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	<title>The Fed&#039;s HR Department &#187; Doctors</title>
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	<description>The Constitution - Let&#039;s Try To Hold Them To It</description>
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		<title>Dennis Kucinich is the domestic enemy he is sworn to defend against.</title>
		<link>http://dchrdept.com/archives/204</link>
		<comments>http://dchrdept.com/archives/204#comments</comments>
		<pubDate>Tue, 15 Feb 2011 04:11:32 +0000</pubDate>
		<dc:creator>Shannon Rodgers</dc:creator>
				<category><![CDATA[Constitution]]></category>
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		<category><![CDATA[Government Expansion]]></category>
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		<description><![CDATA[It seems obvious to me that Mr. Kucinich turns to his sense of morality for guidance instead of his sense of reason.  It does not take courage to do what feels right.  Courage is doing the right thing when people like Kucinich want you to feel like it is wrong or immoral.  Vegas was built and thrives on people waging their own money on hope and a roll of the dice. Consider how powerful such hope is with other people’s money and a belief in “moral responsibility.”     <a href="http://dchrdept.com/archives/204">Continue reading <span class="meta-nav">&#8594;</span></a>]]></description>
			<content:encoded><![CDATA[<p>mor.al  adj, mòr-әl: of or relating to principles of right and wrong in behavior: ethical</p>
<p>I was surfing for some news this evening on my Sirius Radio while driving in my car.  The dreaded drive hours, more advertising than music.  Today reminded me of those days, I was flipping through my news channel presets and thankfully the BBC doesn’t care as much when we are in our cars.  But eventually I stumbled onto Stuart Varney filling in for Neil Cavuto on his business news program Your World.  He was doing an acceptable job in being politely cynical of the assertions of Dennis Kucinich, (D-Representative of Ohio’s 10th).  I feel no need to be impolite, but ration is neither polite nor rude so I feel no desire to ignore the truth in the name of being polite.  Nor do I feel the need to be disrespectful of Mr. Kucinich, he is willing to put his feelings out here for the likes of me to challenge, which is more than I can say for many of his 535 or so Congressional colleagues.  But fallacy deserves no respect, as misleading people, no matter if inadvertent or well intended is to be eliminated whenever it is discovered.  You be the judge of my reasoning.</p>
<p>The discussion that caught my attention, (in addition to not being another advertisement extolling the virtues of buying physical gold or online data backups), was about President Obama’s stated intent to “invest” in, among other things, an expansion of the Smithsonian Library to the tune of $100 million.  Small change compared to the high speed rail President Obama wants to replace the mostly empty slow speed rail the government currently “invests” in every year.  Mr. Varney asked how the conversation could be about lowering the deficit in the same breath as suggesting that we borrow more money to build infrastructure.  Mr. Kucinich said several incorrect things but I will only challenge one of them, “We need to have good paying jobs in America, and when the private sector isn’t creating the jobs, the public sector has a moral responsibility to do that.”  His assertion was that government spending on infrastructure creates jobs for people who then pay taxes and tax revenue will go up, reducing the deficit.  Sounds good, a kind of Government-Reagan-Trickle-Down on steroids, investment for short.</p>
<p>First think back to high school (I know, it hurts), do some math using the Smithsonian expansion as an example since the round $100 million price tag makes it somewhat simple.  I am a simple man, I need simple explanations.  If all the money went to pay people doing these new jobs, none for materials etc., and all the new employees make more than the magical $250K, and do not take advantage of any of the myriad deductions like employer provided health insurance, so they all pay the maximum 35% back in the form of income taxes, the tax revenue would be $350,000.  Tax revenues cannot be increased with the spending of tax revenues, as this is not an “investment” but rather an expenditure.  Even if we grant poetic license to the use of the word investment, spending $100 million in hopes of getting a maximum $350,000 return is a terrible investment.  But, I can cut the guy some slack since he blurted out his financial rationale in the middle of making the bigger point that this is a moral imperative.</p>
