Healthy Living Worthiness Inwards Capitalism, Gratis Marketplace Forces, Together With Regime Together With Private Responsibility
I began this serial amongst a postal service that examined the issues virtually universal healthcare as well as worthiness, which led to a heated give-and-take that continues on about other forum. In this weblog postal service as well as my next, I volition stand upwardly for a debate I had amongst someone tilt for a “free market” approach to healthcare inward which human value is measured past times one’s wealth as well as authorities monies ought non to live used to ensure aid for everyone.
Following I acquaint his initial points as well as give my replies.
Point 1) He wrote: “Our value to our gild is measured past times our wage.” In other words, the value of a human being—the essential/basic/inherent worth of a person—according to the American Capitalist model, is measured past times how much coin ane makes/has.
[My reply] Yes, this is a shameful reality of our society. The to a greater extent than wealth you lot have, the to a greater extent than “worthy” you lot are considered as well as the to a greater extent than “valuable” a individual you lot are. That’s crap! The wealth you lot have, the to a greater extent than you lot tin purchase … PERIOD! It has aught to exercise amongst your inherent worthiness or human value. In fact, human worthiness as well as value are exactly concepts; at that topographic point are no such things. Even the concept of “deservingness” is made up.
Yes, at that topographic point is such a thing equally “buying power,” but the inquiry is whether it should apply to the delivery of essential healthcare. One’s sentiment on this matter, I suggest, depends on one’s wealth. People who tin afford first-class insurance as well as concealment out-of-pocket costs would say they deserve (are worthy of) ameliorate healthcare than a homeless person. That’s because our Capitalistic organisation promotes such an irrational belief. The reality is that they tin afford ameliorate aid only because that’s the way our economical organisation operates. But if they direct maintain a fiscal catastrophe, they volition live reduced to the realm of the unworthy … the undeserving … and, I bet, volition of a abrupt alter their perspective on who should direct maintain access to expert care.
That agency everyone, no affair how much coin as well as possessions ane has, is worthy of the best possible healthcare.
Point 2) He wrote: “My friend, you lot direct maintain a serious psychological work amongst the ordinary full general sloppiness of human existence. Saint that you lot are, you lot are never going to arrive tidy. People are exactly messy.”
[My reply] While I never claimed to live a saint, I exercise endeavour to recollect as well as human action wisely, although I’m non ever successful. Being human, I realize that I, similar everyone else, am a fallible fauna amongst all sorts of weakness I must recognize as well as bargain amongst inward monastic enjoin to prepare my potential. So, yes, humanity is “sloppy,” people tend to recollect irrationally as well as overreact emotionally, seek pleasance as well as escape from life’s pains/frustrations inward self-destructive ways, live short-sighted, live greedy as well as self-centered, engage inward wishful thinking, allow their egos larn inward the way, live self-deceptive, as well as thence on. I’ve spent the past times xl years studying human nature as well as almost ii decades treating psychological disturbance, thence I know much on the topic. Anyway, you’re right: Humanity is never going to live “tidy” (that would direct maintain volume enlightenment as well as major social evolution).
Point 3) He wrote that: "[I seem to condemn] the American Capitalist model equally about villain passing judgment on us…It is, subsequently all exactly a modified economical extension of natural selection, a procedure that does a fine undertaking improving the species.”
[My reply] Well, I’ve never said that whatsoever model tin live villainous our overstep judgment; only people tin human action inward ways defined equally “villainous” as well as overstep judgment on others. But the American Capitalist model does comprehend rules as well as processes that enable people to claim sure groups to live to a greater extent than worthy of expert healthcare than other groups based alone on one’s stuff wealth. I exercise direct maintain a work amongst that.
As far equally natural option goes, I direct maintain number amongst your claim that our modified economical extension of natural option has been improving our species. After all, our species is equally messed upwardly equally ever and, amongst all the negatives inward the basis today (from global warming to religious warfare to political corruption to the concentration of wealth), nosotros are doing a misfortunate undertaking inward converting them to positives.
What it has assist improve, however, is the character of life for many people, which is good, fifty-fifty though the grade of improvement is increasingly lopsided inward favor of the wealthy as well as against the middle class, but that’s about other issue.
