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PostPosted: Mon Aug 09, 2010 12:20 pm 
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Elmo has been using that term, or slavery, for quite some time when discussing forced labor for the benefit of others.

But he's in that RP Cult, and they have crazy notions.


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PostPosted: Mon Aug 09, 2010 12:26 pm 
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RP Cult?

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PostPosted: Mon Aug 09, 2010 12:31 pm 
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You know, the transvestite celebrity.


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PostPosted: Mon Aug 09, 2010 12:34 pm 
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Hopwin wrote:
I keep seeing serfdom thrown around lately. Which talking head put forth this notion? Not saying I disagree since I haven't heard the argument, just wondering what conservative meme I missed out on.



Originally I'd say Hayek.

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PostPosted: Mon Aug 09, 2010 12:39 pm 
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The Road to Serfdom

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PostPosted: Mon Aug 09, 2010 1:15 pm 
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Vindicarre wrote:

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The Road to Serfdom is a book written by the Austrian-born economist and philosopher Friedrich von Hayek between 1940–1943, in which he "warned of the danger of tyranny that inevitably results from government control of economic decision-making through central planning," and in which he argues that the abandonment of individualism, liberalism, and freedom inevitably leads to socialist or fascist oppression and tyranny and the serfdom of the individual. Significantly, Hayek challenged the general view among British academics that fascism was a capitalist reaction against socialism, instead arguing that fascism and socialism had common roots in central economic planning and the power of the state over the individual.
Sounds like a smart guy.

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PostPosted: Mon Aug 09, 2010 1:15 pm 
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Vindicarre wrote:

Ah, that's what I was missing. Danke!

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PostPosted: Mon Aug 09, 2010 1:36 pm 
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Bitte

Tas, he was.

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PostPosted: Mon Aug 09, 2010 1:51 pm 
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Ladas wrote:
So what we need a tuition czar for universities to keep the costs of medical education down so the future doctors can afford their new jobs working for clinics.


Like Germany, essentially?

Monte wrote:
I also see health care as a right, and believe the government has an obligation to provide free, high quality health care to all Americans.


TNSTAAFL.

Monte wrote:
It has nothing to do with doctors, who presumably went into medicine in order to provide high quality health care to people.


I would largely disagree with this assumption.

Monty wrote:
Yes, a nationalized system would mean that doctors would have to adjust. However, we have public and private schools working side by side in this country. I see no reason we couldn't have a similar situation in regards to health care. The goal is free (or nearly free) high quality health care for all Americans. Because I feel it's a right.


Are you saying you think a two-tier system such as perhaps NZ would be what you'd like?

Monty wrote:
However, if we went to a nationalized system, and a Doctor had a serious objection to that, he could certainly do something else for a living. Perhaps plastic surgery, or teach?


Why do you list plastic surgery here? Do you believe plastic surgeons (which any physician can practice, btw) do not provide care to patients?

Monty wrote:
Maybe we would see more doctors get into the business motivated not by the potential of great wealth, but the potential to do great things and provide great care to patients. Plenty of doctors get into medicine for that reason, anyway.


Many doctors do go into medicine for that reason. They are not, IMO, the majority. Therefore, it is extremely unlikely that a removal of the profit motive would result in an increased supply of physicians. I think you need to more closely examine the privatization of certain elements of care in the UK to see what happens when the profit motive is reintroduced, in order to retrospectively predict what would happen if that same profit motive were removed.

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PostPosted: Mon Aug 09, 2010 2:05 pm 
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It's also impossible to say that it would result in a decreased supply of physicians, or in lower quality physicians. Plenty of countries have brilliant doctors working within a nationalized system.

I don't think it's necessarily a negative thing for doctors to seek profit in medicine. However, I do think it's a negative thing to weigh that desire over the health care needs of our citizens. In other words, I think a better balance can be struck. I have great faith in our ability, as a nation, to look for a solution that's a win for everyone. The trouble is political will and demagoguery. You mention a public option, and all of the sudden you're trying to assassinate everyone's grandmother. It makes it impossible to have a sober conversation about the issue.

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PostPosted: Mon Aug 09, 2010 2:08 pm 
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Monte wrote:
It's also impossible to say that it would result in a decreased supply of physicians, or in lower quality physicians. Plenty of countries have brilliant doctors working within a nationalized system.


Yes, they do have them. They also have a lesser supply, seen via greater shortage. There is statistical evidence to support this and if necessary I will cite it for you. As to quality, I made no mention of quality of care.

Monty wrote:
I don't think it's necessarily a negative thing for doctors to seek profit in medicine. However, I do think it's a negative thing to weigh that desire over the health care needs of our citizens. In other words, I think a better balance can be struck. I have great faith in our ability, as a nation, to look for a solution that's a win for everyone. The trouble is political will and demagoguery. You mention a public option, and all of the sudden you're trying to assassinate everyone's grandmother. It makes it impossible to have a sober conversation about the issue.


