I. The Director is God. Thou shalt not take notes from friends nor family, coaches nor critics.
II. Thou shalt not take the name of thy producer thy angel in vain, for he shall sign thy checks.
III. Remember thou keep holy the half-hour; keep in mind that an actor is never on time, an actor is always early....
IV. Honor thy author and thy composer, for in the beginning were the words and the notes.
V. Thou shalt not kill laughs nor step on lines; still, thou shalt pick up thy cues.
VI. Thou shalt not adulterate thy performance, for thy stage manager is always watching.
VII. Thou shalt not steal scenes nor focus nor props.
VIII. Thou shalt not bear false witness in thy bio nor résumé; indeed, thou shalt be truthful in thy entire performance.
IX. Thou shalt not covet thy neighbor's lines; for truly, there are no small parts, only small actors.
X. Thou shalt not covet thy neighbor's good fortune; for in fact, all actors must pay their dues.
This above all: The Show Must Go On
Tuesday, July 28, 2009
Saturday, July 25, 2009
A Prophetic 1944 Interview
Norman Mattoon Thomas (November 20, 1884 - December 19, 1968) was a leading American socialist, pacifist, and six-time presidential candidate for the Socialist Party of America. He said this in a 1944 interview:
The American people will never knowingly adopt socialism. But, under the name of "liberalism," they will adopt every fragment of the socialist program, until one day America will be a socialist nation, without knowing how it happened.... I no longer need to run as a Presidential Candidate for the Socialist Party. The Democratic Party has adopted our platform.
This statement reveals several key ideas:
The first is that a third party can win support for its policy positions without winning any elections if one of the two main parties adopts its positions.
The second is that it is a winning political strategy to advantage a small segment of the voters at the expense of a smaller segment. Do that for enough small segments and eventually you will have socialism.
The third is that it is a winning strategy to avoid allowing your ultimate objective, or the constitutional implications, to be framed as the question to be decided by the voters. People wouldn't vote for socialism, or for violating the Constitution, if the question were framed in those terms, but will vote for incremental steps toward it, and fail to understand the opponents when they try to explain to voters what those steps lead to, or that they are unconstitutional.
The problem for libertarians is that liberty doesn't sell as well as government benefits. People don't really appreciate liberty until they have lost it, and too often they will not even realize they have lost it, or they will attribute the loss to something other than their own past election choices. It is easier for most people to imagine a prospective financial gain or loss than a loss of liberty. Money can be counted in a way that liberty can't.
The same may be said of constitutional compliance. Few politicians make it a leading issue in campaigns. Most people don't understand it and have come to think that calling the opponent's position "unconstitutional" is just rhetoric. The few who do understand usually don't have enough influence over the others. The number of people who can understand what is and what is not constitutional is fairly small, and always has been. The only time in history it was large was during the first three American revolutions: the War for Independence, the ratification of the Constitution, and the Election of 1800, the last of which entrenched the Jeffersonian position on constitutional interpretation for the period from 1800 through 1824, and then to a declining degree for most of the rest of the 19th century. But even during the ratification debates it is unlikely that the majority of the people really understood the proposed Constitution in its entirety. Some focused on particular provisions that seemed dangerous, and opposed it until their fears were alleviated. Most probably supported it because George Washington did, demonstrating that the way to get complicated reforms is not to educate all the people but to get the support of charismatic personalities the voters like and trust.
"Bait and switch" works in political selling as well. Voters are offered some charismatic personality or government benefit and never told that either represents a violation of the Constitution. Some will argue that the people have voted for the departures from constitutional compliance and thus ratified them in some sense, but that is deceptive, because the people were deceived by not having the constitutional implications of their choices explained to them. They did not vote for violation. The issues weren't framed to them that way.
That doesn't mean it is not a productive activity to educate people on constitutional compliance. We need to create a learning environment in which some of those charismatic personalities can "get it" and then bring their insights with them when they take office. We have to spread the education around because it is not always easy to discern who will be the charismatic personalities of the future, and because such people are herd animals like any other who are going to want the reassurance of like-minded people before they will venture forth with constitutionalist positions. The trick is to both educate those individuals and enough of the individuals around them.
