Drinky Crow said:
Loki, *government* can be (and is) exploited. Should we not pay for THAT, either? Or are you going to rebut with "well, that's not to say I'm *for* anarchy, but I do find the concept of government ethically reprehensible and I won't support it"?
I don't find your "ethical" oppositions tp socialized healthcare particularly compelling, and in fact I find them terribly contradictory.
What I elaborated upon in my initial post were not my "ethical objections" to socialized medicine, but rather were
some of my "reasons for 'hating' on socialized health care" (which is the quote of Azih's that I responded to when I said that "I had articulated my reasons for disagreeing with it, including above"; see my post); the "ethical dilemmas" I alluded to in my initial post were not made explicit beyond the broad concept of "the interests of the payor" conflicting with "the interests of the patient" (though it is this very concept which much of my ethical disagreement stems from). I will explain my reasoning (re: ethical objections) more thoroughly as I respond to Azih...
Your analogy, though somewhat relevant, is flawed in that the institution of government is necessary for the maintenance of a civilized society; nationalized provision of health care is not, no matter how some would paint it. Further, allow me to just say that "forewarned is forearmed" in this instance; that is, if we know beforehand that there will be vast exploitation and waste, and that absolutely
nothing will be done to curtail such abuses (no action of my government in the last few decades
in any sphere would cause me to believe otherwise, to be quite frank), then we would be remiss in not seeking an
equally viable alternative that minimized this potential exploitation, avoided the other pitfalls of socialized systems (discussed below), and gelled better with our prevailing sentiment in the social and economic spheres, would we not? One should not expand the dominion of government willy-nilly, nor blithely cast aside the potential for abuse should it be shown that these cases would, in large part, work against the solvency and ultimately the efficacy of the system, undermining one of its very purposes (viz. to lower costs).
Azih:
First, allow me to state that if you're going to call me out for "hating on" something, you had better be sure that you've taken the time to read what I've written (no, I don't care how long it is-- don't comment, then
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). First, you stated this:
Azih said:
Bah Loki you keep on hating on socialised healthcare but you never really articulate the reason why.
Despite the fact that in my post, I
first stated the following:
Loki said:
Personally, I don't think that any of the three commonly proffered systems (socialized medicine, "managed care" such as in the US, or "free market" medicine) are "the best possible system" for various reasons, so don't take this post as a bash on socialized systems and an implicit endorsement of the US' policy, because it's not.
Now, in light of this fact, it can reasonably be assumed that either
A) you can't read, or
B) you feel that any sort of ideological disagreement with socialized systems, however well-founded, is bullshit, since you feel socialized medicine to be the "best of all possible worlds". The only other option, "C", is that this was one of the lines you skipped over as you were "skimming" my post (since apparently it's not important enough to read fully, yet despite this you saw nothing improper about taking me to task on it-- something to think about for the future
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), and you therefore didn't realize that I wasn't "hating on" socialized medicine.
Since I know very well that you can read, we're left with "B" and "C". If "B", then you're basically an totalitarian ideologue who can brook no dissent when it comes to this issue; while that's your prerogative, please realize that it's incredibly closed-minded and ultimately counterproductive in terms of advancing the discourse. To be unable to admit that there are any flaws in your system is, to be frank, silly-- just as it would be silly for an American to sit around and say that there's nothing wrong with
ours. Serious issues plague both systems. Now, you may very well believe that socialized medicine is the best
possible system, all things considered (just as I feel that there is a different system that would be best); this, too, is your prerogative, and I would be perfectly willing to listen to your reasoning, just as I hope you're willing to listen to mine. Ultimately, however, it comes down to something of a balancing act, since injustices and inefficiencies inhere in all possible systems (socialized, managed care, free market etc.)-- what we should attempt to do, insofar as possible, is to minimize these injustices and inefficiencies rather than just shift them to different sectors or allow them to interfere with the provision of high quality medical services.
If "C" (that is, you didn't read the line of mine that I quoted), then just say so and we'll leave it at that. I'm not looking to bicker.