Let me ask you this:

Why do you think the focus of "the health care needs of our citizens" should be on medicine and not public health?

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PostPosted: Mon Aug 09, 2010 2:18 pm 
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DFK! wrote:
Why do you think the focus of "the health care needs of our citizens" should be on medicine and not public health?


I see them as two facets of a multifaceted problem. And I certainly don't see it as a binary relationship. High quality health care would include public health, health education, medical treatment, preventative care, life-saving trauma surgery, and so on and so forth.

I firmly believe there are some things within the private sphere that are incompatible with the profit motive. Health care is one of those things. When the goal is a bottom line, and not the health and well being of your patients, I think we miss the mark. I look at education, police and rescue, the military, and other "industries" similarly. There are just some things, in my book, that do not qualify as a commodity.

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PostPosted: Mon Aug 09, 2010 2:48 pm 
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Monte wrote:
DFK! wrote:
Why do you think the focus of "the health care needs of our citizens" should be on medicine and not public health?


I see them as two facets of a multifaceted problem. And I certainly don't see it as a binary relationship. High quality health care would include public health, health education, medical treatment, preventative care, life-saving trauma surgery, and so on and so forth.

I firmly believe there are some things within the private sphere that are incompatible with the profit motive. Health care is one of those things. When the goal is a bottom line, and not the health and well being of your patients, I think we miss the mark. I look at education, police and rescue, the military, and other "industries" similarly. There are just some things, in my book, that do not qualify as a commodity.


Quality healthcare does respond to a bottom line, because the providers need to met it, and therefor cannot provide substandard care, or they will go out of business.

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PostPosted: Mon Aug 09, 2010 3:19 pm 
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They don't need to avoid providing substandard care. They need to avoid getting caught providing substandard care. They need to carefully pick and choose where they apply substandard care with a mind towards maximizing profits. They can screw the pooch on the poor so long as they can keep the poor quiet. They can cover up wrong doing with cunningly laid out advertising strategies and highly paid "experts". They can pay lawyers to grind detractors into the dirt. And it's just part of the cost of doing business.

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PostPosted: Mon Aug 09, 2010 3:23 pm 
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Monte wrote:
They don't need to avoid providing substandard care. They need to avoid getting caught providing substandard care. They need to carefully pick and choose where they apply substandard care with a mind towards maximizing profits. They can screw the pooch on the poor so long as they can keep the poor quiet. They can cover up wrong doing with cunningly laid out advertising strategies and highly paid "experts". They can pay lawyers to grind detractors into the dirt. And it's just part of the cost of doing business.


Then why does the US have the highest quality care in the world?

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PostPosted: Mon Aug 09, 2010 4:01 pm 
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Monte wrote:
They don't need to avoid providing substandard care. They need to avoid getting caught providing substandard care. They need to carefully pick and choose where they apply substandard care with a mind towards maximizing profits. They can screw the pooch on the poor so long as they can keep the poor quiet. They can cover up wrong doing with cunningly laid out advertising strategies and highly paid "experts". They can pay lawyers to grind detractors into the dirt. And it's just part of the cost of doing business.


And government will somehow not adhere to this model? They'll be under some impetus not to have the appearance of "cutting costs" and "providing quality care"?

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PostPosted: Mon Aug 09, 2010 4:13 pm 
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Monte wrote:
They don't need to avoid providing substandard care. They need to avoid getting caught providing substandard care. They need to carefully pick and choose where they apply substandard care with a mind towards maximizing profits. They can screw the pooch on the poor so long as they can keep the poor quiet. They can cover up wrong doing with cunningly laid out advertising strategies and highly paid "experts". They can pay lawyers to grind detractors into the dirt. And it's just part of the cost of doing business.

The liberal version of the welfare queen driving the caddy.


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PostPosted: Mon Aug 09, 2010 10:57 pm 
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Monte wrote:
DFK! wrote:
Why do you think the focus of "the health care needs of our citizens" should be on medicine and not public health?


I see them as two facets of a multifaceted problem. And I certainly don't see it as a binary relationship. High quality health care would include public health, health education, medical treatment, preventative care, life-saving trauma surgery, and so on and so forth.


Of course it encompasses those things, but you haven't answered my question.

Monty wrote:
I firmly believe there are some things within the private sphere that are incompatible with the profit motive. Health care is one of those things. When the goal is a bottom line, and not the health and well being of your patients, I think we miss the mark. I look at education, police and rescue, the military, and other "industries" similarly. There are just some things, in my book, that do not qualify as a commodity.