What we learn from the study of the diffusion of innovations is that most people don't adopt new things because they learn about them from some kind of broadcast message. They are influenced more by the examples of those they look to as role models, and that chain of influence tends to sort itself into levels, with "early adopters" at the top, "secondary adopters" below them, "tertiary adopters" below both, and "quadranary adopters" below the first three. We also learn that most people don't adopt new things in long leaps or from single exposures to messages or examples. Except for the early adopters people generally adopt in small steps spaced over a period of time in response to repeated messages. That means you need to target people who are ready to take the next step, figure out where they are and how far you can get them to go on that occasion, then move on to others, but return to the first before they go cold and move them on to the next step, repeating the process until you get many people recruited. Then you need to keep them recruited with positive reinforcements, because most adopters won't stick to a new things unless it rewards them in some way, and because there are usually competing innovations that may win them over if you neglect to hold them.
The American people will never knowingly adopt socialism. But, under the name of "liberalism," they will adopt every fragment of the socialist program, until one day America will be a socialist nation, without knowing how it happened.... I no longer need to run as a Presidential Candidate for the Socialist Party. The Democratic Party has adopted our platform.
This statement reveals several key ideas:
The first is that a third party can win support for its policy positions without winning any elections if one of the two main parties adopts its positions.
The second is that it is a winning political strategy to advantage a small segment of the voters at the expense of a smaller segment. Do that for enough small segments and eventually you will have socialism.
The third is that it is a winning strategy to avoid allowing your ultimate objective, or the constitutional implications, to be framed as the question to be decided by the voters. People wouldn't vote for socialism, or for violating the Constitution, if the question were framed in those terms, but will vote for incremental steps toward it, and fail to understand the opponents when they try to explain to voters what those steps lead to, or that they are unconstitutional.
The problem for libertarians is that liberty doesn't sell as well as government benefits. People don't really appreciate liberty until they have lost it, and too often they will not even realize they have lost it, or they will attribute the loss to something other than their own past election choices. It is easier for most people to imagine a prospective financial gain or loss than a loss of liberty. Money can be counted in a way that liberty can't.
The same may be said of constitutional compliance. Few politicians make it a leading issue in campaigns. Most people don't understand it and have come to think that calling the opponent's position "unconstitutional" is just rhetoric. The few who do understand usually don't have enough influence over the others. The number of people who can understand what is and what is not constitutional is fairly small, and always has been. The only time in history it was large was during the first three American revolutions: the War for Independence, the ratification of the Constitution, and the Election of 1800, the last of which entrenched the Jeffersonian position on constitutional interpretation for the period from 1800 through 1824, and then to a declining degree for most of the rest of the 19th century. But even during the ratification debates it is unlikely that the majority of the people really understood the proposed Constitution in its entirety. Some focused on particular provisions that seemed dangerous, and opposed it until their fears were alleviated. Most probably supported it because George Washington did, demonstrating that the way to get complicated reforms is not to educate all the people but to get the support of charismatic personalities the voters like and trust.
"Bait and switch" works in political selling as well. Voters are offered some charismatic personality or government benefit and never told that either represents a violation of the Constitution. Some will argue that the people have voted for the departures from constitutional compliance and thus ratified them in some sense, but that is deceptive, because the people were deceived by not having the constitutional implications of their choices explained to them. They did not vote for violation. The issues weren't framed to them that way.
That doesn't mean it is not a productive activity to educate people on constitutional compliance. We need to create a learning environment in which some of those charismatic personalities can "get it" and then bring their insights with them when they take office. We have to spread the education around because it is not always easy to discern who will be the charismatic personalities of the future, and because such people are herd animals like any other who are going to want the reassurance of like-minded people before they will venture forth with constitutionalist positions. The trick is to both educate those individuals and enough of the individuals around them.