<p>I looked on Mr. Kucinich’s website where he claims to be “America’s Congressman,” and “America’s most courageous Congressman.”  He also asks that visitors sign a petition to make healthcare a “civil right”.  I know from such that he is drawing on people’s feelings more than their logic.  If health care is a right, a person could infringe on someone else’s rights simply by choosing to become something other than a doctor or a nurse, or an orderly.  The government could put people in jail for such infringement on people’s right to their health service.  It seems obvious to me that Mr. Kucinich turns to his sense of morality for guidance instead of his sense of reason.  It does not take courage to do what feels right.  Courage is doing the right thing when people like Kucinich want you to feel like it is wrong or immoral.  I contend there is no contradiction and that logic will give you the morally superior direction.  People who do not turn to logic first, often disagree with me.  I could be wrong.  This is such an instant.</p>
<p>If you want to put more people to work, do you borrow money to hire them and then tax the pay to pay it back, with interest?  Or do you let them keep the money to start with and save the overhead and interest?  Logically, you choose the most efficient method which is the one without the interest.  The one who would get the money now, and be taxed later may not like it, but in the end, some wealth is consumed in the borrow-spend arrangement.  If your answer requires some leap of faith and ignorance of logic with an explanation that sounds something like, “the prosperity if creates will employ more people and amplify the effect,” then I suggest your answer is based on hope not reason.  Los Vegas was built and thrives on people waging their own money on hope and a roll of the dice.  Consider how powerful such hope is with other people’s money and a belief in “moral responsibility.  If people hired by government investment would be able to pay back the loan with interest in the form of taxes, then government subsidy would not be needed.  They would be able to borrow the money themselves, which is an investment by the lender in the worker.  They  would pay it back themselves, right?  This is the logic behind school loans, borrow now and pay it back via the job you get later.  The benefit of teaching a man to fish far outlasts the original investment.  But where will the job be for the person working on the Smithsonian expansion once it is finished?  This is the fallacy of all government “investment.”  They all rely on a ponzi scheme of some sort where more and more people pay more and more into the scheme to keep it going.  The Smithsonian job is an example of a Government bubble; take away the subsidy and the job is gone.  The private sector is not investing in the project because there is no economic return.  To keep the job, more borrowing or taxation and subsidy will be required.  This is not creation, but consumption.  But this spending is not about investing, or even getting a larger Smithsonian, or putting people to work or any other morally admirable goal.  It is about getting money from some people, namely those of the future, and giving it to others, namely those of the now.  You can try to assign any number of motivations to this desire, for example now people vote now, and future people vote later.  Maybe Mr. Kucinich prefers to entice people to vote for him now as apposed to hoping they will vote for him later.  But I don’t need to question his motivation, I can simply point out that his logic is flawed.</p>
<p>As I have pointed out, government infrastructure spending, although tolerable in some circumstances, is a form of consumption.  But I assert his main failing in logic, which prompted this post, is that Mr. Kucinich suffers from selective morality.  Albeit well intentioned, he is a hypocrite, although I suspect he is not aware of it.  He is like the person who insists that the rich pay their share of income taxes, and then do not disclose all their income on their own tax return.  Mr. Kucinich took a solemn oath to defend the Constitution of the U.S.  He did this freely as a condition of the job of U.S. Representative.  There is no provision in the U.S. Constitution confirming Mr. Kucinich’s assertion that the Federal Government has any authority to provide American jobs because he is unhappy with how the private sector does so.  This does not change for good paying or otherwise.  It does not change because Mr. Kucinich would choose industries different from that of the private sector.  Further, there is no provision in the U.S. Constitution with which moral responsibility is implied.  Mr. Kucinich is attempting to use the office which he holds for personal motives of morality, as he defines it.  Mr. Kucinich took an oath to defend the Constitution from all enemies and then ignores that oath and the Constitution or assumes the Constitution is flexible to fit his own morality.  Even if he were attempting to persuade me to donate to his cause of my own free will, I must be skeptical of his description of moral responsibility when he has turned his back on his freely accepted responsibility to the Constitution.  His oath did not stipulate enemies who would attack the Constitution, or break it, or bend it to their will.  His oath stipulates ALL enemies.  He is the domestic enemy he is sworn to defend against.</p>
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		</item>
		<item>
		<title>WTF, Beer and Toilet Subsidies?</title>
		<link>http://dchrdept.com/archives/172</link>
		<comments>http://dchrdept.com/archives/172#comments</comments>
		<pubDate>Tue, 01 Feb 2011 04:48:57 +0000</pubDate>
		<dc:creator>Shannon Rodgers</dc:creator>
