Health Care

Can anyone remember a more honest and succinct campaign image? Shepard Fairey’s “Hope” poster was as blunt, but less accurate. Over at Slate, AJ Dellinger has a piece comparing the idealistic youthful support for Obama in ’08, and the idealistic youthful support for Ron Paul today. It’s interesting, albeit too broadly drawn to be really accurate. For instance, Ron Paul doesn’t support a universal healthcare system, like AJ seems to think all young people want. Maybe that’s because Paul is a doctor, and doctors are roundly against federal control? But I liked this section:

So when the traditional liberal means of protecting ourselves — uniting behind the government to promote action that benefits the common good — no longer serves our best interest, we begin to serve our own. We have a new set of morals that have been established because the old ones were no longer cutting it.

Libertarian critiques of government tend to be based on the idea/proofs that “uniting behind the government to promote action that benefits the common good” is either ineffective or inefficient.

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Cory Doctorow points approvingly to a Kotte post about the unexpectedly leftist structure of the U.S. military. The source for that piece is a NYT piece by Nicholas Kristof. His point is that the military provides a workable model for lefty policies, and those policies should be adopted by the broader society. Lean back left, Nicholas, lean back left:

The military is innately hierarchical, yet it nurtures a camaraderie in part because the military looks after its employees. This is a rare enclave of single-payer universal health care, and it continues with a veterans’ health care system that has much lower costs than the American system as a whole.

Perhaps the most impressive achievement of the American military isn’t its aircraft carriers, stunning as they are. Rather, it’s the military day care system for working parents.

While one of America’s greatest failings is underinvestment (sic) in early childhood education (which seems to be one of the best ways to break cycles of poverty from replicating), the military manages to provide superb child care. The cost depends on family income and starts at $44 per week.

Cory and Nicholas are both laboring under the premise that this model is worth adopting broadly. On a practical level, this is silly. That conservative bastion of fascist opinion, NPR, reported that “Health Care Costs New Threat To U.S. Military“. Quoting Defense Secretary Robert Gates:

“The Defense Department runs the risk of the fate of other corporate and government bureaucracies that were ultimately crippled by personnel costs,” he said, “in particular, their retiree benefit packages.”

Here’s what Gates was talking about: In the past decade, military health care costs more than doubled. They account for $52.5 billion in next year’s proposed budget. Retirees’ pay represents another $50 billion or so a year.

But at least the quality of care is top-notch, yes? Consider the Walter Reed scandal, or the cancer survival rates under Canada’s government-run systems versus our system. So if costs, quality, or outcomes aren’t compelling reasons to change, there must be SOMETHING there right? Something to justify space in the nations paper of record?

It’s common to hear bromides about investing in human capital, but the military actually shows that it believes that. Partly as a result, it manages to retain first-rate officers who could earn far higher salaries in the private sector.

I’m unclear why that’s a good thing. Higher salary is a signal of potential value, but officers routinely forego that opportunity? Now we’re adding less efficiency or productivity to the list of dubious benefits?

But forget gross factual inaccuracies, there’s a deeper moral question here. Kristof cheers the idea of a national “mission” that the military embodies, but for the life of me I can’t see why that would be applicable outside the realm of defense. He’s stuck arguing for fairness-in-inputs as a guiding principles. In his words:

According to my back-of-the-envelope math, top C.E.O.’s earn as much as $1 a second around the clock, partly by cutting medical benefits for employees. So they must be paragons of efficiency, right?

Actually, I’m not so sure. The business sector is dazzlingly productive, but it also periodically blows up our financial system. Yet if we seek another model, one that emphasizes universal health care and educational opportunity, one that seeks to curb income inequality, we don’t have to turn to Sweden. Rather, look to the United States military.

Note the cognitive dissonance in his premise. Efficient? NO! Productive? DAZZLINGLY. He has no clear distinction here.

He pines for some kind of unity, some national purpose (that doesn’t get people killed). Hayek called socialism the road to serfdom. The military takes it beyond serfdom. Such total abrogation of free will and free choice is indescribably monstrous. Americans believe in freedom, free choice, free expression, free commerce, and obeying the dictates of ones own conscience. Lord Acton said ”Liberty is not the power of doing what we like, but the right of being able to do what we ought.” The military isn’t exactly big on dissenting opinion. In case you think I’m overstating or embellishing for rhetorical effect, I asked a former Marine friend for his experience in the Corps:

You really can’t take a shit without permission.  And the only way it works is by committing the entire corps to a common purpose, a common set of values and a uniform code of procedure.  That’s not what America is all about.  There’s no other common purpose to America than Liberty.  Nation-wide uniform obedience in the name of liberty is an oxymoron.

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House Republicans rode popular opinion to achieve the first part of their “Repeal and Replace” pledge on Obamacare. Since the quick, contentious vote in January, the elephants have taken several righteous knocks for taking their time for being slow to “replace”.