What we learn from the study of the diffusion of innovations is that most people don't adopt new things because they learn about them from some kind of broadcast message. They are influenced more by the examples of those they look to as role models, and that chain of influence tends to sort itself into levels, with "early adopters" at the top, "secondary adopters" below them, "tertiary adopters" below both, and "quadranary adopters" below the first three. We also learn that most people don't adopt new things in long leaps or from single exposures to messages or examples. Except for the early adopters people generally adopt in small steps spaced over a period of time in response to repeated messages. That means you need to target people who are ready to take the next step, figure out where they are and how far you can get them to go on that occasion, then move on to others, but return to the first before they go cold and move them on to the next step, repeating the process until you get many people recruited. Then you need to keep them recruited with positive reinforcements, because most adopters won't stick to a new things unless it rewards them in some way, and because there are usually competing innovations that may win them over if you neglect to hold them.
Friday, July 10, 2009
Facts about Alton Brown
* There is no theory of evolution. There are merely lists of organisms that Alton Brown allows to live so that they can be made into good eats.
* Alton Brown doesn't need a panini maker; he simply looks at the sandwich and commands it to flatten.
* When giving Alton Brown oral sex, women always swallow because he even ejaculates good eats.
* Alton Brown doesn't need a cake stand; he forces the earth to rotate around the cake that he's frosting.
* Alton Brown doesn't stuff his turkeys because the breath he exhales is more than enough to fill the turkey's cavity with tasty goodness.
* Alton Brown doesn't churn butter. He spends half an hour telling cows about the value of butter and they squirt it out for him.
* Alton Brown doesn't wash his clothes; he brines them.
* Alton Brown is not the culinary equivalent of Einstein. Einstein is the physicist equivalent of Alton Brown.
* Kosher salt is named as such because God approves of anything that Alton Brown uses.
* Alton Brown does not teabag the ladies. He (true) yams them.
* Alton Brown grinds his own peppercorns. With his teeth.
* Alton Brown's chili cheese fries are healthier than raw carrots. Even after he adds the bacon and lard.
* Alton Brown brushes his teeth with wasabi and gargles with pickle brine. But still his breath smells like lemon merengue.
* Alton Brown can boil a three-minute egg in thirty-seven seconds.
* When Alton Brown was born, he collected the hospital slop they'd left for his mother and made it into an zesty, appetizing goulash. The dish fed the entire maternity ward for a week.
* In the first, as-yet-unaired episode of Iron Chef America, Alton Brown single-handedly defeated an all-star team of Bobby Flay, Cat Cora, and Hiroyuki Sakai. The secret ingredient was 'whimsy'.
* Alton Brown doesn't reduce sauces. He demoralizes them.
* Alton Brown prepares his fugu blindfolded, with one chopstick and a plastic spork. Alton Brown ain't afraid of no chump neurotoxin.
* Alton Brown's blender has four speeds: 'stir', 'mix', 'frappe', and 'plasmify'.
* Alton Brown can split a pineapple in half using only his pinkies. For coconuts, though, he has to use his thumbs.
* Alton Brown knows where capers come from. And he grows his own, on a Chia pet in the pantry.
* On Rachel Ray's show, she shows people where to eat for less than forty dollars a day. When Alton Brown eats, people pay him.
* Alton Brown slices ham so thin, it can only be seen using an electron microscope.
* Some knives can slice through a tin can and still cut a tomato. Alton Brown's knives can slice through a Pontiac, and still cut a tin can.
* Grown men have been known to weep for joy in the mere presence of Alton Brown's vinaigrette. His hollandaise sauce can kill a man from sheer ecstasy at forty paces.
* Alton Brown can eat just one Lay's potato chip. If he ever bothered to eat food he didn't make himself, that is.
* Alton Brown once got carried away slicing carrots, and julienned his cutting board. Undaunted, he sauteed the splinters in olive oil and spices -- and they were delicious.
