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17:17, 10th May 2024 (GMT+0)

Doctor, it hurts when I do this:  Health care issues.

Posted by TychoFor group 0
Tycho
GM, 1335 posts
Wed 23 Apr 2008
at 08:25
  • msg #1

Doctor, it hurts when I do this:  Health care issues

A topic requested by Bart.
Tycho
GM, 1337 posts
Wed 23 Apr 2008
at 08:48
  • msg #2

Re: Doctor, it hurts when I do this:  Health care issues

Since the discussion was sort going along the "people from X got to Y for health care" stories, I figure I'll toss out a few examples I know of.

My parents go to mexico to fill their perscriptions, and to have their dental work done.  They live part-time in texas, in an area with a lot of retirees.  Many of the people they live around go to mexico for cheaper health care (though as far as I know, it's only for simple stuff like drugs and dental work), so have figured out what doctors/dentists are good, and let each other know.  From what they tell me, the doctors/dentists they go see primarily serve americans coming over the border.

On the other end of the country, my grandparents go to canada to fill their perscriptions.  They live in washington state, and often get together with a large group of friends, and make a day trip out of going into canada and getting their meds.

I now live in the UK, and haven't had to use the health care system yet myself, but my girlfriend has, and she says she's much more comfortable with the system here than in the states.  Some friends of ours who have moved to london from Illinois said the same thing when I saw them this weekend.

These are all just single examples, and I don't know how representative they are.  I think Falkus hit the nail on the head, though.  The US system works great for wealthy and upper middle class people.  It doesn't work well at all for people who are struggling to get by.  Like I've said a number of times now, the issue is whether you view health care as a right, or a luxury.  If it's a luxury, then it's not a problem that poor people can't afford it.  If it's a right, then it is a problem that poorer people can't get adequate health care.  If the goal is to get the best health care possible to those who can afford it, then the US system works well.  If the goal is to get adequate care to everyone, regardless of their past health or income, then it doesn't work well.
katisara
GM, 2834 posts
Conservative human
Antagonist
Wed 23 Apr 2008
at 13:04
  • msg #3

Re: Doctor, it hurts when I do this:  Health care issues

quote:
Why does Canada have a higher life expectancy and a lower infant mortality rate then, if the US system is so much better?


There are so many things influencing life expectancy and infant mortality, I wouldn't depend on that alone as a barometer for the health care system in general.  Maybe the US just has more violent crime, more extreme poverty, a poorer view on abortion, more problems with drugs...

quote:
Lucky. I've been trying to get a decent programming job ever since I graduated. But there's an over-abundance of experienced programmers here in Montreal right now.


Try looking into security.  Or moving.  There's plenty of work down in my area!

quote:
It does not, however, provide nearly as effective treatment for the poor and disenfranchised of society.


Part of the problem is our public hospitals are largely being swamped with illegal immigrants - people who don't exist, according to the system, can't pay and can't even be tracked down to pay, don't pay taxes and, perhaps most importantly, don't get any sort of preventative medicine.  In many ways, the US system is working poorly just because it has SO MANY people coming in, often-times using the wrong methods to do so.
Tycho
GM, 1339 posts
Wed 23 Apr 2008
at 13:19
  • msg #4

Re: Doctor, it hurts when I do this:  Health care issues

katisara:
Part of the problem is our public hospitals are largely being swamped with illegal immigrants - people who don't exist, according to the system, can't pay and can't even be tracked down to pay, don't pay taxes and, perhaps most importantly, don't get any sort of preventative medicine.  In many ways, the US system is working poorly just because it has SO MANY people coming in, often-times using the wrong methods to do so.


I'm not sure I agree that this is the reason poorer people can't get as good health care in the US.  It's not because illegal immigrants (who often do pay taxes, by the way) are filling up the hospitals, it's because they can't afford it.  If it's considered a luxury, that's simply how it's supposed to be.  It's not a failure of the system, its an expected, predictable, (and presumably acceptable) outcome of the system.  It's no more of a failure than is the fact that poor people don't drive porches as much as rich people.  If you consider health care to be something that you get if you can pay for it, then people who can't pay for it shouldn't get it.

Again, the issue comes down to whether you think everyone should be able to get health care, or if you think it's a luxury that only some people will be able to afford.  Arguments can be made either way, and I'm not entirely sure where I stand on the issue, but I think that's the fundamental point of disagreement between the two sides.
katisara
GM, 2835 posts
Conservative human
Antagonist
Wed 23 Apr 2008
at 13:48
  • msg #5

Re: Doctor, it hurts when I do this:  Health care issues

Tycho:
I'm not sure I agree that this is the reason poorer people can't get as good health care in the US.  It's not because illegal immigrants (who often do pay taxes, by the way) are filling up the hospitals, it's because they can't afford it.


If I'm a state government and I have say 100,000 people in a particular area.  I assume no more than say .01% will be in the emergency room at a given time (these numbers are all made up, BTW) and I have a set budget based on the concept of there being 100,000 people, I will make a hospital to support 10 people in the emergency room at a given time.

However, if I have 40,000 undocumented immigrants, my numbers are clearly very off.  And since these immigrants can't get preventative medicine, their rate of needing the emergency room will be well in excess of .01%.  Let's say it's .05% instead.  Now I'm looking at 20 people in the emergency room at any given time.  My emergency room use rate has just tripled!  However I'm not getting any further funding for that purpose.

This will clearly have more of an impact in some places more than others.

Another example, contrasted with say England, is a question of population density.  There are parts of the US where it's one person per hundred miles squared (or some similarly ridiculously low number).  It's simply not economical to build a hospital there and stock it for every possible eventuality.  Who wants to build a ten million dollar hospital to support a town of 100 people with no kids and a gross income of $200k a year?  It just doesn't make good fiscal sense.  The budget falls apart if you follow that thinking.  England does not have a lot of land with such low population densities, therefore this problem doesn't arise (similarly with education, coincidentally).

The US may have other mitigating factors making health care more expensive, too expensive to reasonably support with tax dollars.  Malpractice insurance is a great example.  If every doctor has to pay $50,000 a year in malpractice insurance, that means the taxpayer is now paying $50,000 a year for that insurance.  As people have pointed out, you can't very well sue your doctor for cutting off the wrong leg in Cuba.
Tycho
GM, 1340 posts
Wed 23 Apr 2008
at 14:27
  • msg #6

Re: Doctor, it hurts when I do this:  Health care issues

Your hypothetical situation is arguing that the problem is too many people are going to the hospital.  That's not the problem, though (well, it's a problem, but it's a problem everywhere, and one that we shouldn't expect to go away entirely unless we want to spend lots and lots of money on it).  The problem is that poorer people can't afford health insurance in the US.  People with a past record of health problems have trouble affording it too.  They can go to the emergency room, true, but that's not what most people need in terms of health care.

Long lines when you go to the emergency room are not what most people are talking about when they say the US health care system isn't working as well as some other country's.  Long lines are a cost/benefit issue.  We know how to make them go away, it just an issue of whether or not it's worth it.  Having to wait 4 hours before a doctor can look at your broken arm may be very annoying, but how much are we willing to pay (in fees or taxes) to get it down to 3 hours?  two hours?  ten minutes?  That's just economics, and it's not a sign that the system is broken, just that we've made a decision about how long is an acceptable wait.  That can be debated, of course, but I think it's a side issue.

More important than waits for an emergency room, though, is whether someone has insurance at all, which makes it possible to go to the doctor without waiting until the emergency room is the way to go.  When people talk about the US system being broken, they're talking about the fact that some people can get health insurance, and thus health care outside of an emergency room, and other people can't.  They're talking about the fact that what kind of treatment you get depends on how much money you make.  It's not a complaint about efficiency of treatment, it's a complaint about a lack of treatment.  People talking about health care reform aren't talking about building a hosiptal in every tiny town in wyoming or whatever.  The issues you bring up are problems that any system, private, socialized, or otherwise has to deal with, and aren't the issues that health care reform is trying to fix.  The points you raise are all real issues, they're just not the issues that tell us which system is better, because both systems have to deal with them.  The costs of malpractice insurance don't disappear because we have a privitized health care system (in fact, I think malpractice insurance is higher here than elsewhere), so saying it's "too expensive" to pass on to taxpayers doesn't make much sense.  Tax payers are already paying for it, it's just not spread out evenly.  Likewise, getting people in low-population-density areas health care will be expenisive (perhaps too expensive) no matter which system is used.  The fact that it's privitized doesn't solve that problem, and neither would socializing it.  It's a problem that has to be dealt with economically either way, so it's not really an arguement for or against either system.  Same with illegal immigrants.  Under either system you have to figure out how to deal with that problem, and neither seems to have any particular advantage over the other in that respect.

Again, I think it boils down to how we view health care: is it a right that we are morally obligated to provide to all people, regardless of income, or is it a luxury like anything else?  More bluntly, do we think poor people should get medical treatments they can't afford?  Is health care more like voting (ie, everyone should be able to do it, rich, poor, or otherwise), or is it like a sports car (ie, you have to forgo something else in order to get it.  And if you don't have enough to forgo, you just can get it)?
katisara
GM, 2838 posts
Conservative human
Antagonist
Wed 23 Apr 2008
at 14:43
  • msg #7

Re: Doctor, it hurts when I do this:  Health care issues

Tycho:
Your hypothetical situation is arguing that the problem is too many people are going to the hospital.


Not precisely.  The problem is that too many unanticipated people are going to the emergency room, some because they're not documented, some because they aren't receiving preventative medicine.  In my opinion, we should offer undocumented people either FULL preventative medical coverage, including dental, or none at all, including emergency room services.  Going half way is just stupid, and it's going to kill us.

quote:
Long lines when you go to the emergency room are not what most people are talking about when they say the US health care system isn't working as well as some other country's.


I would disagree.  If you die in the emergency room waiting in a line (which has happened) or there is no local emergency room available to you, I daresay that is a major lapse in medical services.  I would consider 'timely' a requirement as to whether medical services are appropriate or not.  My obstetrician being available tomorrow doesn't help me give birth today.

I also am of the opinion that there are some services we shouldn't be offering for free.  Sure, it makes sense to fix a broken bone for people who can't afford it.  But wart removal?  What about arthritis treatment?  Which of these do you go to the emergency room for?  It's precisely that decision to go to the emergency room which serves as the bar for me to determine what is a serious medical issue that needs to either be dealt with or prevented (example, a life-threatening abscess can be avoided by letting the guy get fillings), and what they need to cough up some money for.

quote:
The costs of malpractice insurance don't disappear because we have a privitized health care system (in fact, I think malpractice insurance is higher here than elsewhere), so saying it's "too expensive" to pass on to taxpayers doesn't make much sense.


But it does.  If the government cannot afford to pay for a service that rich people can afford, then the government can't afford it, and that's the end of discussion.  If malpractice insurance is too expensive for public hospitals, we either need to offer an alternative to the current insurance options, or reduce the liability of doctors at public hospitals.  You can't pay for something you can't afford.

quote:
getting people in low-population-density areas health care will be expenisive (perhaps too expensive) no matter which system is used.


Generally these people are supported by local doctors' offices, not hospitals.  However, these I think would be better supported by private members of the community, rather than a public servant who is posted there.
Tycho
GM, 1341 posts
Wed 23 Apr 2008
at 15:06
  • msg #8

Re: Doctor, it hurts when I do this:  Health care issues

katisara:
In my opinion, we should offer undocumented people either FULL preventative medical coverage, including dental, or none at all, including emergency room services.  Going half way is just stupid, and it's going to kill us.

Even though I'm not sure which of the two option is best, I probably agree that those two options are better than the half-way solution.

katisara:
If you die in the emergency room waiting in a line (which has happened) or there is no local emergency room available to you, I daresay that is a major lapse in medical services.  I would consider 'timely' a requirement as to whether medical services are appropriate or not.  My obstetrician being available tomorrow doesn't help me give birth today.

True, but I don't view those as a difference between private and public health care.  Timely is a requirement for either system.  And the cost to provide timely health care to X people is the same whether they're paying for it with taxes or with their spending money.  In either system a decision has to be made on just how much "timeliness" we can afford.  I suppose that there is the difference in that a privatized system you can provide different levels of timeliness to different people, depending on what they're willing to pay.  But again, I think that boils down to the question of whether timely health care is viewed as a right, or a luxury.

katisara:
I also am of the opinion that there are some services we shouldn't be offering for free.  Sure, it makes sense to fix a broken bone for people who can't afford it.  But wart removal?  What about arthritis treatment?  Which of these do you go to the emergency room for?  It's precisely that decision to go to the emergency room which serves as the bar for me to determine what is a serious medical issue that needs to either be dealt with or prevented (example, a life-threatening abscess can be avoided by letting the guy get fillings), and what they need to cough up some money for.

That's fair enough too, but it can be implemented in either system.  Socialized health care doesn't need to be an "anything and everything is absolutely free" system.  I think it's entirely possible to have a public-funded system which only covered 'necessary' treatments.  That would be a case of some treatments being viewed as rights, and others as luxuries.

katisara:
If the government cannot afford to pay for a service that rich people can afford, then the government can't afford it, and that's the end of discussion.

But we're already affording it.  We're already paying for it right now.  I don't see why it's going to cost more if it's a public system than a privite system.  The total cost for all the current doctor's malpractice insurance is already being paid for by taxpayers.  It's just being pay for with taxpayers spending money, instead of with tax dollars.  By spreading the cost out over all people, instead of just charging those who go to the doctor, it makes it possible for more people to see the doctor.

katisara:
If malpractice insurance is too expensive for public hospitals, we either need to offer an alternative to the current insurance options, or reduce the liability of doctors at public hospitals.  You can't pay for something you can't afford.

Okay, that seems like an argument in favor of socializing health care.  Or at least changing the private system we have now.


quote:
getting people in low-population-density areas health care will be expenisive (perhaps too expensive) no matter which system is used.

katisara:
Generally these people are supported by local doctors' offices, not hospitals.  However, these I think would be better supported by private members of the community, rather than a public servant who is posted there.

Why do you think that?  In the private case, the service provided depends heavily on how much the people in this small community can spend on it.  If it's one individual doctor in either case, how much difference does it make if his paycheck comes from the government, or from the people he treats?
katisara
GM, 2840 posts
Conservative human
Antagonist
Wed 23 Apr 2008
at 15:43
  • msg #9

Re: Doctor, it hurts when I do this:  Health care issues

You keep saying that things are the problem of privatized medicine as well.  However, we really aren't discussing privatized medicine; we all agree that in either the Canadian or the American system, someone with lots of cash will get good, timely medical treatment.  On the flip side, we all agree a private hospital in either situation that fails to provide good, timely treatment will go out of business.  This requires no artificial meddling.  We are, rather, discussing public hospitals, which may offer terrible, slow, overpriced service, but still stay in business, and a system which only offers slow, overpriced service is not meeting the needs of the people, and so is not really a valid solution to the socialized medicine question.


quote:
It's just being pay for with taxpayers spending money, instead of with tax dollars.


Here's the kicker though, if you raised my taxes to be equal to what I'm paying now in medical insurance and medical costs, and then expected me to go to some trashy government hospital, I'd move (well, probably not, but I would stage major campaigns against whatever politician made that decision).  Heath, who probably pays a lot more for his insurance, would probably have even more cause to complain.

And of course, the people on the bottom who get free medical care wouldn't have any incentive not to abuse it.  Have a migraine?  Hungry?  Want a wart removed?  Who cares, you're not paying for it!

quote:
Okay, that seems like an argument in favor of socializing health care.  Or at least changing the private system we have now. 


No, I wasn't going for that as such, but imagine this.

We have the current system as it works now; people with jobs get health insurance, or pay out of pocket.  They have a wide choice of confusing health insurance plans, but basically most of their medical costs are taken care of.  If something goes wrong, they can sue the doctor and retire for life.

Medicare and the like are abolished.  The system is too complex and too expensive how it runs now.  However, the government owns public hospitals, and some private hospitals may voluntarily join in.  A person can walk into any of these hospitals, show some sort of proof of identity (to prevent scamming the system), such and so-forth, and you have a selection of services you can select from, such as emergency room services, vaccinations, general check-ups, dental check-ups, etc.  You can get all of these either for some reasonable co-pay or for free (and maybe tag something on the 'for-free' - things should have some cost, financial or otherwise, to prevent people from being wasteful).  HOWEVER, you can expect worse service, longer lines and, unlike the other place, if the doctor screws up, he has very limited liability.

Because of the limited liability, you're going to get a lot more trashy doctors.  You will have poor people who need some serious surgery, it goes wrong, and they don't get $10M out of it, but instead maybe $20k.  But at the same time, they at least get surgery they might not have had an option for otherwise.  Meanwhile, I, as a rich person, can elect to go to the free place to get my checkup done (which I probably won't because there are sick people there), or to my nicer place, but regardless, my costs don't go up significantly.
Tycho
GM, 1342 posts
Wed 23 Apr 2008
at 15:53
  • msg #10

Re: Doctor, it hurts when I do this:  Health care issues

That sounds acceptable to me.  It also sounds like socialized health care.  Maybe the disagreement is more over what we should call it ("socialized" "public" "whatever") than what we'd like to see?

I think there is also an assumption that if doctors are getting their paycheck from the government, then automatically the service they offer is going to be substandard, slow, etc.   I don't think that necessarily has to be the case.
katisara
GM, 2841 posts
Conservative human
Antagonist
Wed 23 Apr 2008
at 16:05
  • msg #11

Re: Doctor, it hurts when I do this:  Health care issues

Imagine there are two hospitals, one that'll pay doctors $200k a year, but expects you to never mess up in a surgery or diagnosis, and one that pays $100k a year, but understands if you make a mistake now and again (or maybe even expects it), where will you be going if you're a skilled doctor?  Where will you go if you're a lousy doctor?

I think the problem with my idea is, right now, poor people expect to have the same quality of health care as rich people, but without the cost (because they can't afford it).  And that's what the current medical program attempts to provide (and of course, necessarily fails at).  If we say 'well, we can't provide that level of quality at that price', then at least we can provide something to help the problem without bankrupting the system.
Rose
player, 3 posts
Wed 23 Apr 2008
at 19:51
  • msg #12

Re: Doctor, it hurts when I do this:  Health care issues

I thought it might help to add some infomation. As a social worker, I'm a little too familiar with federal policy on health care. Now, keeping in mind that individual states can add services, but not subtract them, this is the essential facts on health care.

Children under 19 and preganant citizens are eligible for fundemental medical care, including doctor's visits, three prescriptions, and some testing. It will pay for birth and some necessary medical proceedures. It does not pay for anything elective. Only certain doctors, clinics and hospitals are available and that on a first come first serve basis.

People over age 60-65 (depending on social security issues) are eligible for limited medical care, usually suppliments to medicare.

Men and women between 19 and 65 are not eligible for medical assistance unless they a)have children B)are disabled AND fall within income restrictions.

So, no. Poor people do not have the same options as anyone else and are well-aquainted with the idea that their care will not be as good. The rules for unnaturalized citizens are different, but more difficult. The thing about emergency rooms is 'some' not all, are required to help in event of emergency care. That's why there are overpopulation issues, because that is the only health care some people can ever get. Generally, it is a long wait for a spotty bit of doctoring.
Tycho
GM, 1343 posts
Thu 24 Apr 2008
at 08:35
  • msg #13

Re: Doctor, it hurts when I do this:  Health care issues

katisara:
I think the problem with my idea is, right now, poor people expect to have the same quality of health care as rich people, but without the cost (because they can't afford it).  And that's what the current medical program attempts to provide (and of course, necessarily fails at).  If we say 'well, we can't provide that level of quality at that price', then at least we can provide something to help the problem without bankrupting the system.


I disagree.  It's not an issue of getting the same health care, it's getting any health care.  Poor people aren't saying "I expect to see the top expert in the country, and I'll settle for nothing less!"  They're saying "I've got no insurance.  None.  Zip, nada.  What can you do for me?  Nothing?  Crap."  It's not a quality issue right now, it's a quantity issue--meaning the poor get zero.  Not lower quality, none at all.  Or next to none at all.

As for the two hypothetical hospitals, I think that's intentionally set up to fail.  Why offer them half of what they make in the private sector?  Why not make it competetive?  Either through comparable pay, or by offering better benefits, or whatever?  Yes, it'll cost more, but that's an economic decision that can be made.  We don't have to set it up from the start as a second-rate system.  The thing is we're already paying more than it costs for that kind of system for our current system.    Again, it comes down to whether it's a viewed as a right or a priviledge.  If it's a luxury, there's no reason rich people should pay for poor people's medicine (and no reason anyone should--poor people will go without, just like they go without fancy cars and caviar).  On the other hand, if it's a right, it's something we need to pay for.  We need to cough up the money, and make a viable, decent system.  Not one that's half-way there and done on the cheap.  If all we consider to be a "right" is a half-trained, unethical quack who screws up every other time, fine, we can institute that kind of system, but I don't think that's what anyone is aiming for.
katisara
GM, 2842 posts
Conservative human
Antagonist
Thu 24 Apr 2008
at 12:57
  • msg #14

Re: Doctor, it hurts when I do this:  Health care issues

In my area, I'm not aware of anyone who can't walk into an emergency room and expect treatment, insurance or no.  So your statement about poor people just trying to GET treatment is false.  Similarly, as Rose pointed out, pregnant women and children don't just get treatment, they get the BEST treatment in the area (I know from experience), equal to that of those who are actually paying into the system.

Why don't public hospitals offer the same salary as private ones?  Yes, for one because it would seriously increase the price.  Probably what would follow is the administrators, who are on a limited budget, would hire fewer doctors, which means we're back to people not getting service.  And when the governor comes along and says 'well, we need to free up money for my new project', public health is going to stick out like a fat, sore thumb just waiting to get cut.  So no administrator is going to want to offer fully competitive salaries if he can help it.  Remember, government run means they are NOT interested in providing the best service, in getting customer returns or whatever!  They don't follow the same rules as a private hospital.
Tycho
GM, 1346 posts
Thu 24 Apr 2008
at 13:36
  • msg #15

Re: Doctor, it hurts when I do this:  Health care issues

katisara:
In my area, I'm not aware of anyone who can't walk into an emergency room and expect treatment, insurance or no.  So your statement about poor people just trying to GET treatment is false.  Similarly, as Rose pointed out, pregnant women and children don't just get treatment, they get the BEST treatment in the area (I know from experience), equal to that of those who are actually paying into the system.

Again, though, if emergency room treatment is all you think is needed, fair enough, the system is working.  If you think preventative medicine is also needed, then it's not.  Also, even though someone won't be turned away if they walk into the emergency room, that doesn't mean they're not hounded by the bills for the rest of their lives or don't have trouble if they need to go back again.  If you think that's how it should be (and the case can certainly be made), then the system is fine.

katisara:
Why don't public hospitals offer the same salary as private ones?  Yes, for one because it would seriously increase the price.  Probably what would follow is the administrators, who are on a limited budget, would hire fewer doctors, which means we're back to people not getting service.  And when the governor comes along and says 'well, we need to free up money for my new project', public health is going to stick out like a fat, sore thumb just waiting to get cut.  So no administrator is going to want to offer fully competitive salaries if he can help it.  Remember, government run means they are NOT interested in providing the best service, in getting customer returns or whatever!  They don't follow the same rules as a private hospital.

Government hospitals are about as interested in providing the best service as private ones.  In both cases, it's a means to an end, not a goal in-and-of itself.  The goal of private hospitals is to make money.  Anything that causes them to loose money (such as treating poor people) is something they'll do their best to avoid.  The reason government run hospitals don't provide the best service is because they haven't made that the goal.  They've made "the best we can get for X dollars" the goal.  If you make X bigger, you'll get better service.  If it's possible for the govenor to cut the budget in order to fund something else, then it's clearly not being viewed as a right, but as a luxury.  The governor can't (or at least shouldn't) get away with removing someone's right to vote because voting booths are too expensive.  They can't stop worrying about warrants just because it'd be cheaper to let the cops search whenever they want.  In order to make a system work that has health care as a right, it has to be treated as such, and currently it's not.  In order to change the system, you really have to fundamentally change it.  If people accept it being done half-way, then that's the kind of system they'll get, in health care, or anything else.  If we want a good system, it'll cost money, and it will keep costing money.  We all agree that we can't have a decent system that covers everyone and costs nothing to no one.  No one is proposing such a system (well, those of us not running for office aren't, at least).  People who are serious about health care reform, I would argue (even if I'm not sure if I agree with them), are saying "hey, this is something important.  Fundamentally important.  And we need to treat it as such.  Medicine shouldn't just be for the wealthy.  Your health shouldn't be dependent on your income.  We, as a country, have a moral obligation to provide quality health care to everyone.  Yes, it'll cost us money.  Quite a bit of money.  But so does national defense, so does running the government, so does holding elections, and any number other things.  We feel health care should be on the list of things we're willing to pay a lot of money for to make sure it gets done right."  Now, the fact that we're already paying a lot of money for the current system, and it isn't providing adequate health care for lots of people adds an interesting twist to things.  But I think it still boils down to whether people think it's something we have an obligation to do, and do right, or if it's everybody for themselves.  It's an issue of whether everyone should make a sacrifice for the good of the nation as a whole, or whether everyone should just take care of themselves.  Both sides can make reasonable arguments, I think.  But I think neither should avoid their most unpleasant points.  One said should be honest enough to say "yes, we're going to have to increase taxes to pay for this (though perhaps not by as much as you'll save by not having to buy insurance)," and the other side should be honest enough to say "Sorry poor people, this is just one more thing you don't get to have.  It's not our job to pay for your health care.  Them's the breaks."
Mr Crinkles
player, 107 posts
Catholic
Thu 24 Apr 2008
at 14:58
  • msg #16

Re: Doctor, it hurts when I do this:  Health care issues

Tycho:
No one is proposing such a system (well, those of us not running for office aren't, at least).  People who are serious about health care reform, I would argue (even if I'm not sure if I agree with them), are saying "hey, this is something important.  Fundamentally important.  And we need to treat it as such.  Medicine shouldn't just be for the wealthy.  Your health shouldn't be dependent on your income.  We, as a country, have a moral obligation to provide quality health care to everyone.  Yes, it'll cost us money.  Quite a bit of money.  But so does national defense, so does running the government, so does holding elections, and any number other things.  We feel health care should be on the list of things we're willing to pay a lot of money for to make sure it gets done right."

*** Based on this, you've got my vote.
Rose
player, 4 posts
Thu 24 Apr 2008
at 15:33
  • msg #17

Re: Doctor, it hurts when I do this:  Health care issues

I'm with Tycho on this.

Incidentally, I didn't say they get the best..they get the only. The poor services I was talking about were for them. The rest have the emergency or private pay (think 100s for single prescriptions and 300 for doctor visits) which when you consider most don't make enough for rent, food and gas, makes going to see a doctor when the fix is reasonable almost impossible.

Personally, I would far rather pay taxes on health care for all people vs many other things (which I won't list here)..Tycho covered it well. And I too would vote for it.
Tycho
GM, 1347 posts
Thu 24 Apr 2008
at 15:50
  • msg #18

Re: Doctor, it hurts when I do this:  Health care issues

Glad for your guys votes of support, but I feel I should clarify that I'm trying to express what others feel, not necessarily what I think is best myself.  I'm still not certain if I think health care is a right or a luxury, I can see arguments for it both ways.  I suppose I'm more sympathetic to the 'right' side than the 'luxury' side at the moment, but I'm still not 100% sure.  My posts have mainly been meant as a "this is what they think" thing than a "this is what I think" thing.  And of course, katisara taking one side only pushes me towards the opposite. ;)
katisara
GM, 2843 posts
Conservative human
Antagonist
Thu 24 Apr 2008
at 16:06
  • msg #19

Re: Doctor, it hurts when I do this:  Health care issues

Like I said, from my personal experience, the pregnant women got the same great service as everyone else - Shady Grove and Holy Cross are two of the best hospitals in the country for such things, and both were happy to accept that insurance, with no loss of coverage.  Same with other specialists.

Not that I'm saying we should go out of our way to deprive people of that, and certainly I think that making sure children get good medical care and education regardless as to station is important (as opposed to adults, who are now responsible for themselves), but the argument that poor (pregnant) people aren't getting good care or even the best care is patently false.
Mr Crinkles
player, 108 posts
Catholic
Thu 24 Apr 2008
at 16:28
  • msg #20

Re: Doctor, it hurts when I do this:  Health care issues

katisara:
the argument that poor (pregnant) people aren't getting good care or even the best care is patently false.

*** I think perhaps it might be more accurate to say that while not all poor people aren't getting good care, a great many (too many) aren't even getting any care (non-emergency, I mean).
Rose
player, 5 posts
Thu 24 Apr 2008
at 16:33
  • msg #21

Re: Doctor, it hurts when I do this:  Health care issues

Fair enough, Tycho. I tend to want to take the opposite side, regardless of what I think.

Katisara, it depends on the individual hospitals. Sometimes the best is available (especially if it is a teaching hospital), sometimes not. The three top hospitals in my old area were not available to medicaid clients. They do have to take emergencies, but for regular visits and service..not so much. A lot of it is simple cost effectiveness and public image.

Keep in mind too, that just because you are seen at the same hospital, it doesn't necessarily mean you get the same treatment. Some hospitals that take public welfare cases give them a sharply different quality of care. That isn't right, according to their oaths and such, but that doesn't make it less true.

I'm not saying that all medicaid clients get worse service than private insurance clients, but that it can (and is) often a real issue for these people.
katisara
GM, 2844 posts
Conservative human
Antagonist
Thu 24 Apr 2008
at 17:09
  • msg #22

Re: Doctor, it hurts when I do this:  Health care issues

So again though, the question does come down to whether free medical care is a right (I won't go so far as to say that medical care is a luxury.  Food is neither a right, nor a luxury, for example, nor is shelter, and I'd consider medical care in the same category as both of those.)  Or another way to put it, whose responsibility is your medical care?

There is one group of people who, unilaterally, cannot and should not be responsible for their own medical care, and that's children.  I have absolutely no problem with offering quality medical care, especially specialists and preventative care, to children.  I suspect most people will agree with that statement.  Similarly, the very seriously mentally or physically disabled would fall into this category.

However, once you're an adult, my view is that you are responsible for yourself.  No one else is responsible for giving you a house or buying you food, nor for paying your taxes or raising your children, *YOU* are responsible, you are an adult and that's part of what that encompasses.  Hence, while medical care may be a right, it's not a right that the government has to fight for you to have, it's a right the government must PERMIT you to have (so the government can't actively restrict your getting medical care).  Just like you have a right to property; the government cannot restrict you from owning property, however the government does not have to give you property.

So in that regard, I don't feel that the government has much place requiring one group of people pay for the care of another group of people.  I can understand the idea of welfare - providing a safety net while people who have paid into the system so they have time to recover (this just makes good economic sense - forcing everyone to save for a long, unanticipated period of unemployment ultimately has a very serious impact on the economy, so it ultimately pays for itself, if properly managed and distributed), but that isn't the same as saying a person who is flipping burgers should get all sorts of expensive medical treatments at the taxpayers' expense.

Related to this, I find it odd that we give so much money to old people.  Didn't these old people have their whole lives to save up for being old?  It's not like it crept up on them, or that young twenty-year-olds are surprised one morning by being 60 years older.  What are these people putting back into the system?  Does it make sense to say 'this person has a right to health care, ergo the government should pay $20k a day to keep his machines running', or even simpler, 'the people should pay $2k a week to buy this old person medicine'.  I don't mean to sound harsh, but we get old and die for a good reason.  Is it prudent to invest so much of our time and energy elongated the lives of people who have both had a time to invest this energy themselves when they were young, and won't provide anything back to society?  What good is this?  Who does it benefit, except the doctors?
Rose
player, 6 posts
Thu 24 Apr 2008
at 18:07
  • msg #23

Re: Doctor, it hurts when I do this:  Health care issues

My opinion is that it is the government's responsibility to provide health care. It's not as if the government shies away from legislating in our lives, and as taxpayers for all sorts of things, it only makes sense that part of our money goes to pay for our health care. This is the stance that most western societies have taken and it seems to be a sensible one.

The idea that children should recieve care if needed is the primary motivation for the subsized medical that exists. That's why eligibility is so limited. Part of the reason I'm in favor of government provided health care is that the children need healthy parents to provide and care for them. And for single adults, well, how can we fairly argue that just because you breed you automatically deserve better health care than someone who hasn't? I also think that economically, it is more sensible to pay for cheaper preventative and minor care than wait til the illness is so severe that it requires emergency treatment.

As for the older people, most programs that assist them are social security and medicare (of which I'm certainly no expert)  but as far as the 'welfare' system goes they receive help paying premiums generally, and the maximum check they can recieve is about 500 a month, and this is expected to pay for food, shelter, medical, gas..ect. Not exactly a princely living.

As to why? Seeing someone helpless and in an untenable situation makes others want to help that. It kind of is a side of human nature. Not a bad one, I might note. Add to that a growing subculture of people who lived life beyond their means, were unable to save and have enough organization to influence voting trends and you have your assistance. Good enough reason for them to get the perks? I don't think so. Would I change it? No, because I had grandparents and I'd have wanted them cared for if I couldn't do it.
katisara
GM, 2845 posts
Conservative human
Antagonist
Thu 24 Apr 2008
at 18:34
  • msg #24

Re: Doctor, it hurts when I do this:  Health care issues

Rose:
It's not as if the government shies away from legislating in our lives, and as taxpayers for all sorts of things, it only makes sense that part of our money goes to pay for our health care.


And this is precisely why I oppose socialized health care.

"The government steps all over our rights everywhere else, so we might as well get SOMETHING good out of it!"  Absolutely not.  How about, instead of making deals with the devil, we tell the government to butt out, and start pushing back against that inappropriate legislation rather than rolling over for it?

quote:
Part of the reason I'm in favor of government provided health care is that the children need healthy parents to provide and care for them.


Sick, aged and disabled parents have been doing an excellent job caring for their children since basically the beginning of time.  I really can't see this argument holding much water.

quote:
I also think that economically, it is more sensible to pay for cheaper preventative and minor care than wait til the illness is so severe that it requires emergency treatment.


I agree with this, but this firstly doesn't tell me whether it's better to pay for preventative medicine or to pull back emergency room services, and secondly doesn't encourage me (as the administrator) to support any sort of 'general care' that isn't preventative.  I'll pay for you to have your teeth fixed, but not for glasses, because poor eyesight doesn't generally result in any sort of worse medical development.  I also won't pay for your degenerative disease for the same reason, the cost outweighs the benefits.

quote:
the maximum check they can recieve is about 500 a month, and this is expected to pay for food, shelter, medical, gas..ect. Not exactly a princely living.


The maximum check I expect to receive when I retire is on the order of $70k/year, but that's because I plan ahead.

quote:
As to why? Seeing someone helpless and in an untenable situation makes others want to help that.


Then let people help!  We have plenty of charity organizations that offer this sort of support, voluntarily and efficiently.  This isn't the government's business, to save us from ourselves.  Freedom means having the right to fail.

quote:
because I had grandparents and I'd have wanted them cared for if I couldn't do it.


Your parents didn't work, earn a retirement, put money in savings?  All of mine did - or they kept working when others did retire.  Unless there was some reason they physically couldn't work, I don't see a lot of reason to justify the 'well, you bought a luxury car and now have no money for medication, let me help you out' mindset.  Saying they control a large voting block isn't an excuse, if anything it's more argument to fight back.  If we let Rome belong to the circus, the whole empire will fall.
Tycho
GM, 1348 posts
Thu 24 Apr 2008
at 19:01
  • msg #25

Re: Doctor, it hurts when I do this:  Health care issues

I think this sort of gets back to the liberal/conservative mindset thing I brought up a while back.  Liberals are thinking in this case "there are people not getting adequate health care.  What can we do to help them" and conservatives are thinking more along the lines of "who's abusing the system and how to do we stop people from getting a free ride."  It's the issue of what's the lesser evil: letting people go without health care, or someone getting health care they may not 'deserve.'  Both sides, I would say, want everyone to work hard and earn adequate coverage.  Given that that ideal situation isn't likely to happen, there are two ways to approximate it:  give everyone adequate health care, even if they're not working hard, OR only give it to people who can afford it (also whether they've earned it or not).  The first tries to avoid letting anyone go without, the latter tries to make sure everyone works.  Both sides have merit, though I'm more sympathetic in general to the help everyone and tolerate the freeloaders side.

The trouble, I think, is that we don't really live in a pure meritocracy.  Being rich doesn't actually imply you've worked harder than someone who's poor, nor does it mean you've planned better, are smarter, or anything else.  If you've got rich parents, like as not you're going to end up rich yourself, regardless of how good at planning you are or how much effort you put into getting rich.  If everyone started equal, and their wealth really were based mostly on how hard you work, or how efficient you are, or whatever, then the "it's your responsibility, no one's going to do it for you" arguments would have more strength, I think.  If we consider it okay for children of rich people to get luxuries they didn't earn, then I don't see why we should be so worried if poor people do.

Another way of looking at it, is that how society treats the helpless says a lot about the society, even if the helpless people are that way because of their own decisions.  It's sort of like the parable of the prodigal son.  Was the father in the story wrong to welcome his son back?  Should he have said "sorry, son.  You got your share already, and you blew it?"  Should we, as a society, emulate the father in the story?
Rose
player, 7 posts
Thu 24 Apr 2008
at 19:04
  • msg #26

Re: Doctor, it hurts when I do this:  Health care issues

You oppose health care because we already pay for other things? I think less that we should get something from our government and more that the government owes its citizenry a certain amount of return on their investments.

Strictly speaking, glasses would afford a more competant worker, so I would say that it ought to be included. The degenerative disease, unless a case can be made that there is a full recovery available, I can see your point. I don't agree, but its certainly valid as an argument. And beyond preventative, there are minor illnesses such as colds and flu or infections that can be easily cured but can develop into things like pneumonia, ect. I think that would be a fairly valid case for general care.

And it isn't about not working, its about wages being too low to do more than subsist on what they make. I read (and no, I don't remember where) that most people are two paychecks away from poverty. That's a lot of people who might want to save, but lack the means. Beyond that statement I really ought to take it to the education/career thread or someplace more appropriate.
katisara
GM, 2846 posts
Conservative human
Antagonist
Thu 24 Apr 2008
at 19:06
  • msg #27

Re: Doctor, it hurts when I do this:  Health care issues

I think you misrepresent the conservative cause.  I do understand some people get a 'free ride'.  I spent four years in Venezuela, surrounded by the children of oil barons, who were born into absolute wealth, while surrounded by abject poverty.

Rather, the problem is people shirking their responsibilities, or more importantly, shirking them on to me.  If somebody came up to me and said 'hey man, can I borrow a dollar', I'd probably give him a dollar (well, not really, I've taken to carrying oranges or bananas I'll give away, now that I work downtown, but you get the idea).  Whereas if the guy comes up and says 'hey man, you owe me a dollar', well that's a different matter.  It's a question of entitlement.  I don't mind people being allowed to have care, allowed to have more than they deserve, by the goodwill of others.  But that isn't the same as my being required, by threat of incarceration, to give to others.  That is a violation of my freedoms, under the guise of charity, but it's certainly no charity if I have a gun to my head (and I literally do have a gun to my head, because if I don't pay up, people with guns will come to my house and drag me off).

That is what I object to.
Rose
player, 8 posts
Thu 24 Apr 2008
at 19:19
  • msg #28

Re: Doctor, it hurts when I do this:  Health care issues

Maybe I do. I'm not conservative, more the bleeding heart liberal (if you couldn't tell), and if I was inappropriate it wasn't intentional. I've never been great at debating things, which is generally why I simply read.

Fundementally I agree that no one should be forced to be charitable, since that essentially negates the meaning. I don't think individuals as a rule should be responsible for the caring of others; I believe that government as an organization would function better if it provided for its society as part of its budget. Given the economy in which we live and the availability of jobs, credit and all those money issues, more people than not need the help. In best case, everyone would be capable of caring for themselves, but I think most people have proven they just can't. For whatever reason, good or bad. It isn't that we don't pay enough as taxpayers, I just think the budget needs to be reworked to include health care. From my perspective, it is part of what a government should do, take care of its people. It's a form of a safety net, just enlarged from the very minimal that currently exists.
Tycho
GM, 1349 posts
Thu 24 Apr 2008
at 19:19
  • msg #29

Re: Doctor, it hurts when I do this:  Health care issues

That's fair enough, and it's a valid argument.  But again, you're stating your argument in a "what's it costing me?" frame.  I really am not trying to misrepresent the conservative view, but it really sounds like "shirking responsibility" is the same as "getting a free ride" to me.  It really sounds like "it's violating my rights" means you're thinking about yourself in this case, whereas people in favor of the health care reform are thinking about how it will benefit others.

To put another spin on it, you view government health care as someone coming up to you and saying "you owe me a dollar," so you don't like it.  People in favor of it view it as "will my dollar make this country a better place," so do like it.  Both views are valid, and can be argued.  But it's that difference in mindset that leads to the difference of opinion.  It sounds like socialized health care, in your mind, is the government taking your money against your will and giving it to someone who is shirking their responsibility.  To others, in their mind, it's a way to help people who need help, and thus make the country better overall.  Both can be right at the same time.  It could be both of those things.  The difference is just the points that are focussed on by each side.    I'm not trying to say the conservative side is bad, or wrong, just that it views things from a different angle, which is often the "why should I have to help that guy?" angle.
katisara
GM, 2847 posts
Conservative human
Antagonist
Thu 24 Apr 2008
at 19:49
  • msg #30

Re: Doctor, it hurts when I do this:  Health care issues

Rose:
You oppose health care because we already pay for other things? I think less that we should get something from our government and more that the government owes its citizenry a certain amount of return on their investments.


No, I don't support paying for that because it supports a mindset I am fundamentally opposed to, that of decreasing our individual freedoms and trading them in for inconsequential comforts.

quote:
Strictly speaking, glasses would afford a more competant worker, so I would say that it ought to be included.


So can a college education, a car, a wife, an apartment, a stack of suits, leisure time, vacations, massages and so on.  Should the government provide those too?

If a person decides he's going to get a better job and requires glasses to do that, there are plenty of methods to get the $400 that don't require it being given away to him.

quote:
And beyond preventative, there are minor illnesses such as colds and flu or infections that can be easily cured but can develop into things like pneumonia, ect. I think that would be a fairly valid case for general care.


In most cases, I would disagree with that.  Firstly, there really isn't any cure for the common cold.  Pouring anti-biotics and the like into people to cure minor ailments is also poor practice in general because it breeds resistance.  Of course, if you have risk factors, it's a different matter.

quote:
And it isn't about not working, its about wages being too low to do more than subsist on what they make. I read (and no, I don't remember where) that most people are two paychecks away from poverty. That's a lot of people who might want to save, but lack the means.


Why are they two paychecks away from poverty?  Is it because their paycheck is so low, or because they've spent too much on their credit card, spend too much month-to-month on cable TV and car payments?  The average US citizen has one of the highest standards of living, as measured in just stuff, as well as the highest accumulation of debt.  We live in a material world where we're taught it's okay to go in debt to get nice things.  Maybe we should stop supporting that behavior now, before it blows up in our faces.

quote:
I don't think individuals as a rule should be responsible for the caring of others; I believe that government as an organization would function better if it provided for its society as part of its budget.


Do you see how these two sentences contradict each other?  The government is FOR and OF the people.  You can't say the government is responsible for caring for people without, by extension, saying these bunch of individuals are responsible for that as well (unless you're planning on getting some other government to care for those people.  I certainly wouldn't object to Canada's health plan if, by that, we meant Canadian tax payers supporting Americans getting health insurance.)

quote:
Given the economy in which we live and the availability of jobs, credit and all those money issues, more people than not need the help.


I again, I disagree.  I would say more people WANT the help than not, but that isn't the same as need.  If more people stopped living beyond their means, they would stop finding themselves in mountains of debt.

quote:
I really am not trying to misrepresent the conservative view, but it really sounds like "shirking responsibility" is the same as "getting a free ride" to me.


It's more of a question of justice.  If the government came up to my next door neighbor and said he had to pay more taxes because he's homosexual (just to throw out an example), I'd complain, not because I benefit from complaining, but because it seems like it's an injustice.  I don't support big government, and socialized health care is making it bigger, much bigger.  Big government is a threat, and it's unfair to those, all of those, who prefer government not meddle in their affairs, for better or for worse.

If liberals in general feel they need to help other people, why don't they start donating more, voluntarily, to causes which do that, rather than force others to support their agenda?  Isn't that contrary to freedom, to respecting other opinions, by saying 'you will put money into this program I think is right, or police will break down your door and drag you to jail'?  I fail to see how socialized medicine is in any way 'liberal'.  In fact, to the contrary, it seems downright fascist.
Tycho
GM, 1350 posts
Thu 24 Apr 2008
at 20:15
  • msg #31

Re: Doctor, it hurts when I do this:  Health care issues

katisara:
It's more of a question of justice.  If the government came up to my next door neighbor and said he had to pay more taxes because he's homosexual (just to throw out an example), I'd complain, not because I benefit from complaining, but because it seems like it's an injustice.  I don't support big government, and socialized health care is making it bigger, much bigger.  Big government is a threat, and it's unfair to those, all of those, who prefer government not meddle in their affairs, for better or for worse.

If liberals in general feel they need to help other people, why don't they start donating more, voluntarily, to causes which do that, rather than force others to support their agenda?  Isn't that contrary to freedom, to respecting other opinions, by saying 'you will put money into this program I think is right, or police will break down your door and drag you to jail'?  I fail to see how socialized medicine is in any way 'liberal'.  In fact, to the contrary, it seems downright fascist.


Is there any part of government that can't be viewed this way, though?  Is government run police 'facist?'  Government run fire departments?  Energy providers?  Navy?  Postal systems?  You are force, at gun point as you put it, to pay for all of these.  Are you opposed to government in general, or just "big" government?  What's the difference between big government, and necessary government?  Perhaps the point of disagreement?

Also, I think the examples you give again point out the difference in mind set.  There are some people who can't afford health care because they overspend, aren't good with their money, abuse credit cards, or whatever.  There are also people who can't afford health care because they had previous health problems, and work at a minimum wage job as a single parent raising two kids.  They're going to night school, and they're doing all they can to work they're way up the ladder, but they're not yet at a point where they can afford insurance.  The liberal mind set is that these people should be able to get help, even if means the former people get it too.  The conservative mindset seems to be the latter shouldn't get help if it means helping the former.  There seems to be this assumption of dishonesty by conservatives of anyone in a bad situation.  If they're poor, it must be because they're irresponsible.  Conservatives tend to speak about people getting away with bad behavior in this type of thing, and liberals tend to speak about the people who are doing things right but still need help.  Again, it seems to be a difference of opinion on what's the worse evil.
katisara
GM, 2848 posts
Conservative human
Antagonist
Thu 24 Apr 2008
at 20:58
  • msg #32

Re: Doctor, it hurts when I do this:  Health care issues

Tycho:
Is there any part of government that can't be viewed this way, though?  Is government run police 'facist?'  Government run fire departments?  Energy providers?  Navy?  Postal systems?  You are force, at gun point as you put it, to pay for all of these.  Are you opposed to government in general, or just "big" government?  What's the difference between big government, and necessary government?  Perhaps the point of disagreement? 


I wouldn't go so far as to say they are all fascist, since the cost of most of these are almost negligible.

I believe that the federal government exists to serve one purpose; protecting the rights of the people.  That's it, that is its sole charter.  It may offer services to people as well, but it's PURPOSE is to protect the rights of those people.  There is a necessary cost for this, which we currently get through taxes.  Services designed to protect the freedom of people are, of course, legitimate.  Of the list you put up, that would be the Navy (and debatably, the police, but the Federal police only have a very limited number of duties, and most people are unlikely to even see one in their lifetimes).

Postal service is just that, a useful service.  It provides a very clear cost and benefit, and the benefit for each person well outweighs the cost.  The cost to the taxpayers for the postal system has always been almost negligible, but the benefits have been tremendous.  If that ceased to be the case, the postal system should be dropped (and we may be approaching that day soon).

Fire department, municipal police and the like should be run at the local level, coincidentally, just like they are.  In general, things should be run at the lowest level possible, to offer the greatest control and benefits to the people.  The postal service really can't be run at the state level, so it should be federal.

If a state wants to set up its own health care system, they can do that - and I can just move out of that state (or move into it if I'm poor and in need of care).  But for the federal government to do so, you'd have to prove to me:
1)  It increases or protects my freedoms
If 1 is not met:
2)  It does not curtail my freedoms
If 2 IS met:
3)  Its benefits to people on the whole outweigh its costs

I don't see that as being the case.

quote:
They're going to night school, and they're doing all they can to work they're way up the ladder, but they're not yet at a point where they can afford insurance. 


Shouldn't these people be able to get some sort of a protected loan, rather than a gift?  Isn't that half the point of the current, federally backed student loans?  Those loans make sense - they're an investment, with clear benefits to society, and with minimal cost.  Giving money for free to students would not make sense.  That's what we're doing with health care - giving it for free on the assumption that people won't abuse it, and might pay some of that value back.


quote:
There seems to be this assumption of dishonesty by conservatives of anyone in a bad situation.  If they're poor, it must be because they're irresponsible.


Again, that's a mischaracterization.  I don't believe poor people are bad or stupid.  But I do believe they're responsible for their own lives.  And I certainly believe there are systems which encourage abuse, and systems which encourage proper investment.  Giving something away for free encourages abuse, so let's avoid that if we can.  Giving necessities away for free to people of working age discourages them from working, so let's avoid doing that too.  This isn't saying that a person who gets free stuff won't work or is corrupt, but it does mean that, statistically, we will have more problems if we operate that way.  I don't think saying 'this system is inefficient' is equal to saying 'damn those who are in need, it's my money'.
Vexen
player, 205 posts
Thu 24 Apr 2008
at 21:28
  • msg #33

Re: Doctor, it hurts when I do this:  Health care issues

It seems Katisara advocates some kind of victim-blaming rationalization. That all poor people are poor because they aren't responsible enough with their money. That they brought it on themselves. At least, that's the impression I'm getting.

I can understand from a philosophical point why conservatives oppose socialist healthcare. Socialism is like the boogy man, they have nightmares about sharing with people, I get it. But I can't understand why any conservative, especially fiscal conservatives, would support our current system. It makes no sense from a fiscal standpoint. We're throwing so much money into it, so much more than the other developed nations, and getting so little out of it. Say what you want about socialism wasting money, but we actually pay per capita (that's per person) about twice as much as socialist France does for their system, and yet they still have a much greater reputation for these things. And say what you will about credit card spending and people buying more than they need, but the number one cause of bankruptcy in the states isn't maxed out credit, but medical bills. And, strangely enough, many, if not most, of the people who go bankrupt on medical bills have health insurance.

I think that sums up a lot of the problem right there. Most people have health insurance, but it isn't doing much for them. They still go into bankruptcy from medical bills, and they still aren't getting what they need. Hell, most accountants won't even look at you funny if you told them that it was medical bills that sent you into bankruptcy. It's so common, and so out of the peron's hands that most of the time, they aren't even held accountable. Sounds like they brought it on themselves, right Kati?

We're going through this right now, in fact. My mom early in the ear survived from a major car crash that most experts say should had cost her her life. Drunk driver smashed into her car, causing her to hit a tree and the car to literally flip over on it's head. She suffered spinal damage, major damage on the third  fourth, and fifth cervical vertibrae, she was put into a halo after the operation, and started physical therapy after they discovered things were going fine. Within three days, she could make it to her feet and walk even a short distance. The minute the insurance company heard that she could walk, they ordered her home, concluding that she no longer needed the care. She was miserable around the home, but she survived. However, concluding that the injury must not have been that severe, they kept witholding regular treatments, and sending her to general practicianers to assist with her needs. They never even had a case manager for her. They'd set up a recovery plan alright, but everyone they sent her to didn't do the kind of treatment she needed (literally, from their own words, we can't help you). At the same time, the company demanded she move on to the next step, even though they never even secured her a specialist in the first place. The only specialist they sent her to early on that could help her she had to stop going to, because her iinsurance no longer was covered with that particular office.

Just yesterday, my mother had another operation. It seems that the third and fifth vertibrae were recovering just fine, but the fourth hadn't made an progress since she left hospital care months ago. In addition, because her halo never got readjusted throug the process, it was malaligned. She literally was bleeding from the holes in her head. The week before, she was in agnoizing pain constantly, so much so that her vision was literally going. She tried going into emergency, but seeing as the insurance wouldn't pay for it the necessary tests and treatments, and it wasn't seen as life threatening, all they did was put her on some painkillers and sent her on her way. They refused to even wipe the blood from her holes. She returned later, and they did the same thing, this time delivering with her a written note saying not to come back without her practiioner's written aknowledgement of need for serious treatment. They had guards, armed hospital security, escort her out the building, a woman bleeding from the head that should hardly walk. We eventually took her to another hospital, roughtly half an hour's drive away. Had the first hospital simply done an x-ray, it would had been obvious that she needed help. The doctors there said that the next hit to her spine, even just against a wall, could had risked permanent paralysis. They arranged for surgery just within 24 hours of the test results.

Here's the screwed up part: She has medical insurance, and not bottom of the line stuff, good health insurance. These weren't some overpopulated, run down hospitals either. There were rarely waiting lines. They are good, accreditated hosptials. And even she can't get what she needs. And of course, that hasn't stopped the insurance company from forwarding every bill they possibly can in our direction. Did the insurance company provide the necessities? Yes, they provided the operation that saved her life. Did they ensure much more than that? Not if they could find an excuse not to. It was like the company was hoping, seriously hoping to the point of delusion, that her injuries weren't serious, that it was all a passing thing.

We give too much power to people who aren't interested in helping us, but making a buck. And it's not hleping our economy in the slightest. It's only helping the health industry. It's shoddy, and completely inefficient, which is why I can't understand a conservative supporting it. Katisara constantly rants on the inefficiency of various governmental programs, yet adamantly supports this one, despite that it's exactly every bit what he's ranting against. Why? Because it's not socialist? Are you guys really so willing to cut your nose t spite your face? Is it really the point?

If you don't want a socialist health care system, that's fine. I'm not even all that adamant about it being socialist. I just want something that works, and what we have isn't working.
Tzuppy
player, 147 posts
Not very orthodox
Orthodox Christian
Thu 24 Apr 2008
at 21:36
  • msg #34

Re: Doctor, it hurts when I do this:  Health care issues

katisara:
I don't think saying 'this system is inefficient' is equal to saying 'damn those who are in need, it's my money'.

But isn't such attitude exactly what makes US health care, education and welfare systems as abysmal as they are?
katisara
GM, 2849 posts
Conservative human
Antagonist
Thu 24 Apr 2008
at 22:58
  • msg #35

Re: Doctor, it hurts when I do this:  Health care issues

Tzuppy:
katisara:
I don't think saying 'this system is inefficient' is equal to saying 'damn those who are in need, it's my money'.

But isn't such attitude exactly what makes US health care, education and welfare systems as abysmal as they are?


I will respond to Vexen's (primarily incorrect) post when I get back.  To respond to this, the problem is that whenever the subject comes up, the two sides of Congress get so caught up in how much additional coverage is offered, that neither can get together to actually fix the system even at the level of coverage it's offering.  Both sides agree the current system is inefficient, but both have so many agendas they can't get past to work on what's here NOW, nothing gets done.
Tycho
GM, 1351 posts
Fri 25 Apr 2008
at 08:57
  • msg #36

Re: Doctor, it hurts when I do this:  Health care issues

katisara:
I believe that the federal government exists to serve one purpose; protecting the rights of the people.  That's it, that is its sole charter.

And that's a legitimate position.  But it's not the only possible or reasonable position.  Some people believe the government should make the country a better place to live as well, improve the standard of living, etc.

katisara:
If a state wants to set up its own health care system, they can do that - and I can just move out of that state (or move into it if I'm poor and in need of care).  But for the federal government to do so, you'd have to prove to me:
1)  It increases or protects my freedoms
If 1 is not met:
2)  It does not curtail my freedoms
If 2 IS met:
3)  Its benefits to people on the whole outweigh its costs

I don't see that as being the case.

Just for clarification, is to 2 or 3 that you think fails?

quote:
They're going to night school, and they're doing all they can to work they're way up the ladder, but they're not yet at a point where they can afford insurance. 

katisara:
Shouldn't these people be able to get some sort of a protected loan, rather than a gift?  Isn't that half the point of the current, federally backed student loans?  Those loans make sense - they're an investment, with clear benefits to society, and with minimal cost.  Giving money for free to students would not make sense.  That's what we're doing with health care - giving it for free on the assumption that people won't abuse it, and might pay some of that value back.

If you think a student loan will cover major medical costs, I you're confused about what they're for and what you can do with them.  Is a loan better than a gift?  In many cases, but not all.  If someone's in a car accident, does it really benefit the country if they have to forgo, say, night school in order to pay off their doctor bills?

And the last sentence is slightly in accurate.  It's not that we're assuming people won't abuse it.  We accept that some people will abuse it.  But we consider some amount of abuse an acceptable price to pay in exchange for people getting adequate health care.  Again, it's the lesser evil issue.


quote:
There seems to be this assumption of dishonesty by conservatives of anyone in a bad situation.  If they're poor, it must be because they're irresponsible.


katisara:
Again, that's a mischaracterization.  I don't believe poor people are bad or stupid.

I know you don't believe it, but all your arguments seem to carry this kind of tacit assumption.  Its sort of like Bart's "do poor people have poor habits" question in the other thread.  Even though it's not what you really think, it comes off that way because the arguments are always "why should I pay for them" or "they're responsible for their own place in life" and the like.  Your arguments don't seem to accurately represent your feelings on this.

katisara:
But I do believe they're responsible for their own lives.  And I certainly believe there are systems which encourage abuse, and systems which encourage proper investment.  Giving something away for free encourages abuse, so let's avoid that if we can.  Giving necessities away for free to people of working age discourages them from working, so let's avoid doing that too.

Again, this sounds great, if it's applied across the board.  But conservatives are only happy to apply it to poor people.  Bring up the estate tax, and trying to take away just some of a huge handout, and they get up in arms.  Like I said before, conservatives don't seem to be opposed to handouts, they just want to be able to pick who gets them.  It's okay for rich kids to get something for free, and for them not to work, but it's not okay for a poor person to get health care if they can't afford it.

katisara:
This isn't saying that a person who gets free stuff won't work or is corrupt, but it does mean that, statistically, we will have more problems if we operate that way.  I don't think saying 'this system is inefficient' is equal to saying 'damn those who are in need, it's my money'.

Can you show that we'll have more problems if we operate "that way?"  Is that an assumption, is that documented?  And how are you defining "problems?"  Are you just looking at cases of people abusing the system, or are you also including people who can't get adequate health care despite doing all the right things as a problem?

I think Vexen's example illustrates an important point.  Insurance companies are only efficient at making money for shareholders, not at providing good health care.  Insurance companies spend much of their money on effort in trying to get someone else to pay for health care, or on screening out unhealthy people and not offering them insurance.  The insurance companies are a major inefficiency in the system, in terms of getting health care to people at a low price.
Tycho
GM, 1353 posts
Fri 25 Apr 2008
at 11:40
  • msg #37

Re: Doctor, it hurts when I do this:  Health care issues

I was thinking about Vexen's story about her mom today (out of curiousity, Vexen, is your mom on state farm insurance?), and had a thought I thought I'd bounce off you guys to see if you agree:

One of the problems with the insurance industry, is that unlike other companies, they don't want repeat business from people who use their service.  In most businesses, the idea is that if you don't provide a good service, the customers won't come back, and you'll lose money by not getting that repeat business.  Insurance companies, though, would rather get rid of all the customers that actually use their service (ie, people who get ill), and keep only those people who pay for it but don't use it (ie, healthy people).  They're happy to treat you great while you're healthy and just sending in checks every month.  But once you actually need to get money for them, you're costing them money rather than earning them money, and they'd much rather be rid of you as a customer.  If you need a doctor now, you're all the more likely to need one later.  So there's not that incentive to provide a good service.  The threat of you leaving and going to another insurance company doesn't work, because they'd actually prefer that you do so.  They've already got some money out of you, and any further money they get from you is likely to be offset by money they have to pay for your health care, so driving you away isn't actually a bad thing from their perspective.  I've heard stories similar to Vexen's a number of times, not just in health insurance cases.  Once you actually try to get a large some of money from insurance companies, they seem to fight you every step of the way.  Small things they're happy to pay for, because they're still coming out ahead, and by paying the small stuff they're less likely to have to pay for something big in the future.  But the big stuff is why people actually have insurance.

So my question to you guys is this:  Where is the motivation for insurance companies to treat their customers well, and provide high quality health care, in cases when the customer is actually costing them money?  Isn't a private insurance company's goal in direct conflict with the customer's goals, in that the company wants to avoid paying the customer more than the customer pays them, but the customer buys insurance for just such situations?  Does an insurance company have any motivation to treat a customer well once they've become a net loss of money?
katisara
GM, 2851 posts
Conservative human
Antagonist
Fri 25 Apr 2008
at 13:29
  • msg #38

Re: Doctor, it hurts when I do this:  Health care issues

Vexen, I don't know if you actually read my posts.  If I'm reading you correctly, however, you are prejudiced against people holding this position, and there's little I can say to change your mind.

I've never said that all poor people aren't responsible with their money.  I've never said the current system is any good, either.  What I'm saying is that moving the responsibility to the government is a poor idea, and will result in people like your mother (I do hope she starts getting the care she needs, of course) still suffering, just from a different set of problems.  Instead of only getting the care she 'needs', but getting quality treatment in those cases, she'd get all the appointments she needs, but shabby care in every instance, assuming she can get the appointments at all.  I suspect your mother would complain just as much (and rightly so) if she was told she'd have to wait 9 months for her next check-up.  She might as well not have an appointment at all at that rate.


Tycho:
And that's a legitimate position.  But it's not the only possible or reasonable position.  Some people believe the government should make the country a better place to live as well, improve the standard of living, etc. 


Then I recommend those people move to a country where the constitution or charter there supports that.  They quite outnumber those like the US.  Or, alternatively, they can move to a state that supports that, since that's the idea behind the system we have now.  Maryland seems to feel similarly, the government should improve your standard of living.  West Virginia seems to be a lot mroe hands off.  So if you want that sort of service, move to Maryland.  If you don't, move to West Virginia.  That way we can both be happy (and, coincidentally, tolerant).  I don't feel this current mindset of 'well they do it there so we should do it here too' is tolerant, in that it means that people like me who think the way they do it there have no where to live.  There is no nation in the world, with the possible exception of New Zealand, from what I've read, which embraces independence, freedom and personal responsibility as much as the US.  What am I supposed to do, fly to the moon?

quote:
katisara:
If a state wants to set up its own health care system, they can do that - and I can just move out of that state (or move into it if I'm poor and in need of care).  But for the federal government to do so, you'd have to prove to me:
1)  It increases or protects my freedoms
If 1 is not met:
2)  It does not curtail my freedoms
If 2 IS met:
3)  Its benefits to people on the whole outweigh its costs

I don't see that as being the case.

Just for clarification, is to 2 or 3 that you think fails? 


I think the proposed system fails at number 2, because its financial cost is simply too high, and that impacts the freedoms of whoever is paying that cost, and number 3 fails because the likely costs, financially and the human factor, will outweigh the benefits.  It isn't the best solution.


quote:
If you think a student loan will cover major medical costs, I you're confused about what they're for and what you can do with them.


That's not what I'm saying.  I'm saying we currently have student loans available, primarily through the federal government.  Why don't we have medical loans?  All in all, they oftentimes cost about the same, they both are required to allow people to become productive.  Imagine a system where you apply for a loan with a fixed rate barely above inflation, and you don't have to pay it back for say four years after you take it out.

quote:
Is a loan better than a gift?  In many cases, but not all.  If someone's in a car accident, does it really benefit the country if they have to forgo, say, night school in order to pay off their doctor bills?


If the person is in night school, and is suffering as much as Vexen's mom is, she's not going to night school any more.

And ultimately, there's nothing stopping you from taking two loans.  You'll be working very hard, but no one said there isn't a lot of work involved with life.  Worst case, you default on the loan, the government is back to where it was if it had given you the medical care for free, and you 'pay' for it by the difficulties involved with bankrupcy (which is where you would have been anyway if you hadn't accepted the loan - except now you went bankrupt AFTER all your medical care is taken care of).  Everyone comes out better than they would have otherwise, but no one gets a complete free ride.  It's cooperation.

quote:
quote:
There seems to be this assumption of dishonesty by conservatives of anyone in a bad situation.  If they're poor, it must be because they're irresponsible.

katisara:
Again, that's a mischaracterization.  I don't believe poor people are bad or stupid.

I know you don't believe it, but all your arguments seem to carry this kind of tacit assumption.


I will say, I believe that most people can get out of poverty if they're willing to sacrifice.  If they're willing to pull two jobs, to forego cable television and vacations, to put off children, you can do it.  There have been experiments to show this, where people with no credentials and no money pulled themselves up by their bootstraps by their own hard work.  And ultimately, THAT is the American Dream, that any person can advance (or drop).  There are exceptions, and sometimes you do everything right and just get a bad roll of the dice.  But ultimately, how many poor people do you know who work 12 or 16 hours, who sit down and manage their budgets, who cut luxury spending?  Until you've made that sacrifice, and kept making it continually for years, you, as a poor person, have little right to complain the system isn't fair.

quote:
Again, this sounds great, if it's applied across the board.  But conservatives are only happy to apply it to poor people.  Bring up the estate tax, and trying to take away just some of a huge handout, and they get up in arms.


That's because that's the government telling me I can't give my money to who I want, it's telling me I can't build something for my children.  I personally don't have much feelings on the estate tax one way or another, but I think there's merit to my saying the government has no right to stand between me and preparing for my children.

quote:
Can you show that we'll have more problems if we operate "that way?"  Is that an assumption, is that documented?  And how are you defining "problems?"  Are you just looking at cases of people abusing the system, or are you also including people who can't get adequate health care despite doing all the right things as a problem?


It would be almost impossible to statistically show such a thing, as well you know.  We're talking about economics, there's no statistical proof for even things we accept as givens (like spending more money leads to inflation).  If we had a way to test how many people are taking advantage of the system, or aren't working because they're getting free stuff, then we'd know precisely who to take off of it, wouldn't we?  When we are talking about economics, we need to build off of logical statements.  I think it's a reasonable logical statement to say that if a person can get something for free, he's unlikely to work for it, however if someone is told to pay for someone else who isn't working, he's likely to despise that, and will work to get out of that relationship, that if a person's work isn't judged by its quality, he will have no incentive to provide quality work.

quote:
Where is the motivation for insurance companies to treat their customers well, and provide high quality health care, in cases when the customer is actually costing them money?


The current system doesn't work because it's not open to market pressures.  How would *I* fix it?

1)  Standardize terminology and plans, make it easy to understand.  Do you know what a PPP is or what the alternative plan is?  Because I don't.  As a buyer, this stuff is too confusing.  That needs to be eliminated.  Standard, common-sense terminology as a requirement, just like we require ingredients on our food.
2)  Require a standardized statement of benefits and how you receive them, again, like we put our ingredients on your food.

Now you know what you're buying, and you can compare one plan to another without spending a full day doing it.

3)  Reduce barriers to entering the market.  The more plans we have competing, the more pressure the plans will have to play according to the rules.
4)  Make it easy to sign up for health insurance.  For instance, require that health insurance plans be able to give you a sign-on quote over the phone or internet, and that they can't alter it by more than 10% either direction, excepting if you withheld information (sort of like how auto mechanics work).  This allows you to investigate multiple companies over a short time.
5)  Promote ratings systems.  Allow customers to express their pleasure or dissatisfaction.  Focus especially on those like Vexen's mother.  This is the absolutely critical part.  If Green Cross Insurance throws out all its customers, this needs to be publicized.  Perhaps require these ratings be sent with the price quote.
6) (Optional) Take two of these private companies, set up a plan to cover preventative medicine and emergency room care (or whatever is appropriate), and say the government is footing the bill for each person who signs up.  This is your public health care.
7) (Optional) Create a government-run system that people pay into normally.  This creates a baseline against which everyone else must compete.  No one will do worse overall than this or they'll go out of business.

Now you have a diversity of plans, some offer bare-bones, only medical emergencies, some offer terrible service, but at a great cost, some offer terrific service but are very expensive.  But ultimately, when I'm signing up, I'm signing up knowing exatly what sort of service I can expect.  If I'm looking for good service, the company must get its current customers to agree that the service I'm offering is good in order to win my business.  This takes the focus off repeat business, and puts it on new customers, which is what the insurance company is really greated towards.
Tycho
GM, 1355 posts
Fri 25 Apr 2008
at 14:23
  • msg #39

Re: Doctor, it hurts when I do this:  Health care issues

katisara:
Then I recommend those people move to a country where the constitution or charter there supports that.  They quite outnumber those like the US.  Or, alternatively, they can move to a state that supports that, since that's the idea behind the system we have now.  Maryland seems to feel similarly, the government should improve your standard of living.  West Virginia seems to be a lot mroe hands off.  So if you want that sort of service, move to Maryland.  If you don't, move to West Virginia.  That way we can both be happy (and, coincidentally, tolerant).  I don't feel this current mindset of 'well they do it there so we should do it here too' is tolerant, in that it means that people like me who think the way they do it there have no where to live.  There is no nation in the world, with the possible exception of New Zealand, from what I've read, which embraces independence, freedom and personal responsibility as much as the US.  What am I supposed to do, fly to the moon?

I personally wouldn't have much problem if it was handled at the state level, though it'd likely be less efficient to have X variations of it, and complications such as people living in a state with universal health care vacationing in a state without and needing an immediate hospital visit.  Not an insurmountable problem, but it'd be a bit more complicated.  Like I said, I'd be okay with that.  My question, though, is does the argument really change just because it's at state level?  What if all 50 states adopted that system independently, would you then feel it's okay?  Is it not okay for a government to do 'X' if there's not somewhere that you could moved to that offers 'not X'?  The point about the constitution is valid, but what if the people elect officials who make an amendment that specifically lets them set up a health care system?  Would that be acceptable?

katisara:
I think the proposed system fails at number 2, because its financial cost is simply too high, and that impacts the freedoms of whoever is paying that cost, and number 3 fails because the likely costs, financially and the human factor, will outweigh the benefits.  It isn't the best solution.

Okay, what cost/benefit level would be acceptable to you?  And what level of costs would be acceptable to you in terms of passing the infringing freedoms test?  Just looking for ball park figures here, as clearly anything more specific would be pure speculation.  For example, I assume you'd be okay with if it everyone got free, high-quality health care, and it cost each tax payer 10 dollars a year.  But probably wouldn't support it if it cost everyone $20k a year.  Where's a suitable tipping point?  $1000/year on average?  $100?  $2000?  $5000?  Roughly speaking, what would cost would be acceptable?

katisara:
That's not what I'm saying.  I'm saying we currently have student loans available, primarily through the federal government.  Why don't we have medical loans?  All in all, they oftentimes cost about the same, they both are required to allow people to become productive.  Imagine a system where you apply for a loan with a fixed rate barely above inflation, and you don't have to pay it back for say four years after you take it out.

I wouldn't be opposed to such a system.  I don't think it's a cure-all, but I don't have any objection to it.  Out of curiosity, do you consider government-backed student loans to be a violation of your freedoms, since it's costing you tax money for the government to provide them?  Do you consider it a violation of the consitution?

quote:
Is a loan better than a gift?  In many cases, but not all.  If someone's in a car accident, does it really benefit the country if they have to forgo, say, night school in order to pay off their doctor bills?

katisara:
If the person is in night school, and is suffering as much as Vexen's mom is, she's not going to night school any more.

Perhaps, but surely you can imagine cases where a person suffers an injury through no fault of their own which costs lots of money to treat, and could be forced to choose between paying off their loan, or getting an education or otherwise improving their ability to contribute to the economy.

katisara:
And ultimately, there's nothing stopping you from taking two loans.  You'll be working very hard, but no one said there isn't a lot of work involved with life.  Worst case, you default on the loan, the government is back to where it was if it had given you the medical care for free, and you 'pay' for it by the difficulties involved with bankrupcy (which is where you would have been anyway if you hadn't accepted the loan - except now you went bankrupt AFTER all your medical care is taken care of).  Everyone comes out better than they would have otherwise, but no one gets a complete free ride.  It's cooperation.

Well, in many cases there is something stopping people from taking out more loans.  People don't like to loan money to people that aren't likely to pay it back.  I'm also pretty sure that even if you go bankrupt, you don't get out of your federal student loans.  If I recall correctly, the student loans I got also required a co-signer, so even if I went bankrupt, whoever cosigned for me was still on the hook for them.  Those might not have been the federal ones, though, I don't recall perfectly.


quote:
Again, this sounds great, if it's applied across the board.  But conservatives are only happy to apply it to poor people.  Bring up the estate tax, and trying to take away just some of a huge handout, and they get up in arms.

katisara:
That's because that's the government telling me I can't give my money to who I want, it's telling me I can't build something for my children.  I personally don't have much feelings on the estate tax one way or another, but I think there's merit to my saying the government has no right to stand between me and preparing for my children.

Which is fair enough, but it's still at odds with the "no hands outs" ideology that is used to argue against these programs.  Like I said, it's not an opposition to hand outs, it's just wanting to pick who gets them.  You're okay with people getting hand outs, you just don't want to be forced to give them.  I'm not trying to say that's not a legitimate position, I just wish people who hold it would make it more clear that that's their position, rather than focussing on the "no free rides!" aspect.  Like I said before, it really comes down to a "don't take what's mine" position, which is a legitimate position, but it's often portrayed as something else, such as a "no handouts" position or a "you have to earn it" position, which clearly really isn't the motivator of people who fight to be able to give their kids huge handouts.

katisara:
It would be almost impossible to statistically show such a thing, as well you know.  We're talking about economics, there's no statistical proof for even things we accept as givens (like spending more money leads to inflation).  If we had a way to test how many people are taking advantage of the system, or aren't working because they're getting free stuff, then we'd know precisely who to take off of it, wouldn't we?  When we are talking about economics, we need to build off of logical statements.  I think it's a reasonable logical statement to say that if a person can get something for free, he's unlikely to work for it, however if someone is told to pay for someone else who isn't working, he's likely to despise that, and will work to get out of that relationship, that if a person's work isn't judged by its quality, he will have no incentive to provide quality work.

The thing is, though, you get other things from working.  Very, very few people are content with the bear minimum, and will work to get more, even if they're given something for free.  No matter how much people have, they tend to want more, and very much don't want to have to settle for less.  These, I would argue, are the real motivators for work.  It's not just about meeting your basic needs, it's about getting more than you currently have. The last sentence above I'm a bit confused about.  What part of the system wouldn't be judged by it's quality?  I don't think anyone is opposed to merit-based pay for doctors, even within a univeral coverage scheme.


katisara:
The current system doesn't work because it's not open to market pressures.  How would *I* fix it?

1)  Standardize terminology and plans, make it easy to understand.  Do you know what a PPP is or what the alternative plan is?  Because I don't.  As a buyer, this stuff is too confusing.  That needs to be eliminated.  Standard, common-sense terminology as a requirement, just like we require ingredients on our food.
2)  Require a standardized statement of benefits and how you receive them, again, like we put our ingredients on your food.

Now you know what you're buying, and you can compare one plan to another without spending a full day doing it.

Sounds good by me.

katisara:
3)  Reduce barriers to entering the market.  The more plans we have competing, the more pressure the plans will have to play according to the rules.
4)  Make it easy to sign up for health insurance.  For instance, require that health insurance plans be able to give you a sign-on quote over the phone or internet, and that they can't alter it by more than 10% either direction, excepting if you withheld information (sort of like how auto mechanics work).  This allows you to investigate multiple companies over a short time.
5)  Promote ratings systems.  Allow customers to express their pleasure or dissatisfaction.  Focus especially on those like Vexen's mother.  This is the absolutely critical part.  If Green Cross Insurance throws out all its customers, this needs to be publicized.  Perhaps require these ratings be sent with the price quote.

These work for me too, though the major barrier to entering the market, I would say, is the huge amount of capital needed.  I'm not sure how to fix that problem.

katisara:
6) (Optional) Take two of these private companies, set up a plan to cover preventative medicine and emergency room care (or whatever is appropriate), and say the government is footing the bill for each person who signs up.  This is your public health care.

Why keep the middle man of the insurance companies in this case?  Why not send the bills direct to the government?  What are the insurance companies adding in this situation?

katisara:
7) (Optional) Create a government-run system that people pay into normally.  This creates a baseline against which everyone else must compete.  No one will do worse overall than this or they'll go out of business.

This works for me, but it's still a "health care is a luxury" model, since people who can't afford it, won't get it.

katisara:
Now you have a diversity of plans, some offer bare-bones, only medical emergencies, some offer terrible service, but at a great cost, some offer terrific service but are very expensive.  But ultimately, when I'm signing up, I'm signing up knowing exatly what sort of service I can expect.  If I'm looking for good service, the company must get its current customers to agree that the service I'm offering is good in order to win my business.  This takes the focus off repeat business, and puts it on new customers, which is what the insurance company is really greated towards.

I'm all for the more information angle.
katisara
GM, 2852 posts
Conservative human
Antagonist
Fri 25 Apr 2008
at 15:38
  • msg #40

Re: Doctor, it hurts when I do this:  Health care issues

Tycho:
My question, though, is does the argument really change just because it's at state level?  What if all 50 states adopted that system independently, would you then feel it's okay?  Is it not okay for a government to do 'X' if there's not somewhere that you could moved to that offers 'not X'?


I think it highly unlikely that all 50 states would adopt such a plan, however it's quite reasonable that all the states I'd care to live in would.  I currently live in such a state, however, and my arguments against the local plan are very different than those against the federal level (mostly about effective administration, rather than whether the system should exist at all.  I already accept I've been outvoted.  Maybe one day I'll vote with my feet, maybe not.)

However, yes, I think it would be rather unjust to remove any option for people who don't feel they want to be part of such a scheme.

quote:
The point about the constitution is valid, but what if the people elect officials who make an amendment that specifically lets them set up a health care system?  Would that be acceptable?


I think we can agree there have been amendments that contradict the Bill of Rights and so on.  Just because it's added to the Constitution doesn't mean it's constitutional (in the spirit of things, obviously it literally is).  If they added an amendment saying all people will have 666 stamped on their foreheads, I wouldn't accept that either.

quote:
For example, I assume you'd be okay with if it everyone got free, high-quality health care, and it cost each tax payer 10 dollars a year.  But probably wouldn't support it if it cost everyone $20k a year.  Where's a suitable tipping point?  $1000/year on average?  $100?  $2000?  $5000?  Roughly speaking, what would cost would be acceptable?


If it cost EVERY tax payer something?  Well that steals some of my thunder, because we know under the current system some tax payers pay a lot more than others.

Ultimately though, we can reduce this to basic finances.  Odds of needing such care * value of such care gives us a precise number.  On the flip side, we have the cost 'per' taxpayer.  If it were a flat tax, this would give us a clear cost/benefit analysis, and we could say for certain 'well, it costs $1,000 to get into the system, but it's effectively saving you $1,500'.  That would make sense.  However, it'll be a progressive (code word for socialist ;P) tax, so some people will be paying $0, and some people will be paying $20,000, but everyone would be getting $1,500 of value from it.  At that point it starts to be a little unfair, and how unfair depends on how much pressure is put on people.  If we have one guy responsible for paying $10M, and everyone else pays $1, that's unfair even though I'm probably not that one guy.  Saying he's rich and therefore he can spare it isn't a valid argument.  Someone may have a lot of kids, but that doesn't mean he has any extra, or he may have a big house but he won't appreciate your letting random people sleep in one of his bedrooms.

How do we calculate the cost to these people?  That's pretty tough.  How do we translate the value of $1,000 to someone who earns $55k/year to the value of $1,000 to someone who earns $550k/year?  If we figured that out, we'd have a method of determining what's a good value.

quote:
I wouldn't be opposed to such a system.  I don't think it's a cure-all, but I don't have any objection to it.  Out of curiosity, do you consider government-backed student loans to be a violation of your freedoms, since it's costing you tax money for the government to provide them?


No, because the government makes the money back with interest, so no money is really lost, nor, hopefully, is any gained.  On the books, in theory, it would be a zero, almost zero cost (only the cost of administration), but it has a clear benefit.

quote:
Do you consider it a violation of the consitution?


Depends on how the seed money is acquired.  It isn't a service that's explicitly supported by the constitution, but I don't think it's explicitly disallowed either.

quote:
Perhaps, but surely you can imagine cases where a person suffers an injury through no fault of their own which costs lots of money to treat, and could be forced to choose between paying off their loan, or getting an education or otherwise improving their ability to contribute to the economy. 


Assuming we have a character who simultaneously is of limited income, suffers an injury through no fault of his own, but is unable to find legal recourse for such a thing, didn't have the foresight for appropriate insurance, or the insurance cheated him somehow or isn't providing services, the fellow is honestly trying to better himself through education and doesn't qualify for any other form of financial aid, loans from family, etc. then yes, this person is the unlucky fringe case who owes a lot of money.  But at least he has reasonable options, can still make a difference, and maybe he can't afford night school now, but in six or eight years, he can take a whack at it again.  No one said life is fair, and it's certainly not easy.

At the same time, I think someone who did go through that would have proven he has a lot of very hireable qualities (assuming he's not majoring in Greek or something, which sort of makes him not very hireable any more.  Do we actually offer federal student loans for Greek majors?)

quote:
Well, in many cases there is something stopping people from taking out more loans.  People don't like to loan money to people that aren't likely to pay it back.


That's why the federal government offers them.  What does a college freshman possibly have that would make a private business interested in offering him a loan?  Generally nothing.  That's what Fannie Mae is for.

quote:
I'm also pretty sure that even if you go bankrupt, you don't get out of your federal student loans.  If I recall correctly, the student loans I got also required a co-signer, so even if I went bankrupt, whoever cosigned for me was still on the hook for them.  Those might not have been the federal ones, though, I don't recall perfectly. 


My wife had a fannie mae loan (which we paid off, so I don't remember any of that).  No idea about the co-signer either.  Although in truth, a person who has no money has no money.  There's really no other way out of it.  The gummint isn't going to throw you in jail (or shouldn't, under what I'm suggesting) for that because there's no benefit for that.  If the federal government does feel repayment is absolutely necessary, it seems the best idea would be to require 'community service' - either as a normal federal employee getting some of his pay docked (or not), or doing some other good work for the community.  If the guy can't get a job anyway, that's a plus for him, a plus for me, the taxpayer, a plus for the government.

quote:
Which is fair enough, but it's still at odds with the "no hands outs" ideology that is used to argue against these programs.  Like I said, it's not an opposition to hand outs, it's just wanting to pick who gets them.


Let me say, I don't think anyone is against the government giving out hand-outs per se.  What they're against is the government using taxpayer money to give out hand-outs.  So it isn't that conservatives want to limit who gives hand-outs, but rather, who is required to pay for them.  If they're paying for them, they want a say in that.  I think that's fair.  Your phraseology is like how Heath (I believe it's Heath) made some statement about liberals wanting more taxes, and you corrected him saying that's not their goal, but how they do it.  Conservatives don't want to stop hand-outs, but they want control over their money.  If congress-people set up their own hand-outs from their salary using the gov't as a vehicle, no one would complain.

So it's not even 'don't take what's mine' but, if you must take what's mine, I want a say in how it's used, and I want to make sure it's used appropriately.

quote:
Very, very few people are content with the bear minimum, and will work to get more, even if they're given something for free.


You did go to college, right?  Did you live on campus?  Meet college students?  Who was more productive, those who were paying their own way in loans or out of pocket, or those who were getting their tuition paid by someone else?  Which group was more likely to get a job and which was more likely to play beer pong?

In my experience, that group is definitely not 'very, very few', it's a significant number which gets larger every year.

Heck, just speaking for myself, basically my entire paycheck goes into shelter, food, clothes, medical costs, costs associated with going to work and soon will include education costs for my children.  I don't have cable because I can't afford it.  I brew my own beer because I can't afford to buy beer.  I have a computer I can't use because I don't have the space in my budget for a used monitor for it.  I'm going to stop driving to my gaming group because gas is too expensive.  I have as of yet to buy a television.

If you told me I could keep all of the things I listed and not have to spend 50 hours a week associated with going to work, I'd say sure!  If all of my costs were covered, I would make more money begging on the street than I would going into the office.  I know this is anecdotal, since there's only one of me, but yes, if you told me all of my basic needs and my children's education would be covered, I would quit my job in a heartbeat.

quote:
What part of the system wouldn't be judged by it's quality?  I don't think anyone is opposed to merit-based pay for doctors, even within a univeral coverage scheme. 


The current system doesn't pay by quality, I suspect anything new we put up wouldn't either.


katisara:
The current system doesn't work because it's not open to market pressures.  How would *I* fix it?

<quote>This works for me, but it's still a "health care is a luxury" model, since people who can't afford it, won't get it. 


#6 (the gov't footing the bill) is the difference between 'health care is a luxury' and 'health care is a right'.  If you think it's a right, you take #6 (as well as probably #7, since the gov't can let people into the plan for free, or reduced costs, as appropriate).  If you think it's a luxury, you don't do those two (or require they still charge).  If you think it's a right which must be protected from abuse, you allow them to do community service instead of paying cash.
Rose
player, 9 posts
Fri 25 Apr 2008
at 18:46
  • msg #41

Re: Doctor, it hurts when I do this:  Health care issues

Just as aside on the student loans, co-signers aren't always necessary, though parents can take out loans. you can not file bankrupcy on them and defaulting on them is fairly serious. The only way to get rid of such a debt is death. (they don't impose the loans upon your family) I had to take out loans for school and read all the fine print. Taking Master's courses I had to again and the information is correct as of 2005, though it could have changed. And loans are available for any college major. Although extra incentives are offered for specific careers.
Mr Crinkles
player, 110 posts
Catholic
Fri 25 Apr 2008
at 20:54
  • msg #42

Re: Doctor, it hurts when I do this:  Health care issues

Katisara:
I don't support big government, and socialized health care is making it bigger, much bigger.  Big government is a threat, and it's unfair to those, all of those, who prefer government not meddle in their affairs, for better or for worse.

*** Would you support a socialised health-care program you could opt out of? I mean, if you're just wanting the government to stay out of your business, I would say that's absolutely your right, and no one should infringe on it. But what about those of us who're okay with a little interference? So we make a program that people who want can opt into, and people who don't want can opt out of. Sound good?

Katisara:
I fail to see how socialized medicine is in any way 'liberal'.  In fact, to the contrary, it seems downright fascist.

*** Well, that would explain why I'm in favour of it ....

Katisara:
Tycho:
Is there any part of government that can't be viewed this way, though?  [...] Navy?

I wouldn't go so far as to say they are all fascist, since the cost of most of these are almost negligible.

*** You consider the cost of the military to be "almost negligible"?

Katisara:
I believe that the federal government exists to serve one purpose; protecting the rights of the people.  That's it, that is its sole charter.

*** Do you have any basis for this belief?

Katisara:
But for the federal government to do so, you'd have to prove to me:
1)  It increases or protects my freedoms
If 1 is not met:
2)  It does not curtail my freedoms
If 2 IS met:
3)  Its benefits to people on the whole outweigh its costs

I don't see that as being the case.

*** Okay, so what costs do you think there are that aren't outweighed by the benefits? Also, on the subject of #1 there, what about freedom from illness?

Katisara:
Giving something away for free encourages abuse, so let's avoid that if we can.  Giving necessities away for free to people of working age discourages them from working, so let's avoid doing that too.

*** Okay, so why not bring back indentured servitude? I'm not being at all faceitious (sp?); I really think we ought to.

Katisara:
Instead of only getting the care she 'needs', but getting quality treatment in those cases, she'd get all the appointments she needs, but shabby care in every instance, assuming she can get the appointments at all.

*** I must've missed something. How do we know it would be "shabby care"?

Katisara:
Tycho:
Do you consider it a violation of the consitution?

Depends on how the seed money is acquired.  It isn't a service that's explicitly supported by the constitution, but I don't think it's explicitly disallowed either.

*** So then your position would be that anything not explicitly disallowed by the Constitution is acceptable?
katisara
GM, 2855 posts
Conservative human
Antagonist
Fri 25 Apr 2008
at 22:42
  • msg #43

Re: Doctor, it hurts when I do this:  Health care issues

Mr Crinkles:
*** Would you support a socialised health-care program you could opt out of? I mean, if you're just wanting the government to stay out of your business, I would say that's absolutely your right, and no one should infringe on it. But what about those of us who're okay with a little interference? So we make a program that people who want can opt into, and people who don't want can opt out of. Sound good?


Most likely, yes, I'd support that, assuming your opting in or out truly had little or no interference on me.  The problem is, if we did that, the people who would opt in are those who can't afford (or don't want to spend money on) health insurance, and those that would opt out would be those who have the money for the nice health insurance, so it wouldn't exactly be much of an improvement.


quote:
*** You consider the cost of the military to be "almost negligible"?


Hardly, but for instance, the cost of student loans should be, in theory, almost negligible.  The amount of money we pay on say NASA or NOAA is very, very little, per person.  The military is a different discussion.  Having SOME military is necessary, since we need to be able to defend our nation against invaders, but having a military large enough to conquer and hold other nations isn't just unnecessary, but it's dangerous.  Is there a reason our military is bigger than all the other militaries of the world combined?  Because I can't see any.  And you as a taxpayer shouldn't have to pay into that.  But if you try to stop, people with guns break into your house, take your stuff and toss you in jail.  That's just as bad as forcing people into paying for someone else's hospital stay without your having in any say in the matter.

quote:
Katisara:
I believe that the federal government exists to serve one purpose; protecting the rights of the people.  That's it, that is its sole charter.

*** Do you have any basis for this belief?


Only the Constitution.

quote:
*** Okay, so what costs do you think there are that aren't outweighed by the benefits? Also, on the subject of #1 there, what about freedom from illness?


