B
Bill Sloman
- Jan 1, 1970
- 0
Cool! I've been spending too much time around Democrat politicians.
Well, I didn't know you were a Democrat. From our discussion on
Obamacare, it certainly *seems* you're not comfortable trusting people
to make their own choices.
In particular, you're arguing for a system whose organizing principle
is compulsion, optimized by intelligent design (by non-expert non-
participants), and whose compulsions are based on political gain for
those compelling. Contrast this with a system organized by free
choice and optimized by the evolutionary pressure of the individuals
making those choices, a free market. The gov't makes sure no one
cheats you, but you can choose as you please.
When I look to our medical care system I fully see how external
pressure after external pressure from Congress shaped it from what it
was into what it is today. (People will jump through a lot of hoops
for tax free income.) Evolution.
If doctors advertised prices and people actually had to pay, the cost
of ordinary care would plummet. That would fix 2/3rds of what ails
us. That's my faith in organic, self-organizing, self-optimizing
systems. (And in distributed intelligence, the common wisdom if you
will.) It works in natural system after natural system.
Curiously, in every other advanced industrial country, health care is
organised in a way which James Arthur finds too centralised and
inflexible, and still manages to come out cheaper per head than the
bizarre and un-natural system in use in the US.
The UK model provides adequate health care for everybody at half the
US price per head, and the French and German systems care for
everybody at about the same level as the US system cares for the fully
insured at two thirds of the price per head.
If James Arthur stopped obseesing about ideological purity and
followed the evidence for a bit, he might post a little less nonsense.
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