* Every Burger King Alton Brown has walked into has immediately closed forever -- try as they might, they simply can't 'do it his way'.
* Alton Brown can pair a wine with any food -- including hot dogs, ice cream, raw eggs, Alpo, sawdust, and soylent green.
* Alton Brown's cakes don't rise. They ascend.
* Some meats are so tender, they seem to melt in your mouth. Alton Brown's meats are so tender, he's had entire turkeys vanish into thin air.
* Alton Brown's no saint. But if his chicken Kiev cures one more kid's leprosy, the church will reconsider the evidence.
* Alton Brown doesn't whip potatoes. Alton Brown's potatoes whip themselves, if they know what's good for them.
* Alton Brown's other car is the Wienermobile.
* Alton Brown's show is called 'Good Eats', because 'Multiple Shuddering Mouthgasms' didn't play with the network's target demographic.
* Alton Brown's freezer operates at minus-twenty-seven degrees. Kelvin.
* Alton Brown once prepared shrimp gumbo for a cooking competition, using only salt, water, canned Spam, and a packet of Arby's 'Horsey Sauce'. He took second place. He would have won, but one of the judges was allergic to shellfish.
* Alton Brown can fit three hundred and forty-two cookies on a standard-sized baking sheet. Without any touching.
* When Alton Brown slices onions, the onions cry.
* Alton Brown was once asked to participate in a blind orange juice taste test. He was the only person able to successfully identify the brand, style, vintage, temperature, pH level, distance to the orchard, age of the grove trees, and the names of the workers picking the fruit. Including the one who needs to start washing after bathroom breaks.
* Alton Brown doesn't need a panini maker; he simply looks at the sandwich and commands it to flatten.
* When giving Alton Brown oral sex, women always swallow because he even ejaculates good eats.
* Alton Brown doesn't need a cake stand; he forces the earth to rotate around the cake that he's frosting.
* Alton Brown doesn't stuff his turkeys because the breath he exhales is more than enough to fill the turkey's cavity with tasty goodness.
* Alton Brown doesn't churn butter. He spends half an hour telling cows about the value of butter and they squirt it out for him.
* Alton Brown doesn't wash his clothes; he brines them.
* Alton Brown is not the culinary equivalent of Einstein. Einstein is the physicist equivalent of Alton Brown.
* Kosher salt is named as such because God approves of anything that Alton Brown uses.
* Alton Brown does not teabag the ladies. He (true) yams them.
* Alton Brown grinds his own peppercorns. With his teeth.
* Alton Brown's chili cheese fries are healthier than raw carrots. Even after he adds the bacon and lard.
* Alton Brown brushes his teeth with wasabi and gargles with pickle brine. But still his breath smells like lemon merengue.
* Alton Brown can boil a three-minute egg in thirty-seven seconds.
* When Alton Brown was born, he collected the hospital slop they'd left for his mother and made it into an zesty, appetizing goulash. The dish fed the entire maternity ward for a week.
* In the first, as-yet-unaired episode of Iron Chef America, Alton Brown single-handedly defeated an all-star team of Bobby Flay, Cat Cora, and Hiroyuki Sakai. The secret ingredient was 'whimsy'.
* Alton Brown doesn't reduce sauces. He demoralizes them.
* Alton Brown prepares his fugu blindfolded, with one chopstick and a plastic spork. Alton Brown ain't afraid of no chump neurotoxin.
* Alton Brown's blender has four speeds: 'stir', 'mix', 'frappe', and 'plasmify'.
* Alton Brown can split a pineapple in half using only his pinkies. For coconuts, though, he has to use his thumbs.
* Alton Brown knows where capers come from. And he grows his own, on a Chia pet in the pantry.
* On Rachel Ray's show, she shows people where to eat for less than forty dollars a day. When Alton Brown eats, people pay him.
* Alton Brown slices ham so thin, it can only be seen using an electron microscope.
* Some knives can slice through a tin can and still cut a tomato. Alton Brown's knives can slice through a Pontiac, and still cut a tin can.