I don't believe we have, or should expect, a freedom from illness.  Should I expect a freedom from hardship?  From chance?  That's ridiculous.

What makes it a bad deal?  If I pay $2,000 for $1,000 in service, that's a bad deal.  If I pay $2,000 for someone else to get $1,000 in service that's a REALLY bad deal.

quote:
*** Okay, so why not bring back indentured servitude? I'm not being at all faceitious (sp?); I really think we ought to.


If protected from abuse, it's an option.  To a degree we already do it in some places.  The government right now will pay your college tuition in exchange for four years of military service.  I wouldn't mind the government offering to pay for your medical treatment in exchange for a few years of civil service.  From what I understand, initially welfare under FDR was that; the fed gives you a job and that's how you make that 'free money'.  I don't know why we dropped it.  To do otherwise encourages abuse.

quote:
Katisara:
Instead of only getting the care she 'needs', but getting quality treatment in those cases, she'd get all the appointments she needs, but shabby care in every instance, assuming she can get the appointments at all.

*** I must've missed something. How do we know it would be "shabby care"?


Firstly from all the reports we've been seeing from people in nations with socialized health care reporting that there are long lines and poor accountability.  Secondly, in any system where performance is not properly incentivized, most people will provide poor service, and most social health care programs around do not appropriately incentivize good performance.

quote:
*** So then your position would be that anything not explicitly disallowed by the Constitution is acceptable?


I don't think we should get into that in this thread.  Technically, the Constitution already says the federal government has no power beyond those outlined in the constitution, so they don't have any powers not in the Constitution.  However, the Fed Gov't can offer certain services, like USPS.  But to go into the specifics of why one and not the other is probably a conversation all of its own.
Falkus
player, 410 posts
Fri 25 Apr 2008
at 23:48
  • msg #44

Re: Doctor, it hurts when I do this:  Health care issues

Secondly, in any system where performance is not properly incentivized, most people will provide poor service, and most social health care programs around do not appropriately incentivize good performance.

People who choose to devote their lives to medicine tend to have motivations above desire for money.

I don't believe we have, or should expect, a freedom from illness.

Do we have a right to life?
katisara
GM, 2856 posts
Conservative human
Antagonist
Sat 26 Apr 2008
at 03:28
  • msg #45

Re: Doctor, it hurts when I do this:  Health care issues

quote:
People who choose to devote their lives to medicine tend to have motivations above desire for money.


The number of people who have the time, intelligence and money to invest in becoming a doctor are few, and many of them are already being pulled into quite a number of other areas which are already suffering a serious lack of manpower.

Falkus:
Do we have a right to life?


The two are not equivalent.
Falkus
player, 411 posts
Sat 26 Apr 2008
at 03:45
  • msg #46

Re: Doctor, it hurts when I do this:  Health care issues

The number of people who have the time, intelligence and money to invest in becoming a doctor are few, and many of them are already being pulled into quite a number of other areas which are already suffering a serious lack of manpower.

This is just as true in the US as it is in Canada. A person who's smart enough to become a doctor is also smart enough to qualify for any number of other professions, many of which have a greater salary potential than being a doctor.

The two are not equivalent.

Rights that aren't protected can't be said to exist in any meaningful way.
katisara
GM, 2858 posts
Conservative human
Antagonist
Sun 27 Apr 2008
at 13:07
  • msg #47

Re: Doctor, it hurts when I do this:  Health care issues

Falkus:
This is just as true in the US as it is in Canada. A person who's smart enough to become a doctor is also smart enough to qualify for any number of other professions, many of which have a greater salary potential than being a doctor.


And from what I understand, medical service is better in the US as a consequence.

quote:
Rights that aren't protected can't be said to exist in any meaningful way.


That's correct, but the US government is built on the idea that the government doesn't have to enforce your rights for and against you, that it only enables you to enforce your own rights.  In the US we believe each person has a right to own a gun, but the government doesn't go out and buy people guns (although I'd really like it if they did...) nor restrict those with money for guns to buy guns for other people.

Really, this line of thought seems quite odd.  I don't see how an organization acknowledging you have basic human rights means that organization is somehow obliged to take the burden off of you for enforcing those rights.
Falkus
player, 413 posts
Sun 27 Apr 2008
at 13:26
  • msg #48

Re: Doctor, it hurts when I do this:  Health care issues

And from what I understand, medical service is better in the US as a consequence.

I'm not quite sure how this relates to my statement. I was merely pointing out that people become doctors for reasons other than money in both of our countries.

Really, this line of thought seems quite odd.  I don't see how an organization acknowledging you have basic human rights means that organization is somehow obliged to take the burden off of you for enforcing those rights.

If I'm a small and weak person, a strong man with a gun could very easily deprive me of my right to freedom, speech and/or life. That's why we need a police force. I view doctors along the same lines. Society needs to provide medical care to people who can't afford it themselves.
katisara
GM, 2860 posts
Conservative human
Antagonist
Mon 28 Apr 2008
at 11:37
  • msg #49

Re: Doctor, it hurts when I do this:  Health care issues

Falkus:
And from what I understand, medical service is better in the US as a consequence.

I'm not quite sure how this relates to my statement. I was merely pointing out that people become doctors for reasons other than money in both of our countries.


What I'm saying is depending on people having THAT MUCH generosity in their hearts is asking for a precious resource to be strained.

quote:
If I'm a small and weak person, a strong man with a gun could very easily deprive me of my right to freedom, speech and/or life. That's why we need a police force. I view doctors along the same lines. Society needs to provide medical care to people who can't afford it themselves.


This is a great example, actually.

The US Federal government actually has very few police forces, and almost all of them are dedicated to protecting federal assets against people like you (i.e. - not federal assets).  For example, there's the Mint Police, Secret Service (whose primary job has been cracking down on counterfeit money), Alcohol, Tobacco and Firearms, who are charged with making sure people pay taxes on those things and so on.  The only real exception is the FBI, who of course are late-comers to the game, and who still only enforce a handful of laws.  You can't call some number for the FBI to come to your house and protect you (unless by 'protect you' you mean 'surround your house and shoot at you'.  That can be arranged.)  However, no one can argue the federal government doesn't believe in freedom, speech or life.

On the flip side, the state, county and town DO provide police forces, as a service and to enforce the rules of that particular area.  Most states, counties and townships do NOT include a provision saying they will guarantee your freedom, speech or life.  They are simply providing a service.  In times past, some such services were subscription based, although now for ease of use they've generally made it based on geographic region.  If Maryland really wanted to protect more peoples' life and so on, they'd have an agreement with West Virginia, who don't have as many police per capita, and provide protection there as well.  But of course Maryland doesn't, largely because West Virginia is chock full of people who refuse to pay the 'subscription fee' in the form of Maryland state taxes.


So yes, the federal government recognizes your right to life, freedom, good health, etc.  The federal government, however, is under no means constrained to defend such things on your behalf, except in the particular forms it has already been bound to defend (creation of a navy, creating a dependable currency, etc.)
Tycho
GM, 1356 posts
Mon 28 Apr 2008
at 12:31
  • msg #50

Re: Doctor, it hurts when I do this:  Health care issues

quote:
For example, I assume you'd be okay with if it everyone got free, high-quality health care, and it cost each tax payer 10 dollars a year.  But probably wouldn't support it if it cost everyone $20k a year.  Where's a suitable tipping point?  $1000/year on average?  $100?  $2000?  $5000?  Roughly speaking, what would cost would be acceptable?


katisara:
If it cost EVERY tax payer something?  Well that steals some of my thunder, because we know under the current system some tax payers pay a lot more than others.

Ultimately though, we can reduce this to basic finances.  Odds of needing such care * value of such care gives us a precise number.  On the flip side, we have the cost 'per' taxpayer.  If it were a flat tax, this would give us a clear cost/benefit analysis, and we could say for certain 'well, it costs $1,000 to get into the system, but it's effectively saving you $1,500'.  That would make sense.  However, it'll be a progressive (code word for socialist ;P) tax, so some people will be paying $0, and some people will be paying $20,000, but everyone would be getting $1,500 of value from it.

This is true.  But keep in mind that it's also how our current system works.  Some people (ie, healthy people) pay lots of money but get nothing out of it, unhealthy people pay the same amount, and get lots out.  Any kind of health care is going to be a case of some people paying for others.  Also keep in mind that in the current system, the rich are already paying way more for it than the poor are.  It's just that the poor get nothing (and pay nothing) in the current case.

katisara:
At that point it starts to be a little unfair, and how unfair depends on how much pressure is put on people.

I'm pretty sure it was you who brought up that there's nothing in the constitution about things being fair. ;)  More seriously, though, taxes, by their very nature are unfair.  Even a flat tax is unfair, in the sense that rich people still pay more for the same services (even it's the same percentage of their income as poor people are paying).

katisara:
If we have one guy responsible for paying $10M, and everyone else pays $1, that's unfair even though I'm probably not that one guy.  Saying he's rich and therefore he can spare it isn't a valid argument.  Someone may have a lot of kids, but that doesn't mean he has any extra, or he may have a big house but he won't appreciate your letting random people sleep in one of his bedrooms.

How do we calculate the cost to these people?  That's pretty tough.  How do we translate the value of $1,000 to someone who earns $55k/year to the value of $1,000 to someone who earns $550k/year?  If we figured that out, we'd have a method of determining what's a good value.

I think you need to take into acount that a rich person probably values their health (in dollar terms) than a poor person does.  If you're making $550k/year, you're probably willing to pay much more for your health than someone who's making $55k/year.  $20k for an elective operation?  May seem reasonable if you're making $550k/year, but perhaps not if you're making $55k/year.

I agree that determining how much is 'reasonble' is a non-trivial problem, but I think not imposssible.  Say it costs on average $3k/year for good health care (I'm taking this number out of the air, but I think it's more than the current amount spent per person in the US, which is already higher than anywhere else in the world--even places with socialized medicine).  If the 'average' person is taking in, say, $30k/year (again, just making guesses here, trying to be conservative with them), that's 10% of income devoted to health care.  Would a 10% of income tax be fair, do you think?  Would 5%?

This is in terms of a flat tax, and you're right that it'd more likely be a progressive tax.  Are progressive taxes, in your view, always unfair, or are they ever appropriate?  If it's always unfair, that might be more the issue than the health care itself.


quote:
Do you consider it [federal student loans] a violation of the consitution?


katisara:
Depends on how the seed money is acquired.  It isn't a service that's explicitly supported by the constitution, but I don't think it's explicitly disallowed either.

I thought everything not explicitly listed was said to be forbidden.  Whatever the case, though, you're okay with student loans, which is the point.  The benefit outweighs the costs, so it's okay.  If the benefit of socialized health care outweighs the cost, then it seems like that should be on the table too, is my point.

katisara:
Assuming we have a character who simultaneously is of limited income, suffers an injury through no fault of his own, but is unable to find legal recourse for such a thing, didn't have the foresight for appropriate insurance, or the insurance cheated him somehow or isn't providing services, the fellow is honestly trying to better himself through education and doesn't qualify for any other form of financial aid, loans from family, etc. then yes, this person is the unlucky fringe case who owes a lot of money.  But at least he has reasonable options, can still make a difference, and maybe he can't afford night school now, but in six or eight years, he can take a whack at it again.  No one said life is fair, and it's certainly not easy.

Okay, this highlights my point very well.  This is a situation that no one wants, but you're willing to tolerate.  A good person doing the right thing, but slipping through the cracks.  Unfortunate, but them's the breaks some times.  Alternatively, people in favor of socialized health care say "no, we don't want this person to slip through the cracks.  We should do what we need to help them work their way up."  When conservatives say "but that will let other people get a free ride!" they reply "well, them's the breaks.  We can tolerate that unwanted situation."  Those in favor of the socialized health care don't want anyone who's doing everything right to get left behind because of a bad roll of the dice, and they're willing to let some people who aren't doing everything right to take advantage of the system, if that's the only way to make it work.  Those opposed want to make sure no one abuses the system and gets something they don't deserve, and they're willing to let a few good people doing the right thing to fall by the wayside from time to time if that's what it takes to make sure no one abuses the system.

katisara:
Let me say, I don't think anyone is against the government giving out hand-outs per se.  What they're against is the government using taxpayer money to give out hand-outs.  So it isn't that conservatives want to limit who gives hand-outs, but rather, who is required to pay for them.  If they're paying for them, they want a say in that.  I think that's fair.

I think it's a valid point, too.  But what I'm trying to say is that even though that's their motivation, they tend to phrase their arguments as if they're oppose to any and all handouts, fullstop.  They tend to say things like "if you give people handouts, they won't work for it!"  And then they turn around and pay for their child's college tuition, indicating they don't actually believe what they've just argued.

katisara:
Your phraseology is like how Heath (I believe it's Heath) made some statement about liberals wanting more taxes, and you corrected him saying that's not their goal, but how they do it.  Conservatives don't want to stop hand-outs, but they want control over their money.  If congress-people set up their own hand-outs from their salary using the gov't as a vehicle, no one would complain.

Yeah, that's what I was trying to say.  They don't actually want to stop handouts, even though they speak as if they do whenever these things come up.  I don't think we have to scroll very far up this thread to find examples of this.  They don't actually want to stop handouts, as you say, but they speak as if they do.

katisara:
So it's not even 'don't take what's mine' but, if you must take what's mine, I want a say in how it's used, and I want to make sure it's used appropriately.

Which is a valid point.  Now if we can just get people to phrase it that way!

katisara:
You did go to college, right?  Did you live on campus?  Meet college students?  Who was more productive, those who were paying their own way in loans or out of pocket, or those who were getting their tuition paid by someone else?  Which group was more likely to get a job and which was more likely to play beer pong?

Yes, I did go to college, did live on campus, and did meet plenty of students.  Granted, it was a small, private school in a rural area, so my experience might not be representative.  But I didn't notice any strong correlation between productivity and paying/being paid for.  Productivity seemed more an issue of what social group/other interests people had.  Even more than that, though, I didn't see much correlation at all between productivity and job-getting.  When I look through the alumni magazine these days, and see who's doing what, I'm over-and-over-again flabergasted at who's become a doctor or lawyer or state representative, or whatever.  I keep thinking "That guy?! you've got to be kidding me!"  My friends who paid for college don't seem to be doing any better or worse, on average, than those who had it paid for by their parents.  Like I said, I'm not sure my experience was representative, but from what I saw, it was more an issue of personality type than who was paying that determined people's productivity, and something else entirely (I'm not sure what) that determined what kind of job they ended up in.

katisara:
Heck, just speaking for myself, basically my entire paycheck goes into shelter, food, clothes, medical costs, costs associated with going to work and soon will include education costs for my children.  I don't have cable because I can't afford it.  I brew my own beer because I can't afford to buy beer.  I have a computer I can't use because I don't have the space in my budget for a used monitor for it.  I'm going to stop driving to my gaming group because gas is too expensive.  I have as of yet to buy a television.

If you told me I could keep all of the things I listed and not have to spend 50 hours a week associated with going to work, I'd say sure!  If all of my costs were covered, I would make more money begging on the street than I would going into the office.  I know this is anecdotal, since there's only one of me, but yes, if you told me all of my basic needs and my children's education would be covered, I would quit my job in a heartbeat.

Yes, if I told you you could keep all that without working, surely you'd quit.  But what if I told you you could keep 75% of it?  No beer at all, say, no gaming group, no driving, and no TV.  You can keep your house and your food, but your kids have to go to public school, and you'd give up health insurance?  Now, you'd still be doing better than a lot of people, but I'm guessing it wouldn't be worth it to you.

Similarly, even if you could get all you have right now without working, if someone then said: you can keep all you have, but if you come back to work, I'll give you another $10k/year spending money, I'm guessing you'd take them up on it.

The trick is just making sure that people who are working don't end up worse or the same as people who aren't.  If you're getting free stuff from the government because you're poor, but loose it all if you start working, then you won't have much motivation to work.  If you get to keep it all, and keep what you earn from working, then you'll most likely work.  We can provide a safety net without removing all incentive.  The trick is keeping the safety net in place until you really, really don't need it.

quote:
What part of the system wouldn't be judged by it's quality?  I don't think anyone is opposed to merit-based pay for doctors, even within a univeral coverage scheme. 

katisara:
The current system doesn't pay by quality, I suspect anything new we put up wouldn't either.

Fair enough, but that's not really much of an argument against any new system.

katisara:
#6 (the gov't footing the bill) is the difference between 'health care is a luxury' and 'health care is a right'.  If you think it's a right, you take #6 (as well as probably #7, since the gov't can let people into the plan for free, or reduced costs, as appropriate).  If you think it's a luxury, you don't do those two (or require they still charge).  If you think it's a right which must be protected from abuse, you allow them to do community service instead of paying cash. 

The community service instead of paying cash isn't a bad idea.  I could support that type of system.
Tycho
GM, 1357 posts
Mon 28 Apr 2008
at 12:58
  • msg #51

Re: Doctor, it hurts when I do this:  Health care issues

Saw this today, and thought it might interest people here:
http://campaignstops.blogs.nyt...dex.html?ref=opinion
katisara
GM, 2861 posts
Conservative human
Antagonist
Mon 28 Apr 2008
at 13:11
  • msg #52

Re: Doctor, it hurts when I do this:  Health care issues

Tycho:
This is true.  But keep in mind that it's also how our current system works.  Some people (ie, healthy people) pay lots of money but get nothing out of it, unhealthy people pay the same amount, and get lots out.


If you're talking about health insurance, that isn't precisely true.  I have health insurance for the same reason my bank buys derivatives; the reduction of risk alone is of value.  However, if I'm paying into a system that gives that assurance to someone else, then all I'm getting is based off of my relationship to that person.

quote:
More seriously, though, taxes, by their very nature are unfair.  Even a flat tax is unfair, in the sense that rich people still pay more for the same services (even it's the same percentage of their income as poor people are paying). 


Barring the fact that income taxes are not actually permitted under the original Constitution...

Yes, to a degree taxes are inherently unfair.  They're taking someone's property against his will, and there's few exceptions where that can be completely fair.  However, there are limits to that, where it goes from simply being an unfair inconvenience, to really being unethical.  Where that line is is of course very difficult to decide and set down, but I think in general we all want to shy away from that line as much as possible.

quote:
This is in terms of a flat tax, and you're right that it'd more likely be a progressive tax.  Are progressive taxes, in your view, always unfair, or are they ever appropriate?  If it's always unfair, that might be more the issue than the health care itself.


Progressive taxes have their merit.  As you pointed out, a lot of it is based off of disposable income as well.  If I am just barely living within my means, buying only essentials, I cannot spare an additional 10%, whereas if I am living well below my means, buying only essentials, 10% off my paycheck is a nuisance, but not going to kill me.

quote:
I thought everything not explicitly listed was said to be forbidden.


I'd have to double check, but I believe the government can issue loans at whatever interest rate it pleases.  That's all a student loan is.

quote:
If the benefit of socialized health care outweighs the cost, then it seems like that should be on the table too, is my point.


I would say it's 'on the table', in that we're discussing it.  However, my paying for some poor guy to get free medical care is not a clear issue of costs outweighing the benefits.  This is why I brought up the idea of medical loans in the first place; since many people complain the problem with socialized health care is the cost, by taking the cost off of involuntary tax-payers and instead putting it back on the person receiving services, it 'eliminates' the cost on the system.

quote:
Alternatively, people in favor of socialized health care say "no, we don't want this person to slip through the cracks.  We should do what we need to help them work their way up."


Keep in mind, I also believe there are other sources beyond the government for aid.  There's nothing stopping a person from taking two loans, getting help from his church, getting help from his family, etc.

quote:
they tend to phrase their arguments as if they're oppose to any and all handouts, fullstop.


Because we all know how many elected officials are going to take a paycut for all of the money they're giving away.  The argument is 'no handouts' because they already know THEY will be the ones paying for it, and there's no way out of that.

quote:
Yes, if I told you you could keep all that without working, surely you'd quit.  But what if I told you you could keep 75% of it?  No beer at all, say, no gaming group, no driving, and no TV.  You can keep your house and your food, but your kids have to go to public school, and you'd give up health insurance?  Now, you'd still be doing better than a lot of people, but I'm guessing it wouldn't be worth it to you. 


Now that I have kids, yeah, but before and after kids, I'd probably forego the nice things, or work a little bit to get things like a computer, then be a bum.  So that's about 25 years of work, more or less, to get the kids through school.  Or I'd just move to a nicer area, where the kids can go to a really top-notch public school and only work 8 years.  That would rock.

(My post is a little absent-minded, someone is watching over my shoulder, eager for the one home computer.  *sigh*  May post more later!)
Mr Crinkles
player, 112 posts
Catholic
Tue 29 Apr 2008
at 20:34
  • msg #53

Re: Doctor, it hurts when I do this:  Health care issues

Katisara:
Is there a reason our military is bigger than all the other militaries of the world combined?

*** Actually, it's not. China has a larger military than the U.S. Ours is just better.

Katisara:
I believe that the federal government exists to serve one purpose; protecting the rights of the people.  That's it, that is its sole charter.
Crinkles:
*** Do you have any basis for this belief?

Only the Constitution.

*** Really? I've read the thing, a couple of times, and I'm curious as to where you find that bit of info.

Katisara:
I don't believe we have, or should expect, a freedom from illness.  Should I expect a freedom from hardship?  From chance?  That's ridiculous.

*** Why? I mean, this is (difficult as it is to believe) the 21st Century. And okay, I don't have my jetcar or personal robot servant, but I don't think I'm being unreasonable, in 21st Century America, to expect freedom from illness. No, you're right in that there is always chance, but apart from that, why should any American in this day and time NOT be free from illness.

Katisara:
Firstly from all the reports we've been seeing from people in nations with socialized health care reporting that there are long lines and poor accountability.  Secondly, in any system where performance is not properly incentivized, most people will provide poor service, and most social health care programs around do not appropriately incentivize good performance.

*** So becos others have done it badly, that automatically means we will?

Katisara:
Falkus typed:
Do we have a right to life?


The two are not equivalent.

*** So we have a right to be alive, just a horrible, miserable, sickly kind of life. Right.

Katisara:
In the US we believe each person has a right to own a gun, but the government doesn't go out and buy people guns (although I'd really like it if they did...) nor restrict those with money for guns to buy guns for other people.

*** Unless you're a felon. Becos once someone commits a crime, they're obviously not allowed the same rights as everyone else, regardless of what restitution they may make.

Katisara:
I don't see how an organization acknowledging you have basic human rights means that organization is somehow obliged to take the burden off of you for enforcing those rights.

*** Becos it's that organisation's JOB?

Katisara:
However, no one can argue the federal government doesn't believe in freedom, speech or life.

*** Unless you're speaking of the U.S. government, in which case they don't give a flip about those things. Just ask any of their guests in Gitmo.

Katisara:
So yes, the federal government recognizes your right to life, freedom, good health, etc. The federal government, however, is under no means constrained to defend such things on your behalf

*** Um, isn't that why we pay taxes and such?
Tzuppy
player, 153 posts
Not very orthodox
Orthodox Christian
Tue 29 Apr 2008
at 22:57
  • msg #54

Re: Doctor, it hurts when I do this:  Health care issues

katisara:
Firstly from all the reports we've been seeing from people in nations with socialized health care reporting that there are long lines and poor accountability.

That simply put is not true. That happens sometimes, but the list of countries that have successfully dealt with the issue is by no means short. These include Canada, Japan, Sweden, Spain, Ireland and even Cuba.

By the same token every government agency or public service would be utterly corrupt.
This message was last edited by the player at 23:02, Tue 29 Apr 2008.
Bart
player, 275 posts
LDS
Wed 30 Apr 2008
at 01:44
  • msg #55

Re: Doctor, it hurts when I do this:  Health care issues

Vexen:
It seems Katisara advocates some kind of victim-blaming rationalization. That all poor people are poor because they aren't responsible enough with their money. That they brought it on themselves. At least, that's the impression I'm getting.

Well, I hesitate to say this, but I (for one) to believe that.  Having been homeless, lived in a shelter, etc., I can say that most people in that situation did bring it on themselves in one way or another.  Whether it's because they have a famine/feast mentality and aren't fiscally conservative . . . well, that's a major reason right there.  Then there's the mental and/or physical addictions that undermine a persons's ability to care for themselves, most of which a person chooses to take up.

To go onto something of a tangent here, alcoholism can be hideously damaging, but in the vast majority of cases nobody ever holds a person down and forces them to drink, drink, drink until they become an alcoholic.  People become alcoholics because, in my opinion, they choose to engage in a potentially risky activity "for the fun of it".  That's like purposefully driving without a seatbelt just to get a rush -- it's not very smart.  Sure, most people drink responsibly, more or less.  But why drink at all?  To lossen up innate barriers, to "let yourself go"?  How responsible is that?

Ok, to get back to "bringing it on yourself".  In my case, I did bring it on myself.  I choose to move to a busy city with a great economy with no means of supporting myself (at the time I moved) in the hopes of being able to find work, save up, get a place to stay, etc.  It took eight months of living homeless, sometimes in shelters, getting up at 4:00am, walking a few miles to temporary staffing centers (you had to get there early enough that the busses weren't running yet), applying to virtually every business in the area whose qualifications I met and a lot whose qualifications I didn't meet, etc., before I could finally save up enough to get an apartment.  And I was darn lucky (actually, I was blessed) to find some good jobs to transition between.  For instance, I put on commercial copper roofing in the middle of winter.  Sliding around on slick surfaces (icy copper is darn slick), bracing myself against my harness to get some leverage to crimp the copper while hundreds of feet above the ground, but it paid $10/hour.

Vexen:
Here's the screwed up part: She has medical insurance, and not bottom of the line stuff, good health insurance. These weren't some overpopulated, run down hospitals either. There were rarely waiting lines. They are good, accreditated hosptials. And even she can't get what she needs. And of course, that hasn't stopped the insurance company from forwarding every bill they possibly can in our direction. Did the insurance company provide the necessities? Yes, they provided the operation that saved her life. Did they ensure much more than that? Not if they could find an excuse not to. It was like the company was hoping, seriously hoping to the point of delusion, that her injuries weren't serious, that it was all a passing thing.

"It's a good thing the same thing never happens in Canada with their socialized medicine," Bart said, tongue-in-cheek.  Do you know how many people on both sides of the US/Canadian border have similar stories?  Just because your health care provider is the government doesn't mean that nobody ever has problems, that nobody ever falls through the cracks, etc.

Ok, the Canadian government pays and gets you treated quickly if you can prove that your illness is life threatening.  But, that's pretty much the situation that your mother was in.  She hadn't proved, to the insurance company's satisfaction, that her illness was indeed life threatening and I've heard similar stories from people in Canada.

That being said, what company was this with so I can spread the story and help prevent other people signing up with them?  See, that's the major advantage of privatized medicine, you can "reward" insurance companies with positive or negative word of mouth advertising (as appropriate).  With socialized medicine, you're pretty much stuck with whatever you get, it's rather difficult to go to a different company or go to a different hospital for a second opinion and be reimbursed for it later on.

We give too much power to people who aren't interested in helping us, but making a buck. And it's not hleping our economy in the slightest. It's only helping the health industry. It's shoddy, and completely inefficient, which is why I can't understand a conservative supporting it. Katisara constantly rants on the inefficiency of various governmental programs, yet adamantly supports this one, despite that it's exactly every bit what he's ranting against. Why? Because it's not socialist? Are you guys really so willing to cut your nose t spite your face? Is it really the point?

If you don't want a socialist health care system, that's fine. I'm not even all that adamant about it being socialist. I just want something that works, and what we have isn't working.
</quote>
Bart
player, 276 posts
LDS
Wed 30 Apr 2008
at 02:02
  • msg #56

Re: Doctor, it hurts when I do this:  Health care issues

[[Edit: please ignore spelling/grammar problems in this post, it was written far too quickly.]]
Mr Crinkles:
why should any American in this day and time NOT be free from illness.

Because that's impossible.  There are three main reasons why illnesses will never be removed from the face of the earth, barring godly intervention or something of the sort:
1) diseases mutate
2) animals cannot be controlled
3) people are stupid

1. The common cold is the prime example.  It's impossible to create an effective vaccination for it because it mutates so readily and there are so many, many different variations it.  Major illnesses that are far less often transmitted, like the flu, still require a different vaccine every year.

2. Many diseases are communicable between animals and humans.  Bird flu, for instance.  Lyme disease is a prime example here.  It's primarily spread by deer tics and deer (who are the main carriers of the disease) aren't really bothered by the disease like humans are.  So unless we could somehow vaccinate all the millions of wild deer and all the other animals that the tics feed on (they primarily feed on deer, but that's not their only possible food source) there's no way to destroy Lyme disease.  Plus, it's kind of like AIDS, we don't have a vaccine for it.  We have a combination of antibiotics which, if taken soon enough, can combine together to knock out enough of the disease in a person that the symptoms of it will generally (in most people) be negligible.  Which leads me to the third point.

3. People are stupid (they make diseases worse, etc.)  A few weeks ago, I mentioned that I wasn't feeling well, that I had a bit of a scratchy throat and might be coming down with something over the next week.  A coworker pulled some antibiotics out of his pocket and offered some to me!  Things like this is what created MRSA http://www.news-medical.net/?id=37026  which, as you can read, is one of the types of common diseases that are resistant to pretty much everything we can throw at it.  Killing it requires such strong measures that we about sometimes kill the human carriers in an attempt to save their life (well, there's no "about" about it, sometimes despite everything we can do the person dies).

I don't mean to belittle you, but it's pretty much a fantasy to ever believe that the world will be disease free.

"But what about smallpox?"  Well . . .
1) Smallpox makes people ugly and so we're willing to throw millions at it to make the ugliness go away.

2) Animals don't really get smallpox, so it's pretty much only communicable through humans, pretty much.  That's huge, right there, it's the major reason that we were able to destroy smallpox.  There's no possible way to stop bird flu.

3. The smallpox virus mutates extremely slowly, so we were able to create a really good vaccine for smallpox . . . and we didn't really create it, in the sense of creating something entirely new, we just copied the cowpox virus and manufactured a vaccine directly from the natural immunization program that nature had already created.  Most diseases mutate more quickly and there's no known natural cure.

That's why we were able to destroy smallpox and even with those advantages, it took years and millions and millions of dollars.

Can diseases in this civilized world be dampened, their effect lessened?  Of course, the world as a whole has great medical resources.  Can we make all disease go away?  Not a chance.
This message was last edited by the player at 02:10, Wed 30 Apr 2008.
Mr Crinkles
player, 114 posts
Catholic
Wed 30 Apr 2008
at 03:15
  • msg #57

Re: Doctor, it hurts when I do this:  Health care issues

     <nods> I stand corrected. What I should have said was "free from serious illness". I'm not concerned with a cure for colds, becos people rarely die from that (tho' I've sometimes wished to ...). But major illnesses, things like Cancer, AIDS, Leukemia ... maybe I mean to say "free from disease"?
Tycho
GM, 1360 posts
Wed 30 Apr 2008
at 08:34
  • msg #58

Re: Doctor, it hurts when I do this:  Health care issues

Bart, out of curiosity, if you had gotten a serious illness when you were homeless, would you have considered it the best thing for the country to just let you go without care?  Do you think the US would be better off treating you, so that you could continue to do the hard work, put in the hours, and work your way out of that situation?  If you had gotten hit by a bus, say, and couldn't do any work for months, should the government have left you to starve, or would it have been within their best interests to help you while you were laid low?
katisara
GM, 2868 posts
Conservative human
Antagonist
Wed 30 Apr 2008
at 13:46
  • msg #59

Re: Doctor, it hurts when I do this:  Health care issues

Mr Crinkles:
*** Actually, it's not. China has a larger military than the U.S. Ours is just better.


In regards to number of people they're larger, not in regards to dollars spent.

quote:
Katisara:
I believe that the federal government exists to serve one purpose; protecting the rights of the people.  That's it, that is its sole charter.
Crinkles:
*** Do you have any basis for this belief?

Only the Constitution.

*** Really? I've read the thing, a couple of times, and I'm curious as to where you find that bit of info.


10th amendment:
"The powers not delegated to the United States by the Constitution, nor prohibited by it to the States, are reserved to the States respectively, or to the people."

In other words, if the Constitution has not explicitly said the Federal Government has a certain power, it does NOT HAVE that power.

Now go back and read the preceding 9 amendments and the Declaration of Independence (as well as the Federalist, if you have the time).  Every one of those documents describes solely the protection of people from the enroaching power of a federal government, of limits on government, and of the powers of government largely against itself and a select number of services offered to people in order to protect their freedom (printing money, a court system, a navy).


quote:
I don't think I'm being unreasonable, in 21st Century America, to expect freedom from illness. No, you're right in that there is always chance, but apart from that, why should any American in this day and time NOT be free from illness.


As Bart said, it really is unreasonable.  Not only is it unreasonable, but it's unhealthy.  To never be exposed to illness results in a myriad of other negative health effects.

You've since corrected yourself, to never be exposed to serious illness.  Well that comes with a price.  We COULD eliminate AIDS in the US relatively easily; through the mandatory testing of the entire US population (or at least the majority) and consequent sterilization or ejection of infected individuals.  Unfortunately, there is no other technology currently available to end AIDS.  So, is that a course you'd support?  I suspect not.

quote:
Katisara:
Firstly from all the reports we've been seeing from people in nations with socialized health care reporting that there are long lines and poor accountability.  Secondly, in any system where performance is not properly incentivized, most people will provide poor service, and most social health care programs around do not appropriately incentivize good performance.

*** So becos others have done it badly, that automatically means we will?


To not learn from the mistakes of others is foolishness.

quote:
*** So we have a right to be alive, just a horrible, miserable, sickly kind of life. Right.


We have a right to a life that is a product of our fortunes and choices.  Remember, this isn't a right given by the government, we're discussing the natural rights of every human being, American or not.  Even if there is no government, we would have a right to life.  But part of that natural right is the fact that life is not easy, it is not guaranteed, and it is not naturally completely comfortable.  So yes, we have a right to life, in all its beauty and terror, and the government, not just the US government but ANY government, steps beyond its bounds if it means to forcibly restrict us from that.

If a government offers a service to modify that right to life, and we voluntarily accept, that is okay, but that isn't the same as a right to life.

quote:
*** Unless you're a felon. Becos once someone commits a crime, they're obviously not allowed the same rights as everyone else, regardless of what restitution they may make.


That's a strong point, but for a different debate.

quote:
Katisara:
I don't see how an organization acknowledging you have basic human rights means that organization is somehow obliged to take the burden off of you for enforcing those rights.

*** Becos it's that organisation's JOB?


How is that the government's job?  Because it's a government?  I think you'd have a difficult time proving that, through the history of human life, the government's job has clearly been that of protecting the basic human rights of its constituents.  Because it's the US government?  There's nothing in the Constitution that says the US government must enforce your rights on your behalf.  In fact, quite to the contrary, the founders made it clear the government will one day impinge on those rights, and on that day it is *OUR* responsibility, not the government's, not some other body's responsibility to enforce those rights again.

quote:
Katisara:
So yes, the federal government recognizes your right to life, freedom, good health, etc. The federal government, however, is under no means constrained to defend such things on your behalf

*** Um, isn't that why we pay taxes and such?


No, you pay taxes because your elected officials realized they control all the guns, and the best way to keep themselves as your well paid elected official is to take your money and give it to the circus or themselves.  I don't think the 16th amendment ever mentioned anything about how your taxes will be used to actually benefit you (and this is precisely what the government was denied the power to tax beforehand, because the government will use that power not to help you, but to help itself.  The government is not altruistic.  The government does not 'like' you.  The government works for itself, it is a living organization whose constituent parts want to support their ongoing careers and success, even if the cost of said success is levied against an involuntary victim.)

quote:
That simply put is not true. That happens sometimes, but the list of countries that have successfully dealt with the issue is by no means short. These include Canada, Japan, Sweden, Spain, Ireland and even Cuba.

By the same token every government agency or public service would be utterly corrupt.


We've had one person report that his experience in Japan was precisely that.  I suffered socialized medicine in Moscow and I can also vouch for it, although I don't think anyone would want to count Russia 1989 among the examples of socialized medicine.  I would be interested in seeing an average wait time between US public and private hospitals, and an average wait time between US hospitals and say Canadian hospitals.

This isn't to say that these people are corrupt, but simply that large groups of people are not going to simply sacrifice themselves.  There's a reason Mother Theresa is considered a saint, and it's because she's unusual in her accepting her life is better spent not pursuing her own best interest.  And if you were offered a choice between a job paying $70k and helping poor people in a stressful environment and $140k and helping rich people in a pleasant environment, I would not fault you for choosing the latter.  If you disagree, then why aren't you currently working in the Peace Corp, or doing charity work for someone with more need than yourself?
Tycho
GM, 1363 posts
Wed 30 Apr 2008
at 15:04
  • msg #60

Re: Doctor, it hurts when I do this:  Health care issues

katisara:
We've had one person report that his experience in Japan was precisely that.  I suffered socialized medicine in Moscow and I can also vouch for it, although I don't think anyone would want to count Russia 1989 among the examples of socialized medicine.  I would be interested in seeing an average wait time between US public and private hospitals, and an average wait time between US hospitals and say Canadian hospitals.


I tried to track down some figures on this, and this is what I've found so far:
http://www.businessweek.com/te...c20070621_716260.htm
quote:
Of the countries surveyed, 81% of patients in New Zealand got a same or next-day appointment for a nonroutine visit, 71% in Britain, 69% in Germany, 66% in Australia, 47% in the U.S., and 36% in Canada. Those lengthy wait times in the U.S. explain why 26% of Americans reported going to an emergency room for a condition that could have been treated by a regular doctor if available, higher than every other country surveyed.
...
The Commonwealth survey did find that patients in the U.S. had shorter wait times than every country except Germany when it came to getting an appointment with a specialist for nonemergency elective surgery, such as hip replacements, cataract surgery, or knee repair. But Gerard Anderson, a health-policy expert at Johns Hopkins University, says most doctors know how to "game the system" in those countries where there are queues for elective surgery, by putting at-risk patients on the list long before their need is critical. "Their wait might be uncomfortable, but it makes very little clinical difference."

The Commonwealth survey found one area in which the U.S. assumed first place—by a wide margin: 51% of U.S. adults surveyed did not visit a doctor, get a needed test, or fill a prescription within the past two years because of cost. No other country came close to that percentage.



This one doesn't seem very neutral, but has a number of citations to check:
http://www.cwhn.ca/resources/cwhn/privateClinics.html

This one doesn't seem so neutral, but brings up some interesting points:
http://www.prospect.org/cs/art...ealth_care_is_so_bad
I especially like the point about wait times, and how they don't factor in the people who don't get any treatment at all (ie, "wait" forever).  In other words, a person in the US who does end up getting treatment for a non-emergency might wait less than those in other countries, but many people in the US don't end up getting the treatment at all.  Is it better to have 3 people out of 5 get quick treatment, or all 5 get slightly less quick treatment?

Here's another one that ranks the countries in the commondwealth fund's survey:
http://www.commonwealthfund.or...ow.htm?doc_id=482678
(note--the full document is downloadable in pdf form, the link is just an overview)

And just to get some level of balance, here's a link to Fox news:
http://www.foxnews.com/story/0,2933,136990,00.html
quote:
The study shows that people in the U.S. face longer wait times to see doctors and have more trouble getting care on evenings or weekends than do people in other industrialized countries. At the same time, Americans were more likely to receive advice on disease prevention and self-care than others.


Er...throwing balance back out, here's the huffington post:
http://www.huffingtonpost.com/...aiting-_b_55749.html
quote:
Statistics Canada's latest figures show that median wait times for elective surgery in Canada is now three weeks -- that's less time than Aetna's chief medical officer says Americans typically wait after being diagnosed with cancer.


One from consumer affairs which talks more about the rate of errors:
http://www.consumeraffairs.com.../medical_errors.html
Tzuppy
player, 156 posts
Not very orthodox
Orthodox Christian
Wed 30 Apr 2008
at 15:30
  • msg #61

Re: Doctor, it hurts when I do this:  Health care issues

katisara:
Firstly from all the reports we've been seeing from people in nations with socialized health care reporting that there are long lines and poor accountability.
quote:
That simply put is not true. That happens sometimes, but the list of countries that have successfully dealt with the issue is by no means short. These include Canada, Japan, Sweden, Spain, Ireland and even Cuba.

By the same token every government agency or public service would be utterly corrupt.
katisara:
We've had one person report that his experience in Japan was precisely that.  I suffered socialized medicine in Moscow and I can also vouch for it, although I don't think anyone would want to count Russia 1989 among the examples of socialized medicine.  I would be interested in seeing an average wait time between US public and private hospitals, and an average wait time between US hospitals and say Canadian hospitals.

This isn't to say that these people are corrupt, but simply that large groups of people are not going to simply sacrifice themselves.  There's a reason Mother Theresa is considered a saint, and it's because she's unusual in her accepting her life is better spent not pursuing her own best interest.  And if you were offered a choice between a job paying $70k and helping poor people in a stressful environment and $140k and helping rich people in a pleasant environment, I would not fault you for choosing the latter.  If you disagree, then why aren't you currently working in the Peace Corp, or doing charity work for someone with more need than yourself?

I've just concluded a second tour of duty on a volunteering work on education reform in Serbia and frankly I've had enough. (And I wouldn't be surprised if after I die my church declares me a saint, but that's their stupidity.) But let's face it, we need to calculate average wait per dollar spent. Without question European health care system gives much better results than in the US.
katisara
GM, 2869 posts
Conservative human
Antagonist
Wed 30 Apr 2008
at 16:27
  • msg #62

Re: Doctor, it hurts when I do this:  Health care issues

Tzuppy, thank you for your service, you're a better man than I.  Now if I may ask, how many other people do you see willing to dedicate their lives to the service to others?  1 per 10 people?  1 per 100?  1 per 1,000?  How many social-support jobs are we looking to fill?

Tycho, good research.  I noticed a few interesting things.  Firstly,

Secondly, the dominant factors quoted by Business week weren't problems with paying, but rather:

quote:
Only one-third of U.S. doctors are general or family practitioners, she notes, compared with half in most European countries. Also, only some 40% of doctors have arrangements for after-hours care, making it difficult to see a physician on nights and weekends. As a result, emergency rooms have become fallback systems for routine care.

Several Factors at Work
Changing demographics are only worsening the problem. Patients are getting older and sicker and requiring more care. But a new generation of doctors, half or more of them women, is no longer interested in working long, grueling hours. Low insurance reimbursements and heavy paperwork loads also limit physicians' willingness to see any patient any time. And tightening immigration rules have limited the number of foreign-born doctors entering the U.S. "There are restrictions on the supply side and growing demand, so longer waits are going to be inevitable," says David Williams, a consultant with MedPharma Partners in Boston.


In other words, we need to make more doctors, more health care providers, and give them fewer restrictions and less paperwork.  That means reducing salaries is the worst thing we can do.  The article goes on to point out that the market, not the government, is responding in the form of "minute clinics".

It would seem that, despite Falkus' regularly crowing how terrific the Canadian health care system is, it seems to fall behind even the US in regards to providing care.  From what I can tell, the cause is that Canada makes it illegal to offer private medical care, period.  This is contrary to most every other industrial nation.  The truth is, public health care does not adapt quickly to changing conditions, it's very static.


One of the articles Tycho posted was that the difference between non-profit private hospitals is significant compared to for-profit private hospitals, presumably because of the reasons Tycho has already cited.  If that's the case, we shouldn't be focusing on eliminating or even marginalizing private care, but rather shifting the drive for profit to one that encourages good care.  Like Tycho pointed out, generally for-profit companies will find that it's worthwhile to treat 90% of their paying patients, but not 100%, and none of the non-paying customers.  So we need to increase the cost for that marginalized 10%, mostly through negative publicity and advertising, since that's most straightforward and, if we want to take care of the non-paying, incentivize that through government programs.  This comes back to the numbered suggestions I made previously.  Trying to manage everything under a single government program has its own flaws, and will limit medical research and adaptability.  Rather, we need to change the game so that treating every customer is seen as valuable and let the market solve the problem itself.
Tycho
GM, 1364 posts
Wed 30 Apr 2008
at 16:56
  • msg #63

Re: Doctor, it hurts when I do this:  Health care issues

katisara:
Tycho, good research.  I noticed a few interesting things.  Firstly,

Secondly, the dominant factors quoted by Business week weren't problems with paying, but rather...

I think the first point got lost somewhere? ;)

katisara:
In other words, we need to make more doctors, more health care providers, and give them fewer restrictions and less paperwork.  That means reducing salaries is the worst thing we can do.  The article goes on to point out that the market, not the government, is responding in the form of "minute clinics".

I think everyone would agree that we could use more doctors, and give them less paperwork.  The main source of paperwork, though, is the private insurance industry.  I read a while back that on average, every doctor in the US has at least one full time employee who's main job it is to deal with sorting out insurance claims.

katisara:
It would seem that, despite Falkus' regularly crowing how terrific the Canadian health care system is, it seems to fall behind even the US in regards to providing care.  From what I can tell, the cause is that Canada makes it illegal to offer private medical care, period.  This is contrary to most every other industrial nation.  The truth is, public health care does not adapt quickly to changing conditions, it's very static.

Actually, I think the study that all these articles were talking about showed that canada is making some improvements in waiting time (the area in which the US beats it).  But I think we need to remember the fact that people who don't get treated at all aren't being factored into a waiting period in the US.  As I said before, is it better for 3 of 5 people to get treated quickly, or all five to get treated less quickly?  I'm not opposed to private AND public health care, though one of the articles pointed out that this actually tends to increase waiting times in the public system by taking doctors out of that system.  I think the key would be to make sure that any public system is competitive with private systems, so that the private system doesn't end up with all the best doctors.

katisara:
One of the articles Tycho posted was that the difference between non-profit private hospitals is significant compared to for-profit private hospitals, presumably because of the reasons Tycho has already cited.  If that's the case, we shouldn't be focusing on eliminating or even marginalizing private care, but rather shifting the drive for profit to one that encourages good care.  Like Tycho pointed out, generally for-profit companies will find that it's worthwhile to treat 90% of their paying patients, but not 100%, and none of the non-paying customers.  So we need to increase the cost for that marginalized 10%, mostly through negative publicity and advertising, since that's most straightforward and, if we want to take care of the non-paying, incentivize that through government programs.  This comes back to the numbered suggestions I made previously.  Trying to manage everything under a single government program has its own flaws, and will limit medical research and adaptability.  Rather, we need to change the game so that treating every customer is seen as valuable and let the market solve the problem itself.

I don't disagree with this in principle, but when you're "increasing the cost for the marginalized 10%" and "changing the game so that treating every customer is seen as valuable," I think we're already in a situation where we're not actually "letting the market solve the problem itself."  To a degree, anything that achieved that could probably be described as socialized health care.  We're actively toying with the market at that point, in order to get the results we want.  That may well be the way forward, but I think we shouldn't pretend at that point that we're leaving the market on it's own.  The bottom line is that the marginalized group is marginalized because it can't pay the cost of the health care it needs.  The only way to make it profitable for the hospitals to treat them is to have other people pay for it.  There are various ways to achieve that, and it can also be argued that if they can't pay, they shouldn't get treated.  But there's no real way that market forces are going to result in those people being treated without other people paying the bill.
Tycho
GM, 1366 posts
Wed 30 Apr 2008
at 17:21
  • msg #64

Re: Doctor, it hurts when I do this:  Health care issues

Check this out:
http://www.nytimes.com/2008/04...litics/30mccain.html

McCain plans to give $2500 tax credits to people who get their own insurance.  In other words, the government will be paying for the first $2500 of your health insurance.  The article points out some of the potential problems with the plan, but it's interesting that even the republican candidate seems to be backing government-funded health care (though in a bit more round-about fashion).

Somewhat surprisingly (to me at least), the plans put forward by the democratic candidates (which are pretty similar, and I'm not convinced they're the optimal solution), seem closer to what katisara is suggesting:  changing the game so insurance companies have to cover everyone, instead of just picking the healthiest customers.
Sciencemile
player, 99 posts
Opinion is the default
for most everything I say
Wed 30 Apr 2008
at 17:26
  • msg #65

Re: Doctor, it hurts when I do this:  Health care issues

Hmmm...if they support everyone, they won't make a profit.

If a business intends to make a profit, but can't, it tends to dissolve to cut off further losses.

By which in I predict that if the act does restrict private businesses in this way, the number of them will decrease (which will, statistically, make it somewhat profitable for the remaining ones, if there are any who remain)
Mr Crinkles
player, 117 posts
Catholic
Wed 30 Apr 2008
at 17:30
  • msg #66

Re: Doctor, it hurts when I do this:  Health care issues

Katisara:
Katisara:
I believe that the federal government exists to serve one purpose; protecting the rights of the people.  That's it, that is its sole charter. ... 10th amendment:
"The powers not delegated to the United States by the Constitution, nor prohibited by it to the States, are reserved to the States respectively, or to the people."

*** I'll grant you the (in my opinion WRONG) 10th Amendment, but nowhere in it does it say that the government's sole purpose is protecting the rights of the people.

Katisara:
We COULD eliminate AIDS in the US relatively easily; through the mandatory testing of the entire US population (or at least the majority) and consequent sterilization or ejection of infected individuals.  Unfortunately, there is no other technology currently available to end AIDS.

*** America is the richest, smartest country on this planet (theoretically, anyway). Why can't we cure AIDS and all the others? I'd not object to mandatory STD testing -- actually I'm in favour of it -- tho' the sterilization and/or ejection I'm against. But simple, preventative measures (such as testing, innoculation, etc) seem far preferable to me than treatment afterwards.

Katisara:
Firstly from all the reports we've been seeing from people in nations with socialized health care reporting that there are long lines and poor accountability.  Secondly, in any system where performance is not properly incentivized, most people will provide poor service, and most social health care programs around do not appropriately incentivize good performance.
<quote Crinkles>
*** So becos others have done it badly, that automatically means we will?

To not learn from the mistakes of others is foolishness.

*** Exactly. We've seen their mistakes, so we could do it better and have it work right.

Katisara:
If a government offers a service to modify that right to life, and we voluntarily accept, that is okay, but that isn't the same as a right to life.

*** And see, that's what those of us in favour of Universal Health Care are wanting: The government to offer a service to modify (in a positive way) the right to life.

Katisara:
How is that the government's job?  Because it's a government?  I think you'd have a difficult time proving that, through the history of human life, the government's job has clearly been that of protecting the basic human rights of its constituents.  Because it's the US government?  There's nothing in the Constitution that says the US government must enforce your rights on your behalf.

*** Let's see, doesn't it say something somewhere about "The Congress shall have Power ... To provide for calling forth the Militia to execute the Laws of the Union"?  O, and I really like this bit: "The enumeration in the Constitution, of certain rights, shall not be construed to deny or disparage others retained by the people."

Katisara:
The government works for itself,

*** O see, that's where I was wrong. Here I was, foolishly thinking the government worked for the people.

Katisara:
In other words, we need to make more doctors, more health care providers, and give them fewer restrictions and less paperwork.

*** Agreed.
katisara
GM, 2872 posts
Conservative human
Antagonist
Wed 30 Apr 2008
at 17:33
  • msg #67

Re: Doctor, it hurts when I do this:  Health care issues

Tycho:
katisara:
Tycho, good research.  I noticed a few interesting things.  Firstly,

Secondly, the dominant factors quoted by Business week weren't problems with paying, but rather...

I think the first point got lost somewhere? ;)


I see it, why don't you??  Hmm...  You may want to read up on Discordianism and their views on brainwashing, perhaps you're a victim.

(Yeah, brain fart.)

quote:
I think everyone would agree that we could use more doctors, and give them less paperwork.  The main source of paperwork, though, is the private insurance industry.  I read a while back that on average, every doctor in the US has at least one full time employee who's main job it is to deal with sorting out insurance claims. 


See, I would be surprised to find that doctors (not the guy the doctor hires) have more paperwork in a private system than public, although I guess I could be wrong.

quote:
But I think we need to remember the fact that people who don't get treated at all aren't being factored into a waiting period in the US.


Do we have information on the number of people who want treatment but are unable to get it for one reason or another in different systems (including the 'forever wait')?

quote:
I'm not opposed to private AND public health care, though one of the articles pointed out that this actually tends to increase waiting times in the public system by taking doctors out of that system. 


But statistics seem to show otherwise, since Canada has ONLY public health care, as opposed to just about everyone else, and they're at the bottom of the list.


quote:
I don't disagree with this in principle, but when you're "increasing the cost for the marginalized 10%" and "changing the game so that treating every customer is seen as valuable," I think we're already in a situation where we're not actually "letting the market solve the problem itself."


I won't disagree that laissez faire economics are not appropriate for *EVERY* situation (just most :P)  However, I don't think the numbered suggestions I made previously, except for the two optional ones, would be considered socializing health care.  They were predominately on the order of making the market easier to enter, and making information more freely available, in other words, enabling market pressures to have more strength.


quote:
The only way to make it profitable for the hospitals to treat them is to have other people pay for it. 


I don't know that I would consider private, voluntary health insurance 'socialized', in that it isn't mandated or managed by the government. That 'marginalized' group could still elect not to get health insurance at all if they wanted, taking their own risks, and some could afford to just pay out of pocket.
Tycho
GM, 1368 posts
Thu 1 May 2008
at 09:49
  • msg #68

Re: Doctor, it hurts when I do this:  Health care issues

Another article on McCain's health care ideas:
http://www.nytimes.com/2008/05...litics/01mccain.html
Tycho
GM, 1369 posts
Thu 1 May 2008
at 10:07
  • msg #69

Re: Doctor, it hurts when I do this:  Health care issues

katisara:
See, I would be surprised to find that doctors (not the guy the doctor hires) have more paperwork in a private system than public, although I guess I could be wrong.

Why is that?  If there's only one system to worry about, then paper work should be easier.  If each insurance provider has a different set of forms, that makes things more difficult.  Especially if there's significant back-and-forth from the insurance company, who wants to limit what they're on the line for as much as they possibly can.  Granted, most of that will end up being done by someone the doctor hires, so perhaps its a different issue.

quote:
But I think we need to remember the fact that people who don't get treated at all aren't being factored into a waiting period in the US.

katisara:
Do we have information on the number of people who want treatment but are unable to get it for one reason or another in different systems (including the 'forever wait')?

Some of the articles I linked to above mention it, though perhaps not quite as explicitly as we'd like.  A few of them said things like "X% of americans have gone without service...which is far more than the number of people in any of the other countries in the studey."  It seemed pretty clear from the stuff I linked to that the US is fairly unique (among the countries in the study) in the number of people that go without a treatment.

quote:
I'm not opposed to private AND public health care, though one of the articles pointed out that this actually tends to increase waiting times in the public system by taking doctors out of that system. 


katisara:
But statistics seem to show otherwise, since Canada has ONLY public health care, as opposed to just about everyone else, and they're at the bottom of the list.

I'm not sure it's as cut and dry as that.  Presumably, part of the reason Canada has those waiting times is because some of it's doctors are being pulled out of the health care system to work for private hospitals in the US.  Perhaps openning it up to private health care would decrease waiting times for Canadians, but presumably it would increase them for those in the US (it that's where Canadian doctors are going).  Like I said, I'm not opposed to having both private and public health care, but the number of doctors is finite, and taking them from one place to boost another is kind of a zero sum game.  One could argue that people who are willing to pay should get shorter waiting times than those who don't, but again I think it's an issue of whether we consider it a luxury or not.


quote:
I don't disagree with this in principle, but when you're "increasing the cost for the marginalized 10%" and "changing the game so that treating every customer is seen as valuable," I think we're already in a situation where we're not actually "letting the market solve the problem itself."


katisara:
I won't disagree that laissez faire economics are not appropriate for *EVERY* situation (just most :P)  However, I don't think the numbered suggestions I made previously, except for the two optional ones, would be considered socializing health care.  They were predominately on the order of making the market easier to enter, and making information more freely available, in other words, enabling market pressures to have more strength.

Most of them, yes.  But the ones that actually result in poor people getting coverage would be somewhat socialist in my eyes.  I don't see much way around that, really.  Any system which provides coverage to people who aren't able to pay as much as it costs to deliver the service will have to charge someone else for it.  Whether it's the government footing the bill with tax money, or whether it's the other customers paying more for their insurance because the law says the companies have to give insurance everyone, someone else is paying for the treatment, which seems socialist to me.  I don't use the word as a necessarily bad thing, though, so that might be a difference.

quote:
The only way to make it profitable for the hospitals to treat them is to have other people pay for it. 


katisara:
I don't know that I would consider private, voluntary health insurance 'socialized', in that it isn't mandated or managed by the government. That 'marginalized' group could still elect not to get health insurance at all if they wanted, taking their own risks, and some could afford to just pay out of pocket.

In a private, voluntary health insurance system, people who are likely to be a net loss for the companies aren't going to get insurance.  If you want everyone to be able to get insurance, the only way to do so is have someone else cover the loss that those people cause to the companies.  You can do that different ways, for example by requiring companies to sell insurance at reasonable rates to everyone (this is the clinton and obama method), or by the government paying the bill for whatever rates the insurance companies charge instead of having the customer pay (this is sort of mccain method, though his plan only covers part of the bill, so some people still won't be able to afford it).  Either way, though, you're pushing the cost of insuring these people onto someone else (either tax payers or other customers).
katisara
GM, 2876 posts
Conservative human
Antagonist
Thu 1 May 2008
at 13:10
  • msg #70

Re: Doctor, it hurts when I do this:  Health care issues

Tycho:
Why is that?  If there's only one system to worry about, then paper work should be easier. 


1)  Because governments like paperwork, and they like EVERYONE to do paperwork. The more you get paid, the more paperwork you should be doing.
2)  Private industry does not like to pay people lots of money to do paperwork someone who gets paid a lot less money could be doing.  Doctors do make LOTS of money, so no company worth its salt will let the doctor do an ounce more paperwork than is strictly necessary.

quote:
I'm not sure it's as cut and dry as that.  Presumably, part of the reason Canada has those waiting times is because some of it's doctors are being pulled out of the health care system to work for private hospitals in the US.


Ah, so you think Canada already does suffer from the public/private split in that there are private hospitals in the US.  Since there aren't any countries around the US that pay doctors as much as the US does, if the US went solely public, the doctors couldn't go anywhere else for higher wages and would just have to accept the salary cut.

quote:
Most of them, yes.  But the ones that actually result in poor people getting coverage would be somewhat socialist in my eyes.


I see, you were looking specifically at those measures.  No, I would agree, you can't get blood from a rock.  But as I said elsewhere, making it into a no-interest loan program or allowing them to work it off through other methods would both reduce the burden on the taxpayer, and reduce intentional misuse of the system.
Tycho
GM, 1372 posts
Thu 1 May 2008
at 13:35
  • msg #71

Re: Doctor, it hurts when I do this:  Health care issues

Tycho:
Why is that?  If there's only one system to worry about, then paper work should be easier. 

katisara:
1)  Because governments like paperwork, and they like EVERYONE to do paperwork. The more you get paid, the more paperwork you should be doing.
2)  Private industry does not like to pay people lots of money to do paperwork someone who gets paid a lot less money could be doing.  Doctors do make LOTS of money, so no company worth its salt will let the doctor do an ounce more paperwork than is strictly necessary.

I think point 1 is an oversimplification of things, but I'm willing to roll with it for now.  The thing to keep in mind, though, is who is creating the paperwork.  By and large, it's not the companies paying the doctor's salaries, it's the companies paying the doctors fees (the insurance campanies).  While a private hospital might be better at eliminating paper work than a public hospital, it's the insurance companies who are creating most of the paperwork burden, not the hospitals, if I'm not mistaken.  Like I said, this is usually offloaded to an employee other than the doctor, but it's still more work than would be needed in a public system.

quote:
I'm not sure it's as cut and dry as that.  Presumably, part of the reason Canada has those waiting times is because some of it's doctors are being pulled out of the health care system to work for private hospitals in the US.

Ah, so you think Canada already does suffer from the public/private split in that there are
katisara:
private hospitals in the US.  Since there aren't any countries around the US that pay doctors as much as the US does, if the US went solely public, the doctors couldn't go anywhere else for higher wages and would just have to accept the salary cut.

Possibly, but that wasn't really my point.  Like I said, I'm not arguing in favor of a private practices being illegal case, I'm just saying that the reduction in one persons waiting time will tend to come in exchange for an increase in someone elses.  Private systems would probably reduce waiting times for the people paying them, but would unintentionally increase waiting times for those who don't pay, by removing doctors from the public hospitals.  That may be considered acceptable.  I just want to point out that it's a bit of a zero sum game in this case.

quote:
Most of them, yes.  But the ones that actually result in poor people getting coverage would be somewhat socialist in my eyes.


katisara:
I see, you were looking specifically at those measures.  No, I would agree, you can't get blood from a rock.  But as I said elsewhere, making it into a no-interest loan program or allowing them to work it off through other methods would both reduce the burden on the taxpayer, and reduce intentional misuse of the system.

I think loans/work off programs could be a decent addition, though more for paying for treatment beyond what insurance covers, rather than for insurance itself.  If a person can't afford insurance now, having them take out a loan for it is only going to make it harder for them to afford it next year, and the problem grows bigger every year.  Perhaps just having them go without insurance, and giving them a loan when they need treatment would be a way forward, but a large debt when you're poor only makes it harder to get out of poverty.  Again I think it comes down to what we consider the lesser evil:  someone doing everything right to get out of poverty, and still not being able to due to health problems or someone having to pay for someone else's treatment.
katisara
GM, 2879 posts
Conservative human
Antagonist
Thu 1 May 2008
at 14:15
  • msg #72

Re: Doctor, it hurts when I do this:  Health care issues

I do agree with your last point; insurance is an expected, recurring cost, and trying to deal with it through loans will never work.  I don't think McCain's idea is real great either in that it'll help the poor get insurance, however it still neglects people who can't get insurance because they're just too expensive.
Tycho
GM, 1437 posts
Tue 3 Jun 2008
at 14:43
  • msg #73

Re: Doctor, it hurts when I do this:  Health care issues

A bit of a change of topic, but I read this in the nytimes today, and thought it made a very good point:
http://www.nytimes.com/2008/06...th/views/03essa.html

The closing statements, in particular, I thought were well put:

W. L. Fielding:
It is important to remember that Roe v. Wade did not mean that abortions could be performed. They have always been done, dating from ancient Greek days.

What Roe said was that ending a pregnancy could be carried out by medical personnel, in a medically accepted setting, thus conferring on women, finally, the full rights of first-class citizens — and freeing their doctors to treat them as such.

katisara
GM, 2976 posts
Conservative human
Antagonist
Tue 3 Jun 2008
at 15:29
  • msg #74

Re: Doctor, it hurts when I do this:  Health care issues

Ah, I look forward to the day when the law allows medical professionals, in a clinical setting, to kill people bothersome to me.  After all, killing bothersome people has always been done, since the time of the ancient Greeks, so lets at least make it safer.
Tycho
GM, 1442 posts
Wed 4 Jun 2008
at 13:09
  • msg #75

Re: Doctor, it hurts when I do this:  Health care issues

Such a day is already here, if you consider state executions to qualify.  Euthenasia and assisted suicide probably qualify as well.  But probably executions are a good example to illustrate the point.  I'm opposed to the death penalty, and would support changes in laws that would make it illegal.  But if such laws came about, and the states decided to willfully ignore them, and keep killing their inmates anyway, and using more painful or brutal means to do it, I would probably vote to return to the old system.

More importantly, though, I think your post does a good job of pointing us back towards the real disagreement:  is a fetus a full human, with it's own set of rights, or is part of a human that belongs to the mother, in the same way her fingers do?

I would argue that the problem in large part has to do with our tendancy to discritize continuous data.  We want to think of things as human or not human, with no other option.  Like a digital 1 or 0, there's no room anything in between.  We do this with the child/adult boundary.  One day you're a child, then next day you turn 18 and you're an adult.  There's no legal transition period, it's a step change.  Similarly, at 11:59pm the day before your birthday, the law says you're not mature enough to consume alchohol.  Sixty seconds later, you've learned all you need to know.  We're not good with thinking of things as a continuum.

How much more similar to you is an adult chimpanzee than a single fertilized egg cell inside a woman?  And yet, people are more than happy to think of the egg as a full-fledge human being, with all the rights granted to such, but the chimpanzee as 100% not human.

Wouldn't it make more sense to think of a fetus as a partial human being?  That starts at about 0% at conception, and grows to 100% at birth?  I don't know if that'd solve the abortion rights debate, or just make it more complicated, but I think it might calm passions a bit.
katisara
GM, 2981 posts
Conservative human
Antagonist
Wed 4 Jun 2008
at 13:19
  • msg #76

Re: Doctor, it hurts when I do this:  Health care issues

Tycho:
But if such laws came about, and the states decided to willfully ignore them, and keep killing their inmates anyway, and using more painful or brutal means to do it, I would probably vote to return to the old system. 


Are you serious??  So because murder is illegal, and therefore most people who die of murder suffer and take much longer to die than they should (because the murderer was unskilled, rushed, and/or worried about evidence), we should make murder legal?

quote:
I would argue that the problem in large part has to do with our tendancy to discritize continuous data.


I would disagree.  I think the problem is that the question requires a discrete answer.  You can't get half an abortion.  Abortion is most certainly either 1 or 0, regardless as to where the baby stands between those two extremes.
Tycho
GM, 1444 posts
Wed 4 Jun 2008
at 13:54
  • msg #77

Re: Doctor, it hurts when I do this:  Health care issues

Tycho:
But if such laws came about, and the states decided to willfully ignore them, and keep killing their inmates anyway, and using more painful or brutal means to do it, I would probably vote to return to the old system. 


katisara:
Are you serious??  So because murder is illegal, and therefore most people who die of murder suffer and take much longer to die than they should (because the murderer was unskilled, rushed, and/or worried about evidence), we should make murder legal?

If doing so would actually result in people dying in more humane ways, less unitended victims, and wouldn't cause a rise in the number of murders, then yes.  Of course, those are very unlikely to be the result of legalized murder, so legalizing wouldn't be a good idea.  I'd say prison terms for convicted murders does a much better job at discouraging murder than prison terms for doctors who perform abortions does to discourage abortions.  A better example might be the 'war on drugs.'  Making drugs illegal seems, in many cases, to do more harm than good (increased crime, large sums of money to criminal organizations, no regulation, etc.), so in many cases it might better to make the drugs legal, and regulate them.

quote:
I would argue that the problem in large part has to do with our tendancy to discritize continuous data.

katisara:
I would disagree.  I think the problem is that the question requires a discrete answer.  You can't get half an abortion.  Abortion is most certainly either 1 or 0, regardless as to where the baby stands between those two extremes.

But the abortion itself is hardly the important point, I would argue.  It's the fetus that anti-abortionists care about, I would say, and the woman's right that the pro-choice side cares about.

An analogy might be drunk driving.  You can't half drive a car--you either drive it, or you don't.  To a degree, you can't take half a drink, either--you either drink something, or you don't.  But the law allows you to have a certain amount of alcohol in your blood before you are considered to be driving drunk.  You're not automatically breaking the law if you have one drop of beer in your blood.  Because drunkness is a spectrum, you can set a threshold (which is itself an act of discritizing continuous data).  What matters is how drunk you are, and there are degrees of drunk, even if there aren't degrees of driving or not driving.  The driving isn't issue, its the danger you put people in by driving drunk.  Putting people in more danger (by being very, very drunk) should (and does, if I'm not mistaken) carry a stronger penalty than putting people in less danger (by being less drunk).  Its even considered acceptable to put people in a very small amount of danger (by having alcohol in your blood, but being below the legal limit), because your rights to drive around are considered to outweigh the small amount of additional danger it poses to others.

Likewise, perhaps a fetus, as it grows, could be considered to have rights proportional its developement.  I think most people, on either sides of the issue, agree that if an abortion is to be performed, it's better to get it done as early as possible.  As the fetus grows, and gains more rights, the conditions under which the womans right to have an abortion outweigh those of the fetus change.  Early on, when the fetus is a few dozen cells, it wouldn't have many rights at all, and the woman could get an abortion for whatever reason she saw fit.  A week before birth, the fetus would have nearly full rights, and it would be very, very difficult for the woman to get an abortion.  Sort of just brain storming here, and thinking out loud, so there's probably a number of flaws, but it simply seems odd to me that a single cell should have any rights at all, let alone as much as a full-grown adult, and far more than a full grown chimpanzee.
katisara
GM, 2982 posts
Conservative human
Antagonist
Wed 4 Jun 2008
at 14:23
  • msg #78

Re: Doctor, it hurts when I do this:  Health care issues

Tycho:
If doing so would actually result in people dying in more humane ways, less unitended victims, and wouldn't cause a rise in the number of murders, then yes.


I see where you're coming from.  I don't necessarily agree, but at least I understand.

I wonder though how many fetuses and mothers died before Roe v Wade.  It would be tough to beat the numbers presently, though.

quote:
But the abortion itself is hardly the important point, I would argue.  It's the fetus that anti-abortionists care about, I would say, and the woman's right that the pro-choice side cares about.


However, if we had a 'continuous' option, we could apply it appropriately.  For instance, if we had a way to transplant aspects of the growth of the fetus to an artificial womb or we could have babies born tremendously early without it being ridiculously more expensive and dangerous, we might be able to employ those tools to make an analog solution to an analog problem.

Drunk driving isn't a great example (nor minor/adult) because the final punishment CAN be less discrete.  There's nothing saying that I must get 10 years for having a BAL of this level.  The judge can give me community service.  There's just a minimum (parole) and a maximum (10 years or whatever).  Similarly, minors can be tried as adults, and adults can be given lenient sentences.

quote:
Early on, when the fetus is a few dozen cells, it wouldn't have many rights at all, and the woman could get an abortion for whatever reason she saw fit.  A week before birth, the fetus would have nearly full rights, and it would be very, very difficult for the woman to get an abortion.  Sort of just brain storming here, and thinking out loud, so there's probably a number of flaws, but it simply seems odd to me that a single cell should have any rights at all, let alone as much as a full-grown adult, and far more than a full grown chimpanzee.


I've never seen that argument before, but I do like it.  I would only see two major problems with it;
1)  How to define what rights are conferred at what point
2)  There are people on both sides of the fence who stick to absolutes.  People who feel that, absolutely, the woman has a right to control her body under all circumstances, and always has the right to kick out what might be seen as a freeloader, regardless as to whether that kills said freeloader or not.  Similarly, people who feel that that single stem cell has a human soul and therefore deserves full protections that go with that, regardless as to human-like the cell is at this moment.
Mr Crinkles
player, 171 posts
Catholic
Wed 4 Jun 2008
at 19:38
  • msg #79

Re: Doctor, it hurts when I do this:  Health care issues

Tycho:
Making drugs illegal seems, in many cases, to do more harm than good (increased crime, large sums of money to criminal organizations, no regulation, etc.), so in many cases it might better to make the drugs legal, and regulate them.

*** I vote for Tycho.

Katisara:
I wonder though how many fetuses and mothers died before Roe v Wade.  It would be tough to beat the numbers presently, though.

*** It's a percentage game tho', not just straight numbers. What percentage of abortions pre-RvW were "successful", as opposed to the percentage of "successful" ones now?

Katisara:
There's nothing saying that I must get 10 years for having a BAL of this level.  The judge can give me community service.

*** Actually, many states have mandatory minimum sentences, regardless of whether you're .01% over the limit or 100% over. The judge may think you deserve community service, but legally he must sentence you to two years (or whatever the minimum is).

Katisara:
Similarly, minors can be tried as adults, and adults can be given lenient sentences.

*** Becos it's perfectly legitimate to give children the punishment of adults, but by no means should they be allowed to have the priviledges of adults.
katisara
GM, 2984 posts
Conservative human
Antagonist
Wed 4 Jun 2008
at 21:43
  • msg #80

Re: Doctor, it hurts when I do this:  Health care issues

Mr Crinkles:
Katisara:
I wonder though how many fetuses and mothers died before Roe v Wade.  It would be tough to beat the numbers presently, though.

*** It's a percentage game tho', not just straight numbers. What percentage of abortions pre-RvW were "successful", as opposed to the percentage of "successful" ones now?


I think you're going to have to rephrase that.  If there were 100 successful abortions, 10 unsuccessful (i.e. - no one died) and 5 catastrophic (everyone died, except, probably, for the doctor), the total number of deaths is 110.  You can weigh fetuses differently from women if you want, however.

If there have been 30 million successful abortion since, however, you're going to have to weigh fetuses as being pretty nonconsequential for those numbers to come into balance.

quote:
*** Actually, many states have mandatory minimum sentences, regardless of whether you're .01% over the limit or 100% over. The judge may think you deserve community service, but legally he must sentence you to two years (or whatever the minimum is).


I don't believe drunk driving is a criminal act (rather, it's a driving offense, and falls under civil), and there is generally still leeway - serving time under house arrest is a simple example.

quote:
*** Becos it's perfectly legitimate to give children the punishment of adults, but by no means should they be allowed to have the priviledges of adults.


At times.
Vexen
player, 212 posts
Wed 4 Jun 2008
at 22:49
  • msg #81

Re: Doctor, it hurts when I do this:  Health care issues

Before I give a retort, I'd like to probe a bit more on katisara's view.

Your stance has been very much on the pro-life sort of things, even to the point of associating pro-choice as por-murder. Is there any exception to this rule of yours, however? Must a woman have a baby concieved of rape in order to avoid this murder scenario? How about life-threatening conditions?
katisara
GM, 2985 posts
Conservative human
Antagonist
Thu 5 Jun 2008
at 00:41
  • msg #82

Re: Doctor, it hurts when I do this:  Health care issues

Vexen:
Your stance has been very much on the pro-life sort of things, even to the point of associating pro-choice as por-murder.


I don't think there's any question that abortion is in fact killing an independent being which happens to be human, so, especially close to the third trimester, it is certainly analogous to murder.  I have a hard time understanding how we can say it's okay to partially birth a fetus to kill it and remove it, but if the fetus makes those three inches on its own, it's now protected fully under law.  Like Tycho said, it's a very discrete system, yes or no, with no real in-between.  That doesn't make sense.

quote:
Is there any exception to this rule of yours, however? Must a woman have a baby concieved of rape in order to avoid this murder scenario? How about life-threatening conditions?


I've not gone too deeply into studying rape.  I'll be the first to admit, I have no authoritative opinion on the matter.  HOWEVER, I will say that killing someone due to the circumstances of his conception seems to be poor justification.

As for threatening the mother's life - sometimes we find ourselves in cases where we must choose between trying to save both or knowing we'll save one.  Those are tremendously difficult decisions.  I don't think there's any way we can apply a hard and fast rule to those situations in either direction.  If someone finds herself in a situation where she authentically faces a significant chance of death (and likely thereby killing the baby), that consideration must be explored, and I don't think we should look down on someone who chooses that course.

It's also worth saying, overall I agree with Tycho's assessment of things - a first trimester abortion is not the same beast as a third trimester abortion.  I can't really justify a third trimester abortion without also justifying infanticide, because basically that's what it is - the baby could be safely removed from the uterus and survive as a healthy child at that point.  It's like killing a kid because you need the crib.  A first trimester fetus is not in the same situation.
Vexen
player, 214 posts
Thu 5 Jun 2008
at 02:30
  • msg #83

Re: Doctor, it hurts when I do this:  Health care issues

That's a bit different then what you were implying a bit ago. Is first-trimester abortions still murder in your eyes?

I think we could all agree (or most of us, at least) that third trimester abrotions are simply too far for comfort, and that what you essentially have is the killing of a fully formed baby.

But this isn't what most pro-choice people are talking about when they say they are for keeping abortion legalized. Maybe they speak about allowing third trimester abortions where you are, but here, it's illegal to have an abortion beyond 5 months, and only that long in the case of dire circumstances. Without that, it's 4 months tops. For the most part, that's first trimester.

For the record, I'm pro-choice, not pro-abortion. I don't think I could ever have an abortion, especially given that I'm somewhat of an accident myself. However, this is a very personal and complex question, and that's my choice, based on what I know and what I believe. I think it's only fair in these matters to allow other people to allow others to make their choice as well.
Sciencemile
player, 143 posts
Opinion is the default
for most everything I say
Thu 5 Jun 2008
at 02:35
  • msg #84

Re: Doctor, it hurts when I do this:  Health care issues

If life begins at conception, then does a fertilized egg that does not attach to the cell wall of the uterus and instead flows out during normal menstruation (as is the result even more common than becoming pregnant) imply that the woman has committed murder?
Mr Crinkles
player, 172 posts
Catholic
Thu 5 Jun 2008
at 03:26
  • msg #85

Re: Doctor, it hurts when I do this:  Health care issues

Vexen:
For the record, I'm pro-choice, not pro-abortion. I don't think I could ever have an abortion, especially given that I'm somewhat of an accident myself. However, this is a very personal and complex question, and that's my choice, based on what I know and what I believe. I think it's only fair in these matters to allow other people to allow others to make their choice as well.

*** I think Vexen has quite clearly and accurately stated my feelings on this as well.
katisara
GM, 2986 posts
Conservative human
Antagonist
Thu 5 Jun 2008
at 09:50
  • msg #86

Re: Doctor, it hurts when I do this:  Health care issues

Vexen:
That's a bit different then what you were implying a bit ago. Is first-trimester abortions still murder in your eyes?


Depends on what the other guy is arguing :P

quote:
Maybe they speak about allowing third trimester abortions where you are, but here, it's illegal to have an abortion beyond 5 months, and only that long in the case of dire circumstances. Without that, it's 4 months tops. For the most part, that's first trimester.


I'm pretty sure in the US, there's no law forbidding third trimester abortions.  I know there were several attempts to ban partial-birth abortions which were shot down.

quote:
I think it's only fair in these matters to allow other people to allow others to make their choice as well.


Couldn't I argue it's a very personal choice as to whether or not I decide to kill or abandon my newborn?  Or my four-year-old?  Or my wife?  And therefore you have no business legislating it?
Falkus
player, 452 posts
Thu 5 Jun 2008
at 11:20
  • msg #87

Re: Doctor, it hurts when I do this:  Health care issues

Couldn't I argue it's a very personal choice as to whether or not I decide to kill or abandon my newborn?  Or my four-year-old?  Or my wife?  And therefore you have no business legislating it?

A fetus isn't a person, it's only a potential person, that's the difference.
This message was last edited by the player at 11:21, Thu 05 June 2008.
katisara
GM, 2988 posts
Conservative human
Antagonist
Thu 5 Jun 2008
at 11:49
  • msg #88

Re: Doctor, it hurts when I do this:  Health care issues

Falkus:
A fetus isn't a person, it's only a potential person, that's the difference.


Prove it.  What does a newborn have that an 8-month fetus doesn't?
Sciencemile
player, 144 posts
Opinion is the default
for most everything I say
Thu 5 Jun 2008
at 11:51
  • msg #89

Re: Doctor, it hurts when I do this:  Health care issues

Lower Mortality Rate outside of the Womb?
katisara
GM, 2989 posts
Conservative human
Antagonist
Thu 5 Jun 2008
at 12:16
  • msg #90

Re: Doctor, it hurts when I do this:  Health care issues

So in other words teenagers deserve more protections than old people?  Or do accountants deserve more protections than firemen?
Vexen
player, 215 posts
Thu 5 Jun 2008
at 12:42
  • msg #91

Re: Doctor, it hurts when I do this:  Health care issues

katisara:
I'm pretty sure in the US, there's no law forbidding third trimester abortions.  I know there were several attempts to ban partial-birth abortions which were shot down.


On a federal level, you are correct. There are no federal laws that ban late term abortions. However, 36 states have state laws banning them outright, and another 13 allow them only meeting certain conditions (namely, medical conditions that would prevent a healthy delivery, either for the child or the mother). Here in California, clinics are allowed to abort up to the 24th week. However, most clinics won't usually perform one later than 18 weeks without a medical reason.

quote:
Couldn't I argue it's a very personal choice as to whether or not I decide to kill or abandon my newborn?  Or my four-year-old?  Or my wife?  And therefore you have no business legislating it?


Well, you could, but I'm not sure how successful you would be. You once again associate a cluster of cells with your murder. Understand that there is a difference, mostly that there isn't an ambiguity present on whether or not your four-year-old or your wife qualifies as as a sentient person. There most certainly a question present on the an embryo. I doubt very much you would disagree with that. Though you might argue that that difference isn't very important, many pro-choice would argue otherwise.

Do you have a problem with contraception? I would imagine, if aborting a growth that could hardly be seen is equivalent to murder, one could certainly make a strong case that doing anything to prevent that conception from happening is equally the murder of a future being.

If I understood you correctly earlier, you said to Tycho that a first trimester abortion is very much different from a third trimester, but what you've just stated seems to infer that any abortion is equivalent to the murder of a person. How, then, are they different beasts?

Lastly, lets suppose you would had you way, and abortion entirely is made illegal. How should we enforce such matters? Send the pregnant teen who attempts to seek an abortion to jail? Should those that get pregnant via rape be given some form of compensation for the time, energy, and money they are now forced to give to the child? Pregnancy can be a major hinderance in a career. Should there be laws in place to make it so that businesses can't hold one's pregnancy against them, and accept the occasional loss of productivity over it?

And do you honestly believe that, if made illegal, that abortions will for the most part, stop, instead of simply making illegal and unsafe abortions more popular?
katisara
GM, 2990 posts
Conservative human
Antagonist
Thu 5 Jun 2008
at 13:29
  • msg #92

Re: Doctor, it hurts when I do this:  Health care issues

Vexen:
quote:
Couldn't I argue it's a very personal choice as to whether or not I decide to kill or abandon my newborn?  Or my four-year-old?  Or my wife?  And therefore you have no business legislating it?


Well, you could, but I'm not sure how successful you would be. You once again associate a cluster of cells with your murder. Understand that there is a difference, mostly that there isn't an ambiguity present on whether or not your four-year-old or your wife qualifies as as a sentient person.


Perhaps not my four-year-old, but I would certainly argue my two-year-old is ambiguous on that count, and even more so last year.

Also worth noting, we are all 'clusters of cells', so somehow implying that fetuses are clusters of cells and therefore not human, of course, fails to pan out.  I understand you're using that term because there's no appropriate word for 'cluster of independent human cells but possibly not human', but it isn't an argument in and of itself, at least not without more support.

Again, it comes down to what Tycho brought up.  We have a sperm and an egg, which most people agree aren't humans or a human, and we have a newborn baby, which most people agree are completely human, but little agreement on what's in the middle.

quote:
Do you have a problem with contraception? I would imagine, if aborting a growth that could hardly be seen is equivalent to murder, one could certainly make a strong case that doing anything to prevent that conception from happening is equally the murder of a future being.


Personally?  No.  And even those who are anti-abortion (such as the Catholic Church), if they are anti-contraception, they are such for different reasons.  The Catholic argument against contraception is completely different than the one against abortion.

quote:
what you've just stated seems to infer that any abortion is equivalent to the murder of a person. How, then, are they different beasts?


Did I say that?  I don't remember.  The argument could be made, but it would be a different argument from the one I've mostly been pushing so far.

Ultimately though, the question again is, how do you pick a hard point in a continuum?  Is an abortion halfway through the pregnancy only half as bad as infanticide?  If so, how bad is infanticide?  Is an abortion the first day of pregnancy only .3% as bad as infanticide?  Is that still acceptable?  I don't think that's an easy question to dismiss.

quote:
Lastly, lets suppose you would had you way, and abortion entirely is made illegal. How should we enforce such matters? Send the pregnant teen who attempts to seek an abortion to jail?


Are you suggesting that laws should be based on how convenient they are to enforce?

Anyway, such things can be enforced with punishments less cruel that jail time.  I don't think jail time is really appropriate since the teen isn't a threat to general society, and there's no need to separate her from it.  However, community service would be a reasonable punishment.  Similarly, house arrest could work.

quote:
Should those that get pregnant via rape be given some form of compensation for the time, energy, and money they are now forced to give to the child?


Honestly, I could see that.  We already have programs to help feed and provide services for people who are abused or poor.  There really aren't enough programs for women who are pregnant, and almost all of them are religious in nature, which drives some of the most needy away.  I don't see how we can justify welfare and suicide hotlines but not support for pregnant and in a tough spot.

quote:
Pregnancy can be a major hinderance in a career. Should there be laws in place to make it so that businesses can't hold one's pregnancy against them, and accept the occasional loss of productivity over it?


Pregnancy really isn't the hindrance it once was.  Women regularly work up until the last week (or even longer), take off some of their federally protected maternity leave, then get back right to the grind.  We already have maternity leave laws in place.  We have options for adoption (and in fact, there is a huge surplus of sponsor families compared to the lack of available children).  I don't feel this is as big of an issue as you make it out to be, unless the woman is a professional athlete or model or something.

Also worth pointing out, generally businesses are not liable for things you do to yourself, or that happen to you because of your personal choices.  If I jaywalk and get hit by a bus, the business is under no requirement to keep me on if I can't perform my duties.  There are far more protections for women who get pregnant than there are for people who fall into open manholes, do drugs, get hit by buses and so on.  So yes, I am suggesting that responsible and intelligent women take responsibility for making their own decisions and planning their own lives.

quote:
And do you honestly believe that, if made illegal, that abortions will for the most part, stop, instead of simply making illegal and unsafe abortions more popular?


I think the number would increase signficantly.  In fact, the current theory is that there has been a drop in crime primarily because the legalization of abortion has made an unprecedented drop in the number of unwanted pregnancies.  So on that line of thought, yes, I suspect if made illegal the number of abortions would drop precipitously.
katisara
GM, 2991 posts
Conservative human
Antagonist
Thu 5 Jun 2008
at 13:38
  • msg #93

Re: Doctor, it hurts when I do this:  Health care issues

Sciencemile:
If life begins at conception, then does a fertilized egg that does not attach to the cell wall of the uterus and instead flows out during normal menstruation (as is the result even more common than becoming pregnant) imply that the woman has committed murder?


Almost missed this.

No, this isn't murder as it lacks intent or even voluntary action.  Is your coughing into the air so a virus reaches someone who consequently dies from the flu virus you ejected murder?  Of course not.

It is KILLING.  Biologically, there is no question about that.  The cells were alive, now they're dead.  It may or may not be killing a human being, depending on your definition of human being.  But it certainly isn't murder.

Similarly, a full term woman who has a stillbirth did not murder her baby (and in fact, the suggestion would be quite offensive).
Vexen
player, 216 posts
Thu 5 Jun 2008
at 21:04
  • msg #94

Re: Doctor, it hurts when I do this:  Health care issues

katisara:
Vexen:
Do you have a problem with contraception? I would imagine, if aborting a growth that could hardly be seen is equivalent to murder, one could certainly make a strong case that doing anything to prevent that conception from happening is equally the murder of a future being.


Personally?  No.  And even those who are anti-abortion (such as the Catholic Church), if they are anti-contraception, they are such for different reasons.  The Catholic argument against contraception is completely different than the one against abortion.


Why? How is it much different than your argument? We've already made it a point that most pro-choice are talking about early term abortion, not late term, and to that point, what's the difference between an embryo and the sperm and egg? Both are clearly small biological units that could potentially become a human.

If the argument is that a possible future human was denied life by abortion and that's murder, then I would imagine that a possible future being would also be denied in the case of contraception. So, that too would be murder, by the same standards.

quote:
Ultimately though, the question again is, how do you pick a hard point in a continuum?  Is an abortion halfway through the pregnancy only half as bad as infanticide?  If so, how bad is infanticide?  Is an abortion the first day of pregnancy only .3% as bad as infanticide?  Is that still acceptable?  I don't think that's an easy question to dismiss.


Agreed. It's not an easy question, and it shouldn't be dismissed. However, to be fair, you're the one equating murder to all abortion, regardless the state.

quote:
Are you suggesting that laws should be based on how convenient they are to enforce?


Perhaps. I don't see much a point in having a crime that's a crime in name alone. And, if it makes things worse more than it makes things better, I'm not sure we should have the crime at all.

quote:
Anyway, such things can be enforced with punishments less cruel that jail time.  I don't think jail time is really appropriate since the teen isn't a threat to general society, and there's no need to separate her from it.  However, community service would be a reasonable punishment.  Similarly, house arrest could work.


Hold on a moment. You just equated through most of your arguments that abortion is murder. Yet, this is your punishment for murder? This doesn't sound much like you believe it's murder at all. Appearently, abortion has about the same penalties as indecent exposure in your ideal world. Or murder isn't that big a deal.

quote:
Honestly, I could see that.  We already have programs to help feed and provide services for people who are abused or poor.  There really aren't enough programs for women who are pregnant, and almost all of them are religious in nature, which drives some of the most needy away.  I don't see how we can justify welfare and suicide hotlines but not support for pregnant and in a tough spot.


quote:
Pregnancy really isn't the hindrance it once was.  Women regularly work up until the last week (or even longer), take off some of their federally protected maternity leave, then get back right to the grind.  We already have maternity leave laws in place.  We have options for adoption (and in fact, there is a huge surplus of sponsor families compared to the lack of available children).  I don't feel this is as big of an issue as you make it out to be, unless the woman is a professional athlete or model or something.


Anyone else see these ideas as mostly, if not completely, contradictiary? One states that women could use the help, and another states that pregnancy isn't that dehibilitating. It's like answering your own question.

At any rate, I would disagree with the notion that pregnancy isn't a hinderance. Perhaps it isn't as much as it was, but it is still. There's been plenty of studies that go to show that businesses often will practice gender discrimination on this basis, that, if looking at a young man and a young woman for the same position, with the same qualifications, and both are newly weds, chances are, he'll get it, because they are wanting to avoid having to deal with maternity leave and the cost of finding a replacement. In that sense, it's more efficient. After all, if given the choice between hiring an employee that will likely need a several week leave and will need a replacement in that time, and one that likely wont, which would you pick?