Point 4) He wrote: “I'm non interested inward living inward a mud hut thence I tin afford to pay my taxation neb to back upwardly universal wellness care.”
[My reply] Neither am I. Although I don’t direct maintain the agency to exercise the actual inquiry as well as number crunching, it seems to me that reducing waste matter inward our healthcare organisation past times delivering high-value aid consistently, past times focusing on prevention as well as effective self-maintenance, as well as past times minimizing unnecessary administrative overhead, equally good equally past times reducing waste matter as well as (legal as well as illegal) corruption inward authorities as well as reallocating our national resources, thence nosotros could pay for universal healthcare without increasing taxes.
BTW, I exercise recollect a organisation such equally QALY should live instituted equally a agency of controlling costs, as well as that nosotros should focus to a greater extent than on developing to a greater extent than effective as well as efficient ways to
He thence wrote:
It appears you lot back upwardly a socialist economic scheme inward general, since "the American Capitalist model" equally good passes sentence regarding housing, education, clothing, nutrient as well as drink, etc. In a Marxist "Shangrila", what motive would the species direct maintain for improving their condition. Without struggle, at that topographic point is no advance. What motive for anyone to excel at anything, when the wealth they earn is confiscated "for Blue Planet good" as well as those without ambition, industry, or moral conscience, are considered deserving of their share.
The beauty of a gratis marketplace organisation is that if you lot direct maintain no worth to society, you lot are straightaway made aware of it past times your poverty, as well as thereby motivated to prepare about worth. I detect aught shameful virtually it. The poorest amid us are living longer, healthier, wealthier lives than nosotros direct maintain inward whatsoever other menses inward human history. While at that topographic point are those few that are unable, through no error of their own, personal charity is the moral solution. The work beingness the gov't has usurped this real human utilization amongst their handouts as well as ridiculous taxes. They direct maintain stolen our humanity, as well as used it to purchase votes.
If nosotros are going to utilization a totalitarian method, let's cap the earnings of everyone inward the medical profession at virtually twice the median income. That would live exactly equally fair equally socializing wellness aid (and may live ane of the halt results).
I applaud your altruism. I am afraid, however, that your lofty goals would require equally much bureaucracy equally nosotros direct maintain now, maybe more. The only way to convey waste, inefficiency, fraud, greed etc. nether control, is amongst gratis marketplace forces. The corruption inward an unconstitutional gov't is the biggest hindrance nosotros direct maintain inward reaping the rewards of a truthful gratis market. They are no to a greater extent than probable to give upwardly their mightiness to socialism.
…I am a individual of moral conscience, as well as direct maintain no want to burden my countrymen amongst my problems.
The EARNING of wealth is the mensurate of our worth to society. If you lot direct maintain value to society, someone volition pay you lot for it (without the gov't putting a gun to their head).
And I responded:
According to Baumal, Litan as well as Schramm’s novel book, “Good Capitalism, Bad Capitalism,” the Capitalistic model, inward full general terms, is an economic scheme inward which a substantial proportion of its agency of production (farms, factories, etc.) are inward individual hands rather than owned as well as operated past times the govt. They fence that the best variety of Capitalism fosters “smart economical growth” through the correct combination of modest society entrepreneurial (technological) conception as well as big- theatre marketplace capabilities, without restrictions on gratis trade, brings virtually a higher touchstone of living for exactly virtually everyone inward that country. I’m for certain non at all opposed to this. On the other hand, at that topographic point is “state-guided” Capitalism, inward which authorities tries to guide the marketplace past times supporting detail industries it expects to live winners, as well as “oligarchic” Capitalism, inward which most mightiness as well as wealth are held past times a modest grouping of people. There are pros as well as cons to each form, but the start ii are the best way for Capitalism to serve the greater good, as well as American Capitalism has that potential. But what’s needed to sustain it, they contend, is iii preconditions: (1) Adequate incentives for productive entrepreneurship, (2) disincentives for unproductive entrepreneurship, as well as (3) continued rivalry amid as well as conception past times large firms. All this require authorities regulation, but that’s non socialism.