* Grown men have been known to weep for joy in the mere presence of Alton Brown's vinaigrette. His hollandaise sauce can kill a man from sheer ecstasy at forty paces.
* Alton Brown can eat just one Lay's potato chip. If he ever bothered to eat food he didn't make himself, that is.
* Alton Brown once got carried away slicing carrots, and julienned his cutting board. Undaunted, he sauteed the splinters in olive oil and spices -- and they were delicious.
* Every Burger King Alton Brown has walked into has immediately closed forever -- try as they might, they simply can't 'do it his way'.
* Alton Brown can pair a wine with any food -- including hot dogs, ice cream, raw eggs, Alpo, sawdust, and soylent green.
* Alton Brown's cakes don't rise. They ascend.
* Some meats are so tender, they seem to melt in your mouth. Alton Brown's meats are so tender, he's had entire turkeys vanish into thin air.
* Alton Brown's no saint. But if his chicken Kiev cures one more kid's leprosy, the church will reconsider the evidence.
* Alton Brown doesn't whip potatoes. Alton Brown's potatoes whip themselves, if they know what's good for them.
* Alton Brown's other car is the Wienermobile.
* Alton Brown's show is called 'Good Eats', because 'Multiple Shuddering Mouthgasms' didn't play with the network's target demographic.
* Alton Brown's freezer operates at minus-twenty-seven degrees. Kelvin.
* Alton Brown once prepared shrimp gumbo for a cooking competition, using only salt, water, canned Spam, and a packet of Arby's 'Horsey Sauce'. He took second place. He would have won, but one of the judges was allergic to shellfish.
* Alton Brown can fit three hundred and forty-two cookies on a standard-sized baking sheet. Without any touching.
* When Alton Brown slices onions, the onions cry.
* Alton Brown was once asked to participate in a blind orange juice taste test. He was the only person able to successfully identify the brand, style, vintage, temperature, pH level, distance to the orchard, age of the grove trees, and the names of the workers picking the fruit. Including the one who needs to start washing after bathroom breaks.
Monday, July 6, 2009
National Health Care - Pros & Cons
It's no secret that health care costs are spiraling out of control in this country. On average, we now spend more per person on health care than both food and housing. Insurance premiums are multiplying much faster than inflation, which prevents economic growth and leaves businesses with less money to give raises or hire more workers. While the quality and availability of medical care in the United States remains among the best in the world, many wonder whether we'd be better off adopting a universal government-controlled health care system like the one used in Canada.
The number of uninsured citizens has grown to over 40 million. Since health care premiums continue to grow at several times the rate of inflation, many businesses are simply choosing to not offer a health plan, or if they do, to pass on more of the cost to employees. Employees facing higher costs themselves are often choosing to go without health coverage. No health insurance doesn't necessarily mean no health care since there are many clinics and services that are free to indigent individuals. However, any costs not covered by insurance must be absorbed by all the rest of us, which means even higher premiums.
Health care has become increasingly unaffordable for businesses and individuals. Businesses and individuals that choose to keep their health plans still must pay a much higher amount. Remember, businesses only have a certain amount of money they can spend on labor. If they must spend more on health insurance premiums, they will have less money to spend on raises, new hires, investment, and so on. Individuals who must pay more for premiums have less money to spend on rent, food, and consumer goods; in other words, less money is pumped back into the economy. Thus, health care prevents the country from making a robust economic recovery. A simpler government-controlled system that reduces costs would go a long way in helping that recovery.
Medical professionals can concentrate on healing the patient rather than on insurance procedures, malpractice liability, etc. Doctors have to take classes now simply to understand all the insurance plans out there; they are often restricted by insurance practices, such as what tests can be ordered. Doctors must practice defensive medicine to avoid getting sued. Some physicians are even leaving the profession rather than deal with all these non-medical headaches. A simplified universal health system would allow doctors, nurses, and other medical professions to simply focus on doing what's best for the patient. Medicine is a complex enough subject as it is. Our current system just adds to an already mentally-draining profession.
