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expense is equal to the currently payable amount only No recognition (deferred taxes) is given to the tax effect of differences between book income before income taxes and taxable income Under a partial allocation approach, deferred taxes are provided on certain differences but are ignored on others The principal argument used by those who support ow-through accounting is that a provision for deferred taxes does not constitute a current cost and therefore such a deferment should not be made Income tax expense for the year should only include those taxes legally payable with respect to the tax return applicable to that year, and any provision in excess of taxes payable represents phantom taxes or customer contributed capital Further, when property additions are growing, and if no changes were made to the tax law, deferred tax provisions in the aggregate would continue to grow and would never turn around (or reverse); thereby the tax timing differences are, in fact, permanent differences Exhibit 338 sets forth the initial effect of ow-through tax accounting in Year 1 for the tax and book depreciation difference of $100 Although Exhibit 338 shows a bottom-line effect of the elimination of deferred tax expense, such accounting is not acceptable GAAP requires deferred tax accounting with SFAS No 71, permitting departures only when regulators affect revenues To be acceptable, therefore, the regulator would lower revenue requirements due to the omission of deferred tax expense as an element of the utility s cost-of-service for rate-making purposes The action of the regulator in this case is to defer a cost that will be recoverable through increased rates in the future As previously discussed, utility regulators determine operating income rst and then add allowable expenses to derive operating revenue In Exhibit 337, $132 is presumed to be the result of multiplying rate base by rate of return The same operating income of $132 in the normalization example would be developed rst under the ow-through concept and, with the elimination of deferred tax expense of $34, only $948 of revenue would be required to produce the $132 of operating income under ow-through The proper application of ow-through is shown in Exhibit 339 This $52 reduction in revenues (by eliminating only $34 of deferred tax expense) is caused by the tax-on-tax effect, which is discussed under the rate-making formula In short, the elimination of the deferred tax expense results in a direct reduction of revenues, causing current tax expense also to be reduced This effect is the primary reason so much attention is focused on normalization versus ow-through rate making for income taxes.

N OT E You can find the Windows-like pop-up window in the Techniques folder of the CD-ROM in 31afla The artsy version is in 31bfla

FLOW-THROUGH ACCOUNTING ASSUMING NO DECREASE IN CUSTOMER RATES Income Statement Revenue Depreciation Other expenses Income before taxes Federal income taxes: Payable currently (34% $100) Deferred (34% $0) Total Net income Exhibit 338 $ $1,000 (200) (600) $ 200 $ 34 34 $ 166 Illustration of ow-through accounting with no effect on customer rates Tax Return $1,000 (300) (600) $ 100 $ 34 $ Timing Difference $ $100 $100

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Several studies have been performed using ambulatory electrocardiogram (ECG) and blood pressure (BP) monitoring, comparing the heart rate, ECG, and BP response to sexual activity with other normal daily activities [1] The energy requirement during sexual intercourse is not excessive for couples in a longstanding relationship The average peak heart rate is 110 130 beats per minute and the peak systolic BP is 150 180 mmHg, resulting in a rate pressure product of 16,000 22,000 Expressed as a multiple of the metabolic equivalent (MET) of energy expenditure expanded in the resting state (MET = 1), sexual intercourse is associated with a work load of 2 3 METs before orgasm and 3 4 METs during orgasm Younger couples, who are not usually the individuals we advise, may be more vigorous in their

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activity, expending 5 6 METs The average duration of sexual intercourse is 5 15 minutes Therefore, sexual intercourse is not an extreme or sustained cardiovascular stress for patients in a longstanding relationship who are comfortable with each other Casual sexual intercourse, which must be separated from extramarital sexual intercourse with a longstanding other partner, may involve a greater cardiac workload because of lack of familiarity and age mismatch (usually an older man with a younger woman), with different activities and expectations [2] The incidence of ED increases with age as does the prevalence of coronary artery disease (CAD) [2,3] The heart rate response to exercise decreases with age and the presence of heart rate lowering antiischemic drugs such as the beta blockers The elderly remain sexually active with no evidence of increased cardiovascular risk from sexual activity or treatment with sildena l, providing the relationship is longstanding [38] While sildena l does not have any adverse effect on exercise-induced arrhythmias, cardiopulmonary responses during activity, or QT intervals on the ECG, by facilitating sexual activity sildena l may encourage elderly patients to seek a more challenging casual younger partner [30] Elevated catecholamine levels may result and adversely affect myocardial oxygen demand or overcome the protective action of beta blockers (which work on the basis of competition) and thereby increase the potential for an ischemic event By using our knowledge of MET equivalents in the clinical setting we can advise on sexual safety by comparing sexual intercourse to other activities Some of the daily activities and MET equivalents are shown in Table 281

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