by Simple Minded » Mon Jun 20, 2011 11:12 am
Tinker,
I agree with you a lot more often than you seem willing to acknowledge. Free markets and personal responsibility.
If people are to have any rights at all, the right to reap the benefits or consequences of what they have sown must be primary.
Most of our population, and our politicians all need to get past the binary political view of us vs. them. The labels of progressive and libertarian have become almost as meaningless as the labels of liberal or conservative.
People are individuals, not members of the monolithic "us" or the monolithic "them." The fact that we are stuck with only a two party system is a cause of the lot of the problem. The vast majority of people are very responsible with the resouces they earn, most are irresponsible with resources they view as free. Political solutions will not solve a lot of human problems, but that is how the system is organized.
Decentralize power and let the communities organize and focus on what they deem most important. People will vote with their feet and wallets. Communities will boom and bust as they deal with their changing needs and resources. Life is flux.
Still boils down to human nature, and unfortunately the quest for social justice often turns into a crusade for cosmic justice.
How did we ever get to the state where a person who chooses to eat or drink or smoke themselves to a state of ill health has the same $ claim on communal health care services as the responsible individual? What happened to the sense of personal responsibility?
When the knees, hips, or back give out on a person who chose to eat themselves to a state of 200% normal body weight, that is not a health care problem, it is a physics problem. The power of taxation to change behavior is well documented. Impose a fat tax, an alcoholism tax, or a cancer tax to achieve better behavior?
Abolish the FDA and AMA tomorrow and watch health care costs drop. Medicine involves risk, let the buyer beware.
I recently overheard a discussion where a woman and her husband were complaining that her husband's open heart surgery cost $64k and Blue Cross/Blue Shield only paid $34k. If they thought a $34k car is too expensive, they would not buy it. Yet the cost of additional lifespan at $34k is too high? Very few expect free automobiles, yet many expect free health care. Expectations.....
I have no idea how to make people act more rational, other than let them experience the benefits and pain of their own good and bad choices. some will learn in time, some never will.
The eternal search for angelic administrators to be chosen from the flawed humans continues.
A truly honest political discussion of public health care would not be couched in terms of free, but in terms of hidden taxes imbedded in the cost of staples that all must buy. To date, neither party has chosen the honest approach.