There isn't a single government agency or division that runs efficiently; do we really want an organization that developed the U.S. Tax Code handling something as complex as health care? Quick, try to think of one government office that runs efficiently. Fannie Mae and Freddie Mac? The Department of Transportation? Social Security Administration? Department of Education? There isn't a single government office that squeezes efficiency out of every dollar the way the private sector can. We've all heard stories of government waste such as million-dollar cow flatulence studies or the Pentagon's 14 billion dollar Bradley design project that resulted in a transport vehicle which when struck by a mortar produced a gas that killed every man inside. How about the U.S. income tax system? When originally implemented, it collected 1 percent from the highest income citizens. Look at it today. A few years back to government published a "Tax Simplification Guide", and the guide itself was over 1,000 pages long! This is what happens when politicians mess with something that should be simple. Think about the Department of Motor Vehicles. This isn't rocket science--they have to keep track of licenses and basic database information for state residents. However, the costs to support the department are enormous, and when was the last time you went to the DMV and didn't have to stand in line? If it can't handle things this simple, how can we expect the government to handle all the complex nuances of the medical system? If any private business failed year after year to achieve its objectives and satisfy its customers, it would go out of business or be passed up by competitors.
Government-controlled health care would lead to a decrease in patient flexibility. At first glance, it would appear universal health care would increase flexibility. After all, if government paid for everything under one plan, you could in theory go to any doctor. However, some controls are going to have to be put in to keep costs from exploding. For example, would "elective" surgeries such as breast implants, wart removal, hair restoration, and lasik eye surgery be covered? Then you may say, that's easy, make patients pay for elective surgery. Although some procedures are obviously not needed, who decides what is elective and what is required? What about a breast reduction for back problems? What about a hysterectomy for fibroid problems? What about a nose job to fix a septum problem caused in an accident? Whenever you have government control of something, you have one item added to the equation that will most definitely screw things up--politics. Suddenly, every medical procedure and situation is going to come down to a political battle. The compromises that result will put in controls that limit patient options. The universal system in Canada forces patients to wait over 6 months for a routine pap smear. Canada residents will often go to the U.S. or offer additional money to get their health care needs taken care of.
Patients aren't likely to curb their drug costs and doctor visits if health care is free; thus, total costs will be several times what they are now. Co-pays and deductibles were put in place because there are medical problems that are more minor annoyances than anything else. Sure, it would be nice if we had the medical staff and resources to treat every ache and pain experienced by an American, but we don't. For example, what if a patient is having trouble sleeping? What if a patient has a minor cold, flu, or headache? There are scores of problems that we wouldn't go to a doctor to solve if we had to pay for it; however, if everything is free, why not go? The result is that doctors must spend more time on non-critical care, and the patients that really need immediate help must wait. In fact, for a number of problems, it's better if no medical care is given whatsoever. The body's immune system is designed to fight off infections and other illnesses. It becomes stronger when it can fight things off on its own. Treating the symptoms can prolong the underlying problem, in addition to the societal side effects such as the growing antibiotic resistance of certain infections.
Government-mandated procedures will likely reduce doctor flexibility and lead to poor patient care. When government controls things, politics always seep into the decision-making. Steps will have to be taken to keep costs under control. Rules will be put in place as to when doctors can perform certain expensive tests or when drugs can be given. Insurance companies are already tying the hands of doctors somewhat. Government influence will only make things worse, leading to decreased doctor flexibility and poor patient care.