Now, as for your (and Doug's) queries re: ethical issues:
First off, let me make it clear that the ethical issues I am referring to largely stem from the third-party payor system
in general as opposed to socialized medicine in particular. The current "managed care" paradigm in the US forces people into many of these same predicaments-- issues which we see play out before us every day. Be the payor a private insurance company concerned with minimizing costs and maximizing profits, or a government entity concerned with staying under budget (rather than making a profit), it is an inevitability that the interests of the patient and the interests of this third-party will conflict at times, and this conflict will and
does lead to constraints on care. I can dredge up literally
hundreds of articles from Canadian and European periodicals (note: from their
own country's publications, not from American publications looking to slight socialized medicine) regarding these issues and how they play themselves out-- often with tragic results-- in these nations daily. It's commonly called "rationing", and occurs in every socialized system in the world, some more than others (which is dependent upon various factors: tax base/rates, age/health of the population etc.).
This even happens, to a much more limited extent, in the United States. Surely some of you have heard horror stories of someone under an insurance plan for many years, and then that insurance plan reneged on their obligation to pay for some expensive therapy/drug regimen (say, chemotherapy, or a transplant, or a schedule of AIDS medication etc.). I know
I've heard of these things occurring in the US, and I've heard of it occurring much more frequently in countries
other than the US. This is not to say that such rationing is "prevalent" in these nations (i.e., that it occurs in a majority of cases), but it is
without question more prevalent in socialized nations than it is here in the states.
The simple fact of the matter is this: to the extent that third parties (again, be it gov't or insurance companies) are involved in the health care process, in
any system, so will rationing be proportional to the level of their involvement. Make no mistake about it, this is an
ethical dilemma, and it was unprecedented in history prior to the socialization of medicine in Russia in the early 20th century (and it continues in socialized systems today, though not with the same horrible results, obviously; it also occurs in the US to a more limited, yet perceivable, extent, as noted). The physician-patient relationship was sacrosanct, and for good reason; this ensured the highest quality care with a minimum of inducements to unethical behavior.
For example, nowadays an HMO exec may say to their salaried physicians: "see 700 patients this month or we'll withhold a percentage of your pay"-- never mind the fact that this then causes the physician to rush through visits and not take the proper time with each patient (forget bout developing any sort of rapport with them), leading to both potentially worse health outcomes as well as patient dissatisfaction with the medical system, which is increasingly common; another example would be an insurance company telling a private practice physician that he may only prescribe drugs on their company's formulary to members of their plan if he wants to get reimbursed for the visit. This often leaves physicians up againt a wall, since they realize that their patients will not be able to afford the drug that their expertise deems necessary and so they'll often settle for a less than ideal substitute due to the whims and interests of the payor as opposed to the patient, who would clearly want the most effective drug available for their particular situation. Or perhaps a doctor feels an imaging test is necessary, but has to wrangle with the insurance company to get it covered (physicians spend an inordinate amount of time that should be spent on patient care and continuing education on the phone with HS grad insurance reps who read prompts from a computer screen making sure the doctor covered all the insurance-mandated bases while he was practicing medicine-- is this not ridiculous in and of itself?); speak to any physician in the nation and they'll relate to you similar stories-- I'm not making this stuff up. There are literally
dozens of such examples I could cite, but this should suffice to show how such things play themselves out in the real world.
The interests of the patient should, ideally, be preeminent; they currently are not, however, in far too many instances. It is
these sorts of situations that I vehemently disagree with and would try to minimize as far as possible. And believe it or not, the
only way you can ameliorate this situation to any appreciable extent is to
remove third parties from the system as far as possible-- to marginalize them except for "catastrophic" incidents which are beyond one's ability to pay-- and to extricate providers from the constraints imposed by these third parties;
not to enlarge their sphere of involvement, as this would only exacerbate the problem. It's not a coincidence that self-reported patient satisfaction with medical care in the United States was at an all-time high
prior to the insurance companies and managed care plans making their inroads, and has been dipping ever since. Catastrophic coverage was the dominant paradigm during that era as well, also not coincidentally. Note also that when I speak of "catastrophic incidents", I am not using the phrase as commonly conceived, but rather referring to costs that go beyond one's reasonable ability to pay as defined by income bracket (see my "plan" linked to below for elaboration).
The following commentaries do a good job of further elucidating these ethical issues:
Have doctors forsaken their ethics?