To that end, I would agree that many women are taking less time off for pregnancy, working up to the last week, but I would hardly argue that in most cases, it's by choice. It's about proving you're still an asset, productivity, and making money enough to pay the bills. Compared with many other countries, the US has a painfully short materinty leave. And it's unpaid leave as well. The US is the only developed country that I know of that has no paid maternity leave, and it's unpaid leave is one of the shortest in the world.

In addition, what about those that do have a physically demanding job, or have a job where they have to be thin? Do we exclude them simply because it's not common enough to deal with?

quote:
Also worth pointing out, generally businesses are not liable for things you do to yourself, or that happen to you because of your personal choices.  If I jaywalk and get hit by a bus, the business is under no requirement to keep me on if I can't perform my duties.  There are far more protections for women who get pregnant than there are for people who fall into open manholes, do drugs, get hit by buses and so on.  So yes, I am suggesting that responsible and intelligent women take responsibility for making their own decisions and planning their own lives.


Maybe we should have protections for other people. Wait... Did you just equate a pregnant woman to a junkie? Seriously, you're making it out like anyone who has an unexpected pregnancy is a tottal whore.

Unexpected pregnancy happens, often, even to responsible, intelligent women. Should a woman still pay, even having taken all the proper precautions? Contraceptions fail sometimes, and even having sex once in your entire life can leave you pregnant. What about rape? Pregnancy is also not an uncommon occurance there. Was she not being a responsible, intelligent woman there? Or do such cases just fall by the wayside because we have to teach the party girls responsibility?

Likewise, isn't this a very sexist and unfair consequence? A man can sleep with anyone he wants (or rather, anyone who will let him), not have to practice safe sex, and at the end of the day, still get his pay with no consequences in that reguard. What about men being responsible and intelligent in planning their own lives? Or is that a far less important point?

quote:
I think the number would increase signficantly.  In fact, the current theory is that there has been a drop in crime primarily because the legalization of abortion has made an unprecedented drop in the number of unwanted pregnancies.  So on that line of thought, yes, I suspect if made illegal the number of abortions would drop precipitously.


I'm not particularly sure what you're saying here. Can you rephrase it please?

quote:
Similarly, a full term woman who has a stillbirth did not murder her baby (and in fact, the suggestion would be quite offensive).


And saying that someone who had an abortion committed murder isn't offensive?
katisara
GM, 2992 posts
Conservative human
Antagonist
Thu 5 Jun 2008
at 21:33
  • msg #95

Re: Doctor, it hurts when I do this:  Health care issues

Vexen:
Why? How is it much different than your argument?


Neither a sperm nor an egg is an indepdendent creature, they are not a new individual, nor will they, on their own, develop into anything.  They deserve no special protection, no more so than a mole or a fingernail does.

quote:
We've already made it a point that most pro-choice are talking about early term abortion, not late term,


While I do recognize we two seem to agree that late-term abortion should be avoided, I don't know that everyone here has accepted it.  Simultaneously, the point is it's a continuum.  Is protecting a fetus in the third trimester sufficient?  Why not the second?  And if the second, why not the first?  Again, it comes down to where to draw the line.

quote:
If the argument is that a possible future human was denied life by abortion and that's murder,


The question is whether the fetus right now is human, even if that human is composed solely of stem cells.  Or more accurately, if it is proto-human, somewhere on that continuum.  I don't think anyone here would say a sperm is a proto-human.

quote:
Agreed. It's not an easy question, and it shouldn't be dismissed. However, to be fair, you're the one equating murder to all abortion, regardless the state.


I won't debate that I'm using the murder of a child as my measuring stick, but what else would you recommend, if our goal is to determine if abortion is wrong?  After all, what we are all concerned about is whether or not abortion is murder.  I assume that's why you oppose third trimester abortions, that you think it's akin to murder.  I'm simply saying, again, if third trimester abortion is considered murder (or close to murder), why not second trimester?  What is the difference between Tuesday and Wednesday when approaching this issue?

quote:
Hold on a moment. You just equated through most of your arguments that abortion is murder. Yet, this is your punishment for murder? This doesn't sound much like you believe it's murder at all.


1) I don't believe punishment is meant to be retributive.  It's meant to be correctional, to protect society and to dissuade people from crime.  Society is safe from these people.  I think sufficient community service should serve as sufficient dissuasion.  Jail isn't every effective at correcting behavior anyway, so that's not a huge issue.
2)  I don't believe abortion (or I should say, I'm not arguing abortion) is equivalent to murder, but that it's in the same vein.  It's like comparing stealing $100 to robbing a bank.  Also, I can't think of a lot of situations where the person requesting the abortion isn't under extreme duress, which is a complicating factor.  Someone who gets serial abortions would be a different matter, however.

quote:
Anyone else see these ideas as mostly, if not completely, contradictiary? One states that women could use the help, and another states that pregnancy isn't that dehibilitating. It's like answering your own question.


No, one said that there should be programs to help pregnant women who are in a tough spot, in other words the qualifier isn't necessarily being pregnant, but being in a tough spot.

quote:
to avoid having to deal with maternity leave and the cost of finding a replacement.


If we're talking about a woman who cares little enough about the child to get an abortion, who therefore will presumably put the child up for adoption, won't be needing much maternity leave.  Birth requires generally 4 days leave, c-sections require up to 2 weeks (4 for physically strenuous work).  There's no time needed for bonding with the baby.



I'm going to have to continue this later, as I'm about to leave.  Sorry for the interruption
Mr Crinkles
player, 173 posts
Catholic
Fri 6 Jun 2008
at 03:01
  • msg #96

Re: Doctor, it hurts when I do this:  Health care issues

Katisara:
While I do recognize we two seem to agree that late-term abortion should be avoided, I don't know that everyone here has accepted it.  Simultaneously, the point is it's a continuum.  Is protecting a fetus in the third trimester sufficient?  Why not the second?  And if the second, why not the first?  Again, it comes down to where to draw the line.

*** Perhaps at the place where nature has drawn the line? If the unborn can survive outside the womb, then no abortion. If the unborn cannot, then sure. Let nature choose.

Katisara:
I won't debate that I'm using the murder of a child as my measuring stick, but what else would you recommend, if our goal is to determine if abortion is wrong?

*** Is our goal to determine it's rightness, or to determine a way to manage it? I for one wouldn't deny that it's wrong, but I consider it a necessary wrongness which needs to be managed, much like drugs.
Tycho
GM, 1446 posts
Fri 6 Jun 2008
at 09:47
  • msg #97

Re: Doctor, it hurts when I do this:  Health care issues

katisara:
Neither a sperm nor an egg is an indepdendent creature, they are not a new individual, nor will they, on their own, develop into anything.

One could argue that a sperm is an independent creature, I'd say.  It's more capable of living 'independantly' than a just-fertilized egg, if only just barely.  Also, a fertilized egg will not develope into anything 'on its own' either--it requires the mother to do so. This isn't to say that eggs or sperm should be treated as people.  I don't think they should, of course.  But neither do they suddenly go from 'nothing at all' to 'completely a person' the instant the sperm gets inside the egg.  Again, that's the discrete thinking problem biting us again.  A just-fertilized egg isn't qualitatively all that different from the egg and sperm it was just a few seconds earlier.

katisara:
The question is whether the fetus right now is human, even if that human is composed solely of stem cells.  Or more accurately, if it is proto-human, somewhere on that continuum.  I don't think anyone here would say a sperm is a proto-human.

Depends on just what we mean by 'proto-human.'  A saying that I quite like is "a chicken is just an egg's way of making more eggs."  From one point of view, one could say that human males are just 'proto-sperms.'  I don't think anyone holds that view, but it highlights the point that its an issue of what we consider the 'important thing' and what we consider just something that important thing makes.  The reason no one considers sperm to be 'proto humans' is because they not very much like a human at all.  An 8.5 month-old fetus, on the other hand, does seem quite a bit like a human, so it's much more natural to think of it as a 'proto-human.'  But both the sperm and the 8.5 month-old fetus are just steps along the way.  Instead of thinking "is it, or is it not" a proto-human, we should be thinking "how much is it 'proto' and how much is it 'human'?"

katisara:
I won't debate that I'm using the murder of a child as my measuring stick, but what else would you recommend, if our goal is to determine if abortion is wrong?

I think the comment you made about moles and fingernail clippings might be a start.  Instead of just thinking child/not child, think about what it really is: 1 cell, 100 cells, a thing with a round bit and a sort of tail, a thing with two nubbly hand-like things,...,a thing that looks just like a baby, a thing that is a baby but just 2 minutes from birth, etc.  A fetus goes from being almost nothing, to almost a baby, and hits everything in between on the way.

katisara:
After all, what we are all concerned about is whether or not abortion is murder.  I assume that's why you oppose third trimester abortions, that you think it's akin to murder.  I'm simply saying, again, if third trimester abortion is considered murder (or close to murder), why not second trimester?  What is the difference between Tuesday and Wednesday when approaching this issue?

The difference between Tuesday and Wednesday is the difference that the fetus changes in that time.  Which may be very little, but little things add up, so that the difference between today, and 6 months ago could be quite significant, even if each day between now and then you could have said "what's the difference between today and yesterday?"
katisara
GM, 2994 posts
Conservative human
Antagonist
Fri 6 Jun 2008
at 10:53
  • msg #98

Re: Doctor, it hurts when I do this:  Health care issues

Mr Crinkles:
*** Perhaps at the place where nature has drawn the line? If the unborn can survive outside the womb, then no abortion. If the unborn cannot, then sure. Let nature choose.


But that line is moving.  We've now had successes with babies born in the second trimester.  Literally, a baby the size and weight of a cell phone.  And of course, birthing each baby when the mom wants an abortion, and letting it die by the environment rather than the doctor's scalpel makes it tremendously more expensive, and those who do survive are forever going to have physical maladies caused by that course.  (But I do like that line of thought.)

quote:
*** Is our goal to determine it's rightness, or to determine a way to manage it? I for one wouldn't deny that it's wrong, but I consider it a necessary wrongness which needs to be managed, much like drugs.


My goal is to determine firstly, whether it's ethically right or wrong.  Secondly, how to manage it.  The two, of course, are linked.  One leads to the other.

I could see the argument that first trimester abortions are a necessary evil.  Not sure I agree with it, but I can understand it.  However, later than that?  Not so sure.
katisara
GM, 2995 posts
Conservative human
Antagonist
Fri 6 Jun 2008
at 10:59
  • msg #99

Re: Doctor, it hurts when I do this:  Health care issues

Tycho:
One could argue that a sperm is an independent creature, I'd say. 


A sperm does not qualify as a living animal, however a fetus does meet those requirements.

quote:
The reason no one considers sperm to be 'proto humans' is because they not very much like a human at all. 


On a basic, biological level, sperm are missing a major criterion to qualify as a human - they don't even have the full compliment of genes.  They don't have a real gender.  And they will never grow or reproduce.  Remember that the sperm, upon fertilization, is assumed into the egg and loses all physical form; it ceases to be a sperm.


quote:
Instead of thinking "is it, or is it not" a proto-human, we should be thinking "how much is it 'proto' and how much is it 'human'?" 


I think I've previously agreed to this overall, however.  I just stand by my statement that a sperm is not in any way a human.

quote:
katisara:
I won't debate that I'm using the murder of a child as my measuring stick, but what else would you recommend, if our goal is to determine if abortion is wrong?

I think the comment you made about moles and fingernail clippings might be a start.


But we are trying to determine if it is ethical or not to kill it.  The question arises not because the fetus has traits similar to a mole or a fingernail.  We can all agree that, whereever it falls on THAT continuum is okay.  The question is how similar it is to a human.  That is the point of contention.  Of course, if anyone here is okay with killing humans, that argument won't work with them.

quote:
The difference between Tuesday and Wednesday is the difference that the fetus changes in that time.  Which may be very little, but little things add up, so that the difference between today, and 6 months ago could be quite significant, even if each day between now and then you could have said "what's the difference between today and yesterday?"


That statement was aimed more at Vexen than at you - obviously, yes, the difference between day 40 of 2nd trimester and day 1 of 3rd trimester is almost nothing - but that's how our laws are drawn up.

Vexen, I am not ignoring you, I'm really eager to reply, but I got your last post just as I was clocking out, and now I just pulled into the train station for a day of training.  You're not forgotten!
katisara
GM, 2998 posts
Conservative human
Antagonist
Fri 6 Jun 2008
at 21:34
  • msg #100

Re: Doctor, it hurts when I do this:  Health care issues

Take another bite out as the train pulls into my station...

Vexen:
Maybe we should have protections for other people. Wait... Did you just equate a pregnant woman to a junkie? Seriously, you're making it out like anyone who has an unexpected pregnancy is a tottal whore.


No, I'm saying a pregnant woman is someone who has a medical condition resulting from her lifestyle.  If my lifestyle includes biking, getting hit by a car is also a medical condition resulting from my choice of lifestyles.  Yes, junkies also suffer medical conditions from their choice of lifestyles.  However, saying they're related beyond that point is a false comparison.

quote:
Unexpected pregnancy happens, often, even to responsible, intelligent women. Should a woman still pay, even having taken all the proper precautions?


Should the baby pay?  Unfortunately, that's what it comes down to.  SOMEONE is paying, quite dearly.  So yes, the question is who.

quote:
Likewise, isn't this a very sexist and unfair consequence? A man can sleep with anyone he wants (or rather, anyone who will let him), not have to practice safe sex, and at the end of the day, still get his pay with no consequences in that reguard.


Quite to the contrary, I think he needs to help support her.  You're absolutely right, he also contributed to the situation.  I don't know much about child support laws, but they seem like they could use a little work.

That said, you also bring up another interesting point.  If I get my wife pregnant, right now I have little legal say as to whether she can abort the fetus or not.  Isn't it my kid too?


quote:
quote:
I think the number would increase signficantly.  In fact, the current theory is that there has been a drop in crime primarily because the legalization of abortion has made an unprecedented drop in the number of unwanted pregnancies.  So on that line of thought, yes, I suspect if made illegal the number of abortions would drop precipitously.


I'm not particularly sure what you're saying here. Can you rephrase it please?


What I'm saying is there are specialists much better paid than I who have made the case that there are a good number of children who have not been born specifically resulting from the legalization of abortion.  So yes, I suspect legalizing it would significantly increase how often it happens.

quote:
And saying that someone who had an abortion committed murder isn't offensive?


I'm sure it is, and I'd never suggest it to a woman who had done that, but it's a possibility that needs to be discussed.
Mr Crinkles
player, 176 posts
Catholic
Fri 6 Jun 2008
at 23:41
  • msg #101

Re: Doctor, it hurts when I do this:  Health care issues

Katisara:
Should the baby pay?  Unfortunately, that's what it comes down to.  SOMEONE is paying, quite dearly.  So yes, the question is who.

*** And ultimately, I think it comes down to the fact that, like it or not, most of us who are pro-choice think the woman's life is more valuable than the unborn life. May not be right, may not be nice, but there it is.
katisara
GM, 3000 posts
Conservative human
Antagonist
Sat 7 Jun 2008
at 09:56
  • msg #102

Re: Doctor, it hurts when I do this:  Health care issues

Mr Crinkles:
*** And ultimately, I think it comes down to the fact that, like it or not, most of us who are pro-choice think the woman's life is more valuable than the unborn life. May not be right, may not be nice, but there it is.


In 99.9% of cases, the woman is not losing her life.  She's being severely inconvenienced, but she's not going to die.  In a good number of cases (say if my wife got pregnant) not even her career would be threatened.

So you're saying the woman's convenience is more valuable than the baby's life?
Sciencemile
player, 148 posts
Opinion is the default
for most everything I say
Sat 7 Jun 2008
at 10:07
  • msg #103

Re: Doctor, it hurts when I do this:  Health care issues

Of course, that argument would hold a lot more water if the baby disappeared after childbirth, so you didn't have to worry about the cost of money and time to raise it.
katisara
GM, 3001 posts
Conservative human
Antagonist
Sat 7 Jun 2008
at 11:01
  • msg #104

Re: Doctor, it hurts when I do this:  Health care issues

You mean like if there were a program which allowed you to take a baby the mother didn't want to or couldn't raise, and somehow give it to a family who wanted a baby but couldn't manage to conceive?
Sciencemile
player, 149 posts
Opinion is the default
for most everything I say
Sat 7 Jun 2008
at 11:33
  • msg #105

Re: Doctor, it hurts when I do this:  Health care issues

Adoption is an option some might consider, but for others its not so much; it might mean someday down the road someone is going to be looking for you to ask why you put them up for adoption.

If we extend this to rape victims, what does that leave us?  An effective way for letting genetic rejects who are so chocked full of those primitive instincts that they would strive to procreate through violence.

I'd say its more than just the mother's right, I'd say it's humanity's right, as a race, to be allowed to determine what sort of people we want to have more of.  The more Rape victims that the government forces to conceive their rapist's children, the more future rapists there will be, in my opinion.

I'd also spread this to "accidents".  Accident referring not to a couple who planned to have children, but not this early.  I refer to someone making a mistake that they, and we, should not have to pay for in the future.
katisara
GM, 3002 posts
Conservative human
Antagonist
Sat 7 Jun 2008
at 11:54
  • msg #106

Re: Doctor, it hurts when I do this:  Health care issues

Sciencemile:
it might mean someday down the road someone is going to be looking for you to ask why you put them up for adoption.


Not under the current laws.  A parent who gives up a child to adoption has protected privacy.

quote:
If we extend this to rape victims, what does that leave us?  An effective way for letting genetic rejects who are so chocked full of those primitive instincts that they would strive to procreate through violence.


1)  So you think we should eliminate people based on their genetic heritage?
2)  Most rapes aren't done by aggressive strangers, but by friends or lovers who don't understand 'no'.

quote:
I'd say its more than just the mother's right, I'd say it's humanity's right, as a race, to be allowed to determine what sort of people we want to have more of. 


Again, you support genetic cleansing?

quote:
I'd also spread this to "accidents".  Accident referring not to a couple who planned to have children, but not this early.  I refer to someone making a mistake that they, and we, should not have to pay for in the future.


So you feel that trading a baby's life is acceptable for YOUR convenience?
Sciencemile
player, 152 posts
Opinion is the default
for most everything I say
Sat 7 Jun 2008
at 12:19
  • msg #107

Re: Doctor, it hurts when I do this:  Health care issues

katisara:
Not under the current laws.  A parent who gives up a child to adoption has protected privacy.


I fail to see how that would do anything other than make it a little bit more difficult for them if they are determined enough.

quote:
1)  So you think we should eliminate people based on their genetic heritage?


Type 1 (or is it 2) Diabetes is hereditary; since it no longer presents as big as a problem for diabetics thanks to medicine, instead of dying suddenly for no reason, they are able to have kids.  Hence, as time goes on, the number of Diabetics in a population will grow.

Behaviors and traits are built into Human DNA according to what will achieve the goal of procreating and passing on their genes.  If a rape victim has to have a child, that is the Government encouraging the action of rape as a viable method for passing on genes.  Since being a rapist is now (in these terms) no longer a problem, the number or rapists will rise each generation.  Natural Selection.

quote:
2)  Most rapes aren't done by aggressive strangers, but by friends or lovers who don't understand 'no'.


So if he doesn't understand 'no', and she has the child anyways, over generational time the number of people who don't understand 'no' will increase.

quote:
Again, you support genetic cleansing?


Are you supporting Government-funded Genetic Stagnation?  If a woman decides that she liked what the rapist did to her, and wouldn't mind raising his child or even adopting him out to some unsuspecting couple, then that's her choice.  But as most people tend not to carry very fond feelings for the result of something they didn't want, this wouldn't be a problem.  Stopping the Government from Opressing us is not Opressing anyone.  If what I've described IS in fact Ethnic Cleansing, I'd describe it at least as an individual-choice genetic cleansing; let each person decide for themselves whether they want the baby.

Though I still say you're stretching the term; I like "Third-Party Sterilization"

quote:
So you feel that trading a baby's life is acceptable for YOUR convenience?


Secure the Blessings of Liberty to ourselves and OUR Posterity
katisara
GM, 3003 posts
Conservative human
Antagonist
Sat 7 Jun 2008
at 12:33
  • msg #108

Re: Doctor, it hurts when I do this:  Health care issues

Sciencemile:
I fail to see how that would do anything other than make it a little bit more difficult for them if they are determined enough.


So...  How would you track down someone with whom you share only half of your genetic data?  I have seen both sides of this in my family, and as of yet, neither was contacted without both parties consenting.  Do you have an example?

quote:
1)  So you think we should eliminate people based on their genetic heritage?


You gave a long answer to this.  However, I'm assuming your final answer is 'yes', genetic cleansing is acceptable.  Please correct me if I'm wrong, I'm not trying to create a strawman, I genuinely want to understand, as that is a pretty extreme position.

quote:
quote:
2)  Most rapes aren't done by aggressive strangers, but by friends or lovers who don't understand 'no'.


So if he doesn't understand 'no', and she has the child anyways, over generational time the number of people who don't understand 'no' will increase.


Unfortunately, sexual desire has already been pretty well tied into our genetic line.  I don't think any amount of genetic cleansing will eliminate date or spouse rape.

quote:
Are you supporting Government-funded Genetic Stagnation?


No, I support govenment protections of individuals' lives, ESPECIALLY those who are least able to defend themselves (children, the elderly, the sick or mentally ill).  Isn't that how we measure how good our society is, by how we care for the least of our numbers?

quote:
quote:
So you feel that trading a baby's life is acceptable for YOUR convenience?


Secure the Blessings of Liberty to ourselves and OUR Posterity
</quote>

I am... floored.  You feel that intentionally killing people who show traits you don't agree with is a valid method of securing liberty.  Wasn't it Mr. Crinkles who said he's a fascist?
Sciencemile
player, 153 posts
Opinion is the default
for most everything I say
Sat 7 Jun 2008
at 13:00
  • msg #109

Re: Doctor, it hurts when I do this:  Health care issues

So...  How would you track down someone with whom you share only half of your genetic data?  I have seen both sides of this in my family, and as of yet, neither was contacted without both parties consenting.  Do you have an example?

No, I have no evidence that I can personally provide you, admittedly.

You gave a long answer to this.  However, I'm assuming your final answer is 'yes', genetic cleansing is acceptable.  Please correct me if I'm wrong, I'm not trying to create a strawman, I genuinely want to understand, as that is a pretty extreme position.

Aww, but I read everything you write ;)

Basically, to sum it up, I said "If we define Genetic Cleansing as one or more people not wanting your children and thus depriving you of legacy, then sure, I support that."


I am... floored.  You feel that intentionally killing people who show traits you don't agree with is a valid method of securing liberty.  Wasn't it Mr. Crinkles who said he's a fascist?


I'm Italian Fascist in some cases, but none of those cases have anything to do with this argument other than to paint blackface on me and call me prejudice ;)

Say that, for instance, a guy named Joe Blow.  Joe blow is a jerk and a bully; as a child, he was a terror on the neigbhorhood, property damage and all that.  Getting into school, he is a constant bully of other kids, getting in fights and into the principle's office.  Then in his teens he gets a girl pregnant after spiking her drink.

Scenario A: Government-enforced Births

Whether she wants it or not, she'll have to have lat Joe Blow Jr.  Whether she raises it herself or adopts it out, the neighborhood that has to live with him will most likely experience more of the same Joe Blow experience.

Scenario B: Individual-enforced Births

If she likes Joe Blow (assuming he'll actually stick around), she might choose to keep the baby.  Or she might not; she might like Joe Blow, but wouldn't be caught dead pregant with his baby.  Hence, she decides for herself to get an abortion, and so a potential Joe Blow no longer has to be worried about by the parents, the neighborhood, the school, or the government if he turns criminal.
_______________

As a side note, I consider that a mortality rate of less than 55% sufficient to qualify as a living being.  If the fetus can't live outside of the womb, aborting it is no different than amputating a hand.  Definitely not after the first trimester though: I think 6 weeks is enough time to decide whether you want to have a child or not.
This message was last edited by the player at 13:01, Sat 07 June 2008.
Mr Crinkles
player, 177 posts
Catholic
Sat 7 Jun 2008
at 15:27
  • msg #110

Re: Doctor, it hurts when I do this:  Health care issues

Katisara:
So you're saying the woman's convenience is more valuable than the baby's life?

*** You want to phrase it like that, yeah.

Katisara:
Again, you support genetic cleansing?

*** I don't know if this would qualify as "cleansing" or not, but I'd certainly support a eugenics program which would allow us to breed for traits we want. I'm not saying we should automatically kill off any undesirables who are born, but once we get to a point where we can engineer births, I think we should.

Katisara:
I support govenment protections of individuals' lives, ESPECIALLY those who are least able to defend themselves (children, the elderly, the sick or mentally ill).  Isn't that how we measure how good our society is, by how we care for the least of our numbers?

*** I obviously can't speak for everyone, but I think a lot of people who are pro-choice simply disagree that a week-old embryo (or fetus or whatever the term is at that point) is an individual life, anymore than, say, a tapeworm is.

Katisara:
Wasn't it Mr. Crinkles who said he's a fascist?

*** Yeah that's me.

Sciencemile:
If the fetus can't live outside of the womb, aborting [the fetus] is no different than amputating a hand.  Definitely not after the first trimester though: I think 6 weeks is enough time to decide whether you want to have a child or not.

*** Agreed.
Vexen
player, 217 posts
Sat 7 Jun 2008
at 22:19
  • msg #111

Re: Doctor, it hurts when I do this:  Health care issues

katisara:
Neither a sperm nor an egg is an indepdendent creature, they are not a new individual, nor will they, on their own, develop into anything.  They deserve no special protection, no more so than a mole or a fingernail does.


quote:
A sperm does not qualify as a living animal, however a fetus does meet those requirements.


It does? I would have to say that Tycho brings up a good point. An embryo/fetus is hardly an independant creature. If it was, this wouldn't be much of a problem. The problem is in fact that a fetus does depend on it's mother, and is entirely dependant on her, as in, can't exist without her continual support.

Does a fetus qualify as an animal? How? Prove it. Again, at the early stages, I would find that rather difficult to support that a sperm and egg isn't, but a microscopic embryo is. The same things that would disqualify them is still present within the earlier, and even middle, stages of development.

Beyond that, if we assume that's true (a big if), proving that it's an animal isn't sufficient enough to make your case. People kill animals all the time, for survival, for consumption, for market reasons, for enjoyment, and yes, for convenience. None of them are called murders. Proving that an embryo/fetus is an animal isn't enough. You have to prove that it's a person. And that would, again, be a difficult case to make without referencing that it's a future person, in which the same argument could be made for the sperm and the egg: that denying them, or doing anything to prevent them from meeting is, in fact, depriving a future person of life. Hence, the use of contraception would also be murder, by the same reasoning.

quote:
While I do recognize we two seem to agree that late-term abortion should be avoided, I don't know that everyone here has accepted it.  Simultaneously, the point is it's a continuum.  Is protecting a fetus in the third trimester sufficient?  Why not the second?  And if the second, why not the first?  Again, it comes down to where to draw the line.


So, you admit that you're arguing against a point I'm not making? And where do you draw the line? From what I've heard, it seems that the moment of conception seem to be the line for you, simply because, despite your statements that they are different, you have in fact treated first term abortions exactly the same as third term abortions.

quote:
The question is whether the fetus right now is human, even if that human is composed solely of stem cells.  Or more accurately, if it is proto-human, somewhere on that continuum.  I don't think anyone here would say a sperm is a proto-human.


Why not? Why can't sperm or eggs be a proto-human? They are a most vital and important step in the creation of humans. Without sperm or eggs, no embryo can come to be. In that sense, how is sperm or eggs any less part of the development cycle of a human?

None of the things you've stated in response to Tycho would in fac, qualify someone for being human. If a creature simply had 23 chromosome pairs, would that be sufficient, or, for that matter, some people are born with less than 23 pairs of chromosome. Are they not human? Most creatures have a gender that aren't human as well, and beyond that, one can certainly make the argument that sperm has a gender, given that it has some that carry and X chromosome, and some that carry a Y chromosome, which determine the gender of people in the development cycle.

When a sperm meets certain requirements, they will in fact grow. This doesn't work, naturally, if you say they are growing into larger sperm, but it does if you say they grow as living beings, as they will grow into a human, if certain conditions are met, much like a fetus will, if certain conditions are met. After all, fetuses don't grow into larger fetuses. They grow into a human baby. A fetus can't reproduce either, but they can, granted they survive to adolesence. But, looking sperm as proto-humans, I'd say the same thing could be said about them. In fact, I'd say such an argument only helps the idea that sperm aren't their own creature, but simply proto-humans in it's earliest form.

quote:
I won't debate that I'm using the murder of a child as my measuring stick, but what else would you recommend, if our goal is to determine if abortion is wrong?  After all, what we are all concerned about is whether or not abortion is murder.  I assume that's why you oppose third trimester abortions, that you think it's akin to murder.  I'm simply saying, again, if third trimester abortion is considered murder (or close to murder), why not second trimester?  What is the difference between Tuesday and Wednesday when approaching this issue?


That's a difficult question to answer, but people have made their own conclusions. You, for example, have yet to fully prove that first trimester abortions are exactly the same as third trimester abortions, but you argue it anyways.

This is a very complex issue, and one that doesn't always give consistent answers. Perhaps that's the difference between your argument and mine. I think this is a very personal and complex issue that has heavy ties with one's religion and beliefs in this world, so this is an issue for the individual to sort out. You, on the other hand, believe that, because it's a complex issue, that even the most libral of interpretations should be treated as true, just in case, so no one should have an abortion. Both are legitimate methods.


quote:
1) I don't believe punishment is meant to be retributive.  It's meant to be correctional, to protect society and to dissuade people from crime.  Society is safe from these people.  I think sufficient community service should serve as sufficient dissuasion.  Jail isn't every effective at correcting behavior anyway, so that's not a huge issue.
2)  I don't believe abortion (or I should say, I'm not arguing abortion) is equivalent to murder, but that it's in the same vein.  It's like comparing stealing $100 to robbing a bank.  Also, I can't think of a lot of situations where the person requesting the abortion isn't under extreme duress, which is a complicating factor.  Someone who gets serial abortions would be a different matter, however.


I disagree. I think someone who's thinking about abortion is thinking about things heavier than what community service can provide a dissuasion for. Appearently, you make the argument that, between 50 hours of voulenteer work and a lifetime committment, the community service is the heavier of the two.

In fact, I would argue that all making it illegal really does is take away the safe and sterile way of doing it. Instead, those under enough duress, as you put it, to have an abortion will have to seek it through much more dangerous means. Illegal abortions, or self performed abortions, are already committed in the thousands each year, and that's with abortion legal. I can't imagine the number that would do so if it were made illegal, and the safe way taken out. There are plenty of horror stories about what happens when people try it themselves, which not only results in an abortion, but plenty of times, the maiming or death of the mother. By contrast, what's the benefit of having such a law in place? Less abortions are had, more teenage mothers or mothers who otherwise are incapable of taking a child are made, more children up for adoption. I would argue that the benefits of such a law wouldn't outweigh the costs by a longshot.

Your last point also seems to be contrary to your first point in this statement. How is a "serial abortionist" a threat to society?

quote:
If we're talking about a woman who cares little enough about the child to get an abortion, who therefore will presumably put the child up for adoption, won't be needing much maternity leave.  Birth requires generally 4 days leave, c-sections require up to 2 weeks (4 for physically strenuous work).  There's no time needed for bonding with the baby.


.....OBJECTION!!

That's a completely and utterly offensive statement. Those that wanted to have have an abortion care little for the child or will care little for the child? Have you ever been around a woman who's had an abortion before, or was thinking of having one before deciding to keep it?

Here's a mindblowing reality for you: contemplating aborting a child doesn't make for a parent who won't love the child, or is callous is a completely baseless assumption in an attempt to demonize the women who choose it. I have met plenty of women who have had abortions who love their children dearly, and ones that were too late to have an abortion who love the child all the same.

Case and point, I myself, was almost aborted, but my mother has loved me dearly from the moment I was born. We have a great relationship, maybe even closer than most, and I bare no resentment for her for thinking about never having me when she was younger. Case the second, my brother, again in a the same situation, my mother was even at the abortion clinic but decided against it last moment. And she loves him just as much as she loves any of us. Case the third, my sister was in fact, planning to have an abortion, but was only stopped by situational matters, simply put, she was past the point where any clinic would take her without a medical reason. She was even planning on giving it to my mother, but after the child was born, she refused to give it up, and she absolutely adores her daughter.

Simply because one might be intending to have an abortion doesn't make one a careless parent who doesn't even want the child, or care about the child. These are issues far more complex than you're making them out to be. One of the reasons the adoption option rarely pans out is because, after having the child, the parents tend to change their minds. There's some kind of natural instinct that tends to make one want to keep and care for the child after delivering it, and giving a child up for adoption, just like considering abortion, is one of the toughest things that any mother or father reportedly can do, even if they intended to do so from the beginning.

You speak of offensive statements, but did you ever consider that perhaps someone in this forum might have had an abortion? You say you'd never say such things to one who did, but how do you know I didn't have one? I've never told you if I have or haven't.

Moving on, don't you think a couple of weeks is a rediculously short period of time? I think that's what companies would like you to believe. I have a difficult time imagining a pregnant worker who's late in term is actually as focused on her work than one who is not, and I think they really should be. And I would imagine it takes longer than just a couple of weeks to properly bond with a child. This is why other nations have a much lengthier period of maternity leave.

And you assume that most people who would have an abortion wouldn't keep the child, and I would disagree with that notion. I think they would. Assuming, of course, that making it illegal does in fact prevent abortion in many cases. You keep making those that would have an abortion out to be these careless mothers who couldn't possibly be thinking about keeping the child or are too callous to think of taking care of it, when I think that would be the minority of cases. And I really do think it's a cheap shot.

quote:
No, I'm saying a pregnant woman is someone who has a medical condition resulting from her lifestyle.  If my lifestyle includes biking, getting hit by a car is also a medical condition resulting from my choice of lifestyles.  Yes, junkies also suffer medical conditions from their choice of lifestyles.  However, saying they're related beyond that point is a false comparison.


And the lifestyle choice is...being female? You have a very broad stroke in determining what a lifestyle is. Appearently, living is a lifestyle, and thus just stepping out of your house, you should be well aware of the possibility that you will be hit with a baseball bat just stepping out. I would disagree with the idea that getting hit by a car is the natural consequence of biking, just as I disagree that getting pregnant is the natural consequence of being female.

quote:
Should the baby pay?  Unfortunately, that's what it comes down to.  SOMEONE is paying, quite dearly.  So yes, the question is who.


Again, you make the assumption that the embryo is a person, without you ever proving the point. I think that argument, once again comes down to the sperm and egg. If a woman doesn't want to get pregnant, and a man doesn't want to impregnate, than it's the sperm and egg who have to suffer the fate of not ever becoming a person, due to the "selfish" actions of their parents to use contraception.

quote:
Quite to the contrary, I think he needs to help support her.  You're absolutely right, he also contributed to the situation.  I don't know much about child support laws, but they seem like they could use a little work.


Forgive me for being bold, but I think your'e failing to see the whole picture here. It's not just time and money that's lost in this case. It's worry, it's fear, it's stress, natural consequences of having a kid. And, beyond that, it's a disruption of a career that's entirely one sided.

If a woman were to keep the child, as I think they most likely would, given the option of abortion is thrown out, there's emotional involment as well. She does have to split her concerns between a child and her career, and both are likely to have equal times, if not more scued towards the child. That is costly to someone who's trying to work their way up the ladder. And, honestly, corperations know this. If they know an employee really is worried about keeping their job, and is willing to accept their pay as is to keep it, they'll do it. It only makes business sense, and the parent needs to keep a stead income.

By contrast, what's a parent with only child support lost? Just money, if he so chooses. He can still dedicate as much time as he wants to his career, and doesn't have to split this up between other obligations besides the necesities, and is free to work their way up the ladder and be as ambitious as they want. It's the unimpeded ability to progress that a parent, especially a single one, tends to lose.

quote:
That said, you also bring up another interesting point.  If I get my wife pregnant, right now I have little legal say as to whether she can abort the fetus or not.  Isn't it my kid too?


This is an interesting point, and it's one that's contested more and more all the time. Does a man have a right to decide if an abortion is going to take place, one way or the other? There's a small, but growing, movement of "mens rights" in this area.

I do agree it's a valid point, and one that is unfair, in the woman's favor this time. I do think that, for equality to exist, there are some things women have to give up too, not just men. For example, in the courts, the mother is much more often awarded primary custody of children, almost entirely based on the idea that she's a woman. I agree that is something that we need to give up, and the basis shoudn't really take gender into the equation.

However, this is one area where, even though the opposing has a very valid and indesputable point, that I feel we have little way to make fair. Because, ultimately, she does have the burden of carrying the child, and likely, caring for it. This is not something he can just take from her.

A friend of mine (who is, oddly, very much a partiarch, don't ask how we get along so well) once argued to me that a man who wants to have a child should have the right to prevent the mother carrying his child from having an abortion. In return, he has to pay for the various expenses and compensate her (he's, of course, assuming the two weren't living together). However, what determind proper compensation for something like that. Can you put a price on a uterus, or being a mother? Ultimately, it's just one area that I don't think we have a proper way to deal with.


quote:
What I'm saying is there are specialists much better paid than I who have made the case that there are a good number of children who have not been born specifically resulting from the legalization of abortion.  So yes, I suspect legalizing it would significantly increase how often it happens.


There are specialists better paid than I who have made the case that the moon landing was fake and that Area 51 exists too, though I suppose that's beside the point.

I don't feel that's a very strong point. Specifically, yes, when abortion was made legal, there probably was more abortions had. a good deal. However, now that it's part of our regular way of life, would making it illegal result in a similar decrease? I would say no. I'd say the situations are very different between a country that's never had abortions before, and a country that's had abortions legal for half a century before making it illegal again. Much like prohibition simply made illegal brewries more popular, I think illegalizing abortion would only make more dangerous methods of abortion more prevalent.

That isn't to say that I don't think making it illegal would decrease the number of abortions at all. I think it would. But I doubt very much that this would be the significant result you're looking for. We have legalized abortion in every state, yet lots of women, most commonly very young and adolescent women, seek illegal abortions anyways, if simply to hide this fact from their family and friends. I would imagine then that making abortions illegal wouldn't stop these women anyways, and actually increase in number, as now illegal abortion becomes the only option.

Ya know, for a person who's just trying to decide whether or not abortion is ethical, you certainly have made the case for simply one side. It sounds to me like you've already decided whether or not abortion is ethical, well well before any of us made our case.
katisara
GM, 3004 posts
Conservative human
Antagonist
Sun 8 Jun 2008
at 02:41
  • msg #112

Re: Doctor, it hurts when I do this:  Health care issues

Vexen:
I would have to say that Tycho brings up a good point. An embryo/fetus is hardly an independant creature.


So does a newborn.  It would not survive long without constant care.

quote:
Does a fetus qualify as an animal? How?


A fetus meets the scientific definition for an animal.  A quick search on google or wikipedia will show you what the generally accepted definition is.

Dictionary.com says:
" any member of the kingdom Animalia, comprising multicellular organisms that have a well-defined shape and usually limited growth, can move voluntarily, actively acquire food and digest it internally, and have sensory and nervous systems that allow them to respond rapidly to stimuli: some classification schemes also include protozoa and certain other single-celled eukaryotes that have motility and animallike nutritional modes."

Wiki says:
"Animals have several characteristics that set them apart from other living things. Animals are eukaryotic and usually multicellular[2] (although see Myxozoa), which separates them from bacteria and most protists. They are heterotrophic,[3] generally digesting food in an internal chamber, which separates them from plants and algae. They are also distinguished from plants, algae, and fungi by lacking cell walls.[4] All animals are motile,[5] if only at certain life stages. In most animals, embryos pass through a blastula stage, which is a characteristic exclusive to animals."

Again, a fetus meets these definitions, a sperm or egg does not.


quote:
People kill animals all the time, for survival, for consumption, for market reasons, for enjoyment, and yes, for convenience.


But people don't generally kill other human animals.  Not to say a fetus is a human being (or perhaps I should use a different word, 'person', since that's not a biological word).

quote:
You have to prove that it's a person.


My current argument isn't that a fetus is fully a person, but that it is partially human, it is at a point on the continuum.  If we assume a newborn is fully a person, then presumably at 4 months the fetus is half a person.  Is it okay to kill half a person?

Since our current understanding of 'person' refers it be an individual animal, a sperm or egg would be disqualified.

quote:
So, you admit that you're arguing against a point I'm not making?


I admit I am not debating solely with you.

quote:
And where do you draw the line? From what I've heard, it seems that the moment of conception seem to be the line for you, simply because, despite your statements that they are different, you have in fact treated first term abortions exactly the same as third term abortions.


If you agreed on banning second or third term abortions, I'd have to argue against first term abortions or we'd have nothing to debate, and that would be quite boring.

HOWEVER, I won't argue that a first term abortion is equivalent to a third term abortion (today).  Killing a fetus at 10 months really is killing a baby.  I don't think anyone can reasonably argue otherwise.  Killing a 1 month old fetus isn't killing a baby (technically speaking).  But does that mean it's ethical?

quote:
Why not? Why can't sperm or eggs be a proto-human?


Because they aren't even animals.

quote:
Without sperm or eggs, no embryo can come to be. In that sense, how is sperm or eggs any less part of the development cycle of a human?


Sperm and eggs are part of the development cycle, but so is water.  Is water proto-human?

quote:
I disagree. I think someone who's thinking about abortion is thinking about things heavier than what community service can provide a dissuasion for. Appearently, you make the argument that, between 50 hours of voulenteer work and a lifetime committment, the community service is the heavier of the two.


It would have to be more than 50 hours.  Probably in thousands.

Granted, that still will not be enough to dissuade some people.  But death row isn't enough to dissuade some people from murder.  No matter what you do, there will be some people who pursue an abortion, regardless as to the legal repurcussions.

quote:
In fact, I would argue that all making it illegal really does is take away the safe and sterile way of doing it.


I will say, I think arresting doctors for doing abortions is the wrong way of doing it, for the reason you specified.  If women are going to pursue abortions regardless as to the legal repurcussions, she may as well do so in the safest way possible, so clearly we would want to completely protect doctors, but solely pursue the people paying for the abortion.

quote:
Illegal abortions, or self performed abortions, are already committed in the thousands each year, and that's with abortion legal.


Do you have a source for that?

quote:
Less abortions are had, more teenage mothers or mothers who otherwise are incapable of taking a child are made, more children up for adoption. I would argue that the benefits of such a law wouldn't outweigh the costs by a longshot.


I notice you fail to account for human lives saved :)  It would also benefit society on the whole to kill all criminal offendors on the first offense, regardless as to the nature of the crime, however I don't think anyone seriously suggests that.  There are some things more valuable than the overall benefit to society.

quote:
Your last point also seems to be contrary to your first point in this statement. How is a "serial abortionist" a threat to society?


She's not.  Did I imply otherwise?


quote:
That's a completely and utterly offensive statement. Those that wanted to have have an abortion care little for the child or will care little for the child?


Are you trying to say that a woman who cares enough for her child to not have an abortion would have an abortion anyway?  Isn't that contradictory?  I'm not trying to say that the woman doesn't care at all, but simply that if the child was a high enough priority for her not to have an abortion, she probably wouldn't have an abortion.  On the flip side, generally speaking, a woman who is willing to part with a child via abortion should, in theory, have no problem doing the same via adoption.

quote:
Have you ever been around a woman who's had an abortion before, or was thinking of having one before deciding to keep it?


Yes.  While she was a caring woman, she clearly did not have sufficient concern for the fetus to not have the abortion.

quote:
Here's a mindblowing reality for you: contemplating aborting a child doesn't make for a parent who won't love the child, or is callous is a completely baseless assumption in an attempt to demonize the women who choose it.


I never said otherwise.

quote:
Case and point, I myself, was almost aborted, but my mother has loved me dearly from the moment I was born. We have a great relationship, maybe even closer than most, and I bare no resentment for her for thinking about never having me when she was younger.


You were very nearly aborted, as in you very nearly never was born, never enjoyed the life you do now, yet you are comfortable with other people not enjoying the same gift?

quote:
You speak of offensive statements, but did you ever consider that perhaps someone in this forum might have had an abortion?


I considered it.  There have been cases where I've had debates with people I don't consider to have much foresight or maturity.  You are clearly a wise woman who is comfortable with herself and able to handle adult conversations.  I trust you enough that if you were not comfortable exploring this subject fully, you'd either tell me in advance, or you'd avoid the thread.  That isn't to say that people with emotional issues are immature, of course, only that a mature person will know how to work around those issues.

quote:
And I would imagine it takes longer than just a couple of weeks to properly bond with a child.


As I said, irrelevant for the woman pursuing an abortion or adoption.  An adoption requires no bonding time (although certainly grieving time).

quote:
And you assume that most people who would have an abortion wouldn't keep the child, and I would disagree with that notion. I think they would.


It's a shame our culture has changed as much as it did such that we can't just get adoption rates from pre Roe v Wade and compare them to post.  Maybe on Monday I'll spend some time to see what we can find.  It might be illuminating.

quote:
And the lifestyle choice is...being female?


The lifestyle choice is being sexually active without sufficient controls.  That applies to men and women.

quote:
quote:
Should the baby pay?  Unfortunately, that's what it comes down to.  SOMEONE is paying, quite dearly.  So yes, the question is who.


Again, you make the assumption that the embryo is a person, without you ever proving the point.


Are you commenting on my using the word 'baby'?  You can replace it with fetus and it still holds true.  You can argue that the fetus has no value on its own life, and you may be correct, but it's still paying.  My weeding my garden is making the interloper plants pay for my having healthier vegetables.

quote:
Forgive me for being bold, but I think your'e failing to see the whole picture here. It's not just time and money that's lost in this case. It's worry, it's fear, it's stress, natural consequences of having a kid. And, beyond that, it's a disruption of a career that's entirely one sided.


But there is little we can do to control that at this point.  I've had many discussions with my wife about how unfair pregnancy is (although from the other point of view - I would never be as close to my children, nor would I be the one nurturing them as closely as she would and, given our situation, I wouldn't really be able to watch them grow up).  Pregnancy is a bum deal in that regard, it's certainly not fair.  Take that issue up with God, I don't have an answer :)

quote:
Ya know, for a person who's just trying to decide whether or not abortion is ethical, you certainly have made the case for simply one side. It sounds to me like you've already decided whether or not abortion is ethical, well well before any of us made our case.


At least give me the benefit of admitting I waited until I could tell which way the debate was going!
katisara
GM, 3005 posts
Conservative human
Antagonist
Sun 8 Jun 2008
at 02:48
  • msg #113

Re: Doctor, it hurts when I do this:  Health care issues

Sciencemile:
Basically, to sum it up, I said "If we define Genetic Cleansing as one or more people not wanting your children and thus depriving you of legacy, then sure, I support that."


I'm not surprised by your supporting abortion, but rather your choice of justifications for it.  You could argue the woman has a right to control her own body, that the baby isn't a person yet, but instead you argue it would be better for society if we killed off genetic lines, so we should probably let those lines kill themselves off.

quote:
As a side note, I consider that a mortality rate of less than 55% sufficient to qualify as a living being.  If the fetus can't live outside of the womb, aborting it is no different than amputating a hand.  Definitely not after the first trimester though: I think 6 weeks is enough time to decide whether you want to have a child or not.


Currently no children have survived if born before the second trimester.  The first trimester is approximately 12 weeks, not 6, but there are plenty of examples of women not knowing until 10 weeks in, or even until the third trimester.  Making a decision as serious as whether or not to get an abortion is difficult, and not something I could easily make in six weeks.
Sciencemile
player, 155 posts
Opinion is the default
for most everything I say
Sun 8 Jun 2008
at 02:48
  • msg #114

Re: Doctor, it hurts when I do this:  Health care issues

quote:
So does a newborn.  It would not survive long without constant care.


Knew you'd say this; unfortunately, the difference is that a Fetus is solely dependant on one person. (you could argue 3rd person dependance, but that's grasping at straws)
Sciencemile
player, 156 posts
Opinion is the default
for most everything I say
Sun 8 Jun 2008
at 02:59
  • msg #115

Re: Doctor, it hurts when I do this:  Health care issues

katisara:
I'm not surprised by your supporting abortion, but rather your choice of justifications for it.  You could argue the woman has a right to control her own body, that the baby isn't a person yet, but instead you argue it would be better for society if we killed off genetic lines, so we should probably let those lines kill themselves off.


If a woman doesn't want a man's child, the government shouldn't force her to have it.  Teenage pregnancies are hardly ever any more than overactive hormones, and it's only their attitude after the fact that shows whether they were thinking.

There is no We in my argument, only We as in each individual woman deciding for herself who she wants to have children with.


quote:
Currently no children have survived if born before the second trimester.  The first trimester is approximately 12 weeks, not 6, but there are plenty of examples of women not knowing until 10 weeks in, or even until the third trimester.  Making a decision as serious as whether or not to get an abortion is difficult, and not something I could easily make in six weeks.


14 weeks actually, but that doesn't conflict with what I said whatsoever; I think others should have the opportunity anytime before the end of the 2nd, but I was referring to if I personally was considering having an abortion :)

As for people not realizing until the 3rd trimester, why do you think that is?  Could it be perhaps some sort of lack of education of the female body, brought about by a conservative religious household (Carrie)?  Or maybe she was raped by somebody inside her family.

For some people, it's more difficult than others, though I'm suprised it would take you longer than 6 weeks, Katisara, considering your views.
katisara
GM, 3006 posts
Conservative human
Antagonist
Sun 8 Jun 2008
at 10:51
  • msg #116

Re: Doctor, it hurts when I do this:  Health care issues

Sciencemile:
quote:
So does a newborn.  It would not survive long without constant care.


Knew you'd say this; unfortunately, the difference is that a Fetus is solely dependant on one person. (you could argue 3rd person dependance, but that's grasping at straws)


But a fetus generally can be supported by a 3rd person.  Like I said, babies have been born at less than, I believe, 4 months, and survived.  And as our technology improves, that date continues to get pushed back.  So this covers not only can the subject of almost all third AND second trimester abortions, but we can assume that in the future, it will roll back likely to even the point of conception.  Since we are trying to generate definitions, that would seem to indicate that we should define a fetus as an independent creature.

quote:
For some people, it's more difficult than others, though I'm suprised it would take you longer than 6 weeks, Katisara, considering your views.


I don't think you know my views :)
Mr . Wiggles
player, 26 posts
All things being equal...
The not crazy is true
Sun 8 Jun 2008
at 11:15
  • msg #117

Re: Doctor, it hurts when I do this:  Health care issues

katisara:
But a fetus generally can be supported by a 3rd person.  Like I said, babies have been born at less than, I believe, 4 months, and survived.  And as our technology improves, that date continues to get pushed back.  So this covers not only can the subject of almost all third AND second trimester abortions, but we can assume that in the future, it will roll back likely to even the point of conception.  Since we are trying to generate definitions, that would seem to indicate that we should define a fetus as an independent creature.


So you are in favor of supporting a single cell that somehow managed to escape the womb?
Mr Crinkles
player, 178 posts
Catholic
Sun 8 Jun 2008
at 15:35
  • msg #118

Re: Doctor, it hurts when I do this:  Health care issues

Katisara:
Killing a 1 month old fetus isn't killing a baby (technically speaking).  But does that mean it's ethical?

*** Nope. Not at all. But it is convenient, and for those of us who are more ethically-challenged than you (using the plural "you", not that I doubt your personal ethics), convenience wins out.

Katisara:
No matter what you do, there will be some people who pursue an abortion, regardless as to the legal repurcussions.

*** Then why not at least regulate the process. Make it so that those who choose to pursue abortion are able to pursue it in a safe and sterile environment, not the back of some bar. Make it so that ONLY first tri- abortions are permitted (except in cases of dire, life-or-death situations), and not whenever the mother wishes/is able to afford it. If, as you say, abortions are going to happen, wouldn't it be better if they were at least controlled?

Katisara:
There are some things more valuable than the overall benefit to society.

*** Such as?

Katisara:
On the flip side, generally speaking, a woman who is willing to part with a child via abortion should, in theory, have no problem doing the same via adoption.

*** Not necessarily. On the one hand there is a woman who has been pregnant for, say, three weeks, and she decides to have an abortion. On the other, there is a woman who has been pregnant for the full nine months. There's a big difference between three weeks (or whatever), and nine months, and certainly during that lengthier time period, a woman may become more attached to the unborn child, which would make adoption much more difficult. Even leaving aside the moral/ethical/health aspects, I suspect any woman would be much more open to the idea of an abortion very early in her pregnancy than she would be to the idea of one very late.

Katisara:
You were very nearly aborted, as in you very nearly never was born, never enjoyed the life you do now, yet you are comfortable with other people not enjoying the same gift?

*** You're presuming that all life is a gift. It's not. Some would say that any life is better than no life at all, even if it's a life of mental, physical, and sexual abuse. Not everyone sees life as a gift, and in some cases, may consider abortion to be the more merciful choice for the unborn.

Katisara:
An adoption requires no bonding time (although certainly grieving time).

*** Except for that first nine months, of course. Or don't you consider that women bond with their unborn?

Katisara:
The lifestyle choice is being sexually active without sufficient controls.

*** Is there a sufficient control you'd accept beyond abstinence? It's the only form of birth control I know of that's 100% effective.

Katisara:
Making a decision as serious as whether or not to get an abortion is difficult, and not something I could easily make in six weeks.

*** Um, why? I mean, how much time do you require to make a decision?

Katisara:
But a fetus generally can be supported by a 3rd person.  Like I said, babies have been born at less than, I believe, 4 months, and survived.  And as our technology improves, that date continues to get pushed back.  So this covers not only can the subject of almost all third AND second trimester abortions, but we can assume that in the future, it will roll back likely to even the point of conception.  Since we are trying to generate definitions, that would seem to indicate that we should define a fetus as an independent creature.

*** If I'm understanding you correctly, you're saying that becos in the future it may be possible for a fetus to survive outside the mother from the moment of conception, we should treat the fetus as fully human here and now.
katisara
GM, 3007 posts
Conservative human
Antagonist
Mon 9 Jun 2008
at 01:29
  • msg #119

Re: Doctor, it hurts when I do this:  Health care issues

Mr . Wiggles:
So you are in favor of supporting a single cell that somehow managed to escape the womb?


I don't think I quite understand the question.  You mean, if we were able to support a single-celled embryo from conception to infancy artificially, should we be ethically compelled to do it?

I think there's a strong argument for it.
katisara
GM, 3008 posts
Conservative human
Antagonist
Mon 9 Jun 2008
at 02:47
  • msg #120

Re: Doctor, it hurts when I do this:  Health care issues

Mr Crinkles:
*** Nope. Not at all. But it is convenient, and for those of us who are more ethically-challenged than you (using the plural "you", not that I doubt your personal ethics), convenience wins out.


Yes, we could just drop all laws and let people just do whatever you please.  Although to be fair, it would be pretty counter to fascism.

Do you really want to argue that laws should only support what is convenient?

quote:
*** Then why not at least regulate the process. Make it so that those who choose to pursue abortion are able to pursue it in a safe and sterile environment, not the back of some bar.


Because generally regulating the process means making it legal, which means more people will get an abortion.

Rather than that, I would say make a law which makes it illegal to receive an abortion, but not to give one, and gaurantees personal privacy.  In other words, it's illegal, which drives away the law-abiding, but not hard to get safely, which still permits it to be done safely if that is the desired course.

quote:
Make it so that ONLY first tri- abortions are permitted (except in cases of dire, life-or-death situations),


Women are still going to pursue second and third trimester abortions, aren't they?  Shouldn't they be regulated so they pursue them in a safe, clinical setting?  :)

quote:
Katisara:
There are some things more valuable than the overall benefit to society.

*** Such as?


Protecting basic human rights, including life.

quote:
*** Not necessarily. On the one hand there is a woman who has been pregnant for, say, three weeks, and she decides to have an abortion.


There will be exceptions, of course.  I was just making a general statement, however.

quote:
*** You're presuming that all life is a gift. It's not. Some would say that any life is better than no life at all, even if it's a life of mental, physical, and sexual abuse. Not everyone sees life as a gift, and in some cases, may consider abortion to be the more merciful choice for the unborn.


Fair enough, but who gets the right to make that choice?  Can I decide whether YOU have a right to live?  If your parents decided they didn't think you enjoyed life any more, could they make that decision to kill you?  What about when you were four?  I find it interesting people argue that parents have the right to choose if children should live or not, but then argue that parents shouldn't decide if kids are circumcised without the kid's consent.

quote:
*** Except for that first nine months, of course. Or don't you consider that women bond with their unborn?


You don't get maternity leave for the first 9 months, so no, in that regard it doesn't count.

quote:
*** Is there a sufficient control you'd accept beyond abstinence? It's the only form of birth control I know of that's 100% effective.


That *I*'d accept?  I'd accept whatever works, basically.  I think you mean what would I recommend.  Generally defense in depth ;)  There are many, many options available, and people should generally choose multiple to ensure proper safety.  Any sex ed class would say the same.

quote:
*** Um, why? I mean, how much time do you require to make a decision?


You're asking whether I could settle the ethical ramifications of abortion, decide the next 20+ years of my future, determine my own personal feelings on the subject and assess my current financial, physical, spiritual and mental capabilities in six weeks, while being heavily emotionally involved in the situation by virtue of being pregnant?  I have to admit, it would be a stretch.  Other people may take less time, of course.

quote:
*** If I'm understanding you correctly, you're saying that becos in the future it may be possible for a fetus to survive outside the mother from the moment of conception, we should treat the fetus as fully human here and now.


Close.  You're missing the assumption.

The argument people make is 'if the fetus can survive outside of the womb, it shouldn't be aborted', on the theory that a fetus that can survive outside of the womb is a baby at that point, and just happens not to have been born yet (or perhaps something else).  I believe two people have already made that argument.

So let's assume we all accept that argument.

If that's the case, we have to ask 'using what standard of medical technology'?  By modern technology, I believe the limit is 5 months - in other words, abortion should be limited past the 5 month mark.  Twenty years ago, the limit was probably 7 months.  However, in the future we may be able to ensure survival from the first moment.  So therefore, extending this argument, we have two possibilities;
1)  Late abortions become less ethical as technology progresses, which seems to run contrary to the initial assumptions because it invalidates the idea that a fetus that can survive outside of the womb is a baby (by saying some are babies solely by luck of the time and location of their birth)
2)  Abortions at all stages should be considered unethical.  At every point, the fetus is capable of surviving, assuming the appropriate technology is available, therefore at all points its life should be protected.

If you don't accept the base argument, of course nothing that follows stands.
Falkus
player, 453 posts
Mon 9 Jun 2008
at 03:04
  • msg #121

Re: Doctor, it hurts when I do this:  Health care issues

Protecting basic human rights, including life.

If you want to be pedantic about it, a fetus can be deprived of life constitutionally, according to the Fourteenth Amendment of the US Constitution, since it hasn't been born yet.
Mr . Wiggles
player, 27 posts
All things being equal...
The not crazy is true
Mon 9 Jun 2008
at 03:10
  • msg #122

Re: Doctor, it hurts when I do this:  Health care issues

Falkus:
Protecting basic human rights, including life.

If you want to be pedantic about it, a fetus can be deprived of life constitutionally, according to the Fourteenth Amendment of the US Constitution, since it hasn't been born yet.


I think she katisara is referring to beyond the constitution. More of a universe right.
Bart
player, 287 posts
LDS
Mon 9 Jun 2008
at 06:10
  • msg #123

Re: Doctor, it hurts when I do this:  Health care issues

Vexen:
I would find that rather difficult to support that a sperm and egg isn't, but a microscopic embryo is.

Mentos and Diet Coke are rather quiescent on their own.  Combine them, though, and you have a rather explosive reaction.  Sperm and an egg are nothing on their own.  It's only once they've combined and the reaction has started that, in my rough opinion, one could start to believe that they're actually alive any more than a mountain is alive.

That being said, was the sin of Onan specifically that he "spoiled" his sperm or that he didn't follow through on his duty to provide his brother's line with an heir?

Is a mountain alive?  Some of the apocrypha suggest that a mountain would move, where Christ to command it, because of the mountain's love for Christ and its desire to obey, implying that the mountain is at least somewhat "alive".  If, once unjustly shed blood has been spilled on it, the earth can cry for vengeance, then does the earth cry for vengeance for an aborted fetus?  How alive is the earth?

Anyway, having stepped out on that religious tangent, I think it's easy to see that sperm and an egg on their own are pretty much nothing but that once they've started to combine and grow and divide into new cells, a process has been started that generally leads to life.  Aborting that process, halting that process, would seem to be preemptively destroying that which would otherwise, all on its own, have created life.

Perhaps we should debate the difference between male fetuses and female fetuses, given that males are more apt to die both in the womb, while a fetus, and outside the womb, after having been born.  Should this statistic impact our decision on what is life?  Should males, with their higher chance of death anyway, have a later legal abortion date than females?
Tycho
GM, 1448 posts
Mon 9 Jun 2008
at 09:55
  • msg #124

Re: Doctor, it hurts when I do this:  Health care issues

Lots of discussion over the weekend!  I'm not going to go back and respond to it all, as most of the points I would have made have already been covered.  However, one that often comes up in these sort of discussions sort of jumped out at me:

katisara:
You were very nearly aborted, as in you very nearly never was born, never enjoyed the life you do now, yet you are comfortable with other people not enjoying the same gift?


Every second that you're not having sex (and the vast majority of seconds even when you are), you're causing other potential people 'not to enjoy the same gift.'  People are 'not being born' all the time.  People often bring up the "how would you like it if your parents had an abortion, and you were never born?" argument, and I feel correct answer is "the same way I would feel if they had decided not to have sex that particular moment."  In terms of "denying" someone a future life, I would argue abortion isn't significantly different from abstinence.  Where it's different is in ending current life, and the question is over how much we value that life (or, perhaps more to the point, how much of a human individual do we feel that life is).
Tycho
GM, 1449 posts
Mon 9 Jun 2008
at 10:06
  • msg #125

Re: Doctor, it hurts when I do this:  Health care issues

Bart:
Sperm and an egg are nothing on their own.  It's only once they've combined and the reaction has started that, in my rough opinion, one could start to believe that they're actually alive any more than a mountain is alive.

Okay, and if someone says "a fetus on its own is nothing.  It's only once it's been born that, in my rough opinion, that one could start to believe it's actually alive," how do you reply?  I think you've started to far into the argument here.  You're treating moment of conception as the obvious point of 'life,' but you're not arguing why you think that, you're just stating it.  And that's sort of where the whole disagreement lies.

Also, I think it'd be very hard to argue that a sperm or an egg isn't actually alive.  "Alive" is a surprisingly difficult word to define, but I think you'd have a difficult time defining it in such a way that sperms and eggs don't qualify without ending up with a lot of other things not being alive which we normally considered to be very much alive.

Bart:
Anyway, having stepped out on that religious tangent, I think it's easy to see that sperm and an egg on their own are pretty much nothing but that once they've started to combine and grow and divide into new cells, a process has been started that generally leads to life. 

Again, you're not really arguing your point here, you're just stating it.  The "it's easy to see" argument doesn't work when other people don't see the same thing.  You have to tell us why you think sperms or eggs on their own are nothing, rather than just telling us that it's so.

Bart:
Aborting that process, halting that process, would seem to be preemptively destroying that which would otherwise, all on its own, have created life.

Would you say that abstinence would be preemptively destroying that which would otherwise, all on its own, create life?

Bart:
Perhaps we should debate the difference between male fetuses and female fetuses, given that males are more apt to die both in the womb, while a fetus, and outside the womb, after having been born.  Should this statistic impact our decision on what is life?  Should males, with their higher chance of death anyway, have a later legal abortion date than females?

My guess is that most people would say it shouldn't impact our decision (for clarity, when I say 'our decision' I mean the people's decision about the legality of abortion, rather than any individual's decision about whether or not to have an abortion).  Even if it did, though, am I correct that the difference in survival rates is small enough that it wouldn't likely lead to a significantly different law for the two?  A day or two later, perhaps, or something along those lines?  If so, I'd say the difference is already "within the noise" so to speak, and at the level of detail, but not at the heart of the disagreement.
katisara
GM, 3009 posts
Conservative human
Antagonist
Mon 9 Jun 2008
at 14:30
  • msg #126

Re: Doctor, it hurts when I do this:  Health care issues

Tycho:
Every second that you're not having sex (and the vast majority of seconds even when you are), you're causing other potential people 'not to enjoy the same gift.'


Hey, I'm trying my best!  A man needs to sleep sometime too...


Seriously though, the difference is that one is affecting something that doesn't exist (a baby never conceived), the other is affecting something that clearly does exist as an individual entity (an actual fetus).   Could I say that killing a full grown adult is okay in that after the killing he's no worse off than if he had never been conceived at all?  Of course not, I am depriving that man of a concrete future to which he is entitled by virtue of already being alive.
katisara
GM, 3010 posts
Conservative human
Antagonist
Mon 9 Jun 2008
at 14:33
  • msg #127

Re: Doctor, it hurts when I do this:  Health care issues

Tycho:
Okay, and if someone says "a fetus on its own is nothing.  It's only once it's been born that, in my rough opinion, that one could start to believe it's actually alive," how do you reply?


I would ask for his scientific evidence.  Science generally agrees a fetus is a living creature (and a sperm is not).

Now it is a little blurry between the point of conception and around the first month, month and a half, because at that point there aren't a lot of differentiated cells.  But after that it becomes pretty clear cut.  Keep in mind, the heart starts beating in something like the second or third month.

quote:
Also, I think it'd be very hard to argue that a sperm or an egg isn't actually alive.


It is a living cell, but it is not a living creature.  It's not an animal (nor in any other kingdom).  It's not considered a 'being'.

quote:
without ending up with a lot of other things not being alive which we normally considered to be very much alive. 


Such as?
Tycho
GM, 1452 posts
Mon 9 Jun 2008
at 14:59
  • msg #128

Re: Doctor, it hurts when I do this:  Health care issues

katisara:
Seriously though, the difference is that one is affecting something that doesn't exist (a baby never conceived), the other is affecting something that clearly does exist as an individual entity (an actual fetus).

Yes, which is why I think it's critical to not focus on what the fetus will become, but rather on what it is now.  The human being that the fetus will become does not exist yet.  It is a potentiallity.  The fetus itself does exist, of course.  But speaking about what it will be in the future is like speaking about people never conceived.  A fetus is a baby in pretty much the same way an egg and a sperm are a baby: they'll become one given the proper conditions.  The difference is that the egg and sperm are one extra "proper condition" away.

To use your analogy of killing people, if you shoot someone who's holding your family at gun point, you'll be treated differently than if you shoot a child.  You can't justify your shooting of the child by saying "if I didn't do it, he might have grown up and held my family at knife point."  What the being who dies is is what's important, more so than what they may or may not become.


katisara:
  Science generally agrees a fetus is a living creature (and a sperm is not).

You mean it's not alive, or it's not a creature?  I would say it's certainly alive, and that  if it's not a creature, than neither is a fertilized egg (since it's not multicellular yet, is non-motile, etc).  I would argue that science would say that both a sperm and a fetus are alive, but may or may not describe either one as a 'creature' (which is a somewhat vague term anyway).

quote:
Also, I think it'd be very hard to argue that a sperm or an egg isn't actually alive.


katisara:
It is a living cell, but it is not a living creature.  It's not an animal (nor in any other kingdom).  It's not considered a 'being'.

But to many people, a fetus isn't considered a 'being' either, which is sort of my point.  Everyone tends to be okay with sperm having not rights, and everyone tends to be okay with a baby having the rights of a person.  They don't agree, however, on the transition from one to the other.  My point to Bart was that you can't just say "it's obviously a person now" and expect to change any mind.  There has to be a "...because X, Y, and Z" to convince people.  And I would guess that if you actually get down to trying to explicitly state why a fetus is "obviously" a seperate entity but a sperm isn't, you'll quickly run into problems.

Tycho:
without ending up with a lot of other things not being alive which we normally considered to be very much alive. 

katisara:
Such as?

Well, if you define it by how many chromosomes it has, then you end up with organisms lacking a set of chromosomes as being not alive.  If you say it's not alive because it doesn't eat, then a plant isn't alive either.  That kind of thing.  Pinning down precisely what is or isn't alive is actually much harder than one might thingk.  There isn't any easy way to do it that includes all the stuff that we generally think of as being alive without including stuff we don't tend to think of as alive.

As a bit of a change of tack, do you think pro-life people would be okay with a procedure that didn't kill the fetus, but simply stopped it from developing?  If it were, say, 1 month into the pregnancy, and this procedure were performed, it would stay exactly as it was for the rest of the woman's life, but would never grow any further.  Would that be considered acceptable, since it didn't kill the fetus?
katisara
GM, 3011 posts
Conservative human
Antagonist
Mon 9 Jun 2008
at 16:10
  • msg #129

Re: Doctor, it hurts when I do this:  Health care issues

Tycho:
The human being that the fetus will become does not exist yet.  It is a potentiallity. 


To a degree it does.  Similarly, there's a part of what I will be in 60 years in me now, but that future me doesn't exist yet.

Again, it's all about gradual change.  They aren't the same thing, but they aren't different things either.

quote:
You mean it's not alive, or it's not a creature?  I would say it's certainly alive, and that  if it's not a creature, than neither is a fertilized egg (since it's not multicellular yet, is non-motile, etc).


It is living in that it is part of a greater living creature, but it isn't itself a living animal.

I don't think I'd argue a fertilized egg is an animal, but within a very short time after implantation, it is.

quote:
But to many people, a fetus isn't considered a 'being' either,


Many people believe very many very false things.  Fortunately, science isn't up to a vote.

quote:
Well, if you define it by how many chromosomes it has, then you end up with organisms lacking a set of chromosomes as being not alive.  If you say it's not alive because it doesn't eat, then a plant isn't alive either.  That kind of thing.


To be alive it must:
1.  Have some sort of regulation of its internal environment (both sperm and fetuses have this)
2.  Be composed of one or more cells (both sperm and fetuses have this)
3.  Metabolise (I don't know if eggs have this, but fetuses do
4.  Growth (fetuses have this, sperm do not)
5.  Adaptation (fetuses have this, sperm do not)
6.  Response to stimuli (fetuses have this, sperm do not)
7.  Direct reproduction (fetuses have this, sperm do not)

quote:
As a bit of a change of tack, do you think pro-life people would be okay with a procedure that didn't kill the fetus, but simply stopped it from developing?  If it were, say, 1 month into the pregnancy, and this procedure were performed, it would stay exactly as it was for the rest of the woman's life, but would never grow any further.  Would that be considered acceptable, since it didn't kill the fetus?


That is a very interesting idea.  Very sci-fi.

Obviously, depends on the person.  The Catholic Church would say no, as it's blocking the natural process.  I suspect there are people who would say, if you blocked the fetus at a point, kept it 'in stasis' for say 5 years, but then began the development again so that it continued growth normally and was born, therefore you're just extending the pregnancy for a few years (presumably at a comfortable state - first or maybe second trimester) that that is fine - the baby isn't ultimately harmed.  Other people would say no, it's not okay, for an assortment of reasons.  If you're suggesting the fetus be kept alive basically forever (well, until the mother dies), and until then survives as basically a parasite (albeit, a parasite that doesn't borrow the car or ask for money), I think the same complaints would stand - the fetus is effectively killed by denying it life.
Mr Crinkles
player, 180 posts
Catholic
Mon 9 Jun 2008
at 17:16
  • msg #130

Re: Doctor, it hurts when I do this:  Health care issues

Katisara:
Do you really want to argue that laws should only support what is convenient?

*** Do I want to argue it? No. Do I believe it? Pretty much.

Katisara:
Because generally regulating the process means making it legal, which means more people will get an abortion.

*** And see, I don't see more abortions as necessarily bad, while it seems you do.

Katisara:
Rather than that, I would say make a law which makes it illegal to receive an abortion, but not to give one, and gaurantees personal privacy.  In other words, it's illegal, which drives away the law-abiding, but not hard to get safely, which still permits it to be done safely if that is the desired course.

*** Seems kind of silly, but okay, let's do that.

Katisara:
Protecting basic human rights, including life.

*** So you're against the death penalty too then? I mean, if it's more important to protect life than the overall benefit to society?

Katisara:
Fair enough, but who gets the right to make that choice?  Can I decide whether YOU have a right to live?  If your parents decided they didn't think you enjoyed life any more, could they make that decision to kill you?  What about when you were four?  I find it interesting people argue that parents have the right to choose if children should live or not, but then argue that parents shouldn't decide if kids are circumcised without the kid's consent.

*** I don't have a problem with circumcision, but beyond that, I'd say the people who are responsible for the unborn life should make that call. If I'm a woman, living on the street, with AIDS, and addicted to drugs, I think it'd be the nicer thing for the unborn child not to make him be born into that sort of life. Once a child is born, however, it's different, but in some cases, no life is the kinder choice.

Katisara:
You don't get maternity leave for the first 9 months, so no, in that regard it doesn't count.

*** You weren't speaking about maternity leave; you'd said
Katisara:
An adoption requires no bonding time (although certainly grieving time).

My point is that during the nine months of pregnancy, there is bonding time.

Katisara:
Generally defense in depth ;)  There are many, many options available, and people should generally choose multiple to ensure proper safety.  Any sex ed class would say the same.

*** And if someone does all that, and it still fails, should they be forced to have an unwanted child? Would you call the person for whom the control didn't work careless?

Katisara:
If that's the case, we have to ask 'using what standard of medical technology'?  By modern technology, I believe the limit is 5 months - in other words, abortion should be limited past the 5 month mark.  Twenty years ago, the limit was probably 7 months.  However, in the future we may be able to ensure survival from the first moment.  So therefore, extending this argument, we have two possibilities;
1)  Late abortions become less ethical as technology progresses, which seems to run contrary to the initial assumptions because it invalidates the idea that a fetus that can survive outside of the womb is a baby (by saying some are babies solely by luck of the time and location of their birth)
2)  Abortions at all stages should be considered unethical.  At every point, the fetus is capable of surviving, assuming the appropriate technology is available, therefore at all points its life should be protected.

*** And I'd say given that set of circumstances, the correct answer is #1. Some babies ARE just lucky. Babies born today are luckier than the ones born in the middle ages, for example. If your goal is to eradicate abortion entirely (which it certainly seems to be, based on your arguements), then this is a way to do it. It's slower than #2, I grant you, but it would work.

Katisara:
Seriously though, the difference is that one is affecting something that doesn't exist (a baby never conceived), the other is affecting something that clearly does exist as an individual entity (an actual fetus).

*** But not everyone agrees that once concepcion has occured, the fetus is "an individual entity". A parasite, granted, but "individual"? Don't think so.

Katisara:
Direct reproduction (fetuses have this, sperm do not)

*** How does a fetus directly reproduce?

Katisara:
If you're suggesting the fetus be kept alive basically forever (well, until the mother dies), and until then survives as basically a parasite (albeit, a parasite that doesn't borrow the car or ask for money), I think the same complaints would stand - the fetus is effectively killed by denying it life.

*** To restate, "If you're suggesting the fetus be kept alive basically forever [...] the fetus is effectively killed". How are we denying life by keeping the fetus alive?
katisara
GM, 3012 posts
Conservative human
Antagonist
Mon 9 Jun 2008
at 17:50
  • msg #131

Re: Doctor, it hurts when I do this:  Health care issues

Mr Crinkles:
Katisara:
Protecting basic human rights, including life.

*** So you're against the death penalty too then? I mean, if it's more important to protect life than the overall benefit to society?


Actually I am, but not in the way you're thinking.  Anyone who is put on death row should just be held in jail for life with no possibility of parole.  Society is still safe, but so is the man's life (for what it's worth).

quote:
Katisara:
You don't get maternity leave for the first 9 months, so no, in that regard it doesn't count.

*** You weren't speaking about maternity leave; you'd said
Katisara:
An adoption requires no bonding time (although certainly grieving time).

My point is that during the nine months of pregnancy, there is bonding time.


I had brought up bonding time in response to Vexen's point about maternity leave.  I know that's unclear since I didn't reference it directly in my quote, but that's what I meant.  Not to say your comment isn't correct as well, it just doesn't address the issue I was specifically arguing there.

quote:
*** And if someone does all that, and it still fails, should they be forced to have an unwanted child? Would you call the person for whom the control didn't work careless?


I wouldn't call the person careless, and admitedly, sometimes bad stuff happens.  But at that point... bad stuff happens, and we still need to do what's right.  Just because I lost my job doesn't mean I can start stealing stuff.

If we're trying to generate some sort of continuum on this question though, I'd say someone who has been responsible gets 'points' towards having an abortion, if she decides to go that way.


quote:
*** And I'd say given that set of circumstances, the correct answer is #1. Some babies ARE just lucky. Babies born today are luckier than the ones born in the middle ages, for example. If your goal is to eradicate abortion entirely (which it certainly seems to be, based on your arguements), then this is a way to do it. It's slower than #2, I grant you, but it would work.


Fair enough, but let me ask, what is your justification for saying 'babies that can be supported outside of the womb shouldn't be aborted'?

quote:
*** But not everyone agrees that once concepcion has occured, the fetus is "an individual entity". A parasite, granted, but "individual"? Don't think so.


entity:  something that has a real existence; thing:
Individual: a distinct, indivisible entity; a single thing, being, instance, or item.

I really think we all do agree a fetus is an individual entity.  It may not be a living creature, or an individual (which refers to a person), but it is an individual (i.e. singular) entity (i.e. thing).

quote:
Katisara:
Direct reproduction (fetuses have this, sperm do not)

*** How does a fetus directly reproduce?


By hitting puberty, meeting another old fetus, bumping uglies and making a new fetus.

Keep in mind, a fetus is a word for a state, like child, adolescent, geriatric, etc.  Fetuses reproduce in basically the same way toddlers reproduce.

quote:
*** To restate, "If you're suggesting the fetus be kept alive basically forever [...] the fetus is effectively killed". How are we denying life by keeping the fetus alive?


Alive as a fetus, sorry.  I don't think you'd say you have a life just because your heart beats, or just because you have genetic code.  Rather, you consider yourself a living human because, in part, you're self-aware, you make decisions, you grow and interact with your world.  It is the different between being alive (medically speaking) and living (philosophically speaking).  The option above denies the fetus the right to A life, but not the right to be alive.
Tycho
GM, 1453 posts
Mon 9 Jun 2008
at 18:33
  • msg #132

Re: Doctor, it hurts when I do this:  Health care issues

Tycho:
The human being that the fetus will become does not exist yet.  It is a potentiallity. 

katisara:
To a degree it does.  Similarly, there's a part of what I will be in 60 years in me now, but that future me doesn't exist yet.

Again, it's all about gradual change.  They aren't the same thing, but they aren't different things either.

Yes, exactly!  And a sperm or egg is just one step further down the line of that gradual change.  It's not the same thing, but they aren't entirely different either.

quote:
But to many people, a fetus isn't considered a 'being' either,

katisara:
Many people believe very many very false things.  Fortunately, science isn't up to a vote.

Is there a scientific definition of "being" then?

katisara:
To be alive it must:
1.  Have some sort of regulation of its internal environment (both sperm and fetuses have this)
2.  Be composed of one or more cells (both sperm and fetuses have this)
3.  Metabolise (I don't know if eggs have this, but fetuses do
4.  Growth (fetuses have this, sperm do not)
5.  Adaptation (fetuses have this, sperm do not)
6.  Response to stimuli (fetuses have this, sperm do not)
7.  Direct reproduction (fetuses have this, sperm do not)

I think you mean to be an "animal," not "alive" here, right?  This is a working definition, but I don't think it's perfect.  Sperms fail on 3 and 4, we agree.  On 6-7 I disagree.  Sperm do respond to some stimuli, and do reproduce (by making humans as an intermediate step--just like a fetus would have to make a sperm or egg as an intermediate step in reproducing).  I'm not sure what you mean by adaptation in this case.

Note that your definition implies that mules are not animals, that a woman past menopause is no longer alive, that all female bees in a hive except the queen aren't alive, etc.

Really, it seems like you're saying sperm "are nothing" as bart put it because they don't grow or metabolize.  Is that the real, heart-of-the-matter difference that you think make it okay to kill sperm by not a fetus?  Growth and metabolism?

Tycho:
As a bit of a change of tack, do you think pro-life people would be okay with a procedure that didn't kill the fetus, but simply stopped it from developing?  If it were, say, 1 month into the pregnancy, and this procedure were performed, it would stay exactly as it was for the rest of the woman's life, but would never grow any further.  Would that be considered acceptable, since it didn't kill the fetus?


katisara:
That is a very interesting idea.  Very sci-fi.

Obviously, depends on the person.  The Catholic Church would say no, as it's blocking the natural process.  I suspect there are people who would say, if you blocked the fetus at a point, kept it 'in stasis' for say 5 years, but then began the development again so that it continued growth normally and was born, therefore you're just extending the pregnancy for a few years (presumably at a comfortable state - first or maybe second trimester) that that is fine - the baby isn't ultimately harmed.  Other people would say no, it's not okay, for an assortment of reasons.  If you're suggesting the fetus be kept alive basically forever (well, until the mother dies), and until then survives as basically a parasite (albeit, a parasite that doesn't borrow the car or ask for money), I think the same complaints would stand - the fetus is effectively killed by denying it life.

The last line is sort of the hook.  If keeping the fetus as it is would be denying it life, then it must not be alive yet.  At least not in the sense that a baby is.  If it's current state isn't actually "life" that takes away some of the argument for protecting it.
katisara
GM, 3013 posts
Conservative human
Antagonist
Mon 9 Jun 2008
at 19:32
  • msg #133

Re: Doctor, it hurts when I do this:  Health care issues

Tycho:
quote:
But to many people, a fetus isn't considered a 'being' either,

katisara:
Many people believe very many very false things.  Fortunately, science isn't up to a vote.

Is there a scientific definition of "being" then?


"Being" is a broad term, but I was hoping to refer to things which are either alive or self-aware.

quote:
katisara:
To be alive it must:
1.  Have some sort of regulation of its internal environment (both sperm and fetuses have this)
2.  Be composed of one or more cells (both sperm and fetuses have this)
3.  Metabolise (I don't know if eggs have this, but fetuses do
4.  Growth (fetuses have this, sperm do not)
5.  Adaptation (fetuses have this, sperm do not)
6.  Response to stimuli (fetuses have this, sperm do not)
7.  Direct reproduction (fetuses have this, sperm do not)

I think you mean to be an "animal," not "alive" here, right?


No, that's for 'alive', according to the generally accepted scientific rules (at least what I could pick up from my very brief research).  You'll notice that everything down to bacteria meet all those requirements, however viruses do not (as they can't directly reproduce).


quote:
Sperm do respond to some stimuli, and do reproduce (by making humans as an intermediate step--just like a fetus would have to make a sperm or egg as an intermediate step in reproducing).


Sperm do not directly reproduce.  A sperm doesn't meet with another sperm to make baby sperm.  In fact, the sperm in question is completely gone when it 'reproduces' which would be akin to my sending my genetic code 1,000 years in the future to make a clone.  I've not directly reproduced.

Fetuses do in that the same creature that is the fetus develops, meets another creature of the same species and, together, they generate another member of that species.

quote:
I'm not sure what you mean by adaptation in this case. 


It must be able to change over a period of time in response to the environment (perhaps over generations).  Humans can do this both through adopting particular behaviors and through natural selection.  I'm not sure sperm can do this...

quote:
Note that your definition implies that mules are not animals, that a woman past menopause is no longer alive, that all female bees in a hive except the queen aren't alive, etc.


This is referring broadly to the type of thing, not specific instances.  A human is a life form even if a specific instance of 'human' does not necessarily meet all those criteria.

quote:
Really, it seems like you're saying sperm "are nothing" as bart put it because they don't grow or metabolize.  Is that the real, heart-of-the-matter difference that you think make it okay to kill sperm by not a fetus?  Growth and metabolism?


I'm willing to accept that killing sperm is acceptable.  Killing a fetus is, at minimum, less acceptable.  How unacceptable is the matter of some debate.


quote:
The last line is sort of the hook.  If keeping the fetus as it is would be denying it life, then it must not be alive yet.


Isn't this a question of continuum?  Wouldn't severing one part of the continuum be as bad as cutting off another?  I daresay that stealing a years worth of memories is as bad as killing a person a year before his death.  People have a right to their ENTIRE life, not just bits and pieces.
Vexen
player, 218 posts
Mon 9 Jun 2008
at 21:07
  • msg #134

Re: Doctor, it hurts when I do this:  Health care issues

You're scueing the argument a little, katisara, about what we're saying. You treat it as if we are saying that the sperm and the egg are seperate creatures entirely from human beings and even a fetus. They are not. They are part of the life cycle of the same creature.

A fetus doesn't work as an animal or even as a living entity unless it's treated as a stage of life, much like you argue. A fetus doesn't have the immeadiate abiltiy to reproduce. It only meets that requirement if you consider it a stage of human development, not as a creature distinct from humanity. Likewise, in the earlier stages, a fetus doesn't meet the stimuli requirement either, unless you consider it a stage of development. You've taken the liberty (and, arguably, rightfully so) to treat it as it will become, rather than what it is now.

My problem is that you don't extend the same liberty to the sperm and egg. You treat them as if they are a separate being from humanity. But, if you gave them the same treatment as a stage of human development, rather than a separate species from humans altogether, they too meet every requirement to be alive, and even human.

katisara:
I will say, I think arresting doctors for doing abortions is the wrong way of doing it, for the reason you specified.  If women are going to pursue abortions regardless as to the legal repurcussions, she may as well do so in the safest way possible, so clearly we would want to completely protect doctors, but solely pursue the people paying for the abortion.


katisara:
Rather than that, I would say make a law which makes it illegal to receive an abortion, but not to give one, and gaurantees personal privacy.  In other words, it's illegal, which drives away the law-abiding, but not hard to get safely, which still permits it to be done safely if that is the desired course.

quote:
Women are still going to pursue second and third trimester abortions, aren't they?  Shouldn't they be regulated so they pursue them in a safe, clinical setting?  :)


So you'd like a situation where abortion of any kind is illegal, but those that want to do it shouldn't be impeded from having one safely. So...what's the point of making it illegal, other than to make a statewide/national declaration of "I don't like abortion!"? How, really, is this much different than what we have now?

quote:
quote:
Your last point also seems to be contrary to your first point in this statement. How is a "serial abortionist" a threat to society?


She's not.  Did I imply otherwise?


I'd say you did, yes. You said that a serial abortionist would be a different matter. How so?

Likewise, what about men? Say, if there was a man who had was a participant in many abortions, say, hooked up with many girls over his life and many of those resulted in an abotion. Is he a different case?

quote:
Are you trying to say that a woman who cares enough for her child to not have an abortion would have an abortion anyway?  Isn't that contradictory?  I'm not trying to say that the woman doesn't care at all, but simply that if the child was a high enough priority for her not to have an abortion, she probably wouldn't have an abortion.  On the flip side, generally speaking, a woman who is willing to part with a child via abortion should, in theory, have no problem doing the same via adoption.


No, I'm saying the implied assumption you made that someone who has an abortion or was prevented from having one somehow doesn't care for the child is very offensive and untrue in many cases. You're also indirectly infering that the difference between who has an abortion and one who doesn't is how much they care for the child, which I would disagree. It's far more complex and personal than that, and you seem to think you can paint it over with a broad stroke.

Additionally, that theory I'm sure you'd find very incorrect, because it doesn't take into consideration the maternal bond that often occurs before the child is even born. To bring it back to my sister, she had every intent on aborting the child, and then giving up after she had learned it was too late. By the time she actually gave birth, though, there was no one going to separate her from her daughter. In fact, she's often adhorrd of the idea of anyone taking her child from her. Her attitude changed, and you'll find that in many cases where adoption is planned, it's often unsuccessful for the same reason. And even a parent who'd intended to, and did, give it up for adoption, this often is a very difficult step for them, sometimes one they can't fully carry through. This is a very common occurrance in cases where adoption was planned, which is part of the reason why there is a shortage of American children up for adoption.

I think that there's enough evidense out there that shows that a woman considering an abortion does indeed care for the child, and not just a little. If it was just a little, it wouldn't be such a difficult and complex process.

quote:
quote:
And the lifestyle choice is...being female?


The lifestyle choice is being sexually active without sufficient controls.  That applies to men and women.


But, again, you're not forcing the man to do anything. This is men's responsibility in name only. Sure, there's child support, but that only covers so much. Men get off scott-free in much of the other consiquences. A teenage man who got a woman pregnant probably wouldn't have much of a stigmatization about him, for example. A teenage woman, however, most certainly would in many circles.

Likewise, having a pregnant wife while in the work place, company probably see that as an asset to the man. Means he's probably going to work harder to make sure there's a steady income or maybe even a raise in te near future. Conversely, being pregnant in the work place probably is seen more as liability, as now they need a temporary replacement, and they will be seen as not too concerned about their job. This is a consequence such thinking places on women, really, not so much men.

quote:
If we're trying to generate some sort of continuum on this question though, I'd say someone who has been responsible gets 'points' towards having an abortion, if she decides to go that way.


So...you think abortion is okay so long as someone earns it through points? I'm not understanding this.

katisara:
Anyone who is put on death row should just be held in jail for life with no possibility of parole.  Society is still safe, but so is the man's life (for what it's worth).


quote:
Alive as a fetus, sorry.  I don't think you'd say you have a life just because your heart beats, or just because you have genetic code.  Rather, you consider yourself a living human because, in part, you're self-aware, you make decisions, you grow and interact with your world.  It is the different between being alive (medically speaking) and living (philosophically speaking).  The option above denies the fetus the right to A life, but not the right to be alive.


I'm sorry, but aren't these points contradicting? You're against the stasis idea because you want to perserve the quality of life, rather than just have them alive, but are for life imprisonment so that they are alive, even at the cost of qualitative life?

quote:
You were very nearly aborted, as in you very nearly never was born, never enjoyed the life you do now, yet you are comfortable with other people not enjoying the same gift?