While the Democrat argument of “you’ve got nothing better” is a ridiculous canard, the GOP hasn’t been very good at putting a face on reform. However, outside the GOP strategery cabal, there are serious, free-market oriented proposals to improve care, empower patients and their families, and control costs. Richard Epstein, law professor at both NYU and Chicago, is one of those serious thinkers. He sat down with Reason.tv to talk about the money, the healthcare, and his former colleague, President Obama.

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Charlie Lynch tried to help the people in his community who suffered chronic and terminal illnesses. The people of his state  approved medical marijuana, but the Feds put him in jail anyway. That was 2007.  He was on house arrest, trapped like an animal in a cage the size of his home. It’s been four years, and he’s still waiting on an appeal to the 9th Circuit court. The gears of injustice grind slowly, chewing up Charlie Lynch day by day.

Today, at the San Luis Obispo Film Festival, director Rick Ray is showing his new documentary, Lynching Charlie Lynch. From the director:

The State gave him permission. He joined the Chamber of Commerce. He even called the DEA. The outrageous contradictions swirling around the medical marijuana issue are explored in this new documentary film that features the story of local San Luis Obispo businessman Charlie Lynch, who tried to do the right thing but ended up losing everything.

Back in the bad old days of law school, I talked with Charlie a few times for a paper I was trying (and failing spectacularly) to write about federalism. He was a kind and gentle man, and what was happening to him broke my heart. It still does today.

Reason and Reason.tv both have backlogs of excellent coverage of Charlie’s troubles.

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You are what you eat, so why should you blame someone else? That’s the reasoning behind a proposed bill in Minnesota. The Personal Responsibility in Food Consumption Act would prevent consumers from suing food companies for chronic health problems like weight gain and obesity. Give me the tasty stuff, Pioneer Press:

No such lawsuit has ever been filed in Minnesota, but Urdahl predicted, “It’s just a matter of time.” Urdahl’s reasoning behind wanting the immunity, which is supported by myriad food corporations and interest groups, from growers to snack food associations, is simple, he said: “People are responsible for their own actions, particularly where food is concerned.”

Critics of the proposal, however, such as Rep. John Lesch, a St. Paul Democrat, said the plan lets corporations off the hook from their own responsibility. “Responsibility cuts both ways,” Lesch said. Lesch drew multiple analogies — from lung-damaging asbestos to explosion-vulnerable Ford Pintos — to make the point that companies often distribute and sell harmful products whose hazards aren’t known to anyone outside the manufacturers, but could be revealed through lawsuits.

So his argument is people don’t know how bad fast food is for them? We’ve spent billions on nutrition education programs over the years. Now state legislators are arguing that hasn’t worked? Then why do we continue to grow those programs? Similarly, is he saying there’s no difference between injuring yourself through repeated stupidity, and direct injury caused by a faulty product? Micky D’s can be bad for you, but they publicize calorie counts and fat grams. That’s radically different from direct injuries like tainted food.

Also, I enjoyed the class warfare digs at big bad corporations! They want to serve people food at a low cost and good profits! INHUMAN MONSTERS DRINKING BLOOD MONEY!

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Every time I see a high-schooler wearing shorts in January, I think to myself “this is why single-payer healthcare is a dumb idea.” It’s wrong to ask me, in my scarf, hat, gloves, jacket, sweater, shirt, and t-shirt, to subsidize that idiot when he gets a cold. Similarly, we bring you another great groin-shot video. Do you want to pay for these kids ER visit?

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The Sister Wives

October 29, 2010

I’ve been watching Sister Wives with my roommates every Sunday evening the past few weeks, and instead of solving all of the questions that I had about that lifestyle, it’s opened up even more questions. I’m sure if I did some vigorous googling I could come up with some answers, but still be left with [...]

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Liberty Up In Smoke

October 18, 2010

The safest way to make laws respected is to make them respectable. – Frederic Bastiat As most people are aware there is a proposition on California’s ballot in Novemberto legalize, regulate and tax the use of marijuana for recreational use. Most polls show this measure will pass. Californians are close to deciding, for one reason or [...]

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Pledge To … Yawn

September 24, 2010

I didn’t find anything particularly exciting in the Republican “Pledge To America” released yesterday. Slate and Reason did excellent jobs covering the highlights, such as they were. Good Ideas: – Forcing Congress to cite specific constitutional authority for acts. Damon Root points out that this is a tepid idea at best, but there’re ways to [...]

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Socialized Medicine Advocates Regain Sense, Stop Claiming Deficit Reduction

August 23, 2010

Via Politico: Key White House allies are dramatically shifting their attempts to defend health care legislation, abandoning claims that it will reduce costs and deficit and instead stressing a promise to “improve it.” The messaging shift was circulated this afternoon on a conference call andPowerPoint presentation organized by Families USA — one of the central groups [...]

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