What seems to live happening is that American Capitalism is becoming oligarchic past times virtue of non having genuinely gratis democratic markets.
Although Baumal, et al. say aught virtually “free markets,” Frances Moore Lappe, inward her book, “Democracy’s Edge,” argues that at that topographic point is no gratis market. She writes: “In complex societies similar ours, markets that operate to create wealth for all are the production of democratic governments. The marketplace depends on genuinely example government—the obvious indicate that is lost on those who meet the marketplace as well as authorities inward eternal battle. Also …we’ve been taught that there’s only ane way [or organize a market]: Make concern decisions using a unmarried criterion—maximum homecoming to shareholders. So every determination returns wealth to people who already direct maintain it. … [No wonder] the richest 1 pct of American households at nowadays command to a greater extent than wealth than the bottom 95 pct combined. … We’ve been made to believe that this game of concentration…’is substitution to the success of capitalism because it weeds out the weak as well as allows the fittest to last … [but what] it really does exercise goodness is a pick out few who know how to play this novel game spell it threatens almost everyone else.’” (pgs 63-64).
Now I don’t claim to live an economist, I don’t promote a “totalitarian method,” as well as I never idea of myself equally a socialist; but it seems to me that our authorities has an of import utilization to play if our shape of capitalism is to exercise goodness the masses …and it is failing miserably. I’d rather meet a authorities bureaucracy assure healthcare for all, than assuring the continued concentration of wealth.
If our authorities begins to pass coin wisely as well as without corruption; if it implements policies to command waste, inefficiency, fraud, greed etc.; as well as if people were charged for healthcare based on their mightiness to pay … I believe nosotros could back upwardly universal healthcare without the taxation increases you lot fear.
In many ways, nosotros really seem to live inward agreement.
My work amongst defining human worth inward monetary damage is a philosophical/psychological issue, equally good equally a moral one. If misfortunate people direct maintain no worth to society, equally you lot say, thence exercise they direct maintain whatsoever worth … or are they exactly worthless nothings who ameliorate larn motivated to locomote worthy past times making expert money, or else popular off of untreated disease because their poverty brand them undeserving of the aid received past times people amongst fiscal means? Lack of wealth ought non brand someone undeserving of the essentials of life (food, water, shelter, education, healthcare, opportunity, etc.).
Click hither for business office four inward this series.
Following I acquaint his initial points as well as give my replies.
Point 1) He wrote: “Our value to our gild is measured past times our wage.” In other words, the value of a human being—the essential/basic/inherent worth of a person—according to the American Capitalist model, is measured past times how much coin ane makes/has.
[My reply] Yes, this is a shameful reality of our society. The to a greater extent than wealth you lot have, the to a greater extent than “worthy” you lot are considered as well as the to a greater extent than “valuable” a individual you lot are. That’s crap! The wealth you lot have, the to a greater extent than you lot tin purchase … PERIOD! It has aught to exercise amongst your inherent worthiness or human value. In fact, human worthiness as well as value are exactly concepts; at that topographic point are no such things. Even the concept of “deservingness” is made up.
Yes, at that topographic point is such a thing equally “buying power,” but the inquiry is whether it should apply to the delivery of essential healthcare. One’s sentiment on this matter, I suggest, depends on one’s wealth. People who tin afford first-class insurance as well as concealment out-of-pocket costs would say they deserve (are worthy of) ameliorate healthcare than a homeless person. That’s because our Capitalistic organisation promotes such an irrational belief. The reality is that they tin afford ameliorate aid only because that’s the way our economical organisation operates. But if they direct maintain a fiscal catastrophe, they volition live reduced to the realm of the unworthy … the undeserving … and, I bet, volition of a abrupt alter their perspective on who should direct maintain access to expert care.
That agency everyone, no affair how much coin as well as possessions ane has, is worthy of the best possible healthcare.
Point 2) He wrote: “My friend, you lot direct maintain a serious psychological work amongst the ordinary full general sloppiness of human existence. Saint that you lot are, you lot are never going to arrive tidy. People are exactly messy.”