				<category><![CDATA[Federal Debt]]></category>
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		<guid isPermaLink="false">http://dchrdept.com/?p=172</guid>
		<description><![CDATA[In-vest-ment noun \in-ves(t)-mənt\ &#8211; the outlay of money usually for income or profit. Much political discussion involves terms and phrases used in ways contrary to their definition. The cynical call it spin. President Obama says he wants to “invest” in &#8230; <a href="http://dchrdept.com/archives/172">Continue reading <span class="meta-nav">&#8594;</span></a>]]></description>
			<content:encoded><![CDATA[<p>In-vest-ment noun \in-ves(t)-mənt\ &#8211; the outlay of money usually for income or profit.</p>
<p>Much political discussion involves terms and phrases used in ways contrary to their definition.  The cynical call it spin.  President Obama says he wants to “invest” in research, education, and infrastructure.  In part, his motivation for this “investment” is to get ahead of the Chinese in the green technologies race and fabricate a “sputnik” moment.  He wants us to “Win the Future.”  On the surface, this sounds great, after all who would not want to “Win The Future”, which I will abbreviate WTF.  Would I be a loon if I wanted to loose the future green race to the Chinese?  After all, they are so interested in being green in China, they have a head start, right?  They have demonstrated some technological advance on par with the Russians beating us into space to prompt a Sputnik moment, right?  So what could the President possibly mean?  As an attorney, he understands that words have meaning, and that reasonable people turn to the dictionary to determine the common accepted definition, so let’s start there.  He obviously did not intend for us to understand a meaning different from the common accepted definition.  Did he?  He would not count on us reacting to our feelings about the word instead of critically checking to see if he used it properly.  Would he?</p>
<p>I have to believe his intentions are pure, that he thinks he is doing this for our own good.  But his perspective, and belief in economic salvation through government fiat makes me skeptical that he has the usual understanding of the word investment.  So consider the following, recognizing my skepticism, and decide.  For example, an office manager might invest in training for the staff, invest in education.  But buying everyone beer one evening after a training session is spending on a consumable expense.  The training should lead to improved production, team cohesion, etc., payback in excess of the costs.  The beer, leads to trips to the bathroom.  Similarly, truthful investment in research would be in technologies with potential for a return on that investment.  Spending on research in thousand year old technology with physical or chemical limitations that limit financial feasibility, would not be investment.  Do you agree?  We would not, for instance invest in research in windmills or ethanol.  If we are to invest in education, like the office manager, we should choose those areas in which we expect the greatest, financial, return on our investment.  Such investment might be in the form of incentives to attract medical students to increase medical professionals and lessen the shortage, especially in anticipation of all the new people expected to be on Medicaid in 2014.  Investment in education would not be in subjects with no practical use, except to produce future professors.   Investment in education would be in science, economics, and business management.  There would be no investment in educating people in trades with no market demand as there would be no return on that investment.  And any investment in infrastructure would be along the lines of the Panama Canal.  We would invest in infrastructure with proven economic advantage over our current methods.  We certainly would not invest in more government operated railway, for instance, high speed or otherwise.  It would be easy to see the evidence of sincerity and understanding of the word investment.  We should not see a line waiting outside the men’s room, or hear talk of free beer.</p>
<p>Simple investment is made in assets which are expected to go up in value with time.  This can be raw materials which are tooled or modified so as to add value to them, or it can be real estate which can be improved to add value.  Investment can be in people, by increasing their ability to do such things.  In other words, investment is the act of taking wealth (capital) and using its ability to produce work to create more wealth.  A factory owner might invest in more efficient tools and in the education of the workers to operate them, only if it allowed that owner to increase production value and therefore see a return on that investment.  Without a return, spending is consumption, or charity, not investing.  A factory owner could find busy work for his employees and call it investment, for a while.  But just as beer is a fools investment, his capital would soon be flushed down the proverbial toilet, and he would not long be a factory owner.</p>