Well, it's a matter of prespective. Yes, I suppose I could look at it that way. However, I could be much more morbid if I wanted to, if were going to imagine the horrible.

Imagine this point, which was referenced by Tycho earlier. I've not had a single child in my 22 years here alive, even though I've been sexually mature for almost ten years now. Assuming I were to be as my foremothers before me, and simply destined to a life of motherhood and homemaker, or obeyed my body's desire to be as sexually active as I can get away with, how many children could I have had by now? Estimating about a child a year, I could be on my way to my 8th to 10th child by now, assuming these are successful births, which nowadays, they probably would be. Or, more reasonably, as 10 is admittedly maybe more than my body can handle, I don't think it's unreasonable to imagine that I could have had two, three, or four children by now.

I want you to imagine that a minute. Because I wasn't doing what my body was designed to do, and instead thinking selfishly about my own concerns in this relatively (wehn compared to being a mother of four) carefree existence, my eldest Brittiney, my second and momma's boy Tim, my tough little Rocky, and even cute baby Evan will never come to exist. And more, possibly. The little family of angels and rascals, denied for my own selfish reasons.

And that's exactly why. Selfish reasons. I could had given them life, if I really wanted to; finding a sperm donor probably wouldn't be that difficult, or even a father, if I were determined to do it. And isn't any child worth the effort. And I could probably find a way to support them too, if I tried hard enough. Even if I couldn't, there's always adoption, right? So, justifiably, I have no real reason that I've denied them life. No real excuse, other than to simply make my life easier for the time being.

Logically, why shouldn't I have made them? Life is always better than no life at all, right? Given your arguments and mine, I can think of no reason, other than to perserve my own way of life as is. But, isn't that selfish? I'm not thinking about them, only myself. Isn't their right to life more important than my right to comfort?

Having brought this to attention, do you find me horrible? Seeing as I've denied them the posibility of life, am I now a murderer?
Mr Crinkles
player, 181 posts
Catholic
Tue 10 Jun 2008
at 03:43
  • msg #135

Re: Doctor, it hurts when I do this:  Health care issues

Katisara:
Fair enough, but let me ask, what is your justification for saying 'babies that can be supported outside of the womb shouldn't be aborted'?

*** I didn't actually say that; what I said was if people want some sort of demarcation between when it's okay and when it's not, that seems a good one.

Katisara:
entity:  something that has a real existence; thing:
Individual: a distinct, indivisible entity; a single thing, being, instance, or item.

I really think we all do agree a fetus is an individual entity.  It may not be a living creature, or an individual (which refers to a person), but it is an individual (i.e. singular) entity (i.e. thing).

*** So, my wooden chair is an individual entity, right? And the wrapped from my candy bar. And the piece of chewed gum my daughter left on the floor that got attached to the bottom of my shoe. They're all equal to a fetus, right?

Katisara:
By hitting puberty, meeting another old fetus, bumping uglies and making a new fetus.

Keep in mind, a fetus is a word for a state, like child, adolescent, geriatric, etc.  Fetuses reproduce in basically the same way toddlers reproduce.

*** As I understand it, toddler reproduction is a fairly rare thing, and generally some kind of felony is involved. By your definition ("a word for a state"), why don't sperm reproduce?

Katisara:
I don't think you'd say you have a life just because your heart beats, or just because you have genetic code.  Rather, you consider yourself a living human because, in part, you're self-aware, you make decisions, you grow and interact with your world.  It is the different between being alive (medically speaking) and living (philosophically speaking).  The option above denies the fetus the right to A life, but not the right to be alive.
So if someone is pro-life, why wouldn't they support the notion of keeping the fetus alive (only as a fetus, true, but still alive)? Incidentally, the above is why I'm also in favour of euthanasia.

Katisara:
In fact, the sperm in question is completely gone when it 'reproduces' which would be akin to my sending my genetic code 1,000 years in the future to make a clone.  I've not directly reproduced.

*** So you don't consider creating a clone of yourself to be reproducing?

Vexen:
there is a shortage of American children up for adoption.

*** I'm curious, do you have any statistics for this?
Tycho
GM, 1454 posts
Tue 10 Jun 2008
at 09:43
  • msg #136

Re: Doctor, it hurts when I do this:  Health care issues

katisara:
"Being" is a broad term, but I was hoping to refer to things which are either alive or self-aware.

Which is sort of my point.  A sperm is a "being" if you define a being as something alive, but not if you define it as something self-aware.  I don't think you could prove a fetus (or even a very young baby) was self-aware, either, though.

katisara:
No, that's for 'alive', according to the generally accepted scientific rules (at least what I could pick up from my very brief research).  You'll notice that everything down to bacteria meet all those requirements, however viruses do not (as they can't directly reproduce).

Except the things I mentioned in the last post (female bees, mules, etc.).  Also note that the list doesn't serve as a very good test of what's alive, since it only meets the criteria once it's reproduced.  A person who never happened to reproduce wouldn't qualify as alive (or at least couldn't be said to have passed the test which proves one's aliveness).  This was sort of my whole point here--the definition of "alive" doesn't really work in all cases.  We have a good idea of what's alive and what's not in most cases, but no matter how we define it, there area always some problematic cases that just don't seem to fit.  Single celled organisms don't grow (at least not in anyway that sperm don't also grow, I would think), for example.  Most single celled organism reproduce by division.  Does the original cell still exist after that, or just two daughters?  Animals that reproduce sexually could be said to not reproduce "directly" since they have to use intermediaries like sperm an eggs (which is somewhat similar to virus' using the intermediaries of cells to reproduce themselves).

katisara:
Fetuses do in that the same creature that is the fetus develops, meets another creature of the same species and, together, they generate another member of that species.

Species, like "alive" is another word that isn't actually as easy to define as we tend to think.  If you say an egg and a sperm on the same species, I could argue that they do, in fact, meet each other and together generate more members of their species.  If you argue they're not the same species, I'm guessing you'd have to use arguments that lead to men and women not being the same species.

quote:
I'm not sure what you mean by adaptation in this case. 

katisara:
It must be able to change over a period of time in response to the environment (perhaps over generations).  Humans can do this both through adopting particular behaviors and through natural selection.  I'm not sure sperm can do this...

Sperm definitely adapts via natural selection.  This is especially true in aminals like bonobos that compete mostly through sperm competition rather than competing for mates.

quote:
Note that your definition implies that mules are not animals, that a woman past menopause is no longer alive, that all female bees in a hive except the queen aren't alive, etc.

katisara:
This is referring broadly to the type of thing, not specific instances.  A human is a life form even if a specific instance of 'human' does not necessarily meet all those criteria.

Again, this shows that the definition doesn't really work the way it should.  If you can't tell whether an individual is alive or not, but only a broad class of things (how do you define that class?), it's not really answering the question "is this particular thing in front of me alive or not?"  The definition usually works in most cases, but it's not really able to tell us definitely if a thing is alive or not.  Rather, we just tend to have ideas about what's alive, and what's not, and the definition is a reflection of the general properties of those thing.  To a degree, I think one could argue that "alive" is in the eye of the beholder.  To a degree, it's a subjective thing, rather than a fundamental property like mass, or charge.  Which, to a degree, is the whole problem.  A fetus, especially in the early stages, isn't something that everyone can really agree on.  It's at the fuzzy border of the spectrum (or a few spectra, really: alive-not alive, human-not human, independant whole-part of something else, etc.).  The words we use to describe it aren't precise enough, and really are subjective anyway.  We can agree on its actual, observable properties, but still disagree on the broader terms used to describe it (alive, human, whole, etc), because those broader terms are actually vague terms that work in most (but not all) cases.  It's sort of how saying something is "hot" is more vague than saying it's X degrees.  The temperature is a physical quantity that we can all agree on.  But even knowing the temperature, we might not be able to agree whether it's hot or cold out.  The temperature is purely factual, but "hot" has both more and less information in it than the temperature.  Less, because it's more vague, but more because it implies certain things (what sort of clothes you might want to wear outside, for example).  "Alive" and "human" and these other terms are sort of the same.  They're carry both more, and less information than "it metabolizes, grows, adapts, etc."  Less because in some cases it's properties might not fit the list, but more because it implies something about the way we feel about the thing in question.  When we say something is human, we're not just talking about the properties it has, but also indirectly saying something about the we should think about it.

Hmm...not really sure what my point was when I started all that, but I've surely lost it now!  Sorry for the ramble...

katisara:
I'm willing to accept that killing sperm is acceptable.  Killing a fetus is, at minimum, less acceptable.  How unacceptable is the matter of some debate.

Yes, on this I agree.

katisara:
Isn't this a question of continuum?  Wouldn't severing one part of the continuum be as bad as cutting off another?  I daresay that stealing a years worth of memories is as bad as killing a person a year before his death.  People have a right to their ENTIRE life, not just bits and pieces.

But again, why is a single fertilized egg cell entitled to it, but not the egg and sperm themselves?  It is a continuum, as you say.  What people have a right to seems different than what a fetus has a right, which seems different to a sperm is entitled to, which seems different to what a potential person 1000 years in the future is entitled to right now.  I woulds say that it's not obvious that a fetus has a right to be born, anymore than a sperm has a right to fertilize an egg.
katisara
GM, 3014 posts
Conservative human
Antagonist
Tue 10 Jun 2008
at 13:47
  • msg #137

Re: Doctor, it hurts when I do this:  Health care issues

Vexen:
You're scueing the argument a little, katisara, about what we're saying. You treat it as if we are saying that the sperm and the egg are seperate creatures entirely from human beings and even a fetus. They are not. They are part of the life cycle of the same creature.


A sperm is part of the life cycle.  It is not a living thing, however.

quote:
A fetus doesn't work as an animal or even as a living entity unless it's treated as a stage of life, much like you argue...

<quote>Likewise, in the earlier stages, a fetus doesn't meet the stimuli requirement either, unless you consider it a stage of development.


That's not true.  Keep in mind, bacteria respond to stimuli.  You may be thinking of stimuli you consciously respond to, like being poked or hearing sounds, etc.  But a fetus will respond to things like chemical changes, changes in heat and so on.

quote:
My problem is that you don't extend the same liberty to the sperm and egg. You treat them as if they are a separate being from humanity. But, if you gave them the same treatment as a stage of human development, rather than a separate species from humans altogether, they too meet every requirement to be alive, and even human.


They are not separate from humanity, in that they are generated by and contribute to humanity, and are human cells.  However, they are not a 'stage of development in that the sperm that contributed to me ceased to be a sperm and literally fell to pieces.  Unless of course you consider a ham sandwich a 'stage of development', which I think is stretching it a little bit.

A sperm is basically just designed to deliver its data payload, then disintegrate.  You might be able to argue that the egg has some protection requirements, since it is that cell which ultimately splits and becomes the fetus, but I don't think anyone goes around intentionally killing eggs.

Also worth mentioning, I don't think that natural death, by age, stillbirth, etc. are unethical, so a woman's natural period is not unethical either, even if you do consider an egg on the same level as a fetus.  Creatures have to die; the point is, it's not our job to choose when that time is.

quote:
So you'd like a situation where abortion of any kind is illegal, but those that want to do it shouldn't be impeded from having one safely.


1)  It will drive away the law-abiding.  That alone would result in a major change.
2)  While it would not allow the doctor to be arrested, it would allow the patient to be.  The patient would still need to seriously consider whether she is willing to risk jail time.

The argument for legalizing abortion is 'they'll do this thing, which may be terrible, regardless, so we may as well make it safe'.  Fair enough, so then our goal is to simultaneously make it illegal and put tools in place to drive people from selecting that option at all, without making the method of going to a clinic any worse as a consequence.  If the latter decreases the effectiveness of the former, it may simply be a necessary compromise.

quote:
I'd say you did, yes. You said that a serial abortionist would be a different matter. How so?


Ah, she's not dangerous to society at large, but she's clearly dangerous to the series of fetuses she keeps killing.  And clearly whatever the current punishment is is insufficient.  That isn't saying that jail time is necessary (although perhaps it is), but something above the standard punishment needs to be applied.

quote:
Likewise, what about men? Say, if there was a man who had was a participant in many abortions, say, hooked up with many girls over his life and many of those resulted in an abotion. Is he a different case?


Was he aware he got those women pregnant?  If not, he's responsible for child care, as appropriate, but not for the charges of the woman choosing an abortion independently.

Ultimately, a man who was never consulted or even aware of the situation isn't responsible any more than my wife using my car to rob a bank makes me responsible for that.  However, if that man encouraged, paid for and otherwise supported each of those girls, he's guilty of conspiracy.

quote:
No, I'm saying the implied assumption you made that someone who has an abortion or was prevented from having one somehow doesn't care for the child is very offensive and untrue in many cases.


That wasn't what I intended to say.  However, if you care SUFFICIENTLY for the fetus, you won't get an abortion.  No one is forcing anyone to have an abortion (and if that is the case, there are other laws being broken).  It comes down to the mother's choice ultimately, doesn't it?  Isn't that what the whole idea is?  I'd have to imagine if the result of legalizing abortion was to result in women not having a choice about whether or not they get one, it would be a good deal less important.

So like Mr. Crinkles possibly having to move or my having to decide between having a nice house or private school for my kids, it comes down to priorities.  If the mother is sufficiently invested in the fetus, she won't abort.

I think you'll have a very difficult time convincing me that women who care the world for their unborn child would go have an abortion anyway.  I mean, if you give me a series of examples of women who hae physical jobs or whatnot and therefore 'need' an abortion in order to keep that job, isn't that just saying she cares more about what her job represents than about the fetus?  It's a decision based on values, but SHE applies the values to things.  To say otherwise is suggesting people intentionally choose what they want less, which sounds very odd.

quote:
Additionally, that theory I'm sure you'd find very incorrect, because it doesn't take into consideration the maternal bond that often occurs before the child is even born.


I think that bond applies completely.  That would be part of 'care'.


quote:
Her attitude changed, and you'll find that in many cases where adoption is planned, it's often unsuccessful for the same reason.


Oh, no question, it won't apply to all cases and possibly not even to a majority of cases.  But for those women who never really change their priorities, it's still an option.

quote:
I think that there's enough evidense out there that shows that a woman considering an abortion does indeed care for the child, and not just a little. If it was just a little, it wouldn't be such a difficult and complex process.


Again, I'd never argue otherwise.  But ultimately the woman chooses what she believes to be more valuable or important.

quote:
But, again, you're not forcing the man to do anything. This is men's responsibility in name only.


I'm not forcing anyone to do anything.

quote:
Sure, there's child support, but that only covers so much. Men get off scott-free in much of the other consiquences. A teenage man who got a woman pregnant probably wouldn't have much of a stigmatization about him, for example. A teenage woman, however, most certainly would in many circles.


I can't exactly change cultural mores, but legally I'd say he'd now be bound to her and the child, and for the rest of his life he'd be paying for their wellbeing.  I wouldn't exactly call that 'scott free'.

quote:
So...you think abortion is okay so long as someone earns it through points? I'm not understanding this.


No, I'm saying if we settled on having abortions based on understanding things as being a continuum, like Tycho was settled, someone taking all the right measures and just being 'unlucky' should be considered and add some leniency.

quote:
I'm sorry, but aren't these points contradicting? You're against the stasis idea because you want to perserve the quality of life, rather than just have them alive, but are for life imprisonment so that they are alive, even at the cost of qualitative life?


The person in prison got there because of his own decisions.  The fetus made no such decisions, and therefore deserves the full spectrum of choices available to him or her.

That said, my concern for death row/life imprisonment isn't so much one of preserving the quality of the prisoner's life.  People have to suffer the consequences of their actions, after all.  The prisoner chose the actions which got him in trouble.  But there are other considerations there as well.


quote:
how many children could I have had by now? Estimating about a child a year, I could be on my way to my 8th to 10th child by now, assuming these are successful births,


You'd most likely be looking at, at most, a child every other year (10 months in uteru, and most women aren't especially fetile during the first 6-10 months following birth).  Also, you wouldn't start birthing kids at 12 or you'd die.  Most women historically speaking didn't start until 16 or later.  If you started at 16, you'd be looking at a measly 3 kids right now, on average, but probably closer to 15 before menopause.

But I do understand what you're driving at.


Lack of a baby by omission is different from by comission.  It's one thing for there never to be anything to become a baby, another to take a developing baby and kill it.
katisara
GM, 3015 posts
Conservative human
Antagonist
Tue 10 Jun 2008
at 13:52
  • msg #138

Re: Doctor, it hurts when I do this:  Health care issues

Mr Crinkles:
Katisara:
Fair enough, but let me ask, what is your justification for saying 'babies that can be supported outside of the womb shouldn't be aborted'?

*** I didn't actually say that; what I said was if people want some sort of demarcation between when it's okay and when it's not, that seems a good one.


But the line keeps moving, which would suggest to me it's not a good line to use.

quote:
Katisara:
entity:  something that has a real existence; thing:
Individual: a distinct, indivisible entity; a single thing, being, instance, or item.

*** So, my wooden chair is an individual entity, right? And the wrapped from my candy bar. And the piece of chewed gum my daughter left on the floor that got attached to the bottom of my shoe. They're all equal to a fetus, right?


They are all individual entities.  They are equal to a fetus in that measure.  However, they are not equal to a fetus in other measures (for instance, the chair is better for sitting on).

quote:
*** As I understand it, toddler reproduction is a fairly rare thing, and generally some kind of felony is involved.


I'm just an overgrown toddler :P

quote:
By your definition ("a word for a state"), why don't sperm reproduce?


Because sperm don't make more sperm.  They make a baby who then goes on to make sperm.  i.e. sperm don't generate sperm, they generate babies.  They don't directly reproduce.


Katisara:
So if someone is pro-life, why wouldn't they support the notion of keeping the fetus alive (only as a fetus, true, but still alive)? Incidentally, the above is why I'm also in favour of euthanasia.


Most pro-life people would say because the fetus, while technically alive, is being actively denied life.

quote:
*** So you don't consider creating a clone of yourself to be reproducing?


I'd consider it being reproduced :P  It's not me making the new me, it's someone else (in that example).  If I made the clone myself, I'd be reproducing.  If I sent my genetics forward, someone else is reproducing me.

quote:
Vexen:
there is a shortage of American children up for adoption.

*** I'm curious, do you have any statistics for this?


I've talked with two families who have had difficulties finding children to adopt.  I'm sure you can find this on your own via google, if you care to look.
katisara
GM, 3016 posts
Conservative human
Antagonist
Tue 10 Jun 2008
at 14:07
  • msg #139

Re: Doctor, it hurts when I do this:  Health care issues

Tycho:
katisara:
"Being" is a broad term, but I was hoping to refer to things which are either alive or self-aware.

Which is sort of my point.  A sperm is a "being" if you define a being as something alive, but not if you define it as something self-aware.  I don't think you could prove a fetus (or even a very young baby) was self-aware, either, though. 


A sperm is not a life form.  It is living tissue, but it isn't alive in the sense that you (or at least I) am driving for.  A fetus is a life form, however.  I think the English language is failing us.


quote:
Except the things I mentioned in the last post (female bees, mules, etc.).


It doesn't require that all instances of the species reproduce, only that some do.  Bee drones don't reproduce, but bees do.  Mules don't reproduce, but horses and donkeys do.  Maybe not all fetuses don't reproduce, but if you took a sampling of all fetuses right now, the majority will.

quote:
Also note that the list doesn't serve as a very good test of what's alive, since it only meets the criteria once it's reproduced.


It's testing in the general sense - have other members of this species reproduced?  Might it reproduce at some point?  If you'd prefer 'reproductive capability', I'm sure we can agree on that.  Ultimately though, the test isn't paying attention to specifics, either a specific moment in time or a specific example of the species.  However, plenty of fetuses have gone on to make new fetuses, but no sperm have successfully made new sperm.

quote:
Single celled organisms don't grow (at least not in anyway that sperm don't also grow, I would think), for example.  Most single celled organism reproduce by division.


Sperm are split off from a parent cell which is not a sperm.  However, single-celled organisms reproduce from a parent cell splitting that was that same type of single-celled organisms.  If sperm could continue to split and therefore reproduce, they would qualify in that sense, but they don't.  Single-celled organisms do grow, otherwise they'd be unable to hit the size necessary to split.  Sperm I don't believe do that.

quote:
Animals that reproduce sexually could be said to not reproduce "directly" since they have to use intermediaries like sperm an eggs


Sperm and eggs are tissue from that animal, part of that animal.  It's like saying it's not really me typing because the only thing that comes into the contact with the keyboard is layers of dead skin.  If you're going to argue that, you're going to have to define what 'I' am.  Presumably it includes my dead skin, my internal organs, the gross stuff that comes out of me to a point and so on.

quote:
If you say an egg and a sperm on the same species,


Egg and sperm aren't species because they aren't alive (see above).

quote:
Sperm definitely adapts via natural selection.


No they don't, because the sperm don't make more sperm.

Are you arguing that males who produce all bad sperm therefore enforce a natural selection on sperm reproduction?  That's a bit of a stretch.  If anything, that's the sperm-generating cells adapting, not the sperm itself since, again, the sperm only carry the genetics from their generative cells.  They themselves don't reproduce to make more sperm.  And since any mutation to the sperm's payload itself would be too late to change the form of the sperm in question, it doesn't evolve - the mutation is passed onto the sperm-generating cells of the next generation, and the sperm are a result only of that.

It's not the sperm that are evolving under natural selection, but the cells that generate them.


quote:
Again, this shows that the definition doesn't really work the way it should.  If you can't tell whether an individual is alive or not, but only a broad class of things (how do you define that class?), it's not really answering the question "is this particular thing in front of me alive or not?" 


If you really want me to sit down and form a definition for a single case, not to a category of thing, I can do so.  It would be fairly trivial, but certainly frustrating.


quote:
To a degree, I think one could argue that "alive" is in the eye of the beholder. 


"Alive" is a human-defined word applied to certain complex systems.  If worded properly, we can shape it to apply to whatever we want it to.  It's subjective only in that, like all human-defined words, its definition was set by humans.


quote:
But again, why is a single fertilized egg cell entitled to it, but not the egg and sperm themselves?  It is a continuum, as you say.


Because you're trying to apply an absolute, yes or no, to a continous thing, and a fertilized egg shows some qualities, no matter how small, that don't appear in its constituent parts.
Tycho
GM, 1456 posts
Tue 10 Jun 2008
at 15:23
  • msg #140

Re: Doctor, it hurts when I do this:  Health care issues

katisara:
A sperm is not a life form.  It is living tissue, but it isn't alive in the sense that you (or at least I) am driving for.  A fetus is a life form, however.  I think the English language is failing us.

I don't think it's the langauge, so much as human thought, and our tendancy to come up with complex ideas like "alive," rather than using a list of simpler terms like "growing, reproductive, etc.  You agree that a sperm is living tissue (or, at least some of them are--others die, which again seems to indicate that they are alive), but say it's not a "life form."  Again, I think any definition of "life form" that makes that true would also lead to other things not being "life forms" that you would normally think were.

katisara:
It doesn't require that all instances of the species reproduce, only that some do.  Bee drones don't reproduce, but bees do.  Mules don't reproduce, but horses and donkeys do.  Maybe not all fetuses don't reproduce, but if you took a sampling of all fetuses right now, the majority will.

Actually, I'd wager that the majority of fetuses won't reproduce, especially if you include non-human fetuses (and if you don't consider them to be "life forms," that opens another can of worms), but I think that'll get us down the wrong path anyway.  What percentage of the group has to be able to reproduce to make every member "alive?"  50%?  1%?  Seems somewhat arbitrary, unless it's 100%, or "at least one."  However, there are further problems with this.  The biggest is how to define "species," which isn't as easy as you might guess.  Just because one fetus is alive, how do we know that they all are?  Another problem with the group idea is that you could form a group that had very much not alive members.  Is a dead fetus alive just by nature of being part of the group "fetuses?"  I think a test that only works on a group of things, but not on an individual will actually lead to more problems than we had already.  How about the group "one man, all his sperm, two cats, and a rock?"  Are the members of this "species" alive?  If it doesn't qualify as a species, why not?  What about a group of 10 male humans?  Are members of that "species" alive?

katisara:
It's testing in the general sense - have other members of this species reproduced?  Might it reproduce at some point?  If you'd prefer 'reproductive capability', I'm sure we can agree on that.  Ultimately though, the test isn't paying attention to specifics, either a specific moment in time or a specific example of the species.  However, plenty of fetuses have gone on to make new fetuses, but no sperm have successfully made new sperm.

I would disagree.  Sperm have successfully made new sperm plenty of times.  It's what they do!  If you say otherwise, would you say that a male human has ever successfully made a new male human?  If so, how is a male human requiring a female human to reproduce all that different from a sperm needing an egg to reproduce?  If not, on the other hand, does this imply that male humans aren't alive?

katisara:
Sperm are split off from a parent cell which is not a sperm.  However, single-celled organisms reproduce from a parent cell splitting that was that same type of single-celled organisms.  If sperm could continue to split and therefore reproduce, they would qualify in that sense, but they don't.  Single-celled organisms do grow, otherwise they'd be unable to hit the size necessary to split.  Sperm I don't believe do that.

Okay, but by this ferns aren't alive, because they reproduce in two generations (haploid/diploid), neither of which makes copies of themselves, but rather make copies of the other phase (sporophytes make gametophytes and vice versa).

katisara:
Sperm and eggs are tissue from that animal, part of that animal.  It's like saying it's not really me typing because the only thing that comes into the contact with the keyboard is layers of dead skin.  If you're going to argue that, you're going to have to define what 'I' am.  Presumably it includes my dead skin, my internal organs, the gross stuff that comes out of me to a point and so on.

But doesn't, you're arguing, include a fetus growing inside you?  What is the difference?  A unique set of DNA?  If that is what you consider to be the critical difference, consider that it would be, in theory, possible for a woman to give birth to a clone of herself (inject her DNA into an egg cell, and implant the egg cell, etc.).  Would that fetus, since it had non-unique DNA still be part of the mother rather than an independent life form?  If, on the other hand, it's the complete set of cromosomes that makes it alive, regardless of whether or not they're unique, why isn't every cell inside my body an independent life form?


quote:
If you say an egg and a sperm on the same species,

katisara:
Egg and sperm aren't species because they aren't alive (see above).

An egg isn't alive either?  On which of the criteria does it fail?  I would say that most people consider sperm and egg to be alive (at least the ones that haven't died yet), and that they are the same species.  Definitely its possible to have sperm and eggs of different species (dog and cat, for example).

quote:
Sperm definitely adapts via natural selection.

katisara:
No they don't, because the sperm don't make more sperm.

Why not?  Because there's an intermediate stage between them?  I'd say the same holds true of male animals as well.

katisara:
Are you arguing that males who produce all bad sperm therefore enforce a natural selection on sperm reproduction?  That's a bit of a stretch.  If anything, that's the sperm-generating cells adapting, not the sperm itself since, again, the sperm only carry the genetics from their generative cells.  They themselves don't reproduce to make more sperm.  And since any mutation to the sperm's payload itself would be too late to change the form of the sperm in question, it doesn't evolve - the mutation is passed onto the sperm-generating cells of the next generation, and the sperm are a result only of that.

Individual animals don't evolve during their own life time.  All that you say above applies to animals as well.  For example, a mutation in a sex cell of a male won't affect him, but only his offspring.  Remember, sperm cells carry a half-set of DNA.  The mutations of the father (or, about half the mutations of the father), go along with it.  If a sperm carries a mutation that alters sperm behavior, the sperm it reproduces (by creating the intermediate step of an adult) would have that mutation, and would be affected.

Again, I would say sperm do reproduce more sperm, in the same way that humans reproduce more humans--by using an intermediary steps of a sperm and egg.

katisara:
It's not the sperm that are evolving under natural selection, but the cells that generate them.

Both are subject to selection pressure.  What I'm saying here is that it's possible (though very strange) to view the adult human as part of the sperm phenotype--the genetic information in a sperm has an effect on the world by creating an adult human, which produces copies of the original sperm.

If we're to get really specific, it's actually genes which are reproducing.  Everything bigger than that, be they sperm or adult humans, are just vehicles that the genes ride around in.  Genes that make sperm swim poorly or adult humans die young can both be selected against, and genes that make sperm swim well or an adult attractive to the opposite sex can both be selected for.  Both the sperm and the adult will carry the same genes (well, the sperm will carry half the genes) in each case.  A sperm that carries a gene for an ugly adult will be bad at making more sperm in the long run in the same way that an adult that carries a gene for sperm that can't swim will be bad at making more adults in the long run.

katisara:
If you really want me to sit down and form a definition for a single case, not to a category of thing, I can do so.  It would be fairly trivial, but certainly frustrating.

I think it would be anything but trivial.  If you think you can do so, you really should try, as if you can, a lot of people will be very interested in what you come up with.  I'm guessing, though, it won't be nearly as trivial as you think, if you want to fit all the things we normally consider to be alive.


quote:
To a degree, I think one could argue that "alive" is in the eye of the beholder. 

katisara:
"Alive" is a human-defined word applied to certain complex systems.  If worded properly, we can shape it to apply to whatever we want it to.  It's subjective only in that, like all human-defined words, its definition was set by humans.

No, I don't think that's quite it.  If an alien race showed up on earth tomorrow, it might be very difficult to tell if they were alive.  If we create a computer program with greater-than-human intelligence, it will be hard to say if it's alive.  We can certainly come up with definitions, which will settle these things one way or the other, but that's not the issue.  Most of us think of "alive" as being a pretty fundamental property, rather than just a description.  We can come up with definitions, but really, we judge those definitions on how well they fit our pre-conceved ideas rather than the other way around.  For example, if you defined "alive" in such a way that made mice not living, we would think the definition was poor, rather than thinking mice weren't alive.  We 'know' mice are alive, and any definition that says otherwise is faulty.  It's one of these words where we know what it means, even if we can't define it.

quote:
But again, why is a single fertilized egg cell entitled to it, but not the egg and sperm themselves?  It is a continuum, as you say.

katisara:
Because you're trying to apply an absolute, yes or no, to a continous thing, and a fertilized egg shows some qualities, no matter how small, that don't appear in its constituent parts.

Okay, I can accept that.  But why that particular point?  Is it arbitrary, or is there some reason that must be the right point?  If it's arbitrary, I can handle that (though not agree with it).  I'll need some more convincing, though, that it's not just arbitrary, however.
Mr Crinkles
player, 182 posts
Catholic
Tue 10 Jun 2008
at 18:47
  • msg #141

Re: Doctor, it hurts when I do this:  Health care issues

Katisara:
The argument for legalizing abortion is 'they'll do this thing, which may be terrible, regardless, so we may as well make it safe'.  Fair enough, so then our goal is to simultaneously make it illegal and put tools in place to drive people from selecting that option at all, without making the method of going to a clinic any worse as a consequence.  If the latter decreases the effectiveness of the former, it may simply be a necessary compromise.

*** Actually, my arguement is that if God gave people free-will, what right do other people have to take it away? Beyond that, I'm not sure what your last sentence ("If the latter ... a necessary compromise.") means. Can you expand/rephrase it, please?

Katisara:
Ah, she's not dangerous to society at large, but she's clearly dangerous to the series of fetuses she keeps killing.  And clearly whatever the current punishment is is insufficient.  That isn't saying that jail time is necessary (although perhaps it is), but something above the standard punishment needs to be applied.

*** Now see, on this one, I agree with you. People who use abortion as a form of birth control should be punished. As opposed to jail time, however, I'd suggest a LOT of community service at an abortion clinic.

Katisara:
It comes down to the mother's choice ultimately, doesn't it?  Isn't that what the whole idea is?

*** Exactly. It's that pesky free-will thing God invented.

Katisara:
I think you'll have a very difficult time convincing me that women who care the world for their unborn child would go have an abortion anyway.

*** Would you be willing to consider the idea that a woman might choose an abortion and then, after being denied (for whatever reason), she could come to change her mind, and value the child where previously she didn't?

Katisara:
But the line keeps moving, which would suggest to me it's not a good line to use.

*** Why not? It's like the drinking age. It used to be 18, then moved to 19, then 21. I'd not be surprised if it eventually gets raised to higher than that. We don't have to establish a "once and for all" rule, we just need to establish a rule which works here and now. We can review it later and see if it's still working, or if it needs to be changed.

Katisara:
Because sperm don't make more sperm.  They make a baby who then goes on to make sperm.  i.e. sperm don't generate sperm, they generate babies.  They don't directly reproduce.

*** Well, but people don't make more people. They make an egg and some sperm, which then combine to make more people. Wouldn't this be non-direct reproduction?

Katisara:
Most pro-life people would say because the fetus, while technically alive, is being actively denied life.

*** So they're not so much pro-life as pro-a-certain-quality-of-life?

Katisara:
I've talked with two families who have had difficulties finding children to adopt.  I'm sure you can find this on your own via google, if you care to look.

*** Well it's just that I keep hearing there's a shortage of children to adopt, and I'm wondering if the people claiming this are just meaning there's a shortage of children they're willing to adopt.
katisara
GM, 3017 posts
Conservative human
Antagonist
Tue 10 Jun 2008
at 19:32
  • msg #142

Re: Doctor, it hurts when I do this:  Health care issues

Tycho:
What percentage of the group has to be able to reproduce to make every member "alive?"  50%?  1%?


A 'statistically relevant' number - at least one, plus enough to weed out statistical anomalies (a rock falling and splitting into two smaller rocks isn't sufficient to count as reproduction).  A bacteria where only one out of a million successfully reproduces is, however.


quote:
Just because one fetus is alive, how do we know that they all are? 


Not sure where you're going with this, or if you really think this is a serious issue.

quote:
But doesn't, you're arguing, include a fetus growing inside you?  What is the difference?


A fetus shares 50% or less of its DNA with its mother.  An egg shares 100% of its DNA with its mother.  Even a cancerous lesion shares 99.999% of its DNA with its host.  I would argue, when the item shares less than half of its genetic code with you, it's pretty clearly not part of you.


quote:
If that is what you consider to be the critical difference, consider that it would be, in theory, possible for a woman to give birth to a clone of herself (inject her DNA into an egg cell, and implant the egg cell, etc.).  Would that fetus, since it had non-unique DNA still be part of the mother rather than an independent life form? 


There would clearly have to be other conditions as well.  DNA is the easiest and quickest measure because the number of women who implant themselves with their own clone is fairly low.

A fetus also has clear physical demarkations - it has its own body, and within hours after implantation is clearly a separate entity (note:  again, entity doesn't imply life or anything like that, but simply that this is a clearly distinct thing).

I'm not really sure how we got down this track, however.  I think overall we agree.  You yourself have been arguing the idea of a continuum.  Obviously, that continuum requires a beginning somewhere.  I would argue the beginning of development into a baby would be either conception or implantation, when you have a distinct entity there to develop.  Do you disagree with that?  Do you feel that a single sperm, which is going to be disintegrated, is part of that continuum?  That a ham sandwich, part of which will become a sperm to become a baby is part of that continuum?

The majority of your post is on that continuing debate, which I'd really rather leave behind if possible, since at this point it seems mostly to be semantics and distracting from the primary point.  If you really and truly feel that a sperm is somewhere in the fetus/baby continuum and therefore we need to settle that, I'll return to it, but otherwise I'd really rather let it die on the assumption that a fetus is clearly on that continuum and a sperm is not.


quote:
No, I don't think that's quite it.  If an alien race showed up on earth tomorrow, it might be very difficult to tell if they were alive.  If we create a computer program with greater-than-human intelligence, it will be hard to say if it's alive.  We can certainly come up with definitions, which will settle these things one way or the other, but that's not the issue.  Most of us think of "alive" as being a pretty fundamental property, rather than just a description.  We can come up with definitions, but really, we judge those definitions on how well they fit our pre-conceved ideas rather than the other way around. 


(Underlined for emphasis.)

That's my point.  We said 'there are some things which are similar to us, and some things which are not' and decided to draw a line.  We decided that these similar systems, mice and plants and whatnot, should all be grouped together, in contrast to everything else in the universe.  Most people frankly don't care about that boundary (virii vs. bacteria).  If the scientific community decided to define virii as being alive, it wouldn't change how a virus operates.  Meanwhile, if the scientific community redefined life and that definition excluded mules, most people would continue on with their lives and the dictionary would just list an additional defintion for the word, it wouldn't be the first time.

If aliens came down or we found an AI, whether they're 'alive' or not is basically up to Webster.  The AI doesn't care, it will operate the same either way.  Mostly we just need someone to define the boundaries for us so we can get back to work.


quote:
Okay, I can accept that.  But why that particular point?  Is it arbitrary, or is there some reason that must be the right point?  If it's arbitrary, I can handle that (though not agree with it).  I'll need some more convincing, though, that it's not just arbitrary, however.


Because a fetus is a single entity and, as it happens, the same entity which later is a baby.  An egg and a sperm (lost amid a mass of other sperm and eggs) aren't a 'single entity' they're, at minimum, two entities.  And neither one of those two entities is just a baby in another state (any more than my muscles are just a ham sandwich in another state).  The remains of the sperm and egg are unrecognizable when assimilated into the fetus.

The fetus shares a number of characteristics with us that we don't share with an egg or a fetus.  The egg and sperm both have their natural lifecycles, which end in death after about 5 days, whereas the fetus' lifecycle ends at around 70 years, marking a clear difference.  The egg and sperm don't grow any further and are never capable of sentience.  A sperm won't grow up and get a job in marketing.  A fetus will.  And there's nothing you can do to change that (as a full grown person is not a sperm, the sperm was destroyed when its payload was delivered).

Finally, sperm and eggs are both parts of, and therefore belong to, people.  They share 100% of their DNA with a single other person, are produced by that person.  A fetus shares 50% or less of its DNA with any other person, and all cells after the first are produced by the fetus.  The fetus is also an early state of what we recognize as an individual person, belonging to himself and no other person.
katisara
GM, 3018 posts
Conservative human
Antagonist
Tue 10 Jun 2008
at 19:42
  • msg #143

Re: Doctor, it hurts when I do this:  Health care issues

Mr Crinkles:
Katisara:
The argument for legalizing abortion is 'they'll do this thing, which may be terrible, regardless, so we may as well make it safe'.  Fair enough, so then our goal is to simultaneously make it illegal and put tools in place to drive people from selecting that option at all, without making the method of going to a clinic any worse as a consequence.  If the latter decreases the effectiveness of the former, it may simply be a necessary compromise.

*** Actually, my arguement is that if God gave people free-will, what right do other people have to take it away?


I should have clarified, AN argument.  I was trying to address a particular set of concerns only.

quote:
Beyond that, I'm not sure what your last sentence ("If the latter ... a necessary compromise.") means. Can you expand/rephrase it, please?


We want to A) limit the number of abortions while B) not making them more dangerous.  If B harms A, that is acceptable as part of the compromise.  I think my suggestion addressed both, however.


quote:
*** Exactly. It's that pesky free-will thing God invented.


Keep in mind, free will is not the same as consequence-free will.  I still have the ability to kill you, thanks to free will, but I don't think anyone here would argue that that action shouldn't carry jail time.  Ultimately, making abortion legal or illegal does little if anything to inhibit the woman's free will.

quote:
Katisara:
I think you'll have a very difficult time convincing me that women who care the world for their unborn child would go have an abortion anyway.

*** Would you be willing to consider the idea that a woman might choose an abortion and then, after being denied (for whatever reason), she could come to change her mind, and value the child where previously she didn't?


I'd consider it, but I don't think it would somehow disprove my argument.  Her values changed, and that will happen.  There was a point before where she cared for her fetus, but cared more for other things, then later that reversed.  But the point is, at some point during that reversal, she changed her mind.

quote:
Katisara:
But the line keeps moving, which would suggest to me it's not a good line to use.

*** Why not? It's like the drinking age. ...We don't have to establish a "once and for all" rule, we just need to establish a rule which works here and now. We can review it later and see if it's still working, or if it needs to be changed.


You do make a good point that it could be changed, however that line is still fairly arbitrary.  Why not just set the line at no abortions (or any abortions) and see how that works?

quote:
Katisara:
Because sperm don't make more sperm.  They make a baby who then goes on to make sperm.  i.e. sperm don't generate sperm, they generate babies.  They don't directly reproduce.

*** Well, but people don't make more people. They make an egg and some sperm, which then combine to make more people. Wouldn't this be non-direct reproduction?


I would consider my sperm part of me, like my fingerprints, my retinas, etc.  So no, I'd consider that direct.

quote:
Katisara:
Most pro-life people would say because the fetus, while technically alive, is being actively denied life.

*** So they're not so much pro-life as pro-a-certain-quality-of-life?


Life means more than just metabolism :)  Again, this is where language gets confusing (and supporting what I said to Tycho above!)  We have many understandings of the word 'life'.

quote:
*** Well it's just that I keep hearing there's a shortage of children to adopt, and I'm wondering if the people claiming this are just meaning there's a shortage of children they're willing to adopt.


I can assure you, not these people.  What one told me is firstly, there really is a huge drop in the number of 'unwanted' babies.  Secondly, the system has been changed and resulted in the biological parent having a good deal more say in who they choose.  So unless you're good looking and rich, odds of your getting picked are low.
Vexen
player, 219 posts
Tue 10 Jun 2008
at 22:22
  • msg #144

Re: Doctor, it hurts when I do this:  Health care issues

katisara:
A sperm is part of the life cycle.  It is not a living thing, however.


A fetus is part of the life cycle. It is not a living thing, however.

This is pretty much the argument you're giving me. From my perspective, everything that makes an embryo a living thing (which you've designated it is, as from conception, it's called an embryo, not a fetus), the egg and sperm share as well.

quote:
They are not separate from humanity, in that they are generated by and contribute to humanity, and are human cells.  However, they are not a 'stage of development in that the sperm that contributed to me ceased to be a sperm and literally fell to pieces.  Unless of course you consider a ham sandwich a 'stage of development', which I think is stretching it a little bit.


And you say I'm stretching it... Regardless of whether or not sperm disintegrates, it's part of the development, and directly so, not this remote area of contribution such as food. Each of us came from a sperm and an egg, directly, even more directly than we came from our parents. So, that's where I choose to start the continum. Granted, you can argue that's an arbitrary designation, and maybe you're right, but it seems that the opposing side is offering nothing but arbitrary designation as well. Simply a "life starts here, end of story" matter.

quote:
A sperm is basically just designed to deliver its data payload, then disintegrate.  You might be able to argue that the egg has some protection requirements, since it is that cell which ultimately splits and becomes the fetus, but I don't think anyone goes around intentionally killing eggs.

Also worth mentioning, I don't think that natural death, by age, stillbirth, etc. are unethical, so a woman's natural period is not unethical either, even if you do consider an egg on the same level as a fetus.  Creatures have to die; the point is, it's not our job to choose when that time is.


Most certainly they do try to cause an egg to die, albiet in a passive form. Once the egg leaves ovum, the only thing that will continue it's life is being fertilized, then implanted. We have designed much of contraception to interfere with that process and prevent that from happening, and thus, cause it to either die off naturally, or to prevent them from ever maturing, which arguably is the same reason why the stasis idea is wrong. So, to that degree, the same reason abortion is unethical, contraception is equally so.

quote:
The argument for legalizing abortion is 'they'll do this thing, which may be terrible, regardless, so we may as well make it safe'.  Fair enough, so then our goal is to simultaneously make it illegal and put tools in place to drive people from selecting that option at all, without making the method of going to a clinic any worse as a consequence.  If the latter decreases the effectiveness of the former, it may simply be a necessary compromise.


That, of course, assumes that abortion is wrong and unethical. That would be the only reason our goal would be similar to what you describe it is. However, you, nor really anyone, has yet to prove definitively that it is.

quote:
Ah, she's not dangerous to society at large, but she's clearly dangerous to the series of fetuses she keeps killing.  And clearly whatever the current punishment is is insufficient.  That isn't saying that jail time is necessary (although perhaps it is), but something above the standard punishment needs to be applied.


Why? Why does punishment need to apply, or even jail time? You just said, she's not a threat to society.

quote:
That wasn't what I intended to say.  However, if you care SUFFICIENTLY for the fetus, you won't get an abortion.  No one is forcing anyone to have an abortion (and if that is the case, there are other laws being broken).  It comes down to the mother's choice ultimately, doesn't it?  Isn't that what the whole idea is?  I'd have to imagine if the result of legalizing abortion was to result in women not having a choice about whether or not they get one, it would be a good deal less important.

So like Mr. Crinkles possibly having to move or my having to decide between having a nice house or private school for my kids, it comes down to priorities.  If the mother is sufficiently invested in the fetus, she won't abort.

I think you'll have a very difficult time convincing me that women who care the world for their unborn child would go have an abortion anyway.  I mean, if you give me a series of examples of women who hae physical jobs or whatnot and therefore 'need' an abortion in order to keep that job, isn't that just saying she cares more about what her job represents than about the fetus?  It's a decision based on values, but SHE applies the values to things.  To say otherwise is suggesting people intentionally choose what they want less, which sounds very odd.


She can care the world for it. Again, there are plenty of mothers who had every intention of aborting the child, and, even though it didn't happen, still care like any parent would for it, sometimes more. There are plenty of examples of women who took the utmost care in trying to prevent pregnancy, end up pregnant, and still making good mothers. And, I feel there's plenty of evidense to show that much of the time, when an abortion is chosen, it is considering what's best for the child. Just because one doesn't have the same beliefs as you doesn't make them unethical.

Likewise, I think there's plenty of evidense to show of parents who don't care much for their children at all, but still choose not to abort or give it up for adoption. It can simply be a matter of their beliefs, rather than any real concern for the child. If a woman chooses to not have an abortion on the basis so that she can feel better about herself, how is that 'not' every bit as self-concerned as the one who has one to preserve her life style.

I don't like to repeat myself much, but it seems like I have to constantly. This is a very complex and personal process, and to give it this broadstoke like you do doesn't respect it as that, but treats it as a matter you can sum up in a matter of seconds.

quote:
quote:
Her attitude changed, and you'll find that in many cases where adoption is planned, it's often unsuccessful for the same reason.


Oh, no question, it won't apply to all cases and possibly not even to a majority of cases.  But for those women who never really change their priorities, it's still an option.


This was about the theory you presented that a woman that would choose an abortion should have no problem with also choosing an adoption. As I said, the theory was incorrect, as adoption gives an extended period of bonding, making it, in many cases, a much more unlikely process than abortion.

quote:
quote:
But, again, you're not forcing the man to do anything. This is men's responsibility in name only.


I'm not forcing anyone to do anything.


Oh, I disagree. By erecting laws that would punish women for having an abortion, you would most certainly be forcing them to make a choice of being a law abiding citizen and becoming a mother, or maintaining their lifestyle and becoming a criminal. You are most certainly forcing them to consider a new consequence in seeking an abortion. It's not like you're rewarding those who choose not to have an abortion, where I would argue that isn't forcing anyone. But, "keep the baby, or jail time" is most certainly forcing the option in most cases.

quote:
Lack of a baby by omission is different from by comission.  It's one thing for there never to be anything to become a baby, another to take a developing baby and kill it.


How are they different? If I'd choosen to do as my body was designed, there would be extra lives on this earth, lives that are special and irreplacable. If I had chosen such an option, they would have been alive today. Any now they never will be. I've denied them life, based on my choice. That is no different than abortion.

There most certainly were things that would become a baby, if I chose that aveune. I have eggs, plenty of them. Finding sperm wouldn't be that difficult either. I've simply lived my life in a way so as to intentionally prevent them from serving their purpose. It's not simple happenstance, that it's not a concern at all, and I just haven't met the circumstances required. I've actively chosen not to put a child on this earth. And, as a result, beings that could have been were denied that chance to ever be. At least an embryo or fetus got so far as fertilization, these weren't even that lucky.

So, again, I ask. How is it any different? Prove to me that my choice to prevent life isn't the same as another.
Heath
GM, 4013 posts
Affiliation: LDS
Tue 10 Jun 2008
at 23:13
  • msg #145

Re: Doctor, it hurts when I do this:  Health care issues

Vexen:
How are they different? If I'd choosen to do as my body was designed, there would be extra lives on this earth, lives that are special and irreplacable. If I had chosen such an option, they would have been alive today. Any now they never will be. I've denied them life, based on my choice. That is no different than abortion.

It is completely different.

Let's say you go out today and kill your neighbor with a butcher knife.  Are you suggesting that is the same as not trying to reproduce at every available opportunity?

On the one side, you are snuffing out an innocent life.  On the other side, you are determining not to create a life.  Creation and destruction are not the same thing.
Vexen
player, 220 posts
Wed 11 Jun 2008
at 01:06
  • msg #146

Re: Doctor, it hurts when I do this:  Health care issues

That would depend on your argument. If you believe that abortion is equivalent to murder, then, yes, this would be exactly like killing your neighbor. It is murder.

What makes killing an embryo/fetus arguably horrible is not snuffing the life that is. If you got an abortion at the 8th week, I mean, it's a 1cm creature at this point, that hardly even resembles anything human besides a vauge sense of eyes and a spine starting to grow. But that can resembe any number of creatures at that point. The offense is preventing it's potential, denying it life for what it could be eventually, which is a fully formed living person with all the things that entails.

By the same token, by choosing not to have a kid when I could, I'm denying that same potential. Even if I'm not in a good position right now, there have been countless important figures through history that emerged through poverty.Even if the child won't have any real importance through the history of events to come, there's still that innate value everyone has as a person. And, as pro-lifers often argue, all life has a value and should be protected. In that sense, why are we not creating as many children as possible? Sure, a woman might not want to, but we've determined already that, compared to the value of life and the potential of every child, her choice pales in comparison. And every child we refuse to have when we could is a precious life that we have denied to this world as well.

When I kill someone, I'm denying that the potential, violating the right to life that person has, and making everyone's lives who's impacted by that individual ,or would have been, a little less bright. When I have an abortion, also denying that potential, violating the right to life there, and making everyone's life who would have been impacted by that person to be a little dimmer. And, when I choose not to have a child when I could, I'm denying that same potential, violating the right to life that being would have had, and making everyone's life who would have been impacted by that child a little more dim.

However, if I'm underestanding katisara correctly, having an abortion isn't akin to murder, but it's on the same scale. By that token, perhaps not creating a kid is even lower on that, but for the same reasons, it's still denying life, denying a person who would have existed the chance to live.
This message was last edited by the player at 01:07, Wed 11 June 2008.
Mr Crinkles
player, 183 posts
Catholic
Wed 11 Jun 2008
at 03:16
  • msg #147

Re: Doctor, it hurts when I do this:  Health care issues

Katisara:
Keep in mind, free will is not the same as consequence-free will.  I still have the ability to kill you, thanks to free will, but I don't think anyone here would argue that that action shouldn't carry jail time.

*** Well ... <grin>

Katisara:
Ultimately, making abortion legal or illegal does little if anything to inhibit the woman's free will.
</quote Katisara>
*** If the group is preventing the woman from exercising her free will, then yeah, I'd say it's inhibiting her. Right now, the law says that a woman can have an abortion. Your side wants to end that, which would prevent her from excercising her right to choose.

<quote Katisara>
Why not just set the line at no abortions (or any abortions) and see how that works?

*** Well, we had no abortions before, and it didn't go all that well. Now it seems to be at any abortions, and your side is all upset about that. I'm suggesting we put the line somewhere in the middle, where, while no one is totally pleased, at least no side is completely losing out either.

Katisara:
Life means more than just metabolism :)  Again, this is where language gets confusing (and supporting what I said to Tycho above!)  We have many understandings of the word 'life'.

*** Okay, so what is the pro-life definition of the word?

Katisara:
I can assure you, not these people.  What one told me is firstly, there really is a huge drop in the number of 'unwanted' babies. 

*** What about children which are no longer babies? Are there no orphans above the age of two?

Katisara:
Secondly, the system has been changed and resulted in the biological parent having a good deal more say in who they choose.  So unless you're good looking and rich, odds of your getting picked are low.

*** Which again brings us back to orphans, who don't have bio-parents to cause problems. Or, too I'd think, there's kids whose parents are in prison for various things. Is America suddenly short of them?

     On another note, what (if anything) is the difference between an embryo and a fetus? Or are they (at least for the sake of this discussion) essentially the same?
This message was last edited by the player at 03:16, Wed 11 June 2008.
Tycho
GM, 1457 posts
Wed 11 Jun 2008
at 08:58
  • msg #148

Re: Doctor, it hurts when I do this:  Health care issues

Tycho:
What percentage of the group has to be able to reproduce to make every member "alive?"  50%?  1%?

katisara:
A 'statistically relevant' number - at least one, plus enough to weed out statistical anomalies (a rock falling and splitting into two smaller rocks isn't sufficient to count as reproduction).  A bacteria where only one out of a million successfully reproduces is, however.

But "statistically relevant" is somewhat vague as well.  This is sort of my point.  In the vast majority of cases, it's clear if something is alive or not, without ever going to the definition.  But in cases where it's not clear, the definition isn't as precise as we would like.

quote:
Just because one fetus is alive, how do we know that they all are? 

katisara:
Not sure where you're going with this, or if you really think this is a serious issue.

It's still this issue with the definition of life, and pointing out that it's not perfect for certain things, and thus shouldn't be what we use to set the law.




quote:
But doesn't, you're arguing, include a fetus growing inside you?  What is the difference?

katisara:
A fetus shares 50% or less of its DNA with its mother.  An egg shares 100% of its DNA with its mother.  Even a cancerous lesion shares 99.999% of its DNA with its host.  I would argue, when the item shares less than half of its genetic code with you, it's pretty clearly not part of you.

Which leads to the next question:

quote:
If that is what you consider to be the critical difference, consider that it would be, in theory, possible for a woman to give birth to a clone of herself (inject her DNA into an egg cell, and implant the egg cell, etc.).  Would that fetus, since it had non-unique DNA still be part of the mother rather than an independent life form? 

katisara:
There would clearly have to be other conditions as well.  DNA is the easiest and quickest measure because the number of women who implant themselves with their own clone is fairly low.
[emphasis added by Tycho]
Which shows that DNA isn't really the issue, but just a simple (but not perfect) test for checking something more fundamental.  You can say "look at it's DNA!  clearly it's a different thing!"  But if you then say "well, even if it's DNA is exactly the same, it's still clearly a different thing!" you sort of undermine your own position.  It's only "clearly" a seperate thing because you're sure it is.  The things you use to point this out aren't what make you sure, but rather things you use to argue your point.  That is what I'm trying to get accross here.

katisara:
A fetus also has clear physical demarkations - it has its own body, and within hours after implantation is clearly a separate entity (note:  again, entity doesn't imply life or anything like that, but simply that this is a clearly distinct thing).

I'm not really sure how we got down this track, however.  I think overall we agree.  You yourself have been arguing the idea of a continuum.  Obviously, that continuum requires a beginning somewhere.  I would argue the beginning of development into a baby would be either conception or implantation, when you have a distinct entity there to develop.  Do you disagree with that?  Do you feel that a single sperm, which is going to be disintegrated, is part of that continuum?  That a ham sandwich, part of which will become a sperm to become a baby is part of that continuum?

I don't think there needs to be a begining of a continuum (though there could be one).  The real numbers are a continuum, though there isn't a beginning for them, for example.  I would include a sperm an egg as part of the developement of a person.  And, I suppose, yes, food would also be part of that continuum, though to such a small degree that it'd only be in an academic sense, I guess.  For the most part, I have no problem treating conception as implantation as a beginning, but if we then treat that as being equal to everything that comes after it, then we've lost the concept of a continuum.  More to the point, I guess I'm saying that an fertilized two minutes ago is more similar, in my opinion, to an egg with a sperm bumping into the outside of it than it is to a baby, and should be treated as such.  What I'm arguing is that we shouldn't see that transition as a huge change, but rather one of a long series of very small changes, none of which, on their own, makes much difference, even though lots of them all added up do make a large difference.

katisara:
The majority of your post is on that continuing debate, which I'd really rather leave behind if possible, since at this point it seems mostly to be semantics and distracting from the primary point.  If you really and truly feel that a sperm is somewhere in the fetus/baby continuum and therefore we need to settle that, I'll return to it, but otherwise I'd really rather let it die on the assumption that a fetus is clearly on that continuum and a sperm is not.

I would say it is on the continuum.  We can drop it if you like, but my point, again, is that because it's a continuum, we shouldn't be looking for some magical break spot where things change 100% like a switch.  What I'm saying is that the whole process is like a dial, turning very slowly.  Treating a three-second old fetus as fundamentally different from the egg and sperm it was seconds ago isn't viewing it as a continuum.  It's just getting us back to the whole "life starts here--no, it starts here!" debate, which doesn't seem to get anyone very far.

katisara:
We said 'there are some things which are similar to us, and some things which are not' and decided to draw a line.  We decided that these similar systems, mice and plants and whatnot, should all be grouped together, in contrast to everything else in the universe.  Most people frankly don't care about that boundary (virii vs. bacteria).  If the scientific community decided to define virii as being alive, it wouldn't change how a virus operates.  Meanwhile, if the scientific community redefined life and that definition excluded mules, most people would continue on with their lives and the dictionary would just list an additional defintion for the word, it wouldn't be the first time.

But in this case, things won't just go on as the otherwise would, which is my point.  People are using the definition as an argument.  Once we reach a point where the debate starts involving things like "We can kill sperm because it's not alive, but we can't kill a fetus because it is" then the definition of "alive" isn't purely academic anymore.  It's not just semantics at that point.  What we're really discussing here, is how we should treat certain things, and part of the debate is over whether or not they're "alive."  We need to realize that "alive" is actually a somewhat vague term, and we need to be careful not to read too much into the arbitrary place where we draw the line.  Like you say, virus keep on being viruses, whether we think they're alive or not, and mules will keep on being mules whether we think they're alive or not.  But how we treat mules and viruses may depened heavily on how we define "alive."  Again, it's a problem of a sharp cutoff being applied to a continuum.  We think things either have to be 100% alive, or 0%, with nothing in between.  And this gets us into trouble with those things that are actually somewhere in between, because we end up disagreeing about which side of the boundary they should be placed on, and thus which side of our yes/no treatment they get.

katisara:
If aliens came down or we found an AI, whether they're 'alive' or not is basically up to Webster.  The AI doesn't care, it will operate the same either way.  Mostly we just need someone to define the boundaries for us so we can get back to work.

Again, though, how we treat the AI or the aliens may depend very heavily on what Webster decides, even though what should really be determining our actions are the properties of the AI or aliens, not an arbitrary definition.


quote:
Okay, I can accept that.  But why that particular point?  Is it arbitrary, or is there some reason that must be the right point?  If it's arbitrary, I can handle that (though not agree with it).  I'll need some more convincing, though, that it's not just arbitrary, however.


katisara:
Because a fetus is a single entity and, as it happens, the same entity which later is a baby.  An egg and a sperm (lost amid a mass of other sperm and eggs) aren't a 'single entity' they're, at minimum, two entities.  And neither one of those two entities is just a baby in another state (any more than my muscles are just a ham sandwich in another state).  The remains of the sperm and egg are unrecognizable when assimilated into the fetus.

The fetus shares a number of characteristics with us that we don't share with an egg or a fetus.  The egg and sperm both have their natural lifecycles, which end in death after about 5 days, whereas the fetus' lifecycle ends at around 70 years, marking a clear difference.  The egg and sperm don't grow any further and are never capable of sentience.  A sperm won't grow up and get a job in marketing.  A fetus will.  And there's nothing you can do to change that (as a full grown person is not a sperm, the sperm was destroyed when its payload was delivered).

Again, I think we've lost our idea of the continuum here.  You're viewing the fetus as 100% completely different from the sperm and egg, but 100% completely the same as the person it will be 70 years later.  I would say a sperm isn't destroyed when it's payload is delivered, it simply undergoes a change (or merger, more precisely).  The fetus still has all the DNA the sperm had, so to say its completely unrecognizable is false.  I could say the fetus is just a new stage in the sperm's life cycle.

katisara:
Finally, sperm and eggs are both parts of, and therefore belong to, people.  They share 100% of their DNA with a single other person, are produced by that person.  A fetus shares 50% or less of its DNA with any other person, and all cells after the first are produced by the fetus.  The fetus is also an early state of what we recognize as an individual person, belonging to himself and no other person.

And see, again we've lost the idea of a continuum.  Because it's an "early state" of a person, you conclude that it "belongs to himself an no other person."  You're treating the "early state" as equal to a person, rather than equal to "an early state" of something.  You're seeking to treat it as what it may become, rather than what it is, while seeking to do just the opposite for the sperm and egg (by saying they stop existing as soon as they come together, and by treating them as not being "an early state" of the process).  You're still treating it as a switch, rather than a dial.
katisara
GM, 3019 posts
Conservative human
Antagonist
Wed 11 Jun 2008
at 12:44
  • msg #149

Re: Doctor, it hurts when I do this:  Health care issues

Vexen:
katisara:
A sperm is part of the life cycle.  It is not a living thing, however.


A fetus is part of the life cycle. It is not a living thing, however.


I've spent several hours and at least a full page justifying my position.  If you want to dismiss it with a handwave you can, but I'm not going to respect that position.

quote:
So, that's where I choose to start the continum. Granted, you can argue that's an arbitrary designation,


Again, I have a full page of justification for that particular point chosen.  Tycho just brought up the same point and I wrote three or four paragraphs justifying my position.  Please don't bring up the same point again when I've just written it out.

quote:
Most certainly they do try to cause an egg to die, albiet in a passive form. Once the egg leaves ovum, the only thing that will continue it's life is being fertilized, then implanted. We have designed much of contraception to interfere with that process and prevent that from happening, and thus, cause it to either die off naturally, or to prevent them from ever maturing, which arguably is the same reason why the stasis idea is wrong.


That argument really doesn't work.

Say there's an intersection near where I live which is dangerous.  If someone crashes and dies, is it my fault I didn't interfere?

The egg being released and dying is a process that happens almost regardless as to what I do naturally.  I don't bear responsibility for it any more than I bear responsibility for not running out at every green light to shout at people to slow down.

quote:
quote:
Ah, she's not dangerous to society at large, but she's clearly dangerous to the series of fetuses she keeps killing.  And clearly whatever the current punishment is is insufficient.  That isn't saying that jail time is necessary (although perhaps it is), but something above the standard punishment needs to be applied.


Why? Why does punishment need to apply, or even jail time? You just said, she's not a threat to society.


Someone who only kills family members isn't dangerous to society at large (since most of society isn't his family).  Should he not be punished?


quote:
That wasn't what I intended to say.  However, if you care SUFFICIENTLY for the fetus, you won't get an abortion.  No one is forcing anyone to have an abortion (and if that is the case, there are other laws being broken).  It comes down to the mother's choice ultimately, doesn't it?  Isn't that what the whole idea is?  I'd have to imagine if the result of legalizing abortion was to result in women not having a choice about whether or not they get one, it would be a good deal less important.

So like Mr. Crinkles possibly having to move or my having to decide between having a nice house or private school for my kids, it comes down to priorities.  If the mother is sufficiently invested in the fetus, she won't abort.

I think you'll have a very difficult time convincing me that women who care the world for their unborn child would go have an abortion anyway.  I mean, if you give me a series of examples of women who hae physical jobs or whatnot and therefore 'need' an abortion in order to keep that job, isn't that just saying she cares more about what her job represents than about the fetus?  It's a decision based on values, but SHE applies the values to things.  To say otherwise is suggesting people intentionally choose what they want less, which sounds very odd.


quote:
She can care the world for it. Again, there are plenty of mothers who had every intention of aborting the child, and, even though it didn't happen, still care like any parent would for it, sometimes more.


I don't know if you're reading what I'm saying at this point.  What you are writing perfectly supports what I have already said.

quote:
And, I feel there's plenty of evidense to show that much of the time, when an abortion is chosen, it is considering what's best for the child.


Granted, if you're talking about the sort of person who thinks if one's baby is born with a severe birth defect it's better to kill it than let it live, in that case you may be right.  That person thinks she is doing the baby the favor of suicide rather than letting it suffer.  But I suspect those people are in the minority.

quote:
Likewise, I think there's plenty of evidense to show of parents who don't care much for their children at all, but still choose not to abort or give it up for adoption.


I never argued otherwise, and there's no guarantee that a woman has any particular concern for a baby she chooses to birth.

quote:
This was about the theory you presented that a woman that would choose an abortion should have no problem with also choosing an adoption. As I said, the theory was incorrect, as adoption gives an extended period of bonding, making it, in many cases, a much more unlikely process than abortion.


I don't think I said it should be 'no problem', but it is a viable option for women who aren't willing to raise a child, but won't or can't have an abortion.

quote:
Oh, I disagree. By erecting laws that would punish women for having an abortion, you would most certainly be forcing them to make a choice of being a law abiding citizen and becoming a mother, or maintaining their lifestyle and becoming a criminal.


I'm forcing them to make a choice?  Weren't they 'forced' to make a choice before?  Seems like I'm just altering the choice.  That isn't taking away anyone's free will, both options are still open, they're just different.

quote:
How are they different? If I'd choosen to do as my body was designed, there would be extra lives on this earth, lives that are special and irreplacable.


As Heath said, they are different.  Again, actively working to end a life which has already started is different than passively allowing a life to never start at all.  I'd have to consider this self-evident.  Are you seriously arguing if you don't get pregnant whenever you have the chance, you may as well kill people too because you've already done the worst thing possible?  Please do be straight with me, if you seriously are arguing that, I'll address it, but otherwise I think it's pretty clear to everyone that isn't the case.

quote:
So, again, I ask. How is it any different? Prove to me that my choice to prevent life isn't the same as another.


1)  You first, prove to me that abortion is different from murder :)
2)  Scroll up over the past twenty or thirty posts and read what I've already written.
katisara
GM, 3020 posts
Conservative human
Antagonist
Wed 11 Jun 2008
at 12:55
  • msg #150

Re: Doctor, it hurts when I do this:  Health care issues

quote:
Katisara:
Life means more than just metabolism :)  Again, this is where language gets confusing (and supporting what I said to Tycho above!)  We have many understandings of the word 'life'.

*** Okay, so what is the pro-life definition of the word?


As there's no formalized, organized and set pro-life organization, there's no set definition.  Same with the other side.

quote:
Katisara:
I can assure you, not these people.  What one told me is firstly, there really is a huge drop in the number of 'unwanted' babies. 

*** What about children which are no longer babies? Are there no orphans above the age of two?


Abortion has been legal in the United States since I believe 1978?  So that would hit all age groups below 30.  There may still be sufficient middle-aged orphans available, however.

quote:
*** Which again brings us back to orphans, who don't have bio-parents to cause problems. Or, too I'd think, there's kids whose parents are in prison for various things. Is America suddenly short of them?


From what I can tell, they were never in the majority.  Most kids available for adoption are children of parents who cannot or do not want to raise the child, but are neither dead nor incarcerated.

quote:
On another note, what (if anything) is the difference between an embryo and a fetus? Or are they (at least for the sake of this discussion) essentially the same?


Embryo is the first stages, I believe between fertlization until the 8th week, at which point it's considered a fetus.  In the last two weeks of being an embryo, it has eyes (or proto-eyes, if you prefer), hair, basic facial features, a beating heart, limb buds, brain and spinal cord, some bones.  It would be visible to the naked eye, except that it's generally not taking visitors.

Fetus is everything at that point until birth.
katisara
GM, 3021 posts
Conservative human
Antagonist
Wed 11 Jun 2008
at 13:09
  • msg #151

Re: Doctor, it hurts when I do this:  Health care issues

Tycho:
quote:
Just because one fetus is alive, how do we know that they all are? 

katisara:
Not sure where you're going with this, or if you really think this is a serious issue.

It's still this issue with the definition of life, and pointing out that it's not perfect for certain things, and thus shouldn't be what we use to set the law. 


Legal definitions are very different from scientific definitions.  Especially in the legal world, we can define it however we please (and things are regularly defined as contrary to what we'd assume they should mean).


quote:
Which shows that DNA isn't really the issue, but just a simple (but not perfect) test for checking something more fundamental.  You can say "look at it's DNA!  clearly it's a different thing!"  But if you then say "well, even if it's DNA is exactly the same, it's still clearly a different thing!" you sort of undermine your own position. 


Not quite.  Because we are defined by several different factors, we can look at any (or all) of those factors to determine if two things have the same identity or not.  For instance, I can identify myself as me because I have a unique (or near unique) retina, fingerprints, genetic structure and other physical features.  All of these things can identify me as unique, with some margin of error.  If you met me and then you met my twin brother, you wouldn't say 'ah, Katisara is really two people!'  You'd say 'the normal visual test is inconclusive, so we must rely on a second test' and probably test my claimed identity or knowledge by a verbal challenge.

So the case you gave is a specially designed case that falls into the 'inconclusive' zone of most identity tests.  The fetus is unable to respond to knowledge challenges, fails at DNA challenges, can't be tested based on iris and, until a point, on fingerprints (since they haven't developed yet).  I'm sure a biologist could come up with an appropriate challenge, perhaps a hormone signature.  But really, you argument sounds akin to 'if I made an exact clone of you, forced its fingerprint growth and made it study a video about your life, would you cease to be an individual person?'  Of course not.  That's confusing the tests with what the tests are trying to show.  Clones and identical twins come up as false positives on DNA tests, but it is in fact false.


quote:
I don't think there needs to be a begining of a continuum (though there could be one)...What I'm arguing is that we shouldn't see that transition as a huge change, but rather one of a long series of very small changes, none of which, on their own, makes much difference, even though lots of them all added up do make a large difference. 


To a degree I agree, however on the flip side, we have to assert the line must be drawn somewhere, and we should draw it conservatively (to reduce deaths) rather than liberally (to increase convenience).  Ultimately, the continuum argument would seem to me to strongly support banning all abortions - we can't safely decide to draw a line between eating that sandwich and going off to college (but we know it's in there somewhere!) so we shouldn't try to draw a line at all - either abortion is completely forbidden or infanticide is legalized.




quote:
we shouldn't be looking for some magical break spot where things change 100% like a switch.


I fear if you say that, you're ignoring the question - at what point should abortion be legalized.  Until someone invents the half-abortion, we must put that 'switch' somewhere or ban it altogether.  What do you suggest?
Tycho
GM, 1458 posts
Wed 11 Jun 2008
at 14:20
  • msg #152

Re: Doctor, it hurts when I do this:  Health care issues

katisara:
Legal definitions are very different from scientific definitions.  Especially in the legal world, we can define it however we please (and things are regularly defined as contrary to what we'd assume they should mean). 

I don't think my point is really coming across here.  Sure, we could legally define all rocks to be alive, and all people to not be alive.  We could do that easily enough, even though it doesn't match our expectations of the word.  However, if we do that, turning around and then using our expections of the word (which no longer match the definition) to make a point is invalid.  As a silly analogy, imagine I didn't want my neighbor putting in a rock walkway on their property.  If I went and got rocks to be legally defined as alive (even though everyone thought they weren't), and then started trying to prevent the person from using living creatures as part of their walkway, I'd be mixing a legal definition with an assumed meaning which didn't match it.  Likewise, simply creating a definition for "alive" under which fetuses qualify (even if that definition doesn't match our intuitive meaning), and then using a "fetuses are alive, thereofore X" type argument is problematic.  This happens with "human" or "individual" and other words that get used in this debate.  The two sides don't agree on the definitions, but they define one so that they can make use of the word, and more importantly, all the unspoken assumptions that come along with that word.  Everyone agrees that it's wrong to kill innocent people.  So the pro-life side tries to come up with a definition of "innocent people" that includes a fetus, so that instead of saying "it's wrong to kill a fetus" they can say "it's wrong to kill innocent people."  The other side does the same.  The trouble comes from trying to apply words with somewhat vague meanings to something at the boundary of what it applies to, so that it sounds like something far from the boundary.  The pro-life side wants to equate killing a fetus with killing a baby, while the pro-choice side wants to equate it with not killing anything at all, when in reality, it somewhere in between.

katisara:
But really, you argument sounds akin to 'if I made an exact clone of you, forced its fingerprint growth and made it study a video about your life, would you cease to be an individual person?'  Of course not.  That's confusing the tests with what the tests are trying to show.  Clones and identical twins come up as false positives on DNA tests, but it is in fact false.

Okay, I can mostly accept that.  But I think the point is that its not your DNA that makes your worth.  Your DNA is something that can be tested, but it's not the really important issue itself.  DNA is a property of something that may have value, it's not the thing that gives it value.


quote:
I don't think there needs to be a begining of a continuum (though there could be one)...What I'm arguing is that we shouldn't see that transition as a huge change, but rather one of a long series of very small changes, none of which, on their own, makes much difference, even though lots of them all added up do make a large difference. 

katisara:
To a degree I agree, however on the flip side, we have to assert the line must be drawn somewhere, and we should draw it conservatively (to reduce deaths) rather than liberally (to increase convenience).  Ultimately, the continuum argument would seem to me to strongly support banning all abortions - we can't safely decide to draw a line between eating that sandwich and going off to college (but we know it's in there somewhere!) so we shouldn't try to draw a line at all - either abortion is completely forbidden or infanticide is legalized.

I'm not opposed to drawing a conservative line, but rather think that viewing it as just a line is the problem.  Also, trying to "minimize deaths" misses the point, because it treats all deaths as equal, instead of points on a continuum.  We seem to agree that the death of a fetus one day before birth is worse than a death one day after conception.  Not because one is a baby, and one's not, but because one has moved further along the continuum, and thus has more value.  Everyone, on both sides of the argument, wants to reduce the number of abortions.  One side is saying the cost always trumps the benefit, and the other is saying the benefit always trumps the cost (or, perhaps more accurately, one side is saying one cost is always bigger than another cost, and the other side says the opposite).  The reason the two sides disagree, I'm arguing, is because they're treating the fetus as something more, or less, than it really is (either a baby, or nearly nothing).


quote:
we shouldn't be looking for some magical break spot where things change 100% like a switch.

katisara:
I fear if you say that, you're ignoring the question - at what point should abortion be legalized.  Until someone invents the half-abortion, we must put that 'switch' somewhere or ban it altogether.  What do you suggest?

I guess I'm suggesting that we don't just ask "what is the point where an abortion is okay/not okay," bur rather look at it as a spectrum.  It's not all that bad to have it early, and it is bad to have it the day before the birth.  The disincentive to have one should not be a switch, but a dial, because the harm it does isn't a switch, but a dial.  Perhaps instead of one penalty for an abortion, there is a point where its bad enough that people feel more disincentive is needed that nature supplies by itself, so a fine (or other penalty) is applied at that point, and the fine (or other penalty) gets bigger and bigger the later the abortion occurs.  It's an arbitrary decision, I freely admit, where the penalty starts, and people aren't going to agree over it.  But I think starting to think about the problem with more of that mindset would be useful for both sides.
Mr Crinkles
player, 184 posts
Catholic
Wed 11 Jun 2008
at 14:54
  • msg #153

Re: Doctor, it hurts when I do this:  Health care issues

Katisara:
1)  You first, prove to me that abortion is different from murder :)

*** Okay, not sure if you'll accept this as proof, but dictionary.com has these definitions:
dictionary.com:
Murder: 1. Law. the killing of another human being under conditions specifically covered in law. In the U.S., special statutory definitions include murder committed with malice aforethought, characterized by deliberation or premeditation or occurring during the commission of another serious crime, as robbery or arson (first-degree murder), and murder by intent but without deliberation or premeditation (second-degree murder).

dictionary.com:
Abortion: 1. Also called voluntary abortion. the removal of an embryo or fetus from the uterus in order to end a pregnancy.


   Now, if you want to say abortion = killing, then okay, I'd likely not argue with you, but I think it's a stretch to say it equals murder.

Katisara:
Most kids available for adoption are children of parents who cannot or do not want to raise the child, but are neither dead nor incarcerated.

*** Okay, and we've a shortage of them?

Katisara:
Embryo is the first stages, I believe between fertlization until the 8th week, at which point it's considered a fetus.  In the last two weeks of being an embryo, it has eyes (or proto-eyes, if you prefer), hair, basic facial features, a beating heart, limb buds, brain and spinal cord, some bones.  It would be visible to the naked eye, except that it's generally not taking visitors.

Fetus is everything at that point until birth.

*** So "embryo" is like the first stage of "fetus" then? Basically the same?

Katisara:
To a degree I agree, however on the flip side, we have to assert the line must be drawn somewhere, and we should draw it conservatively (to reduce deaths) rather than liberally (to increase convenience).

*** I disagree. Laws are designed for human convenience. It's more convenient not to have accidents, so we make laws about speeding and driving under the influence. It's more convenient to have clearly defined ownership, so we make laws about property and theft and clear titles, etc. We create laws to make our lives easier, and if the point is to come up with a "good" abortion law, then we should certainly choose that which is most convenient.

Katisara:
Ultimately, the continuum argument would seem to me to strongly support banning all abortions - we can't safely decide to draw a line between eating that sandwich and going off to college (but we know it's in there somewhere!) so we shouldn't try to draw a line at all - either abortion is completely forbidden or infanticide is legalized.

*** Well, fetuside, I'd think, but still, legalisation is better than complete forbidding.

Katisara:
I fear if you say that, you're ignoring the question - at what point should abortion be legalized.  Until someone invents the half-abortion, we must put that 'switch' somewhere or ban it altogether.  What do you suggest?

*** It was mentioned earlier that we're able to take a fetus out during the second trimester (I think) and the fetus will survive -- would this be an example of a "half-abortion"?

Tycho:
The pro-life side wants to equate killing a fetus with killing a baby, while the pro-choice side wants to equate it with not killing anything at all, when in reality, it somewhere in between.

*** While to a point I'd agree with you, I'd say it's more that the pro-choice side just wants the freedom to choose.
Tycho
GM, 1459 posts
Wed 11 Jun 2008
at 15:06
  • msg #154

Re: Doctor, it hurts when I do this:  Health care issues

Tycho:
The pro-life side wants to equate killing a fetus with killing a baby, while the pro-choice side wants to equate it with not killing anything at all, when in reality, it somewhere in between.

Mr Crinkles:
*** While to a point I'd agree with you, I'd say it's more that the pro-choice side just wants the freedom to choose.

True, but I think that most on the pro-choice side want to keep the killing part out of the debate.  I'd say most also like to portray the choice as affectly one and only one person (the woman making it), rather than accepting that it is one person making a choice that effects part of another person (or a proto-person, or however we describe it).  They tend to want to treat any abortion as equal, rather than agree that an abortion one day after conception is different than one a day before birth.  I think both sides are pretty inflexible on this.  I do feel the pro-life side is more inflexible, but I'm generally more sympathetic to the pro-choice side, so I think it's important for me to not down-play the failures of the pro-choice side, otherwise I'm just joining one group shouting at another, with neither side listening.
Tycho
GM, 1460 posts
Wed 11 Jun 2008
at 15:17
  • msg #155

Re: Doctor, it hurts when I do this:  Health care issues

I had another thougth on all this, relating to the difference between passively letting something die (or not come into existance in the first place), and actively killing it.  It has been said already that killing an egg by not having sex is okay, because that's a passive thing--it's not saving the egg, rather than killing it.  It's been said that actively killing a fertilized egg is fundamentally different.  What about passively killing the fertilized egg?  If a woman were to stop eatting, or take some other drastic measure to cause a miscarriage, would that be different than a chemically induced abortion?  If a woman normally took actions which would endanger a fetus before she was pregnant continued to take those actions after she was pregnant, and the fetus dies as a result, is that active killing, or is that passively letting it die by not taking some actions to prevent it?  Does it matter which it is?
Vexen
player, 221 posts
Wed 11 Jun 2008
at 15:19
  • msg #156

Re: Doctor, it hurts when I do this:  Health care issues

katisara:
Vexen:
katisara:
A sperm is part of the life cycle.  It is not a living thing, however.


A fetus is part of the life cycle. It is not a living thing, however.


I've spent several hours and at least a full page justifying my position.  If you want to dismiss it with a handwave you can, but I'm not going to respect that position.

quote:
So, that's where I choose to start the continum. Granted, you can argue that's an arbitrary designation,


Again, I have a full page of justification for that particular point chosen.  Tycho just brought up the same point and I wrote three or four paragraphs justifying my position.  Please don't bring up the same point again when I've just written it out.


And I've spent plenty of time, as has Tycho, justifying our position. Thusfar, I don't really feel you've refuted our argument either, as I'm sure you don't think we've refuted yours.

It was you who decided to write "the sperm isn't a living thing", as it was noted above, as a single response to my point a few posts back, as noted above. By the same token, if you say by simply repeating what you said, I'm just dismissing your argument with a handwave, then I'd say you most certainly did it to ours first.

quote:
That argument really doesn't work.

Say there's an intersection near where I live which is dangerous.  If someone crashes and dies, is it my fault I didn't interfere?

The egg being released and dying is a process that happens almost regardless as to what I do naturally.  I don't bear responsibility for it any more than I bear responsibility for not running out at every green light to shout at people to slow down.


Interesting analogy, but I don't think it properly conveys the situation. You're stating that simply allowing nature to take it's course, a person isn't responsible for what happens to the egg, just like they aren't responsible for accidents that just happen on the road in front of them. In that point, I might agree with you that there's nothing particularly wrong with that.

However, that's not what I'm arguing. The use of contraception isn't just letting something happen completely unaltered nor without intent: It's specifically modifies the event so that a particular outcome, namely the fertilization and implimentation of the egg, doesn't occur. Or, another way we could look at it, which probably conveys my argument better, alters things so that the death of the egg is most positively assured.

In this sense, I'm not arguing that the guy who does nothing to warn drivers of a particularly dangerous road in front of his house is doing something wrong. My argument would closer to that, if the man in question intentially modifies the road in front of the house with the intention of causing an accident, he is most certainly acting maliciously. That is closer to what contraception does: just like the man is trying to assure an accident, we are trying to assure the death of the egg.

quote:
Someone who only kills family members isn't dangerous to society at large (since most of society isn't his family).  Should he not be punished?


Are you suggesting that a woman who has had multiple abortions is akin to a serial killer?


quote:
quote:
That wasn't what I intended to say.  However, if you care SUFFICIENTLY for the fetus, you won't get an abortion.  No one is forcing anyone to have an abortion (and if that is the case, there are other laws being broken).  It comes down to the mother's choice ultimately, doesn't it?  Isn't that what the whole idea is?  I'd have to imagine if the result of legalizing abortion was to result in women not having a choice about whether or not they get one, it would be a good deal less important.

So like Mr. Crinkles possibly having to move or my having to decide between having a nice house or private school for my kids, it comes down to priorities.  If the mother is sufficiently invested in the fetus, she won't abort.

I think you'll have a very difficult time convincing me that women who care the world for their unborn child would go have an abortion anyway.  I mean, if you give me a series of examples of women who hae physical jobs or whatnot and therefore 'need' an abortion in order to keep that job, isn't that just saying she cares more about what her job represents than about the fetus?  It's a decision based on values, but SHE applies the values to things.  To say otherwise is suggesting people intentionally choose what they want less, which sounds very odd.


quote:
She can care the world for it. Again, there are plenty of mothers who had every intention of aborting the child, and, even though it didn't happen, still care like any parent would for it, sometimes more.


I don't know if you're reading what I'm saying at this point.  What you are writing perfectly supports what I have already said.


I'm sorry if I give the impression that I'm not reading what you're writing, but I am. And, I got the impression that you were implying that the difference between those that have an abortion and those that don't is how much they care for the child. For example, this "sufficient care" argument, and the argument that they care more about their career than the child, seem to hint at this idea.  So, in that sense, I dont' think it did support what you had said. And I launched counterpoints to that idea.

quote:
quote:
And, I feel there's plenty of evidense to show that much of the time, when an abortion is chosen, it is considering what's best for the child.


Granted, if you're talking about the sort of person who thinks if one's baby is born with a severe birth defect it's better to kill it than let it live, in that case you may be right.  That person thinks she is doing the baby the favor of suicide rather than letting it suffer.  But I suspect those people are in the minority.


Not strictly that kind of case, but that certainly fits what I'm talking about. I was also indicating beliefs. I imagine there's lots of people who believe human life doesn't start til some point later on in the cycle than you do. If a woman has an abortion within the first trimester, for example, they might not particularly believe that that is killing, or that life has even really started yet, but they might later on. I don't understand why the conservative Christian gets his view on life accepted but other beliefs don't if they different from that particular one.

Beyond that, you've certainly made the case that you think all abortions should be legal, accepting the continuim argument, or none should. Even if the aboved mentioned case is the minority, should they be ignored and punished as well for doing what they feel is the best interest of the child? If you say no, then the all or nothing princple is rather compromised.

quote:
quote:
Likewise, I think there's plenty of evidense to show of parents who don't care much for their children at all, but still choose not to abort or give it up for adoption.


I never argued otherwise, and there's no guarantee that a woman has any particular concern for a baby she chooses to birth.


As I stated above, I most certainly did feel you were implying that those that didn't have an abortion care more than the ones who do. This was a part of the counterpoint.

quote:
quote:
This was about the theory you presented that a woman that would choose an abortion should have no problem with also choosing an adoption. As I said, the theory was incorrect, as adoption gives an extended period of bonding, making it, in many cases, a much more unlikely process than abortion.


I don't think I said it should be 'no problem', but it is a viable option for women who aren't willing to raise a child, but won't or can't have an abortion.


Actually...

katisara (msg #112):
On the flip side, generally speaking, a woman who is willing to part with a child via abortion should, in theory, have no problem doing the same via adoption.


That was the theory I was contending with in the quote you quoted above.


quote:
I'm forcing them to make a choice?  Weren't they 'forced' to make a choice before?  Seems like I'm just altering the choice.  That isn't taking away anyone's free will, both options are still open, they're just different.


Who said anything about taking away her freewill? I didnt' say you hacked her mind. But you are certainly stacking things so that she'll choose the choice you want her to choose. In that sense, yes ,you most certainly are forcing her to choose one option over the other.

It's like making a law that outlaws the practice of Islam. Sure, you're not restricting them to make any choice. Anybody can still choose to worship Allah if they want to. They're just going to have to consider the consequences. If we made a law forbidding any other religion but Catholicism, we're not techincally limiting anyone's freewill. Anyone can still choose to do it. But, it certainly makes any alternative unattractive, and will make many people choose the religion you want them to have.

quote:
As Heath said, they are different.  Again, actively working to end a life which has already started is different than passively allowing a life to never start at all.  I'd have to consider this self-evident.  Are you seriously arguing if you don't get pregnant whenever you have the chance, you may as well kill people too because you've already done the worst thing possible?  Please do be straight with me, if you seriously are arguing that, I'll address it, but otherwise I think it's pretty clear to everyone that isn't the case.


Yes, I am seriously arguing that. I'm not saying it's the worst thing possible: I can think of things far more horrible than even infanticide. But, it's can certainly be seen as a tragedy in itself.

On a personal note, to ask whether or not I'm actually making an argument is a little demeaning. As if it should be common sense that our arguments are wrong. I mean, if I asked if your right to life argument was really serious, so that we could blow it off if it isn't, I don't think you'd appreciate that much either.

quote:
quote:
So, again, I ask. How is it any different? Prove to me that my choice to prevent life isn't the same as another.


1)  You first, prove to me that abortion is different from murder :)
2)  Scroll up over the past twenty or thirty posts and read what I've already written.


In my argument, actually, I take what the pro-life side gives me in terms of abortion, as it's akin to the children that I chose not to give life. I'm not stating it is or isn't murder, it's entirely up to the other side. If abortion is equivalent to murder, then intentionally preventing the life of another baby is also equivalent to murder. If it's not, then it's not.

In reguards to this particular argument, katisara, you really haven't said much for me to look back to. In terms of content, it's left me with this:

quote:
Lack of a baby by omission is different from by comission.  It's one thing for there never to be anything to become a baby, another to take a developing baby and kill it.


You did say more in response to my original submission of this argument, but that was talking about how many babies I could have reasonably had by my age, which you deemed was three. But the exact number wasn't really the point, so I didn't mind it enough to present a counter argument.

So, all you've stated thusfar reguarding it was that the two are different matter. Not particularly how. Heath mentioned the same thing: They are two different matters, and categorized one as creation and the other as destruction, but not really how or why. So, yes, if you don't mind, I would like a little more explination to how you think they are different.
This message was last edited by the player at 15:35, Wed 11 June 2008.
Tycho
GM, 1461 posts
Wed 11 Jun 2008
at 15:40
  • msg #157

Re: Doctor, it hurts when I do this:  Health care issues

This sort of stuck out in Vexen's post:
katisara:
Again, actively working to end a life which has already started is different than passively allowing a life to never start at all.

This is sort of what I was talking about in my last post, but perhaps a better way is to get my point accross is to ask: what about actively allowing a life never to start.  Vexen talked about contraception, but I think abstinence makes the point even clearer (since some people actually are opposed to contraception, so the argument gets a bit muddled by that lack of agreement).  If a person chooses not to have sex, for the very reason that doing so might result in a pregnancy, I think it could be argued that it's not a passive thing, but an active one.  Put another way, if a person would have sex if they knew it wouldn't result in a pregnancy, but choose not to have sex becuase they didn't know that, I think this could be described as an intentional act of not allowing a life to begin.  I also think that happens pretty frequently, so it isn't as purely hypothetical as many of the arguments I've made so far! ;)

I think everyone will agree that abstinence isn't murder, and that people shouldn't be punished for the sex they don't have.  The result on the potential person, though, is the same--they never come into being--as if the fetus were aborted.  The difference, is that in one case there is a fetus, and in the other case there's not.  That, I think, is what we need to realize--it's not the potential that matters, but the actual fetus that makes the difference.  The fetus does have some value (just how much will be hard to find agreement on, but lets set that asside for the moment), not because of what it may become (because the egg and sperm will become the same thing), but because of what it is already.  The important thing is not that one day it may be a president or a murderer, or a priest, or whatever else, the important thing is that right now it's 16 cells, or 160,000 cells, or it's a little blob with eye-like things, or it's a thing that looks very nearly like a baby, etc.
This message was last edited by the GM at 15:43, Wed 11 June 2008.
Vexen
player, 222 posts
Wed 11 Jun 2008
at 16:12
  • msg #158

Re: Doctor, it hurts when I do this:  Health care issues

Actually, I went with contraception because I considered it less extreme than the other. But, it can be argued that abstinence is, in fact, the ultimate birth control. And my question about not creating life when I could is essentially just what you're describing: abstinence.

