...right now it’s not easy for people to have your voices heard. In the physical neighborhood, you may not talk to your neighbor more than once or twice a year. You may have a neighborhood of people that you are emotionally connected to, but you don’t do any governing that way, exactly. And, so what if we started to organize at the neighborhood level so that…there was like economic activity based in the neighborhood going on and cultural activity, and this was coordinated on a citywide basis, so that if people had needs for daycare or they had needs for a nearby doctor or whatever and they weren’t there, [then] that could be coordinated.
Tuesday, January 19, 2010
Beyond Representative Democracy
Tuesday, November 17, 2009
Government Involvement in Health Care: Evidence of Adverse Effects
This paper examines government involvement in health care from both a theoretical and empirical standpoint. From a theoretical perspective, government involvement in health care matters may have an adverse impact on the quality of care. Numerous analyses of other sectors of the economy have found that both the quantity and quality of output suffers from public intervention and regulations. In particular, analysts use the postal system, local schools, rent control laws, and the pre-deregulated transportation sector as prime examples of areas in which government enterprise and regulations have inhibited efficiency….Moreover, Canadian policymakers have recently begun to question the desirability of their own health care delivery system….
Indeed, the theory of public choice…[and] the theory of government enterprise…and the theory of economic regulation…all suggest that more government involvement is very likely to have an adverse, rather than a beneficial, impact on the performance of the health care sector....
“The empirical results suggest that greater government involvement has no impact on infant mortality….Clearly, the results lend no support for the point of view that greater government involvement reduces mortality, at least not among infants....
“The results [also] fail to support the basic hypothesis that greater government financing leads to a lower level of health care spending.”
Our results raise serious doubt about the desirability of a national health care program in the United States. Evidently, government is unable to influence infant mortality or control total health care spending. But what about other roles for government in the health care sector? [Emphasis added.]
Perhaps government can indirectly improve the performance of the health care sector by creating an environment that allows the macroeconomy to function properly. Our results indicate that infant mortality is greatly influenced by higher levels of real GDP. The more favorable socioeconomic conditions associated with higher levels of income apparently lead to better health care outcomes. If so, ensuring macroeconomic growth is a good strategy for lowering infant mortality.
Alternatively [they suggested], from a microeconomic perspective, the government might encourage the allocation of inputs to the medical services industry. Our empirical study also finds that more abundant medical services cause infant mortality to decline by a substantial percentage. Certainly, the government should not adopt regulations that negatively affect the quantity and quality of medical inputs….
From a slightly different microeconomic perspective, the government can help foster better health through education. The results suggest that better educated populations are associated with lower infant mortality rates. Indeed, the recent campaign to wipe out illiteracy in the United States could, if successful, have a tremendous impact on infant mortality. Furthermore, local schools might devote more resources to health education.Of course, more studies are needed before any empirical generalizations can be made and policy implications can be safely drawn. Our suggestions for an appropriate government role are cautiously prescribed, and we eagerly await other opinions. Future studies should attempt to untangle the effects of government financing and production on the performance of the health care sector. Providing free access to private medical care, as does the Canadian health care system, may have an impact different from that of the national health care system of Great Britain, where production is nationalized. In our study, we were unable to separate and measure the differential impacts of these two kinds of health care programs. It is hoped that other researchers will pursue that fruitful line of inquiry.
So, we’ve been had, folks, as we have watched the federal government’s ongoing performance of the FREEDOM FOLLIES, in each episode of which we have been led, insidiously, to believe that we are being protected and that our freedom is being ensured. Nothing could be further from the truth. NOTHING!
Saturday, November 7, 2009
Is Freedom Only an Illusion? – Part 2
So, what is the freedom that comes with self mastery to which I alluded in the previous post? The following is an excerpt from an article describing the philosophy of Epictetus, one of the ancient Greek Stoic philosophers.
Epictetus (50 A.D. - 125 A.D.) was a freed Roman slave. According to the Stoics, one can be enslaved on the outside, "externally" (have one's body in chains) and be free "internally" (be at peace with oneself in aloofness from all pleasure and pain). Dualism of mind (soul) and body: the inner realm is a realm of freedom (unless we let externals affect us or let events disturb our thoughts); the outer realm is a realm of determinism (things outside of our mind, including our own bodies, are determined by factors beyond our control). We have control over our thoughts and our will, but we do not have control over external fortune. [Emphasis added.]
Or, to put it in more modern words, Dr. Victor Frankl, the psychiatrist who survived the Nazi Death Camps, wrote:
“Between stimulus and response is the freedom to choose.”
So, we must be ever mindful of what we control and what we don’t control. Other persons and external forces can control our bodies, but they have no control over our thoughts unless we give them this control.
But, this is only a part of the total picture. Much of our thinking and feeling is automated. It is carried out on autopilot. So, we can think that we are acting freely and choosing, when in reality, our choices are dictated by the autopilot. It is only when we take ourselves off autopilot, voluntarily, that we can freely choose by responding to situations thoughtfully rather than reacting to them automatically in knee-jerk fashion. Note that the root of “responsible” is “response.” Thus, we are responsible when we respond to situations rather than reacting to them.
I would venture to say that our mental activity is predominantly generated by the autopilot. And, the most important determinants of this automatic activity are our beliefs. Thus, we become creatures of our beliefs. It’s not “What you see is what you get.” It’s “What you believe is what you get.”
Our belief systems determine what we think (automatically), which in turn determines what we perceive. Environmental happenings serve as prompting events which are automatically interpreted in terms of our belief systems. Thus, two people can view the same event and come up with entirely different perceptions of what happened. Is it no wonder that judges often pull their hair out when confronting conflicting testimony of witnesses in court?
Liberals and Conservatives perceive situations, often quite rigidly according to their political belief systems which keep their autopilots churning away and enslaving their minds, and thus destroying their personal freedom.
So, even in the best of political worlds, where every effort has been made to ensure and preserve freedom for citizens, as the Founding Fathers endeavored to do, human beings typically fall victim to their own enslavement and become imprisoned by their automatic thoughts.
Photo Credit: Cult Gigolo (Flickr.com)
Is Freedom Only an Illusion?
The Obama campaign has triggered a furor and counter-furor rising up from the ranks of partisan liberals and conservatives. There have been cries of the erosion of free speech and privacy countered by antiphonal cries of the desperate need to insure health care for every citizen as well as the life of the planet, which is, purportedly, in imminent peril, if governments do not band together and prevent the impending environmental holocaust. More government controls are advocated, even the formation of a world government to intercede on behalf of the floundering geosphere. There is more, but it would take us too far afield of the primary purpose of this post.
Photo Credit: Nati (Flicker.com)
We must ask a critical question. Even if we could turn the clock back and undo all of the assaults on the Constitution and individuals, even if we could be assured that the rights guaranteed by the Constitution were alive and well, would we really be free?
The ancient Greek philosopher, Epictetus, put the matter succinctly:
"No man is free who is not master of himself."