An interesting psychological/metaphorical take on the situation
A general look at socialized control
What is lost in all this discussion is that these ethical issues affect both patients
and providers. Our own family doctor told my father of his dismay when, after fighting with the insurance company for several days, they refused to permit him to get surgery when he tore his rotator cuff (not severely, but it was, and still is, torn). They said to first get physical therapy, despite the fact that this would take much longer and might perhaps be of negligible benefit; further, he could reinjure it at any point due to the demands of his job. So he went for therapy, and it helped. Somewhere along the line while compensating for the first injury, he slightly tore his OTHER rotator cuff, and now has limited range of movement with both arms (can't lift them a certain way above shoulder-level), even with months of physical therapy. Our doctor was quite torn up (no pun intended) over it, and you could tell that it weighed on his mind. Why should physicians-- people who desire to see their patients made whole again-- have to suffer these situations constantly? The doctor knows what's best for the patient, yet based on the reticence of the proxy to pay for it he may not be able to implement the desired remedies. The insurance company (or other third party)-- a faceless, disembodied entity-- suffers no ill effects from such denial of necessary care; physicians, the ones who've actually cared for, developed a rapport with, stood by, and championed the interests of their patients over the years,
do suffer ill effects, and it is draining. Go talk to any doctor and he'll tell you these same things.
Some Canada-specific critique (and some more discussion of the ethical/financial dilemmas inherent in these systems) is discussed by a Canadian think-tank here:
Top 10 myths about Canadian Medicare
My point in posting the above is not to get into some protracted palaver about this-or-that point of fact. It is simply to show you that your system is
not perfect; since it is not perfect, I am well within my rights to criticize it, just as I criticize the American system. I can cite literally
hundreds of articles and analyses from
Canadian periodicals and medical journals lamenting these very same issues within the Canadian system; ditto for European nations. But my aim in posting is not to bombard you with information that is readily available to anyone who's interested (indeed, if you truly have never been exposed to the problems with socialized systems, then it tells me that you haven't at all looked at the literature and reports from people
in your own country), but rather simply point out that I do not feel that a socialized system is perfect, nor do I believe it to be the best possible system (i.e., one which minimizes the ethical and financial concerns noted). This is
all I said, yet you're acting as if I lambasted socialized medicine to the exclusion of the American system; this is not so-- I've stated my distaste for
both systems, yet obviously this wasn't enough for you. You obviously cannot handle
any sort of criticism of socialized systems, no matter how well-supported that criticism is; this, I cannot agree with.
Now, the ethical issues I have with socialized systems do not solely revolve around patient-side issues, nor around the physician-patient relationship (though these two concerns are paramount). It also has to do with the fact that I find it
unethical that physicians (or anyone, at any time) are not paid via the traditional customer-provider interaction that holds in
every other sphere (i.e., "fee for service"). Now, to delve into the basis for my beliefs in this area (i.e., how compensation, bartering, and even the concept of "work" is related to the ethics and, indeed, the very constitution of civilized society) would take quite a long time-- time that I don't have (believe it or not
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). Suffice it to say that I have never heard a
single cogent philosophical argument as to why we should set one class of people apart (physicians and health care workers) and remove them from traditional social economic interaction. The
only thing which could support this-- and this is what is commonly proffered-- is the belief that the "greater good" outweighs the economic injustice inflicted upon this relatively small segment of society (i.e., providers).
And let us be clear that there
is economic injustice being perpetrated via price controls in socialized systems. Canada happens to have the
most adequate compensation for health care workers, with physicians typically earning $85-95K USD (specialists such as neurosurgeons earn ~$150-180K USD), and this is to its credit (even though it, too, is wholly inadequate imo). From there, compensation declines when one looks at the European nations; the typical physician income among socialized nations ranges (in $USD) from $55K to ~$90K (Canada). In France, nearly a third of the neurosurgeons in the country went on strike a few years back because postal workers were earning as much as they were (I'm not making this up). Think about that for a moment and tell me whether you'd call that "just", or "fair". As an American, I have strong ingrained (yet examined) notions of capitalism and the idea that pay should reflect one's knowledge, expertise, and value (i.e., a meritocracy, which America has largely moved away from in favor of a "risk-reward" paradigm, but I digress). I cannot conceive of a cardiothoracic surgeon earning $160K when my cousin, a man with a two-year MBA and no other obligations after he comes home each day at 5:30, makes $190K at age 29. It's just not something I agree with philosophically, and
nothing will ever change that; nothing you can toss out, like cutting the costs of medical education, limiting liability etc. will change the fact that the cost of living and wage scale in the US is
entirely different from that in other nations, and since we're not going to change our
entire society (say, by flattening out the income scale from the top down, or by drastically lowering the cost of living and raising a family etc.), I cannot in good faith get behind an initiative which will deprive one segment of society (indeed, possibly the most deserving sector based on expertise, the rigors of the job/training, and dedication) from the fruits of their labor in the same fashion as holds for every other professional in the country.