<p>“Green” is not relevant to this discussion..  When we spend tax money on research on such limited use technology as solar panels or windmills, we are duplicating research conducted for generations by the private sector.  The areas where this method of power generation is preferable to other methods is well understood and found unfeasible outside of limited, remote situations.  My family uses solar powered devises and I have seen solar powered wells provide water where it was not feasible to bring power lines.  For as long as there has been written record, windmills have lifted water into elevated tanks for later use.  But, whenever we must rely on such devices, we must have an alternative for days when the wind does not blow or clouds persist.  Any savings in the “free’ energy is lost in redundant spending on duplicate structure.  When we can tolerate intermittent failure, we put up with the inefficiency and losses for the savings.   But, make no mistake, energy companies have thoroughly tested known material and aerodynamic technology and continue to do so secretly.  Each is desperate to be the marketer of the next nuclear fusion plant or any other fossil fuel replacing technology.  Are we likely to get that kind of fanatical zeal for discovery through government-grant-investment research? Perhaps, but will the zeal be to find something economically feasible, or something popular, or the answers which bring more congressional funding?</p>
<p>We know how much energy reaches the earth from the sun.  There is not enough energy in sunlight to power our country if we could capture it all, with 100% efficiency.  Solar panels and windmills will never be 100% efficient, nor will the energy storage arrangements they charge.  Anyone who suggests we could have a breakthrough to change our understanding of physics sufficiently to overcome this fact is praying, not planning.  Such a person is praying for a change in the natural, physical world, not planning for an improvement in our understanding of it.  They are banking on an answer existing in the realm of what we do not know, no in the overall expansion of what we know.  A cynical person might attribute such folly to spin as well.</p>
<p>I suggest we let the private sector spend its own money when something new is to be gleaned, instead of spending the money confiscated from all of us because we wish it were so.  Following the real Sputnik moment, we didn’t beat the Russians to the moon, we ran there alone.  No one was following us.  The world was more than willing to let us spend the resources, and watch for the occasional discovery when we stumbled onto one.  The world is doing the same now that we are in the “green race”.  We performed a technological feat with no financially viable use for it.  The world knew it could be done, but only government would do it without answering the question of why would we.  I think it is really neat that we have been to the moon, and love the romantic images of doing so with a slide rule.  But I would never condone outpacing the Russians if it meant borrowing the money from the Chinese, giving our discoveries to them, and mothballing the program a generation later to rely on Russian rockets to get our satellites into orbit and our astronauts to a space station we share with them.  We went to the moon to prove that American ingenuity can solve any problem, the Russians went into space to prove to the Russian people that the Russian government was the solution to any problem.  Which more closely resembles the arguments President Obama makes for, “investment”?  Let us not spend money we borrow from our kids to mothball another technology without financial feasibility when we can do it now for free.</p>
<p>When we have invested (spent) tax money on education, we got more expensive education.  Don’t believe me?  Why would anyone spend the tax money to educate their kids in a public school, and also spend the tuition money to educate them in a private school, (as all private school parents do), if one were not better than the other?  As education spending doubled in this country, our student’s performance relative to the rest of the world did not change appreciably.  When we spent tax money to help students pay for college tuition, we got a corresponding increase in tuition costs.  When we use government loan guarantees, we get students studying subjects and pursuing degrees they never would on their own dime, much less if a private bank had to be convinced that demand for workers with those degrees was sufficiently high to empower the graduate to repay the loan.  Only the idle rich would pay their own money for degrees in un-marketable subjects.  A musician of moderate skill and disadvantaged background can get a loan and earn a music degree with no hope of being employed as such upon graduation.  This is not investment, it is entitlement.  We believe that this mediocre musician has a right to pursue this career path and some believe he is entitled to have the rest of us pay for it.  But more importantly, is such a young musician well served in being led to believe that a music degree and loan payments provide a better future than being a brick mason, for instance?</p>