Speaking personally, it is my life choices, not any contraception, that has prevented me from having a child thusfar. And, what he's saying about intentially living life so that so that I don't bring a child into this world (at least, not yet) is not hypotheical at all, because I myself do so. So, there is at least one person who lives life in such a way.
katisara
GM, 3022 posts
Conservative human
Antagonist
Wed 11 Jun 2008
at 20:37
  • msg #159

Re: Doctor, it hurts when I do this:  Health care issues

Alright guys, I'm really not going to be able to keep up with this pace.  I barely have time to read them all, much less respond!  So if people start getting ignored...  I apologize.  I may or may not get back to missed posts.

quote:
I don't think my point is really coming across here.  Sure, we could legally define all rocks to be alive, and all people to not be alive.  We could do that easily enough, even though it doesn't match our expectations of the word.  However, if we do that, turning around and then using our expections of the word (which no longer match the definition) to make a point is invalid.  As a silly analogy, imagine I didn't want my neighbor putting in a rock walkway on their property.  If I went and got rocks to be legally defined as alive (even though everyone thought they weren't), and then started trying to prevent the person from using living creatures as part of their walkway, I'd be mixing a legal definition with an assumed meaning which didn't match it.  Likewise, simply creating a definition for "alive" under which fetuses qualify (even if that definition doesn't match our intuitive meaning), and then using a "fetuses are alive, thereofore X" type argument is problematic.  This happens with "human" or "individual" and other words that get used in this debate.  The two sides don't agree on the definitions, but they define one so that they can make use of the word, and more importantly, all the unspoken assumptions that come along with that word.  Everyone agrees that it's wrong to kill innocent people.  So the pro-life side tries to come up with a definition of "innocent people" that includes a fetus, so that instead of saying "it's wrong to kill a fetus" they can say "it's wrong to kill innocent people."  The other side does the same.  The trouble comes from trying to apply words with somewhat vague meanings to something at the boundary of what it applies to, so that it sounds like something far from the boundary.  The pro-life side wants to equate killing a fetus with killing a baby, while the pro-choice side wants to equate it with not killing anything at all, when in reality, it somewhere in between. 


I believe you brought up the issue of defining 'alive' because I used that as an example as to why a fetus deserves protections a sperm doesn't.  I have since listed a good number of other criteria which would justify special treatment.  If you personally don't like this particular criteria, that's okay because there are some people who will and there are plenty more criteria to choose from :)


quote:
The reason the two sides disagree, I'm arguing, is because they're treating the fetus as something more, or less, than it really is (either a baby, or nearly nothing). 


I think the only other option is to say "I don't know what the cost is, I have no answer" since, still, abortion is binary.

quote:
I guess I'm suggesting that we don't just ask "what is the point where an abortion is okay/not okay," bur rather look at it as a spectrum.  It's not all that bad to have it early, and it is bad to have it the day before the birth.

The disincentive to have one should not be a switch, but a dial, because the harm it does isn't a switch, but a dial.  Perhaps instead of one penalty for an abortion, there is a point where its bad enough that people feel more disincentive is needed that nature supplies by itself, so a fine (or other penalty) is applied at that point, and the fine (or other penalty) gets bigger and bigger the later the abortion occurs.  It's an arbitrary decision, I freely admit, where the penalty starts, and people aren't going to agree over it.  But I think starting to think about the problem with more of that mindset would be useful for both sides.


So in other words it would be like some sort of an abortion tax?  If you get the abortion at 1 week, maybe it's just $10, but at 40 weeks it might be $10,000?
katisara
GM, 3023 posts
Conservative human
Antagonist
Wed 11 Jun 2008
at 20:57
  • msg #160

Re: Doctor, it hurts when I do this:  Health care issues

Mr Crinkles:
Katisara:
1)  You first, prove to me that abortion is different from murder :)

*** Okay, not sure if you'll accept this as proof, but dictionary.com has these definitions:
dictionary.com:
Murder: 1. Law. the killing of another human being under conditions specifically covered in law. In the U.S., special statutory definitions include murder committed with malice aforethought, characterized by deliberation or premeditation or occurring during the commission of another serious crime, as robbery or arson (first-degree murder), and murder by intent but without deliberation or premeditation (second-degree murder).


I am stunned dictionary.com does not include a definition of murder referring to killing another person which does not stand without a reference to either law or extreme brutality.  It's good to know it's only murder if the law says so.

Webster's 1912 says:
The offense of killing a human being with malice prepense or aforethought, express or implied; intentional and unlawful homicide.

Going from the first one, if we accept that a fetus is a human being, intentionally killing it would be murder.  I think it's established abortion kills the fetus.  So all you have to do is prove a fetus is not a human being.

quote:
Katisara:
Most kids available for adoption are children of parents who cannot or do not want to raise the child, but are neither dead nor incarcerated.

*** Okay, and we've a shortage of them?


Apparently

quote:
*** So "embryo" is like the first stage of "fetus" then? Basically the same?


More or less, yeah.

quote:
*** I disagree. Laws are designed for human convenience. It's more convenient not to have accidents, so we make laws about speeding and driving under the influence. It's more convenient to have clearly defined ownership, so we make laws about property and theft and clear titles, etc. We create laws to make our lives easier, and if the point is to come up with a "good" abortion law, then we should certainly choose that which is most convenient.


1)  Some laws are for human convenience, some are for other purposes.  Making the US a democracy is not for convenience.  Similarly, the 1st and 2nd amendments are not for convenience.
2)  Not being aborted would probably be considered pretty convenient by the fetus.  Similarly, not being killed in my sleep I would have to consider pretty convenient.

quote:
Katisara:
Ultimately, the continuum argument would seem to me to strongly support banning all abortions - we can't safely decide to draw a line between eating that sandwich and going off to college (but we know it's in there somewhere!) so we shouldn't try to draw a line at all - either abortion is completely forbidden or infanticide is legalized.

*** Well, fetuside, I'd think, but still, legalisation is better than complete forbidding.


No, I said infanticide, NOT fetuscide.  If you can have an abortion at 10 months, why not kill the infant at 10 months and a day?  That's the problem, there's no good reason for putting the line there.

quote:
*** It was mentioned earlier that we're able to take a fetus out during the second trimester (I think) and the fetus will survive -- would this be an example of a "half-abortion"?


It would be a terrible idea.  The cost to society (and probably to the mother) would be well in excess of either other solution.  It would be hugely inconvenient and harmful to all parties.  If our technology advances further, maybe it'll be an option in the future, but it really isn't now.

quote:
What about passively killing the fertilized egg?  If a woman were to stop eatting, or take some other drastic measure to cause a miscarriage, would that be different than a chemically induced abortion?  If a woman normally took actions which would endanger a fetus before she was pregnant continued to take those actions after she was pregnant, and the fetus dies as a result, is that active killing, or is that passively letting it die by not taking some actions to prevent it?  Does it matter which it is?


A very, very good question, but I think that's probably worthy of its own thread (and not one I'd want to jump into right now!  I'm too busy as it is!
Tycho
GM, 1462 posts
Wed 11 Jun 2008
at 21:26
  • msg #161

Re: Doctor, it hurts when I do this:  Health care issues

quote:
The reason the two sides disagree, I'm arguing, is because they're treating the fetus as something more, or less, than it really is (either a baby, or nearly nothing). 

katisara:
I think the only other option is to say "I don't know what the cost is, I have no answer" since, still, abortion is binary.

No, my point is that even if abortion is binary, different abortions aren't all the same, and none of them are equal to killing a baby or to killing nothing at all.  Just as killing a human isn't the same as killing a dog, isn't the same as killing a mouse isn't the same as killing at flea isn't the same as killing at bacteria, etc., killing one fetus might not be the same as killing another, even if killing is a binary operation.

katisara:
So in other words it would be like some sort of an abortion tax?  If you get the abortion at 1 week, maybe it's just $10, but at 40 weeks it might be $10,000? 

More or less.  You can call it it a fine if you prefer, or change it from a dollar value to community service, etc.  But if we think that killing a day old fetus isn't the same as killing an eight month old fetus, we shouldn't use the same disincentive for each.  Do you think this is something that the two sides could come to an agreement on?  Or that either side could ever agree to something like this?
Bart
player, 292 posts
LDS
Wed 11 Jun 2008
at 23:16
  • msg #162

Re: Doctor, it hurts when I do this:  Health care issues

Don't make a charge like that money, or you'll hear the cry (justly, in my opinion) that rich people can flagrantly ignore the charge.  Make it community service as that pretty much impacts everyone about the same.  Nobody likes losing their free time.
Mr . Wiggles
player, 29 posts
All things being equal...
The not crazy is true
Thu 12 Jun 2008
at 04:21
  • msg #163

Re: Doctor, it hurts when I do this:  Health care issues

Interesting point though, if fertilized eggs is precious and can not be destroyed. Wouldnt this mean that Fertilazation clinics, would be just as guilty of murder of anything else.
Bart
player, 293 posts
LDS
Thu 12 Jun 2008
at 09:58
  • msg #164

Re: Doctor, it hurts when I do this:  Health care issues

Just as guilty as any cryogenic laboratory is guilty of killing people that it's freezing?

[[You know everytime I see the title of this thread: "Doctor, it hurts when I do this . . ."  I think, "Then stop doing that.  Problem solved."]] ;)
This message was last edited by the player at 09:59, Thu 12 June 2008.
Mr . Wiggles
player, 30 posts
All things being equal...
The not crazy is true
Thu 12 Jun 2008
at 12:37
  • msg #165

Re: Doctor, it hurts when I do this:  Health care issues

Heh. I'll have you know, that by law they have to wait for you to be legally dead before they freeze you.
katisara
GM, 3024 posts
Conservative human
Antagonist
Thu 12 Jun 2008
at 13:10
  • msg #166

Re: Doctor, it hurts when I do this:  Health care issues

Mr . Wiggles:
Interesting point though, if fertilized eggs is precious and can not be destroyed. Wouldnt this mean that Fertilazation clinics, would be just as guilty of murder of anything else.



Yes, the Catholic Church has specifically spoken out against fertility clinics largely because of that precise reason.  But like contraception, it's one of those 'Rome says it, but most people don't follow it' sort of things.

Tycho, I do agree with your plan, however you realize you would basically be saying all abortions are illegal, don't you?  I mean the government only really has the power to assess such a penalty against you if you're breaking the law (unless it's a community service tax, which would be a novel idea).  It would also possible violate patient confidentiality (if you're wearing an orange jumpsuit picking up trash by the side of the road and all that, people will make assumptions).
katisara
GM, 3025 posts
Conservative human
Antagonist
Thu 12 Jun 2008
at 13:26
  • msg #167

Re: Doctor, it hurts when I do this:  Health care issues

Vexen:
And I've spent plenty of time, as has Tycho, justifying our position. Thusfar, I don't really feel you've refuted our argument either, as I'm sure you don't think we've refuted yours.

It was you who decided to write "the sperm isn't a living thing", as it was noted above, as a single response to my point a few posts back, as noted above. By the same token, if you say by simply repeating what you said, I'm just dismissing your argument with a handwave, then I'd say you most certainly did it to ours first.


I think most aspects of your argument I have addressed.  If there are any I've missed, I honestly am not aware of them.  The big two issues you seem to have brought up are firstly, that you disagree about the topic of care for the fetus and choosing an abortion and, secondly, the line between sperm & egg and the fetus.  I believe I've addressed both topics in depth, the latter especially so.  If there are any further, please do bring them up.

While the first line of the sperm not being a living creature was one line (because I assumed it was self-evident), when it was brought up as needing explanation, I provided LOTS of explanation, and have since expanded to further reasons.  While I may have one-line references back to that line of argument, it's certainly all there.

So, if you want to go back to everything I wrote defining life, designating what a fetus is, etc. and specifically attack my arguments or generate your own argument as to why a fetus is not a living thing, you're welcome to, but otherwise, like I said, I'm not really encouraged to accept the stated premise when we've just spent several days debating it and have largely been moving in a very different direction.


quote:
However, that's not what I'm arguing. The use of contraception isn't just letting something happen completely unaltered nor without intent: It's specifically modifies the event so that a particular outcome, namely the fertilization and implimentation of the egg, doesn't occur. Or, another way we could look at it, which probably conveys my argument better, alters things so that the death of the egg is most positively assured.


At this point things get really sketchy.  After all, it's not like the sperm are sneaking in there at night.  You're talking about actively having sex, but then also taking steps to undo the effects that sex would have had.

So, would undoing the effects of your last action be better or worse than neither doing either action at all?  I don't know.  Again, this is a discussion for another time.  But since we're just trying to establish the commonly agreed upon ends of the spectrum, and I don't think anyone here believes that contraception is in the same vein as killing, it's best left alone for now.

(And just to be clear, that discussion isn't about the difference between a sperm & egg and a fetus.  The question is, is it ethically justifiable to eliminate the potential for a person by omission, or by 'undoing' an act which would cause it, if we accept that elimating the potential for a person by commission is not acceptable.)

quote:
quote:
Someone who only kills family members isn't dangerous to society at large (since most of society isn't his family).  Should he not be punished?


Are you suggesting that a woman who has had multiple abortions is akin to a serial killer?


Actually, a woman who has intentionally gotten multiple abortions technically IS a serial killer.

Serial, of course, means several, killer means one who kills, and a fetus, being undeniably alive (at minimum, in the sense that a sperm is alive), can therefore be killed.  So technically, she is a serial killer.  But in that line of thought, I'm a serial killer for killing ants.

But I know I'm being pedantic on that, so let's admit, serial killer refers to someone who kills people.

Is she akin to someone who kills multiple people?  Yes, of course she is.  She shares similarities to them.  She also shares qualities with rocks, with zucchinis and so on, and I may have to make comparisons between her and such things as appropriate in the future.  I don't know that being able to draw similarities between otherwise disimilar thing is a bad thing to do.


quote:
I'm sorry if I give the impression that I'm not reading what you're writing, but I am. And, I got the impression that you were implying that the difference between those that have an abortion and those that don't is how much they care for the child.


That isn't necessarily true (although I can see how you would draw that conclusion).

Women who voluntarily get abortions have more pressures, factors and values supporting abortion than they have pressures, factors and values supporting not getting an abortion.  Similarly, women who don't get abortions have more pressures, factors and values pushing them to keep the child than to get an abortion.  That isn't to say that a woman who gets an abortion doesn't care about her baby, or doesn't care about her baby as much as a woman who doesn't get an abortion.  It does, however, mean that her care for her baby does not factor as strongly as does her cares and concerns for other factors (since if she did not care for other factors or pressures, she would not get an abortion).


quote:
Not strictly that kind of case, but that certainly fits what I'm talking about. I was also indicating beliefs. I imagine there's lots of people who believe human life doesn't start til some point later on in the cycle than you do.


In this case, I'd argue, again, she doesn't care for the fetus especially much (even less so perhaps than the woman who has a job she would lose if she got pregnant).  After all, in her case she believes the fetus isn't alive or isn't human, so why care about it?

quote:
Even if the aboved mentioned case is the minority, should they be ignored and punished as well for doing what they feel is the best interest of the child? If you say no, then the all or nothing princple is rather compromised.


Should they be ignored?  No, they should be prosecuted according to the law, just like everyone else.  This is a different issue, however, the conflict between individual believes and law.  If you want to discuss that, we can do that, but it should probably go in another thread.


quote:
Who said anything about taking away her freewill?


Mr. Crinkles.

quote:
Yes, I am seriously arguing that. I'm not saying it's the worst thing possible: I can think of things far more horrible than even infanticide. But, it's can certainly be seen as a tragedy in itself.


I will have to address this later.  It's been a busy few days (I'm now writing this the morning after I started this post) and it's not getting any less so.  If I forget to bring it up, go ahead and poke me.

quote:
On a personal note, to ask whether or not I'm actually making an argument is a little demeaning.


I didn't know if you were just trying to make a point, or if you really wanted to argue it.  I'm pretty sure that you personally don't hold that view, hence the question.  I do sometimes ask hypothetical questions I don't expect anyone to answer.


quote:
In my argument, actually, I take what the pro-life side gives me in terms of abortion, as it's akin to the children that I chose not to give life. I'm not stating it is or isn't murder, it's entirely up to the other side. If abortion is equivalent to murder, then intentionally preventing the life of another baby is also equivalent to murder. If it's not, then it's not.

In reguards to this particular argument, katisara, you really haven't said much for me to look back to. In terms of content, it's left me with this:

quote:
Lack of a baby by omission is different from by comission.  It's one thing for there never to be anything to become a baby, another to take a developing baby and kill it.


Fair enough.  Like I said, this is a huge question by its own right, and I simply don't have the time to address this.  I have been trying, however, to argue Tycho's point moreso than the straight 'abortion in the first week is identical to murder of an infant', and with that, simply establish an end point and (more importantly) an beginning point to that continuum.  I've touched previously on why the point of fertlization is a good beginning point.  If you don't feel my arguments on that topic are sufficient, go ahead and bring them up again.
Tycho
GM, 1463 posts
Thu 12 Jun 2008
at 19:31
  • msg #168

Re: Doctor, it hurts when I do this:  Health care issues

katisara:
Tycho, I do agree with your plan, however you realize you would basically be saying all abortions are illegal, don't you? 

Sort of yes, sort of no.  First whether it's "all" or "some" would have to be sorted out (ie, it could be that the fine doesn't kick in until 2 months in, or something).  Second, it'd be illegal in the sense that driving on toll roads is illegal, parking at streets with parking meters is illegal, etc.  You'd be allowed to do it, but you'd have to pay the penalty (which could be money, or time, or whatever).  It wouldn't go on your criminal record, I wouldn't think (though I suppose that could be part of the debate).  I some people want to think of it as being a "fine" and others as a "tax" and others as a "fee" that's fine by me.  I tend to see it as a disincentive, which would discourage (but not ban) abortion, but also encourage it to be done early if it is going to be done.

katisara:
I mean the government only really has the power to assess such a penalty against you if you're breaking the law (unless it's a community service tax, which would be a novel idea).

The government asks for money to drive on tollways, park at metered parking spots, get a passport, get a government issued ID, etc.  They charge sales taxes, tariffs on goods from other countries, etc.  If I pay my taxes late, they charge me interest.  In London they charge a "congestion tax" any day you want to drive in the city, to encourage people to take public transport as well.  I don't know if any cities in the US do that, but I think it's a pretty good analogy to what I'm suggesting.

As for community service vs. money, both seem to have advantages and disadvantages, and I'm not sure yet which would be better (though I could probably be content with either).  As Bart pointed out, if it's money, then it's harder for poor people to get one than rich people.  If it's community service, it's harder to maintain patient privacy, like you mentioned.  Both can be put on a sliding scale pretty easily, which is the key part (add more dollars or more time), so they both work in that respect.  Like I said, I'm not sure which would be better at this point, and think it's probably best to keep both options on the table.

As I was typing this, I had another train of thought.  It's not really fully formed yet, but I thought I'd bounce it off you guys anyway.  I was thinking a monetary fine would hit the poor the hardest.  Then I thought, what if instead of a fine, a payment was made to women who choose adoption instead of abortion?  The trouble that came to mind, is that people could get pregnant just to get that payment, and essentially get just have kids as a job, giving them all up for adoption.  That seemed pretty distasteful to me.  But then I thought, people here have mentioned a number of times a shortage of children available for adoption.  If there truly is a shortage, is it unethical for people to have kids just to meet others demand for them, in return for monetary compensation?  Like I said, it seems wrong at a visceral level, but just now I'm not sure exactly why.  The child would get a loving home, in theory, the adopting parents would get the child they couldn't have themselves, and the biological mother would get some money.  It doesn't seem like anyone suffers, unless we think that the child suffers from going to an adopted family instead of a biological one, but if we think that, that opens a number of other questions...
Anyway, like I said, it's not a fully formed thought, but I thought I'd bounce it off you guys to see what you think on it.
katisara
GM, 3026 posts
Conservative human
Antagonist
Thu 12 Jun 2008
at 19:51
  • msg #169

Re: Doctor, it hurts when I do this:  Health care issues

Tycho:
Then I thought, what if instead of a fine, a payment was made to women who choose adoption instead of abortion?  The trouble that came to mind, is that people could get pregnant just to get that payment, and essentially get just have kids as a job, giving them all up for adoption. 


That is an interesting question, and is currently going on in Guatemala.  One response I'd have to that is, why encourage domestic unwanted baby-making when there are so many babies who are in desperate need of a good home overseas?  That is one plus of a US baby deficit, is that it's forcing us to invest in the children of other nations, oftentimes children who otherwise are looking forward to a live of suffering and debilitating poverty.
Trust in the Lord
player, 762 posts
No Jesus No Peace
Know Jesus Know Peace
Fri 13 Jun 2008
at 00:15
  • msg #170

Re: Doctor, it hurts when I do this:  Health care issues

That is a good point about adopting children from countries other than US, Canada, or other wealthy countries. If a child goes without a parent here in US or Canada, they will still have plenty of food, an education, clothing, etc. A child from a 3rd world country without a parent will be lucky to eat every day, and will be working to make money as a child. Education will likely be non existent.
Mr . Wiggles
player, 31 posts
All things being equal...
The not crazy is true
Fri 13 Jun 2008
at 03:51
  • msg #171

Re: Doctor, it hurts when I do this:  Health care issues

katisara:
Mr . Wiggles:
Interesting point though, if fertilized eggs is precious and can not be destroyed. Wouldnt this mean that Fertilazation clinics, would be just as guilty of murder of anything else.



Yes, the Catholic Church has specifically spoken out against fertility clinics largely because of that precise reason.  But like contraception, it's one of those 'Rome says it, but most people don't follow it' sort of things.

Tycho, I do agree with your plan, however you realize you would basically be saying all abortions are illegal, don't you?  I mean the government only really has the power to assess such a penalty against you if you're breaking the law (unless it's a community service tax, which would be a novel idea).  It would also possible violate patient confidentiality (if you're wearing an orange jumpsuit picking up trash by the side of the road and all that, people will make assumptions).


I wasnt making a plan... The thought came to mind, that fertile eggs are murder, then that also means that Freatizations would also be illegal. There shouldnt be special pleading for one or the other. If one stays, they can both stay. One goes, they both go.
Tycho
GM, 1464 posts
Fri 13 Jun 2008
at 08:44
  • msg #172

Re: Doctor, it hurts when I do this:  Health care issues

katisara:
That is an interesting question, and is currently going on in Guatemala.  One response I'd have to that is, why encourage domestic unwanted baby-making when there are so many babies who are in desperate need of a good home overseas?  That is one plus of a US baby deficit, is that it's forcing us to invest in the children of other nations, oftentimes children who otherwise are looking forward to a live of suffering and debilitating poverty.

Okay, I can certainly agree with that (my aunt adopted a daughter from china), but if you hold this view, I think it's a bit off to use the "we don't have enough babies up for adoption" argument to oppose abortion.  If a domestic child deficit is actually a good thing, that's actually something in favor of abortion rights.  If its not, then a different response to the pay-for-adoption idea is needed.  Put another way, we don't actually have a deficit of children up for adoption, we have an overstock.  The problem is distribution (ie, they're mostly over in asia), not production.  Producing more over here isn't the real solution, but rather making it easier to adopt from overseas.
katisara
GM, 3028 posts
Conservative human
Antagonist
Fri 13 Jun 2008
at 14:45
  • msg #173

Re: Doctor, it hurts when I do this:  Health care issues

Mr . Wiggles:
The thought came to mind, that fertile eggs are murder, then that also means that Freatizations would also be illegal.


What is Freatization?


Tycho:
but if you hold this view, I think it's a bit off to use the "we don't have enough babies up for adoption" argument to oppose abortion. 


I don't think I ever said abortion is bad because it makes it harder for people who want to be adoptive parents.  I believe the topic came up because Vexen said that if you made abortion illegal, you'd still expect about the same number of people looking to get abortions, so it wouldn't 'save' anybody.  I said that isn't true, and some evidence of that is how difficult it is to adopt a child now, but that was certainly not the case thirty or forty years ago.
Trust in the Lord
player, 770 posts
No Jesus No Peace
Know Jesus Know Peace
Mon 16 Jun 2008
at 01:39
  • msg #174

Re: Doctor, it hurts when I do this:  Health care issues

I think the comparison to preventing a fertilized egg is very different from an abortion. Preventing a fertilized egg is not often done with the intent to slice up, batter around, or rip out a small baby from a womb.

A tough question for some people might be in how many people are willing to look at some pictures of a small baby while inside the womb. I'm including a link to a video that shows some pictures from babies that were aborted. It's quite graphic, and I do suggest that you really prepare yourself if you do click on the link. It will show some really difficult things to see on what an abortion really means. It's not the prevention of a fertilized egg, it is the intended death of a baby.
 http://video.google.com/videop...-6152070479992487290
Falkus
player, 459 posts
Mon 16 Jun 2008
at 10:47
  • msg #175

Re: Doctor, it hurts when I do this:  Health care issues

A tough question for some people might be in how many people are willing to look at some pictures of a small baby while inside the womb.

So what? How something looks is not a reflection on the morality, justification or necessity of the act. A meat processing plant isn't pretty either and can be downright disturbing, does that make it morally wrong to eat meat?

What you're using is an appeal to emotion, which is a logical fallacy.
katisara
GM, 3033 posts
Conservative human
Antagonist
Mon 16 Jun 2008
at 11:33
  • msg #176

Re: Doctor, it hurts when I do this:  Health care issues

But, one must admit, at times quite an effective argument.

(As an aside, anyone remember that video of the meat packing plant trying to convince people to go vegetarian?)
Tycho
GM, 1467 posts
Mon 16 Jun 2008
at 13:18
  • msg #177

Re: Doctor, it hurts when I do this:  Health care issues

When trying to determine if something is wrong or right, emotion will always come into it.  Morality is in the eye of the beholder, not an intrisic property of something.  In other word, something is never just wrong or right, it has to be wrong or right to someone.  What one feels is wrong or right largely depends upon emotion.  I haven't watched TitL video yet (seems likely to be not work-friendly), but I'll check it out at home.  I think it's a valid point to ask people who pro-choice to consider such images, to remind them that it isn't just a choice that's being discussed.

As to TitL's post, I would point out that it's actually the intended death of a fetus, not a baby.  The difference may not seem important to some, but to others it's a critical difference.  In my view, how big the difference is depends on how far along the fetus is in its development.  Like I said, I haven't watched the video yet, but I'm assuming it focuses on late term abortions?  The more baby-like the fetus is, the more unpleasant people will tend to find the images, which sort of highlights what I've been saying.
Trust in the Lord
player, 771 posts
No Jesus No Peace
Know Jesus Know Peace
Mon 16 Jun 2008
at 13:53
  • msg #178

Re: Doctor, it hurts when I do this:  Health care issues

Falkus:
A tough question for some people might be in how many people are willing to look at some pictures of a small baby while inside the womb.

So what? How something looks is not a reflection on the morality, justification or necessity of the act. A meat processing plant isn't pretty either and can be downright disturbing, does that make it morally wrong to eat meat?

What you're using is an appeal to emotion, which is a logical fallacy.

To clarify, you are saying the pictures would be disturbing. What makes it distrubing?

Is abortion ok because of the law, or because it would be ok regardless of law. Was abortion not ok before it was legalized? Morals aren't determined by the law, correct? It wasn't moral to treat black people as slaves just because there was a law that said it was ok.

What makes abortion a moral act without using the law?
Trust in the Lord
player, 772 posts
No Jesus No Peace
Know Jesus Know Peace
Mon 16 Jun 2008
at 13:57
  • msg #179

Re: Doctor, it hurts when I do this:  Health care issues

katisara:
But, one must admit, at times quite an effective argument.
Sure it is, I think I've seen everyone here use emotional arguments in their posts.

kat:
(As an aside, anyone remember that video of the meat packing plant trying to convince people to go vegetarian?)
If we're remembering the same video, it was pretty ugly in how our meat comes to the store in clean, plastic wrapping. It made an impact on me.
katisara
GM, 3034 posts
Conservative human
Antagonist
Mon 16 Jun 2008
at 15:41
  • msg #180

Re: Doctor, it hurts when I do this:  Health care issues

Trust in the Lord:
kat:
(As an aside, anyone remember that video of the meat packing plant trying to convince people to go vegetarian?)
If we're remembering the same video, it was pretty ugly in how our meat comes to the store in clean, plastic wrapping. It made an impact on me.


Just made me hungry.
Mr Crinkles
player, 186 posts
Catholic
Mon 16 Jun 2008
at 17:57
  • msg #181

Re: Doctor, it hurts when I do this:  Health care issues

Trust in the Lord:
What makes abortion a moral act without using the law?

*** I don't know that we ever said abortion was a "moral" act. I certainly don't think it is, any more than I think enforcing the death penalty is "moral". That said, I think Manson should've had a bullet in whatever passes for his brain years ago. A lot of things aren't moral. But sometimes they're damned useful.
Falkus
player, 460 posts
Mon 16 Jun 2008
at 23:58
  • msg #182

Re: Doctor, it hurts when I do this:  Health care issues

Sure it is, I think I've seen everyone here use emotional arguments in their posts.

Not me.

Is abortion ok because of the law, or because it would be ok regardless of law. Was abortion not ok before it was legalized? Morals aren't determined by the law, correct? It wasn't moral to treat black people as slaves just because there was a law that said it was ok.

Where on earth did this come from? When did I mention morality and law in my post? How is this even related to what I said?

What makes abortion a moral act without using the law?

A woman's strong right to decide what happens to her body is greater than the weak right to life that a potential human has.
Trust in the Lord
player, 773 posts
No Jesus No Peace
Know Jesus Know Peace
Tue 17 Jun 2008
at 00:05
  • msg #183

Re: Doctor, it hurts when I do this:  Health care issues

Mr Crinkles:
Trust in the Lord:
What makes abortion a moral act without using the law?

*** I don't know that we ever said abortion was a "moral" act. I certainly don't think it is, any more than I think enforcing the death penalty is "moral". That said, I think Manson should've had a bullet in whatever passes for his brain years ago. A lot of things aren't moral. But sometimes they're damned useful.

I was just adressing one of the points about how it is not a reflection of morality. I wanted to see if there was a counter to the idea in the first place.



What makes a fetus less than a human? Is it a title to make abortions sound less like killing a human? What makes a fetus a human? Birth? If it's birth, then would you feel ok if the baby were delivered 9 months, and about an hour before birth, it is killed just before birth?

How would you feel before an abortion is given, the doctor explains that the baby inside them will feel pain during the abortion, and if they would like to have the baby given anesthesia to make it less painful for the baby before it is sliced or ripped up?
Falkus
player, 461 posts
Tue 17 Jun 2008
at 00:11
  • msg #184

Re: Doctor, it hurts when I do this:  Health care issues

What makes a fetus less than a human?

It doesn't exhibit the necessary criteria. Consciousness (at least the capacity to feel pain), reasoning, self motivation, the ability to communicate, and self-awareness.

If it's birth, then would you feel ok if the baby were delivered 9 months, and about an hour before birth, it is killed just before birth?

It would be unfortunate, but nonetheless, a person has a right to decide what happens with his or her body.

How would you feel before an abortion is given, the doctor explains that the baby inside them will feel pain during the abortion

I generally oppose lying. There's nothing suggesting that a fetus is capable of feeling pain before the seventh month of pregnancy, and less than one percent of abortions occur after the seventh month.
This message was last edited by the player at 00:12, Tue 17 June 2008.
Trust in the Lord
player, 774 posts
No Jesus No Peace
Know Jesus Know Peace
Tue 17 Jun 2008
at 00:14
  • msg #185

Re: Doctor, it hurts when I do this:  Health care issues

Falkus:
Sure it is, I think I've seen everyone here use emotional arguments in their posts.

Not me.
Wanna bet? You've made comparisons to black people on numerous occasions for the emotions that racism bring up. On other occasions I've seen you make calls about bigotry about a subject. Those are emotional calls. Not a big deal, people do it, it's ok. Not every argument needs to leave emotions out of it.

Falkus:
Is abortion ok because of the law, or because it would be ok regardless of law. Was abortion not ok before it was legalized? Morals aren't determined by the law, correct? It wasn't moral to treat black people as slaves just because there was a law that said it was ok.

Where on earth did this come from? When did I mention morality and law in my post? How is this even related to what I said?


Falkus:
How something looks is not a reflection on the morality, justification
I would still like my questions answered, even if you do not feel it relates. It's a processing of ideas.

Falkus:
What makes abortion a moral act without using the law?

A woman's strong right to decide what happens to her body is greater than the weak right to life that a potential human has.

So a human that is not born does not have the same rights as another person? Black people didn't have as much rights as a "human" before either.
katisara
GM, 3037 posts
Conservative human
Antagonist
Tue 17 Jun 2008
at 00:15
  • msg #186

Re: Doctor, it hurts when I do this:  Health care issues

Falkus:
Consciousness (at least the capacity to feel pain), reasoning, self motivation, the ability to communicate, and self-awareness.


Infants don't show most of these either, however fetuses do show self-motivation and, to some degree, the ability to communicate.  I don't think we have any idea about self-awareness.  Are you comfortable with infanticide?

quote:
There's nothing suggesting that a fetus is capable of feeling pain before the seventh month of pregnancy,


I'm curious, do you have a source for that?  I believe they show pain reactions well before that, but I can't remember where I read that.
Trust in the Lord
player, 775 posts
No Jesus No Peace
Know Jesus Know Peace
Tue 17 Jun 2008
at 00:29
  • msg #187

Re: Doctor, it hurts when I do this:  Health care issues

Falkus:
What makes a fetus less than a human?

It doesn't exhibit the necessary criteria. Consciousness (at least the capacity to feel pain), reasoning, self motivation, the ability to communicate, and self-awareness.
Not true. A baby can clearly feel pain, and explore their environment. Have you ever seen a hand or foot travel across the belly of a woman. Or how about when they move around during times of stress of the mother.

But do you really believe that someone doesn't have rights as a human due to their conditions, physical, mental or otherwise? Would those who are in a mental coma therefore be no longer human?

Falkus:
If it's birth, then would you feel ok if the baby were delivered 9 months, and about an hour before birth, it is killed just before birth?

It would be unfortunate, but nonetheless, a person has a right to decide what happens with his or her body.
Why is it unfortunate?

Falkus:
How would you feel before an abortion is given, the doctor explains that the baby inside them will feel pain during the abortion

I generally oppose lying. There's nothing suggesting that a fetus is capable of feeling pain before the seventh month of pregnancy, and less than one percent of abortions occur after the seventh month.
So then the majority of doctors are saying the life in the womb do not feel pain until the 3rd trimester? That before that, they cannot measure it, or understand it? What would they need to be able to do to know how much pain they felt before that point? I'm trying to establish whether you are saying there is no pain, or if they don't know how much pain before that point.
Falkus
player, 462 posts
Tue 17 Jun 2008
at 01:11
  • msg #188

Re: Doctor, it hurts when I do this:  Health care issues

Not true. A baby can clearly feel pain, and explore their environment. Have you ever seen a hand or foot travel across the belly of a woman. Or how about when they move around during times of stress of the mother.

Unconscious exploration and response does not qualify as conciousness.

But do you really believe that someone doesn't have rights as a human due to their conditions, physical, mental or otherwise? Would those who are in a mental coma therefore be no longer human?

Given that the medical definition of death is brain death, that would be a yes. The brain dead aren't people, they're corpses.

Why is it unfortunate?

Why do you think? It represent laziness and possible malice and skirts the edge of permissibility, but at the end of day, we have to right to determine what happens to our body.

So then the majority of doctors are saying the life in the womb do not feel pain until the 3rd trimester?

If you have a problem with that, I suggest you talk with a doctor.

I'm trying to establish whether you are saying there is no pain, or if they don't know how much pain before that point.

I'm saying that medical science agrees that fetuses cannot feel pain prior to the seventh month of pregnancy.
This message was last edited by the player at 01:12, Tue 17 June 2008.
Trust in the Lord
player, 776 posts
No Jesus No Peace
Know Jesus Know Peace
Tue 17 Jun 2008
at 04:10
  • msg #189

Re: Doctor, it hurts when I do this:  Health care issues

Falkus:
Not true. A baby can clearly feel pain, and explore their environment. Have you ever seen a hand or foot travel across the belly of a woman. Or how about when they move around during times of stress of the mother.

Unconscious exploration and response does not qualify as conciousness.
Could you explain that further? If they are reacting to environment, such as stress, and pain, what do you mean that doesn't qualify as consciousness? Everyone knows that playing soothing music helps the baby calm and relax. That's communication through sound.

Falkus:
But do you really believe that someone doesn't have rights as a human due to their conditions, physical, mental or otherwise? Would those who are in a mental coma therefore be no longer human?

Given that the medical definition of death is brain death, that would be a yes. The brain dead aren't people, they're corpses.
Plenty of people have come out of a coma. Are you really responding that they have no rights as humans?

Falkus:
Why is it unfortunate?

Why do you think? It represent laziness and possible malice and skirts the edge of permissibility, but at the end of day, we have to right to determine what happens to our body.
Why is it possible malice? How can you rectify malice and still label as acceptable? How does one hour make someone a human when before they were not human?

Falkus:
I'm trying to establish whether you are saying there is no pain, or if they don't know how much pain before that point.

I'm saying that medical science agrees that fetuses cannot feel pain prior to the seventh month of pregnancy.
That helps. Pain receptors are developed before that point. Why would there be pain receptors that do not feel pain?
Dr. Paul Ranalli:
The fetus can feel pain at 20 weeks. This is probably a conservatively late estimate, but it is scientifically solid. Elements of the pain-conveying system (spino-thalamic system) begin to be assembled at 7 weeks; enough development has occurred by 12-14 weeks that some pain perception is likely, and continues to build through the second trimester. By 20 weeks, the spino- thalamic system is fully established and connected.


If you check out the video silent scream, http://www.silentscream.org/ , you'll note the video of a ultrasound of an 11 week old baby reacting to the abortion that is about to take place. The baby at 11 weeks is shown with an increased heart rate, and moving away from the vacuum and blade used by the abortionist doctor.


So while I can understand you believe 7 months is a number spoken of by doctors, it obviously must ignore other research that specifically says and shows pain is there before 7 months.

Every mother out there knows there baby can react to stimuli before 7 months old.
Tycho
GM, 1468 posts
Tue 17 Jun 2008
at 08:47
  • msg #190

Re: Doctor, it hurts when I do this:  Health care issues

Trust in the Lord:
How does one hour make someone a human when before they were not human?

This is sort of the whole trouble of viewing it as a yes/no thing, instead of a continuum.  If I understand your position, TitL, you too believe that one hour makes the difference between human and not human, it's just a different hour than Falkus thinks matters.

I think the question ask really hits the nail on the head.  The answer is, in reality, one hour doesn't make someone a human.  One hour makes a very, very small amount of difference.  But if you add up lots and lots of hours, it can sum to a pretty large difference.  There's no magical hour when a huge step change takes place that brings something from 0% human to 100% human.  Its a slow, gradual, and contiuous change.  A fertilized egg is not the same thing as 10 cells, which are not the same thing as 10,000 cells, which are not the same thing as a 5 month old fetus, which is not the same thing as a 9 month old fetus.  Each stage of devolopement is different.  All are not equal.  Looking for a switch from non-human to human ignores this.

Saying "all abortions are equal, and entirely wrong" isn't actually very different from saying "all abortions are equal, and entirely okay."  The only difference is when the two views consider the switch to be thrown.  And since there's no objective way to determine when the switch is thrown (it's an arbitrary decision based on subjective values), there's little hope for agreement.
Mr Crinkles
player, 189 posts
Catholic
Tue 17 Jun 2008
at 15:18
  • msg #191

Re: Doctor, it hurts when I do this:  Health care issues

Falkus:
   
Trust in the Lord:
   What makes abortion a moral act without using the law?
   

A woman's strong right to decide what happens to her body is greater than the weak right to life that a potential human has.

*** While I don't see that morality comes into it, this is true.

Trust in the Lord:
What makes a fetus less than a human?

*** The fact that a fetus isn't fully human makes a fetus less than human. The same way that becos a chimp only has 98% of the same DNA a human has, the chimp is less than human.

Trust in the Lord:
Is it a title to make abortions sound less like killing a human? What makes a fetus a human? Birth? If it's birth, then would you feel ok if the baby were delivered 9 months, and about an hour before birth, it is killed just before birth?

*** No, as I've said, I think late-term abortions should be illegal (except in dire need, etc). As far as what turns a fetus into a human ... the nine or so months of gestation?

Trust in the Lord:
How would you feel before an abortion is given, the doctor explains that the baby inside them will feel pain during the abortion, and if they would like to have the baby given anesthesia to make it less painful for the baby before it is sliced or ripped up?

*** First off, I'd be annoyed with the doctor for making what is already a horrendously painful experience even worse. Secondly, however, I'd be totally okay with giving anesthesia to the fetus and the mother both. If they can, they should.

Trust in the Lord:
So a human that is not born does not have the same rights as another person?

*** No, they don't. And in the U.S., humans under the age of 18 don't have the same rights as humans over the age of 18. Ditto for 21. We, as a society, have decided that certain rights are reserved for people who have aged a certain length of time.

Trust in the Lord:
Black people didn't have as much rights as a "human" before either.

*** True, and neither did women or children. Or Amerinds, for that matter. We've screwed up in the past. We're still screwing up now. God knows, we're gonna screw up in the future. Eventually, hopefully, we'll get to a point where we stop doing that, but 'til then, we just have to do the best we can with what we've got. Which, admittedly, sucks, but it's what we've got.

Trust in the Lord:
But do you really believe that someone doesn't have rights as a human due to their conditions, physical, mental or otherwise? Would those who are in a mental coma therefore be no longer human?

*** To rephrase, should a five-year old be allowed all the vodka he wants? Can an eight-year old make the decision for herself to have intercourse?

Trust in the Lord:
How does one hour make someone a human when before they were not human?

*** How does one hour make someone capable of drinking or having sex when before they weren't?

Trust in the Lord:
If you check out the video silent scream, http://www.silentscream.org/ , you'll note the video of a ultrasound of an 11 week old baby reacting to the abortion that is about to take place.

*** So the pro-life movement is now using snuff films to bolster their case ....
Trust in the Lord
player, 780 posts
No Jesus No Peace
Know Jesus Know Peace
Wed 18 Jun 2008
at 04:20
  • msg #192

Re: Doctor, it hurts when I do this:  Health care issues

Tycho:
Trust in the Lord:
How does one hour make someone a human when before they were not human?

This is sort of the whole trouble of viewing it as a yes/no thing, instead of a continuum.  If I understand your position, TitL, you too believe that one hour makes the difference between human and not human, it's just a different hour than Falkus thinks matters. 
I don't think I agree with that statement. I'm trying to show one of the issues in the view that a baby is indeed a baby before it is born. There wouldn't be any problems if the baby were not a baby before that time. Since it is clearly a problem, then saying birth establishes rights is not accurate to the situation. There is room for changing of this view is there are problems that are debatable.

Tycho:
I think the question ask really hits the nail on the head.  The answer is, in reality, one hour doesn't make someone a human.  One hour makes a very, very small amount of difference.  But if you add up lots and lots of hours, it can sum to a pretty large difference.  There's no magical hour when a huge step change takes place that brings something from 0% human to 100% human.  Its a slow, gradual, and contiuous change.  A fertilized egg is not the same thing as 10 cells, which are not the same thing as 10,000 cells, which are not the same thing as a 5 month old fetus, which is not the same thing as a 9 month old fetus.  Each stage of devolopement is different.  All are not equal.  Looking for a switch from non-human to human ignores this.
Now this is the heart of it. When do you decide it is a human? If you get this part wrong, you could be killing a human, would you agree?

Tycho:
Saying "all abortions are equal, and entirely wrong" isn't actually very different from saying "all abortions are equal, and entirely okay."  The only difference is when the two views consider the switch to be thrown.  And since there's no objective way to determine when the switch is thrown (it's an arbitrary decision based on subjective values), there's little hope for agreement.
At this point, we're establishing some of the issues, and where there is debate on the points.
Trust in the Lord
player, 781 posts
No Jesus No Peace
Know Jesus Know Peace
Wed 18 Jun 2008
at 04:36
  • msg #193

Re: Doctor, it hurts when I do this:  Health care issues

Mr Crinkles:
Trust in the Lord:
What makes a fetus less than a human?

*** The fact that a fetus isn't fully human makes a fetus less than human. The same way that becos a chimp only has 98% of the same DNA a human has, the chimp is less than human.
A fetus isn't human? What in the birthing process makes something non human into human? A baby in the womb has 100% human dna, not 98%.

Trust in the Lord:
Is it a title to make abortions sound less like killing a human? What makes a fetus a human? Birth? If it's birth, then would you feel ok if the baby were delivered 9 months, and about an hour before birth, it is killed just before birth?

Crinkles:
*** No, as I've said, I think late-term abortions should be illegal (except in dire need, etc). As far as what turns a fetus into a human ... the nine or so months of gestation?
Nine months, or 7 months? Is a baby that comes out at 5 months not human for another 4 months? Time isn't a factor, as we can have babies born at 5, 6, 7, 8, or 9 months, and live. So it must be the birthing process. What about the birthing process makes something not human into human?

Trust in the Lord:
How would you feel before an abortion is given, the doctor explains that the baby inside them will feel pain during the abortion, and if they would like to have the baby given anesthesia to make it less painful for the baby before it is sliced or ripped up?

Crinkles:
*** First off, I'd be annoyed with the doctor for making what is already a horrendously painful experience even worse. Secondly, however, I'd be totally okay with giving anesthesia to the fetus and the mother both. If they can, they should.
Don't talk about the pain of the baby, but ask for permission on behalf of the baby to help with the pain? That's a little confusing. It's kind of one of those things, don't talk about it, but let me know how it goes....

Trust in the Lord:
So a human that is not born does not have the same rights as another person? Black people didn't have as much rights as a "human" before either.

Crinkles:
*** True, and neither did women or children. Or Amerinds, for that matter. We've screwed up in the past. We're still screwing up now. God knows, we're gonna screw up in the future. Eventually, hopefully, we'll get to a point where we stop doing that, but 'til then, we just have to do the best we can with what we've got. Which, admittedly, sucks, but it's what we've got.
That's not very compelling to not try and change things. Sounds like the ideal situation to ask for change, and make things better.

Trust in the Lord:
But do you really believe that someone doesn't have rights as a human due to their conditions, physical, mental or otherwise? Would those who are in a mental coma therefore be no longer human?

Crinkles:
*** To rephrase, should a five-year old be allowed all the vodka he wants? Can an eight-year old make the decision for herself to have intercourse?
That doesn't really address my context. You're comparing different rights. I'm talking about basic stuff, like the right to live. Is there any group of people that do not have the right to live? We're talking innocent babies here, that should not be punished with death. But my exact question was do people with handicaps become non human?

Trust in the Lord:
How does one hour make someone a human when before they were not human?

Crinkles:
*** How does one hour make someone capable of drinking or having sex when before they weren't?
I'd prefer an answer, and not a question. If you answer my question, how about I answer yours?
Tycho
GM, 1471 posts
Wed 18 Jun 2008
at 08:47
  • msg #194

Re: Doctor, it hurts when I do this:  Health care issues

Trust in the Lord:
How does one hour make someone a human when before they were not human?

Tycho:
This is sort of the whole trouble of viewing it as a yes/no thing, instead of a continuum.  If I understand your position, TitL, you too believe that one hour makes the difference between human and not human, it's just a different hour than Falkus thinks matters. 

Trust in the Lord:
I don't think I agree with that statement. I'm trying to show one of the issues in the view that a baby is indeed a baby before it is born.

Yes, and I think that's problematic.  It's like a baby before it's born.  And the closer to being born it is, the more like a baby it is.  You want to say that any fetus is equavalent to a baby, others want to say that no fetus is equivalent to a baby.  Just as they arbitrarly set a 100% step change at birth, you're trying to set a 100% step change a conception.  But the process isn't a step change.  It's a slow, gradual process of change.  Both you, and Falkus are treating it as a switch, something that goes from 0% to 100% instantly, with not period of change in between.  What I'm suggesting is that it's a dial, something that goes from 0% to 100% slowly and gradually over the course of 9 months.

Trust in the Lord:
There wouldn't be any problems if the baby were not a baby before that time. Since it is clearly a problem, then saying birth establishes rights is not accurate to the situation. There is room for changing of this view is there are problems that are debatable.

I can sort of agree with this part.  I think treating birth as a 100% step change isn't fully accurate either.  But I think you would do well to realize that your position also contains an hour where something non-human suddenly becomes 100% human, just as Falkus' position does.  Where the two of you disagree is on which hour matters.  What I'm trying to say is that all hours matter a little bit.  You only get a big change after adding up lots of little ones.

Trust in the Lord:
Now this is the heart of it. When do you decide it is a human? If you get this part wrong, you could be killing a human, would you agree?

Again, you're missing the point.  Deciding "it's a human" is treating it as a switch, not a dial.  If, on the other hand, at conception you think "it's just barely started on the path to becoming a human" and right before birth you think "it's just about to finish the path to becoming a human," you're getting closer.  When fight about whether its a baby or a fetus, or a human or not human, you're just getting bogged down in semantics, and are trying to use poorly defined words at their fuzzy edges in order to evoke the emotions associated with things far from the edges.  Going back to the debate katisara and I had earlier, if someone decides a sperm or an egg are a human, then they could say to you "you're killing a human!" by not having sex.  Labelling something human/not human confuses the issue, because the two sides don't agree on the criteria for being "a human."  The proper take is, I would argue, to say "here's this thing.  It may be human, it may not be human.  Let's set that debate asside for the moment.  We can both agree that it has properties X, Y.  A month ago it only had property X, and next month it also have property Z.  It has value to some people.  It's also going to cause pain and suffering to other people.  Do we feel that the value it has right now outweighs the pain and suffering it will cause?"  I think you need to look at the fetus for what it is at the time.  A single fertiziled egg cell is not the same as a 9 month old fetus.  They are far more different from each other than the 9 month fetus is from a baby.  How you treat a single fetilized egg cell should more like how we generally treat single-celled things, and how we treat a 9 month fetus should be more like how we treat babies.  In between, we should base it on how we treat things the fetus is currently like.  Aiming for a single rule for all fetuses, regardless of their progression, is to oversimplify the issue, in my opinion.
Trust in the Lord
player, 783 posts
No Jesus No Peace
Know Jesus Know Peace
Wed 18 Jun 2008
at 11:38
  • msg #195

Re: Doctor, it hurts when I do this:  Health care issues

Tycho:
Trust in the Lord:
How does one hour make someone a human when before they were not human?

Tycho:
This is sort of the whole trouble of viewing it as a yes/no thing, instead of a continuum.  If I understand your position, TitL, you too believe that one hour makes the difference between human and not human, it's just a different hour than Falkus thinks matters. 

Trust in the Lord:
I don't think I agree with that statement. I'm trying to show one of the issues in the view that a baby is indeed a baby before it is born.

Yes, and I think that's problematic.  It's like a baby before it's born.  And the closer to being born it is, the more like a baby it is.  You want to say that any fetus is equavalent to a baby, others want to say that no fetus is equivalent to a baby.  Just as they arbitrarly set a 100% step change at birth, you're trying to set a 100% step change a conception.  But the process isn't a step change.  It's a slow, gradual process of change.  Both you, and Falkus are treating it as a switch, something that goes from 0% to 100% instantly, with not period of change in between.  What I'm suggesting is that it's a dial, something that goes from 0% to 100% slowly and gradually over the course of 9 months. 
Actually to clarify, I'm asking Falkus, or anyone else to say at which point does someone become human from non human. If it's 99% at some point, when does it become 100%. I'm addressing statements from others who are stating there is that switch. At this point of the game, we're establishing the points that are debatable.

Trust in the Lord:
There wouldn't be any problems if the baby were not a baby before that time. Since it is clearly a problem, then saying birth establishes rights is not accurate to the situation. There is room for changing of this view is there are problems that are debatable.

Tycho:
I can sort of agree with this part.  I think treating birth as a 100% step change isn't fully accurate either.  But I think you would do well to realize that your position also contains an hour where something non-human suddenly becomes 100% human, just as Falkus' position does.  Where the two of you disagree is on which hour matters.  What I'm trying to say is that all hours matter a little bit.  You only get a big change after adding up lots of little ones.
Maybe you could step on one side of the fence there. ;)

Trust in the Lord:
Now this is the heart of it. When do you decide it is a human? If you get this part wrong, you could be killing a human, would you agree?

Tycho:
Again, you're missing the point.  Deciding "it's a human" is treating it as a switch, not a dial.  If, on the other hand, at conception you think "it's just barely started on the path to becoming a human" and right before birth you think "it's just about to finish the path to becoming a human," you're getting closer.  When fight about whether its a baby or a fetus, or a human or not human, you're just getting bogged down in semantics, and are trying to use poorly defined words at their fuzzy edges in order to evoke the emotions associated with things far from the edges.  Going back to the debate katisara and I had earlier, if someone decides a sperm or an egg are a human, then they could say to you "you're killing a human!" by not having sex.  Labelling something human/not human confuses the issue, because the two sides don't agree on the criteria for being "a human."  The proper take is, I would argue, to say "here's this thing.  It may be human, it may not be human.  Let's set that debate asside for the moment.  We can both agree that it has properties X, Y.  A month ago it only had property X, and next month it also have property Z.  It has value to some people.  It's also going to cause pain and suffering to other people.  Do we feel that the value it has right now outweighs the pain and suffering it will cause?"  I think you need to look at the fetus for what it is at the time.  A single fertiziled egg cell is not the same as a 9 month old fetus.  They are far more different from each other than the 9 month fetus is from a baby.  How you treat a single fetilized egg cell should more like how we generally treat single-celled things, and how we treat a 9 month fetus should be more like how we treat babies.  In between, we should base it on how we treat things the fetus is currently like.  Aiming for a single rule for all fetuses, regardless of their progression, is to oversimplify the issue, in my opinion.
Tycho, respectfully, I think you just confirmed my point. If you cannot accurately determine when someone is human, then there is the obvious risk you could end up killing a human because the timeline is off for determining human status. Would you agree that there is the chance we could be killing a human if we don't have the right time for determining when the baby is human?
Tycho
GM, 1473 posts
Wed 18 Jun 2008
at 12:10
  • msg #196

Re: Doctor, it hurts when I do this:  Health care issues

Trust in the Lord:
Actually to clarify, I'm asking Falkus, or anyone else to say at which point does someone become human from non human. If it's 99% at some point, when does it become 100%. I'm addressing statements from others who are stating there is that switch. At this point of the game, we're establishing the points that are debatable.

The point it changes from 99% to 100% is birth, I suppose.  But my point is that going from 99% to 100% isn't a huge change.  We shouldn't treat 99% like its 0% simply because it's not 100%.  99% and 100% are very nearly the same, and should be treated as such.  Both you and Falkus want to treat 99% the same way we treat 0%, you just disagree about the point where it goes from 99% to 100%.

Trust in the Lord:
Maybe you could step on one side of the fence there. ;)

My whole point is that there isn't a fence, though.  The imaginary fence is the cause of the whole debate.  What we really have is a big, sloping hill.  Both sides want to put a fense somewhere on the slope and say "this side of the fense is a low, and the other side is high," but they disagree on where to put the fence.  What I'm saying is that looking for a single fence to divide a slope is the wrong way to look at.  One point is slightly higher than the next, but slightly lower than the next one, and so on, but to draw an arbitrary line and say everything on one side is all the same, and everything on the other is completely difference is incorrect.

Trust in the Lord:
Tycho, respectfully, I think you just confirmed my point. If you cannot accurately determine when someone is human, then there is the obvious risk you could end up killing a human because the timeline is off for determining human status. Would you agree that there is the chance we could be killing a human if we don't have the right time for determining when the baby is human?

No, it's not an issue of accuracy.  It's not that we can't tell what it is, it's that we argue over whether or not to call it human or not.  It's not a disagreement on the thing itself, but rather over what the word "human" means.  We can accurately tell what a fetus is, what we can't agree on us what to label it.  But it's not the label that should be important, but that actual qualities of the thing in question.  If you decide to start calling cows "human" that doesn't change how right or wrong it is  to kill them for food.  What you call them isn't important.  What they are like is important.  And what a fetus is like is something that we can actually determine, even if we can't agree on whether or not to call it "human."  So no, I would not agree that its an issue of killing a "human" because we don't have the right time line.  It's an issue of killing a "human" because we've labelled it such.  I think there is the same chance of killing a human if people start calling cows human, or sperm human, or trees human.  Just as in each case what we're actually killing is a cow, sperm, or tree, in the case of an abortion, what we're actually killing is a fetus.  Whether we call that fetus "human" or not isn't anymore important than if we call the cow, sperm, or tree human.  What matters are the actual properties and qualities of the fetus.

Basically, what both sides of the debate are doing is trying to be the ones to decide what label to put on a fetus, because they think that will determine whether its okay to kill it or not.  But what you call something shouldn't have any influence on whether its okay to kill it or not.  The heart of the disagreement is really over whether its ever ethical to kill a fetus or not.  The pro-life side wants to label the fetus a human, because everyone "knows" it's not okay to kill humans, while the pro-choice side wants to label it a "non-human" because everyone "knows" it'd be okay to kill it then.  But the trouble with this kind of thinking is that the things everyone "knows" no longer apply if there's any debate over whether the thing is actually a human or not.  If you consider a fetus a human, than it's no longer true that everyone agrees that you should never kill humans.  Both sides are placing far too much importance on an arbitrary label, and far too little importance on the actual, objective traits of the thing in question.
Trust in the Lord
player, 784 posts
No Jesus No Peace
Know Jesus Know Peace
Wed 18 Jun 2008
at 12:30
  • msg #197

Re: Doctor, it hurts when I do this:  Health care issues

Tycho:
Trust in the Lord:
Actually to clarify, I'm asking Falkus, or anyone else to say at which point does someone become human from non human. If it's 99% at some point, when does it become 100%. I'm addressing statements from others who are stating there is that switch. At this point of the game, we're establishing the points that are debatable.

The point it changes from 99% to 100% is birth, I suppose.  But my point is that going from 99% to 100% isn't a huge change.  We shouldn't treat 99% like its 0% simply because it's not 100%.  99% and 100% are very nearly the same, and should be treated as such.  Both you and Falkus want to treat 99% the same way we treat 0%, you just disagree about the point where it goes from 99% to 100%. 
What about birth changes a non human into a human? What about birth makes a human complete, when before they were not? What makes it 99% before birth? When is the baby 80%?

Trust in the Lord:
Maybe you could step on one side of the fence there. ;)

Tycho:
My whole point is that there isn't a fence, though.  The imaginary fence is the cause of the whole debate.  What we really have is a big, sloping hill.  Both sides want to put a fense somewhere on the slope and say "this side of the fense is a low, and the other side is high," but they disagree on where to put the fence.  What I'm saying is that looking for a single fence to divide a slope is the wrong way to look at.  One point is slightly higher than the next, but slightly lower than the next one, and so on, but to draw an arbitrary line and say everything on one side is all the same, and everything on the other is completely difference is incorrect. 
I can understand that's your view, but that doesn't really mean there is no fence, or that current laws don't match what is right. As pointed out by others, they would say late term abortions are wrong, and harmful. So at this point, we are establishing issues with the topic.


The next point is too long for me to spend on this morning. I'll have to come back to it. Have a good day. :)
Tycho
GM, 1474 posts
Wed 18 Jun 2008
at 13:26
  • msg #198

Re: Doctor, it hurts when I do this:  Health care issues

Trust in the Lord:
What about birth changes a non human into a human? What about birth makes a human complete, when before they were not? What makes it 99% before birth? When is the baby 80%?

The last 1% of developement changes it from 99% to 100%.  Just as the last board shingle has to be nailed to the roof of a house before it's complete, the last bit of development has happen before it's complete.  A house without the last shingle is only 99.99% (or whatever) of the way there, and a fetus just before birth is only 99.99% of the way there.  And just as a house lacking only one shingle is pretty much just like a finished house, so is a fetus just before birth pretty much just like a baby.  But in the same way that a couple of two by fours nailed together isn't a house, a fertilized egg cell isn't a baby.  In both cases, there is a slow, continuous, gradual progression from 0% to 100%, not a sudden switch between the two.  As for when a fetus is 80% of a baby, I'd say .8x9months, or about 7.2 months.  Perhaps one could argue the devolopment is non-linear, which would put it at a different date, but linear or no, it's still gradual.

Trust in the Lord:
I can understand that's your view, but that doesn't really mean there is no fence, or that current laws don't match what is right. As pointed out by others, they would say late term abortions are wrong, and harmful. So at this point, we are establishing issues with the topic.

No, it does mean there's no fence.  Or, more precisely, that attempts to solve the problem with a fence will fail, because it's not a fence-problem, it's a hill problem.  I agree that a fence can be put up, but I'm saying that it's a purely abitrary and artificial fence that tries to treat a continuous phenomenon as if it were digital.
Mr Crinkles
player, 192 posts
Catholic
Wed 18 Jun 2008
at 17:13
  • msg #199

Re: Doctor, it hurts when I do this:  Health care issues

Trust in the Lord:
A fetus isn't human? What in the birthing process makes something non human into human? A baby in the womb has 100% human dna, not 98%.

*** Yes, and a human corpse has 100% human DNA also. It's not just DNA.

Trust in the Lord:
Nine months, or 7 months? Is a baby that comes out at 5 months not human for another 4 months? Time isn't a factor, as we can have babies born at 5, 6, 7, 8, or 9 months, and live. So it must be the birthing process. What about the birthing process makes something not human into human?

*** Well I was taught in health class (many many moons ago) that a normal human pregnancy is 9 months. If it's changed or shrunk or whatever, then fine. I was speaking of a specific time length, so much as I was of the pregnancy as a whole, whether it's 9 or 7 or whatever months.

Trust in the Lord:
Don't talk about the pain of the baby, but ask for permission on behalf of the baby to help with the pain? That's a little confusing. It's kind of one of those things, don't talk about it, but let me know how it goes....

*** Yeah, what's wrong with not wanting all the details, just the results?

Trust in the Lord:
That doesn't really address my context. You're comparing different rights. I'm talking about basic stuff, like the right to live. Is there any group of people that do not have the right to live? We're talking innocent babies here, that should not be punished with death. But my exact question was do people with handicaps become non human?

*** You asked:
   
Trust in the Lord:
   But do you really believe that someone doesn't have rights as a human due to their conditions, physical, mental or otherwise?
   


I was answering that question. Perhaps not well, but that's what I was answering. And no, I'm not talking about babies, I'm talking about fetuses (fetuses?). There's a difference.

   
Trust in the Lord:
   How does one hour make someone a human when before they were not human?
   

   
Mr crinkles:
   *** How does one hour make someone capable of drinking or having sex when before they weren't?
   

Trust in the Lord:
I'd prefer an answer, and not a question. If you answer my question, how about I answer yours?

*** Sure. The answer is, one hour doesn't matter, except legally. We're (I thought) discussing whether abortion should be legal, so I figured a legal precident might be relevant.

Trust in the Lord:
If you cannot accurately determine when someone is human, then there is the obvious risk you could end up killing a human because the timeline is off for determining human status. Would you agree that there is the chance we could be killing a human if we don't have the right time for determining when the baby is human?

*** Yeah, we could. It's a chance some people are more willing to take than others.
Trust in the Lord
player, 786 posts
No Jesus No Peace
Know Jesus Know Peace
Thu 19 Jun 2008
at 00:04
  • msg #200

Re: Doctor, it hurts when I do this:  Health care issues

Tycho:
Trust in the Lord:
What about birth changes a non human into a human? What about birth makes a human complete, when before they were not? What makes it 99% before birth? When is the baby 80%?

The last 1% of developement changes it from 99% to 100%. 
So if a baby is born 3 months mature, they are not human, because they aren't fully developed? I'm asking what makes something not human into human. What is the thing that makes the change. Time cannot be it. What part of the birthing process makes something not human into human?


Tycho:
Just as the last board shingle has to be nailed to the roof of a house before it's complete, the last bit of development has happen before it's complete.  A house without the last shingle is only 99.99% (or whatever) of the way there, and a fetus just before birth is only 99.99% of the way there.  And just as a house lacking only one shingle is pretty much just like a finished house, so is a fetus just before birth pretty much just like a baby.  But in the same way that a couple of two by fours nailed together isn't a house, a fertilized egg cell isn't a baby.  In both cases, there is a slow, continuous, gradual progression from 0% to 100%, not a sudden switch between the two.  As for when a fetus is 80% of a baby, I'd say .8x9months, or about 7.2 months.  Perhaps one could argue the devolopment is non-linear, which would put it at a different date, but linear or no, it's still gradual. 
Tycho, you seem to be missing the point. The protection of the baby does not occur a single moment before they are born in the USA. However it does occur in other countries. The baby is afforded human rights protection before they are born.

So to clarify, Is what makes a person a human being due to legal proceedings? Or are people human even if the laws say they are not? For example, are black people human beings only when the law says so, or are they human even if the law says that are not?

So to be clear, the law that you are backing up is basing it only off a legal definition, which is 100% or 0%, yes or no. A baby one hour before birth is not given 99% human rights. They are given 0% human rights. Do you agree with that?

Trust in the Lord:
I can understand that's your view, but that doesn't really mean there is no fence, or that current laws don't match what is right. As pointed out by others, they would say late term abortions are wrong, and harmful. So at this point, we are establishing issues with the topic.

Tycho:
No, it does mean there's no fence.  Or, more precisely, that attempts to solve the problem with a fence will fail, because it's not a fence-problem, it's a hill problem.  I agree that a fence can be put up, but I'm saying that it's a purely abitrary and artificial fence that tries to treat a continuous phenomenon as if it were digital.
But agreement on the middle ground wasn't what I was trying to establish. Falkus brought up some points in reply to mine. When establishing the points, and there is some logical issues with the points, then that allows room for debate about those points. At this point, I'm trying to point out some problems in what people feel about abortion and how they feel about it.
Trust in the Lord
player, 787 posts
No Jesus No Peace
Know Jesus Know Peace
Thu 19 Jun 2008
at 00:21
  • msg #201

Re: Doctor, it hurts when I do this:  Health care issues

Mr Crinkles:
Trust in the Lord:
A fetus isn't human? What in the birthing process makes something non human into human? A baby in the womb has 100% human dna, not 98%.

*** Yes, and a human corpse has 100% human DNA also. It's not just DNA.
I think you missed the question. What in the birthing process makes something not human into human? How does a corpse dna percentage apply to that?

Trust in the Lord:
Nine months, or 7 months? Is a baby that comes out at 5 months not human for another 4 months? Time isn't a factor, as we can have babies born at 5, 6, 7, 8, or 9 months, and live. So it must be the birthing process. What about the birthing process makes something not human into human?

Crinkles:
*** Well I was taught in health class (many many moons ago) that a normal human pregnancy is 9 months. If it's changed or shrunk or whatever, then fine. I was speaking of a specific time length, so much as I was of the pregnancy as a whole, whether it's 9 or 7 or whatever months.
Ok. What about the birthing process makes a not human into a human?

Trust in the Lord:
Don't talk about the pain of the baby, but ask for permission on behalf of the baby to help with the pain? That's a little confusing. It's kind of one of those things, don't talk about it, but let me know how it goes....

Crinkles:
*** Yeah, what's wrong with not wanting all the details, just the results?
Because the patient needs to be asked for permission before something is done.

Crinkles:
Trust in the Lord:
That doesn't really address my context. You're comparing different rights. I'm talking about basic stuff, like the right to live. Is there any group of people that do not have the right to live? We're talking innocent babies here, that should not be punished with death. But my exact question was do people with handicaps become non human?

*** You asked:
   
Trust in the Lord:
   But do you really believe that someone doesn't have rights as a human due to their conditions, physical, mental or otherwise?
   


Crinkles:
I was answering that question. Perhaps not well, but that's what I was answering.
Ok. Then I feel it doesn't convey my context. To go back to my context, what about people who are mentally or physically handicapped that says they are not human?

Crinkles:
And no, I'm not talking about babies, I'm talking about fetuses (fetuses?). There's a difference.
Tell me about the difference. Is it ok that they are different? You stated that abortions of late term should be illegal, and yet that means a fetus to you, correct? Why do you want to make it illegal?


 
Crinkles:
 
Trust in the Lord:
   How does one hour make someone a human when before they were not human?
   

   
Mr crinkles:
   *** How does one hour make someone capable of drinking or having sex when before they weren't?
   

Trust in the Lord:
I'd prefer an answer, and not a question. If you answer my question, how about I answer yours?

*** Sure. The answer is, one hour doesn't matter, except legally. We're (I thought) discussing whether abortion should be legal, so I figured a legal precident might be relevant.
So then if an hour doesn't matter, you would agree that an unborn baby is a human?

In answer to your question those are legal reasons.

Trust in the Lord:
If you cannot accurately determine when someone is human, then there is the obvious risk you could end up killing a human because the timeline is off for determining human status. Would you agree that there is the chance we could be killing a human if we don't have the right time for determining when the baby is human?

Crinkles:
*** Yeah, we could. It's a chance some people are more willing to take than others.
So because some people are willing to kill a human baby, we should be ok with it?
Trust in the Lord
player, 788 posts
No Jesus No Peace
Know Jesus Know Peace
Thu 19 Jun 2008
at 01:00
  • msg #202

Re: Doctor, it hurts when I do this:  Health care issues

Trust in the Lord:
Tycho, respectfully, I think you just confirmed my point. If you cannot accurately determine when someone is human, then there is the obvious risk you could end up killing a human because the timeline is off for determining human status. Would you agree that there is the chance we could be killing a human if we don't have the right time for determining when the baby is human?

Tycho:
No, it's not an issue of accuracy.  It's not that we can't tell what it is, it's that we argue over whether or not to call it human or not.  It's not a disagreement on the thing itself, but rather over what the word "human" means.  We can accurately tell what a fetus is, what we can't agree on us what to label it.  But it's not the label that should be important, but that actual qualities of the thing in question.  If you decide to start calling cows "human" that doesn't change how right or wrong it is  to kill them for food.  What you call them isn't important.  What they are like is important.  And what a fetus is like is something that we can actually determine, even if we can't agree on whether or not to call it "human."  So no, I would not agree that its an issue of killing a "human" because we don't have the right time line.  It's an issue of killing a "human" because we've labelled it such.
Again, it appears you are agreeing with my point about the difficulty to the decision when something is human. You bring up the point about treating them as human becuase they are like human. How does one determine like human? One hour before birth, 2 months before? This allows for the possibility of killing a baby when they are considered human.


 
Tycho:
I think there is the same chance of killing a human if people start calling cows human, or sperm human, or trees human.  Just as in each case what we're actually killing is a cow, sperm, or tree, in the case of an abortion, what we're actually killing is a fetus.  Whether we call that fetus "human" or not isn't anymore important than if we call the cow, sperm, or tree human.  What matters are the actual properties and qualities of the fetus.
What qualities? What qualities must one have to be human?

Tycho:
Basically, what both sides of the debate are doing is trying to be the ones to decide what label to put on a fetus, because they think that will determine whether its okay to kill it or not.  But what you call something shouldn't have any influence on whether its okay to kill it or not.  The heart of the disagreement is really over whether its ever ethical to kill a fetus or not.  The pro-life side wants to label the fetus a human, because everyone "knows" it's not okay to kill humans, while the pro-choice side wants to label it a "non-human" because everyone "knows" it'd be okay to kill it then.  But the trouble with this kind of thinking is that the things everyone "knows" no longer apply if there's any debate over whether the thing is actually a human or not.  If you consider a fetus a human, than it's no longer true that everyone agrees that you should never kill humans.  Both sides are placing far too much importance on an arbitrary label, and far too little importance on the actual, objective traits of the thing in question.
There's a pretty large flaw to that idea. Debating whether someone is human doesn't actually change them from being human. Let's say we disagree about black people being human or non human. How does that make them non human because there is disagreement?

So far, the biggest argument that says babies in the womb are not human because the law says they aren't. I don't think anyone has shown what about birth makes a non human into a human. Many years ago, the law stated that black people aren't human either. Just because the law states it, doesn't mean that is true.
Mr Crinkles
player, 194 posts
Catholic
Thu 19 Jun 2008
at 01:49
  • msg #203

Re: Doctor, it hurts when I do this:  Health care issues

Trust in the Lord:
I'm asking what makes something not human into human. What is the thing that makes the change. Time cannot be it.

*** Why can't it be time? I mean, we're not saying it specifically has to be the same unit(s) of time for every individual, but why can't it be time?

Trust in the Lord:
Is what makes a person a human being due to legal proceedings? Or are people human even if the laws say they are not? For example, are black people human beings only when the law says so, or are they human even if the law says that are not?

*** People are human (generally speaking) regardless of what the law says. But it doesn't matter whether they're human or not if the law doesn't recognise them as such.

Trust in the Lord:
So to be clear, the law that you are backing up is basing it only off a legal definition, which is 100% or 0%, yes or no. A baby one hour before birth is not given 99% human rights. They are given 0% human rights. Do you agree with that?

*** I agree that the logic behind the law is flawed, yeah, but knowing that doesn't make me disagree with the law itself. Abortion is wrong, sure, but it should still be legal.

Trust in the Lord:
What in the birthing process makes something not human into human?

*** Um ... who said it was the birthing process that did that?

Trust in the Lord:
Because the patient needs to be asked for permission before something is done.

*** Says who? If I'm a doctor, my job is to perform the necessary operation, not go around soliciting opinions from people.

Trust in the Lord:
Tell me about the difference. Is it ok that they are different? You stated that abortions of late term should be illegal, and yet that means a fetus to you, correct? Why do you want to make it illegal?

*** I'm not sure what you're wanting me to tell you ... a fetus is different from a baby; a baby is different from a toddler; a toddler is different from a tween; etc. Is it ok that they're different? Sure, why wouldn't it be? Becos when we're talking about third trimester, we're talking about a fetus that is a whole lot closer to being a baby than when we're talking about first trimester.

Trust in the Lord:
So then if an hour doesn't matter, you would agree that an unborn baby is a human?

*** I'm not entirely convinced that born babies are fully human.

Trust in the Lord:
In answer to your question those are legal reasons.

*** And abortion is a legal issue.

Trust in the Lord:
So because some people are willing to kill a human baby, we should be ok with it?

*** I didn't say we're willing to kill a human baby, I said we're willing to take that chance. If you can prove that it's a certainty, then no; if you can't, then yes.
Trust in the Lord
player, 791 posts
No Jesus No Peace
Know Jesus Know Peace
Thu 19 Jun 2008
at 02:30
  • msg #204

Re: Doctor, it hurts when I do this:  Health care issues

Mr Crinkles:
Trust in the Lord:
I'm asking what makes something not human into human. What is the thing that makes the change. Time cannot be it.

*** Why can't it be time? I mean, we're not saying it specifically has to be the same unit(s) of time for every individual, but why can't it be time?
Ok, let say it is time then. Follow the logic, how much times is needed for a person to become a human? You're right back into the possibility that you can be killing a human if you're guessing wrong. However, saying time is the factor, and then adding the time is unknown for each individual is the same as saying you do not know what makes someone a human.

Trust in the Lord:
Is what makes a person a human being due to legal proceedings? Or are people human even if the laws say they are not? For example, are black people human beings only when the law says so, or are they human even if the law says that are not?

Crinkles:
*** People are human (generally speaking) regardless of what the law says. But it doesn't matter whether they're human or not if the law doesn't recognise them as such.
Why doesn't it matter? The law can change to help babies that are in the womb, can't it?
Wouldn't you want babies protected in the third trimester?

Trust in the Lord:
So to be clear, the law that you are backing up is basing it only off a legal definition, which is 100% or 0%, yes or no. A baby one hour before birth is not given 99% human rights. They are given 0% human rights. Do you agree with that?

Crinkles:
*** I agree that the logic behind the law is flawed, yeah, but knowing that doesn't make me disagree with the law itself. Abortion is wrong, sure, but it should still be legal.
Why is abortion wrong?

Trust in the Lord:
What in the birthing process makes something not human into human?

Crinkles:
*** Um ... who said it was the birthing process that did that?
Please continue. What are you saying makes a non human into a human if it's not the birthing?

Trust in the Lord:
Because the patient needs to be asked for permission before something is done.

Crinkles:
*** Says who? If I'm a doctor, my job is to perform the necessary operation, not go around soliciting opinions from people.
The doctor needs consent for any procedure unless the patient is unable to communicate their consent.

Trust in the Lord:
Tell me about the difference. Is it ok that they are different? You stated that abortions of late term should be illegal, and yet that means a fetus to you, correct? Why do you want to make it illegal?

Crinkles:
*** I'm not sure what you're wanting me to tell you ... a fetus is different from a baby; a baby is different from a toddler; a toddler is different from a tween; etc. Is it ok that they're different? Sure, why wouldn't it be? Becos when we're talking about third trimester, we're talking about a fetus that is a whole lot closer to being a baby than when we're talking about first trimester.
Look closer at what you're saying. Which one is not human in the comparison you're speaking of. Why do you want to protect the life of the non human? Because they are almost human? What makes the person almost human?

I want you to clarify what makes it clear someone is almost human? If you're having some difficulty with this, would you agree that there will be the possibility that a human will be killed if the definition of human is legally wrong of what a human really is?

Trust in the Lord:
So then if an hour doesn't matter, you would agree that an unborn baby is a human?

Crinkles:
*** I'm not entirely convinced that born babies are fully human.
Then this should be easy. What makes someone human?
We can compare that to your definitiona, and see if it fits.

Trust in the Lord:
In answer to your question those are legal reasons.

Crinkles:
*** And abortion is a legal issue.
And that means what? We cannot change the law? We cannot stop babies from being killed because it is for legal reasons? Legal doesn't mean anything is right. It used to be legal to own black people. Should we have left it a legal reason, and done nothing?

Trust in the Lord:
So because some people are willing to kill a human baby, we should be ok with it?

Crinkles:
*** I didn't say we're willing to kill a human baby, I said we're willing to take that chance. If you can prove that it's a certainty, then no; if you can't, then yes.
If you can't define when someone is human, why can you define when it is ok and not ok to kill them? Why risk killing a human? What reasons are there to say a risk to kill humans are ok? This isn't for war, or to protect people from sinister people.
Vexen
player, 224 posts
Thu 19 Jun 2008
at 03:55
  • msg #205

Re: Doctor, it hurts when I do this:  Health care issues

Trust in the Lord:
I think the comparison to preventing a fertilized egg is very different from an abortion. Preventing a fertilized egg is not often done with the intent to slice up, batter around, or rip out a small baby from a womb.


If it was, would it make any difference to you? Would you be against if it they did batter it and slice it up? Or, rather if we treated the fetus like we did the egg, simplly taking drugs to destroy the placenta, and letting it fall on it's own early in development, would you then support it?

If the answer is no, frankly then, this was a pointless area.

The argument that non-humans don't make humans (and therefore, every state of developement is human) seems to me to imply that the sperm and egg are also human. Thus, by preventing the egg from being able to fulfill it's cycle with the intent to do so is equally the killing of a person. Therefore, if abortion is murder, then contraception and abstinence is equally murder, because you're intentially scuing thing so that the person would die.
Trust in the Lord
player, 799 posts
No Jesus No Peace
Know Jesus Know Peace
Thu 19 Jun 2008
at 04:08
  • msg #206

Re: Doctor, it hurts when I do this:  Health care issues

Vexen:
Trust in the Lord:
I think the comparison to preventing a fertilized egg is very different from an abortion. Preventing a fertilized egg is not often done with the intent to slice up, batter around, or rip out a small baby from a womb.


If it was, would it make any difference to you? Would you be against if it they did batter it and slice it up? Or, rather if we treated the fetus like we did the egg, simplly taking drugs to destroy the placenta, and letting it fall on it's own early in development, would you then support it?

If the answer is no, frankly then, this was a pointless area.
I don't agree it is pointless. Pointless to who? Is it pointless to the babies who could survive? If it were truly pointless, then no one would debate any of this.

Vexen:
The argument that non-humans don't make humans (and therefore, every state of developement is human) seems to me to imply that the sperm and egg are also human. Thus, by preventing the egg from being able to fulfill it's cycle with the intent to do so is equally the killing of a person. Therefore, if abortion is murder, then contraception and abstinence is equally murder, because you're intentially scuing thing so that the person would die.
Let's test that theory. Would you feel no issue if a baby was an hour away from birth, and then given an abortion?


But really a simple argument to show a problem with the logic being used is this, an egg that is not fertilized will die of old age. Murder is the killing of something. What you are talking about is not murder, but death. Abortion is killing.
Vexen
player, 226 posts
Thu 19 Jun 2008
at 04:34
  • msg #207

Re: Doctor, it hurts when I do this:  Health care issues

Trust in the Lord:
I don't agree it is pointless. Pointless to who? Is it pointless to the babies who could survive? If it were truly pointless, then no one would debate any of this.

It seems I didn't make my point clear enough. My appologies. Of course, it matters if it matters to you. But, the point of your post there seemed to be point out a problem you had with the method of death, specifically. So, I simply asked if we changed the method to be similar to that of the fertilized egg's death, which you previously expressed that you are okay with, would it change your mind?

If it wouldn't, then I would say it didn't matter. That is, that the method of abortion (or egg death, for the matter) isn't an important point to you: you would object anyways, even if there was a more "humane" way to do it. Thus, if you would object anyways, it's pointless to argue, because even if I do provide a method that's efficient, painless, and fairly clean, you would still not support it.

Vexen:
The argument that non-humans don't make humans (and therefore, every state of developement is human) seems to me to imply that the sperm and egg are also human. Thus, by preventing the egg from being able to fulfill it's cycle with the intent to do so is equally the killing of a person. Therefore, if abortion is murder, then contraception and abstinence is equally murder, because you're intentially scuing thing so that the person would die.


quote:
Let's test that theory. Would you feel no issue if a baby was an hour away from birth, and then given an abortion?
This is testing my theory? I simply stated that if every stage of development is equally human, then the sperm and the egg are human, and thus, deserved to be saved. Could you please clarify how this point would change what I'm saying?


quote:
But really a simple argument to show a problem with the logic being used is this, an egg that is not fertilized will die of old age. Murder is the killing of something. What you are talking about is not murder, but death. Abortion is killing.

So, it's okay to ensure someone dies on their own accord? Remember, I'm not arguing that simply any egg that isn't fertilized is an act of murder: I'm saying that, if we took actions to ensure the death of the person, we would be committing murder. The egg has a good chance of being fertilized if it's introduced in a sperm-filled womb. It depends on us to ensure these conditions to survive, just like a fetus depends entirely on it's mother to provide it's conditions to survive, and a baby dependant on it's parents to provide it's conditions to survive. By intentionally taking actions as to prvent these conditions, it's similar to preventing a baby from having food: We're not actively killing it, but our actions are tantamount to murder.

The result is still the same: we took actions to ensure it's demise. Remember my argument: the egg is equally human as any baby. If you took actions to ensure the death of another person, or intentionally depriving them of the only chance they have to live, it's murder.
This message was last edited by the player at 04:47, Thu 19 June 2008.
Trust in the Lord
player, 801 posts
No Jesus No Peace
Know Jesus Know Peace
Thu 19 Jun 2008
at 06:31
  • msg #208

Re: Doctor, it hurts when I do this:  Health care issues

Vexen:
Trust in the Lord:
I don't agree it is pointless. Pointless to who? Is it pointless to the babies who could survive? If it were truly pointless, then no one would debate any of this.

It seems I didn't make my point clear enough. My appologies. Of course, it matters if it matters to you. But, the point of your post there seemed to be point out a problem you had with the method of death, specifically. So, I simply asked if we changed the method to be similar to that of the fertilized egg's death, which you previously expressed that you are okay with, would it change your mind?

If it wouldn't, then I would say it didn't matter. That is, that the method of abortion (or egg death, for the matter) isn't an important point to you: you would object anyways, even if there was a more "humane" way to do it. Thus, if you would object anyways, it's pointless to argue, because even if I do provide a method that's efficient, painless, and fairly clean, you would still not support it.
But it's not pointless. If I can show a problem with part of the logic used, it means the person either must base their ideas on faulty logic, or change their view. bDebating often is never pointless, as even with a new idea being put forth allows everyone to learn. Whether it be a new point, or a new way to look at it, or even a new perspective at how someone else may look at it.


To me, even disagreement isn't pointless. It's a learning experience. Tycho made the point about looking for that middle ground or fence where both sides meet and that being an "impossible" place since the ideas are radical and different. I think that while he's correct thatmiddle ground between two ideas are not realiditc, I also believe that by discussing what one bases their ideas on can be debated. If that can be debated, then ideas can be expressed.

Vexen:
The argument that non-humans don't make humans (and therefore, every state of developement is human) seems to me to imply that the sperm and egg are also human. Thus, by preventing the egg from being able to fulfill it's cycle with the intent to do so is equally the killing of a person. Therefore, if abortion is murder, then contraception and abstinence is equally murder, because you're intentially scuing thing so that the person would die.


quote:
Let's test that theory. Would you feel no issue if a baby was an hour away from birth, and then given an abortion?
Vexen:
This is testing my theory? I simply stated that if every stage of development is equally human, then the sperm and the egg are human, and thus, deserved to be saved. Could you please clarify how this point would change what I'm saying?
I'm addressing the equal part. If a baby about to be born is equal to a fertilized egg, I want to see if that is true for you.

How do you feel about a 9 month old baby about to be born, going through an abortion.

quote:
But really a simple argument to show a problem with the logic being used is this, an egg that is not fertilized will die of old age. Murder is the killing of something. What you are talking about is not murder, but death. Abortion is killing.

Vexen:
So, it's okay to ensure someone dies on their own accord? Remember, I'm not arguing that simply any egg that isn't fertilized is an act of murder: I'm saying that, if we took actions to ensure the death of the person, we would be committing murder. The egg has a good chance of being fertilized if it's introduced in a sperm-filled womb. It depends on us to ensure these conditions to survive, just like a fetus depends entirely on it's mother to provide it's conditions to survive, and a baby dependant on it's parents to provide it's conditions to survive. By intentionally taking actions as to prvent these conditions, it's similar to preventing a baby from having food: We're not actively killing it, but our actions are tantamount to murder.

The result is still the same: we took actions to ensure it's demise. Remember my argument: the egg is equally human as any baby. If you took actions to ensure the death of another person, or intentionally depriving them of the only chance they have to live, it's murder.
Old age death is totally acceptable. An unfertilized egg does not need to be fertilized. It is still living, but the human body is designed for the unfertilized eggs as part of nature. People are not designed to procreate at every single chance. There are literally thousands of eggs right? Humans cannot handle thousands of pregancies. So it is clear that most eggs are designed to go unfertilized.

So the unfertilized egg that dies of natural causes is quite normal, and not murder.

Quite simply, a living cell that dies of natural causes is not murder.

Abortion in no way anything but the intended death of a baby.
Tycho
GM, 1475 posts
Thu 19 Jun 2008
at 08:55
  • msg #209

Re: Doctor, it hurts when I do this:  Health care issues

Trust in the Lord:
So if a baby is born 3 months mature, they are not human, because they aren't fully developed?

To a degree, yes.  We treat them differently (one goes home with mom, the other lives in a climate controlled box for 6 more months) because they are different things.  That's not a value statement, you can view them equally valuable if you like.  But they are qualitatively different things, which is what I'm trying to show.

Trust in the Lord:
I'm asking what makes something not human into human. What is the thing that makes the change. Time cannot be it. What part of the birthing process makes something not human into human?

I'm saying it not only can be, but is time.  You can tell me why not, if you like, but so far you've only stated it.  I'll ask you the same question?  What turns something not human into human, as you believe this happens as well (at conception)?  What part of conception turns something not human into human?

Trust in the Lord:
Tycho, you seem to be missing the point. The protection of the baby does not occur a single moment before they are born in the USA. However it does occur in other countries. The baby is afforded human rights protection before they are born.

We're not debating what the laws are, unless I'm mistaken, but rather what they should be.  Yes, the fetus is not protected by federal law in the US (though apparently it is protected by some state laws, to a degree).  But that's not the issue (at least I didn't think that was what we were discussing).  We're trying to figure out what protections should be given, and when they should be given.  My position is that the amount of protection should change a great deal over the course of a pregnancy, because the fetus changes a great deal over the course of a pregnancy.

Let me ask you this, to see to try and get some starting point:  Are you more offended by an abortion the day before the expected birth than you are by one the day after conception?  Would you have found the film you posted as effective if it just showed microscopic balls of 16 cells instead of little hands and heads?

Trust in the Lord:
So to clarify, Is what makes a person a human being due to legal proceedings? Or are people human even if the laws say they are not? For example, are black people human beings only when the law says so, or are they human even if the law says that are not?

I wrote quite a bit a couple posts back saying that labels are missing the point, so I would hope that it's quite clear that I don't think what people call something is important.  This is why I told you to stop bickering over whether to call it a human or not, because regardless of whether you call it that or not, it is what it is.

Trust in the Lord:
So to be clear, the law that you are backing up is basing it only off a legal definition, which is 100% or 0%, yes or no. A baby one hour before birth is not given 99% human rights. They are given 0% human rights. Do you agree with that?

Ack!  This is frustrating.  This is exactly what I've been arguing against the whole time.  Please go back and read what I've said.  I feel it should be fairly clear by now that I am proposing that we all stop thinking about sudden 0% to 100% switches, but rather view it as a slow gradual process, and make laws that reflect that (ie, the fetus gains more protects as it devolops, because we view an abortion at 8.9 months as worse than one at 24 hours).

