed speech.” If you’re not familiar with it, Boesky was speaking at Berkeley, and said, “I think greed is healthy. You can be greedy and still feel good about yourself.” This is reportedly the origin of Gordon Gekko’s “greed is good” speech in the movie Wall Street (#3 on our Best Business Movies list). Gekko was inspired by pieces of Boesky, Michael Milken and Carl Icahn.
If you don’t know the story above already, Michael Milken didn’t invent junk bonds, but he made them popular as a method of financing. His firm, Drexel Burnham Lambert, was pretty much the only firm dealing in junk bonds in the 1980s. The emergence of the leveraged buy-out made him and his firm incredibly important of this era of business.
If you don’t know what a leveraged buyout, it’s essentially using financing to make a tender offer for a company. That financing occurs with the use of junk bonds (very high risk, high yield bonds). People would come to Milken and get a letter saying Drexel would finance the acquisition they were interested in. The buyers would then take that letter to the Board of Directors of the company they were interested in buying. Such a purchase would typically eject the officers and directors from their cushy jobs at the top of the company. To avoid this, the board would often offer to pay the acquirer not to acquire them. This was cleverly called green mail. (If you don’t think it still happens, check out what Carl Icahn did recently with Yahoo).
Boesky was arrested for trading on insider information. He then cooperated with authorities to bring down Milken. Interestingly, the video above predicts that Milken and Co. could serve up to 755 years in prison. In reality, he spent less than two years in prison. According to Forbes, he’s worth over $2.5 billion. Just like in the fairy tales, I guess. Just thought I’d share the video. Thanks for reading.
Google is Making More Things Free
Posted by: Todd Metheny in Frugal Living on October 13th, 2009
I have always been impressed with Google as a company. Their mottos, “don’t be evil,” and “information should be free” are two things that are easy to believe in. Google is doing their best to make as many types of information free as possible. They’re constantly working on improving the world we live in. Of course, they’re still a business, and they work to make profits. I honestly believe that they think about improvements first and profits second, though. They invest in ideas first, and figure out how to make money off of those ideas later.
That’s why they bought a company like YouTube. It didn’t make money for a long time, but they’re starting to monetize it with ads now. It still comprises an extremely small part of their revenue, but they keep investing money in it…I assume that’s because it’s something they think is cool, something that makes sense.
With that in mind, I’m not surprised at all that Google came up with a version of 411 that’s free. Instead of spending between $1 and $4 for something as simple as a phone number when you’re in a bind, Google is making it free. I’m sure this isn’t a development that phone companies are thrilled with, as it can only hurt their revenue, but it sure is nice for consumers like you and I. Thanks for reading.
Tradeking Promotion
Posted by: Todd Metheny in Value Investing on October 9th, 2009
Click on the banner at the bottom this post and you can get $50 free from Tradeking. In order to get the $50, you need to open an account, fund it with $2,500, and make one trade. After you make the first trade, you’ll get the $50 deposited in your account.
It only works when you click on one of these approved banners or links (you’ll see them around the blogging circuit). I have one in the sidebar that will remain there for the remainder of the promotion. The promotion runs through October 31st. If you have some extra cash, take advantage of the free $50.
I actually personally use Tradeking. It’s one of the cheapest discount brokers at $4.95 per trade, and it has pretty good tools and support. I can’t say whether it’s the best. For a rundown of all the cheapest discount brokers, check out this post. Thanks for reading.