<p>When we spend tax money on our “crumbling infrastructure”, we are doing maintenance, not investing.  Such maintenance is a consumable, not an investment.  This is not to say that maintenance is not necessary, but it is not investment.  I suggest a restructuring instead.  I suggest that we go back to the funding scheme that built much of our crumbling infrastructure.  I suggest that we use the gasoline tax for road construction and maintenance as it was originally sold to us.  I suggest that we end the practice of raiding that tax to subsidize public transportation like Amtrak and city buses.</p>
<p>I challenge you to find any area where the government operates in even tangential competition with the private sector where the government efficiency is on the same order of magnitude as the private sector.  Find any activity where the government keeps its promise of controlling costs and continuously improving customer satisfaction.  There is no private concern which can survive any substantial length of time without doing just that, and paying a return on investment.  There are legitimate uses for government, such as refereeing and national defense.  But anytime government spending is recommended as an investment, or to control costs, or as a way to provide for those who cannot provide for themselves, there has been and by the very nature of it will be, an ever increasing collection of resources and liberties in an attempt to react to the cascade of disappointments and demands.  Spending tax money on beer leads to well used toilets, not return on investment.  Unfortunately, it also assures votes from the brewer’s union, big toilet manufactures, and drunks.</p>
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		<title>Lead us Mr. President, even if you must run to the cliff ahead of us.</title>
		<link>http://dchrdept.com/archives/128</link>
		<comments>http://dchrdept.com/archives/128#comments</comments>
		<pubDate>Sat, 27 Mar 2010 04:59:06 +0000</pubDate>
		<dc:creator>Shannon Rodgers</dc:creator>
				<category><![CDATA[Constitution]]></category>
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		<description><![CDATA[If you like the new insurance arrangement enacted by our elected officials, then you are happy. If not, then not. But there is one thing that is undeniable, the United States of America is at a cross roads predicted 235 &#8230; <a href="http://dchrdept.com/archives/128">Continue reading <span class="meta-nav">&#8594;</span></a>]]></description>
			<content:encoded><![CDATA[<p>If you like the new insurance arrangement enacted by our elected officials, then you are happy.  If not, then not.  But there is one thing that is undeniable, the United States of America is at a cross roads predicted 235 years ago, and which will affect the next 235 years of most of the world.</p>
<p>The Great American Experiment followed the sacrifice of, “lives . . . fortunes . . . and sacred honor” in defense of an idea.  The idea that individuals, free from the tyranny of central command and control, protected their individual interests better than any unrelated protector, no matter how kind, caring or otherwise motivated.  The Great American Experiment was funded, fought, and died for on the promise that freedom led to higher standards of living for everyone, greater innovation in business, agriculture, and every other aspect of life for everyone it touched, successful and failing alike.  The government would be as limited as possible, the people as free as possible.<span id="more-128"></span></p>
<p>Carl Marx, believed the antithesis of these ideas.  Marxism suggests that such freedom, and the fact that some people would be immensely more successful than others under such freedom, hurts the average person.  Marx believed that for some people to succeed, others must fail, that the size of the pie is fixed, and who gets large pieces and who goes hungry is mostly random, except that dishonest people predisposed to fraud will skew things to their advantage.  The typical honest person will suffer under the abuse of the dishonest.  People are better served, in his theory, when each produce according to their abilities, and a central authority distributes according to one’s need.  The average is better served when everyone follows the plan.</p>
<p>Every society in human existence has either answered to a central authority like a king, or had some system whereby the people chose their governors.  In early history, a king who fought for the position was best able to fight to defend his people from invaders and pillagers, or to invade and pillage neighbors.  Most were still farmers and hunters.  Later, when technology progressed to the point where people could produce more than they consumed, trading came on the scene with the evolution of the middle man (middleous homosapien).  This relied on fair play and people were hunted down and killed for foul play.  Knowing who could be trusted and a person’s reputation became valued knowledge.  Middleous man evolved to make a living off of what they knew instead of what they could grow or hunt.  This only happened because there was enough excess produced to support people who did not directly hunt or gather food, make clothing, or build shelter, and there was efficiency in producing a couple of commodities where the climate was best suited to it and trading them for goods that could be more efficiently produced elsewhere.  (This is why we raise beef and corn here, and they raise sugar cane in the tropics).  It was almost unregulated.  The middle men got together and formed colleges, or congresses, (groups of like minded people to serve a common end).  Being a member of such could encourage producers and buyers to deal with you.  The members of such groups would promise better and better prices to producers, and better and better quality to the buyers.  Some would temporarily make a better living by such promises than from what they knew.  They promised more than their competing  middle men, until they could no longer produce and the group collapsed.  They were replaced.</p>