[My reply] While I never claimed to live a saint, I exercise endeavour to recollect as well as human action wisely, although I’m non ever successful. Being human, I realize that I, similar everyone else, am a fallible fauna amongst all sorts of weakness I must recognize as well as bargain amongst inward monastic enjoin to prepare my potential. So, yes, humanity is “sloppy,” people tend to recollect irrationally as well as overreact emotionally, seek pleasance as well as escape from life’s pains/frustrations inward self-destructive ways, live short-sighted, live greedy as well as self-centered, engage inward wishful thinking, allow their egos larn inward the way, live self-deceptive, as well as thence on. I’ve spent the past times xl years studying human nature as well as almost ii decades treating psychological disturbance, thence I know much on the topic. Anyway, you’re right: Humanity is never going to live “tidy” (that would direct maintain volume enlightenment as well as major social evolution).
Point 3) He wrote that: "[I seem to condemn] the American Capitalist model equally about villain passing judgment on us…It is, subsequently all exactly a modified economical extension of natural selection, a procedure that does a fine undertaking improving the species.”
[My reply] Well, I’ve never said that whatsoever model tin live villainous our overstep judgment; only people tin human action inward ways defined equally “villainous” as well as overstep judgment on others. But the American Capitalist model does comprehend rules as well as processes that enable people to claim sure groups to live to a greater extent than worthy of expert healthcare than other groups based alone on one’s stuff wealth. I exercise direct maintain a work amongst that.
As far equally natural option goes, I direct maintain number amongst your claim that our modified economical extension of natural option has been improving our species. After all, our species is equally messed upwardly equally ever and, amongst all the negatives inward the basis today (from global warming to religious warfare to political corruption to the concentration of wealth), nosotros are doing a misfortunate undertaking inward converting them to positives.
What it has assist improve, however, is the character of life for many people, which is good, fifty-fifty though the grade of improvement is increasingly lopsided inward favor of the wealthy as well as against the middle class, but that’s about other issue.
Point 4) He wrote: “I'm non interested inward living inward a mud hut thence I tin afford to pay my taxation neb to back upwardly universal wellness care.”
[My reply] Neither am I. Although I don’t direct maintain the agency to exercise the actual inquiry as well as number crunching, it seems to me that reducing waste matter inward our healthcare organisation past times delivering high-value aid consistently, past times focusing on prevention as well as effective self-maintenance, as well as past times minimizing unnecessary administrative overhead, equally good equally past times reducing waste matter as well as (legal as well as illegal) corruption inward authorities as well as reallocating our national resources, thence nosotros could pay for universal healthcare without increasing taxes.
BTW, I exercise recollect a organisation such equally QALY should live instituted equally a agency of controlling costs, as well as that nosotros should focus to a greater extent than on developing to a greater extent than effective as well as efficient ways to
He thence wrote:
It appears you lot back upwardly a socialist economic scheme inward general, since "the American Capitalist model" equally good passes sentence regarding housing, education, clothing, nutrient as well as drink, etc. In a Marxist "Shangrila", what motive would the species direct maintain for improving their condition. Without struggle, at that topographic point is no advance. What motive for anyone to excel at anything, when the wealth they earn is confiscated "for Blue Planet good" as well as those without ambition, industry, or moral conscience, are considered deserving of their share.
The beauty of a gratis marketplace organisation is that if you lot direct maintain no worth to society, you lot are straightaway made aware of it past times your poverty, as well as thereby motivated to prepare about worth. I detect aught shameful virtually it. The poorest amid us are living longer, healthier, wealthier lives than nosotros direct maintain inward whatsoever other menses inward human history. While at that topographic point are those few that are unable, through no error of their own, personal charity is the moral solution. The work beingness the gov't has usurped this real human utilization amongst their handouts as well as ridiculous taxes. They direct maintain stolen our humanity, as well as used it to purchase votes.
If nosotros are going to utilization a totalitarian method, let's cap the earnings of everyone inward the medical profession at virtually twice the median income. That would live exactly equally fair equally socializing wellness aid (and may live ane of the halt results).