Health care equipment, drugs, and services may end up being rationed by the government. In other words, politics, lifestyle of patients, and philosophical differences of those in power, could determine who gets what. Any time you have politicians making health care decisions instead of medical or economics professions, you open a whole group of potential rationing issues. As costs inevitably get out of control and have to be curtailed, some ways will be needed to cut costs. Care will have to be rationed. How do you determine what to do with limited resources? How much of "experimental" treatments will have to be eliminated? If you're over 80, will the government pay for the same services as people under 30? Would you be able to get something as expensive as a pacemaker or an organ transplant if you're old? Would your political party affiliation or group membership determine if you received certain treatments? What if you acquire AIDS through drug use or homosexual activity, would you still receive medical services? What if you get liver disease through alcoholism, or diabetes from being overweight, or lung cancer from smoking--will the government still help you? You may or may not trust the current president & Congress to make reasonable decisions, but what about future presidents and congressional members?
Removing the medical sector from the free enterprise system tends to reduce the overall quality of health care. Study-upon-study has shown the quality of health care is typically higher in the U.S. than in any other nation, including those with nationalized health insurance. The United States has lower breast and prostate cancer mortality rates than New Zealand, the United Kingdom, Germany, Canada, France and Australia.
In short... there are good arguments for, and good arguments against a nationalized (or socialized) healthcare plan. And, as I tend to believe in most things, I feel that the truth lies somewhere in the middle. I don't know where in the middle it lies on this issue... I just know that both sides are wrong, and blatantly mis-representing both the pros and cons of this issue in their own favor. It's as if Americans have become incapable of independent, rational thought, and rely solely on what political or religious leaders tell them to believe or say. Stop it! Use your brain!
The number of uninsured citizens has grown to over 40 million. Since health care premiums continue to grow at several times the rate of inflation, many businesses are simply choosing to not offer a health plan, or if they do, to pass on more of the cost to employees. Employees facing higher costs themselves are often choosing to go without health coverage. No health insurance doesn't necessarily mean no health care since there are many clinics and services that are free to indigent individuals. However, any costs not covered by insurance must be absorbed by all the rest of us, which means even higher premiums.
Health care has become increasingly unaffordable for businesses and individuals. Businesses and individuals that choose to keep their health plans still must pay a much higher amount. Remember, businesses only have a certain amount of money they can spend on labor. If they must spend more on health insurance premiums, they will have less money to spend on raises, new hires, investment, and so on. Individuals who must pay more for premiums have less money to spend on rent, food, and consumer goods; in other words, less money is pumped back into the economy. Thus, health care prevents the country from making a robust economic recovery. A simpler government-controlled system that reduces costs would go a long way in helping that recovery.
Medical professionals can concentrate on healing the patient rather than on insurance procedures, malpractice liability, etc. Doctors have to take classes now simply to understand all the insurance plans out there; they are often restricted by insurance practices, such as what tests can be ordered. Doctors must practice defensive medicine to avoid getting sued. Some physicians are even leaving the profession rather than deal with all these non-medical headaches. A simplified universal health system would allow doctors, nurses, and other medical professions to simply focus on doing what's best for the patient. Medicine is a complex enough subject as it is. Our current system just adds to an already mentally-draining profession.
There isn't a single government agency or division that runs efficiently; do we really want an organization that developed the U.S. Tax Code handling something as complex as health care? Quick, try to think of one government office that runs efficiently. Fannie Mae and Freddie Mac? The Department of Transportation? Social Security Administration? Department of Education? There isn't a single government office that squeezes efficiency out of every dollar the way the private sector can. We've all heard stories of government waste such as million-dollar cow flatulence studies or the Pentagon's 14 billion dollar Bradley design project that resulted in a transport vehicle which when struck by a mortar produced a gas that killed every man inside. How about the U.S. income tax system? When originally implemented, it collected 1 percent from the highest income citizens. Look at it today. A few years back to government published a "Tax Simplification Guide", and the guide itself was over 1,000 pages long! This is what happens when politicians mess with something that should be simple. Think about the Department of Motor Vehicles. This isn't rocket science--they have to keep track of licenses and basic database information for state residents. However, the costs to support the department are enormous, and when was the last time you went to the DMV and didn't have to stand in line? If it can't handle things this simple, how can we expect the government to handle all the complex nuances of the medical system? If any private business failed year after year to achieve its objectives and satisfy its customers, it would go out of business or be passed up by competitors.