This, I cannot agree with philosophically. Realize also that though I myself have invoked "greater good" arguments in the past as regards social improvement, the difference is that in this instance I honestly do not feel, after having examined all the pertinent issues, that we cannot achieve
that same measure of good through less stringent and drastic measures than by implementing a socialized system. Anyone who thinks that I'm arguing for the status quo here is
sorely mistaken-- I have as many issues with the current American system as I do with socialized medicine (some are similar, such as the proxy-payor system which creates ethical dilemmas for providers and detaches patients from the costs of medical care, thus spurring overconsumption, and some of which is unique to the American system, such as certain access to care issues, e.g., the uninsured; our system is also woefully inefficient in terms of bureaucracy, as it's a haphazard melange of socialism, privatized insurance, and fee for service). The good of socialized systems lies in their inherent humanity, which leads to universal access (which is certainly something I respect, and which would obtain under my "best possible" system); the good of our system lies in its greater conformity to human nature and the nature of civilized societies, and the fact that our semi-privatized system allows money to flow into the system, leading to more frequent medical advancements in both technology and drugs.
As with so many things in life, I feel that the best possible solution lies somewhere in between these two systems, in attempting to retain the best qualities of each while eliminating, inasmuch as possible, their respective deficiencies; I don't see why I should be derided for at least
honestly seeking such a system given the issues discussed herein (and the troubling issues that are quite visible in our own system as well) as well as the fact that there is
no such discussion of possible alternative systems taking place on the national stage beyond the commonly discussed socialized medicine, free market medicine, or the continuance of our managed care paradigm (all of which have issues, as I've shown). Why should Americans
not seek a system that is more in keeping with our capitalistic, meritocratic ethos while emulating the best qualities of socialized care and preserving the best qualities of our current system? Why should we
not seek a system where we can balance our humanity with economic reality?
I feel that it is a discussion whose time has come, yet such honest searching gets short shrift in the media and amongst our political leaders. And just so you know, the only reason that I speak out against socialized medicine explicitly more than I do our current system as of late (though I have spoken out against
both quite consistently over the years), it's because in the past year or so the proponents of socialized medicine have been much more aggressive in their clamoring for it, and interject discussion of health care into any conversation (witness this thread, for instance, which was not explicitly concerned with health care; invariably, someone has to beat the drum for socialism as though it's a panacea). If someone walked into every thread extolling the virtues of American medicine (and yes, such virtues exist) and mocking socialized medicine, I'd just as soon take them to taask for
their myopia, and
their inability (or unwillingness) to see the shortcomings of our system, which are myriad. But that never happens; I attribute this to both the general political makeup of the board (which leans somewhat left; no, I won't take a poll to corroborate this-- I think we can agree on this
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) as well as the fact that many people hail from Canada/Europe and have been raised under socialized systems their entire lives; such conditions lead to a lack of scrutiny until one experiences the deficiencies of the system for oneself (and given that the demographics of the board skew young, we're likely relatively healthy), or until one has taken an honest look at the various issues-- both financial and philosophical-- that are intimately tied up with these things; to this end, my discussion herein has been but a primer. Anyone who cares to examine these things more thoroughly is encouraged to do so, as I believe a better way is possible.
Note that it is not my intention to label anyone, or deride anyone for their beliefs. All I stated is my disagreement with a
system, not a person-- not you, Doug, or anyone else. I believe that all decent people largely desire the same ends-- we just disagree on how to get there based on our own knowledge, experiences, and thought processes; there's nothing wrong with this.