<p>This system was ultimately replaced by the selection of fair play representatives (governors) by consensus.  This made the selection based more on the perception of the candidate’s abilities than on actual performance.  (Sound familiar?)  Sometimes the selection was fair; sometimes it was coerced and intimidated.  Indeed, control of all societies has been and is by governments chosen by a range of methods, with violent seizure of power after surrender on one end of the scale, and free and frequent elections on the other.</p>
<p>I am only concerned with the violent seizure method in that it is no more or less likely an end to any society, regardless of where their system currently lies along the scale, and is therefore mostly unpredictable.  Such systems arise when the people are not able or willing to withstand its takeover.  My concern is with the other end where America selects its government.  Every society in human existence who chose their governors based on promises of representation have ultimately fallen to wasteful spending.  The cliché is that they fell when the electorate voted themselves larger shares of the stores of grain than they were motivated to produce when fed with free grain.  It is another of human’s natures.  Until the mid 1900’s, these happenings were part of common education.</p>
<p>These are well known facts.  In the pre-American world, kings tried to motivate their subjects with a system of taxes and entitlements.  Prior to America’s founding, it was generally believed that anarchy would ensue without divinely inspired and chosen leaders.  Many cultures still believe that today.  Our founders believed that no one is more or less divinely created than the next, and that anarchy ensues without a divinely inspired population.  They conceived a system whereby people could correct tyranny by choice.  They conceived, debated, and persuaded the acceptance of a system that limited the power of the government to only that which the people authorize it to have.  They demanded limits on government which could not be changed by the government serving those limits.  They knew that human nature would compel elected officials to promise ever increasing rations from the public stores, and that once government control got sufficiently complicated, one size-fits-all policies would be the only way to manage the complexity thereby limiting innovation and individual motivation.  They believed that nearly every government activity must be controlled locally, or fail.</p>
<p>So here we are.  We stand at the cross roads where intellect faces human nature.  On the one hand, intellect can rightly lead us to the conclusion that perfect management of a well motivated populace, provided for in accordance with the needs of each, eliminates suffering caused by bad decisions made by the individual.  Human nature can lead us to accept Marx’s arguments without challenging the assumptions inherent in them.  Marx’s utopic theory requires that human nature be resisted by the managers so that corruption does not foul the system, and that human nature be resisted by the managed so that defense of individual best interest no interfere with the common good even when contrary to individual good.  Human nature explains why corruption is so common in countries with Marxist leaning systems.  The self interest of the briber is provided for by the indulgence of the self interest of the bribed.  Innovation is only relevant when conceived by or recognized by the managers and no incentive exists outside of ego for the innovator or the observant manager.  Likewise, human nature leads us to vote ourselves larger shares of the public stores on the promises that “they” will be sufficiently taxed and sufficiently tolerant of the taxes to continue to produce grain undeterred.  Human nature leads some to believe this despite the evidence to the contrary.</p>
<p>On the other hand, intellect can lead us to look for examples of both systems, socialist and free market, and determine which provides better conditions for the poor, or disadvantaged.  Human nature would be to choose the best performing system.</p>
<p>Have we chosen the system whose theory stands up to rational debate when devoid of real world examples, or the system that has proven successful in practice despite being too complicated to fully explain every action rationally?</p>