Government-controlled health care would lead to a decrease in patient flexibility. At first glance, it would appear universal health care would increase flexibility. After all, if government paid for everything under one plan, you could in theory go to any doctor. However, some controls are going to have to be put in to keep costs from exploding. For example, would "elective" surgeries such as breast implants, wart removal, hair restoration, and lasik eye surgery be covered? Then you may say, that's easy, make patients pay for elective surgery. Although some procedures are obviously not needed, who decides what is elective and what is required? What about a breast reduction for back problems? What about a hysterectomy for fibroid problems? What about a nose job to fix a septum problem caused in an accident? Whenever you have government control of something, you have one item added to the equation that will most definitely screw things up--politics. Suddenly, every medical procedure and situation is going to come down to a political battle. The compromises that result will put in controls that limit patient options. The universal system in Canada forces patients to wait over 6 months for a routine pap smear. Canada residents will often go to the U.S. or offer additional money to get their health care needs taken care of.
Patients aren't likely to curb their drug costs and doctor visits if health care is free; thus, total costs will be several times what they are now. Co-pays and deductibles were put in place because there are medical problems that are more minor annoyances than anything else. Sure, it would be nice if we had the medical staff and resources to treat every ache and pain experienced by an American, but we don't. For example, what if a patient is having trouble sleeping? What if a patient has a minor cold, flu, or headache? There are scores of problems that we wouldn't go to a doctor to solve if we had to pay for it; however, if everything is free, why not go? The result is that doctors must spend more time on non-critical care, and the patients that really need immediate help must wait. In fact, for a number of problems, it's better if no medical care is given whatsoever. The body's immune system is designed to fight off infections and other illnesses. It becomes stronger when it can fight things off on its own. Treating the symptoms can prolong the underlying problem, in addition to the societal side effects such as the growing antibiotic resistance of certain infections.
Government-mandated procedures will likely reduce doctor flexibility and lead to poor patient care. When government controls things, politics always seep into the decision-making. Steps will have to be taken to keep costs under control. Rules will be put in place as to when doctors can perform certain expensive tests or when drugs can be given. Insurance companies are already tying the hands of doctors somewhat. Government influence will only make things worse, leading to decreased doctor flexibility and poor patient care.
Health care equipment, drugs, and services may end up being rationed by the government. In other words, politics, lifestyle of patients, and philosophical differences of those in power, could determine who gets what. Any time you have politicians making health care decisions instead of medical or economics professions, you open a whole group of potential rationing issues. As costs inevitably get out of control and have to be curtailed, some ways will be needed to cut costs. Care will have to be rationed. How do you determine what to do with limited resources? How much of "experimental" treatments will have to be eliminated? If you're over 80, will the government pay for the same services as people under 30? Would you be able to get something as expensive as a pacemaker or an organ transplant if you're old? Would your political party affiliation or group membership determine if you received certain treatments? What if you acquire AIDS through drug use or homosexual activity, would you still receive medical services? What if you get liver disease through alcoholism, or diabetes from being overweight, or lung cancer from smoking--will the government still help you? You may or may not trust the current president & Congress to make reasonable decisions, but what about future presidents and congressional members?
Removing the medical sector from the free enterprise system tends to reduce the overall quality of health care. Study-upon-study has shown the quality of health care is typically higher in the U.S. than in any other nation, including those with nationalized health insurance. The United States has lower breast and prostate cancer mortality rates than New Zealand, the United Kingdom, Germany, Canada, France and Australia.
In short... there are good arguments for, and good arguments against a nationalized (or socialized) healthcare plan. And, as I tend to believe in most things, I feel that the truth lies somewhere in the middle. I don't know where in the middle it lies on this issue... I just know that both sides are wrong, and blatantly mis-representing both the pros and cons of this issue in their own favor. It's as if Americans have become incapable of independent, rational thought, and rely solely on what political or religious leaders tell them to believe or say. Stop it! Use your brain!
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