Note also that I have
entirely avoided a discussion of the financial issues with socialized medicine, many of which are beginning to manifest themselves in Canada and Europe (witness your nation's recent squabbles over whether to increase funding to your health care plan, to say nothing of intra-province dilemmas regarding this). As the
finite resources (money, doctors, nurses, hospital beds, drugs etc.) dwindle, the population ages and becomes increasingly demanding (demand cannot wane when people are detached from the costs of consumption), and health care consumes an ever-increasing percentage of the national budget (European nations are struggling with this issue-- particularly Sweden, iirc, though don't quote me), governments are rationing care to an even
greater degree as well as attempting to introduce free market aspects to their systems with little success. Once people get on the government tit, it is
extremely difficult to wean them off of it. Government expands-- it seldom contracts; this is yet another reason why no such radical shifts should be undertaken without a
thorough examination of all the relevant issues, which I feel has not occurred. Hell, here in the US, people often become indignant over having to pay a
$10 co-pay for a doctor visit. :lol And these are people who, by and large, can
more than afford to pay for the entire visit out of pocket, and who spend > $100 per week on luxuries. Talk about "being detached from costs"...
The larger point that I'd like to drive home is that third party proxy systems, be they socialized or privatized via insurance companies, are
broken and unethical; it is the third-party payor system
itself that is irremediable, as its problems are inherent in the nature of the beast. Insurance companies seek to maximize profit, reimbursing physicians and hospitals literally pennies on the dollar, denying necessary care in many instances due to cost considerations while they reap record profits and their execs live like kings; government does not seek profit but rather looks to contain costs at any expense through rationing. Choose your poison. As an example, my family physician does not offer flu shots for "free" any longer unless the patient pays $10 or so, which covers his
cost (not profit, "cost") for the shots. Apparently the insurance company was reimbursing him at
less than cost for the shots, and expecting him to eat the difference; when you consider that his practice consists of over a thousand patients, it adds up. These sorts of things happen
every day, and immense injustice is being done to providers of all sorts as a result of third parties who are seeking their share of profits off of services that
they did not provide. How is this ethical? How is it proper? Do you think that any other professional would permit this to occur?
Next time you go to your accountant, try to tell him that you won't pay his expected fee, but that your "friend" will pay him 20-50% of that, and see how he reacts. There is a very good reason why such systems do not exist in
any other sphere; the only thing that could mitigate such injustices (as well as the other injustices discussed) would be "the greater good"-- yet since I feel that that "greater good" can be had via a different (and overall better) route, I am under
no obligation to sanction such behavior, and in fact will always speak out against it in the clearest possible terms. Don't like it? Tough noogies.
Fact: Rochester, Minnesota (population: ~20,000) has more MRI machines than all of Canada (population: ~30 million). Scheduling imaging tests (MRI, CT scans etc.) takes days here, not months as is frequently the case in Canada.
Fact: nearly 25% of Canadian physicians spend a significant portion of their year (say, 2-3 months) in the United States practicing medicine, since they have no incentive to see people for "free" after they have met their patient quota mandated by the province; this contributes to the dearth of physicians (primarily in primary care) in Canada at any given point in time.
Fact: nearly one-third (30%) of Canadians polled did not have regular access to a primary care physician, and felt that they had lacked care at some point within the past year when they felt they genuinely needed it (see above).
Again, I do not post these facts to demonize Canada or socialized medicine, but to point out that it quite clearly
does have issues that would need to be addressed before we even consider implementing it here. Do you think an American is going to wait months for diagnostic tests, or half a year for a hip replacement or chemotherapy? Canadians are, by and large, a more temperate people than Americans, and this is laudable. Americans, however, want the best and they want it now; this is simply our sociocultural reality. Since that's unlikely to change (in fact, all signs in our culture at large point to it worsening), it would be foolhardy to jump into a system where rationing and substandard care is prevalent (or at least "more frequent" than it is here) without due consideration.