The practice of medicine has always been about the profit motive throughout the history of the planet, going back to the shaman who traded a chicken or position of authority in the tribe for his magic ju-ju. What makes you think it should change now?

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PostPosted: Tue Aug 10, 2010 4:10 am 
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DFK! wrote:
What makes you think it should change now?


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PostPosted: Tue Aug 10, 2010 6:49 am 
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The real problem come when you start thinking that things like health care and education are just like the police or the military - that the goal is making sure everyone has them. It's great if everyone has them, but they should be things people acquire for themselves. Thankfully, education will always be that way, you can't educate someone who doesn't want to learn. That won't stop people from continuing to spend exorbitant sums trying to do it anyhow.

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PostPosted: Tue Aug 10, 2010 7:11 am 
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Rynar wrote:
Quality healthcare does respond to a bottom line, because the providers need to met it, and therefor cannot provide substandard care, or they will go out of business.


Assuming that (i) patients are able to accurately judge whether the care is substandard, (ii) they have the time and ability to seek care elsewhere, and (iii) there are alternative providers available in the relevant geographic area. Given that patients generally lack expert medical knowledge and can't exactly choose when and where they get sick, the first and second assumptions are dubious, and given the barriers to entry in the medical profession (e.g. time and cost of training, licensing, etc.), it's by no means certain that alternative providers will even be available.


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PostPosted: Tue Aug 10, 2010 7:20 am 
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RangerDave wrote:
Rynar wrote:
Quality healthcare does respond to a bottom line, because the providers need to met it, and therefor cannot provide substandard care, or they will go out of business.


Assuming that (i) patients are able to accurately judge whether the care is substandard, (ii) they have the time and ability to seek care elsewhere, and (iii) there are alternative providers available in the relevant geographic area. Given that patients generally lack expert medical knowledge and can't exactly choose when and where they get sick, the first and second assumptions are dubious, and given the barriers to entry in the medical profession (e.g. time and cost of training, licensing, etc.), it's by no means certain that alternative providers will even be available.

And a government run health care system does nothing to alleviate the first two conditions (which is education and responsibility based), and according to general patterns, exacerbates the 3rd problem. Then there is the added detriment of the nature of government jobs and getting rid of substandard practitioners. You need look no further than our current education system to see what a public health care system would be in 15 years.


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PostPosted: Tue Aug 10, 2010 7:58 am 
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RangerDave wrote:
Rynar wrote:
Quality healthcare does respond to a bottom line, because the providers need to met it, and therefor cannot provide substandard care, or they will go out of business.


Assuming that (i) patients are able to accurately judge whether the care is substandard, (ii) they have the time and ability to seek care elsewhere, and (iii) there are alternative providers available in the relevant geographic area. Given that patients generally lack expert medical knowledge and can't exactly choose when and where they get sick, the first and second assumptions are dubious, and given the barriers to entry in the medical profession (e.g. time and cost of training, licensing, etc.), it's by no means certain that alternative providers will even be available.


Aside from the fact that, as Ladas pointed out, government-run healthcare does nothing to alleviate any of those things, people do not usually need to be experts to know that they are not being treated to their own satisfaction. While there may not be another specialist in their immediate area, there are very few areas where at least some sort of other physician, especially a family, general, or pediatric doctor can't be had. Even if it takes a few hours or even a full day trip for a second opinion, its not unreasonable to expect people to put some time into their own health concerns.

There's also the ability to consult with other people, and see what their experiences are with the doctor in question.

Finally, while people can't choose when and where they get sick, most medical conditions do not prohibit movement.

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RangerDave wrote:
Rynar wrote:
Quality healthcare does respond to a bottom line, because the providers need to met it, and therefor cannot provide substandard care, or they will go out of business.


Assuming that (i) patients are able to accurately judge whether the care is substandard, (ii) they have the time and ability to seek care elsewhere, and (iii) there are alternative providers available in the relevant geographic area. Given that patients generally lack expert medical knowledge and can't exactly choose when and where they get sick, the first and second assumptions are dubious, and given the barriers to entry in the medical profession (e.g. time and cost of training, licensing, etc.), it's by no means certain that alternative providers will even be available.


Since this was directed to me, I will mirror Ladas' and DE's responses, and then will simply add: why then does the United States offer the best care, on demand, for nearly all ailments?

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PostPosted: Tue Aug 10, 2010 10:39 am 
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Rorinthas wrote:

And government will somehow not adhere to this model? They'll be under some impetus not to have the appearance of "cutting costs" and "providing quality care"?


Private doctor's jobs don't depend on a person's vote. The depend on profit margins, and so long as those margins are high, it's all good. If a congressman gets thrown out of office because his constituents are pissed about underfunded hospitals, he doesn't get a multimillion dollar golden parachute to bail him out.

It is *much* easier to hold politicians accountable than it is to hold private businesspersons.

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