<p>The choices, as I understand them are these:  Recognize that we have the best medical system in the world BECAUSE the rich pay more than the poor, BECAUSE the rich have access to new treatment and technology before it is cheap enough for mass consumption; Recognize this it is this arrangement which makes medical care for the poor more available than it was a decade ago;  Recognize that medical treatment of the poor is more available than it is in any other system in the world;  Recognize that much of the medical treatment available to the world’s poor only exists as a result of the American medical system;  Recognized that more treatments are available to the poor than would be if FDR had been successful in realizing socialized medicine;  Recognize that a generation from now, the poor will have less access to as yet undiscovered treatments under socialized medicine than would be available if the rich continued to fund research and development;  Recognize that socialism, Marxism, communism, statism, progressivism, liberalism, or however else you chose to label it, has led to the death of more people in the world than all other calamities combined; Recognize that because these systems rely on complete adherence to the common plan and surrender of the protection of individual defense of one’s best interest, violence and oppression are always used to control the population; Recognize that the wealth created by American entrepreneurs has funded the defense of most of the free world for two generations.  Simply, choose to protect the rights of the individual to succeed or fail by one’s own decisions, unencumbered by agendas of social justice and wealth redistribution.</p>
<p>Or, choose the path chosen by every free society ever known.  Choose the path dictated by emotion and human nature.  Choose to bankrupt the country by trying to plan and provide an ever increasing array of goods and services, devised by a politically motivated committee that sets it own limits, provided to increasingly less motivated and demonized producers.</p>
<p>Will intellect win out over emotion?  Am I wrong in my belief that I am on the side of intellect and not emotion?  Is it arrogance that got us here in the first place, to believe that the human nature cycle of tyranny-escape-freedom-prosperity-guilt-entitlement-dependancy-tyranny can be short circuited without the pain of tyranny fresh in our minds?  Are we destined to go down as the society arrogant enough to think that it manage all things for all people, just as the Romans did?</p>
<p>I hope not.  I hope, that the success of the Great American Experiment thus far, can inspire us to not relinquish this prosperity and freedom in return for short term illusions of social justice.  I hope that we recognize the success that took us from 13 colonies, too worthless to warrant the resources to control those colonies, to the most prosperous, powerful, free, and generous people in the world in less than 100 years.  I hope that we collectively believe in our hearts, that the reason people immigrate here from every country in the world is freedom and opportunity and not a random coincidence.  I hope that we as a country do not give in to the human nature that leads us to believe that our neighbors make poor choices at home, but perfect ones when electing officials, that these same neighbors make poor decisions at home, but perfect ones once in Washington DC.</p>
<p>I hope that we recognize that it is because of human nature, not despite it, that socialism and statism have always failed wherever they existed, and that free markets have succeeded everywhere they have existed.  There is only so much motivation garnered from threats of fines and imprisonment, but the motivation of the hope for a better life is only limited by one’s imagination.</p>
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		<title>Take two aspirin and meet me at the DMV in the morning.</title>
		<link>http://dchrdept.com/archives/64</link>
		<comments>http://dchrdept.com/archives/64#comments</comments>
		<pubDate>Sat, 19 Dec 2009 03:53:02 +0000</pubDate>
		<dc:creator>Shannon Rodgers</dc:creator>
				<category><![CDATA[Uncategorized]]></category>
		<category><![CDATA[Doctors]]></category>
		<category><![CDATA[Healthcare]]></category>
		<category><![CDATA[Human Rights]]></category>
		<category><![CDATA[Medical Industry]]></category>
		<category><![CDATA[Medicare]]></category>
		<category><![CDATA[Rationing]]></category>
		<category><![CDATA[Universal Healthcare]]></category>

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		<description><![CDATA[Health needs have existed longer than there has been an American medical industry. People have died of cancer and heart disease far longer than we have known of their existence. So what has changed? Technology. When it was common for &#8230; <a href="http://dchrdept.com/archives/64">Continue reading <span class="meta-nav">&#8594;</span></a>]]></description>
			<content:encoded><![CDATA[<p>Health needs have existed longer than there has been an American medical industry.  People have died of cancer and heart disease far longer than we have known of their existence.  So what has changed?  Technology.</p>