As an aside (if anyone's still reading
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), I would just like to point out that referencing health indices (infant mortality, life expectancy etc.) for America versus other nations is entirely misleading for various reasons; further, I can just as easily cite statistics that put America far ahead of every other nation on various health-related dimensions. For instance:
5 year survival rates - Colon Cancer
USA 60%
Germany 48%
France 45%
Denmark 38%
UK 36%
5 year survival rates - Breast Cancer
USA 82%
Germany 68%
France 72%
Denmark 69%
UK 63%
(source:
BBC News )
For further discussion of why certain health statistics are misleading when speaking of the US, see my posts in
this thread (notably post #70; my other posts therein speak to related issues as well). I will say no more on this topic other than to state once again that the commonly cited statistics are tied up in various social and systemic maladies that are seldom given an honest account when the raw numbers are invoked; towards that end, my post in the thread I linked to attempts to detail such thinking in a limited way and explain what some of these confounding variables are. While you're busy laughing at where the US ranks in life expectancy and infant mortality, consider as well:
Decay and the appalling quality of services is characteristic of not only barbarous Russia and other Eastern European nations, it is a direct result of the government monopoly on health care. In civilized England, for example, the waiting list for surgery is nearly 800,000 out of a population of 55 million. State of the art equipment is non-existent in most British hospitals. In England only 10 percent of the health-care spending is derived from private sources. Britain pioneered in developing kidney dialysis technology, and yet the country has one of the lowest dialysis rates in the world. The Brookings Institution (hardly a supporter of free markets) found 7,000 Britons in need of hip replacement, between 4,000 and 20,000 in need of coronary bypass surgery, and some 10,000 to 15,000 in need of cancer chemotherapy are denied medical attention in Britain each year.[11] Age discrimination is particularly apparent in all government-run or heavily regulated systems of health care. In Russia patients over 60 years are considered worthless parasites and those over 70 years are often denied even elementary forms of the health care. In the U.K., in the treatment of chronic kidney failure, those who were 55 years old were refused treatment at 35 percent of dialysis centers. At age 65, 45 percent at the centers were denied treatment, while patients 75 or older rarely received any medical attention at these centers. In Canada, the population is divided into three age groupsbelow 45; 45-65; and over 65, in terms of their access to health care. Needless to say, the first group, who could be called the active taxpayers, enjoy priority treatment.
Take note of these numbers; there are literally dozens more I could cite to support my case, but my name is not Mandark (hey bud, you got a cheap shot in on me, so now we're even
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). People can do the leg work on their own if they so desire. I have nothing to prove to anybody when I state that I have thoroughly examined these issues both qualitatively and quantitatively from all possible angles, and these are the conclusions I have arrived at. Anybody who wishes to depict me as some sort of monster just because I don't fully buy into the socialized rhetoric is deluding themselves. My heart beats the same as yours, and I have the same exact concerns that you all have. If after reading all this you can sit there with a straight face and tell me that my thinking on these matters is lacking in some way, in terms of its scope or rigor, then so be it-- there's nothing I could say to convince you otherwise.
Also please keep in mind that there are
numerous other ethical issues that I could elaborate upon with regards to the concept of socialized systems (e.g., the fact that others will ultimately bear the responsibility/consequences for one's freely chosen actions such as smoking, obesity, drug use etc.; the fact that there can possibly be encroachments upon personal liberties in the name of cost containment, cf.
this front-page thread; note that the particulars are insignificant, ultimately-- it's the fact that one has essentially ceded responsibility for payment for their own health to a third party that is at the heart of the matter). This is to say nothing of the financial issues of sustainability, upkeep of equipment and medical advancement etc. I could go on for days (oh yes, you know I could
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), but I'll spare you.
My only intention in making my initial post was to give a different perspective-- one that is
never heard on this board (and almost as rarely in the public discourse, which has become increasingly polarized); for this, I am assailed. For this, I am implicitly portrayed as "inhumane" despite the fact that under my ideal system no person would be denied care based on an inability to pay, and despite the fact that my compassion and humanity is clearly evident from other posts in other threads (as well as in this one). For merely giving my own considered opinions, and giving people a different take on things that they might not have considered, I'm called a "hater" (i.e., that I'm "hating on socialized medicine). I hope that anyone who was entertaining such ideas prior to reading this post has been disabused of such farcical notions and can appreciate my ideas for what they are: the result of examination and reflection; not the insubstantial caricatures that exponents of socialized medicine
would like to have you believe I must adhere to in order to not fully subscribe to the socialist
weltanschauung. Obviously, people are free to disagree with my reasoning, but please do not
A) tacitly assert that socialized systems have no problems, or
B) that my opinions on these matters are not well-considered. You only make yourselves look like ideologues, quite honestly; I've never taken anyone to task on this forum for mere dissent expressed civilly and sustained by adequate reasoning. You should grant me that same respect.
