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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>Lead us Mr. President, even if you must run to the cliff ahead of us.</title>
		<link>http://dchrdept.com/archives/128#utm_source=feed&amp;utm_medium=feed&amp;utm_campaign=feed</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>
		<category><![CDATA[Free Market]]></category>
		<category><![CDATA[Government Expansion]]></category>
		<category><![CDATA[Health Care]]></category>
		<category><![CDATA[Conservative]]></category>
		<category><![CDATA[Doctors]]></category>
		<category><![CDATA[Economy]]></category>
		<category><![CDATA[Education]]></category>
		<category><![CDATA[Human Rights]]></category>
		<category><![CDATA[Liberal]]></category>
		<category><![CDATA[Marxism]]></category>
		<category><![CDATA[Poor]]></category>
		<category><![CDATA[Rationing]]></category>
		<category><![CDATA[Rights]]></category>
		<category><![CDATA[Socialism]]></category>
		<category><![CDATA[Statism]]></category>
		<category><![CDATA[Universal Healthcare]]></category>

		<guid isPermaLink="false">http://dchrdept.com/archives/128</guid>
		<description><![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 [...]]]></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#utm_source=feed&amp;utm_medium=feed&amp;utm_campaign=feed</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>

		<guid isPermaLink="false">http://dchrdept.com/archives/64</guid>
		<description><![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 [...]]]></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>
<p><span id="more-64"></span></p>
<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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