<p>When it was common for a doctor to visit the sick’s home and order, “Take two aspirin and call me in the morning,” aspirin was the state of the medical art.  How ridiculous would it seem if the people of that age complained that access to aspirin was a basic human right, to be provided by the government at taxpayer expense?  How ludicrous would it have seemed if someone would have suggested that we all pay taxes to hire people to buy the aspirin from Bayer and then deliver it to us for “free”?  That generation would have wrinkled their noses at such a suggestion and said, “No thank you, I can buy my own aspirin.”</p>
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<p>The only difference is that Bayer, and others in the industry, took the profits and invested them in the future.  Little did they realize that once they expanded our medical knowledge, their efforts would be demonized and labeled evil.</p>
<p>Think what might have happened if the “progressives” could go back and “fix the oversight” or our founders and included life, health care, and the pursuit of happiness in the original inalienable rights.  We would still be having 15 kids a generation, several of which would die before they were old enough to have kids of their own.  We would still be amputating limbs as a method of fighting infection.  There would be no cat scans, dialysis, open heart surgery, Botox, or Lasik eye surgery.</p>
<p>OK, so maybe there would have been the last two.  Interestingly enough, Botox and Lasik have gotten cheaper and better, more people are getting them with fewer side effects, all without government mandate.  They are generally not covered by insurance and people generally pay for them out of their own pocket.  They are now more available and the prices are going down as competition for patients increases.  Procedures covered by Medicare, on the other hand, are more expensive and fewer Doctors are providing them to Medicare patients who are also increasing in number.</p>
<p>In order to limit expenses all known socialized medical systems in the world ration treatment and drugs.  President Obama suggests that we can save $500 Billion in Medicare by simply refusing to pay doctors once the lower amount is reached, in other words by rationing procedures once we have spent $500B less than before.  If we only buy a few of something, we can limit what we spend on that something.  This has an additional affect on the research industry which further limits costs: There will be no new drugs or treatments.  Sure, there will be the occasional discovery by a housewife who mistakenly mixes the last few drops of her old brand of fabric softener with a healthy dose of her latest choice and discovers that her skin cleared up after exposure to the green cloud coming from the washing machine.  Give me enough orangutans with typewriters and enough time and one of them will accidentally type out the U.S. Declaration of Independence.  Some of you don’t know what typewriters were.  They were like laptops running Microsoft Word with the printer built in, only noisier and less likely to spontaneously produce the Declaration of Independence or auto-morphed emoticons.  <img src='http://dchrdept.com/wp-includes/images/smilies/icon_smile.gif' alt=':-)' class='wp-smiley' /> </p>
<p>The problem with rationing access and stifling development of new technology is that these are exactly the problems we are told such efforts will solve.  We complain that not everyone has access to treatment, then calmly discuss rationing.  Then we complain that new drugs cost too much while ignoring what it would cost to research new ones in government run labs staffed with government employees overseen by Congress.</p>
<p>If we could go back, would we freeze health care at a level available 40 years ago?  There was no arthroscopic surgery, no cat scans, and no contact lenses.  We would not have witnessed the last fatal case of Smallpox.  No?  How about only 30 then?  We still loose MRI’s, implanted cardioverter defibrillators, and laser eye surgery.  There would be no Hepatitis B vaccine.  No, want to keep those?  At 20 years we loose several cancer treatments and a vaccine for Lyme disease and in the last ten we loose more cancer treatments and the advances in stem cell research.  These are only a small example of the progress, (not the stuff of the progressive movement but the other direction) made in medicine over this time period.  Just think what we will know tomorrow.</p>
<p>My question, then, is why now?  Why is this the right time to stop advancing medicine?  Why is now the time to limit access to future levels of quality health care by future generations so that we can claim to offer universal access to most everyone now?  How ridiculous and ludicrous will we seem in 40 years when they look back and ask what were we thinking when we tried to eliminate the system that, although it does not offer all levels of treatments to everyone, it constantly adds to the list of treatments that are available to everyone.  No one goes without aspirin or an X-ray for that matter because they cannot pay.  One day, no one will pay for stem cell therapy.  Only after the rich buy it first, and then those with “Cadillac Insurance Plans”, and then common off-the-shelf plans, and then uninsured people who pay cash.  Just like aspirin and X-rays.</p>
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