Joint Replacement Primer

Joint Replacement Primer

For those lucky enough to have avoided joint replacement surgery thus far in their lives, a helpful article appeared recently in The Huffington Post.

Entitled 13 Must-Know Facts About Joint Replacements, the article shares some timely tips for those who are contemplating surgery.

While our firm continues to follow the DePuy Hip Recall with great interest and understands this article comes too late for many, we’re pleased to share this constructive news for those are understandably anxious about joint replacement surgery.

Blasting Caps in North Carolina

NC House:  $500,000 caps on MedMal Noneconomic Damages

Continuing a trend across the country, the North Carolina House voted to override Gov. Beverly Perdue’s veto of legislation that caps medical malpractice noneconomic damages at $500,000 for medical malpractice cases.

This North Carolina change tracks with similar tort reform efforts and court decisions recently occurring in Texas, Oklahoma, Pennsylvania, West Virginia and other states from coast to coast.

Expect this trend to continue.

Not surprisingly, different interests line up on different sides of this debate:

Insurance Industry:  Argues tort reform and caps are necessary to help keep premiums affordable.

Legislatures:  Argue tort reform is necessary to attract businesses who would otherwise flee states with “unfriendly” business climates.

Plaintiff Attorneys:  Argue caps artificially limit an aggrieved plaintiff’s ability to receive fair compensation and give some defendants a “free pass” since they can make business decisions favorable to their bottom line without regard to the public’s well being.

Although the DePuy Hip Recall is primarily a products liability exposure for parent company Johnson & Johnson, it’s reasonable to assume that any successful tort reform efforts will ultimately inure to the benefit of the defendant in this litigation and similar mass torts.

The hit HBO documentary Hot Coffee takes the subject of tort reform head-on.

In addition to showing how tort reformers manipulated the “jackpot justice” theme that emerged from the infamous McDonald’s coffee lawsuit, one of the segments in the film provides evidence that confutes the insurance industry argument that tort reform lowers premiums.

Whichever side of the debate you come down on, it’s a safe bet that we’ll see this capping trend continue until/unless enough money gets on the other side of the argument.

 

Retirement Risk Research: The New Three R’s

Center for Retirement Research at Boston College

Among the growing body of academic research focusing on retirement vulnerability, a Special Project of the Center for Retirement Research at Boston College provides additional insights into one of the challenges facing all of us who worry about living comfortably during retirement.

Running out of money.

This project, called the National Retirement Risk Index (NRRI) measures the share of retirees “at risk” of being unable to maintain their pre-retirement standard of living during their golden years.

In its October, 2010 Fact Sheet entitled The NRRI and Annuities, the project compares and analyzes three common strategies for converting one’s nest egg into cash flows necessary to live comfortably during retirement:

The Annuitization Approach:  Use life savings to buy an annuity which guarantees income for life

The 4% Draw Down Approach:  Invest life savings, earn interest or dividends and “draw down” 4% of the balance each year until gone

The Interest Approach:  Live off whatever interest one’s life savings can generate

The good news is that all three options still leave most people in fairly decent shape.

But by not annuitizing, some retirees increase their risk of running out of money by as much as 36% over some of the other approaches.

IRONY:  Those in the highest income brackets are at significantly greater risk of having to cut back during retirement than their lower income counterparts by not annuitizing.

In reality, a combination of all three of these strategies makes a lot of sense for most people.

But anyone who fails to consider annuitizing at least some of their nest egg is not paying enough attention to the new three r’s.

And we all remember what happened to kids in school who didn’t pay attention to the original three r’s.

Life/Health Industry is . . . Healthy!

Life/Health Industry Admitted Assets Increased 7.1% in 2010

Admitted assets for the top 200 writers of life/health insurance increased approximately $404 billion during 2010 according the most recent edition of Best’s Review.

Structured Settlement Markets Shine

Eight of the twelve life markets active in the structured settlement industry saw their admitted assets increase an average of 10%, more than 40% better than their industry peers.

BONUS Statistic:  Combined, these twelve life markets, with admitted assets in excess of $1.9 trillion, constitute approximately  36% of ALL the admitted assets for the entire U. S. life/health industry.

Safety, Security and Lots of Money

These data reassure clients who choose structured settlements that their faith in this alternative-to-cash is well founded.  Likewise, attorneys who structure their fees can also feel secure in knowing their hard-earned fees are backed by companies with lots of commas on the asset side of their ledgers.

Congratulations to our structured settlement life industry partners for serving as a beacon of hope amid a sea of financial gloom during this post-Great Recession period.  (Rankings in parentheses)

MetLife (1), Prudential (2), John Hancock/Manulife (3), American General/SunAmerica (4), New York Life (7), Pacific Life (15), Allstate (21), Symetra (38), Mutual of Omaha (43), USAA Life (48), Liberty Life Assurance Company of Boston (56) and Berkshire Hathaway (63)

We wish all these excellent life markets continued “struccess” and look forward to continuing to partner with them as we help our clients secure their financial futures.

Take Your Financial Vitamins

The Annuity Puzzle

Why does human nature permit an individual to choose Option A over Option B even when overwhelming evidence assures even the most casual observer that Option B is the superior choice?

Ever chosen unwisely when dating?  Marrying?  Buying a car, a house or a stock?  Ever fail to follow a doctor’s advice?  Ever skip taking vitamins you know are good for you?