I can respect and recognize the thought and subtlety present in your arguments even when I vehemently disagree with you; can you appreciate the same in mine? Or do I have to go all the way to "your" side and say that I support something I
do not support (for good reason) in order to be afforded respect? I'm hoping it's the former...
Incidentally, I only make that last point (about respecting dissenting opinions) because of Azih's initial comments, which would lead one to believe that he either feels that socialized systems are perfect (in which case I could have no logical reason for opposing them) or believes that I'm not entitled to have arrived at a different conclusion than he did after examining the facts. Whatever the implication, it's just silly. People come to different conclusions in life, and that's all it comes down to. The most that we can ask of another is that they've considered divergent viewpoints honestly in arriving at their conclusions; to that end, I feel that this post stands as a testament to the fact that
I have. Like I said, anyone who thinks I haven't is free to believe so-- no skin off my back.
Believe it or not (and I'm sure you'll all believe it
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), I can say much more on these issues, as this has been but a cursory examination of many of the topics discussed despite the lengthiness of this post. And so I hope that we can leave it at this, because my aim in posting this was
not to get involved in a drawn out parley, but rather to offer some substantiation for my own thoughts, as was requested. Whether you agree or not is ultimately irrelevant (though duly noted)-- all I wanted to illustrate was that there
can be rational bases for disagreement with socialized systems, just as there are for disagreement with
our system; I believe I've been entirely consistent and reasonable in this regard. I've only said these things to make people think a bit, nothing more or less. I don't expect anyone to agree with me, particularly not in all the details.
Seriously-- don't quibble, just think on these things. I will not respond to any point-by-point dissection of this post (if that's even possible-- someone would have to be more of a masochist than I am
![Stick out tongue :p :p](data:image/gif;base64,R0lGODlhAQABAIAAAAAAAP///yH5BAEAAAAALAAAAAABAAEAAAIBRAA7)
), so forget it. If I've made one person think about even one of these issues in a slightly different way, then it will have been worth it imo.
Finally, for anyone whose eyes haven't put in for vacation time yet, you can see my full views on the "best possible system" (as well as related discussion on the reasons for our rising health care costs etc.) in
this thread, starting at post #26 and fleshed out throughout the remainder of the thread, most notably post #37 and the latter half of post #79. If anyone is interested (which I doubt, but I'll just throw it out there), they can PM me and I'll send them further justification as to why I feel that such a plan as I've proposed is the best possible system (viz., how it would address the issues of the uninsured, rising costs, beleaguered providers, and would serve to largely realign the interests of the payor and the patient).
I realize that I'm going to get the usual ribbing about the length of this post (I started classes today, so I figured I'd make one last substantial post as a "send-off" of sorts before things get heavy
![Smile :) :)](data:image/gif;base64,R0lGODlhAQABAIAAAAAAAP///yH5BAEAAAAALAAAAAABAAEAAAIBRAA7)
), and also the typically puerile mocking at Opa-Ages, where I will be lampooned as "mentally ill" for making a post of this length. In other words, ridiculed for
caring. I can assure you that I don't do this for my own enjoyment in any sense of the word, though that's likely to fall on deaf ears among the less mature and dimmer minds among us. Oh well,
c'est la vie, right?
Again, I am
not responding to any critique of this post, both because my aim wasn't debate but rather clarification (as requested) as well as the fact that I literally
cannot type any more (I mean, look at this shit
![Stick out tongue :p :p](data:image/gif;base64,R0lGODlhAQABAIAAAAAAAP///yH5BAEAAAAALAAAAAABAAEAAAIBRAA7)
). And yes, I'm well-aware of the fact that < 2 people (if that) will read this in its entirety.
It's been real.
![Smile :) :)](data:image/gif;base64,R0lGODlhAQABAIAAAAAAAP///yH5BAEAAAAALAAAAAABAAEAAAIBRAA7)