Trust in the Lord:
But agreement on the middle ground wasn't what I was trying to establish. Falkus brought up some points in reply to mine. When establishing the points, and there is some logical issues with the points, then that allows room for debate about those points. At this point, I'm trying to point out some problems in what people feel about abortion and how they feel about it.

If you're not looking for middle ground, you're going to do nothing but shout at the other side, and nothing will ever change.  You will never make any progress with "I'm right!" "No, I'm right!" type arguments.  What I'm trying to show you is that both of these extreme positions are flawed, because they over simplify the issue in the exact same way.  What you disagree with Falkus is over the value of a parameter in a flawed model of reality.  It's sort of like arguing over the mass of the luminefferous ether, or the color of the tooth fairy's dress.  You can shout at each other until you're blue in the face, but you won't reach any agreement, because the thing you're debating the value of doesn't actually exist.

Trust in the Lord:
Again, it appears you are agreeing with my point about the difficulty to the decision when something is human. You bring up the point about treating them as human becuase they are like human. How does one determine like human? One hour before birth, 2 months before? This allows for the possibility of killing a baby when they are considered human.

No, I'm saying looking for a step change between 0% human to 100% human is the wrong way to think about it.  Yes, there will be difficulty finding that magical point because there isn't any such magical point.  It's a slow, gradual process, not a sudden jump.

Trust in the Lord:
What matters are the actual properties and qualities of the fetus.
What qualities? What qualities must one have to be human?

Sigh.  We agree on what properties a fetus has at any given time, I believe.  That's objective.  Whether we call it "human" or not, is subjective, and thus shouldn't be what we base our decisions on.  This is my point.  I don't think you understand my position, TitL, which is getting a bit frustrating.  Instead of trying to prove me wrong for just a second (you can come back to it in a moment, don't worry), please try to figure out what it is I'm actually saying first.  We're not getting anywhere because you seem to think I'm saying something different than I am.

Trust in the Lord:
There's a pretty large flaw to that idea. Debating whether someone is human doesn't actually change them from being human. Let's say we disagree about black people being human or non human. How does that make them non human because there is disagreement?

Which is my entire point!  What you call them in no way changes what they really are.  You say one thing, Falkus says another.  Who's right?  It doesn't matter!  Because the fetus is whatever it is, regardless of what label you apply to it.  You're treating the label as the important thing, but the label isn't the important thing.
This message was last edited by the GM at 09:04, Thu 19 June 2008.
Tycho
GM, 1477 posts
Thu 19 Jun 2008
at 10:02
  • msg #210

Re: Doctor, it hurts when I do this:  Health care issues

http://news.bbc.co.uk/1/hi/health/7462934.stm
Saw that in the BBC news today, and thought I'd point people here to it, since it seemed topical.  I don't know that it affects the ethical debate going on at the moment, but it does give some figures for the abortion rates in the UK, which people might be interested in.
Mr Crinkles
player, 196 posts
Catholic
Thu 19 Jun 2008
at 16:23
  • msg #211

Re: Doctor, it hurts when I do this:  Health care issues

Trust in the Lord:
Ok, let say it is time then. Follow the logic, how much times is needed for a person to become a human?

*** Depends on the person. Just as some people mature faster than others, some become human faster.

Trust in the Lord:
You're right back into the possibility that you can be killing a human if you're guessing wrong. However, saying time is the factor, and then adding the time is unknown for each individual is the same as saying you do not know what makes someone a human.

*** And I don't think I ever claimed to know. It's actually a subject I've debated at length, but I never really came up with a definative answer. Would love to go into it more, but it's sort of irrelevant to this issue (hint hint).

Trust in the Lord:
Why doesn't it matter?

*** Becos if we're discussing the legality of something, all that matters is what the law says.

Trust in the Lord:
The law can change to help babies that are in the womb, can't it? Wouldn't you want babies protected in the third trimester?

*** Well if they're still in the womb I wouldn't call them babies yet, but yeah, I want to protect them, and I think the law should change. But until it does, we have to deal with what it is, not what we want it to be.

Trust in the Lord:
Why is abortion wrong?

*** Exodus 20:13. I think killing is wrong. Do I eat meat? Yeah. Do I swat bugs? Yeah. Does any of that make it right? No.

Trust in the Lord:
Please continue. What are you saying makes a non human into a human if it's not the birthing?

*** It's a process, and as I said before, I can't say exactly what it is that does it. It's like Tycho (I think) keeps saying: It's not so much a switch as it is a dial. It takes time.

Trust in the Lord:
The doctor needs consent for any procedure unless the patient is unable to communicate their consent.

*** Okay, so a woman goes in to get an abortion. The doctor has her consent, so why would he need to tell her the details?

Trust in the Lord:
Why do you want to protect the life of the non human? Because they are almost human? What makes the person almost human?

*** Well I'd like to protect almost all life (can do without most bugs & reptiles), not just human or near-human. As far as what makes someone "almost human", I'd say the more they're like me, the more I'll tend to think of them as human.

Trust in the Lord:
If you're having some difficulty with this, would you agree that there will be the possibility that a human will be killed if the definition of human is legally wrong of what a human really is?

*** Sure.

Trust in the Lord:
And that means what? We cannot change the law? We cannot stop babies from being killed because it is for legal reasons? Legal doesn't mean anything is right. It used to be legal to own black people. Should we have left it a legal reason, and done nothing?

*** We can change the law, and quite often we ought to. But right now, it is legal to have an abortion. You're absolutely correct in that the law has nothing to do with right and wrong. I've said more than once that I think abortion is wrong, but I still think it should be legal.

Trust in the Lord:
If you can't define when someone is human, why can you define when it is ok and not ok to kill them? Why risk killing a human? What reasons are there to say a risk to kill humans are ok? This isn't for war, or to protect people from sinister people.

*** I suppose it's ... not "okay", but more ... acceptable, if you will, to kill a human when the benefits thereby gained are greater than the cost. Had Hitler been killed in 1920, the benefits to the world would've been much greater than the cost of losing a human life (presuming he was human). Killing is wrong, but sometimes it's more beneficial than not killing.

Trust in the Lord:
Quite simply, a living cell that dies of natural causes is not murder.

*** If a pregnant woman begins practicing anorexia and the fetus dies, would you consider that a non-murder, given that the fetus died of natural causes?
Bart
player, 297 posts
LDS
Sun 22 Jun 2008
at 05:24
  • msg #212

Re: Doctor, it hurts when I do this:  Health care issues

Mr Crinkles:
Exodus 20:13. I think killing is wrong. Do I eat meat? Yeah. Do I swat bugs? Yeah. Does any of that make it right? No.

Woah, woah, Exodus 20:13 doesn't say that any and all killing is wrong.  If Trust in the Lord was to shoot you in cold blood (he wouldn't, but let just play what if for a moment), it would be correct to say that he'd killed you.  It would also be correct to say that he'd murdered you.  The Hebrew used:
לֹא תִרְצָח
can be translate as either "thou shalt not kill" or "thou shalt not murder".  Just as in English, kill could mean murder or mean "kill indiscriminantly/wantonly".  But every other place that we see that word, its context makes it clear that it's meant to be murder, whether it's translated as murder or kill.  There's a different word used for killing an animal or killing a man in battle.  It's unlawful (murderous) killing that gets that word.

But what else does the Bible say about eating meat?

Most vegetarians who point to the Bible say that in the Garden of Eden men were vegetarians and that in Heaven, if we eat anything, we'll be vegetarians, so we should be that now because we're preparing our bodies for that state.  Well, in the future the lion shall eat with the lamb, etc., but right now our bodies are designed to eat some meat.  I've made other posts about how unhealthy it is (especially for growing children) to never eat meat.

But the Bible does mention people eating meat, several times.  There's the time that the Lord sent quails while the Israelites wandered in the desert.  There's the New Testament story from Christ of the prodigal son and all the other talk of "killing the fatted calf", as an example of righteously making merry while rejoicing in the good fortune that God had deigned to send one (like when Abraham did just that to the visitors who told him that he'd have a son).  There's the Levitical laws of what's clean to eat and what's not clean to eat (and some meat is clean), then there's the New Testament enjoinder to go ahead and eat it all.

Noah brought two of every animal . . . except the clean animals that were good for eating, he brought seven of each of those.  There's Nimrod, the mighty hunter before the Lord.  Then there's Esau, who was prized by his father for his hunting skills.  Jacob, the more righteous of the two brothers wasn't a hunter, but he did eat some of his brother's meat.

Some people mention the story of Daniel and say that he abstained from all meat.  Well, the Hebrew for that part really is better as "delicacies".  1. King Darius had consecrated it to his Gods which is why Daniel wouldn't eat it.  2. It was fattening unhealthy stuff, which meat (when eaten sparingly) isn't.  As we see from many other places in the Bible, tons of people all ate meat and they were all fine with it, there are many other places where meat is mentioned (like David and Elijah, etc.)
Trust in the Lord
player, 815 posts
No Jesus No Peace
Know Jesus Know Peace
Sun 22 Jun 2008
at 20:29
  • msg #213

Re: Doctor, it hurts when I do this:  Health care issues

Tycho:
Trust in the Lord:
So if a baby is born 3 months mature, they are not human, because they aren't fully developed?

To a degree, yes.  We treat them differently (one goes home with mom, the other lives in a climate controlled box for 6 more months) because they are different things.  That's not a value statement, you can view them equally valuable if you like.  But they are qualitatively different things, which is what I'm trying to show.
I get what you're trying to say. But it doesn't address the problem. If you do consider someone less than someone else, why would their rights be so vastly different? Treating one differently sounds fine when the difference between them is 18 years. But we're talking literally about minutes when the matter is between where they are in relation to a womb. One has 100% rights, and the other has 0%. There's nothing gradual in those rights. They are there, or they are not.


Trust in the Lord:
I'm asking what makes something not human into human. What is the thing that makes the change. Time cannot be it. What part of the birthing process makes something not human into human?

Tycho:
I'm saying it not only can be, but is time.
How much time? How old does a person have to be before they have value?


 
Tycho:
You can tell me why not, if you like, but so far you've only stated it.  I'll ask you the same question?  What turns something not human into human, as you believe this happens as well (at conception)?  What part of conception turns something not human into human?


Actually, I think part of the issue for others is they are having a difficult time describing what turns someone into a human. In each description given by others, there are flaws to the logic that leave room for someone who is human to be considered not human.

But to answer your question, is your appendix human? Is your blood cells human? I'd agree with anyone they are from a human, but if they were taken out of your body, they would not be a human, right? Do we agree with that?

So if an egg, and a sperm are seperate, they are just part of a human, but they are not human on their own. Do we agree with that?


A sperm, and an egg join, and start to develop. When they combine, they literally create an unique DNA structure that is seperate and different than the mother the egg developed in. So from conception, we have a unique individual that is not the mother, or the father, even though parts from them are involved. Any other groups of cells will not be a seperate human being. Only the fertilized egg is seperate in DNA structure.


Trust in the Lord:
Tycho, you seem to be missing the point. The protection of the baby does not occur a single moment before they are born in the USA. However it does occur in other countries. The baby is afforded human rights protection before they are born.

Tycho:
We're not debating what the laws are, unless I'm mistaken, but rather what they should be.  Yes, the fetus is not protected by federal law in the US (though apparently it is protected by some state laws, to a degree).  But that's not the issue (at least I didn't think that was what we were discussing).  We're trying to figure out what protections should be given, and when they should be given.  My position is that the amount of protection should change a great deal over the course of a pregnancy, because the fetus changes a great deal over the course of a pregnancy. 
Ok, at what point should the baby in the womb be given any rights as a human? Even if it's just 5% of rights, what does 5% of rights look like? Is there an  easier number to work with? Like 50% of rights for a baby 4.5 months in the womb? What does 50% rights look like?

quote:
Let me ask you this, to see to try and get some starting point:  Are you more offended by an abortion the day before the expected birth than you are by one the day after conception?  Would you have found the film you posted as effective if it just showed microscopic balls of 16 cells instead of little hands and heads?
Now for me, the idea is pretty bad either way. To me, a little baby is pretty precious. I was super excited to just find out my wife and I had been blessed with a baby. Even though I physically could not tell what was going on inside, the very idea of a little human growing inside my wife's belly was exciting, and amazing. As time goes on, and you see the development, the belly enlarging, the way your wife starts to wlak, the tiny little hand, or foot, or even head pushing against my wife's belly, and sliding across the surface is a wonderful process. After months of this, and finally it culminates in the birth of a son or daughter, it is an amazing sight, and can seem almost unreal. I think it must be different for those who have not seen this happen in person. To see it happen in front of you is a very rewarding experience. It is truly a treasure, and a miracle. Life coming from life.

I think the reason why we see videos with babies between 2-5 months old of development is because women will have been nearly a month along before they can even start to guess they are really pregnant. And then they have to confirm the pregancy, and then finally book an appointment, and so on. So we won't see a video of a 16 hour old because they really wouldn't even know they are pregant in the first place, never mind wanting an abortion.

Trust in the Lord:
So to clarify, Is what makes a person a human being due to legal proceedings? Or are people human even if the laws say they are not? For example, are black people human beings only when the law says so, or are they human even if the law says that are not?

Tycho:
I wrote quite a bit a couple posts back saying that labels are missing the point, so I would hope that it's quite clear that I don't think what people call something is important.  This is why I told you to stop bickering over whether to call it a human or not, because regardless of whether you call it that or not, it is what it is. 
And this is why I responded in the first place we were just establishing points that were being debated. As the heart of it goes on, I think people are really sruggling to define what human is to compare if a baby in the womb is a human or not. Legally it doesn't matter if someone is human, but legally it does matter if they aren't being treated as human.

So if legal doesn't matter, let's toss that argument out.

Trust in the Lord:
So to be clear, the law that you are backing up is basing it only off a legal definition, which is 100% or 0%, yes or no. A baby one hour before birth is not given 99% human rights. They are given 0% human rights. Do you agree with that?

Tycho:
Ack!  This is frustrating.  This is exactly what I've been arguing against the whole time.  Please go back and read what I've said.  I feel it should be fairly clear by now that I am proposing that we all stop thinking about sudden 0% to 100% switches, but rather view it as a slow gradual process, and make laws that reflect that (ie, the fetus gains more protects as it devolops, because we view an abortion at 8.9 months as worse than one at 24 hours).
I pointed it out earlier in this post about 50% human rights, and what that looks like. The 100% switch will always be there if the switch to 100% doesn't take effect until it is 100% and not any sooner even if 99%.

Trust in the Lord:
But agreement on the middle ground wasn't what I was trying to establish. Falkus brought up some points in reply to mine. When establishing the points, and there is some logical issues with the points, then that allows room for debate about those points. At this point, I'm trying to point out some problems in what people feel about abortion and how they feel about it.

Tycho:
If you're not looking for middle ground, you're going to do nothing but shout at the other side, and nothing will ever change.  You will never make any progress with "I'm right!" "No, I'm right!" type arguments.
I disagree. You don't have to agree in the middle to discuss different ideas. Flakus and I don't have to agree that abortion is right or wrong to discuss why we feel it is right or wrong. Like I said, we were only establishing the points at that stage. That hasn't changed. Discussing the why can happen even when different sides don't agree.

You'll note that the largest part of my posts haven't been "You're wrong!", but rather, "How do you know?"+"What do you use to determine that?"

 
Tycho:
What I'm trying to show you is that both of these extreme positions are flawed, because they over simplify the issue in the exact same way.  What you disagree with Falkus is over the value of a parameter in a flawed model of reality.  It's sort of like arguing over the mass of the luminefferous ether, or the color of the tooth fairy's dress.  You can shout at each other until you're blue in the face, but you won't reach any agreement, because the thing you're debating the value of doesn't actually exist.


That is why I was saying we were establishing only the debateable points.

Trust in the Lord:
Again, it appears you are agreeing with my point about the difficulty to the decision when something is human. You bring up the point about treating them as human becuase they are like human. How does one determine like human? One hour before birth, 2 months before? This allows for the possibility of killing a baby when they are considered human.

Tycho:
No, I'm saying looking for a step change between 0% human to 100% human is the wrong way to think about it.  Yes, there will be difficulty finding that magical point because there isn't any such magical point.  It's a slow, gradual process, not a sudden jump.
Ok, for the sake of the debate, at which point does it flip over to be given 100% rights, and what criteria do you use?

Trust in the Lord:
What matters are the actual properties and qualities of the fetus.
What qualities? What qualities must one have to be human?

Tycho:
Sigh.  We agree on what properties a fetus has at any given time, I believe.  That's objective.  Whether we call it "human" or not, is subjective, and thus shouldn't be what we base our decisions on.  This is my point.  I don't think you understand my position, TitL, which is getting a bit frustrating.  Instead of trying to prove me wrong for just a second (you can come back to it in a moment, don't worry), please try to figure out what it is I'm actually saying first.  We're not getting anywhere because you seem to think I'm saying something different than I am. 
??  That was a real question.

What qualities must one have to be human? I was responding to a direct statement and challenged what was being said about what was used as a guideline to determine those values.
Trust in the Lord
player, 816 posts
No Jesus No Peace
Know Jesus Know Peace
Sun 22 Jun 2008
at 20:58
  • msg #214

Re: Doctor, it hurts when I do this:  Health care issues

Mr Crinkles:
Trust in the Lord:
Ok, let say it is time then. Follow the logic, how much times is needed for a person to become a human?

*** Depends on the person. Just as some people mature faster than others, some become human faster.
Would it be fair to say that you don't know how to determine how long for each person, and as such there are bound to be mistakes in determining the correct time to give someone the rights given to all human beings?

Trust in the Lord:
You're right back into the possibility that you can be killing a human if you're guessing wrong. However, saying time is the factor, and then adding the time is unknown for each individual is the same as saying you do not know what makes someone a human.

Crinkles:
*** And I don't think I ever claimed to know. It's actually a subject I've debated at length, but I never really came up with a definative answer. Would love to go into it more, but it's sort of irrelevant to this issue (hint hint).
It's ok not to know something. We can't know everything there is about everything.

Trust in the Lord:
Why doesn't it matter?

Crinkles:
*** Becos if we're discussing the legality of something, all that matters is what the law says.
A little out of context. We were talking about humans being human regardless of law. You'd agree that the law does not matter when it comes to human beings in determining if they should have protection. An example I gave is that slavery is not right because the law says so, right? Like you don't say slavery was good because it was legal, right?


Trust in the Lord:
The law can change to help babies that are in the womb, can't it? Wouldn't you want babies protected in the third trimester?

Crinkles:
*** Well if they're still in the womb I wouldn't call them babies yet, but yeah, I want to protect them, and I think the law should change. But until it does, we have to deal with what it is, not what we want it to be.?
I don't believe you agree with that statement. Do you believe that American states should all recognize same sex unions? Or should the americans just accept the it the way it is?  If the law is one way, and you want it changed, it doesn't matter what the law is. Right is right, regardles sof law. Slavery is another example of where the law does not make it acceptable as a guideline.

Trust in the Lord:
Why is abortion wrong?

Crinkles:
*** Exodus 20:13. I think killing is wrong. Do I eat meat? Yeah. Do I swat bugs? Yeah. Does any of that make it right? No.
The killing of innocent people is vastly different that eating, or swatting flies. Would you agree in that?

Trust in the Lord:
Please continue. What are you saying makes a non human into a human if it's not the birthing?

Crinkles:
*** It's a process, and as I said before, I can't say exactly what it is that does it. It's like Tycho (I think) keeps saying: It's not so much a switch as it is a dial. It takes time.
I think this is kind of a given that people are having a tough time to describe the process of what makes a person a person. Can we accept that since this is a difficult task to come up with anything that is consistent, then it will leave room for error, and the killing of a human is possible. We can agree to that, right?

Trust in the Lord:
The doctor needs consent for any procedure unless the patient is unable to communicate their consent.

Crinkles:
*** Okay, so a woman goes in to get an abortion. The doctor has her consent, so why would he need to tell her the details?
A child cannot be operated on without a parent's consent.

Trust in the Lord:
If you're having some difficulty with this, would you agree that there will be the possibility that a human will be killed if the definition of human is legally wrong of what a human really is?

Crinkles:
*** Sure.
So then why is it ok to risk the lives of innocent humans?

Crinkles:
I've said more than once that I think abortion is wrong, but I still think it should be legal.
Why do you think it should be legal to kill innocent babies? Why shouldn't those babies have the same rights as other people?

Trust in the Lord:
If you can't define when someone is human, why can you define when it is ok and not ok to kill them? Why risk killing a human? What reasons are there to say a risk to kill humans are ok? This isn't for war, or to protect people from sinister people.

Crinkles:
*** I suppose it's ... not "okay", but more ... acceptable, if you will, to kill a human when the benefits thereby gained are greater than the cost. Had Hitler been killed in 1920, the benefits to the world would've been much greater than the cost of losing a human life (presuming he was human). Killing is wrong, but sometimes it's more beneficial than not killing.
I'm not talking about mass murderers, or evil dictators. I'm talking about an innocent child that has not wronged anyone. Could you explain how a child who is murdered will be better for society?

Trust in the Lord:
Quite simply, a living cell that dies of natural causes is not murder.

Crinkles:
*** If a pregnant woman begins practicing anorexia and the fetus dies, would you consider that a non-murder, given that the fetus died of natural causes?
It's still murder. Just like drinking and driving that results in the death of someone is still murder. With an illness that is some larger issues though. Mentally ill does not remove their guilt, but it does mean they are not fully in control of their actions like you or I would be.
Mr Crinkles
player, 209 posts
Catholic
Mon 23 Jun 2008
at 02:15
  • msg #215

Re: Doctor, it hurts when I do this:  Health care issues

Trust in the Lord:
Would it be fair to say that you don't know how to determine how long for each person, and as such there are bound to be mistakes in determining the correct time to give someone the rights given to all human beings?

*** Absolutely.

Trust in the Lord:
It's ok not to know something. We can't know everything there is about everything.

*** We ought to be able to.

Trust in the Lord:
A little out of context. We were talking about humans being human regardless of law. You'd agree that the law does not matter when it comes to human beings in determining if they should have protection. An example I gave is that slavery is not right because the law says so, right? Like you don't say slavery was good because it was legal, right?

*** No, see, I think the law does matter when you're talking about who can have protection and who can't. To use slavery, the law said that slaves had no protection, other than as property. Consequently, if I wanted to protect a slave, I'd have to do so within those boundaries. Now no, I don't agree that slavery as practiced in the U.S. was ever good in any way, shape, or form. But it was the law and needed to be worked within.

Trust in the Lord:
Do you believe that American states should all recognize same sex unions? Or should the americans just accept the it the way it is?  If the law is one way, and you want it changed, it doesn't matter what the law is. Right is right, regardles sof law. Slavery is another example of where the law does not make it acceptable as a guideline.

*** Yeah, I think every state ought to recognise any form of marriage between consenting adults. I'm not saying that the law makes something right or wrong, I'm saying that we have to operate within the boundaries we're given until the law does change.

Trust in the Lord:
The killing of innocent people is vastly different that eating, or swatting flies. Would you agree in that?

*** My Bible says, "Thou shalt not kill." Doesn't make distinctions. Unless I create a life, I don't believe I have the moral right to end it.

Trust in the Lord:
Can we accept that since this is a difficult task to come up with anything that is consistent, then it will leave room for error, and the killing of a human is possible. We can agree to that, right?

*** Sure.

Trust in the Lord:
A child cannot be operated on without a parent's consent.

*** What child is being operated on without parental consent?

Trust in the Lord:
So then why is it ok to risk the lives of innocent humans?

*** Becos my belief is that the certain benefits thereby gained are worth the possible costs.

Trust in the Lord:
Why do you think it should be legal to kill innocent babies? Why shouldn't those babies have the same rights as other people?

*** It ought to be legal becos if God gave people free-will, no human has the right to take it away.

Trust in the Lord:
I'm not talking about mass murderers, or evil dictators. I'm talking about an innocent child that has not wronged anyone. Could you explain how a child who is murdered will be better for society?

*** First off, not a child, or a baby, but a fetus. Second off, didn't say better for society. Was thinking more better for the mother in question. Exponentially may be better for society, but was comparing the mother only.

Trust in the Lord:
It's still murder. Just like drinking and driving that results in the death of someone is still murder. With an illness that is some larger issues though. Mentally ill does not remove their guilt, but it does mean they are not fully in control of their actions like you or I would be.

*** Didn't mention any mental illness, but why would it be murder? Fetus starved to death, or don't you consider that natural causes?
Bart
player, 303 posts
LDS
Mon 23 Jun 2008
at 04:09
  • msg #216

Re: Doctor, it hurts when I do this:  Health care issues

Mr Crinkles:
Trust in the Lord:
A child cannot be operated on without a parent's consent.
*** What child is being operated on without parental consent?

Actually, a "child" can be taken across state lines by an authority figure, such as an employee of a school district, to receive an abortion and the parents don't legally have to be informed.  That seems like a fairly significant operation being performed without parental consent to me.
Mr Crinkles:
My Bible says, "Thou shalt not kill." Doesn't make distinctions.

Yeah, well my Bible says "Alle de bud jeg gir dig idag, skal I akte vel pÃ¥ Ã¥ holde, forat I mÃ¥ leve og bli tallrike og komme inn i det land Herren har tilsvoret eders fedre, og ta det i eie."  Which, for most people, is just gibberish and so obviously the Bible is gibberish and shouldn't be trusted . . . say what?  Yes, the Bible does too make distinctions regarding killing.  It uses several different Hebrew words for different types of killing and lists various examples and hypothetical situations.

Just because your copy of the Bible lists four words in a verse doesn't mean that those four words can be taken to mean exactly what you want them to mean and hang whatever else anyone else says.  I mean, seriously, I just wrote like a few hundred word reply to you, Mr Crinckles, about this exact verse.  It's even in this thread.
This message was last edited by the player at 04:10, Mon 23 June 2008.
Trust in the Lord
player, 820 posts
No Jesus No Peace
Know Jesus Know Peace
Mon 23 Jun 2008
at 04:23
  • msg #217

Re: Doctor, it hurts when I do this:  Health care issues

I think it is crazy that a child could go through any procedure without parental consent. A child cannot legally sign anything, as they are not adults, and cannot be held to any contract.

Here's a quick link I found.
http://www.tmb.state.tx.us/rul...s/165%206%20form.pdf

I noted that it went into detail about the problems that could occur, and that every page must be initialed, as well as signing in a couple places.  I have a tough time imagining that an abortion wouldn't be detailed as to what is going on, plus having to explain the details so the patient can be aware of the issues that it could cause.
Bart
player, 306 posts
LDS
Mon 23 Jun 2008
at 04:36
  • msg #218

Re: Doctor, it hurts when I do this:  Health care issues

It varies by state.  Here's a list on how each of the states have currently ruled: http://www.positive.org/Resources/consent.html  Note, that although the laws differ by state, sometimes cases have existed where the minor was transported across state lines.  Theoretically, the "home state" still has claim on the minor and the minor must abide by the restrictions as placed by the home state.  But that's not always the case in reality, as we see in the courts.

Edit: Note, that transporting a minor in such a case is now a federal crime.
This message was last edited by the player at 04:41, Mon 23 June 2008.
Tycho
GM, 1489 posts
Mon 23 Jun 2008
at 09:42
  • msg #219

Re: Doctor, it hurts when I do this:  Health care issues

Trust in the Lord:
I get what you're trying to say. But it doesn't address the problem. If you do consider someone less than someone else, why would their rights be so vastly different? Treating one differently sounds fine when the difference between them is 18 years. But we're talking literally about minutes when the matter is between where they are in relation to a womb. One has 100% rights, and the other has 0%. There's nothing gradual in those rights. They are there, or they are not.

And that's what I'm arguing against.  You keep speaking as if I'm in favor of this 0% to 100% change over a few minutes, when I've stated over and over again now that I'm against that.

Trust in the Lord:
How much time? How old does a person have to be before they have value?

Now you've changed the question.  Before it was "how long until they're human."  They can have value at any age, whether its called human or not.  The question is how much value.  I think a fetus gains more and more value as it develops.  And has the value of a baby when its born, and the value of just about one sperm and one egg the moment its conceived.  The value increases gradually from one to the other over the course of 9 months.

Trust in the Lord:
But to answer your question, is your appendix human? Is your blood cells human? I'd agree with anyone they are from a human, but if they were taken out of your body, they would not be a human, right? Do we agree with that?

Yep, they would not be a human.
Trust in the Lord:
So if an egg, and a sperm are seperate, they are just part of a human, but they are not human on their own. Do we agree with that?

Not sure.  Depends on how you define human, I guess, which is the whole problem.  I think they are each an independant life form, in a way that an appendix or a blood cell isn't.

Trust in the Lord:
A sperm, and an egg join, and start to develop. When they combine, they literally create an unique DNA structure that is seperate and different than the mother the egg developed in. So from conception, we have a unique individual that is not the mother, or the father, even though parts from them are involved. Any other groups of cells will not be a seperate human being. Only the fertilized egg is seperate in DNA structure.

So DNA is what determines if you are a part of something, or an individual?  Seems to make sense, until you consider things like clones or twins.  Is one twin simply part of the other?  Is it okay for one twin to kill the other, since it doesn't have unique DNA?  What if by some cosmic cooincidence, the fertilized egg did end up with the exact same DNA as the mother (it is possible, though so unlikely as to never happen)?  Would it be different in that case to have an abortion?  I don't think DNA is really the issue here, as these examples hopefully show.

Also, keep in mind that each sperm and egg do have a unique set of DNA.  It's not a full set, you might say, but it is a unique half set.  All the eggs in a woman, and all the sperm in a man each have a different set of DNA.  They are all unique.

Trust in the Lord:
Ok, at what point should the baby in the womb be given any rights as a human? Even if it's just 5% of rights, what does 5% of rights look like? Is there an  easier number to work with? Like 50% of rights for a baby 4.5 months in the womb? What does 50% rights look like?

Okay, you keep going back to "human" when I keep telling you that's a red herring, because there's not an agreed upon definition, which is getting very frustrating.  It should be given some 'rights' from the get-go, I'd guess, just not very many.  At 5% of the way through development, it'd be a couple weeks old.  Right now it's a ball of cells, with a few 'layers', and is just attached to the uterine wall.  We tend not to give many rights to things that look like that, so it probably wouldn't get many rights.  None that compare very significantly to the rights of the mother, probably.  You might not be able to kill it for pure amusement (though we allow killing of bears, moose, and bison for that reason, and they're far more developed, so maybe you could), but you wouldn't need much justification to warrant killing it, probably.  At 50% development, its starting to look much more like a baby.  It has hands, feet, eyes, etc.  It has a heart beat, blinks, and will soon start making blood cells in its bone marrow.  Probably at this stage, it'd have rights similar to a monkey, or other small mammal?  You'd need some pretty good justification for killing it at this stage, and could incur some penalties for doing so (what are the legal penalties for killing a monkey?  I don't actually know).  I don't claim to have all the details all worked out.  What I'm suggesting is a new way of approaching the debate, not a final answer to the question.

Trust in the Lord:
Now for me, the idea is pretty bad either way.

To clarify, you're saying you don't find an abortion at 8.9 months any worse than one at 1 month?  Neither one seems any more objectionable to you?

Trust in the Lord:
I pointed it out earlier in this post about 50% human rights, and what that looks like. The 100% switch will always be there if the switch to 100% doesn't take effect until it is 100% and not any sooner even if 99%.

The switch from 99% to 100% is very different from a switch from 0% to 100%.  Can we agree to that, at least?

Trust in the Lord:
Ok, for the sake of the debate, at which point does it flip over to be given 100% rights, and what criteria do you use?

I would say 100% would probably start at birth.  PLEASE NOTE, however, that 99% would be before that, and would be largely indistinguishable from 100% rights.  I AM NOT SAYING that there should be no rights at all until 100%.

Trust in the Lord:
What qualities must one have to be human? I was responding to a direct statement and challenged what was being said about what was used as a guideline to determine those values.

You're still missing the point.  The qualilties one must meet to be human depend upon who is definining "human," which is why human/not human is the wrong way to think of it.  It's subjective.  You think it's human, Falkus thinks it's not, and you're both right under your own definition.  But the thing in question is the same in either case.  The qualities you think are needed to be human are different from those that Falkus thinks are necessary.  Which means that depending upon whose definition of human we use, humans should be granted different amounts of rights for simply being human.  In other words, your definition of human includes fetuses, Falkus' doesn't.  So, assuming for the moment, that there is a "right" answer to the amount of rights a fetus should have, whether we use your definition or Falkus will determine how much rights humans should have.  Which confuses the entire issue.  Instead of worry about whether its human or not, which is subjective, worry about what qualities it undeniably has:  limbs, eyes, a pulse, reproductive organs, bones, etc.  A single fertilized egg cell is qualitatively entirely different from an adult human.  To treat them as equal seems a bit absurd to me.  But that's what you're trying to do by labelling the single cell "a human."  You're intentionally trying to obscure the very real differences.  Likewise, when the otherside tries to enforce a definition of "not human" they're trying to obscure the similarities.  That's the trouble with trying to apply a single, yes/no label to it.  Instead of doing so, we should be dealing directly with the objective, observable qualities, and figuring out how similar or different to a baby the fetus actually is.  Not obscuring the similarities or differences to make a case for one side or the other, but rather being upfront and direct about them.  Saying, in your case, "I value this ball of 16 cells a great deal.  Not because it's equal to a person, but because it has qualities X, Y, and Z" and in the opposing case saying "I think this ball of 16 cells has less value than that of the woman's choice, not because it's not at all human, but because its lacks qualities A, B, and C."
Mr Crinkles
player, 211 posts
Catholic
Mon 23 Jun 2008
at 15:38
  • msg #220

Re: Doctor, it hurts when I do this:  Health care issues

Bart:
Actually, a "child" can be taken across state lines by an authority figure, such as an employee of a school district, to receive an abortion and the parents don't legally have to be informed.  That seems like a fairly significant operation being performed without parental consent to me.

*** I was asking Trust what child he was referring to when defending the idea that a doctor needs to inform an abortion patient of all the grotesque intricacies.

Bart:
Yes, the Bible does too make distinctions regarding killing.  It uses several different Hebrew words for different types of killing and lists various examples and hypothetical situations.

*** In other places, I agree, the Bible is different. But that verse is plain and simple, and to me, all killing is wrong. You don't have to agree with it, or like it, but it's what I believe.
Bart
player, 307 posts
LDS
Mon 23 Jun 2008
at 15:48
  • msg #221

Re: Doctor, it hurts when I do this:  Health care issues

So you'd argue for a vegetarian lifestyle?  I think I've sufficiently shown that vegetarianism is not a doctine espoused by the Bible.  Romans 2, I believe, even says that those who only eat herbs and won't eat meat are weak.  Romans 2 then goes on to give a commandment roughly analogous to telling LDS people (who believe that coffee is bad) that they shouldn't buy hot chocolate from Starbucks, as everyone who sees them drink it will assume that coffee was purchased.

You can maintain that the words "thou shalt not kill" are meant to apply to ever killing any life form for any reason, but I'm going to respectfully disagree with you.

Heck, maybe it really does mean "no killing" ipso facto and thus one should avoid making too much money on the stock market (making a killing on the market)?  Personally, I'm of the opinion that the verse (especially when considering the Hebrew sources that we have) has a slightly different meaning.  I can respect other opinions, but not when those opinions seem uninformed and uneducated.
Tycho
GM, 1494 posts
Mon 23 Jun 2008
at 15:59
  • msg #222

Re: Doctor, it hurts when I do this:  Health care issues

Out of curiosity, Bart, what are the situations when you think it's okay to kill people, and how do you tell when they are "murder" and when they aren't?  Also, do you think it's ever wrong to kill animals for food?  For example, would whale meat, or gorilla meat be wrong, in your opinion?  Do you think it's okay to kill animals for sport or entertainment?  I'm not necessarily disagreeing with your position, nor agreeing with Mr. Crinkles, I'm just curious how you determine which types of killings are okay, and which aren't.
Mr Crinkles
player, 213 posts
Catholic
Mon 23 Jun 2008
at 17:22
  • msg #223

Re: Doctor, it hurts when I do this:  Health care issues

Bart:
So you'd argue for a vegetarian lifestyle?

*** I'd argue that it's more moral, yes.
Bart
player, 309 posts
LDS
Mon 23 Jun 2008
at 18:54
  • msg #224

Re: Doctor, it hurts when I do this:  Health care issues

You know, the Bible wasn't written in English.  To attach so much importance to a single word from a single translation and then to boldly and fervently ignore everything that doesn't support your personal chosen interpretation seems somewhat flawed.

Do I think it's ok to kill for sport or entertainment or eat whale meat or gorilla meat or otherwise make blanket statements regarding killing?

I noted earlier that the Bible uses different words regarding animal sacrifice or killing an enemy combatant in battle or killing just for the heck of it.  I noted many (I still didn't note every) example of how meat was eaten in the Bible, both Old and New Testament.

Would the Levites have been fine with whale meat or gorilla meat?  Whale, probably, it's just a big fish, right?  Gorilla, I have no idea.  Am I personally ok with eating those things?  Well, I've never been presented with an opportunity to eat that meat.  In the interest of "being green", since these animals tend to be more endangered than, say, cattle, I likely wouldn't eat those things if I were presented with the opportunity.

Is it ever ok to kill another human being?  Self defense springs to mind.  Is the death penalty ok?  How do you feel about that?  When the blood of those unjustly killed cries from the ground for the blood of the killers in repayment?  Is that part of the Levitical eye for an eye that was superceded by Christ's payment, the Atonement that is the reason why the New Testament preaches something New and mainly differentiates itself from the Old Testament?  Or is that sort of punishment still required?

For some crimes, in some circumstances, in some cases, I think the death penalty is appropriate.  I think a big part of repentance is restitution.  But how does one pay restitution for an unjust killing or for rape or for anything else that restitution can't really recover?

Was that St. Augustine who first wrote the tracts on what makes a just war different from an unjust war?  Or was that St. Thomas of Aquinas or someone else, you know, I think they both wrote on that subject, although I could be confusing them with someone else.

However, to sum up, vegetarianism isn't supported by the Bible.  People just eat way too much meat throughout the whole thing.  Do I support a "kill them all and let God sort them out" philosophy?  Oh, Hell no.  Do I support cruelty to animals?  Again, Hell no.
Bart
player, 310 posts
LDS
Tue 24 Jun 2008
at 00:42
  • msg #225

Re: Doctor, it hurts when I do this:  Health care issues

Vegetables are the real evil!  We shold all avoid them like the plague in order to really be healthy!!!!!1111

http://members.dslextreme.com/...vegetable/index.html

quote:
I am vegephobic.  I hate vegetables.  They are foul-smelling, foul-tasting, and posessed of a texture that seems scientifically engineered to make me cringe.  I recoil at the very thought of having to eat vegetables.  In short, vegetables are evil.  And I suspect that many of you reading this page feel the same way.

Here we are, in the supposedly enlightened 21st Century, where we can buy any number of wondrous artifacts to make our lives easier and more pleasant, and can sue somebody just for looking at us funny.  Yet, despite all these advances, we are still bombarded from every direction with the message that we have to eat our vegetables, as though it's some moral duty we must all endure.

Well, I'm here to tell you: You don't have to eat vegetables!  You can get all the macronutrients you need from grain products, meat products, and dairy products.  You can get all the micronutrients you need from vitamin pills.  The alleged health benefits of having vegetables in your diet have been grossly exaggerated.  The instincive revulsion to eating those icky plants, which most of us have felt from early childhood, is there for a reason.


[[It's facetious, tongue-in-cheek, incredibly funny.]] ;)
Tycho
GM, 1497 posts
Tue 24 Jun 2008
at 13:26
  • msg #226

Re: Doctor, it hurts when I do this:  Health care issues

Bart, just to clarify, would you say that hunting for sport qualifies as "cruelty to animals?"  And if whales and gorillas were as populous as cattle, would you have any objection to people eating them?  Would you eat them yourself?  Perhaps something like dogs would be a better example, since they aren't endangered.  Does it bother you at all when people eat dogs?

Going back to the original topic a bit, would you say that the word used in the 10 commandments for "kill" might not apply to abortions, in the same way it doesn't apply to the death penalty, just wars, meat eating, etc.?
Bart
player, 312 posts
LDS
Wed 25 Jun 2008
at 03:07
  • msg #227

Re: Doctor, it hurts when I do this:  Health care issues

Hunting for sport seems really wasteful to me.  I mean, if you're going to eat the whole animal, then you're not just hunting for sport.  But to just hunt for the heck of it, to throw most of the animal away except for a trophy head that's maybe attached to a tropy skin/paws, that just seems really wasteful, really disrespectful of the animal.  For generations and generations, my ancestors have had a similar refrain, something along the lines of:

Use it up, wear it out.
Make it do, or do without.

You eat everything on your plate, because there are starving children somewhere, doncha know.  Younger kids always wear hand-me-downs and even the oldest child is probably wearing them.  Just because they've been outgrown is no excuse to throw away perfectly good clothing.  When the going gets tough, you get going and now that you've just walked 30 minutes home from school, wait outside for another 10 while the floor dries from being mopped and you be sure to take your shoes off when you come inside, so you don't track in dirt all over the place. ;)

It was a childhood were you're brought up to respect the hard work that other people have done (you always bus your own table if you're eating somewhere where you won't be leaving a tip and if something falls on the ground you don't just let it sit there for someone else to clean up, you get down and pick it up yourself).  I was brought up to not waste things and hunting just for sport seems about as disrespectful and wasteful as you can get.  Hunting for food, no, that's not really something that I have a problem with.  It's something that each person should consider for themselves whether not not they should do.

You know, my dad's parents (along with always having some ice cream ) always had half an elk or a few slabs of cow or something in one of the two freezers out on the porch.  They'd grown up in the Great Depression and my father was born shortly afterwards -- they always had about a years supply of food canned in the rock basement below the house just in case the economy went to shreds or the harvest weather was bad a couple years in a row or something.

I've never been hunting myself, mostly just because I was never presented with the opportunity, but I have no problem with anyone else hunting, as long as they're not just hunting for sport.

If whales and gorillas were as populous as cattle, would I have any objection to people eating them?  Whales?  No, I don't see why anyone would object to that, if whales were that populous.  /me shrugs.  I've never really heard of anyone but people like eskimos eating whale, so I think that's rather a really extreme example.  Gorillas?  I've only ever heard of anyone eating them in like that Indiana Jones movie or really old books or something.  It seems kind of creepy -- usually always in those old books it's the bad guy, the one who's about to kidnap the heroine which prompts the hero to swoop in and rescue her, who serves monkey brains steaming hot still in the brainpan of the head.

Does it bother me when people eat dogs?  What, I'm going to smack down the Orient?  If they want to eat dogs, as long as they're doing it in a humane way and killing the animal quickly then I don't really have a problem with it.

Cats?  I might have a problem with that, but that might just be because I like cats better than I like dogs.

People have been eating meat for millenia.  People ate meat all through both the Old and the New Testament.*  Who am I to suddenly say that nobody should eat any meat anymore when the nutritional dangers of an all-vegetarian diet are so easy to demonstrate in these modern enlightened days?

* Romans 2 -- those who eat meat are strong and those who only eat herbs are weak, but (to paraphrase the rest of the chapter) if your religion says that you shouldn't drink coffee, then you shouldn't go to a coffeehouse and order hot chocolate because then when people saw you they'd think you were drinking coffee, no matter how good hot chocolate might be for you. ;)
katisara
GM, 3079 posts
Conservative human
Antagonist
Wed 25 Jun 2008
at 12:00
  • msg #228

Re: Doctor, it hurts when I do this:  Health care issues

I think Tycho's point on whale and gorillas is these are intelligent animals.  Chimps have the intelligence of a 12-year-old.  They can learn to read and speak ASL, they can invent, seem to have a concept of self and an appreciation for their world.  They do art (some of which has been sold commercially).  Yet people kill them and eat them as meat.  I personally do object to that.  I object to killing gorillas as well.  Asking about whales doesn't really work because that category is very broad, and there are some whales which are probably pretty intelligent and some which perhaps aren't quite so much.
Bart
player, 313 posts
LDS
Thu 26 Jun 2008
at 17:32
  • msg #229

Re: Doctor, it hurts when I do this:  Health care issues

Are they?  Are they really intelligent creatures?  I don't know if chimps can really learn to speak ASL.

I've seen many dogs, whose owners are proud to have the dog show off a trick.  The owner will command, "Beg" or whatever and the dog will do one trick (not the right one).  "No, Fluffy, Beg."  The dog will do something else and be told again, "No, Beg, Fluffy."  Finally the dog will beg or whatever and the owner will reward the dog with a treat.  I'm always somewhat skeptical of this.  The dog hasn't really learned how to do a trick on command, the dog has learned that, when the owner starts saying things in that tone of voice, he should start running through various poses until he gets a treat.  I'm not saying that no dog can be trained, though, as I have seen dogs capable of doing quite marvelous tricks on command.  I'm just saying that the owner's desire to display the pet's ability to perform a trick might be clouding the owner's objective ability to see whether or not the trick was actually performed correctly.

When looking at Koko, at least half of her ASL seems to be gibberish.  She mimes things that she hopes will get the desired response.  Her keepers keep at whatever conversation they're trying to have until she runs through the gamut and the desired response is given.  I think Koko is somewhat similar to the Oracle of Apollo in bygone centuries.  The Oracle will spout what's mainly gibberish, then the priests, or Koko's keepers, will filter out the dross, interpret it and tell us what was really meant

http://forums.randi.org/showthread.php?t=65071
quote:
I'm continually surprised to discover how many educated and informed people believe that gorillas and chimps have been taught sign language.

Yes, some primates have been taught to make gestures, and to get what they want by using them, but this is a trivial trick that can be done with all sorts of animals.

Truth is, no gorilla or chimp has ever been taught sign language, or any sort of language.

To be clear, language is not just any set of agreed-upon calls. Many animals use calls and signals.

A language consists of a socially-agreed-upon (and inevitably evolving) set of arbitrary symbols (e.g., crying is not a component of language) coupled with a set of grammatical rules which allow these symbols to be combined in an infinite variety of unique and meaningful expressions.

Screaming "Aaaah, aaaah, aaaah!" is communication (depending on how it's inflected, it could mean "I'm extremely frightened" or "I'm ecstatically excited") but it is not language.

Language allows us to invent previously unimagined communications, like George Carlin's example "I'm going down to the softball field and beat up Hitler's widow". Even though we've never heard this combination of words, and even though it describes something unreal, we nevertheless understand it. That's the power of language.

The rules of grammar also disallow certain constructions. For example, the phrase "Car got ride over crash yesterday the for vanity" is not a valid English construction -- it holds no meaning.

So take a look at this "interview" with the most famous of the simian signers, Koko the gorilla, and see what you think.  http://www.koko.org/world/talk_aol.html  This is from the researchers' own site. It is the best they can do.  It's no wonder that these simian sign researchers are so protective of their data.

http://www.ling.upenn.edu/cour...ing001/lecture9.html
quote:
One of the most damning critiques of the claims of the early primate sign language researchers, which is reported in Pinker, comes from a deaf signer on the team that worked with Washoe -- the only person on that team who was a native speaker of the ASL that they were supposed to be teaching the chimp:

Every time the chimp made a sign, we were supposed to write it down in the log ... they were always complaining because my log didn't show enough signs. All the hearing people turned in logs with long lists of signs. They always saw more signs than I did ... I watched really carefully. This chimp's hands were moving constantly. Maybe I missed something, but I don't think so. I just wasn't seeing any signs. The hearing people were logging every movement the chimp made as a sign. Every time the chimp put his finger in his mouth, they'd say "Oh, he's making the sign for drink," and they'd give him some milk ... When the chimp scratched itself, they'd record it as the sign for scratch ... When [the chimps] want something, they reach. Sometimes [the trainers would] say, "Oh, amazing, look at that, it's exactly like the ASL sign for give!" It wasn't.
It is also telling that they use sign-counts, guided "interviews" and other such methods to "test" the animals.

If I claimed to have taught my nephew Spanish, there would be a simple way to test this -- have him sit down with a native speaker and have a conversation.

Yet this is never done.

The whole thing is a hoax. These animals are not using language.

There are many cases of non-scientists abusing science in order to perpetrate hoaxes, such as Intelligent Design, and pass them off as science. But it is rare for funded researchers to do it themselves, although a few have appeared in Randi's commentaries.

Not many people have heard about Sheldrake, for example. But the notion that "apes have been taught to talk in sign language" is a highly pervasive meme.

katisara
GM, 3086 posts
Conservative human
Antagonist
Thu 26 Jun 2008
at 17:53
  • msg #230

Re: Doctor, it hurts when I do this:  Health care issues

I'm sure you've heard of Alex the parrot (if not, google him), an African grey parrot.  He could identify up to 50 different objects and could count up to 6.  It was clear he understood the words, because when presented with them, he would correctly identify them on the first or second try, and also could be tested on topics like size, color, etc.  You can watch the videos online for yourself.

Koko isn't generally cited as anything special.  She's unique primarily because of the amount of publicity she's gotten, as mountain gorillas are more threatened as a species than chimps.  However, there's an example of Kanzi the bonobo who was able to, on command, communicate sentences.  Again, there are videos online.  And regardless as to whether you think they understand what they're doing or not, they clearly are more intelligent than an infant, who can't even stop hitting himself in the head.

Really though, if you accept evolution, there is nothing about this which should be really surprising.  How can we have this level of intelligence, without some species predating us having close to, but slightly less?
Bart
player, 315 posts
LDS
Thu 26 Jun 2008
at 18:54
  • msg #231

Re: Doctor, it hurts when I do this:  Health care issues

/me shrugs.  Like I said, I don't eat gorillas as I've never had the opportunity, since nobody that I know eats gorillas.  I don't think the Bible specifically prohibits eating gorilla, but I'm not a Levitical food expert.  I do think that the Bible supports eating meat, given previous discussions.

I guess I'll have to "confine" myself to eating the same meat that I ordinarily eat nowdays -- various types of fish and cows and pigs.
katisara
GM, 3088 posts
Conservative human
Antagonist
Thu 26 Jun 2008
at 19:37
  • msg #232

Re: Doctor, it hurts when I do this:  Health care issues

The bible isn't the best place to look because the Jews didn't encounter gorillas until well after the death of Jesus.  However, the bible does forbid the eating of dolphins.
Tycho
GM, 1504 posts
Fri 27 Jun 2008
at 09:07
  • msg #233

Re: Doctor, it hurts when I do this:  Health care issues

And shell fish!

My original point, though (and I'm not sure I've been very successful at making it), was trying to show that there are somethings that even though they aren't specifically mentioned in the bible, people think it's wrong to kill them.  Bart seemed to be taking "the bible doesn't say it's good to be vegetarian, therefore its bad to be one" or something along those lines.  I guess if his only reason for not eating chimps is lack of opportunity, maybe he really does live by that sort of rule, and my attempt to show otherwise falls flat.

Anyway, given that, I think perhaps the more fruitful path to take would be to go back to the issue of confusion over what "kill" means in the OT.  Given that it apparently doesn't mean "killing a person in self defense, or in a war, or a number of other permissiable situations," would you say it's possible, Bart, that it also might not mean "kill a fetus?"  Could the "thou shalt not kill" rule not apply to abortion, for similar reasons that it doesn't apply to other forms of killing that you do think are permitted? (eg, it's not "murder" but some form of legitimate, non-murder type killing?)
Vexen
player, 239 posts
Fri 27 Jun 2008
at 09:21
  • msg #234

Re: Doctor, it hurts when I do this:  Health care issues

A bit of a tangent, but something that reminded me of this discussion. Just a point of interest, really.

http://www.guardian.co.uk/worl...s&feed=worldnews
Seems Spain has given great apes the full rights and privledges usually reserved for humans alone.
Tycho
GM, 1506 posts
Fri 27 Jun 2008
at 09:32
  • msg #235

Re: Doctor, it hurts when I do this:  Health care issues

Wow!  I hand't heard of that!  Interesting stuff!
katisara
GM, 3090 posts
Conservative human
Antagonist
Fri 27 Jun 2008
at 10:37
  • msg #236

Re: Doctor, it hurts when I do this:  Health care issues

That's okay, Spain doesn't give it's people a lot of rights :P

Truthfully though, quite silly.  Now I guess it's just a matter of time before someone sues a zoo saying they're keeping a chimp there against its will as its kidnapping.
Bart
player, 317 posts
LDS
Fri 27 Jun 2008
at 14:25
  • msg #237

Re: Doctor, it hurts when I do this:  Health care issues

Tycho:
Bart seemed to be taking "the bible doesn't say it's good to be vegetarian, therefore its bad to be one" or something along those lines.

No, Bart is specifically taking the "the Bible says that those who only eat herbs and don't eat meat is weak, pretty much all the ancient prophets ate meat, bunches of regular people ate meat, I really don't see the problem with eating meat" tact.
Mr Crinkles
player, 223 posts
Catholic
Fri 27 Jun 2008
at 16:33
  • msg #238

Re: Doctor, it hurts when I do this:  Health care issues

Bart:
Tycho:
Bart seemed to be taking "the bible doesn't say it's good to be vegetarian, therefore its bad to be one" or something along those lines.

No, Bart is specifically taking the "the Bible says that those who only eat herbs and don't eat meat is weak, pretty much all the ancient prophets ate meat, bunches of regular people ate meat, I really don't see the problem with eating meat" tact.

*** Which is a completely valid point, and one I don't (in practice) disagree with. I don't say eating meat (cows, pigs, birds, fish, bugs if you want 'em) is sinful, but I do think it's wrong. Not going to stop me from eating meat, and I'm certainly not going to try and get anyone else to stop, but it will (as I think of it) make me feel guilty about it.
Tycho
GM, 1511 posts
Sat 28 Jun 2008
at 10:05
  • msg #239

Re: Doctor, it hurts when I do this:  Health care issues

Bart:
Tycho:
Bart seemed to be taking "the bible doesn't say it's good to be vegetarian, therefore its bad to be one" or something along those lines.

No, Bart is specifically taking the "the Bible says that those who only eat herbs and don't eat meat is weak, pretty much all the ancient prophets ate meat, bunches of regular people ate meat, I really don't see the problem with eating meat" tact.

But if I'm hearing you right, you're not just saying "I don't see a problem with eating meat" but rather "I do see a problem with not eating meat," yes?

Though we're getting off track here, my thoughts on the matter are that while it's not necessarily wrong to eat meat, not eating meat means your actions result in the death of fewer animals.  I personally find some value in that.  Given a choice, with all else being the same, would you at least agree it's better not to kill something than to kill it?  If so, how far from "all things being the same" do you have to get for that not to be true?  If someone eats meat only because it tastes good, is that a good enough reason to kill something?  To me, that's not all that different from hunting for sport--it's killing purely for enjoyment.  If you can live a healthy life without eating meat (and I think enough people have done so that it's hard to argue that you can't), then not doing so, in my view, is killing things for enjoyment.  You can debate whether or not that's a sin, but I hope you can at least see why someone might be of the opinion that it's better to not do that.
Bart
player, 321 posts
LDS
Sat 28 Jun 2008
at 20:53
  • msg #240

Re: Doctor, it hurts when I do this:  Health care issues

Because, as I and others here outlined a few times before, it's much healhier to eat meat. ;)  Vegetarian diets (especially vegan diets) just aren't as healthy as omnivorous diets, especially for young growing children.
Falkus
player, 495 posts
Sun 29 Jun 2008
at 02:04
  • msg #241

Re: Doctor, it hurts when I do this:  Health care issues

Because, as I and others here outlined a few times before, it's much healhier to eat meat. ;)  Vegetarian diets (especially vegan diets) just aren't as healthy as omnivorous diets, especially for young growing children.

I was under the impression that proper vegetarian diets resulted in longer average life expectancies, lower rates of cancer and heart disease and lower rates of obesity.
Tycho
GM, 1512 posts
Sun 29 Jun 2008
at 09:51
  • msg #242

Re: Doctor, it hurts when I do this:  Health care issues

Bart:
Because, as I and others here outlined a few times before, it's much healhier to eat meat. ;)  Vegetarian diets (especially vegan diets) just aren't as healthy as omnivorous diets, especially for young growing children.


Is the healthiest thing always the most moral?  An example might be red wine.  Many studies have shown that red wine in moderation has numerous beneficial health effects.  But it's a no-no for LDSers, right?  Would you think it was okay for an LDSer to drink red wine, and then say "it's healthier to drink it than not to?"

Another question might be:  do you argue against "typical american" diets, as you do against vegetarian ones?  I think it's pretty clear the average american omnivore eats far less healthy than the average american vegetarian, but you seem far more concerned about the downsides of vegetarianism to me.  Any reason?
Mr . Wiggles
player, 44 posts
All things being equal...
The not crazy is true
Sun 29 Jun 2008
at 10:01
  • msg #243

Re: Doctor, it hurts when I do this:  Health care issues

Tycho, your expanding his points into other areas and forcing to defend an other position.
Trust in the Lord
player, 828 posts
No Jesus No Peace
Know Jesus Know Peace
Sun 29 Jun 2008
at 20:12
  • msg #244

Re: Doctor, it hurts when I do this:  Health care issues

I was always under the impression the beneficial effects from red wine are more effective when you just eat the grapes as is, rather than waiting for them to ferment. I wonder if there is even more benefit to drinking grape juice compared to red wine.

Over all, I'd have to say that vegetarians appear to live longer more healthy lives.
Bart
player, 323 posts
LDS
Mon 30 Jun 2008
at 02:16
  • msg #245

Re: Doctor, it hurts when I do this:  Health care issues

Bart:
Tycho:
Bart seemed to be taking "the bible doesn't say it's good to be vegetarian, therefore its bad to be one" or something along those lines.
No, Bart is specifically taking the "the Bible says that those who only eat herbs and don't eat meat is weak, pretty much all the ancient prophets ate meat, bunches of regular people ate meat, I really don't see the problem with eating meat" tact.

Tycho:
Is the healthiest thing always the most moral?  . . . Would you think it was okay for an LDSer to drink red wine, and then say "it's healthier to drink it than not to?"

Bart:
I'm specifically taking the "the Bible says that those who only eat herbs and don't eat meat is weak, pretty much all the ancient prophets ate meat, bunches of regular people ate meat, I really don't see the problem with eating meat" tact.

In addition to the above, which is (of course) the primary factor . . .
quote:
It's much healhier to eat meat. ;)  Vegetarian diets (especially vegan diets) just aren't as healthy as omnivorous diets, especially for young growing children.

Before I go any further and respond to your assertions as to why that diet is more healthy, I want you to respond to my previous post outlining why a vegetarian diet is not healthier than a good omniverous diet.

As you point out, the "typical American diet" is pretty much crap, but I never stated that the typical American eats well.  I think the obesity level speaks on that issue.  What I have said is that a vegetarian diet is not the most healthy diet -- an omniverous diet is more healthy and (since I don't have a problem with eating basic meat) I thus advocate that people not be vegetarians.
Falkus
player, 498 posts
Mon 30 Jun 2008
at 02:22
  • msg #246

Re: Doctor, it hurts when I do this:  Health care issues

hat I have said is that a vegetarian diet is not the most healthy diet -- an omniverous diet is more healthy and (since I don't have a problem with eating basic meat) I thus advocate that people not be vegetarians.

http://www.ajcn.org/cgi/content/full/70/3/516S

According to the studies, that's not true.
Bart
player, 324 posts
LDS
Mon 30 Jun 2008
at 02:52
  • msg #247

Re: Doctor, it hurts when I do this:  Health care issues

Still waiting for a response to the health benefits that I noted earlier, especially in young growing children who need more of certain vitamins than adults. ;)
Bart
player, 326 posts
LDS
Mon 30 Jun 2008
at 03:10
  • msg #248

Re: Doctor, it hurts when I do this:  Health care issues

In an unrelated health care issue . . . two articles recently caught my attention.


http://www.news-medical.net/?id=39527 Red Cross says African AIDS epidemic equates to a disaster -- According to a new study by the Red Cross the AIDS epidemic in southern Africa is so severe that it should be classed as a disaster comparable to floods or famine.

http://www.news-medical.net/?id=39532 Workshop aims to help Muslim leaders in Yemen address HIV/AIDS, reduce stigma -- [[Some groups in and working in]] Yemen, recently held a three-day workshop for 25 Muslim religious leaders and health guides aimed at reducing HIV/AIDS-associated stigma and discrimination.

If there's a disease whose effects have been so sweeping and so severe that it should be classified as a disaster comparable to floods or famine yet is pretty much solely spread through consensual sexual activities, I don't see why they wouldn't want to increase the "fear" of it.  It seems increasing the Christian/Muslim message of "Don't have sex except with your spouse" would help to curtail the spread of the disease.  If mandatory testing was required before any marriage license would be granted and if couples would stay true to each other, AIDS could largely be removed in a generation.  It really doesn't matter whether the message is largely based on Christianity or the Muslim religion -- they both teach the same thing in this instance.

Instead we have cases like where people believe that sex with a virgin can cure AIDS so people with AIDS are encouraged to have sex with virgins.  What in the world . . . we at least need better education if not a healthy dose of morality? ;)

The first article quoted ends with:
quote:
Experts have called on governments to face up to the issue by tackling stigma, improving research and community care and guaranteeing clean, safe water and sanitation and campaigners are also calling for more targeted support to help sufferers.

How does any of that help prevent new AIDS cases?  Great, clean safe water and sanitation.  I'm all for that.  I'm willing to spend money to help that.  But how in the world does that help prevent new AIDS cases?  Seriously?
Tycho
GM, 1514 posts
Mon 30 Jun 2008
at 08:58
  • msg #249

Re: Doctor, it hurts when I do this:  Health care issues

Bart:
Before I go any further and respond to your assertions as to why that diet is more healthy, I want you to respond to my previous post outlining why a vegetarian diet is not healthier than a good omniverous diet.

I never said it was.  I said something more like "so what if it is more healthy?  Doesn't morality come into it at all?"  I think its somewhat debatable as to what the healthiest diet is, though I think it's pretty clear that a vegetarian one is better than the vast majority of people are doing, so it seems hard to fault it on the health angle.  Even if it's not the very best, it seems to be up there.  But even if it weren't, for me, at least, its not a health issue so much as a moral issue.  All other factors being equal, I think it's better not to kill something than to kill it.  And when other factors aren't equal (as you're asserting), I think the benefits of killing it have to be weighed with the moral value of not killing something.  At very worst, by being vegetarian I'm sacrificing a small bit of my health in order that a large number of animals don't get killed.  You may not think that trade is worth it, but I can't really see why you find it so offensive.

Bart:
As you point out, the "typical American diet" is pretty much crap, but I never stated that the typical American eats well.  I think the obesity level speaks on that issue.  What I have said is that a vegetarian diet is not the most healthy diet -- an omniverous diet is more healthy and (since I don't have a problem with eating basic meat) I thus advocate that people not be vegetarians.

Yes, which I find strange.  It's one thing to advocate for the healtiest diet, but it's another to advocate against another healthy-but-not-quite-the-best diet.  This is why I asked you why you seem to talk much more about not being a vegetarian than you do about having the "ideal" diet.  It seems like you're more "anti-vegetarian" from what you say, than it does that you're "pro-occasional-meat-diet" of whatever you want to call it.

Out of curiosity, how "occasional" is occasional in your mind?  How many meals a week do you eat meat?

To a degree, though, it seems like we're not likely to come to much agreement on this.  It sounds like you put no value on non-human life of any sort, and my position is based on assuming some value for it.  If all animals are nothing more than potential food on your eyes, I can see why you would think all vegetarians were silly.
Tycho
GM, 1515 posts
Mon 30 Jun 2008
at 09:22
  • msg #250

Re: Doctor, it hurts when I do this:  Health care issues

Bart:
If there's a disease whose effects have been so sweeping and so severe that it should be classified as a disaster comparable to floods or famine yet is pretty much solely spread through consensual sexual activities, I don't see why they wouldn't want to increase the "fear" of it.

Because fear causes irrational behavior.

Bart:
It seems increasing the Christian/Muslim message of "Don't have sex except with your spouse" would help to curtail the spread of the disease.

Yeah, it'd seem like it.  Unfortunately, in practice it doesn't seem to be working.  You see this with abstinence-only sex-ed in the states.  What people need is facts, so that they're more likely to make better decisions, even when they're not making the best decisions.  The unfortunate fact is that christians and muslims, despite their religious teachings, still have sex outside of marriage.  If the only message they've ever heard about that is "don't do it," they're not likely to use protection, or do anything to reduce the risk of spreading diseases when they do.  Yes, if we could get everyone to only have sex with their spouse, that would largely solve the AIDS problem.  However, just making people afraid of AIDS, and telling them they'll go to hell if they cheat hasn't been going a very good job of getting them to do that.  People aren't having sex with more than one person because they aren't familiar with the christian or muslim position on it.  These people know what the bible or the koran says about sex.  Hearing it a few more times isn't likely to change their behavior much.

Bart:
If mandatory testing was required before any marriage license would be granted and if couples would stay true to each other, AIDS could largely be removed in a generation. 

Two very big IFs, and I'm not sure it would work even then.  People who don't get married still have sex, and can still spread AIDS.  More importantly, though, the "if couples would stay true to each other" part just isn't happenning right now.  Again, these people know the religions message on that, and they cheat anyway.  Not because they haven't heard the message, but because they're fallible human beings, who sometimes do things they know they shouldn't.  If that weren't the case, there wouldn't be much of an AIDS problem to begin with.  Its pointless to base your strategy on an assumption of a certain type of behavior, when you know for a fact that type of behavior isn't what's going on in reality.

Bart:
Instead we have cases like where people believe that sex with a virgin can cure AIDS so people with AIDS are encouraged to have sex with virgins.  What in the world . . . we at least need better education if not a healthy dose of morality? ;)

Yes, and education is part of reducing the stigma.  If people are too embarrassed by the disease to seek help, they're going to act on absurd rumors like this instead of finding out how they should really be acting.  If there's a huge stigma attached to the disease, people aren't going to want to learn about it.  They'll shun every mention of it, and try to avoid learning about it as much as they can--"Oh, I don't need to know about that!  I'm not the kind of person who would get that!"  There's nothing in the bible or koran that tells you that sex with a virgin won't cure AIDS, nor is there anything in the bible or koran telling them how to act once they get AIDS.  Like you say, what they need is education, and that's what the article was talking about.

Bart:
The first article quoted ends with:
quote:
Experts have called on governments to face up to the issue by tackling stigma, improving research and community care and guaranteeing clean, safe water and sanitation and campaigners are also calling for more targeted support to help sufferers.

How does any of that help prevent new AIDS cases?  Great, clean safe water and sanitation.  I'm all for that.  I'm willing to spend money to help that.  But how in the world does that help prevent new AIDS cases?  Seriously?

Perhaps their goal is more than just preventing new cases of AIDS, but rather improving the quality of life in a region hit by a disaster overall?  Tackling stigma can help reduce new cases of AIDS, by helping people make better, more rational decisions, such as admitting they have AIDS, and not trying to hide it, or get rid of it by having sex with virgins, etc.  Improving research will help people know how to make the biggest impact in a given place (eg, one place might need more condoms, one place might need more education, one place might need something else, etc.).  Community care is needed by those who have AIDS.  While reducing new cases is crucial, caring for existing cases is still important.  Clean water and sanitation improve the lives of all in the region, and increase overall health.  It's probably cheaper and easier to improve health in a region by providing clean drinking water, and thus we shouldn't skip that just because AIDS is scarier.  It does little good to prevent new AIDS cases if people are going to die from lack of water first anyway.
Falkus
player, 500 posts
Mon 30 Jun 2008
at 12:14
  • [deleted]
  • msg #251

Re: Doctor, it hurts when I do this:  Health care issues

This message was deleted by the player at 14:26, Mon 30 June 2008.
Trust in the Lord
player, 833 posts
No Jesus No Peace
Know Jesus Know Peace
Mon 30 Jun 2008
at 23:31
  • msg #252

Re: Doctor, it hurts when I do this:  Health care issues

When it comes to sex ed training, I'm under the impression that teaching how to use condoms to be "safe" isn't very effective. I would think abstinence only programs must be better than teaching "safe sex".

My reasons for this would be since sex ed training how shown safe sex, std's and early teen pregnancies have increased, not decreased.

My next point would be that "safe sex" is not very safe when the chance of catching a STD from a partner is not removed, but only diminished. Kind of like Russian roulette. I think safe sex gives the impression it is now a safe activity.
Falkus
player, 503 posts
Tue 1 Jul 2008
at 00:50
  • msg #253

Re: Doctor, it hurts when I do this:  Health care issues

When it comes to sex ed training, I'm under the impression that teaching how to use condoms to be "safe" isn't very effective. I would think abstinence only programs must be better than teaching "safe sex".

According to the 2004 congressional study on sex ed, abstinence only programs consist primarily of lies, significantly misrepresenting the failure rate of contraceptives, misrepresenting STD transmission rates, lying about the effects of abortions, using stereotypical gender roles as fact, and general scientific errors.

And the 2007 congressional study indicated that middle school students who took part in abstinence only programs were just as likely to have sex as ones who don't.

The numbers don't back up your claims, abstinence only programs are not effective, and are, in fact, dangerous, since they essentially tell teenagers not to use condoms when they do have sex.

My next point would be that "safe sex" is not very safe when the chance of catching a STD from a partner is not removed, but only diminished. Kind of like Russian roulette. I think safe sex gives the impression it is now a safe activity.

Teenagers are going to have sex. There is absolutely nothing you or anyone else can do to stop this.
This message was last edited by the player at 00:53, Tue 01 July 2008.
Trust in the Lord
player, 834 posts
No Jesus No Peace
Know Jesus Know Peace
Tue 1 Jul 2008
at 02:38
  • msg #254

Re: Doctor, it hurts when I do this:  Health care issues

Falkus:
When it comes to sex ed training, I'm under the impression that teaching how to use condoms to be "safe" isn't very effective. I would think abstinence only programs must be better than teaching "safe sex".

According to the 2004 congressional study on sex ed, abstinence only programs consist primarily of lies, significantly misrepresenting the failure rate of contraceptives, misrepresenting STD transmission rates, lying about the effects of abortions, using stereotypical gender roles as fact, and general scientific errors.
Could you be specific about what abstinence education is lying about?

Falkus:
And the 2007 congressional study indicated that middle school students who took part in abstinence only programs were just as likely to have sex as ones who don't.
However, by your own point, if the current abstinence program is based on lies, wouldn't one that speaks of the truth be more effective?


Falkus:
The numbers don't back up your claims, abstinence only programs are not effective, and are, in fact, dangerous, since they essentially tell teenagers not to use condoms when they do have sex.
I have to disagree. By the very nature of abstinence, it is far more effective at reducing std's, unplanned pregnancies, and undesirable abortions. A program that is truthful, and effective would make more sense than teaching that sex with a condom while not "safe" is better than not using a condom.

Falkus:
My next point would be that "safe sex" is not very safe when the chance of catching a STD from a partner is not removed, but only diminished. Kind of like Russian roulette. I think safe sex gives the impression it is now a safe activity.

Teenagers are going to have sex. There is absolutely nothing you or anyone else can do to stop this.

Teaching them sex ed isn't lowering std rates, nor pregnancy rates. They are increasing since sex ed was started. What is the goal? To reduce the number of std's, and teenage pregnancies, or to increase?

Teenagers aren't monkeys, and do it just because they are animals. They are able to understand and hold on to difficult concepts. Yes they have lots of hormones, but with focus and education, they can be like any other person with the ability to decide what is best, just like any other adult.
Falkus
player, 504 posts
Tue 1 Jul 2008
at 02:56
  • msg #255

Re: Doctor, it hurts when I do this:  Health care issues

Could you be specific about what abstinence education is lying about?

Um. I was very specific. It misrepresents the failure rate of contraceptives, STD transmission rates, the effects of abortions, gender roles, and general scientific errors.

However, by your own point, if the current abstinence program is based on lies, wouldn't one that speaks of the truth be more effective? 

Since the truth is that contraceptives are effective, abortions do not cause sterility and that condoms are fairly effective in preventing HIV transmission, I can't imagine it would have the effect you want it to.

Abstinence only educators lie because the truth supports safe sex education.

I have to disagree. By the very nature of abstinence, it is far more effective at reducing std's, unplanned pregnancies, and undesirable abortions. A program that is truthful, and effective would make more sense than teaching that sex with a condom while not "safe" is better than not using a condom.

Except that teenagers don't listen to people telling them to abstain from sex.

Teaching them sex ed isn't lowering std rates, nor pregnancy rates. They are increasing since sex ed was started. What is the goal? To reduce the number of std's, and teenage pregnancies, or to increase?

In the same time frame, the number of abstinence-only sex education courses have also been increasing in the United States.

Abstinence only education has no effect whatsoever on the sexual activities of teenagers.

Teenagers aren't monkeys, and do it just because they are animals.

No, they do it because sex is a very pleasurable activity.

Yes they have lots of hormones, but with focus and education, they can be like any other person with the ability to decide what is best, just like any other adult.

And, let me throw out a wild guess here, best is your Christian code of morality and your code of ethics.

Have you ever considered that perhaps people should be allowed to choose for themselves what they want to believe and do?
This message was last edited by the player at 02:57, Tue 01 July 2008.
Trust in the Lord
player, 835 posts
No Jesus No Peace
Know Jesus Know Peace
Tue 1 Jul 2008
at 03:57
  • msg #256

Re: Doctor, it hurts when I do this:  Health care issues

Falkus:
Could you be specific about what abstinence education is lying about?

Um. I was very specific. It misrepresents the failure rate of contraceptives, STD transmission rates, the effects of abortions, gender roles, and general scientific errors.
No, I meant specifics. Like what the abstinence progeam is teaching, and how much of a difference is there in the actual falure rate compared to the rate being taught. Etc.

Falkus:
However, by your own point, if the current abstinence program is based on lies, wouldn't one that speaks of the truth be more effective? 

Since the truth is that contraceptives are effective, abortions do not cause sterility and that condoms are fairly effective in preventing HIV transmission, I can't imagine it would have the effect you want it to.
Condoms are effective? The failure rate is pretty terrible. I think you'll find most people with stories of how they have broken or slipped off, simply failed, etc. As it stands, the number do speak of male condoms of 10-15% failure rate when used. Some of that is human error, but we cannot remove human error from the equation.


I'm not sure if you think abortion will not ever cause sterility, or if you mean the chance is low, but abortion does have some very bad possible complications.
http://www.awtpcc.org/ClientPages/abortion_info.htm

Literally, abortions are a risky operation for the mother, and worse for the baby.

HIV transmission and condom failure has been said to be 10%. 1 in 10 chance of catching HIV doesn't seem acceptable to me. http://www.thebody.com/content/art28493.html

Falkus:
Abstinence only educators lie because the truth supports safe sex education.
I'm not convinced yet they do lie. So far you've satted they lie, but not how they go about it. Do they use different studies? Do they actually just double numbers and purposely lie? Do they apply the numbers in a way not used by others, but apply it in a practical way?

Look at this way Falkus. You've said some things, and even though you believe it is true, it doesn't match up with all other views. Does mean you're lying, or looking at it differently then others?

Falkus:
I have to disagree. By the very nature of abstinence, it is far more effective at reducing std's, unplanned pregnancies, and undesirable abortions. A program that is truthful, and effective would make more sense than teaching that sex with a condom while not "safe" is better than not using a condom.

Except that teenagers don't listen to people telling them to abstain from sex.
Why not? How do you know? 100% of teens are not sexually active. The issue is how to reach them. I think an effective program for abstinance is much better than a program that will teach that sex is safe, and that they will have sex. Maybe the difference here is what the goal is. My mindset is that teens don't need to have sex, and that goal is the best for them mentally and physically.

Falkus:
Teaching them sex ed isn't lowering std rates, nor pregnancy rates. They are increasing since sex ed was started. What is the goal? To reduce the number of std's, and teenage pregnancies, or to increase?

In the same time frame, the number of abstinence-only sex education courses have also been increasing in the United States.
You mean the lying abstince courses are increasing, right? So far, I am in agreement that increasing sex ed, or poor lying courses are not helping teens in the prevention of STD's or pregnancy.

Falkus:
Abstinence only education has no effect whatsoever on the sexual activities of teenagers.
But you're stating that abstinance only programs are taught by liars. So far, that means effective truthful abstinance courses could be effective, but currently we do not have any evidence of the effect.

Falkus:
Teenagers aren't monkeys, and do it just because they are animals.

No, they do it because sex is a very pleasurable activity.
??


Falkus:
Yes they have lots of hormones, but with focus and education, they can be like any other person with the ability to decide what is best, just like any other adult.

And, let me throw out a wild guess here, best is your Christian code of morality and your code of ethics.
As opposed to you thinking your moral code is wrong, and poor ethics? I think it's reasonable that we live by our morals and ethics because we do find that appropriate. Though when I became a christian, my moral codes and ethics did change away from my previous life.

Falkus:
Have you ever considered that perhaps people should be allowed to choose for themselves what they want to believe and do?
I don't quite follow this from the statement I gave. Is this based on prebvious conversations, or something you have picked up from others?
Bart
player, 327 posts
LDS
Tue 1 Jul 2008
at 08:20
  • msg #257

Re: Doctor, it hurts when I do this:  Health care issues

Falkus:
And the 2007 congressional study indicated that middle school students who took part in abstinence only programs were just as likely to have sex as ones who don't.

But was religion featured in it?  Just telling young people, "Don't have sex" doesn't work well by itself.  They're going to ask "why?"  Most teenagers feel immortal anyway, they feel that those bad things won't happen to them.  But if the abstinence-only programs were backed by religion . . . perhaps that would affect how things turned out?
Tycho
GM, 1519 posts
Tue 1 Jul 2008
at 09:12
  • msg #258

Re: Doctor, it hurts when I do this:  Health care issues

http://www.washingtonpost.com/...AR2007041301003.html
http://www.advocatesforyouth.o...valuations/index.htm
(note that this actually says that teenage birth rates and pregnancies in the US have been dropping since 1991)
http://en.wikipedia.org/wiki/A...e-only_sex_education
(note in particular: "Abstinence-only education has been criticized in official statements by the American Psychological Association,[15] the American Medical Association,[16] the National Association of School Psychologists,[17] the Society for Adolescent Medicine,[18] the American College Health Association,[18] the American Academy of Pediatrics,[19] and the American Public Health Association,[20] which all maintain that sex education needs to be comprehensive to be effective.")

There's tons more information about this out there.  A bit of googling, and you can get all the info about the studies that have been done.

Really, it comes down to this:  in the same way that the effectiveness of condoms is reduced significantly if you use them incorrectly, the effectiveness of abstinence is reduced significantly if you use it wrongly.  Abstinence is only 100% effective when used properly.  However, in practice, teens don't always use it properly, just like they don't always use condoms properly.  The correct figure that one needs to compare when evaluating the worth of comprehensive or abstinence-only sex education is not how effective the method is when used correctly, but rather how real teens who have actually had these types of education behave.  Abstinence may be 100% effective, but abstinence-only sex education is far less effective than that.  It's not the method's effectiveness that matters, but rather the education program's effectiveness that matters.  And the studies have shown that abstinence-only sex ed isn't effective, because teens don't follow it.  And when they don't follow it, they tend to engage in even riskier behavior than those who've had comprehensive sex ed.

http://www.guttmacher.org/pubs/tgr/05/1/gr050107.html
This study shows that teen birth rates are higher in the US than in most of the rest of the west.  4 times higher, in fact, than in france or sweeden, even though teens in these countries have just as much sex as those in the US: "In fact, the study found that levels of sexual activity and the age at which teenagers initiate sex do not vary appreciably across the countries and are simply too small to account for the wide variations in teen pregnancy rates. Rather, teen pregnancy and childbearing levels are higher in the United States, they found, largely because of differences in contraceptive use. Sexually active teens in the United States are less likely to use any contraceptive method and especially less likely to use highly effective hormonal methods, primarily the pill, than their peers in other countries (see chart). U.S. teens who become pregnant are also less likely to opt to have an abortion, whether due to lack of abortion access, higher levels of antiabortion sentiment or greater acceptance of teen motherhood."

Also from the same article:
article:
While adults in the other countries strongly encourage teens to wait until they have established themselves before having children, they are generally more accepting than American adults of teens having sex. In France and Sweden in particular, teen sexual expression is seen as normal and positive, but there is also widespread expectation that sexual intercourse will take place within committed relationships. (In fact, relationships among U.S. teens tend to be more sporadic and of shorter duration.) Equally strong is the expectation that young people who are having sex will take actions to protect themselves and their partners from pregnancy and sexually transmitted diseases. In keeping with this view, state or public schools in England and Wales, France and Sweden and in most of Canada teach sexuality education and provide comprehensive information about prevention. In addition, the media is used more frequently in government-sponsored campaigns for promoting responsible sexual behavior ("Promoting Contraceptive Use and Choice: France's Approach to Teen Pregnancy and Abortion," TGR, June 2000).

For adults in the United States, on the other hand, the fact that young people are having sex is more often considered to be, per se, the "problem." Because teens are often regarded and portrayed as being incapable of using contraception effectively, having sex is often equated with becoming pregnant and a teen parent; the slogan of one state's current teen pregnancy campaign is "You play, you pay." Moreover, the United States is the only country with formal policies directing state and federal funds toward educational programs that have as their sole purpose the promotion of abstinence. Over one-third (35%) of all local U.S. school districts that have policies on sexuality education require that abstinence be taught as the only appropriate option for unmarried people and that contraception either be presented as ineffective in preventing pregnancy or not be covered at all. Among school districts in the South—where birthrates are significantly higher than the national average—that proportion is 55%.


If you just want the numbers without all the discussion:
http://www.thebody.com/content/art2418.html
Falkus
player, 505 posts
Tue 1 Jul 2008
at 12:46
  • msg #259

Re: Doctor, it hurts when I do this:  Health care issues

No, I meant specifics. Like what the abstinence progeam is teaching, and how much of a difference is there in the actual falure rate compared to the rate being taught. Etc.

Here's a link to the congressional study:
http://oversight.house.gov/Doc...1201102153-50247.pdf

ondoms are effective? The failure rate is pretty terrible.

When used correctly, the failure rate is three percent. That's hardly terrible. The failure rate increases when they're deployed improperly, of course, so sex ed courses should teach teenagers how to use them properly.

I'm not sure if you think abortion will not ever cause sterility, or if you mean the chance is low, but abortion does have some very bad possible complications. http://www.awtpcc.org/ClientPages/abortion_info.htm

Oh it can. In two percent of the cases. But the abstinence only courses are presenting it as ten percent.

HIV transmission and condom failure has been said to be 10%. 1 in 10 chance of catching HIV doesn't seem acceptable to me. http://www.thebody.com/content/art28493.html

And the abstinence only programs say its closer to forty percent, an obvious distortion of the truth.

Look at this way Falkus. You've said some things, and even though you believe it is true, it doesn't match up with all other views. Does mean you're lying, or looking at it differently then others?

Look at this way: My view is the result of two congressional studies onto federally funded abstinence only sex ed courses and their numerous failures.

Why not? How do you know?

Because abstinence only programs do not result in a decrease of teenage sexual activity?

I think an effective program for abstinance is much better than a program that will teach that sex is safe, and that they will have sex.

Funny how it doesn't actually work that way.

My mindset is that teens don't need to have sex, and that goal is the best for them mentally and physically.

So you want to 'change' people to make them 'better'. To quote Malcom Reynolds, I do not hold to that.

Your philosophy fails because it assumes some idealized world where teenagers will listen to authority figures. To paraphrase Sam Vimes: Your philosophy say that this is how people should be, how do we change them? Mine says: This is what people are like, how do we deal with it?

ou mean the lying abstince courses are increasing, right? So far, I am in agreement that increasing sex ed, or poor lying courses are not helping teens in the prevention of STD's or pregnancy.

Did you even read anything I posted? The misinformation in abstinence only courses is done to claim that sex isn't safe. Providing accurate information would essentially be turning it into a safe sex course.

So far, that means effective truthful abstinance courses could be effective, but currently we do not have any evidence of the effect.

Do you even read my posts? I'm beginning to wonder, since you completely missed the point.

As opposed to you thinking your moral code is wrong, and poor ethics? I think it's reasonable that we live by our morals and ethics because we do find that appropriate. Though when I became a christian, my moral codes and ethics did change away from my previous life.

The difference being that I don't impose my morality on other people, while you want to.

I don't quite follow this from the statement I gave. Is this based on prebvious conversations, or something you have picked up from others?

You want to impose your morality on the whole world. Teenagers aren't acting like your moral code says they should, so they must be acting wrong, and it has to be fixed. Maybe the problem's actually with you, and your belief that the whole should believe as you do.

But was religion featured in it?  Just telling young people, "Don't have sex" doesn't work well by itself.  They're going to ask "why?"  Most teenagers feel immortal anyway, they feel that those bad things won't happen to them.  But if the abstinence-only programs were backed by religion . . . perhaps that would affect how things turned out?

It would also be illegal and perhaps akin to brainwashing. Are you familiar with separation of church and state? And do you not see anything wrong with imposing religion on children?
katisara
GM, 3105 posts
Conservative human
Antagonist
Tue 1 Jul 2008
at 13:23
  • msg #260

Re: Doctor, it hurts when I do this:  Health care issues

Unfortunately, abstinence-only education is largely based on a moral judgement - that sexual contact is wrong outside of marriage.  People try to divorce the two, but that's where its roots are from.  And one can't really get upset because of that.  Until the 50's, there was no 'safer sex'.  You had sex the old fashioned way, and if you got pregnant, your life was basically over.  Abstinence was the only real solution available, and so that's what our culture encompassed, starting several hundred years earlier and carried forward.

Technology has changed.  Abstinence is no longer the only effective method of birth control and STD prevention.  And I wouldn't say it is the MOST effective either.  I work with computer security controls, and we know you must factor in human behavior.  A security control, whether on a computer or in behavior, which is sufficiently inconvenient, will be improperly implemented or circumvented.  That's just how people work.  Sure, it's a good idea to say that no one can take business documents out of the work place.  That really is the safest setup.  But the truth is, people will do it.  They want to do their work on Saturday, but don't want to drive to the office to do it.  They have to read the documents on the bus and so on.  So, when you're doing security, you have to anticipate that and design controls that accomodate that, even if it results in a slight increase in risk, because the alternative is they will circumvent those controls and there's a huge increase in risk.

So that's what it comes down to, not just effectiveness when used correctly, but effectiveness when used correctly * probability of being used correctly + effectiveness when used incorrectly * probability of being used incorrectly.

An interesting note there is condoms and absintence cover each others flaws.  There are some people who will choose to hold off until marriage, and for them, abstinence is perfect.  There are some who will choose to have sex no matter what you say, and for them condoms are appropriate.  There are some in the middle who may go one way or the other, and for them, the school cannot possibly be the one and only point for deciding that.  It must come from the parents, both to make that decision for their child (emphasis on child) and to reinforce it appropriately.  A mixed-education course forces the parent to take the responsibility he or she has.

It's also worth noting that consensual sex is a victimless crime.  That is to say, it may cause damage, but it only damages those consenting people.  Personally speaking, I have no problem with people causing themselves harm in the privacy of their own home.  Of course, schools should be a 'safe place' where children won't be involved with that sort of stuff, but ultimately kids are going to spend 66% of their time under the responsibility of their parents, so again, it comes back to them.

Abortion education is a different matter.  Abortion is not a victimless crime, since the victim is the fetus.  I don't know that a 14-year-old is old enough to make a moral decision about abortion.  Again, the parents need to step up to the plate on this.  I don't think teaching abortion as some sort of a solution to sexual contact is an ethical thing to do, as it encourages (whether intentional or not) something that everyone, both people who support or contest abortion, agree is ultimately a terrible decision.
Tycho
GM, 1520 posts
Tue 1 Jul 2008
at 13:49
  • msg #261

Re: Doctor, it hurts when I do this:  Health care issues

Pretty much agree with you entirely, katisara.  The last part was unexpected, though:

katisara:
Abortion education is a different matter.  Abortion is not a victimless crime, since the victim is the fetus.  I don't know that a 14-year-old is old enough to make a moral decision about abortion.  Again, the parents need to step up to the plate on this.  I don't think teaching abortion as some sort of a solution to sexual contact is an ethical thing to do, as it encourages (whether intentional or not) something that everyone, both people who support or contest abortion, agree is ultimately a terrible decision.

Are schools teaching anything about abortion currently?  Are any teaching it as "a solution to sexual contact?"  I wasn't aware that this was something included in sex ed these days.
katisara
GM, 3106 posts
Conservative human
Antagonist
Tue 1 Jul 2008
at 13:54
  • msg #262

Re: Doctor, it hurts when I do this:  Health care issues

I don't know.  I've never gone to a public school.  While I was in elementary school (at a Catholic school) they did teach us about condoms and how they work, but they didn't do the banana thing or anything like that.  It was along the lines of 'here is a tool, so understand it, but please don't use it'.  Abortion I don't remember ever being mentioned in that course.  From middle school until half way through high school I was at an International school, where I had no sex ed at all.  My last two years were in a Catholic school again, where again, they went over sex ed, both in health and ethics, mostly in ethics.  In that case there were discussions about under what ethical systems are condoms allowed or not allowed (and also how effective are they, although that obviously wasn't such a concern).  I seem to recollect that abortion was still pretty much frowned upon, but they seemed to expect that we're old enough to make our own decisions about condoms - which I guess isn't saying much since sex was also frowned upon (us all being unmarried high school students).
Trust in the Lord
player, 836 posts
No Jesus No Peace
Know Jesus Know Peace
Tue 1 Jul 2008
at 21:11
  • msg #263

Re: Doctor, it hurts when I do this:  Health care issues

Falkus:
<quote Falkus>Here's a link to the congressional study:
http://oversight.house.gov/Doc...1201102153-50247.pdf
I'll have to look this over, and compare what they are stating the actually differences are.

Falkus:
Condoms are effective? The failure rate is pretty terrible.