As a follow-up to our last newsletter, A Paycheck for Life, which focused on the value of income annuities as part of an overall retirement plan, the New York Times recently featured an article that delved even deeper into this particular quandary.

Entitled The Annuity Puzzle, the article contrasts the retirement choices of two twin retirees with identical net worth.

One retiree has a pension that provides lifetime monthly income.  He is very happy with his situation and has the peace of mind knowing he can never outlive his money.

The other retiree, whose money accumulated in a 401(k) over the years, could easily buy the same happiness and peace of mind by purchasing an annuity to meet his lifetime income needs.  But he balks.  As a result, he is less happy and has less peace of mind than his sibling.

Hence the article’s title, The Annuity Puzzle.

Much the same way people refuse to take vitamins even when they admit to their many benefits, fewer people buy annuities than could benefit from them.

This particular theme is one we continue to study and feel similar perplexity over.  In October of 2009, we wrote about the value of life annuities in our newsletter/blog entitled Live Longer – Buy Annuities which features an interesting mix of scholarly research and coincidental statistics leading readers to the conclusion that annuities are good for you.

In fact, the more we study the always-emerging academic research on this topic, the more we become convinced that the happiest retirees are going to be those who can sleep well at night knowing they’ve secured their future with life annuities.

So take your financial vitamins!  You’ll sleep better at night and, if statistics are accurate, you’ll live longer as a result.

These Irish Eyes Aren’t Smiling

Recalled DePuy Hip Problem Growing in Ireland

Two recent articles further illustrate the far-reaching nature of the DePuy Hip Recall. 

The Irish Independent recently featured an article which claims 113 Irish patients have already endured two hip surgeries due to the faulty hips while as many as 3,500 might be next in line to suffer.

Further north, the Belfast Telegraph adds another 200 patients to the potential problem list with a partial article which promises a first person account of the suffering.

Worldwide, it is estimated that over 93,000 patients are potentially affected by the recall.   Johnson & Johnson, DePuy’s parent company, has tentatively set aside nearly one billion dollars to handle the lawsuits stemming from the defective device.

Our firm continues to monitor this matter with great personal interest.

A Paycheck For Life

GAO Report Emphasizes Annuities as a Smart Choice for Retirement Security

Last month, the United States Government Accountability Office (GAO), in its Report to the Chairman, Special Committee on Aging, U. S. Senate, made an extremely strong case for annuities in retirement planning.

United States CapitolEntitled Retirement Income: Ensuring Income throughout Retirement Requires Difficult Choices, this report was prepared in response to a Request for Information (RFI) published jointly by the Department of Treasury and Department of Labor early last year (75 FR 5253) as part of the government’s broad effort to promote retirement security.

The report could not have been more straightforward about its findings.  The opening sentence bluntly states:

“Financial experts GAO interviewed typically recommended that retirees systematically draw down their savings and convert a portion of their savings into an income annuity to cover necessary expenses, or opt for the annuity provided by an employer-sponsored DB pension instead of a lump sum withdrawal.” 

The authors go on to provide compelling evidence that income annuities help retirees avoid the following risks everyone faces when they retire:

  • Risk of underperforming assets
  • Risk of outliving one’s assets (Longevity risk)
  • Risk of inflation diminishing one’s purchasing power (when an inflation-adjusted annuity is purchased)

Not surprisingly, the American Council of Life Insurers (ACLI) welcomed the findings and agreed with the conclusions.

                “This report demonstrates that for many people, annuities represent more than a choice – they are a necessity.”

Dirk Kempthorne,
President & CEO
American Council of Life Insurers

Annuity vs. “Draw Down” Strategy

Financial planners frequently recommend a “draw down” strategy for meeting one’s financial needs during retirement.

This strategy requires a retiree to allocate assets across various investments designed to earn a certain rate of return and then systematically withdraw enough each year to live on in hopes that rates of return, financial needs, portfolio balance and life expectancy will all align properly to ensure the retiree has enough money until death.

In effect, they self-insure their longevity risk.

This recommendation often makes a great deal of sense and can be part of an effective strategy but it requires some guesswork, particularly as it pertains to life expectancy.

The risk of living too long (and ending up broke) is very real given everyone’s increasing life expectancy, also referenced in the study.

In one of the most overlooked explanations on the case for life annuities, the study’s authors conclude, ” . . . it is more efficient to pool the risk of outliving one’s assets than to self-insure . . .”

That’s what insurance is.  That’s what annuities do.

A lot of people buying a lot of annuities ensures that those who do live “too long” will have the money they need when they need it.

Essentially it guarantees them a “paycheck for life.”

New Zealanders’ DePuy ASR Compensation Limited

July 2, 2011 – While the legal system in the United States and many other countries permit patients to sue for damages caused by alleged defective medical devices, those in New Zealand are limited due to that country’s “no fault” system.

Today’s New Zealand Herald carries a story about the dilemma this presents for patients who received the recently recalled DePuy ASR artificial hip. 

Ten years ago, New Zealand established the Accident Compensation Corporation (ACC), a “no fault” system of insurance coverage funded by a combination of payroll and employee levies, gas and vehicle licensing fees and government assistance. 

Patients experiencing problems with their DePuy ASR surgeries are being told they cannot clear the ACC threshold sufficient to receive compensation for general damages, commonly called “pain and suffering.”

The outcome of this worldwide recall, and its impact on patients globally, is being watched by our firm very closely.

Finn Financial Group