I applaud your altruism. I am afraid, however, that your lofty goals would require equally much bureaucracy equally nosotros direct maintain now, maybe more. The only way to convey waste, inefficiency, fraud, greed etc. nether control, is amongst gratis marketplace forces. The corruption inward an unconstitutional gov't is the biggest hindrance nosotros direct maintain inward reaping the rewards of a truthful gratis market. They are no to a greater extent than probable to give upwardly their mightiness to socialism.
…I am a individual of moral conscience, as well as direct maintain no want to burden my countrymen amongst my problems.
The EARNING of wealth is the mensurate of our worth to society. If you lot direct maintain value to society, someone volition pay you lot for it (without the gov't putting a gun to their head).
And I responded:
According to Baumal, Litan as well as Schramm’s novel book, “Good Capitalism, Bad Capitalism,” the Capitalistic model, inward full general terms, is an economic scheme inward which a substantial proportion of its agency of production (farms, factories, etc.) are inward individual hands rather than owned as well as operated past times the govt. They fence that the best variety of Capitalism fosters “smart economical growth” through the correct combination of modest society entrepreneurial (technological) conception as well as big- theatre marketplace capabilities, without restrictions on gratis trade, brings virtually a higher touchstone of living for exactly virtually everyone inward that country. I’m for certain non at all opposed to this. On the other hand, at that topographic point is “state-guided” Capitalism, inward which authorities tries to guide the marketplace past times supporting detail industries it expects to live winners, as well as “oligarchic” Capitalism, inward which most mightiness as well as wealth are held past times a modest grouping of people. There are pros as well as cons to each form, but the start ii are the best way for Capitalism to serve the greater good, as well as American Capitalism has that potential. But what’s needed to sustain it, they contend, is iii preconditions: (1) Adequate incentives for productive entrepreneurship, (2) disincentives for unproductive entrepreneurship, as well as (3) continued rivalry amid as well as conception past times large firms. All this require authorities regulation, but that’s non socialism.
What seems to live happening is that American Capitalism is becoming oligarchic past times virtue of non having genuinely gratis democratic markets.
Although Baumal, et al. say aught virtually “free markets,” Frances Moore Lappe, inward her book, “Democracy’s Edge,” argues that at that topographic point is no gratis market. She writes: “In complex societies similar ours, markets that operate to create wealth for all are the production of democratic governments. The marketplace depends on genuinely example government—the obvious indicate that is lost on those who meet the marketplace as well as authorities inward eternal battle. Also …we’ve been taught that there’s only ane way [or organize a market]: Make concern decisions using a unmarried criterion—maximum homecoming to shareholders. So every determination returns wealth to people who already direct maintain it. … [No wonder] the richest 1 pct of American households at nowadays command to a greater extent than wealth than the bottom 95 pct combined. … We’ve been made to believe that this game of concentration…’is substitution to the success of capitalism because it weeds out the weak as well as allows the fittest to last … [but what] it really does exercise goodness is a pick out few who know how to play this novel game spell it threatens almost everyone else.’” (pgs 63-64).
Now I don’t claim to live an economist, I don’t promote a “totalitarian method,” as well as I never idea of myself equally a socialist; but it seems to me that our authorities has an of import utilization to play if our shape of capitalism is to exercise goodness the masses …and it is failing miserably. I’d rather meet a authorities bureaucracy assure healthcare for all, than assuring the continued concentration of wealth.
If our authorities begins to pass coin wisely as well as without corruption; if it implements policies to command waste, inefficiency, fraud, greed etc.; as well as if people were charged for healthcare based on their mightiness to pay … I believe nosotros could back upwardly universal healthcare without the taxation increases you lot fear.
In many ways, nosotros really seem to live inward agreement.
My work amongst defining human worth inward monetary damage is a philosophical/psychological issue, equally good equally a moral one. If misfortunate people direct maintain no worth to society, equally you lot say, thence exercise they direct maintain whatsoever worth … or are they exactly worthless nothings who ameliorate larn motivated to locomote worthy past times making expert money, or else popular off of untreated disease because their poverty brand them undeserving of the aid received past times people amongst fiscal means? Lack of wealth ought non brand someone undeserving of the essentials of life (food, water, shelter, education, healthcare, opportunity, etc.).
Click hither for business office four inward this series.
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