When used correctly, the failure rate is three percent. That's hardly terrible. The failure rate increases when they're deployed improperly, of course, so sex ed courses should teach teenagers how to use them properly.
We cannot remove human error from this equation. Just as you state teens will be sexual, humans will make errors. Even 10% failure for condoms is terrible. For that matter, 3% failure when used correctly, each and every time. That would mean for most couples they are going to be exposed to any STD's by their partner if they are even mildly sexual, such as once a week. Number wise, anyone with a STD should not have sex unless they accept that with just an average of once a week, their partner will likely be exposed to the STD within the first 6 months of a relationship. Knowing that risk, would you avoid a partner with a STD? Or accept that a condom means that if you're with a person for 6 months, a STD is acceptable.

Falkus:
I'm not sure if you think abortion will not ever cause sterility, or if you mean the chance is low, but abortion does have some very bad possible complications. http://www.awtpcc.org/ClientPages/abortion_info.htm

Oh it can. In two percent of the cases. But the abstinence only courses are presenting it as ten percent.
To be more truthful here, even the source you stated as where the specifics are, it states 5-10% were spoken of in one abstinence program, not even all are treaching that. Further, you stated in an earlier post that abortion does not lead to sterility. And finally, in the website I linked to with current info, it doesn't state 2% sterility, it states 2-5% sterility.

In other words, like the abstinance only teachers who "lie" to show their points, you too take the information and distort it to appear one way. You're doing the exact same thing in this instance as the ones you are complaining about. If you're doing it here, are you doing it in any other points?

Falkus:
HIV transmission and condom failure has been said to be 10%. 1 in 10 chance of catching HIV doesn't seem acceptable to me. http://www.thebody.com/content/art28493.html

And the abstinence only programs say its closer to forty percent, an obvious distortion of the truth.
According to your source, only one curriculum teaches this, and obviously we cannot say that lying is good.

However, I still don't see how you can back up your earlier statement that condoms are fairly effective at blocking HIV when 10% doesn't seem acceptable. 1 in 10 chance is pretty awful. Condoms are only designed for vaginal use. I'd find it inexcusable to even suggest that condoms are acceptable as protection for anal use, by any sex.

Falkus:
Look at this way Falkus. You've said some things, and even though you believe it is true, it doesn't match up with all other views. Does mean you're lying, or looking at it differently then others?

Look at this way: My view is the result of two congressional studies onto federally funded abstinence only sex ed courses and their numerous failures.
And I think we're in agreement that lying is not very good. What's your view on the sex ed programs that teach comprehensive sex ed? Since those have been around for a while, and std's and pregnancy have still increased, what is the goal?

To be clear, I'm asking just because you don't like abstinance only programs, what makes any other program effective if the rates are still increasing. To say one is wrong is fine, but that doesn't mean the other works. Make sense?

Falkus:
Why not? How do you know?

Because abstinence only programs do not result in a decrease of teenage sexual activity?
But we've already concluded that all these programs use lies. I'm taking about an effective program with truths.

Falkus:
My mindset is that teens don't need to have sex, and that goal is the best for them mentally and physically.

So you want to 'change' people to make them 'better'. To quote Malcom Reynolds, I do not hold to that.
We all want to change people. Unless you don't like laws, we place values, and enforce them on everyone for the greater good.

Falkus:
Your philosophy fails because it assumes some idealized world where teenagers will listen to authority figures. To paraphrase Sam Vimes: Your philosophy say that this is how people should be, how do we change them? Mine says: This is what people are like, how do we deal with it?
I guess while we don't see eye to eye, that doesn't mean I'm wrong.

Falkus:
ou mean the lying abstince courses are increasing, right? So far, I am in agreement that increasing sex ed, or poor lying courses are not helping teens in the prevention of STD's or pregnancy.

Did you even read anything I posted?
I would think my favorite color is blue, why do you ask?

On a serious note, asking if someone is reading the posts generally means the conclusion is not expected, or considered a possibility. I'm guessing you might not understand that while I have presented my side of things, just because you state that abstinance only programs based on truth is the same as safe sex, that doesn't actually mean that is what it is.

Falkus:
The misinformation in abstinence only courses is done to claim that sex isn't safe. Providing accurate information would essentially be turning it into a safe sex course.
I disagree. If you go back and look at what I wrote, you will see why I feel that.

Falkus:
So far, that means effective truthful abstinance courses could be effective, but currently we do not have any evidence of the effect.

Do you even read my posts? I'm beginning to wonder, since you completely missed the point.
Do you read my responses to your posts? I keep wondering why I include a quote with my reply.

Unless you can show the evidence of any abstinance program that doesn't lie, you're not backing up your statements. You have concluded quite clearly that all abstinance only programs lie. You have also concluded that they are ineffective. I agree that lying programs would not work.

So now, unless you have any studies on these programs where truth is involved, you really don't have any evidence to say they do not work. You're just saying they do not work.

quote:
As opposed to you thinking your moral code is wrong, and poor ethics? I think it's reasonable that we live by our morals and ethics because we do find that appropriate. Though when I became a christian, my moral codes and ethics did change away from my previous life.

The difference being that I don't impose my morality on other people, while you want to.
Actually, in a previous thread you have stated that even if a country did not want legalized same sex unions, you would wish your values imposed on those who do not want to live within that legal ruling.

Falkus, we all want to live under the laws and rules we feel are best for us and society.

Falkus:
I don't quite follow this from the statement I gave. Is this based on prebvious conversations, or something you have picked up from others?

You want to impose your morality on the whole world. Teenagers aren't acting like your moral code says they should, so they must be acting wrong, and it has to be fixed. Maybe the problem's actually with you, and your belief that the whole should believe as you do.
Falkus, you have made many accusations against people who do not agree with your views. You have made judgement values on these people and groups that are derogatory.

To be clear Falkus, while we don't agree on values, it's not true that you or others don't want to impose their own morality on others.
Falkus
player, 506 posts
Tue 1 Jul 2008
at 23:39
  • [deleted]
  • msg #264

Re: Doctor, it hurts when I do this:  Health care issues

This message was deleted by the player at 23:54, Tue 01 July 2008.
Tycho
GM, 1521 posts
Wed 2 Jul 2008
at 09:06
  • msg #265

Re: Doctor, it hurts when I do this:  Health care issues

Trust in the Lord:
We cannot remove human error from this equation. Just as you state teens will be sexual, humans will make errors. Even 10% failure for condoms is terrible.

True, but keep in mind failure rates depend on understanding.  Knowing how to properly use a condom will reduce the failure rate.

Trust in the Lord:
For that matter, 3% failure when used correctly, each and every time. That would mean for most couples they are going to be exposed to any STD's by their partner if they are even mildly sexual, such as once a week. Number wise, anyone with a STD should not have sex unless they accept that with just an average of once a week, their partner will likely be exposed to the STD within the first 6 months of a relationship. Knowing that risk, would you avoid a partner with a STD? Or accept that a condom means that if you're with a person for 6 months, a STD is acceptable.

I think everyone would agree that avoiding STD is good.  That's not really in question.  No one is saying "have lots of sex with people with STDs."  The question isn't "should you have sex with someone with an STD or not?"  The question is "if you have sex with someone, should you use a condom or not?"  Do you see the difference?

Trust in the Lord:
And I think we're in agreement that lying is not very good. What's your view on the sex ed programs that teach comprehensive sex ed? Since those have been around for a while, and std's and pregnancy have still increased, what is the goal?

Can you show where pregnancy has increased?  One of the studies I linked to in my post seemed to be saying that pregnancy rates have dropped since 1991 (though more slowly in the US than in other countries, which were already lower to begin with).

Trust in the Lord:
To be clear, I'm asking just because you don't like abstinance only programs, what makes any other program effective if the rates are still increasing. To say one is wrong is fine, but that doesn't mean the other works. Make sense?

The best comparison would be between those who hadn't had any sex education, and those who had comprehensive sex ed.  That would determine if they're working or not.  Just looking at the rates doesn't tell us too much without a control, unfortunately.  But again, where are you getting that pregnancy rates have increased?

Trust in the Lord:
But we've already concluded that all these [abstinence-only] programs use lies. I'm taking about an effective program with truths.

What would an effective program with truths entail?  I think that's what everyone is after here.  I think the kind of program Falkus advocates, and the kind that I would advocate, would include stats on failure rates of different kinds of contraception (including abstinence), show how to properly use them, inform them of the various types of STDs and the effects they have, talk about other non-disease and non-pregnancy issue of sexual relations (ie, don't let anyone pressure you into it, don't use it to try to keep someone from leaving, don't do it to try to get someone to love you, etc.), talk about testing/screening, etc.

What kinds of things are you looking for?  It has sounded so far like you're in favor of abstinence-only sex ed, only without any misrepresentations?  Does this mean, not showing them how to use a condom or other contraceptive?  Does it mean not talking about testing/screening for STDs?  Does it mean not talking about issues other than pregnancy or STDs?  The trouble, as I see it, with abstinence-only sex ed, is not the "abstinence" part, but the "only" part.  No one is advocating a "no abstinence" sex ed program.  But abstinence is only one part of it.  To ignore the rest is dangerous.  The more knowledge they have, the better prepared teens will be to make decisions.  Information shouldn't be seen as a bad thing.  A teen is better off knowing how to use a condom properly than not knowing how to use one.  You might say "they're better off not having sex at all!" and that may be true, but if they don't have sex, knowing how to use a condom doesn't hurt them at all.  If they do have sex, it will be to their benefit to know.

Trust in the Lord:
So now, unless you have any studies on these [abstinence-only] programs where truth is involved, you really don't have any evidence to say they do not work. You're just saying they do not work.

I think what Falkus was actually saying was that all abstinence-only program which have been tried so far don't seem to be working.  You seem to be agreeing with that, but saying it's because they lied.  Since they seem to have misrepresented things to make sex scarier, I'm wondering why you think giving a more accurate picture of it would do a better job of discouraging teens from having sex?

Trust in the Lord:
Actually, in a previous thread you have stated that even if a country did not want legalized same sex unions, you would wish your values imposed on those who do not want to live within that legal ruling.

Ack.  We always come back to this.  TitL, please realize that telling someone they can't do what they want with/to themself, is actually quite different from telling somone they can't do what they want to someone else.  Telling someone they can't be a christian is very different from telling someone they can't kill their neighbor for being a christian.  You always seem to view any law as being an equal imposition on someones choices, rather than realizing that some laws are far more intrusive than others.  Being in favor of same-sex marriages is not imposing ones beliefs on others in anything near the same way that being opposed to them is.  Yes, both are trying to make the other side follow a law they support.  But in the same way that a law making murder illegal is far less intrusive than a law allowing people to murder people of a certain group, a law allowing gays to marry is far less intrusive than a law preventing them from marrying.  One is a law about what two consenting adults can do with each other, the other is a law about preventing two people from doing what they want, because a third unaffected person doesn't agree with it.  There is a qualitative difference between the two.  Treating them as the exact same is misleading.  Doing so over and over is frustrating.
Trust in the Lord
player, 838 posts
No Jesus No Peace
Know Jesus Know Peace
Wed 2 Jul 2008
at 13:41
  • msg #266

Re: Doctor, it hurts when I do this:  Health care issues

Trust in the Lord:
Actually, in a previous thread you have stated that even if a country did not want legalized same sex unions, you would wish your values imposed on those who do not want to live within that legal ruling.

Tycho:
Ack.  We always come back to this.  TitL, please realize that telling someone they can't do what they want with/to themself, is actually quite different from telling somone they can't do what they want to someone else.  Telling someone they can't be a christian is very different from telling someone they can't kill their neighbor for being a christian.  You always seem to view any law as being an equal imposition on someones choices, rather than realizing that some laws are far more intrusive than others.  Being in favor of same-sex marriages is not imposing ones beliefs on others in anything near the same way that being opposed to them is.  Yes, both are trying to make the other side follow a law they support.  But in the same way that a law making murder illegal is far less intrusive than a law allowing people to murder people of a certain group, a law allowing gays to marry is far less intrusive than a law preventing them from marrying.  One is a law about what two consenting adults can do with each other, the other is a law about preventing two people from doing what they want, because a third unaffected person doesn't agree with it.  There is a qualitative difference between the two.  Treating them as the exact same is misleading.  Doing so over and over is frustrating.

I figured I'd spend a couple minutes on this part of your post.

While you feel there are differences between enacting your morals, verus me enacting my morals, just because people apply different values to different morals, does not actually change that they are enacting them.


The laws we have are about what we can or cannot do. Changing them is changing what morals are enforced, or not enforced. Trying to say my morals vs. someone else's morals are somehow vastly different ideas of how morals are applied is not accurate in any way.

To be clear, I was addressing the part where Falkus stated that he was not imposing his morality on others. We all do it however.
Falkus
player, 507 posts
Wed 2 Jul 2008
at 13:59
  • msg #267

Re: Doctor, it hurts when I do this:  Health care issues

While you feel there are differences between enacting your morals, verus me enacting my morals, just because people apply different values to different morals, does not actually change that they are enacting them.

The difference is that you want to force people to adhere to your morality, while we don't want to force anybody to do anything.

  The laws we have are about what we can or cannot do

Laws are about maintaining societal order.

Changing them is changing what morals are enforced, or not enforced.

It is not the job of the government to legislate morality.

  To be clear, I was addressing the part where Falkus stated that he was not imposing his morality on others. We all do it however.

Never once on this forum have I ever suggested that anybody should be forced to become an democratic socialist, agnostic, environmentalist utilitarian. Never once I have I done. So how can you possibly claim that I wish to impose my morality on others.
Tycho
GM, 1523 posts
Wed 2 Jul 2008
at 14:14
  • msg #268

Re: Doctor, it hurts when I do this:  Health care issues

Guys, I made a new thread to discuss this issue, since it seems to come up there a lot.  Let's move the rest of the discussion about laws over there, and leave this thread for the health care stuff.  I'm still hoping TitL will talk about what his version of a truthful abstinence-only sex ed program would entail, and don't want that to get lost in the coming debate over what it's okay to make laws about.
Bart
player, 334 posts
LDS
Thu 3 Jul 2008
at 10:06
  • msg #269

Re: Doctor, it hurts when I do this:  Health care issues

More health stuff . . . http://www.news-medical.net/?id=39110
"The revelation that a man whose heart had stopped beating, woke up just as surgeons were about to remove his organs for donation, is disconcerting to say the least."

"The pilot programme, the Non-Heart-Beating Organ donation (NHBOD) was launched in 2007 and involves retrieving organs when the heart stops, rather than when a patient is declared brain dead. . . . France has an 'opt-out system' whereby everyone gives their 'presumed consent' to having their organs removed after death, unless either they have refused permission or their family objects."

So, don't let your heart stop if you're going to be sent to one of those nine hospitals, or you might have your organs removed, unless you've already specifically opted out of that system.
Falkus
player, 509 posts
Thu 3 Jul 2008
at 12:08
  • msg #270

Re: Doctor, it hurts when I do this:  Health care issues

That looks to me like a fairly unique case, rather than something that's going to happen all the time.

France has an 'opt-out system' whereby everyone gives their 'presumed consent' to having their organs removed after death, unless either they have refused permission or their family objects."

This seems like a fairly decent idea. Once you're dead, you don't need your organs anymore. It's the very height of selfishness not to be an organ donor, in my opinion.
This message was last edited by the player at 12:15, Thu 03 July 2008.
katisara
GM, 3115 posts
Conservative human
Antagonist
Thu 3 Jul 2008
at 12:44
  • msg #271

Re: Doctor, it hurts when I do this:  Health care issues

I had a friend whose dad worked in the medical field.  He said, while it's great to be an organ donor, it's not a great idea to advertise the fact (for instance, on your driver's license).  The doctors tending to you realize that if you die, there are ten other people who will live because of your kind donation (and since the hospital gets quite a good chunk of change for it too).  If your trusted relatives know, when you die you'll be put on ice and the relatives can inform the doctors - after they've done everything they could to save you.

No idea how valid it is, but just a thought.
Falkus
player, 510 posts
Thu 3 Jul 2008
at 13:53
  • msg #272

Re: Doctor, it hurts when I do this:  Health care issues

I believe behavior like that is forbidden by the Hippocratic Oath and the World Medical Association.
katisara
GM, 3117 posts
Conservative human
Antagonist
Thu 3 Jul 2008
at 14:26
  • msg #273

Re: Doctor, it hurts when I do this:  Health care issues

I don't mean to suggest doctors aren't working to save you.  However, there's a difference between really working to save your life and REALLY working to save your life.  My friend suggested advertising you're an organ donor may put you into the former category.

That said, I haven't changed my driver's license over it.
Falkus
player, 511 posts
Thu 3 Jul 2008
at 14:36
  • msg #274

Re: Doctor, it hurts when I do this:  Health care issues

I don't mean to suggest doctors aren't working to save you.  However, there's a difference between really working to save your life and REALLY working to save your life.

It seems more like paranoia than anything else to me.
This message was last edited by the player at 14:37, Thu 03 July 2008.
Tycho
GM, 1533 posts
Thu 3 Jul 2008
at 14:57
  • msg #275

Re: Doctor, it hurts when I do this:  Health care issues

For me, if it's that close that the doctor "really" working to save me instead of "REALLY" working, maybe those 10 people really do need the organs more than.  ;)  Being dead is less frightening to me than being in a persistant vegetative state, though, which might have something to do with that!
Bart
player, 335 posts
LDS
Fri 4 Jul 2008
at 03:28
  • msg #276

Re: Doctor, it hurts when I do this:  Health care issues

Well, does everyone who is otherwise fine with not opting out of the system know that, should they have a major accident in the area around one of those nine hospitals that their organs could be harvested on heart failure instead of brain failure?  How well has France advertised that?
Tycho
GM, 1538 posts
Fri 4 Jul 2008
at 09:22
  • msg #277

Re: Doctor, it hurts when I do this:  Health care issues

Not sure.  I did a bit of googling, but wasn't able to really figure out just how well advertised that aspect of it is.  Really, though, I see it as an issue of how much risk is considered acceptable.  This person's heart had stoped for an hour and a half.  I don't think it was some huge doctor error, or some corruption thing, where they rolled him still breathing and they were just waiting to cut out his organs.  The guy just got really, really lucky, in that his heart started beating again after that long.  How often does that happen?  Not very.  How often do people die for lack of organ donors?  Pretty often.  How often do people who are willing to be organ donors fail to fill out an organ donor card?  Sadly, very often.

Put another way:  the program in these hospitals assumed that if your heart hasn't been beating for 30 minutes while you're receiving heart message, that you've died.  There is a very, very small chance that you haven't died in these situations.  They could extend it to 60 minutes, but there'd still be a small (Even smaller) chance.  They could then extend it to 90 minutes.  24 hours, whatever.  At some point, you have to say, the chance is so small, even though it's not actually zero, that we should consider this person dead.  Where you draw that line is a judgement call, and should be based not only on the chance of saving the person, but also on the chance of saving other people that you're forgoing by trying to save the person who's heart has stopped beating.  Trying to be 100% absolutely certain with one person, means letting other people die as you put effort into getting from 99.9% certain to 99.99% and then to 99.999% and so on.

Put yet another way:  If your heart had stopped beating, how long would you want doctors to keep trying to save you before they started trying to save someone else instead?
Tycho
GM, 1539 posts
Fri 4 Jul 2008
at 09:33
  • msg #278

Re: Doctor, it hurts when I do this:  Health care issues

Just found this while looking for more info on the topic:
http://www.lifesitenews.com/ldn/2008/jun/08061308.html
Note that this does seem to be an anti-organ donation site, so keep that in mind when considering what it presents.

Sounds like "brain death" isn't completely reliable either.  To a degree, it sounds even more prone to error--you can be "brain dead" even while your heart is still beating and you're still breathing:
quote:
As LifeSiteNews has reported in the past, the concept of "brain death" was first applied in 1968. The term is used to justify removing organs from patients who are breathing and have a heartbeat, the most common circumstance under which organ donation takes place.   Prior 1968, the prolonged absence of heartbeat and respiration were the standard criteria for certifying death

Tycho
GM, 1545 posts
Tue 8 Jul 2008
at 09:53
  • msg #279

Re: Doctor, it hurts when I do this:  Health care issues

It seems to have gotten lost in the discussion of other topics, but I'm still hoping TitL will describe what his proposed "truthful abstinence-only" sex ed program would look like.

Tycho:
What would an effective program with truths entail?  I think that's what everyone is after here.  I think the kind of program Falkus advocates, and the kind that I would advocate, would include stats on failure rates of different kinds of contraception (including abstinence), show how to properly use them, inform them of the various types of STDs and the effects they have, talk about other non-disease and non-pregnancy issue of sexual relations (ie, don't let anyone pressure you into it, don't use it to try to keep someone from leaving, don't do it to try to get someone to love you, etc.), talk about testing/screening, etc.

What kinds of things are you looking for?  It has sounded so far like you're in favor of abstinence-only sex ed, only without any misrepresentations?  Does this mean, not showing them how to use a condom or other contraceptive?  Does it mean not talking about testing/screening for STDs?  Does it mean not talking about issues other than pregnancy or STDs?  The trouble, as I see it, with abstinence-only sex ed, is not the "abstinence" part, but the "only" part.  No one is advocating a "no abstinence" sex ed program.  But abstinence is only one part of it.  To ignore the rest is dangerous.  The more knowledge they have, the better prepared teens will be to make decisions.  Information shouldn't be seen as a bad thing.  A teen is better off knowing how to use a condom properly than not knowing how to use one.  You might say "they're better off not having sex at all!" and that may be true, but if they don't have sex, knowing how to use a condom doesn't hurt them at all.  If they do have sex, it will be to their benefit to know.

Tycho
GM, 1546 posts
Tue 8 Jul 2008
at 09:59
  • msg #280

Re: Doctor, it hurts when I do this:  Health care issues

I was also thinking a bit about this idea recently:
Bart:
If mandatory testing was required before any marriage license would be granted and if couples would stay true to each other, AIDS could largely be removed in a generation

Is mandatory STD testing before marriage acceptable?  Do couples have a right to privacy on this?

An interesting issue arises if we permit mandatory testing.  If we do so, we've decided couples don't have a right to medical privacy for this, and so we could test for sterility as well, and thus only give marriage license to couples who can have children together.  This tends to come up in the gay marriage debate.  One side says "gay people shouldn't get married, because they can't have children together," the other replies "what about straight people who can't have children?"  The first says "well, we can't test for that, because it'd be a violation of their privacy."  That last argument falls apart if we start requiring STD tests before marriage.  Thoughts?
Bart
player, 336 posts
LDS
Wed 9 Jul 2008
at 01:09
  • msg #281

Re: Doctor, it hurts when I do this:  Health care issues

Yes, mandatory AIDS testing before marriage could be allowed.  As long as each person is supplied their results in a confidential manner that allows them to give those results to the other person in a manner which can be verified, then no right to privacy has been violated.

In other words, you do the test and when you do the test, along with the standard consent forms, you have the option of putting down other names of people that will be allowed to view the results, just like for any other medical procedure.

The state then requires that you be tested, so that you will know what you are, but not that you share the test results with anyone, with the assumption that everyone knows that their partner will have to take the test and that any partner who doesn't put the other person on the allowed list will likely not be truested by the other person.
Falkus
player, 522 posts
Wed 9 Jul 2008
at 01:39
  • msg #282

Re: Doctor, it hurts when I do this:  Health care issues

What is the point? Monogamous married couples don't spread AIDS, it's people with multiple sexual partners who do.
Bart
player, 338 posts
LDS
Wed 9 Jul 2008
at 04:06
  • msg #283

Re: Doctor, it hurts when I do this:  Health care issues

Perhaps a program like he's describing would look like Switzerland's program?
Tycho
GM, 1548 posts
Wed 9 Jul 2008
at 09:18
  • msg #284

Re: Doctor, it hurts when I do this:  Health care issues

Bart:
Yes, mandatory AIDS testing before marriage could be allowed.  As long as each person is supplied their results in a confidential manner that allows them to give those results to the other person in a manner which can be verified, then no right to privacy has been violated.

In other words, you do the test and when you do the test, along with the standard consent forms, you have the option of putting down other names of people that will be allowed to view the results, just like for any other medical procedure.

The state then requires that you be tested, so that you will know what you are, but not that you share the test results with anyone, with the assumption that everyone knows that their partner will have to take the test and that any partner who doesn't put the other person on the allowed list will likely not be truested by the other person.

I would say a program which is intended to be treated as a "assumed infected until they prove otherwise" would indeed violate their privacy.  As you put it "the assumption that everyone knows..." sort of defeats that actually option of not telling everyone your results.  Also, I don't really see what this would accomplish, beyond discouraging people who have STDs from getting married.

Out of curiosity, what other tests would you be okay with making manditory before marriage?  Fertility?  Susceptibility to cancer?  IQ tests?  Political views tests?  Religious views tests?  Racial background tests?  Would you consider it acceptable for couples to be required to undergo fertility tests, and not be granted a marriage license if one or the other of the two partners were infertile?
Tycho
GM, 1549 posts
Wed 9 Jul 2008
at 09:22
  • msg #285

Re: Doctor, it hurts when I do this:  Health care issues

Bart:
Perhaps a program like he's describing would look like Switzerland's program?

I don't know much about Switzerland's program, by my quick google search seemed to indicate that it included demonstrations on condom use for 13-14 year-olds, and condom distribution to those in older, non-compulsory secondary education (16-17 year olds).  While I have no objection to that, I don't think it really qualifies as "abstinence only," which is sort of the point.
Sciencemile
player, 169 posts
Opinion is the default
for most everything I say
Thu 10 Jul 2008
at 04:25
  • msg #286

Re: Doctor, it hurts when I do this:  Health care issues

If you need to get any of those tests, you obviously don't know that person as well as you think you do, and probably shouldn't get married to them until you know more.

Going out on a limb when I assume this, but I also think most people have sex with someone before they get married if they intend to get married to them, so the test would be rather pointless to all but the most fundamental of abstinence-enthusiasts.

I'd also question the Motives of keeping AIDS status private in the first place.  It's an invasion of privacy, but to what end are you complaining about that invasion?  The only reason you'd want the information of you having AIDS kept secret is selfish at best and would only serve to increase the spread of the disease.
Tycho
GM, 1551 posts
Thu 10 Jul 2008
at 08:28
  • msg #287

Re: Doctor, it hurts when I do this:  Health care issues

Sciencemile:
I'd also question the Motives of keeping AIDS status private in the first place.  It's an invasion of privacy, but to what end are you complaining about that invasion?  The only reason you'd want the information of you having AIDS kept secret is selfish at best and would only serve to increase the spread of the disease.

For me, it's more an issue of mandatory testing being a violation of privacy which is used in the gay marriage debate whenever the issue comes to "should infertile straight couples be allowed to marry?"  I'd actually be opposed to mandatory STD testing, but Bart is proposing it.  And I'm interested to see if he'd also be fore mandatory fertility testing as well, since that would knock out a leg of the "gay people can't have kids, therefore they can't get married!" argument.  Mixing topics a bit, true, but sometimes I can't help it. ;)
katisara
GM, 3130 posts
Conservative human
Antagonist
Thu 10 Jul 2008
at 13:14
  • msg #288

Re: Doctor, it hurts when I do this:  Health care issues

Sciencemile:
It's an invasion of privacy, but to what end are you complaining about that invasion?  The only reason you'd want the information of you having AIDS kept secret is selfish at best and would only serve to increase the spread of the disease.


I'm complaining because I have a RIGHT to privacy.  That's like saying 'well, why should rich people complain if they take all their money and give it to poor people.  It's not like they won't make more anyway.'  The point is it's THEIR money, and no one appointed you or the government as God, with the right to invade that right for what you perceive to be the greater good.
Bart
player, 339 posts
LDS
Thu 10 Jul 2008
at 15:57
  • msg #289

Re: Doctor, it hurts when I do this:  Health care issues

katisara:
I'm complaining because I have a RIGHT to privacy.

If this were to be enacted, it's not infringing on YOUR right to privacy.  The government would be handing an avenue of self awareness to people, who could then choose to share that information with whoever they wanted to share it with, including a potential spouse.  YOUR right to privacy isn't being touched.  If, after receiving the report, you don't choose to share it with your beloved, well, maybe they aren't really your beloved and you aren't really being forthcoming with them and this won't really be a relationship that'll work.  But, the decision to share that information would be all your own choice.  Your potential spouse would know, were this to be enacted, that you could have chosen to share this information with them and would likely be rather hurt that you aren't sharing it with them, but at no time is your personal right to privacy being infringed.  It's your choice whether or not to share it.  The government would only be providing an avenue for you to self awareness and greater knowledge of your own state of health.
Tycho
GM, 1554 posts
Thu 10 Jul 2008
at 16:21
  • msg #290

Re: Doctor, it hurts when I do this:  Health care issues

Did you miss my earlier post, Bart?

Tycho:
I would say a program which is intended to be treated as a "assumed infected until they prove otherwise" would indeed violate their privacy.  As you put it "the assumption that everyone knows..." sort of defeats the option of not telling everyone your results.  Also, I don't really see what this would accomplish, beyond discouraging people who have STDs from getting married.

Out of curiosity, what other tests would you be okay with making manditory before marriage?  Fertility?  Susceptibility to cancer?  IQ tests?  Political views tests?  Religious views tests?  Racial background tests?  Would you consider it acceptable for couples to be required to undergo fertility tests, and not be granted a marriage license if one or the other of the two partners were infertile?


I'd also add to the list of question:
--would you consider it okay to have mandatory testing for everyone (not just people about to get married)?
--who would/should pay for mandatory testing?
--does the goverment mandating the testing get to see the results?
--Do you think your pre-marriage screening would have a significant effect on the spread of STDs, or just on the rate of marriages?
--would you allow any exceptions to the testing?  Could a religious group opposed to it get a religious exception?
--Do you think there is a risk of employers asking all their married employees for the results of the tests (and then assuming the results are positive if the employee refuses to share them)?

Going on a bit of a tangent:  What are your thoughts on the loyalty oaths that people were asked to sign during the cold war?  You didn't have to sign them, but people would assume you were a communist if you didn't, which seems somewhat similar to what you're proposing, in that there is an assumption of something if the information isn't given.
Sciencemile
player, 170 posts
Opinion is the default
for most everything I say
Fri 11 Jul 2008
at 00:26
  • msg #291

Re: Doctor, it hurts when I do this:  Health care issues

The right to privacy and the right to keep something as important as that from others who might be harmed are perhaps different things.

Plenty of reasons to keep that secret from a government or other entity.  Only reason I can think of to keep it from someone you like is so that they'll still have sex with you, and then we're back to spreading that disease around a little more.
katisara
GM, 3133 posts
Conservative human
Antagonist
Fri 11 Jul 2008
at 02:59
  • msg #292

Re: Doctor, it hurts when I do this:  Health care issues

So what's stopping that someone else from requiring you take the test?
Sciencemile
player, 171 posts
Opinion is the default
for most everything I say
Fri 11 Jul 2008
at 03:38
  • msg #293

Re: Doctor, it hurts when I do this:  Health care issues

Hormones scramble logical thinking.
Bart
player, 340 posts
LDS
Fri 11 Jul 2008
at 08:00
  • msg #294

Re: Doctor, it hurts when I do this:  Health care issues

Because, if they're willing to sleep with you, then they've already fallen for your pack of lies. ;)

Part of this is coming from the recent studies that show that people who engage in high risk-multiple partner sex tend to have much higher rates of HIV (no surprise there).  But, in real life, it can sometimes be rather difficult to tell who are the people who are engaging in such activities.

Would I consider it okay to have mandatory testing for everyone (not just people about to get married)?  Well, given the puritanical thought that sex doesn't begin until marriage, no.  But, given real life, why not?

Who should pay for mandatory testing?  It should be fairly well subsidized by the state, as marriage tends to be rare enough that it probably wouldn't be too financially crippling in any case.

Who would pay for it?  Let's do like the Democrats and just add another tax to something.  That's always the solution to how we're going to pay for it. ;)

Does the goverment mandating the testing get to see the results?  Only if you're marrying the government and you choose to add them to the list of allowed people.

Do you think your pre-marriage screening would have a significant effect on the spread of STDs, or just on the rate of marriages?  Look, not to be too blunt about this, but people that engage in a lot of premarital sex possibly deserve what they get?  You reap what you sow and all that jazz?  I think it would lower the rate of marriages slighty, which might be good because then we don't have to find as much money to cover the cost of the tests.  Most of this is tongue-in-cheek.  I'm not whole heartedly advocating this as a good thing.

Could a religious group opposed to it get a religious exception?  I don't know, can they get such exceptions in other cases?  Can a person claim a religious exception when applying to work with a business which has a mandatory drug testing policy?

Do you think there is a risk of employers asking all their married employees for the results of the tests (and then assuming the results are positive if the employee refuses to share them)?  No more than employers already asking their employees for the results of drug tests, psychiatric tests, etc.
This message was last edited by the player at 08:04, Fri 11 July 2008.
Tycho
GM, 1558 posts
Fri 11 Jul 2008
at 08:43
  • msg #295

Re: Doctor, it hurts when I do this:  Health care issues

Bart:
Part of this is coming from the recent studies that show that people who engage in high risk-multiple partner sex tend to have much higher rates of HIV (no surprise there).  But, in real life, it can sometimes be rather difficult to tell who are the people who are engaging in such activities.

I don't think anyone disagrees with that.

Bart:
Would I consider it okay to have mandatory testing for everyone (not just people about to get married)?  Well, given the puritanical thought that sex doesn't begin until marriage, no.  But, given real life, why not?

And other types of tests, like the ones I listed above?  Are there any types of test that shouldn't be mandatory?

Bart:
Who should pay for mandatory testing?  It should be fairly well subsidized by the state, as marriage tends to be rare enough that it probably wouldn't be too financially crippling in any case.

Who would pay for it?  Let's do like the Democrats and just add another tax to something.  That's always the solution to how we're going to pay for it. ;)

Unless we use the republican model and just pay for it by increasing the debt! ;) But if you're suggesting we pay more taxes for this, how much more are you willing to pay to implement this?  What dollar figure (roughly) would you find acceptable?

Bart:
Does the goverment mandating the testing get to see the results?  Only if you're marrying the government and you choose to add them to the list of allowed people.

Okay, that's good at least.  Do you trust the government not to look at them if you don't put them on the list?  Do you trust all future administrations not to look at them?  If the government said to the hospitals "We think you've screen a terrorist!  We need to look at the results of all the tests you've done in the last two years!" do you think the hospitals would comply?  Keep in mind the recent telecoms bill when you answer this. ;)

Bart:
Do you think your pre-marriage screening would have a significant effect on the spread of STDs, or just on the rate of marriages?  Look, not to be too blunt about this, but people that engage in a lot of premarital sex possibly deserve what they get?  You reap what you sow and all that jazz?  I think it would lower the rate of marriages slighty, which might be good because then we don't have to find as much money to cover the cost of the tests.

So this doesn't actually do anything to reduce the spread of STDs, it just reduces the chance of people who have STDs getting married?  I guess I'm not seeing the benefit here.

Bart:
Most of this is tongue-in-cheek.  I'm not whole heartedly advocating this as a good thing.

You don't seem to be even half-heartedly rejecting it as a bad idea either, though, so I might have to keep at you. ;)
katisara
GM, 3135 posts
Conservative human
Antagonist
Fri 11 Jul 2008
at 13:46
  • msg #296

Re: Doctor, it hurts when I do this:  Health care issues

It seems like forcing me to pay for a test for which I already know the result and which, if I don't like the result, can just throw it away (and almost certainly  find a nice looking reproduction online which I can print out and hand out if pressed) isn't an especially effective idea.  I still think that limiting my relationships based on my willingness to give up personal medical information is also a poor idea.
Bart
player, 341 posts
LDS
Sat 12 Jul 2008
at 19:20
  • msg #297

Re: Doctor, it hurts when I do this:  Health care issues

katisara:
It seems like forcing me to pay for a test for which I already know the result . . .

You're ignoring the studies that show that most people who are HIV positive don't know it yet.  Did you know that HIV virus strains can piggyback on each other?  In fact, when a nonviable HIV virus piggybacks on a viable HIV virus, the normally nonviable virus can actually be more deadly than the viable one could have been all by itself.
katisara
GM, 3139 posts
Conservative human
Antagonist
Sat 12 Jul 2008
at 20:00
  • msg #298

Re: Doctor, it hurts when I do this:  Health care issues

I have had sex with one person in my entire life, and we've been having sex for about six years now.  I'm pretty sure I'd know if I were HIV positive, and I'd have known before we got married too.
Falkus
player, 526 posts
Sat 12 Jul 2008
at 20:08
  • msg #299

Re: Doctor, it hurts when I do this:  Health care issues

You're ignoring the studies that show that most people who are HIV positive don't know it yet

Again, I ask: So what? Married couples aren't the problem it's people who have sex with multiple partners that spread the disease and drug addicts who share needles.
This message was last edited by the player at 20:09, Sat 12 July 2008.
Sciencemile
player, 174 posts
Opinion is the default
for most everything I say
Sun 13 Jul 2008
at 01:20
  • msg #300

Re: Doctor, it hurts when I do this:  Health care issues

Something to think on; a mosquito that carries HIV-infected blood can't spread the disease to you.....

...unless you squash it while it's still drinking.

Moral: Eliminate mosquitoes, who needs bats anyways?
katisara
GM, 3140 posts
Conservative human
Antagonist
Sun 13 Jul 2008
at 01:26
  • msg #301

Re: Doctor, it hurts when I do this:  Health care issues

I don't think if you squash it it'll spread it either.  The HIV virus dies when it comes in contact with oxygen for any significant amount of time, and the mosquito, being a messy drinker, exposes all the blood to oxygen (that's why it's red even if it was drinking from a vein).
Sciencemile
player, 175 posts
Opinion is the default
for most everything I say
Sun 13 Jul 2008
at 01:33
  • msg #302

Re: Doctor, it hurts when I do this:  Health care issues

What do you think would be the likelihood of HIV mutating to be transmutable between mosquitoes and humans, like Malaria is now?

All I need is one reason, one reason to justify the war on bugs ;)
katisara
GM, 3141 posts
Conservative human
Antagonist
Sun 13 Jul 2008
at 02:08
  • msg #303

Re: Doctor, it hurts when I do this:  Health care issues

I'm not a doctor, but from what I understand, fairly low.
Vexen
player, 247 posts
Wed 6 Aug 2008
at 15:46
  • msg #304

Re: Doctor, it hurts when I do this:  Health care issues

At some point during this abortion discussion a bit ago, the subject of men having the right to choose was mentioned briefly. It seems China is going to try this for themselves.

http://news.bbc.co.uk/2/hi/not..._reports/1751680.stm
Bart
player, 345 posts
LDS
Mon 11 Aug 2008
at 20:28
  • msg #305

Re: Doctor, it hurts when I do this:  Health care issues

Experts say male circumcision the key to beating AIDS
http://www.news-medical.net/?id=40543
quote:
Epidemiologist and co-author Robert Bailey, from the University of Illinois, Chicago, was among the first to discover that circumcision protects against HIV infection in men who are circumcised because specific cells in the foreskin are favoured targets for HIV, and the inside of the foreskin lacks the tough layer that protects most skin from infection.

EDIT: Wow, I went to edit Wikipedia to reflect what I thought was a "new" study and I found links to studies going back to 1999: http://dx.doi.org/10.1097%2F00002030-200010200-00018  Apparently, circumcision offers a 50% to 60% reduction in HIV transmission in cases of men having sex with a man.
This message was last edited by the player at 09:29, Tue 12 Aug 2008.
Tycho
GM, 2571 posts
Thu 16 Jul 2009
at 13:31
  • msg #306

Re: Doctor, it hurts when I do this:  Health care issues

An interesting article about rationing health-care:
http://www.nytimes.com/2009/07.../19healthcare-t.html
I found it a good read, and very reasonable, but not likely to ever catch on, because it's not the way most americans (or people in general) tend to think.  The "one life is worth the entire world" and "you can't put a dollar figure on a life" type of thinking mentioned in the article are too entrenched, I think, for many people to accept the kind of thinking suggested in this article.  Unfortunately, most of them don't realize that health care already is, and always will be rationed in some fashion because we don't have infinite money to pay for it all.
Heath
GM, 4451 posts
Affiliation: LDS
Occupation: Attorney
Fri 17 Jul 2009
at 17:03
  • msg #307

Re: Doctor, it hurts when I do this:  Health care issues

Life is important, but freedom is more important.
Ms. Libertarian
player, 70 posts
Conservative Libertarian
Prophetess (ULC Title)
Wed 22 Jul 2009
at 13:17
  • msg #308

Re: Doctor, it hurts when I do this:  Health care issues

Once ,a while ago, I bought Fish Mox that is Fish Labeled Use (aquarium) Amoxillin an antibiotic that were human capsules of the drug because that cost me $15 and to see a doctor, get the tests and the drug for my Urinary Tract Infection would have cost me likely over $200. So I took the chance and self-medicated and it worked thankfully.

How come in America I was forced really to do this due to lack of money? I bet if I was in any other country with national health care I could have had this treated for what I could afford.

On the topic of Health Care Reform I see a huge flaw the government should take all the existing money short of the VA that is in the system, including for hospitals for providing indigent care like our county does each year. And provide a bare bones plan that is based on the ability to pay, heavily rations choices similar to what prisons provide (the better programs among them). Then apply that to everyone then they can have supplemental insurance for that if they want more options.

On the good new eventually the death toll and system will collapse and they will be forced to do something about it at some point.
katisara
GM, 3907 posts
Conservative human
Antagonist
Wed 22 Jul 2009
at 13:36
  • msg #309

Re: Doctor, it hurts when I do this:  Health care issues

Well one reason is, if the medicine was bad and killed your fish, you couldn't sue for more than a few hundred dollars. If the medicine was bad and killed YOU, your family could sue for millions. Put a cap on tort cases, and that alone will drop costs for all medical products and procedures dramatically.
Ms. Libertarian
player, 72 posts
Conservative Libertarian
Prophetess (ULC Title)
Wed 22 Jul 2009
at 13:49
  • msg #310

Re: Doctor, it hurts when I do this:  Health care issues

I would give soveriegn immunity to medical doctors who take any money from government programs (and medical facilities) so suing would be almost impossible. There are other ways to deal with bad doctors within their profession and we shold focus on that.
Tycho
GM, 2576 posts
Wed 22 Jul 2009
at 13:52
  • msg #311

Re: Doctor, it hurts when I do this:  Health care issues

Ms. Libertarian:
Once ,a while ago, I bought Fish Mox that is Fish Labeled Use (aquarium) Amoxillin an antibiotic that were human capsules of the drug because that cost me $15 and to see a doctor, get the tests and the drug for my Urinary Tract Infection would have cost me likely over $200. So I took the chance and self-medicated and it worked thankfully.

How come in America I was forced really to do this due to lack of money? I bet if I was in any other country with national health care I could have had this treated for what I could afford.

On the topic of Health Care Reform I see a huge flaw the government should take all the existing money short of the VA that is in the system, including for hospitals for providing indigent care like our county does each year. And provide a bare bones plan that is based on the ability to pay, heavily rations choices similar to what prisons provide (the better programs among them). Then apply that to everyone then they can have supplemental insurance for that if they want more options.

On the good new eventually the death toll and system will collapse and they will be forced to do something about it at some point.


Yes, in countries with socialized medicine, you'd probably have got the antibotics for free or just about free, in this case.

The short answer as to why you didn't in the US, would be the same reason you don't get a car for free if you need on, or a house for free, or a meal for free, etc.  For better or worse, in the US it's been considered your own responsibility to pay for your medical needs, rather than the government's responsibility to keep the population healthy regardless of their income.  There's arguments that can be made for either point of view, and both have merit.  The bottom line, though, is that in the US no one else considers it their responsibility to make sure you get medical treatment when you need it, whereas in other countries, someone (the government) does.  The up-side of the US system is that if you have lots of money, you can get really good medical treatment, really quickly.

We'll see if the dems can get the system working any better or not when they get their bills passed.  I'm not sure what I think will happen yet.  Seems like they're trying to mash the two ideas together (your responsibility vs. the government's), rather than switching from one to the other, which runs the very real risk of getting the worst aspects of both systems.  In trying to please everyone, they seem to be avoiding some of the important tough decisions.
katisara
GM, 3909 posts
Conservative human
Antagonist
Wed 22 Jul 2009
at 14:00
  • msg #312

Re: Doctor, it hurts when I do this:  Health care issues

Ms. Libertarian:
I would give soveriegn immunity to medical doctors who take any money from government programs (and medical facilities) so suing would be almost impossible. There are other ways to deal with bad doctors within their profession and we shold focus on that.


That's great! So if I graduate from 'Bob's Surgery Hut' at the bottom of my class and manage to get signed on to the social medicine program (since all of the doctors who graduated top of their class moved to the US where they get paid better), I can basically slack off all day and cut off the wrong limb and all that. I mean, what are they going to do, fire me? I'm already making very little money, and they've got a shortage of doctors. And even if they do fire me, it's not like that's going to help the patient now missing the wrong leg very much. Sucker.
Ms. Libertarian
player, 73 posts
Conservative Libertarian
Prophetess (ULC Title)
Wed 22 Jul 2009
at 15:44
  • msg #313

Re: Doctor, it hurts when I do this:  Health care issues

In reply to Tycho (msg #311):

Because at the time I had arund $40 in ready cash and that wouldn't pay for a doctor, tests even if minimal and the medicine.

Frankly I'm not like most Libertarians n this the free market can't work if its not 100% free and there is market forces at work. But Sovereign Immunity I assume would apply to any doctor who has a legitimate American license to practice a fairly high bar. I would though add Nurse Practitioners into the mix.

One thing that is missing from the debate is sending our sick patiants where treatment can be safely delayed to top international tourist hospitals in India, Singapore and Thailand for care where its much cheaper. They could do most treatments even cancer care as good or better than a US hospital for maybe one fifth the cost in some cases.

I argue the focus of this legislation proposed by Obama is wrong think BASIC safety net for those that need it first. Pinellas County Jail has a very good medical facility run by the Sheriff's Office to save money they employ the medical staff and have Soveriegn Immunity protections. And they seem to have great outcomes controlling costs while obviously eliminating choice. Seems to me if one decides to just focus on conventional care we know that works, leave out the highest tech new care and focus on good primary care it would cut costs. And export cases as needed if its cheaper. We outsource lots of other things because its cheaper why not our sick people?
Tycho
GM, 2577 posts
Wed 22 Jul 2009
at 15:58
  • msg #314

Re: Doctor, it hurts when I do this:  Health care issues

Sounds like you want a "european-style socialist medical system" then.  That would probably be fine by me (some versions are better than others, of course, but most of them are better for the average person than the current US system--though not better for those in the upper-middle-class or better).  Most people on the left would probably agree to it to.  So get to work on the other libertarians you know! ;)  Realize, though, it will mean paying more in taxes, for somebody at least.

Put another way, in the situation you describe where you had to self medicate with drugs not meant for you humans, and saying "how come I can't get free antibotics like I could in some other country?" that you're basically asking someone else to bail you out of a jam.  I think a decent case can be made that the government should bail you out, but I think it's important to keep in mind that that's what it's doing.  And it's important to keep in mind that someone has to pay for it, even if you don't.  The free drugs you get in other countries don't just fall out the sky, they get paid for with higher taxes.  Not arguing with you here, just making sure you're aware of the downsides to what you're suggesting as well as the upsides.
This message was last edited by the GM at 16:01, Wed 22 July 2009.
katisara
GM, 3911 posts
Conservative human
Antagonist
Wed 22 Jul 2009
at 16:27
  • msg #315

Re: Doctor, it hurts when I do this:  Health care issues

Ms. Libertarian:
Frankly I'm not like most Libertarians n this the free market can't work if its not 100% free and there is market forces at work.


Then in the 20th century world, you're not much of a libertarian. I'm not aware of any true 'free markets' left in the world.

quote:
One thing that is missing from the debate is sending our sick patiants where treatment can be safely delayed to top international tourist hospitals in India, Singapore and Thailand for care where its much cheaper. They could do most treatments even cancer care as good or better than a US hospital for maybe one fifth the cost in some cases.


There is nothing stopping you from doing this right now. My mother-in-law went to Peru to get orthodontic work done. My mom sought medical care she wouldn't get otherwise while living in Venezuela. Stories of people travelling to Mexico or Canada are very common. With the price of plane tickets as low as they are, and most health insurance companies focused on the bottom line, I see no reason why most people don't do this.

However, the result of this soon is that these foreign nations will forbid visitors from doing this. Do you think the healthcare is free or cheaper in these nations by magic? Of course not. It's free or cheaper because taxpayers take on a major part of the burden, and it's unfair of you to expect to get discounts on your care when you didn't pay into the system in the first place. On the flip side, I suspect more and more people will be coming to the US for care (moreso than they already do - I'm including both legal visitors from nations like Japan and Canada, and illegal visitors from Central and South America).

The only people who won't be taking advantage of this are middle class and poor people who already paid for their healthcare by taxes, even though they're not happy with the care they're receiving.

quote:
Pinellas County Jail has a very good medical facility run by the Sheriff's Office to save money they employ the medical staff and have Soveriegn Immunity protections.


You want to base your civilian health care off what we give to prisoners??

quote:
We outsource lots of other things because its cheaper why not our sick people?


1) The reason these technologies develop in the first place is because rich people are willing to pay top dollar for them - in America. You seem to be forgetting that the greatest medical advances available are only available in a handful of nations, with America being the leader. If you have a rare disease, odds are you can't get a cure for any price at all outside of the US (and a few other Westernized nations). If we simply encouraged mass migration, we'd have fewer people working hard to be brain surgeons and such, and fewer medical advances available in general.

2) Because, again, it's just setting us up to survive parasitically on other nations (which I'm not exactly opposed to, but I doubt it would survive long).

Are you suggesting we should set up our medical schools and doctors in overseas paradises because they'll accept lower salaries there, and we'll just ship everything to other nations on that assumption? Seems far-fetched.
Falkus
player, 836 posts
Wed 22 Jul 2009
at 22:14
  • msg #316

Re: Doctor, it hurts when I do this:  Health care issues

That's great! So if I graduate from 'Bob's Surgery Hut' at the bottom of my class and manage to get signed on to the social medicine program (since all of the doctors who graduated top of their class moved to the US where they get paid better)

Not anymore, thanks to 9/11.
Ms. Libertarian
player, 75 posts
Conservative Libertarian
Prophetess (ULC Title)
Thu 23 Jul 2009
at 01:09
  • msg #317

Re: Doctor, it hurts when I do this:  Health care issues

In reply to katisara (msg #315):

Tourist Medical Hospitals are for profit and are not in the national governments medical systems in nations such as India and Thailand. In Singapore they are but they need foreign patiants to suppor their excellent national system for their citizens.

And let me tell you the care is excellent in India ,any medical school here will tell you, has a system of medical education that matches our best schools. And when I went my doctor was trained at the well regarded Harvard Medical School you have heard of them, a fine surgeon. At the time my insurer paid for it all it saved them tens of thousands of dollars. I just had to cover my regular co-pay and deductible. I had a private room, private nurse who had a bachelors degree, ten days in the hospital with physical therapy and a cell phone and direct phone numners to ALL my doctors. I called the Pain Specialist at 1am in the morning when he was sleeping and he had a pain medication in my IV in ten minutes. You try and get that care in this nation for what my insurer paid which was $14,000 with airfare. In this nation the same procedure would have been $80,000 with far less care I suspect.

So why not use them?

And for your information the same hospitals offer ample charity care to their own nations poor many specialties would be unavailable to say a sick child without paying foreigners.

And yes base other care based on the better prisons have the government pay the doctors and nurses, invoke soverieng immunity, say no to people as needed and do what they must do to keep costs down. Who needs choice if choice will not let a person see a doctor if its still too expensive. Say what you want about nations like Canada I read in the paper Sunday HOMELESS PEOPLE the poorest in the nation see medical doctors in the shelters and service places for them. Because giving them care keeps them out of hospitals you give them clean needles and they may not get HIV etc. Insurers can offer supplemental coverage but the safety net should be that, no frills practical care.
katisara
GM, 3912 posts
Conservative human
Antagonist
Thu 23 Jul 2009
at 13:56
  • msg #318

Re: Doctor, it hurts when I do this:  Health care issues

re: Foreign doctors - if that's the case, what's the problem? There's nothing there to 'solve' - already you can put yourself overseas and get excellent care for cheaper. Hurrah capitalism!

re: Prison medicine - the thing you keep ignoring is that the ability to sue your doctor is in place for a reason. If you remove the patient's ability to choose or decline care, and no form of reparations should the doctor do wrong, well, I think those are unreasonable restrictions. If the doctor messes up and I can no longer run, I deserve to be able to take it to court and be repaid for what I have lost. If I don't want a particular service, I should have every right to decline it. Isn't that the core argument behind the right to abortion? My body, my choice? The idea of doctors not being answerable to their mistakes, and the patient not having the full and absolute power of choice over his own health care is morally repulsive to me, and absolutely unacceptable.
Ms. Libertarian
player, 77 posts
Conservative Libertarian
Prophetess (ULC Title)
Thu 23 Jul 2009
at 22:17
  • msg #319

Re: Doctor, it hurts when I do this:  Health care issues

Basic rule here is SAFETY NET care, beggers can't be choosers. I'm talking a basic safety net providing proven and tested care, low cost generic drugs and access to reasonable care in hospitals. For example why don't they go back to WARDS with say 12 adults (if they are not infectious) in one room which would demand fewer nurses? And why should people get expensive tests when with common symptom analysis one can figure out what most people have then test narrowly?

We need to keep this simple take all the money in the system Medicare, Medicaid, local indigigent funds and the like and channel that to cover the most people as cheaply as possible.

And why sue government funded doctors if they are not competant the government can just cut them off from the teat and either they take the government wage and prove results, or have to make money outside the system from those that can pay. But what they are doing is not that is it its more government MANDATES at the Federal level.
katisara
GM, 3915 posts
Conservative human
Antagonist
Fri 24 Jul 2009
at 12:18
  • msg #320

Re: Doctor, it hurts when I do this:  Health care issues

Ms. Libertarian:
Basic rule here is SAFETY NET care, beggers can't be choosers.


Gotcha. No complaints. But the question is, who is paying for it and who is actually providing the care? Is there a difference in the end results if it's a private hospital providing 'basic' care paid for by the gov't, a gov't facility paid for by the gov't, or private care paying out of pocket?

quote:
And why sue government funded doctors if they are not competant the government can just cut them off from the teat and either they take the government wage and prove results, or have to make money outside the system from those that can pay. But what they are doing is not that is it its more government MANDATES at the Federal level.


Because a doctor losing his job doesn't help me grow back my leg.
Ms. Libertarian
player, 78 posts
Conservative Libertarian
Prophetess (ULC Title)
Sun 26 Jul 2009
at 02:44
  • msg #321

Re: Doctor, it hurts when I do this:  Health care issues

All I have to say is in the time in the early twentieth century community run public hospitals, they oddly had staff doctors paid for by counties with a community board overseeing things. You couldn't easily sue doctors and oddly people got at the time excellent care based on ability to pay. Why not do the same thing now there is plenty of money there and as for medical doctors sinply to hold a license to practice require a certain number of hours of public service, same for Nurse Practitioners and other professionals in higher than nursing level practice. Say 40 Hours a year. In addition to the paid staff at these places.

To keep costs down any higher level expense would have to be cleared by the community board that is the way it used to be done. If they wanted say a new xray machine the board had to clear the cost if over a certain amount.

Just keep the control local at the County level.
Tycho
GM, 2581 posts
Sun 26 Jul 2009
at 17:36
  • msg #322

Re: Doctor, it hurts when I do this:  Health care issues

And if a county can't afford to cover everyone?

Should people who live in wealthier counties get a better "safety net" than those in poorer counties?  (that's an open question, really, not just rhetorical--I'm not sure myself if they should or not)

Or, coming at it a different way:  perhaps the system you suggest is already in place, and most counties have just decided to offer little-to-no safety net?  In your system, what keeps the county from just deciding to do nothing, if you "keep control local?"
Trust in the Lord
player, 1346 posts
No Jesus No Peace
Know Jesus Know Peace
Sun 26 Jul 2009
at 18:56
  • msg #323

Re: Doctor, it hurts when I do this:  Health care issues

Those who have should share with those who don't. That's why they have.
Tycho
GM, 2583 posts
Sun 26 Jul 2009
at 19:51
  • msg #324

Re: Doctor, it hurts when I do this:  Health care issues

Hmm, that wasn't the position I'd have expected, Titl!  To clarify, are you saying that those who have should be made to share (via taxes) with those who don't?  Are you in favor of the proposed surtax on the rich to help pay for health care for the poor (or, for everyone, really)?
Trust in the Lord
player, 1347 posts
No Jesus No Peace
Know Jesus Know Peace
Sun 26 Jul 2009
at 21:17
  • msg #325

Re: Doctor, it hurts when I do this:  Health care issues

No, I don't think taxes work all that well for the most part. The government doesn't truly make the best use of tax dollars.

However, I still don't suggest mandatory taxes for those to give to the poor exactly either.

People should give willingly to those in need.
Tycho
GM, 2585 posts
Mon 27 Jul 2009
at 07:53
  • msg #326

Re: Doctor, it hurts when I do this:  Health care issues

Ah, okay.  Well, I think all of us would agree that voluntary charity is a good thing, but since it can't be mandated (by definition), it's not really a solution we can put forward to the issue of health care.  While it'd be great if everyone gave enough to everyone else freely that no one had to worry about healthcare, but since that's not the case, we're looking for other solutions.

Saying "people should help each other" is sort of like offering "people should stop committing crime" as a solution to prison overcrowding.  True, but not something that we can really implement.
Falkus
player, 841 posts
Tue 28 Jul 2009
at 11:13
  • msg #327

Re: Doctor, it hurts when I do this:  Health care issues

No, I don't think taxes work all that well for the most part. The government doesn't truly make the best use of tax dollars.

What makes you say that?
katisara
GM, 3920 posts
Conservative human
Antagonist
Tue 28 Jul 2009
at 12:45
  • msg #328

Re: Doctor, it hurts when I do this:  Health care issues

As a government employee, I can assure you, government does not make the best use of tax dollars. I could write pages and pages talking about why, if you really wanted to read through it all.
Tycho
GM, 2592 posts
Tue 28 Jul 2009
at 13:42
  • msg #329

Re: Doctor, it hurts when I do this:  Health care issues

To be fair in the comparison, though, we have to hold that up to how tax payers would spend the money if they kept it.  And also have some idea of it means to "make the best use of" money.

While the government may end up 'wasting' a lot of money accomplishing a given goal, it's often likely that the goal wouldn't be met at all if we just trusted people to do it on their own. Health care being a good example--the whole reason the country is having the debate over health care reform is because leaving it all up to the individual to and the free market to sort out hasn't produced a particularly pleasing result.

Also, we should keep in mind that it private business are created to make money for the owners of the business.  That's the purpose.  Government is very much not created for that purpose, and we shouldn't want it to act like it is.  When we compare government and private businesses we have to keep the difference in their purposes clear in our mind.  Very often, the government does jobs that private businesses wouldn't do, because there's no profit to be made in it (such as providing services to the poor).

I'm not saying that there isn't large room for improvement in terms of government efficiency.  However, that doesn't mean that not spending the money on that government service is a "better use" of the money.  You can't compare the efficiency of the government to the ideal, perfect entity that you can imagine when deciding whether to use taxes to fund a service or not.  Rather, you have to compare it to what the tax payers actually spend the money on.  Lists of examples of ways that the government could-but-doesn't save money are useful for improving efficiency, but they're not the right metric for deciding whether or not to fund a project.

As an example, say the government has a magical machine that feeds the hungry, cures the sick, spreads peace and understanding, makes it sunshiney when you're outside, etc., etc., but the only guy in the government who knows how to use it is a lazy guy who spends half the day setting fire to wads of tax payer money.  Now, it's all well and good and appropriate to press the government to get this guy to stop burning money, and spend more time working, but it would be very bad logic to say "look at how wasteful this is!  We shouldn't be paying for this magical device!"  The correct way of looking at it is to say "are the benefits of the magical device greater than the cost we pay for them (with all the wasted and burned money included in that cost)."
katisara
GM, 3921 posts
Conservative human
Antagonist
Tue 28 Jul 2009
at 14:17
  • msg #330

Re: Doctor, it hurts when I do this:  Health care issues

Seems to me the best way to solve the problem is to simply make it profitable for private corporations. So, for instance, to tap on Falkus's idea earlier, what if we allowed corporations to provide proper medical care for poor people, and in exchange, the company gets access to the person's organs and resell them when the person dies. This seems like a plan with no possible drawbacks.
Tycho
GM, 2593 posts
Tue 28 Jul 2009
at 14:36
  • msg #331

Re: Doctor, it hurts when I do this:  Health care issues

katisara:
Seems to me the best way to solve the problem is to simply make it profitable for private corporations.

I have no objection to that strategy, when it can be done.

katisara:
So, for instance, to tap on Falkus's idea earlier, what if we allowed corporations to provide proper medical care for poor people, and in exchange, the company gets access to the person's organs and resell them when the person dies. This seems like a plan with no possible drawbacks.

The potential drawback, as I see it, is that a profit-motivated company only wants the organs, not the poor people.  There's no real incentive for them to provide "proper" medical care (that just costs money), and a rather large incentive for them to provide very improper care (ie, kill'em off, and harvest the organs).  With sufficient monitoring, it might work.  But what will stop the company from just paying off the monitors to turn a blind eye?  You'd probably have to offer sufficient money to the monitor that they end up richer if they do a good job of it than they get from doing a poor job.  Will that come at a point that's cheaper or more expensive than just having the government pay directly for poor people's health care?  I don't know, to be honest.  It'd be worth considering more deeply if it were put on the politicians table.  But the conflict of interest for the health provider does set of warning lights for me.  A company that gets paid more for keeping patients alive longer has a good reason to give good health care (perhaps overly so--they have a motive to provide even more healthcare than is needed, if they can get away with it), but one that only gets 'paid' when a patient dies doesn't have a particularly strong motivation to provide very good health care.

Like I said, the general idea of finding ways to make something profitable for private industry to do is fine by me.  But as the example illustrates, it's not always easy to 'make things profitable' if they aren't that way already.  You can end up paying more to make something profitable than it would have cost to just do it (inefficiently) with government/non-market forces in the first place.
This message was last edited by the GM at 14:49, Tue 28 July 2009.
Ms. Libertarian
player, 79 posts
Conservative Libertarian
Prophetess (ULC Title)
Tue 28 Jul 2009
at 14:50
  • msg #332

Re: Doctor, it hurts when I do this:  Health care issues

To make any system like that work medical care would have to be like any other commodity or service. In simple perms the rates and fees for all the work or at least a solid estimate such as an automechanic has to provide must be made available. That is a huge issue. If I travel to India to a private hospital there they tell me one price and it stands, complications or not for the care. Here I can't call a doctors office in many cases and get a price quote for more than the office call so how can I comaparison shop. Add to that in an emergency one cannot shop around for care letting the ambulance drive around as your on a cell phone.

Medical care is not like any other free market item everyone needs it, they don't need a car or a cellphone or a computer with high speed service. Its also not like most services if I go to my barber and he charges an extra $2 for long hair I can opt not to pay and leave and cut it at home for free.

I still would push for an unattractive due to lack of choice basic safety net that is cheap, covers only essential care and is easy to navigate while doing reforms to the rest of the system. There is plenty of money in the system Medicaid if we ration care and treatments to what we know works and is cost effective like Oregon tried to do, we might have something that works. I still argue base the system off a better prison medical program than one in the public sector. I might not ban lawsuits but we could cap them on these doctors to no more than $100,000 and mandate plans for malpractice adjust the costs accordingly to doctors in the "government program". And what about make it easier for qualified doctors trained abroad and who have experience to practice basic medicine here, same for nurses.
katisara
GM, 3922 posts
Conservative human
Antagonist
Tue 28 Jul 2009
at 17:32
  • msg #333

Re: Doctor, it hurts when I do this:  Health care issues

Ms. Libertarian:
To make any system like that work medical care would have to be like any other commodity or service.


For what to work precisely?

Also note, there are solutions to this. If the government is saying 'we will pay a voucher based on your income bracket, 50% for people in this bracket, 90% for people in this bracket, 100% for people in this bracket, if you offer your services for this amount or less', that puts the onus back on the hospitals. Not surprisingly, this is how medical insurance works right now - My insurance is accepted at most hospitals, but requires those hospitals only charge within a certain bracket. This is simply shopping beforehand. Private industry does it, there's no reason the gov't shouldn't as well. Should a hospital not meet these price standards, it won't get paid by the government for care (which is bad for the hospital because they lose customers and/or payment for services rendered).

I'm not sure how emergency room visits are handled. I assume there are laws and such in place there, to prevent me from starting up Katisara's Bleed and Bleed, where I'll treat you for emergency care, but for ten times what the other place would charge, haha, sucker. But I'm sure something is in place, otherwise you can imagine the results we should be seeing.

quote:
Medical care is not like any other free market item everyone needs it,


Except food. And shelter. And clothing. And water. And, well, you get the idea.

quote:
Its also not like most services if I go to my barber and he charges an extra $2 for long hair I can opt not to pay and leave and cut it at home for free.


You can almost always do that with hospitals. The majority of a hospital's business is not 'patient is unconscious, emergency care'. It's scheduled well in advance. If you don't like the price, go elsewhere or do without.

quote:
I might not ban lawsuits but we could cap them on these doctors to no more than $100,000 and mandate plans for malpractice adjust the costs accordingly to doctors in the "government program".


Ah, so if a medical operation goes wrong and I now need $500,000 in equipment, supplies and medical assistance to survive, I can only get $100,000 to pay for it? (Remember, an operation which results in my needing personal care from a nurse, such as home care, for the rest of my life due to medical negligence, would likely cost well above $100,000. That money not being available means we lose my job, my house, the college fund, the retirement fund, everything - my life ruined, due to someone else's mistake, and I can't even get enough compensation to forestall foreclosure?)
Ms. Libertarian
player, 80 posts
Conservative Libertarian
Prophetess (ULC Title)
Tue 28 Jul 2009
at 18:59
  • msg #334

Re: Doctor, it hurts when I do this:  Health care issues

We could easily have a judge allow for a higher lawsuit for rare cases where the harm was extraordinary, but we could also just make that per party involved in the care. So if three doctor practices and a hospital are all to blame then that would be $400,000.

But how often is malpractice legitimate at that level, for every legitimate extreme case there is a block of others suing due to normal and expected side effects to treatment.

And a thought what if the government demands everyone get insurance and some can't afford to get care with it or can't afford the insurance. That happened in MA they mandated it and the cost of insurance went up, some still couldn't afford it and those that did manage to get a plan can't afford the co-pays and deductibles to use it. I still feel we should think safety net get people to see a primary care doctor and yes ration care saying no where needed. And send patiants to Tourist Medical Hospitals abroad as far as we can not giving choices. Just tell them this cancer tratment is say $80,000 in India and $400,000 here so your GOING to India. We will cover air fare, all costs and make sure you stay in a rest resort for a week to recover after its cheap enough but no choice that is where your going. Supplemental insurance to the government plan would be available to allow more options and choice by beggers shouldn't be picky.
Tycho
GM, 2594 posts
Tue 28 Jul 2009
at 19:04
  • msg #335

Re: Doctor, it hurts when I do this:  Health care issues

Ms. Libertarian:
But how often is malpractice legitimate at that level, for every legitimate extreme case there is a block of others suing due to normal and expected side effects to treatment.

Do you have figures demonstrating this, or is just an assumption on your part?

Ms. Libertarian:
And a thought what if the government demands everyone get insurance and some can't afford to get care with it or can't afford the insurance. That happened in MA they mandated it and the cost of insurance went up, some still couldn't afford it and those that did manage to get a plan can't afford the co-pays and deductibles to use it. I still feel we should think safety net get people to see a primary care doctor and yes ration care saying no where needed. And send patiants to Tourist Medical Hospitals abroad as far as we can not giving choices. Just tell them this cancer tratment is say $80,000 in India and $400,000 here so your GOING to India. We will cover air fare, all costs and make sure you stay in a rest resort for a week to recover after its cheap enough but no choice that is where your going. Supplemental insurance to the government plan would be available to allow more options and choice by beggers shouldn't be picky.

I don't have a problem with a simple, no-frills safety net, without a great deal of choice and rationing.  But that's the "socialized medicine" that most americans find so scary.  The trick is getting people to accept it, as much as anyone else.
katisara
GM, 3924 posts
Conservative human
Antagonist
Wed 29 Jul 2009
at 12:45
  • msg #336

Re: Doctor, it hurts when I do this:  Health care issues

Ms. Libertarian:
But how often is malpractice legitimate at that level, for every legitimate extreme case there is a block of others suing due to normal and expected side effects to treatment.


In my state, medical tort law is very, very restrictive. A friend of mine had some sort of foot problem and got operated on. The doctor made a mistake, the foot got sepsis and was nearly amputated. Now she can hardly walk. The pain is oftentimes so extreme, she has had to stop working (and obviously, earning). She's had to go in for three more operations to correct the problem, and she can't afford it (but can't afford not to) so the bills are piling up on her credit card, accruing interest. Other doctors have told her clearly it was the first doctor's mistake and explained why. However, she can't sue for damages. Instead, she just has to make do with being in extreme pain, broke and unable to work.

The truth is, people have tried your plan, and it's hurt a lot of innocent citizens. Yes, it lowered the cost of medical care for the majority, but for the minority, it's ruined their lives.
Tycho
GM, 2605 posts
Sun 2 Aug 2009
at 11:19
  • msg #337

Re: Doctor, it hurts when I do this:  Health care issues

A bit of a change of subject, but did anyone else hear about this:
http://news.bbc.co.uk/1/hi/world/americas/8180116.stm
A man was convicted of reckless homocide for letting his 11 year old daughter die instead of taking her to the hospital.  He was using "faith healing" and felt that taking his daughter to the hospital would be "putting the doctor before God."  What do people think of this?
Sciencemile
player, 691 posts
Opinion is the default
for most everything I say
Sun 2 Aug 2009
at 12:31
  • msg #338

Re: Doctor, it hurts when I do this:  Health care issues

Well, not much else to say about it really; something told him that faith-healing was the way to cure his kid, and vicariously murdered her by denying modern medicine.

It worries me that somebody was given the impression from whatever holy book or preacher he got it from that trusting in modern medicine is somehow blasphemous, but these things seem to happen all the time, so they're either all from the same church, or I've overlooked the part of the Bible that says "Those who washeth their hands aforesurgery are assuredly in league with the Dark One, seeth a Chiropractor in lieu of such evils."
Ms. Libertarian
player, 81 posts
Conservative Libertarian
Prophetess (ULC Title)
Sun 2 Aug 2009
at 20:52
  • msg #339

Re: Doctor, it hurts when I do this:  Health care issues

I watched a Frontline one hour special where a reporter looked at how five other nations that are democracies do health care. Switzerland was just like us with HALF the people uninsured in 1994 if I recall correctly they voted in a health care reform in a referendum it barely passed but did.

There overall in that program seem to be four standard components Germany and Switzerland are very much like us.

1. All insurers are non-profit on the basic package. Switzerland they can offer supplemental coverage over that and make money on those.

2. Government mandate that everyone be covered and everyone pay their share. In Germany the rich can opt out. In Switzerland not and in Taiwan not. All must though have coverage in Switzerland from a private insurance company. The poor get that assisted as needed.

3. Bargaining with insurance companies and doctors who are also in private practice to cover the basic needs at a fixed rate for say a year, if you go in for a broken leg the rate is fixed for that and related costs. Same with drug companies as well. Guess what none are starving or going out of business in Switzerland.

4. Eliminate waste use electronic records in Taiwan everyone carries a card with all their medical information on it. Find out what treatments work best, what tests offer the best bang for the buck, push prventative care with a focus on primary care, bulk buy medical items like power wheelchairs (save for those with special needs there) etc.

Both nations have non-government medical services and insurers and seem to keep costs under what we pay. In Switzerland its 2/3rds our costs that would cover our uninsured.

What I'm saying instead of being stupid lets see what other nations are doing right, Americanize them and use them here with reasonable government regulations on the business side. Well within their constitutional power to do. If we have to get a bit creative we are a huge and smart nation we can do this if their is a pair of testicular fortitudes to be had among enough of our leaders. And we be sure the rich and poor all proportionally are part of the system.
katisara
GM, 3925 posts
Conservative human
Antagonist
Mon 3 Aug 2009
at 13:16
  • msg #340

Re: Doctor, it hurts when I do this:  Health care issues

Ms. Libertarian:
Well within their constitutional power to do.


Which part of the constitution would that be?
Ms. Libertarian
player, 82 posts
Conservative Libertarian
Prophetess (ULC Title)
Wed 5 Aug 2009
at 14:10
  • msg #341

Re: Doctor, it hurts when I do this:  Health care issues

Congress has the power to regulate commerce, business practices are commerce. All this would mean is the government would have a basic package all insurers would have to offer at the same rate, negotiated with all parties. That would be the basic package of essential care.

Then they could offer extras in sort of Basic Service PLUS plans where they could offer alternative medicine, women's focused plans and the like and could make money on those. The Swiss did this in 1994 and it seems to make everyone happy there and isa free market approach. Just guided by the government.

I'm not a radical Libertarian by pragmatic the insurers and others won't do a damned thing unless the government puts their food down with some guidelines. Must I point out the Swiss model is fundamentally free market and competative just the government demands no profits from the mandatory care part of the insurance, they are to break even. Profits come from additional insurance offerings which are optional.
katisara
GM, 3927 posts
Conservative human
Antagonist
Wed 5 Aug 2009
at 14:34
  • msg #342

Re: Doctor, it hurts when I do this:  Health care issues

Ms. Libertarian:
Congress has the power to regulate commerce,


Congress has the power to regulate INTERSTATE commerce. How is my going to a hospital in my state and having to pay for it interstate?
Ms. Libertarian
player, 83 posts
Conservative Libertarian
Prophetess (ULC Title)
Wed 5 Aug 2009
at 14:55
  • msg #343

Re: Doctor, it hurts when I do this:  Health care issues

Insurance companies, drug companies and others do operate interstate I think unless you don't have a multistate insurer which almost all are at least regionally.

They don't have to target the hospital but since they could opt out of taking Federal money no one is forcing them to be in the system. Just then since the government would tell the multistate insurers and the like what the plan is they could not use that hospital I would suspect. Same for the big pharma companies.

I agree a strictly in state insurer not attached to a parent company would be out of their control save they could refuse Federal shares of funds for basic coverage and that would include the poor. Leaving small insurers out cold. Right now for example any hospital accepting Medicare funds has to abide by Medicare rules. It would be no different here you could have a private insurer or hospital opting out no one would force them into this. Save they would likely lose alot of funding and have to do something else like an insurer doing supplemental policies. Which the insured persons insurer say Humana could ban.

Odds are then using the Interstate Clause they can bring all other parties not large enough into the system, through natural market forces.

I am for phasing out Medicare and Medicaid to channel those funds into this system.
katisara
GM, 3928 posts
Conservative human
Antagonist
Wed 5 Aug 2009
at 15:51
  • msg #344

Re: Doctor, it hurts when I do this:  Health care issues

Ms. Libertarian:
Insurance companies, drug companies and others do operate interstate I think unless you don't have a multistate insurer which almost all are at least regionally.


This is a concern for the uninsured, which means it's not interstate. If interstate insurance companies are making trouble, that's distinctly different from an intrastate business refusing service to a non-paying customer.

So I ask a fundamental question, on what grounds does the Federal government give money to hospitals (under medicare) to pay for medical treatment of a customer? How is that interstate commerce? If you can't justify that, everything you build off of it falls through as well.
Ms. Libertarian
player, 84 posts
Conservative Libertarian
Prophetess (ULC Title)
Fri 7 Aug 2009
at 00:59
  • msg #345

Re: Doctor, it hurts when I do this:  Health care issues

They don't the hospital and other parties including insurers do business with the Federal government (and under Medicaid state governments) no one says they must take either. I know several doctors in my area that are not taking either in local practices that are now cash only. But if they decide to take this money they must take the rules that go with it.

There is a simple option though make Medicaid strictly income based which is what all three plans have and then make work on the rest of the uninsured next. Noting that would cover the bulk of those in need of health care insurance.
katisara
GM, 3932 posts
Conservative human
Antagonist
Fri 7 Aug 2009
at 12:56
  • msg #346

Re: Doctor, it hurts when I do this:  Health care issues

Ms. Libertarian:
They don't the hospital and other parties including insurers do business with the Federal government


And again, what business does the federal government have giving this money away? 1) The government does not have the authority to take the money entrusted in it by the general population, and spend it on things outside of its charter. 2) It is PRECISELY the argument you gave there which allows the government to well overstep its bounds. For example:

In the 50s, the federal government came up with the interstate highway program. It paid money to states to build and maintain interstates. (This is within the charter of the federal government, because it's interstate commerce.)

In the 80s, the government put a requirement that, in order for a state to receive funds for this, it must set the minimum drinking age in the state to 21.

Now under what authority could the federal government POSSIBLY have for setting the minimum drinking age? None, of course (which is why they couldn't just make it a law). So instead they encroached on state rights by tying it to 'free money'.

So, in short, you got to one major part of the problem - government is overstepping its bounds, and that gives it a club to further overstep bounds. If you are a libertarian, who believes in the rights of the states over that of the federal government, and in federal government limited by the character of the US Constitution, I would hope the whole thing would be bells and red flags for you.
Ms. Libertarian
player, 85 posts
Conservative Libertarian
Prophetess (ULC Title)
Sat 8 Aug 2009
at 21:53
  • msg #347

Re: Doctor, it hurts when I do this:  Health care issues

katisara:
Ms. Libertarian:
They don't the hospital and other parties including insurers do business with the Federal government


And again, what business does the federal government have giving this money away? 1) The government does not have the authority to take the money entrusted in it by the general population, and spend it on things outside of its charter. 2) It is PRECISELY the argument you gave there which allows the government to well overstep its bounds. For example:

In the 50s, the federal government came up with the interstate highway program. It paid money to states to build and maintain interstates. (This is within the charter of the federal government, because it's interstate commerce.)

In the 80s, the government put a requirement that, in order for a state to receive funds for this, it must set the minimum drinking age in the state to 21.

Now under what authority could the federal government POSSIBLY have for setting the minimum drinking age? None, of course (which is why they couldn't just make it a law). So instead they encroached on state rights by tying it to 'free money'.

So, in short, you got to one major part of the problem - government is overstepping its bounds, and that gives it a club to further overstep bounds. If you are a libertarian, who believes in the rights of the states over that of the federal government, and in federal government limited by the character of the US Constitution, I would hope the whole thing would be bells and red flags for you.


The highway system is interstate commerce can you have modern interstate commerce without it?

Drinking age of 21, states didn't have to take the money and they could have gone to court demanding since this is a Federal program as started they can't be forced to pay for anything. The states could have privatized these and had them toll roads or any number of options. If they are a bunch of wimps why is that the Federal Governments problem?

I don't believe is soley the rights of the states. I have a view I call transfer of obligations in this matter if a state ,due to its simple submission, transfers one of its duties to the Federal Government its a matter of states rights. The states under the 10th Amendment can simple say we don't want this duty we give the Federal government oversight by its actions or lack of actions. In this case I would argue that due to the states lacking any action for community health care the Federal authority might be handed the duty to run such a system over the states - by the states. And that since people elect these officials its the will of the majority. Its a simple and elegant Libertarian perspective that is just as valid.

Medicare is another matter since that is Federal money and people paying into it but again we vote people in they could demand it be eliminated anytime, same with the VA same with Medicaid - the people through their power to vote opt to keep them. And when they were proposed opted to start them to begin with.
katisara
GM, 3941 posts
Conservative human
Antagonist
Sun 9 Aug 2009
at 17:23
  • msg #348

Re: Doctor, it hurts when I do this:  Health care issues

Ms. Libertarian:
The highway system is interstate commerce can you have modern interstate commerce without it?


Please read my posts when responding to them. I specifically said that the highway system is permitted under the Constitution.

quote:
Drinking age of 21, states didn't have to take the money and they could have gone to court demanding since this is a Federal program as started they can't be forced to pay for anything. The states could have privatized these and had them toll roads or any number of options. If they are a bunch of wimps why is that the Federal Governments problem?


It's not the federal government's problem. It's my problem, as a citizen and a voter, that my wishes for how to operate my state are being overrun. The truth is, the money coming from highways is a tremendous sum, and the cost to operate them is also tremendous. Toll roads and such only work for highways that receive a lot of traffic. Just saying 'well they didn't HAVE to take the money' is somewhat simplistic. If I told you you're not allowed to buy meat at the store any more unless you do X, and that you're a wimp for complying because you could have grown and butchered your own meat, or gone without meat, it's acting like a major inconvenience (in the case of highways, possibly an economy-killing inconvenience) is a minor nothing that can be side-stepped.

quote:
I have a view I call transfer of obligations in this matter if a state ,due to its simple submission, transfers one of its duties to the Federal Government its a matter of states rights.


I'll give you, if the federal government is providing a service anyway (say for example, hosting sensitive information), and the state governments want to give up their responsibility to the feds, I can agree with that.

And I can see the state government taking something they should be doing and offering it to the federal government.

HOWEVER, the federal government should not be able to do or accept any service they are not authorized to do. This is called 'following the law', because of separation of powers. The legislative branch may say 'we will offer the power of drafting laws to the president', but that doesn't mean the president should be able to accept it.

quote:
The states under the 10th Amendment can simple say we don't want this duty we give the Federal government oversight by its actions or lack of actions.


I'm pretty sure the 10th amendment says nothing like that.


"The powers not delegated to the United States by the Constitution, nor prohibited by it to the States, are reserved to the States respectively, or to the people."

There is nothing in there about being able to transfer that power back to the federal government.
Ms. Libertarian
player, 86 posts
Conservative Libertarian
Prophetess (ULC Title)
Sun 9 Aug 2009
at 23:57
  • msg #349

Re: Doctor, it hurts when I do this:  Health care issues

You miss my point the 10th Amendment just has to give the right to do so and under them their citizens, but not refusing this right. If a State is sovereign and Libertarians tend to agree to that there is no reason to say we give to the Federal Government the right to maintain a standing army so we don't have to maintain a militia but still leave it open to do so if the State wishes to do so.

In health care States could ,at any time, set up a health care program through private companies under the Swiss model or a one-payer system under the British model. They have that right first. They permited the establishment of Medicaid the States could have just refused to take part as a group and stopped it but they didn't. If they allow the Federal government to establish a Health Care plan and decide to take part by passing the necessary laws then they agree to hand to the government under their consent that power.

You don't like it then try to argue that a State under the reading of the 10th Amendment cannot do this, if it is granted all powers not granted tot he Federal Government than includes working with the Federal Government if they opt to.

As with the highways that is a key arguement if they are Federal obligations and I agree they are, the State could refuse spend one cent on it making the case demanding funds from them is unconstitutional. That is the take I would have done if I had the choice at the time. And the point is States don't have to take Federal money for anything if they choose to they are free to say no. Its simplistic but simple fact as well.

May I ask would you ,as a citizen of a State, support and pay for a militia that is consitutional a standing army isn't? Or eliminate Medicare that is not in there? Or eliminate social security today? Or stop taking Federal funds for anything else for that matter?

My point is if one demands the 10th Amendment be strictly taken and the US Consitution and the amendements read literally then much of the things you seem to approve of as Federal intrusions are illegal. And you would have to foot the bill for them one way or another.

I for one as a Libertarian support the States doing more and in the case of health care they don't want to set-up some reformed system on their own that works, so the Federal Government now has to.
katisara
GM, 3943 posts
Conservative human
Antagonist
Mon 10 Aug 2009
at 13:56
  • msg #350

Re: Doctor, it hurts when I do this:  Health care issues

Ms. Libertarian:
the 10th Amendment just has to give the right to do so and under them their citizens, but not refusing this right.


I see. You're applying an interpretation. It is, of course, only an interpretation. And it also requires that the process start with the states, not with the feds. The states, let's say Vermont, can say 'we don't want to run a medical care system for poor people. Federal government, you do it', and that would be legit (under your interpretation). But on the flip side, the federal government CANNOT say 'we are running a federal medical plan. All people are required to pay into it.'

quote:
As with the highways that is a key arguement if they are Federal obligations


How is health care a federal obligation?

quote:
May I ask would you ,as a citizen of a State, support and pay for a militia that is consitutional a standing army isn't? Or eliminate Medicare that is not in there? Or eliminate social security today? Or stop taking Federal funds for anything else for that matter?


1) I would support a local, state militia. Technically, we're at war right now, but if we weren't, I would support a stepping down of the army. The provision for the Navy tells me the reason some armed forces are permitted permanently are because the cost of maintaining some equipment, like a warship, are too high for it to be expected to fall on private citizens. Therefore, infantry should be reduced, but we'll need to keep higher-end equipment at the federal level (like jets and tanks, stuff too expensive for the states or individuals to afford).

2) Yes, eliminate medicare at the federal level, except for federal holdings such as DC and Puerto Rico. If states or businesses or whatever want to opt in, they can, but it's opt in only. Medicare as it stands is a direct violation of the Constitution.

3) Yes, eliminate social security. It's contrary to the Constitution, and logically speaking, it's a complete mess. I don't trust politicians to be honest with me normally, why would I trust them to be honest with my retirement money? And as expected, the fund has been raided, the piggy bank is empty. This sort of behavior is PRECISELY why we have separation of powers. Putting the nation's retirement fund in the hands of the federal government was a stupid idea. Even FDR didn't intend for it to last as long as it has.

4) Do I support taking federal money? Of course I do. But I also support changing how the federal government behaves. I'm not stupid/principled enough to say no to free money. If the government said I could qualify for welfare on my paycheck, I'd sign up. I'd also vote to change the law, because the fact that I can sign up is silly. If the feds were giving my state money, I'd tell my state legislators to accept the money - but push the feds to stop that program, because it's stupid.

Now, as soon as there are strings attached, and I have to give up something else to get that money, it's a different question.


quote:
My point is if one demands the 10th Amendment be strictly taken and the US Consitution and the amendements read literally then much of the things you seem to approve of as Federal intrusions are illegal.


I'm sorry, which federal intrusions do I approve of?

quote:
[the states] don't want to set-up some reformed system on their own that works, so the Federal Government now has to.


I'm sorry, was there a survey I missed? Did the states actually say this? I don't recollect reading anywhere about how Connecticut really doesn't want to run its own medicare system, and so is voluntarily giving it over to the federal government.
Ms. Libertarian
player, 87 posts
Conservative Libertarian
Prophetess (ULC Title)
Tue 11 Aug 2009
at 15:56
  • msg #351

Re: Doctor, it hurts when I do this:  Health care issues

The States don't have to but there is a fundamental case under the 9th Amendment as well if the majority of citizens wants some sort of health care reform and the majority do. The current proposals are under fire. So as private citizens they can grant these rights and duties to the Federal Government if the State won't do anything sensible. Thats my position the state should and if they allow the Federal government to take over health care then its the citzens doing the same ,in the majority, handing that over. We are still a democratic republic the majority seem to want certain programs so they are there, a simple view of the 9th Amendment. We as the people then defer to the Federal government if the State is not meeting our needs in our state.

See the chain of authority:

We the People [9th Amendment] --> Soveriegn Stataes [10th Amendment] --> Federal Government

If the People feel unserved by their States they can defer their needs to the Federal Government bypassing the States. I for one think we must have health care reform that covers everyone and if the State of Florida won't do this then I have every right to give that power to the Federal Government. Consider it part of the inlaid seperation of powers that is implied the power of the people must override both other branches and play them off against each other. In this case I want health care and as a poor worker couldn't hope to get a plan with pre-exisitng conditions so I will tell the State you do reforms or I will hand that power to the Federal Government since its a lifesaving need not a want.

And yes the Fed can do a health care plan and expect us to pay for it if the majority of people comply and the States then its their allowing it, its implied consent. I'm an adult I can decide to let any part of the government have some authority over me or not as a voter if my side loses or wins its still the will of the people as a whole.

Its fully Constitutional the 9th Amendment and the 10th Amendment are neutral on this there is nothing that forbides the Federal Government gaining more duties do to the desire ,implied or not, from the citizens themselves and/or the States.
katisara
GM, 3944 posts
Conservative human
Antagonist
Tue 11 Aug 2009
at 16:26
  • msg #352

Re: Doctor, it hurts when I do this:  Health care issues

Ms. Libertarian:
The States don't have to but


Don't have to what?

quote:
if the majority of citizens wants some sort of health care reform and the majority do.


What's your source for that? And more specifically, what's your source for suggesting the majority of citizens want to opt in to a federally-run health care plan?

And why, if we're looking at the citizen-level, are we forcing people who don't wish for any government interference to still be part of this plan?


quote:
So as private citizens they can grant these rights and duties to the Federal Government if the State won't do anything sensible.


Perhaps. But can a private citizen grant MY rights and duties to the federal government?

quote:
If the People


You keep referring to 'the People', as though it's a single political party in agreement. Please, some people want it. Some do not. You can't say 'the People' when nearly half are in strong disagreement, and no real majority has agreed upon a single plan they want to pursue.

quote:
And yes the Fed can do a health care plan and expect us to pay for it if the majority of people comply


"comply"?? You mean the program is legal as long as I continue to pay taxes? So if say the federal government decides to take tax money and spend it on let's say giving checks to... I'm struggling to think of a government program you'd disagree with, because I haven't seem to have seen any yet... let's say to a marriage education program, to help encourage people to get involved in a legal, heterosexual marriage, that that move is legal as long as you continue to pay taxes, and only illegal when you stop complying (i.e. paying taxes)?
Tycho
GM, 2627 posts
Tue 11 Aug 2009
at 21:12
  • msg #353

Re: Doctor, it hurts when I do this:  Health care issues

katisara:
You keep referring to 'the People', as though it's a single political party in agreement. Please, some people want it. Some do not. You can't say 'the People' when nearly half are in strong disagreement, and no real majority has agreed upon a single plan they want to pursue.

Don't have time to get into the whole discussion just now, but this part sort of jumped out at me.  'the People' shows up in the constitution, and those writing it certainly didn't have full support either.  Just as now, some did, some didn't.  Nothing wrong with that, in either case.  And I do see what you're saying (and agree with you to a degree), just want to make sure we don't feel 'the People' means anything more 'a majority,' because really all it means, or can mean, when you're dealing with such a large amount of people.
RubySlippers
player, 82 posts
Parallelist
Opinioned
Tue 11 Aug 2009
at 22:16
  • msg #354

Re: Doctor, it hurts when I do this:  Health care issues

(Hello I'm back ... mwhahahahaha.)

The simple fact is we have millions without health care now, millions of those poor that asking them to "pay" for it is insane so the government has to intervene. And since the application of Federal law is now decided and has case history its a mute case. The Federal level of government can do this health care reforms and will do so. They have to do so.

I ,as a citizen, have no problems with this and don't understand why you have problems with Modern applications of government authority.
This message was last edited by the player at 23:53, Tue 11 Aug 2009.
Ms. Libertarian
player, 88 posts
Conservative Libertarian
Prophetess (ULC Title)
Tue 11 Aug 2009
at 22:24
  • msg #355

Re: Doctor, it hurts when I do this:  Health care issues

(Ok who stole my ID there cannot be two of us here although my game site handle is rubyslippers, please put your post back up I'm curious what you said?

I like the picture.)

Anyway I don't really see the issue if I want a one-payer health care system and the majority do then its the will of the citizens that trumps all other points under the 9th Amendment. Its a simple Libertarian view power derives from the citizens.
FallingPhoenix
player, 6 posts
Wed 12 Aug 2009
at 04:33
  • msg #356

Re: Doctor, it hurts when I do this:  Health care issues

I think my biggest problem with a federal level health care program, and similar federal programs, is the necessary broadness of application.

Why would a program that works well in, say, Alaska, work as well in Hawaii, or Oklahoma, or New York?

Why can't states worry about health care if it's in such need of a change? If it's really necessary, perhaps the Federal government could say something along the lines of "Every State needs to establish some kind of health care, but it's up to the state what it is." Then again, maybe that's still too far.

Not to mention it's a lot easier to feel like my vote matters on a state level than on a federal level.
Tycho
GM, 2628 posts
Wed 12 Aug 2009
at 07:21
  • msg #357

Re: Doctor, it hurts when I do this:  Health care issues

Ms. Libertarian:
Its a simple Libertarian view power derives from the citizens.

I don't really disagree with the program you're arguing for, Ms. Libertarian, though I have to say, it hardly sounds libertarian.  Simple "majority rules" thinking isn't usually what most people mean when they say "libertarian."  In the popular usage, much of libertarianism is about protecting the rights of the individual against the desires of the majority.  I think most people see it as a "you can do what you want, but don't force me into anything I don't want" way of thinking (more along the lines of what katisara is arguing, really).

Like I said, I don't disagree with what you're proposing, just with the label you're applying to it.
katisara
GM, 3945 posts
Conservative human
Antagonist
Wed 12 Aug 2009
at 12:54
  • msg #358

Re: Doctor, it hurts when I do this:  Health care issues

Tycho:
'the People' shows up in the constitution,


Actually, 'the people' only appears in the Constitution when it's saying what rights of the people won't be denied. So for instance, it says the government may not create any law abridging the right of 'the people' to X Y Z. No where does it say what the beliefs of the people are, or does it specifically delineate the full rights of the people, only the duties and limitations of the federal government.

The Declaration of Independence refers to beliefs of 'the people', but it's not considered a law document.

quote:
And since the application of Federal law is now decided and has case history its a mute case


The limitations of federal power are still under debate. Regardless, whether it's in force one way or another does not make it RIGHT. The federal government held thousands of people in containment camps throughout WWII without legal intervention. Does that mean it's right for the government to do that again?

quote:
I ,as a citizen, have no problems with this and don't understand why you have problems with Modern applications of government authority.


Because I don't trust the government not to muck it up, or worse, turn it into a point of leverage for getting power that they shouldn't have. I've lived in totalitarian regimes. It's not fun. It's one of the worst places a person can find himself. Sure, maybe for a few generations the program runs and everyone is happy. But what happens if a leader gets in power who isn't so kind? What if Dick Cheney gets elected president? Would you want to trust your life and your health to Dick Cheney? I sure wouldn't.

quote:
Its a simple Libertarian view power derives from the citizens.


No, that's a populist view, the root being 'popul' - the people. Libertarian is derived from 'liberty', freedom. Does your position, of forcing the minority to pay for care for the majority, offered only through government run facilities, meeting government regulations, increase or decrease personal freedoms?
Tycho
GM, 2630 posts
Wed 12 Aug 2009
at 16:37
  • msg #359

Re: Doctor, it hurts when I do this:  Health care issues

katisara:
Actually, 'the people' only appears in the Constitution when it's saying what rights of the people won't be denied.

The preamble begins with "We the people..."  It wasn't written by everyone in the country, just a few guys.  It wasn't supported by everyone in the country, just 'enough,' by some standard.  That's the only point I'm trying to make, that there is precedent for a group of representatives to act on behalf of "we the people," and claim to have the support of "we the people" or even be "we the people," even if all of us people don't agree with what they're doing.  It takes some arbitrary amount of support from the rest of us, but it doesn't take all of our support.  Again, it's not a huge point, just a clarification.
Ms. Libertarian
player, 89 posts
Centrist
ULC Clergyperson
Thu 13 Aug 2009
at 19:42
  • msg #360

Re: Doctor, it hurts when I do this:  Health care issues

Well I took a test called the Nolan Chart and it places me as a Centrist so will change my position accordinglyits seems I'm Libertarian in some areas and not in others. This seems to be one of them.

That said I will make a position that is this: If the majority of citizens want national health care they should then at the government level provide it. Preferably at the local level or state level but if the Federal government is the level that is to deal with it then so be it.

There that pretty much is my view I suppose on this subject.
katisara
GM, 3946 posts
Conservative human
Antagonist
Thu 13 Aug 2009
at 21:38
  • msg #361

Re: Doctor, it hurts when I do this:  Health care issues

And if the majority of the people want to make homosexual marriage illegal?
Tycho
GM, 2631 posts
Fri 14 Aug 2009
at 07:53
  • msg #362

Re: Doctor, it hurts when I do this:  Health care issues

I think there are fairly significant and important differences between civil rights and government services.  Simple majority rules should not dictate ones civil rights.  That's part of the reason we have a government in the first place, to protect minority groups/views/etc., and ensure that your rights don't depend on your popularity.  Government services are different, though.  What role the government plays, and what services it does and doesn't provide is something that people should have more say in, I'd say.  It should be easier to change government services than civil rights.  Whether that means it should be a simple majority rules case for services, I don't actually know, but easier none the less.

So, no, 'majority rules' shouldn't be used to take away any groups rights, whether that group is gays, christians, muslims, whites, blacks, or whatever.  Government services like a medical system, highways, etc., on the other hand, should be easier to change.  Maybe not just a popular vote, but I'm not opposed to letting our elected officials muddle through it.

Changing topics a bit:  There's a lot in the news lately about the things people are saying about the plans for federal health care reform.  Talk of "death panels" and "keep your government hands of my medicare!" and the like.  It seems very much like the people shouting the loudest, getting the most attention, etc., on this issue seem to be very poorly informed (or perhaps intentionally misinformed).  What do people who oppose health care reform think of these people?  Happy to have anyone aboard who opposed the program, or do their left-field assertions detract from the legitimacy of the argument against government supplied health care?  Is a "get the vote by any means, even lying" tactic just part of the political game, or are these people undermining the cause by making all opponents look crazy?
katisara
GM, 3947 posts
Conservative human
Antagonist
Fri 14 Aug 2009
at 12:38
  • msg #363

Re: Doctor, it hurts when I do this:  Health care issues

But government is taking away rights in this case. It takes away the states rights of self-governance. And of course, the question of what is just taxation (which does feed into a civil rights issue - taxation without representation and all that) is here. Perhaps not at such an extent that everyone agrees it's a civil rights issue, but to a degree, it's in the same ballpark. Taxation, at its core, is taking a person's personal property, generally against his will, and while it's a 'necessary evil', that doesn't mean we should pretend like it's a given or a good thing, not worthy of further inspection.

(And in case you're wondering, I do consider social security a civil rights issue.)
This message was last edited by the GM at 12:38, Fri 14 Aug 2009.
Tycho
GM, 2632 posts
Fri 14 Aug 2009
at 16:58
  • msg #364

Re: Doctor, it hurts when I do this:  Health care issues

If you oppose all taxes in general, then yes, that's a civil rights issue.  Wanting to pick what your tax dollars are spent on, or just how much tax you pay is more a disagreement/discussion over details, than a civil rights issue.  Also, I don't consider states to have civil rights, at least not the same way people do.

I don't think anyone is saying federal health care should be accepted as given without any discussion or introspection or whatever (though there are plenty of people saying/implying that it shouldn't even be considered or discussed).  It's definitely something for which the pros and cons need to be weighed up and a rational decision made, both on whether to have it at all, and if so what the details should be like.  So yes, discussion (when it's not just shouting) is definitely good, necessary, and in order for health care reform.

I don't, though, put being able to choose where your tax dollars go in the same ball park as your right to marry whom you like, say, or your right to free speech.  All of those are important, and deserve some level of protection, but they're not all equally important, so don't require the same level of protection.  To a degree, federally funded programs that some people disagree with are unavoidable.  There'll always be someone who doesn't want there tax money to go to any given use.  We each have a say in where our tax dollars go, but on that we each have an equal (or roughly equal--curse you electorial college! ;) ) say in that.  On what you're allowed to say, though, you need to have much more say in that--complete say, really.  On whom you're allowed to marry you should have far, far, far more say than I do.  That's why taxes and health care aren't in the same class as civil rights, in my view.
katisara
GM, 3948 posts
Conservative human
Antagonist
Fri 14 Aug 2009
at 17:35
  • msg #365

Re: Doctor, it hurts when I do this:  Health care issues

Tycho:
If you oppose all taxes in general, then yes, that's a civil rights issue.


I do, but I oppose some other things less than taxes. Therefore, allowing taxes is allowing the lesser of two evils. I would consider this a grey area, however. I think 70% taxation is a civil rights issue. I think taxation without representation is a civil rights issue. I think 5% tax to pay for highways is a civil rights question.

quote:
Also, I don't consider states to have civil rights, at least not the same way people do. 


People have a right to self-governance. That's civil rights. My state allows for better representation (or, realistically, representation at all) compared to the federal level. Violation of the bill of rights, which delineates civil rights, is a civil rights issue.

quote:
I don't, though, put being able to choose where your tax dollars go in the same ball park as your right to marry whom you like, say, or your right to free speech.


I do think that having control over one's property and government are precisely the same as choosing who you marry or your right to free speech, in part because they are linked. If you cannot control your government or your money, you cannot control what you ultimately represent.
Tycho
GM, 2633 posts
Fri 14 Aug 2009
at 17:57
  • msg #366

Re: Doctor, it hurts when I do this:  Health care issues

Seems like we're at an impasse then.  I honestly can see putting a question of say whether you pay 20% or 21% tax rate on the same level as whether you have a right to free speech or religion or the like.  Not even in the same ballpark for me, really.  One is about rights, and one is about preference.

Likewise with what the government spends money on.  You should have some right to determine what it spends money on, but you shouldn't have more than me or anyone else.  That's fundamentally different than your rights to determine your own actions.  You should (and do) have way more say over what you do with yourself than I should have over what you say and do.

If you don't view them as different, I'm not really sure there's much headway to be made.  You're essentially demanding personal veto power over all government spending and/or taxation.  I don't see that as feasible.  I'm all for your right to be opposed to healthcare reform, and for your right to vote only for representatives who oppose it, and to campaign against it, and to protest against it if you like.  But you seem to be saying you want all that, and then also that even if you can't convince enough people to oppose it, that it still shouldn't be doable.  That sort of system would seem to completely hamstring a government, and make the government largely pointless--it couldn't do anything, because you'll always be able to find at least one person who's opposed to any proposed action.

Perhaps a useful analogy would be to guns.  Government is a bit like guns, in that each can be used to for good purposes and for very bad purposes.  Viewing government services as entirely bad is sort of like viewing all guns as bad.  The "government is always the problem" movement seems a lot like the "ban all guns" movement to me.  Each fails to realize that when used responsibly it (guns or government) can be beneficial, and each ignores the benefits and pays only attention to the problems.  Similarly, taxes are like guns.  Again, can be put to good use or to poor use.  Being opposed to a particular tax is one thing, being opposed to any and every tax is like being against any use of guns at all.  Unless you can view taxes or government services as anything more than "necessary evils," anyone trying to convince you of the benefit of a program will be no more successful than me trying to tell someone completely opposed to any and every gun use that there are benefits to guns in some situations.
katisara
GM, 3949 posts
Conservative human
Antagonist
Fri 14 Aug 2009
at 18:30
  • msg #367

Re: Doctor, it hurts when I do this:  Health care issues

Tycho:
Seems like we're at an impasse then.  I honestly can see putting a question of say whether you pay 20% or 21% tax rate on the same level as whether you have a right to free speech or religion or the like.  Not even in the same ballpark for me, really.  One is about rights, and one is about preference. 


That's because you're looking at the extreme of one, and the limited in the other.

Is the question about whether you may shout 'fire' in a movie theater at the same level about whether you have a right to profit from your own work or property?

And this is my point. I don't see the health care reform in particular to be a grave civil rights violation. I see it as a serious LEGAL violation. But I do see it as being in the realm of civil rights. Is it a civil rights violation to limit your right to say obscenities in public? Yes. Is it a deal-breaking one? Probably not. But it's still one worth debating, and it's still a violation.

quote:
Unless you can view taxes or government services as anything more than "necessary evils,"


Do you think the action of the government taking money from individuals is good?

I would hope we can both agree that the act of having to pay money is, well, bad. But it's balanced by the good you expect in return. No one likes paying at the cashier, but we do like having food. So it's a trade off. I'm not saying government spending is a necessary evil. I'm saying government having to pay for it is. Being taxed should be avoided, if it were reasonably possible, but there are cases when the action of taking money is necessary to provide some greater good. I don't agree with your statement above in that taxes are in fact an action. I think it's more comparable to saying, taxes are like shooting a person - they can be justified, but either act is rarely desirable for its own ends.
Tycho
GM, 2635 posts
Tue 18 Aug 2009
at 08:02
  • msg #368

Re: Doctor, it hurts when I do this:  Health care issues

Fair enough, but no one is suggesting taxing without reason.  Just taxing to pay for healthcare.  Simply saying "but that will raise taxes!" is looking at the cost but not the benefit.  Treating any increase in taxes as a violation of your civil rights means you're not weighing costs and benefits, you're just weighing costs.

Again, I have no problem with people objecting to health care in general, but I do get a bit frustrated with the level the debate has sunk to (not here, but in the news, and these town hall meetings and such that I keep reading about).
Sciencemile
player, 707 posts
Opinion is the default
for most everything I say
Tue 18 Aug 2009
at 10:03
  • msg #369

Re: Doctor, it hurts when I do this:  Health care issues

http://energycommerce.house.go...1/20090714/aahca.pdf

Here is the actual Health Bill.

I recommend you download it as opposed to reading it in your browser, as it is very long ;)

I may read it if I ever have a spare week with nothing better to do, since it's over a thousand pages long ;P
katisara
GM, 3952 posts
Conservative human
Antagonist
Tue 18 Aug 2009
at 14:19
  • msg #370

Re: Doctor, it hurts when I do this:  Health care issues

Tycho:
Treating any increase in taxes as a violation of your civil rights means you're not weighing costs and benefits, you're just weighing costs.


But to a degree, you do have to take any individual cost and weigh it without concern for its benefits. If you could save a hundred lives by ending one, is that acceptable? Of course not.

Of course, taxes isn't quite as binary as murder, but there is a question of, how much tax is acceptable? At what point is it too much? And what is it acceptable to tax people for? Can you tax people for whatever the president thinks is a good idea? What the most people say is a good idea? Or are there other rules we must abide by?

It seems a lot of people treat taxes like 'eh, I'm gaining more than I'm losing' or 'eh, another tax'. That seems like a very dangerous position to take - it allows the government more power than it should be trusted with, and runs the risk of tyranny, by the majority, the minority, or the apathetic. When we start messing substantially with taxes, we need to take a step back first and say 'alright, what is acceptable behavior here, and what is not?', and I don't see a lot of people doing that.
RubySlippers
player, 83 posts
Parallelist
Opinioned
Tue 18 Aug 2009
at 14:28
  • msg #371

Re: Doctor, it hurts when I do this:  Health care issues

The real problem seems to be cost I have a fast and easy way to solve that to some degree.

Send our patients when its prudent to do so and the savngs is at least 50% from an American facility abroad to private and national medical facilities that do tourist medicine. And are rated by the Joint Commission International as on par with their high standards.

An example of saving a typical coronary bypass runs around $100k, the same treatment in a top Indian private heart specialty hospital would cost at most including all costs and taking a loved one with you would be no more than $20k. Might I add in my fathers case that included:
1. Help with the arrangements to travel FREE.
2. Private vehnicle pick up to and from the hospital and the nearby hotel for myself.
3. A private room.
4. A private nurse with a bachelors degree, English speaking.
5. Meals to order from a variety of global cuisines and a decent amount of food.
6. Physical therapy.
7. TEN DAY hospital stay.
8. A cell phone for each of us with direct access phone numbers to every doctor on his team AND the liason office. [when he was in pain he called his doctor in the middle of the night and in seven minutes a staff pain specialist on call came in to take care of it]
9. Top medical care and treatment.

All costing far under any US hospital and their results are higher a hair compared to the top US hospitals.

They can do any treatments pretty much including cancer treatments, orthopedics, heart care and others. So why not tap this. We can require Medicaid patients go and require it be available to everyone else, including using Health Savings Accounts and other options.
katisara
GM, 3953 posts
Conservative human
Antagonist
Tue 18 Aug 2009
at 14:57
  • msg #372

Re: Doctor, it hurts when I do this:  Health care issues

The big problem is not cost, it's power. I do not want the government to have the power people are giving it. I do not trust it to use it well, or use it honestly. Taxing is a form of power, the power over the property of individuals. Health care is the power over the body of individuals. I don't want the government to have EITHER if it can be reasonably avoided, and I don't believe the authors of the Constitution wanted them to either (and, I am pretty sure the founding precepts of the Libertarian party are exactly the same).
RubySlippers
player, 84 posts
Parallelist
Opinioned
Tue 18 Aug 2009
at 15:26
  • msg #373

Re: Doctor, it hurts when I do this:  Health care issues

I see no problem with the government taking over health care its about time and needed. And you know they have the legal power the courts have made that determination which are a branch of the goverment. There is no going back. My only issue is doing this as efficiently and at the lowest cost possible there we may agree. The government seems to not be taking their time to do this as well as they might otherwise.

If they don't act what is YOUR plan to fix it and get everyone from the homeless and working poor to the rest affordable access to health care?
katisara
GM, 3954 posts
Conservative human
Antagonist
Tue 18 Aug 2009
at 19:26
  • msg #374

Re: Doctor, it hurts when I do this:  Health care issues

RubySlippers:
And you know they have the legal power the courts have made that determination which are a branch of the goverment.


I'm sorry, the government gave itself power? And that flies with you? What if I walked into your house and gave myself the power to live there. Would you be okay with that as well?

quote:
There is no going back.


There is definitely going back, and it can go two ways.
1) The voters and politicians start heeding the laws as weritten, instead of interpreting them for their own power and convenience or
2) the voters take the power back by force. Jefferson seemed to feel the latter is inevitable.

quote:
If they don't act what is YOUR plan to fix it and get everyone from the homeless and working poor to the rest affordable access to health care?


Reduce the intrusion of health insurance into non-critical care, so the market can function properly. Right now the cost of non-insured preventative health care is high in part because insurance companies negotiate the prices, and because so few people use non-insured health care, the non-insured price can't adjust properly. Tie this in with state-sponsored public clinics, reduced requirements for certain preventative care clinics, and simply understand that, unfortunately, if you are unemployed, you are going to have a lower quality of life.
Falkus
player, 847 posts
Tue 18 Aug 2009
at 23:29
  • msg #375

Re: Doctor, it hurts when I do this:  Health care issues

2) the voters take the power back by force. Jefferson seemed to feel the latter is inevitable.

If the population of Germany could not move themselves to do something when their government started committing genocide, why should Americans suddenly take up arms over health care?
Sciencemile
player, 710 posts
Opinion is the default
for most everything I say
Wed 19 Aug 2009
at 04:24
  • msg #376

Re: Doctor, it hurts when I do this:  Health care issues

Because Americans are not Germans ;), we're arrogant, proud, and self-entitled.  Plus we don't follow orders too well.  Altogether undesirable traits, and especially difficult for a Dictator to work with such people.

Plus there's a lot more of us, with a larger diversity of thoughts and ideas than were in Nazi Germany at the time, and especially after they started killing people off who had diversity in thought.

On the other hand, unless something major happens over a short period of time, it probably could get pretty bad, according to the "foot-in-the-door" persuasion.
Falkus
player, 850 posts
Wed 19 Aug 2009
at 10:31
  • msg #377

Re: Doctor, it hurts when I do this:  Health care issues

Because Americans are not Germans ;), we're arrogant, proud, and self-entitled.  Plus we don't follow orders too well.  Altogether undesirable traits, and especially difficult for a Dictator to work with such people.

I'm pretty sure that Americans are the same as citizens everywhere else: They have a great desire for tomorrow to be very much like today. Rebellion occurs when people are directly being oppressed, and health care is just not going to make that much of a difference to the vast majority of Americans.
katisara
GM, 3955 posts
Conservative human
Antagonist
Wed 19 Aug 2009
at 13:42
  • msg #378

Re: Doctor, it hurts when I do this:  Health care issues

You know your statement is a logical fallacy. Just because my car gets 40 mpg, why doesn't yours?

Now if you're asking if I can DEPEND on Americans turning to it, I agree, it's not something I'd put money on. But I'm saying it's a possibility we can be aware of. Rubyslippers's suggestion that 'this is how it is and we can't go back' is wrong-headed and ultimately destructive.
katisara
GM, 3956 posts
Conservative human
Antagonist
Thu 20 Aug 2009
at 15:34
  • msg #379

Re: Doctor, it hurts when I do this:  Health care issues

By the by, WashingtonWatch has gotten an estimate on the cost for the health care bill, at approximately $12,000 per family.
Falkus
player, 856 posts
Thu 20 Aug 2009
at 22:02
  • msg #380

Re: Doctor, it hurts when I do this:  Health care issues

Why is it that Canada can provide universal coverage at four times less than the United States?

You know your statement is a logical fallacy. Just because my car gets 40 mpg, why doesn't yours?

It was meant as a simile, not a logical statement of fact. I'm just trying to point out that people

Rubyslippers's suggestion that 'this is how it is and we can't go back' is wrong-headed and ultimately destructive.

I'd consider civil war just as, if not more, destructive than that attitude. Look at those wonderful revolutions they've had going on in Africa for the last sixty years. Do you really want that in the United States?
This message was last edited by the player at 22:03, Thu 20 Aug 2009.
Sciencemile
player, 724 posts
Opinion is the default
for most everything I say
Thu 20 Aug 2009
at 22:15
  • msg #381

Re: Doctor, it hurts when I do this:  Health care issues

Falkus:
Why is it that Canada can provide universal coverage at four times less than the United States?


If I had to guess without knowing what you mean by "less", I'd have to say because they have about 1/10 the population of the United States.
Sciencemile
player, 725 posts
Opinion is the default
for most everything I say
Thu 20 Aug 2009
at 22:17
  • msg #382

Re: Doctor, it hurts when I do this:  Health care issues

Falkus:
I'd consider civil war just as, if not more, destructive than that attitude. Look at those wonderful revolutions they've had going on in Africa for the last sixty years. Do you really want that in the United States?


We're constantly having civil wars; we just call them reelections, and they're a lot less bloody ;)
Falkus
player, 857 posts
Thu 20 Aug 2009
at 22:20
  • msg #383

Re: Doctor, it hurts when I do this:  Health care issues

  If I had to guess without knowing what you mean by "less", I'd have to say because they have about 1/10 the population of the United States.

I'm talking per capita.
Sciencemile
player, 726 posts
Opinion is the default
for most everything I say
Thu 20 Aug 2009
at 22:23
  • msg #384

Re: Doctor, it hurts when I do this:  Health care issues

Oh yeah, then I can't comment one way or another per-capita.
Sciencemile
player, 727 posts
Opinion is the default
for most everything I say
Thu 20 Aug 2009
at 22:32
  • msg #385

Re: Doctor, it hurts when I do this:  Health care issues

No, wait; I got one I remember from Microeconomics that could explain at least partially.

The United States Government requires extensive amounts of testing before allowing medications developed outside of the United States to be produced there.

The benefits of this is that we lessen the affects of drugs that turn out to be disasters, such as that headache medication which led to babies being born without any legs or arms.

The disbenefit of this is that our medicine is less up-to-date, and more expensive due to the domestic medicinal companies having a larger control over the market.
Tycho
GM, 2645 posts
Fri 21 Aug 2009
at 07:24
  • msg #386

Re: Doctor, it hurts when I do this:  Health care issues

Also, Canada does national negotiations with drug companies, whereas in the US the government is barred from negotiating the price of drugs.  But the biggest difference is insurance-related costs.  Hospitals/doctors in the US have to hire a non-trivial number of staff just to deal with all the different insurance companies they might deal with.  Insurance companies spend a significant amount of money on advertising, legal fees (ie, going to court to try to get out of paying for treatment--this brings their net costs down, but passes on the cost to someone else, so the total "health care costs" in the US goes up), and screening used to prevent those most likely to need insurance from getting (again, driving down the costs of the insurance company, but passing the cost on to someone else so that the net cost to "the US" increases).  I'd guess (though I don't know for certain) that the over-testing, over-medicating issue is worse in the US than canada.
katisara
GM, 3958 posts
Conservative human
Antagonist
Fri 21 Aug 2009
at 15:19
  • msg #387

Re: Doctor, it hurts when I do this:  Health care issues

Falkus:
It was meant as a simile, not a logical statement of fact. I'm just trying to point out that people


Your sentence dropped off here. I don't know if you meant to include something else.

quote:
I'd consider civil war just as, if not more, destructive than that attitude. Look at those wonderful revolutions they've had going on in Africa for the last sixty years. Do you really want that in the United States?


Why are you so full of logical fallacies?? How about instead of addressing the issue at hand, I complain about how destructive the Soviet health care system is, or Chinese regulations on the number of children and mandatory abortions? Picking out the worst example of something, ignoring all context, and saying 'why are you supporting this??' is, well, dirty debating :P I'll say, you can't really argue against people turning up at town hall meetings, complaining about death panels, when you continue to equate everything relating to citizens forcing a regime change with genocides.
Falkus
player, 864 posts
Fri 21 Aug 2009
at 22:17
  • msg #388

Re: Doctor, it hurts when I do this:  Health care issues

  Why are you so full of logical fallacies?? How about instead of addressing the issue at hand, I complain about how destructive the Soviet health care system is, or Chinese regulations on the number of children and mandatory abortions? Picking out the worst example of something, ignoring all context, and saying 'why are you supporting this??' is, well, dirty debating :P I'll say, you can't really argue against people turning up at town hall meetings, complaining about death panels, when you continue to equate everything relating to citizens forcing a regime change with genocides.

I went off on a tangent. I apologize.

Your sentence dropped off here. I don't know if you meant to include something else.

I got called away, and posted when I came back without double checking. I'm just saying that I don't have as great a faith in the population as you do.
This message was last edited by the player at 22:29, Fri 21 Aug 2009.
katisara
GM, 3959 posts
Conservative human
Antagonist
Sat 22 Aug 2009
at 11:48
  • msg #389

Re: Doctor, it hurts when I do this:  Health care issues

I don't have a great faith in the population either, but I recognize that the government is solely made up of those members of the population who have ambition and the support of other, large organizations. My goal isn't to give power to one or the other, but to balance the power such that a given action can only be accomplished with significant and widespread support from all aspects of society. I don't see socialized health care as moving in that direction. Instead, I see it as taking power from individuals, and pooling it in a group of ambitious people, to be administered by some very unambitious people.

I think it's worth mentioning that even if Obama's plan were magically free, I would have my concerns, because the plan would still drive out other options, and condense power into the hands of the few.
RubySlippers
player, 85 posts
Parallelist
Opinioned
Sat 22 Aug 2009
at 20:37
  • msg #390

Re: Doctor, it hurts when I do this:  Health care issues

I have a simple response, the government is legally under court case involved in health care at the Federal level. I'd rather see local communities and states provide health care reforms but they can't meet the demand. And lets be realistic no one is going to eliminate government involvement in Health Care and I'm not an idealist. All I see as possible is try to add real free market reforms and for me that would include global health service delivery I find a great idea. I did some checking they have excellent and much cheaper options than a United States facility.
katisara
GM, 3960 posts
Conservative human
Antagonist
Sat 22 Aug 2009
at 23:31
  • msg #391

Re: Doctor, it hurts when I do this:  Health care issues

RubySlippers:
I have a simple response, the government is legally under court case involved in health care at the Federal level.


I think you missed a preposition there. I don't understand what you are trying to say.

quote:
I'd rather see local communities and states provide health care reforms but they can't meet the demand.


Have they tried? Is the problem with size? Because there are nations far smaller than most of our states who have absolutely no problem providing health care for their citizens. You're going to have a very difficult time making that argument.

quote:
And lets be realistic no one is going to eliminate government involvement in Health Care and I'm not an idealist.


I don't thing we're going to eliminate crime, but that doesn't mean I want to abolish the police.

quote:
All I see as possible is try to add real free market reforms and for me that would include global health service delivery I find a great idea.


Are you referring to Ms. Libertarian's idea of sending people overseas for care?
RubySlippers
player, 86 posts
Parallelist
Opinioned
Sun 23 Aug 2009
at 14:33
  • msg #392

Re: Doctor, it hurts when I do this:  Health care issues

I like Ms. Libertarians idea its a good one and your one for free market reforms this would be one option we must look at. Simply demanding foreign hospital care be included in all medical plans would be very popular with insurers and help everyone they cover get better access to care.

Many states could but ones like California would find it difficult to cover their citizens, I would love each county to set-up a public hospital under the old models in the early 20th century. But neither can or will do their jobs that leaves the Federal government.

And you keep dodging the fact the Federal government has the authority given to it over the years its not practical to think we can turn that back, or with a magic wand eliminate government involvement in health care. We will not go back. So we should look for a good national health care plan.

I have a serious question do you think its right that people in this nation can go bankrupt over medical debt?
katisara
GM, 3961 posts
Conservative human
Antagonist
Mon 24 Aug 2009
at 12:50
  • msg #393

Re: Doctor, it hurts when I do this:  Health care issues

RubySlippers:
Simply demanding foreign hospital care be included in all medical plans would be very popular with insurers and help everyone they cover get better access to care.


Let's say I have a leg that needs surgery. My insurance company, Aetna, sends me to India to get it done for a quarter of the price (instead of $20,000, it's only $5,000, with the actual savings passed on to me by my premium). The Indian doctor makes a mistake, my leg gets gangrene and they have to amputate.

Who owes me money for that? The Indian doctor? Because the Indian courts are unlikely to respect that, or at least not give me the reward you and I might think I deserve. Aetna? No matter what, I, as the individual, am going to have a very, very difficult time getting my money from anyone, and unless I'm educated and wealthy, I'm almost certainly not going to get my share.

The dominant cost for medical care is that people like you and me expect, should a doctor make an error and permanently ruin our bodies or cost us our lives, significant financial repatriation. Moving health care overseas addresses that problem by eliminating that ability to sue for medical costs. But I suspect we can keep our care domestic by simply eliminating the power to sue doctors, if that's what you're looking for. Regardless though, I have to ask, are you willing to eliminate your power, as a patient, to get paid enough to get by if you lose the use of a limb or come away with serious disease, or your loved ones die because of doctor error?

quote:
Many states could but ones like California would find it difficult to cover their citizens,


Why is that? Because California has such a weak GDP and such a deficit of skilled doctors?

quote:
And you keep dodging the fact the Federal government has the authority given to it over the years its not practical to think we can turn that back, or with a magic wand eliminate government involvement in health care.


I haven't dodged it. I said several times, the Federal Government does NOT have the legal authority, I don't believe it's ever been tested, and I don't think it's an issue that we should simply ignore because of convenience. What you have dodged is, if we accept overreaching government power is bad, why should we hand them more?

quote:
I have a serious question do you think its right that people in this nation can go bankrupt over medical debt?


Yes, definitely. I think the change in laws which make it more difficult for people to drop medical bills due to bankrupcy are simply wrong-headed. I'd be more inclined to apply that to consumer debt than medical debt.
Tycho
GM, 2654 posts
Mon 24 Aug 2009
at 15:54
  • msg #394

Re: Doctor, it hurts when I do this:  Health care issues

katisara:
The dominant cost for medical care is that people like you and me expect, should a doctor make an error and permanently ruin our bodies or cost us our lives, significant financial repatriation.

I have to say, I don't think that's actually the case.  Medical insurance costs, and the like are one of many significant factors affecting the price of health care, but from what I've read (and, granted, there is a lot of stuff being claimed these days, so it's not entirely clear how much stock to put in any given source), even if we had a magical box that generated payment for any wronged party out of nowhere, so that the risk of being sued could be ignored altogether, we'd still be paying more for our health care (on a per-person basis) in the US than in other countries, with poorer results (on average--wealthy people to better in the US than they do in other countries, but less wealthy people do worse in the US than else where, and the average across everyone is that our health is worse in many ways than in other developed nations).

To be clear, I'm not saying malpractice insurance and malpractice suits aren't important, because they are an important contributor to the cost of health care, I just don't think they're the only factor, nor even the most important factor.

Whether or not that means it's a good idea to send people overseas for treatment, I really don't know.  But we shouldn't make the decision one way or the other based on an oversimplified vision of the issue.
katisara
GM, 3962 posts
Conservative human
Antagonist
Mon 24 Aug 2009
at 17:56
  • msg #395

Re: Doctor, it hurts when I do this:  Health care issues

Given, the straight-up cost of our doctors is higher than just about anywhere else (for a number of reasons), and shifting care overseas would help solve that (even if it's by further eating into the US economy). But the US also has the highest expectations of what is reasonable payment for suffering injuries due to malpractice, and from all accounts, the cost of that is astronomical. I have to imagine it's higher than any other country (I would be quite surprised if it isn't at least in the top 3). The idea of shifting stuff overseas may skim a little off the top regarding medical care, but it's not going to be as big of a change as has been suggested. A straight-up comparison is comparing a US doctor to US standards with US malpractice coverage expecting a US-level claim should malpractice occur, to an Indian doctor up to Indian standards, with Indian malpractice coverage to a suitable Indian-level of awards.

If we're looking at shifting it overseas, it would be an Indian doctor meeting US standards, with malpractice coverage meeting US-levels of claims, OR it would be a significant drop in care for the US patient.
RubySlippers
player, 87 posts
Parallelist
Opinioned
Mon 24 Aug 2009
at 18:32
  • msg #396

Re: Doctor, it hurts when I do this:  Health care issues

Why not look at the Switzerland model their insurance companies, hospitals, drug companies and doctors practices are all private. Insurers must be under law non-profit. The government with the other parties and patients rights advocates set the price nationwide for a basic care package that must be cover what is necessary care. Co-Pays and the like are set by agreement and are low. The insurers cannot make a profit on these and they make suing difficult with standards that assume problems will occur. They look only at was the care standard and accepted for the condition and done at the high levels expected. If so then no one can sue for the case.

And they pay less per person noticeably over the US.

What would be wrong with this it would have government oversight and use market forces just have an expectation everone will have coverage.

And no one answered my earlier query do you think its right we are the only advanced nation where people go bankrupt over medical bills, these happen to also have insurance in notable numbers of cases?

One thing I brought up at a Town Hall Meeting in my county on this with my elected officials why is not the first logical step being done. Find out how much money there is in the system and what people and businesses could afford to pay for health care. Then one can make plans that are realistic. Does anyone have a hard number as to how much money there is for example ALL non-VA Federal funds, state funds, local funds and employer and personal spending on health care at various income levels? I can't find one and looked all over the net.
Jude 3
player, 228 posts
Contend for the faith
once delivered to you
Tue 25 Aug 2009
at 00:53
  • msg #397

Re: Doctor, it hurts when I do this:  Health care issues

I just don't know that I want the govornment in my health care decisions.  Elected officials don't have the best track record for supporting the will of the people nor the constitiution.  I think our fore-fathers are rolling over in their graves with this issue, just like they have with social security and public education.  None of these things were ever ment to be managed by the govornment.

But here we are, so let's look at what they've done to:
Social Security: broke
Public Education: broke and dropping in world standings
National Debt: higher than ever

Now we want to hand them health care?

I think the Switzerland model is a good one, my only concern is that they will have the same problems that Canada has.  You can't find a specialist and if you do it's years before you can actually see them.  I mean lets face it, nobody is going to go to 20 years of school if they're not going to make a ton of money when they're done.  I would say education costs are a part of the problem as well.  Once a doctor actually becomes a doctor they have to make a huge salary just to pay off the loans they've aquired in getting to be a doctor.

That's my two cents (probably as overpriced as most insurance). ;)
katisara
GM, 3963 posts
Conservative human
Antagonist
Tue 25 Aug 2009
at 15:50
  • msg #398

Re: Doctor, it hurts when I do this:  Health care issues

Ruby Slippers mentioned that only the insurance companies, not the doctors are non-profit. Presumably the doctors can charge whatever they want, and the insurance companies just won't go to them if the price is too high.

I'm not opposed to the government providing oversight/regulatory functions. That's just saying 'if you are going to make X, it should need standards Y to be considered functional'. That's fine, defining standards is part of overseeing commerce. NIST does a very valuable, and constitutional job. I just don't think it prudent to have government directly MANAGING the insurance companies.

Overall, the Swiss method doesn't seem bad. I'd have to look into it more. Forcing insurance companies to be non-profit is fairly ingenius. The problem arises when government gets its finger too deep in the pot (like what happened with Fannie Mae, when government intervention, with good intentions, created mountains of toxic debt, which in turn was a major contributing factor to the recession we're in right now).
Tycho
GM, 2657 posts
Wed 26 Aug 2009
at 09:21
  • msg #399

Re: Doctor, it hurts when I do this:  Health care issues

I found this today:
http://www.nytimes.com/2009/07...omy/22leonhardt.html
and was reminded of this, from a while back:

katisara:
By the by, WashingtonWatch has gotten an estimate on the cost for the health care bill, at approximately $12,000 per family.


The article makes the interesting point that the current system is set up in such a way that people don't realize that we're spending $15,000 per househould on health care right now. Which means when people point out the cost of alternatives, like katisara has done, we think "Oh crap!  That's a lot of money!" and oppose the alternative, even if, as seems to be the case with the numbers here, it represents a $3000 reduction in spending.  Granted, talking about the "average" household is a bit misleading, and the impact on any particular household is difficult to pin down.  I do think it's important to keep in mind, though, how much we're already spending on health care, even though we often 'dont see' the spending (because it's in the form of a tax, or taken directly out of our paychecks before we get them).
Lulucien
player, 1 post
Wed 26 Aug 2009
at 16:03
  • msg #400

Re: Doctor, it hurts when I do this:  Health care issues

I must admit to having perked up my ears at the recent admonishion of the UK NHS in the US Senate, I was wondering if that influencedo or surprised any Americans on this board, or just reconfirmed their worst fears? I mean, every line was a lie, often highly misinformed and designed to stir up fear of socialized health care (which puzzles me no end, as does the general terror of the Left in mainstream American society).

But I'm curious as to how other European models of health care recieved in the US? With envy? Fear? Contempt?
katisara
GM, 3964 posts
Conservative human
Antagonist
Wed 26 Aug 2009
at 16:12
  • msg #401

Re: Doctor, it hurts when I do this:  Health care issues

I have to ask, where are you hailing from?

Also, do you have any news articles on what you're talking about? I hadn't heard anything about it.
Lulucien
player, 2 posts
Wed 26 Aug 2009
at 16:22
  • msg #402

Re: Doctor, it hurts when I do this:  Health care issues

I'm Australian by nationality, currently visiting the UK as I post this. Looking for it on American sites, but I can't seem to find much.

http://www.cnn.com/2009/HEALTH...britain.america.nhs/

Leading figures within the party have attacked a foreign health system, using as far as I can tell from my studies of it, entirely spurious claims.

http://www.guardian.co.uk/worl...es-republican-health
Tycho
GM, 2658 posts
Wed 26 Aug 2009
at 16:42
  • msg #403

Re: Doctor, it hurts when I do this:  Health care issues

The best one I've heard so far is that Steven hawking "wouldn't have a chance" if he lived in the UK, because the NHS would just tell him his life wasn't valuable.  Or so said investors business daily.  It came as a bit of surprise to Steven Hawking, who does actually live in the UK, and considers the NHS to have saved his life.  Unfortunately, facts don't seem to matter much in US politics.
katisara
GM, 3965 posts
Conservative human
Antagonist
Wed 26 Aug 2009
at 16:49
  • msg #404

Re: Doctor, it hurts when I do this:  Health care issues

Not only am I not surprised, I barely feel it's relevant. Whether a program works in China or England or Mars doesn't mean it'll work here, and ignoring that fact is intentionally blinding yourself. I haven't looked at any testimony (and I suspect you haven't looked at enough to support your claim of 'every line was a lie'). I expect exageration. It's part of politics, it's part of rhetoric. Both sides do it (and those that don't, generally aren't successful).

The US isn't bothered by European models just because they're European. The concern is putting trust in the government, of some people getting something for nothing while others get little or nothing while paying in quite a lot, or a loss of power over one's own money or health or decisions. If you had a program which would magically give free health care to everyone, but it was all managed and owned by the government, you'd have people who would not like the plan, because the government, not the individual, is top dog there.

You have to understand one of the dominant values in America is that of freedom. Two of our biggest wars (measuring per capita) were regarding our freedom from oppression. Our Constitution opens talking about freedom, and 90% of it is talking about what government cannot do. The American Dream is a man, through his own hard work, making a life for himself, and buying land where he can do as he pleases. We have a very staunch sense of individuality, individual empowerment, and anything which threatens to run contrary to that is dangerous. That's why ideas like 'curb your rights over your own body and property, so the government can care for everyone as it feels is best' is clearly going to rub many Americans the wrong way.
Lulucien
player, 3 posts
Wed 26 Aug 2009
at 16:50
  • msg #405

Re: Doctor, it hurts when I do this:  Health care issues

What's more, he is a UK born citizen, who lives in the UK, and depends upon the NHS and had his life saved by the NHS. Also, the claims of $20,000 a year is wrong. Under the UK system, an individual is allowed close to $90,000 a year worth of Drugs before they become too expensive to procure. Yes, there is a cap, but it's a cap most Americans could never afford on Private.

The lies told are whopping. Seriously.
Eur512
player, 18 posts
Wed 26 Aug 2009
at 16:53
  • msg #406

Re: Doctor, it hurts when I do this:  Health care issues



That 12,000 is an ADD cost, not an "in lieu of" cost, Tycho.

That's on top of what we spend- now we have 27,000.00

That 12,000 is coming out of the 12,000 every American family apparently has lying around doing nothing.

The nasty part is that nothing in anyone's bill is addressing the costs, and why we get so little for spending so much.

Nothing to limit tort reform.  An airline can kill someone and thanks to international treaty, they are out about $400,000.  That's because the rest of the world looked at Americans filing their gazillion dollar lawsuits and said "if you want to fly here, no f***in g way".  A hospital can leave someone with a vague "detrimental impact to quality of life" and now they have to cough up enough money to equal the gross national product of an African nation.  So, no surprise- everything a hospital or HMO does is designed around the highest, most important priority.  No, not care, what were you thinking?  The real priority- Lawsuit Avoidance.

Nothing to actually increase competition.  Sensible lawmakers on BOTH sides of the aisle have offered solutions- like making insurance purchase an individual and not an employer thing.  As it stands, for an individual to switch insurers, assuming it's employer provided, is very difficult.  Ever notice that auto insurance companies advertise and compete, but not health insurers?  If your employer simply gave you a voucher to spend on any insurer you wanted, they'd compete.

Right about here, a libertarian minded person would ask "what if I wanted the option to have cash instead of the voucher?"  Aha.  Gotcha.  That's the trick, you see.  The people who would ask for that are young and healthy, and the insurance company needs those to subsidize those who aren't.

Because when you start getting mathematical, what we want out health insurance is illogical.  You buy car insurance to insure against rare catestrophic events.  We buy health insurance for the ordinary.  Asking an insurer to cover doctor's visits is like asking your car insurance company to cover oil changes.
Asking an insurance company to cover a pre-existing condition is like having a wreck, and THEN buying auto insurance, and telling them to repair the damage!

 It gets worse- thanks to our steady gains in medical technology, and steadily lowering threshold of care (we get physical therapy and drugs for pains our grandparents just lived with) we have reached the point where we all will have catestrophic costs, unless we die accidentally, young.  So it's like buying auto insuruance while telling your insurer that you plan on causing an accident and wrecking your car- and expect them to pay for it.

Insurance makes logical sense when the events are rare- if one in twenty of us has a car wreck, we can divide the costs by 20.  If ALL of us expect to incur  big health care costs- and we do, ask an actuary- insurance is illogical.

We demand the illogical- would any one of us, in any other field, consider it reasonable to sell our goods or services on a "get all you want, at a reasonable cost" basis?  That's what we demand from health.  All we want. Reasonable costs.

Those of you new to the work force- would any of you take a job with an employer who asks "you'll give me as many work hours as I think I need, or ask for, I'll pay you ten thousand a year"?.  That's what we want from health care.

It's not like any other field.  We all get education from the government.  But not all we want, and no one sues a school for 200 million dollars because they weren't taught properly.


That's why its screwed- we demand illogical, impossible things, and we elect politicians who promise to give it to us!

We are nitwits.  We want an all-we-can-eat buffet, with the right to become a multi-millionaire if there is an error.  And we want this service to be provided at a low cost, from Humans, who by nature make errors.

And we expect politicians to make it work?

The future: what is not mandatory will be forbidden.
Lulucien
player, 4 posts
Wed 26 Aug 2009
at 17:17
  • msg #407

Re: Doctor, it hurts when I do this:  Health care issues

You think that the countries with an NHS had them for a time immemorial? Private Health Care still exists in these countries, as it did before the creation of a national health service, but could you please clarify at what point the right to live became an optional extra reserved for those with the money to pay for it? Is the creation of a health system that will be there for the majority that much of a problem? 35,000,000,000 Americans without health care would be garuanteed a right to life, which the current system denies them.

A privatised health care system allows those who can pay treatment and a good standard of life. A person unable to pay will not recieve the same treatment, and will suffer as a result, due to circumstances that can often be beyond their control. It's a fact that children born into poverty live the majority of their lives in poverty, in which case, under the current American system, to be born into a poor family is a signed warrant for a life of poor health and limited health care.

Why can't it work in America? Is a nation that sent a man to the moon really incapable of managing to create a non-profit organisation dedicated to ensuring that all it's citizens can truly have the right to life, liberty and the pursuit of happiness?
RubySlippers
player, 88 posts
Parallelist
Opinioned
Wed 26 Aug 2009
at 17:45
  • msg #408

Re: Doctor, it hurts when I do this:  Health care issues

In reply to katisara (msg #398):

Well in Switzerland they have everyone in the basic package costs including cosumer advocates so that the price set is fair for the "basic package" at no propfit. I would see this though being state to state since some mayhave special issues. After that they can offer extras to make money so that is fair no one has to take them and if they don't they get basic care.

A concern I have though is the very poor. No one is talking about the holy terror of timebomb people to care for the homeless, legal workers in the nation that are not citizens (migrant farm workers as an example), the working poor and those that cannot work. The American Citiznes are the big issue is it practical to not treat a homeless person and wait for them to end up in the hospital emergency room from a preventable condition. I think its not and add to that cruel.

No reform can work unless we address these groups and asking them to pay for a monthly cost, co-pays and deductibles even if modest will not work. You can pay for the plan if these other costs are to high we won't use it until we are so sick we have no choice. The very goal we should be avoiding at all costs.

It seems to me we need one thing first to find out how much there is in health care spent now at all levels and how much the people can afford to pay (with businesses). Then we can talk on how to use that money better to cover everyone.

I have to ask this what kind of nation are we? Most people here are religious Christians what kind of person of faith that has morals would deny from the least of us ease from unwanted and avoidable suffering. If we are a great nation and do spend more than any other nation and these others can cover everyone we surely can and do so as well. I saw that poor woman tossed out on the street in LA a few years ago and was thinking this is truly not the act of a moral people, no hospital would just toss a poor sick person on the street like that. It made me ill. If there is a God he is surely watching this and judging our nation for such evil. If not as a human being where is the compassion?
This message was last edited by the player at 19:25, Wed 26 Aug 2009.
Eur512
player, 19 posts
Wed 26 Aug 2009
at 19:23
  • msg #409

Re: Doctor, it hurts when I do this:  Health care issues

Lulucien:
You think that the countries with an NHS had them for a time immemorial? Private Health Care still exists in these countries, as it did before the creation of a national health service, but could you please clarify at what point the right to live became an optional extra reserved for those with the money to pay for it?


Roughly 155,000 years ago, when Ogg the Stingy was mauled by a cave bear after he refused to trade for one of Urp's really sharp spears.  Big mistake, Ogg.

This was followed by a rapid rise in the perceived value of Urp's spears.

But maybe you could go back further- Life has ALWAYS been an optional extra reserved to the more fortunate, since the first little bits began replicating and evolving.  The real question is, when did this change?  Who said we had a right to make others pay for our own life?  God?  What if the others say no?  Who gave us the right to enslave them?

The best we should have is a request for the aid of others- never a demand.
Ubuu
player, 2 posts
Wed 26 Aug 2009
at 19:27
  • msg #410

Re: Doctor, it hurts when I do this:  Health care issues

Eur512:
Lulucien:
You think that the countries with an NHS had them for a time immemorial? Private Health Care still exists in these countries, as it did before the creation of a national health service, but could you please clarify at what point the right to live became an optional extra reserved for those with the money to pay for it?


Roughly 155,000 years ago, when Ogg the Stingy was mauled by a cave bear after he refused to trade for one of Urp's really sharp spears.  Big mistake, Ogg.

This was followed by a rapid rise in the perceived value of Urp's spears.

But maybe you could go back further- Life has ALWAYS been an optional extra reserved to the more fortunate, since the first little bits began replicating and evolving.  The real question is, when did this change?  Who said we had a right to make others pay for our own life?  God?  What if the others say no?  Who gave us the right to enslave them?

The best we should have is a request for the aid of others- never a demand.


Is our evolution from savage creatures to intelligent ones good enough for you? We have to stop thinking like savages and think about the future. We are going to die off if we try to run our world in a 20th century and before manner.
Lulucien
player, 5 posts
Wed 26 Aug 2009
at 19:53
  • msg #411

Re: Doctor, it hurts when I do this:  Health care issues

In reply to Eur512 (msg #409):

Are we to forever be cave men? If we are to have any hope as a people, as a species, we have to capitalise upon the things that set us apart. Our ability to moralise, to believe that we are more than we are. I may be an Athiest amongst Theists here, but I believe that we are able to see beyond what we once were. To pay for the right to live, to pay for an ability to survive in a society where we have the ability to live to the age of over a hundred seems obscene.

If you want to go back to the caveman days, what good is money, it's just a vague concept of wealth, or worth or being more than just a monkey without hair. So why does this vague concept mean we should be able to live and die depending upon our non existant posession?

If a person came up to you and said that they were going to die if they did not recieve aid that you could not provide, what would you do? Would you say, "I'm sorry, I can't help", or would you do everything in your power to see that they got that help that would save them. A mother with sick children and little income cannot help them alone, should they die because others do not feel like helping her? Because they do not know her personally? How base is that?

We are more than just cavemen, we are creatures of the politic, we are creatures of society. What hurts one of us should hurt all of us, to ignore the rest of us makes us so alone in this world.
RubySlippers
player, 89 posts
Parallelist
Opinioned
Wed 26 Aug 2009
at 19:58
  • msg #412

Re: Doctor, it hurts when I do this:  Health care issues

Its funny in Clan of the Cave Bear novel they had health care provided the Medicine Woman and seemed to be competant using their limited resources. And they were clearly communists since everyone got a share of the hunt and free tools and a cave to live in ... dirty communist Neanderthals. lol

Really I again ask who are we as a nation we have the money there we spend more than any other nation per person and others like Luxumburg cover everyone. Ok not a great example we have a large population but still you can't tell me it can't be done we just need politicians with a big pair to stand up to the special interests that are trying to stop simple and needed reform.
Ubuu
player, 3 posts
Wed 26 Aug 2009
at 20:00
  • msg #413

Re: Doctor, it hurts when I do this:  Health care issues

RubySlippers:
Its funny in Clan of the Cave Bear novel they had health care provided the Medicine Woman and seemed to be competant using their limited resources. And they were clearly communists since everyone got a share of the hunt and free tools and a cave to live in ... dirty communist Neanderthals. lol

Really I again ask who are we as a nation we have the money there we spend more than any other nation per person and others like Luxumburg cover everyone. Ok not a great example we have a large population but still you can't tell me it can't be done we just need politicians with a big pair to stand up to the special interests that are trying to stop simple and needed reform.


This, public healthcare will be insanely cheaper than what we're doing now, the only reason we don't have it is because of the greed of the insurance companies.
katisara
GM, 3967 posts
Conservative human
Antagonist
Wed 26 Aug 2009
at 20:14
  • msg #414

Re: Doctor, it hurts when I do this:  Health care issues

Lulucien:
You think that the countries with an NHS had them for a time immemorial?


Who is all of this in response to? And the second question, which Eur touched on well, is where does the responsibility for this fall? Is it 100% on the shoulders of me, the taxpayer, to pay for Joe Drunk who is in the hospital because he didn't pay for his own prevenative care when he had the chance?

(Also worth noting, I'm not sure which planet your 35,000,000,000 Americans are from, because in the actual US, there are only 300,000,000 in total, and most of them are insured.)

You seem also to confuse 'right' with 'privilege'. I have a right to life - that means no individual or organization can infringe upon it. I do not have a privilege of life, or even an expectation of life. It is my duty, not anyone else's, to fight for my life. I have a right to happiness, but that doesn't mean we need to tax people so the government can give me things so I can be happy. It means, if I am going to make myself happy, I have that power. There is no legal or natural right to government-provided health care, or government-guaranteed life.

If you feel that government-run health care is the best tool for helping those in need, you are free to do so, and you are free to donate to Medicare. I can get you the address. But just because YOU feel that is the best way to help people, or the best expenditure of my money, does not mean that *I* feel that way. I agree, helping the poor is important. But I also think teaching religious beliefs are important. Should I be able to spend your money to help save the souls of the spiritually poor? Don't these people have a fundamental right to religion? You know, most people who are born into agnostic or atheistic families are likely to stay in that state of ungrace.



RubySlippers:
The American Citiznes are the big issue is it practical to not treat a homeless person and wait for them to end up in the hospital emergency room from a preventable condition. I think its not and add to that cruel.


Preventitive care (as a form of reducing costs), and the morality of allowing someone to die on your doorstep when you have the tools to save him are genuine concerns, and, IMO, the only real problem with a purely libertarian mindset. The things Eur mentioned above really are a very good start. The idea of setting up an independent, non-profit, or working through existing non-profits, to provide basic, preventative care and life-saving services appeals to me. I don't know that it is ethical to support a nation who would let an individual die of say mumps because he couldn't afford $25 for a vaccination. This is part of why I'm intrigued by this Swiss plan.

quote:
It seems to me we need one thing first to find out how much there is in health care spent now at all levels and how much the people can afford to pay (with businesses). Then we can talk on how to use that money better to cover everyone.


I agree that costs spent at all levels is worth getting, because that tells us what our ROI is. However, the latter metric I disagree with. I can't afford to pay $9,000/yr for basic checkups. I can definitely afford to pay that for life-saving drugs, however. I can "afford" quite a lot if my life is on the line. But on the flip side, how much should I be expected to afford. Is $5,000/yr reasonable? Even if I'm paying it, if it's not reasonable, we shouldn't use that as our baseline of what to charge.

quote:
I have to ask this what kind of nation are we? Most people here are religious Christians what kind of person of faith that has morals would deny from the least of us ease from unwanted and avoidable suffering.


Again though, while I consider charity an important virtue, I consider free will more valuable. When you tax me at the point of a gun (and that's how taxes are done. Try not paying them), I lose my exercise of free will. I fully support people willingly sharing what they have and donating to their charities (and, by the by, conservatives, on average, donate more than liberals). I don't support your taking, by force, from one person to give it to someone else you think deserves it more.
Lulucien
player, 6 posts
Wed 26 Aug 2009
at 20:27
  • msg #415

Re: Doctor, it hurts when I do this:  Health care issues

But it's not one person. It's never one person. Nor is it ever donated to one person. You have ten people who are happy, healthy and wealthy. To take an amount from them they can spare to keep alive those who have less, are not happy nor are healthy, can hardly be seen as a crime. Your freedom inflicts a negative freedom upon others. You were born with advantages another person dosen't. You have freedom to do as you please, they do not as a result.

At the end of the day, how can my freedom be worth more than the lives of other people? What sort of morality condones that behaviour?
Eur512
player, 20 posts
Wed 26 Aug 2009
at 20:36
  • msg #416

Re: Doctor, it hurts when I do this:  Health care issues

Lulucien:
In reply to Eur512 (msg #409):

Are we to forever be cave men? If we are to have any hope as a people, as a species, we have to capitalise upon the things that set us apart. Our ability to moralise, to believe that we are more than we are. I may be an Athiest amongst Theists here, but I believe that we are able to see beyond what we once were.



For an Athiest, you sure do believe in a lot of invisible, uncountable, illogical things.  What if "any hope" really means we have to jettison the illogical idea of infinite entitlement?  If I'm an athiest, why should I care about a stranger dying?  We're all going to die, get used to it.  And then, if athiests are correct... nothing.  So, why care?  Why invoke morality?  You can't weigh it, measure it, or see it, it's just another spooky concept invented by Humans.  Maybe it's wrong.  Could be... just because you feel something very strongly does not make it right.  If that were the case, you wouldn't be an athiest, because an awful lot of beleivers feel very strongly.

So how do you know your feelings of morality are right?  Why do you rate some things as "base", or "Obscene"?  Do you have some objective measurement?

You seem to be an athiest with some very hard set religious beliefs!
katisara
GM, 3968 posts
Conservative human
Antagonist
Wed 26 Aug 2009
at 20:48
  • msg #417

Re: Doctor, it hurts when I do this:  Health care issues

Lulucien:
But it's not one person.


Am I not one person? Am I not paying money in taxes, against my wishes, to support people who may not deserve it? Do you think by virtue of spreading the pain, it makes it less bad?


quote:
Your freedom inflicts a negative freedom upon others.


That is the nature of life. My buying a hamburger results, due to free-market forces, in a slight increase in the price of hamburger meat, born by everyone else. My having kids means there is increased competition, suffered by everyone else, to get into university, or get access to resources.

Yet you act like your negatively impacting my freedom to use my money, which I EARNED, was not given, for YOUR goals, is okay. Don't you see the hypocrisy? You aren't curing a negative freedom, you're just transferring a negative freedom from one person to another.

quote:
At the end of the day, how can my freedom be worth more than the lives of other people? What sort of morality condones that behaviour?


Um, at the end of the day, my freedom IS worth more than the lives of other people. You may disagree, but where I live, I can roll down the street and look at the graves of revolutionary fighters, of men who laid down their lives again in the Civil War and in WWII, and recognize just how much blood my freedom is worth. The idea that anyone would say 'life is worth more than freedom' is physically repulsive to me. I am proud of the people who died for me, and I would be proud to die for those who lack freeom (and yes, I may die defending my freedom from my own government, if the laws happen to go that way). So there's your answer, I guess. I don't consider myself a very immoral person, I donate money and time. I volunteer. I go to church. But I would risk my life (I hope!) rather than risk my freedom.
Ubuu
player, 5 posts
Wed 26 Aug 2009
at 20:50
  • msg #418

Re: Doctor, it hurts when I do this:  Health care issues

Eur512:
Lulucien:
In reply to Eur512 (msg #409):

Are we to forever be cave men? If we are to have any hope as a people, as a species, we have to capitalise upon the things that set us apart. Our ability to moralise, to believe that we are more than we are. I may be an Athiest amongst Theists here, but I believe that we are able to see beyond what we once were.



For an Athiest, you sure do believe in a lot of invisible, uncountable, illogical things.  What if "any hope" really means we have to jettison the illogical idea of infinite entitlement?  If I'm an athiest, why should I care about a stranger dying?  We're all going to die, get used to it.  And then, if athiests are correct... nothing.  So, why care?  Why invoke morality?  You can't weigh it, measure it, or see it, it's just another spooky concept invented by Humans.  Maybe it's wrong.  Could be... just because you feel something very strongly does not make it right.  If that were the case, you wouldn't be an athiest, because an awful lot of beleivers feel very strongly.

So how do you know your feelings of morality are right?  Why do you rate some things as "base", or "Obscene"?  Do you have some objective measurement?

You seem to be an athiest with some very hard set religious beliefs!


Fail. morality is not defined by religion. I'm an atheist, I was raised in a secular household so the strong beliefs and values religious people hold so dear I was absent of. In fact I grew up in a house that was quite in turmoil. Dad used to drugs, mom was a prostitute , brother was in a gang and various other terrible things went about in my life. I never had God nor have I ever "heard" God but I didn't need such a thing to tell me killing someone was wrong, letting someone suffer when you can help them is wrong, I built morals from my own character and I'm now a 20 year old college student on my way to success. I don't know about you but if a person needs religion to define morality for him then I pity said person. Morality is an essential component for humans as intellectual, problem solving creatures.
daniel_t
player, 2 posts
Wed 26 Aug 2009
at 20:57
  • msg #419

Re: Doctor, it hurts when I do this:  Health care issues

Your post seems completely backwards to me.
Eur512:
If I'm an athiest, why should I care about a stranger dying?  We're all going to die, get used to it.  And then, if athiests are correct... nothing.  So, why care?

An atheist cares about people dying precisely because there is nothing after. It is those who believe in life everlasting that don't have a reason to bother saving someone's life, after all they don't view death as actually death.

Eur512:
Why invoke morality?  You can't weigh it, measure it, or see it, it's just another spooky concept invented by Humans.

Yet we do and can measure it. Given any particular set of moral precepts (people should do X rather than Y,) one can objectively measure how hard it is for people to follow them, and whether they help us improve in some way we find valuable. It is the Theist that shouldn't bother to invoke morality, after all by his own admission, it isn't for *him* to judge!

Why is it that Theists are always handed the moral high ground? They certainly haven't earned it through their actions...
Lulucien
player, 7 posts
Wed 26 Aug 2009
at 20:59
  • msg #420

Re: Doctor, it hurts when I do this:  Health care issues

What is Athiesm? It's the fact that I see that the universe is devoid of gods, magic, demons or godesses. Just as the average adult sees no Father Christmas, I see no Jesus, Vishnu or Allah. But that dosen't mean that I don't see basic social contracts. Without these social contracts, human community breaks down. Morality is another word for a social contract of I don't stab you, you don't stab me. We expand upon it to build up our community and cooperate. If I'm an Athiest, and I see a fellow human dying, I see potential to make the world a better place wasted. We all have equal potential to make the world a better place. I also empathise. I see another member of my species in trouble, so I want to help.

Religion is belief that there is an entity that rewards your doings with magic when you die. Religion is the belief in magic and things that don't exist. That a man died and came back to life because he was the child of a giant magical creature. Religion says that a giant entity takes an interest in human doings. Morality is the evolution of basic social contracts. We can see these social contracts in lions, birds, dogs, wolves, chimpanzees. The only difference is, we give them names, and our concept of community is more evolved due to our basic biological evolution. I don't believe in the tooth fairy, I don't believe in father christmas, I don't believe in a biblical Jesus or the Virgin Mary.

But that dosen't make me heartless. That dosen't mean I become a vacuum of a creature. I am a human that has been bounced around and shaken into place. Religion is a tool for control and conformity, and a means of implacing tribal divisions upon a species divided by tricks of culture and conformity.

There are no wheels that make the universe move, there are no fairies watching my every movement. I do the thing which is best for my fellow man, in hopes he would do the same for me, so that humanity benefits as a whole.
Sciencemile
player, 734 posts
Opinion is the default
for most everything I say
Wed 26 Aug 2009
at 21:00
  • msg #421

Re: Doctor, it hurts when I do this:  Health care issues

That's a rather Ad-hominem attack, Eur512;

Atheism isn't the lack of belief in Morality; they simply don't think God gave people that Morality, or that it's a useless concept or measure of "what's right and wrong".

You're thinking of Nihilism and Relativism.

Besides, none of this has any real bearing on whether Health Care should be one way or another.  Believing one way or another really doesn't affect whether a Government Health Care or Insurance Plan is efficient; all we could really argue with personal beliefs is whether people would/should be in support of the plan.

At which point I'd point out that, as I've said before and as demonstrated above, people are usually wrong about what somebody else believes, and can't be wrong about what they believe.

In any case, here's a couple of questions:

1. Can any comparisons of the Universal Health Insurance plan being proposed be drawn with the Universal Auto Insurance plan we already have?

2. If a Universal Health Care/Health Insurance plan is more inefficient and less desirable than private insurers, why would they have to worry about going out of business if the Government plan competed with them?

3. Do the following Government Programs/Tasks give a greater benefit than their cost?

   a. Interstate Highways,
   b. State Road construction and maintenance.
   c. Postal Service Door-to-Door Delivery.
   d. Public Education
   e. Federal Deposit Insurance
   f. Federal Trade Commission
   g. Occupational Health and Safety Administration
   h. Equal Opportunity Commission
   i. Consumer Product Safety Commission

4. Do you think any of the above could be better performed and for a lower cost by the private sector?
Ms. Libertarian
player, 90 posts
Centrist
ULC Clergyperson
Wed 26 Aug 2009
at 21:25
  • msg #422

Re: Doctor, it hurts when I do this:  Health care issues

1. Can any comparisons of the Universal Health Insurance plan being proposed be drawn with the Universal Auto Insurance plan we already have?

Bad example you don't HAVE to own a car I take mass transportation so I don't need to pay for the auto insurance. I can say that about lots of things if you own an apartment you don't have to have insurance for anything if you have a house and have a mortgage you have to have certain coverage.

2. If a Universal Health Care/Health Insurance plan is more inefficient and less desirable than private insurers, why would they have to worry about going out of business if the Government plan competed with them?

They wouldn't the free market if everything else is equal would beat them. Just look at the postal service they have package delivery from UPS for example and both survive.

3. Do the following Government Programs/Tasks give a greater benefit than their cost?

   a. Interstate Highways
   b. State Road construction and maintenance
   c. Postal Service Door-to-Door Delivery
   d. Public Education
   e. Federal Deposit Insurance
   f. Federal Trade Commission
   g. Occupational Health and Safety Administration
   h. Equal Opportunity Commission
   i. Consumer Product Safety Commission

I would say yes but (c) has to adapt to compete. And (b), (d), (g) and (i) I question the need for them with states having the same sorts of departments so they don't need Federal oversight.

4. Do you think any of the above could be better performed and for a lower cost by the private sector?

Hard to say education probably would be as good without government intervention and I would say better for children overall. I would say private industry could do (i) such as the Consumer Reports Testing Labs and might be preferable. Others likely not.
katisara
GM, 3969 posts
Conservative human
Antagonist
Thu 27 Aug 2009
at 13:14
  • msg #423

Re: Doctor, it hurts when I do this:  Health care issues

quote:
1. Can any comparisons of the Universal Health Insurance plan being proposed be drawn with the Universal Auto Insurance plan we already have?


Certainly, comparisons can be drawn. The problem is, as Eur correctly pointed out, what we're asking for is not akin to insurance, because it covers events we can almost guarantee will happen, at regular, pre-planned intervals. I'm not aware of any other insurance that does this. I think Eur's point is that we're actually talking about two separate issues:

1) Health INSURANCE, which protects you against unexpected, cataclysmic events (such as losing a leg in an unfortunate shaving accident).
2) Basic Health CARE, which are the regular events you need to attend to (and which can be somewhat expensive) such as doctor's visits, vaccinations and dental checkups.

The two are related, in that failing to keep up with #2 can result in needing #1. They are also unrelated because it is very unlikely insurance will be cost effective ONLY for basic health care.

I don't feel so bad telling a homeless person, "look, you have a preventable disease. It will cost $20,000 to cure it, but you have no money and did not save for it. You're going to need to work for that money somehow, or you are going to die." I also don't feel so bad for an insurance company saying "you have not been to the dentist in 10 years, so we are not covering the full cost of taking care of the infection you got as a result". People need to be responsible for themselves.

If our goal is to make INSURANCE affordable to normal people, the Swiss plan sounds preferable. Employers "buy" vouchers at a discount, or getting tax breaks (like now). Unemployment offices perhaps get them free, or at a super discount. They give the voucher to the employee. The employee shops for his insurance company (with the insurance companies meeting basic standards as to how they operate, what they will cover, who they must accept, etc. etc., i.e. regulation). The employee gives the insurance company his voucher + costs out of pocket for the difference. The insurance company provides care, and takes the voucher to the gov't to redeem it. The gov't checks the voucher against their database, verifying a) the voucher exists, b) it has not yet been used (and the person doesn't have another voucher), c) the insurance company files a copy of the coverage to check that it meets regulatory requirements, and for any future legal disputes.


Health CARE is a different matter. We can pass this off to insurance companies, but it hurts the uninsured, and doesn't really encourage competition. The best thing I can think of, off the top of my head, is if you can't pay for it, you get an opportunity to work it off, via government 'charity' labor. That discourages you from wasting resources that aren't yours, since you're still paying for it (even if your skills aren't marketable). Pregnant women and children would be free, like many states do now. The problem here is, you don't want people to be wasteful with care, and you don't want companies to be wasteful about pricing or service, so you WANT the competition, but you don't want to make it so it's too inconvenient/expensive for some people to get. But I don't know if say, you could get an annual checkup for $60 or for 2 hours labor cleaning up the freeway, and Bob decides he doesn't want to do that so goes years without checkups and gets a preventable disease, if I would feel bad if the insurance company declined to fully cover the cost of curing him. Bob does need to take responsibility for his own decisions, for good or for ill.

quote:
2. If a Universal Health Care/Health Insurance plan is more inefficient and less desirable than private insurers, why would they have to worry about going out of business if the Government plan competed with them?


Because, since we're paying for it in taxes, you're already enrolled, you already paid for it. Let me ask you, if you were Cadillac, would you worry about losing business if the government decided to buy everyone a new Toyota?

quote:
They wouldn't the free market if everything else is equal would beat them. Just look at the postal service they have package delivery from UPS for example and both survive.


When is the last time you, as an individual, posted anything by FedEx or UPS? They can only cater to large businesses, not to individuals (in part because of legal restrictions - it is ILLEGAL to mail a first class letter by anything other than USPS - but also in part because they don't get tax dollars, so they just can't get their prices to be as low as what USPS offers.)

quote:
3. Do the following Government Programs/Tasks give a greater benefit than their cost?

   a. Interstate Highways
   b. State Road construction and maintenance
   c. Postal Service Door-to-Door Delivery
   d. Public Education
   e. Federal Deposit Insurance
   f. Federal Trade Commission
   g. Occupational Health and Safety Administration
   h. Equal Opportunity Commission
   i. Consumer Product Safety Commission


Dollar for dollar? Yes. But that's a silly question. The question isn't 'do these programs pay for themselves', it is 'are these programs as efficient as their alternatives' AND 'are these programs that should be wholly in the hands of the federal government, or should this control be transferred to a lower level'. I mean, a cruise missile pays for itself, but that doesn't necessarily mean we should buy a lot of them.

quote:
4. Do you think any of the above could be better performed and for a lower cost by the private sector?


Most of these are provided better at lower cost right now. Road construction is almost ALWAYS done by private corporations. The problem is, the actual bill to pay for things like interstates are full of pork, and then when politicians want money for something else, they raid the interstate maintenance funds. So the actual cost of highways, because it's managed by the gov't, is far higher than it would be if it were managed by a private body.

Private schools, especially non-profit ones, are regularly shown to cost 10-25% less than public schools, and score better across the board on tests.

Federal Deposit Insurance IS privately run. The FDIC is a corporation. So sort of a silly example :P

Postal service I don't know. USPS is semi-competitive. They do have to support themselves by their own profits, and operate differently from other government agencies. I've never seen cost comparisons, but this isn't exactly a fair item to ask about, because it already relies somewhat on free-market principles.

FTC, OSHA EOC and such are regulatory groups. With regulatory groups your concern is not keeping prices down, but making sure you do the job (and avoid corruption) by acting independently from profit-making concerns. They do NOT pay for themselves, dollar for dollar. But because they are regulatory, they necessarily MUST BE divorced from profit-making. Since health insurance is not regulatory though, this is apples and audis.
This message was last edited by the GM at 13:15, Thu 27 Aug 2009.
Tycho
GM, 2660 posts
Thu 27 Aug 2009
at 13:15
  • msg #424

Re: Doctor, it hurts when I do this:  Health care issues

An interesting editorial in the news today, about a former insurance executive who's now testified against the insurance industry before members of congress:
http://www.nytimes.com/2009/08...inion/27kristof.html
It discusses a number of dubious practices that are common in private health insurance.  Check out the link to Potter's testimony before the senate committee, too.
Tycho
GM, 2661 posts
Thu 27 Aug 2009
at 13:32
  • msg #425

Re: Doctor, it hurts when I do this:  Health care issues

katisara:
If you had a program which would magically give free health care to everyone, but it was all managed and owned by the government, you'd have people who would not like the plan, because the government, not the individual, is top dog there.

This sort of jumped out at me when I first read it.  If this is the case, that's a clear case of ideology over results.  People would rather a broken and expensive private system than a function and free government one?  At that point it's not a comparison of costs and benefits, it's just pure-and-simple ideology.

Also, I think it's important to keep in mind that the individual is not "top dog" in the health care world right now.  The insurance companies are.  They currently do all the bad stuff you're worried about the government doing, have more motive to do so (they are explicitly out to make money, not to keep people healthy), and can't be voted out of power.  It's well and good and reasonable to fear the government getting more power, but I think it's also good and reasonable to fear corporations getting too much power.  When you're sick, and need health care, you've still got something the government wants--your vote.  But at that point, you have nothing the insurance companies want.  They're only interested in your money, and you're costing them more money than you're giving them.  They want nothing more than to get rid of you.  You have no real power to keep them from jerking you around.  With the government you might not have much power, but you do have some--your vote.  If all the sick people tell the insurance company "Your service is lousy!  We're switching to another company!" they'll think "sweet! that's just what we hoped you'd say!"  If all the sick people tell the government "your service is lousy, fix it or we're voting in somebody else," things are much more likely to change.

Insurance doesn't work as well in a free market as it does for other goods, because insurers hope you never actually use what they're selling.  As soon as you do start using it they would prefer that you buy someone else's product.  They don't have much incentive to make you think "Wow, this insurance company is great!  I'm going to use their product over and over!"  Instead, they have a very strong incentive to make you think just the opposite.
katisara
GM, 3970 posts
Conservative human
Antagonist
Thu 27 Aug 2009
at 14:08
  • msg #426

Re: Doctor, it hurts when I do this:  Health care issues

Tycho:
It discusses a number of dubious practices that are common in private health insurance.  Check out the link to Potter's testimony before the senate committee, too.


Which begs for regulatory oversight - but not necessarily government management.

quote:
If this is the case, that's a clear case of ideology over results.  People would rather a broken and expensive private system than a function and free government one?  At that point it's not a comparison of costs and benefits, it's just pure-and-simple ideology.


No! I'm getting so frustrated repeating myself again and again.

Cost is not just dollars.

If I said you could get free health care for life, but only if you never marry and I cut off your left leg, would you accept it? Because you are certainly making more profit than you're losing, financially.

quote:
[insurance companies] currently do all the bad stuff you're worried about the government doing


That is true. Don't think I *LIKE* insurance companies. But my point is maintaining a balance of power. Just like, if there's a republican president, I'd vote for a democratic congress, and in the 1790s I'd probably put a lot more support behind the federal government. As long as no one has all the power, a lot fewer people get run over. Right now, the feds have a *LOT* of power, far more than they should.

(Oh, plus when it comes down to it, insurance companies offer their services for far less than the gov't would, so there's that too.)
Tycho
GM, 2662 posts
Thu 27 Aug 2009
at 14:51
  • msg #427

Re: Doctor, it hurts when I do this:  Health care issues

katisara:
Which begs for regulatory oversight - but not necessarily government management.

But isn't that just giving power back to the government, through a convoluted, and more expensive manner?  I mean, I'm fine with health care reform that doesn't involve a government plan, I just don't see why there is such strong objection to it.  Also, I don't believe any of the plans currently on the table have "government management" of every health care plan in them.  You're allowed to voluntarily join the government-managed public option, and required to have some kind of coverage, but none of the plans involve doing away with the private sector altogether, or preventing you from getting private coverage.

quote:
If this is the case, that's a clear case of ideology over results.  People would rather a broken and expensive private system than a function and free government one?  At that point it's not a comparison of costs and benefits, it's just pure-and-simple ideology.

katisara:
No! I'm getting so frustrated repeating myself again and again.

Cost is not just dollars.

If I said you could get free health care for life, but only if you never marry and I cut off your left leg, would you accept it? Because you are certainly making more profit than you're losing, financially.

But the only "cost" you're talking about is a potential cost, and you're weighing it against realized, right-now costs in the current system.  Yes, if any government plan starts abusing its power, then it's time to vote in new people to replace it.  But to be honest, I find it more likely for an insurance company to try and abuse their position over you than the government.

In the quote above, you seem to be saying even if we could have a perfect system, with no draw backs besides being government controlled, you'd be (or "some people" would be) opposed to it because of the government being involved.  To me, that's ideology over the actual real-world situation.  Its the same kind of think-about-the-worst-case-scenario-and-nothing-else thinking that leads people to oppose guns in any way shape or form.  It's a cut-off-your-nose-to-spite-your-face situation when you're saying you wouldn't support an otherwise perfect system simply because the government is involved in it.


quote:
[insurance companies] currently do all the bad stuff you're worried about the government doing

katisara:
That is true. Don't think I *LIKE* insurance companies. But my point is maintaining a balance of power. Just like, if there's a republican president, I'd vote for a democratic congress, and in the 1790s I'd probably put a lot more support behind the federal government. As long as no one has all the power, a lot fewer people get run over. Right now, the feds have a *LOT* of power, far more than they should.

But people are getting run over right now.  You're looking at the potential for future abuse but ignoring real-world, present-moment abuse.

katisara:
(Oh, plus when it comes down to it, insurance companies offer their services for far less than the gov't would, so there's that too.)

What?!  Right now insurance companies already charge more than the government for these services.  The government-run health care services that we currently have (medicaid, medicare, veterans hospitals, etc.) cost less than than equivalent private coverage.  This idea that efficiency of the free market will lead to lower prices ignores the fact that the way insurance companies get "lower prices" is by not providing insurance to people who need it.  It's by getting rid of customers when they start getting sick.  I'll take a bit of government waste over private-sector, greed-driven dishonest practice when it comes to health care.
katisara
GM, 3971 posts
Conservative human
Antagonist
Thu 27 Aug 2009
at 15:50
  • msg #428

Re: Doctor, it hurts when I do this:  Health care issues

Tycho:
But isn't that just giving power back to the government, through a convoluted, and more expensive manner?


Yes. Remember my mentioning balance of power? Remember my mentioning that the dollars and cents are not the entirety of the cost? It seems to me that a despotism would be the cheapest form of government, yet I don't see people clamoring for that. Have you noticed it at all suspicious that the US government isn't a single person making all decisions, but three separate branches actually set in opposition to each other, and in opposition to the states and the individuals?

quote:
Also, I don't believe any of the plans currently on the table have "government management" of every health care plan in them.


Again, if you gave everyone a toyota, how many of them would buy cadillacs? You can't pretend basic economics will cease functioning.

quote:
But the only "cost" you're talking about is a potential cost, and you're weighing it against realized, right-now costs in the current system.



Ah, sorry. So if I said I'll give you $20 now, on the condition that one day in the future, I might, on a lark, hunt you down and shoot you, that would be acceptable?

Of course not. Risk * damage.

quote:
But to be honest, I find it more likely for an insurance company to try and abuse their position over you than the government.


Again, Risk * Damage. The risk of insurance companies abusing their power is higher, but the damage is much, much lower. Insurance companies don't have the guns. They don't (generally) try to force ideological change. They don't control what you can own or what you can do. They can't throw you in jail. How many people have died fighting insurance companies?

quote:
In the quote above, you seem to be saying even if we could have a perfect system, with no draw backs besides being government controlled, you'd be (or "some people" would be) opposed to it because of the government being involved.


It's not against the government being INVOLVED. It's a question of absolute power. I would say 'hey, we have a magical fountain of health care, but we need to make sure this does not become a lever of controlling people. It needs to have its own controls, its own balance of power, to make sure this power is not abused.'

I don't think being concerned about abuse of power is not realistic. I see it every day. There are pages and pages of reports on people, in the US, being given power and abusing it for their own ends, at the expense of people they disagree with, or dislike, or who just happen to be different. Don't. Concentrate. Power. That's all.

quote:
But people are getting run over right now.  You're looking at the potential for future abuse but ignoring real-world, present-moment abuse. 


So creating the potential for tyranny is alright in the name of expedience?

quote:
What?!  Right now insurance companies already charge more than the government for these services.  The government-run health care services that we currently have (medicaid, medicare, veterans hospitals, etc.) cost less than than equivalent private coverage.


Do you have any evidence for that?

quote:
This idea that efficiency of the free market will lead to lower prices ignores the fact that the way insurance companies get "lower prices" is by not providing insurance to people who need it.  It's by getting rid of customers when they start getting sick.


Which is why you provide government regulation and oversight. Balance of power. Everything in the posts above, except for the Swiss system suggested, seems to be so extremist. Either it's complete, laissez faire, free-for-all, corporate rape, OR it's absolute government-run to government-standards, 0-competition. There IS space for a middle ground. Why don't we work towards that, instead of saying "your idea is stupid! You worry about the FUTURE! Give up and agree with me." Compromise, in theory, has the potential to address all of our concerns, no?
daniel_t
player, 3 posts
Thu 27 Aug 2009
at 16:04
  • msg #429

Re: Doctor, it hurts when I do this:  Health care issues

How many people have died fighting insurance companies?

Part of the problem is that we don't have an answer to the above question, but I expect that the number is quite high.
katisara
GM, 3972 posts
Conservative human
Antagonist
Thu 27 Aug 2009
at 16:10
  • msg #430

Re: Doctor, it hurts when I do this:  Health care issues

But I will wager it is less than the hundreds of millions who died by governments.
Ubuu
player, 12 posts
Thu 27 Aug 2009
at 16:15
  • msg #431

Re: Doctor, it hurts when I do this:  Health care issues

I bet it's not, from what I understand the single payer systems in other countries are greatly over exaggerated when the stories reach US shore, I never see any statistics about how universal health care works and only find anecdotes by those who oppose it. I'm sure our most expensive and only 37th rank system here in the US is causing many more deaths.
Tycho
GM, 2663 posts
Thu 27 Aug 2009
at 16:50
  • msg #432

Re: Doctor, it hurts when I do this:  Health care issues

katisara:
Yes. Remember my mentioning balance of power? Remember my mentioning that the dollars and cents are not the entirety of the cost? It seems to me that a despotism would be the cheapest form of government, yet I don't see people clamoring for that. Have you noticed it at all suspicious that the US government isn't a single person making all decisions, but three separate branches actually set in opposition to each other, and in opposition to the states and the individuals?

Okay, and what about health care reform prevents a balance of power just like we have right now?

katisara:
Again, if you gave everyone a toyota, how many of them would buy cadillacs? You can't pretend basic economics will cease functioning.

None of the reform plans include a plan to give everyone free health care.  That's not currently on the table.  No one is arguing in favor of that in this thread (though I think it does have its merits, and could be argued for).  The public plan would only be "given away" to people who couldn't afford to buy a private plan.  Those who could afford a private plan would have to pay for the public plan if they wanted it.

katisara:
Ah, sorry. So if I said I'll give you $20 now, on the condition that one day in the future, I might, on a lark, hunt you down and shoot you, that would be acceptable?

If someone was currently trying to hunt me down and shoot me, and taking your $20 would make that go away, then yes.  Not a great bargain, but one that's better than I'd currently be getting.  That's what you seem to be ignoring here.  All the bad stuff you say might happen if the government reforms health care is already happening.  It's like you're on a sinking ship, but refuse to get into the life raft because you think there's a chance it might sink too.

katisara:
Again, Risk * Damage. The risk of insurance companies abusing their power is higher, but the damage is much, much lower. Insurance companies don't have the guns. They don't (generally) try to force ideological change. They don't control what you can own or what you can do. They can't throw you in jail. How many people have died fighting insurance companies?

But giving the government influence over health care doesn't change any of this.  The government already has the guns.  They can already throw you in jail.  In terms of power over you, this is far less than they've already got.  Whereas for the insurance companies, it's all they have.  It's their only influence over you.  And, as I said before, you can't vote out your insurance company if you don't like their service the way you can do for the government.  The best you can do is walk away from an insurance company, but by the time you need their service that's exactly what they want you to do.

katisara:
I don't think being concerned about abuse of power is not realistic. I see it every day. There are pages and pages of reports on people, in the US, being given power and abusing it for their own ends, at the expense of people they disagree with, or dislike, or who just happen to be different. Don't. Concentrate. Power. That's all.

Again, that's ideology over cost-and-benefits.  A view that "concentrating power is a cost that must be balenced by a suitable benefit if it is to be worth doing" is entirely reasonable.  "Don't.  Concentrate.  Power." doesn't take costs and benefits into account.  It's the same reasoning as "Don't.  Let. People. Have. Guns."  It's an absolute.  Worrying about concentrating power is fine, and good.  I encourage it.  Being opposed to any and every example of increased concentration of power, though, is an oversimplification that places ideology over a fair assessment of the issue.

katisara:
So creating the potential for tyranny is alright in the name of expedience?

No, but it's okay as a method of eliminating an existing tyranny.  Like I've said, all the problems you're saying could happen if the government is involved already are happening.  You're not preventing these things by this position, you're ensuring them.

quote:
What?!  Right now insurance companies already charge more than the government for these services.  The government-run health care services that we currently have (medicaid, medicare, veterans hospitals, etc.) cost less than than equivalent private coverage.

katisara:
Do you have any evidence for that?

Don't have time to dig it up just now, but I'll try to find some links for this in the next couple days.

katisara:
Which is why you provide government regulation and oversight. Balance of power. Everything in the posts above, except for the Swiss system suggested, seems to be so extremist. Either it's complete, laissez faire, free-for-all, corporate rape, OR it's absolute government-run to government-standards, 0-competition.

Who's suggested the latter?

katisara:
There IS space for a middle ground. Why don't we work towards that, instead of saying "your idea is stupid! You worry about the FUTURE! Give up and agree with me." Compromise, in theory, has the potential to address all of our concerns, no?

I'm all for compromise, what did you have in mind?  I had gotten the impression you were in the "any change involving the government would be a concentration of power, and thus bad" camp.  Things I would suggest:  restructuring physician payment to be salary based instead of fee-for-service based, making insurance companies charge one price for all members regardless of any past or current conditions, and not being able to drop customers unilaterally, a public not-for-profit system (not funded by taxes, except for those under a certain income who wouldn't be able to afford private insurance anyway) to compete with private plans, so that private plans will make a profit IF they really are more efficient than the government, but will fail if they "waste" more money by giving it to stock holders than the government does through being inefficient.  Implementing the various cost-curbing measures being considered (electronic records, research into which treatments are most effective, etc.).  Reform of malpractice laws, to keep both the payouts and the cost of malpractice insurance down.
katisara
GM, 3973 posts
Conservative human
Antagonist
Thu 27 Aug 2009
at 19:16
  • msg #433

Re: Doctor, it hurts when I do this:  Health care issues

Ubuu:
I bet it's not, from what I understand the single payer systems in other countries are greatly over exaggerated when the stories reach US shore, I never see any statistics about how universal health care works and only find anecdotes by those who oppose it. I'm sure our most expensive and only 37th rank system here in the US is causing many more deaths.


You realize there are barely more than a hundred million people in the US right now, right?
Sciencemile
player, 736 posts
Opinion is the default
for most everything I say
Thu 27 Aug 2009
at 19:33
  • msg #434

Re: Doctor, it hurts when I do this:  Health care issues

quote:
You realize there are barely more than a hundred million people in the US right now, right?


Umm, what? O_o, I thought there were 304 million or something...that's a little over "barely more than 100 mil"
Ubuu
player, 13 posts
Thu 27 Aug 2009
at 19:43
  • msg #435

Re: Doctor, it hurts when I do this:  Health care issues

Indeed, if you actually think  there are little more than 100 million people in the US then that would mean half of the country is uninsured. About 42 million people are uninsured right now. That sound good to you?
Tycho
GM, 2665 posts
Fri 28 Aug 2009
at 08:01
  • msg #436

Re: Doctor, it hurts when I do this:  Health care issues

Okay, had a few minutes to dig up evidence that public health programs are cheaper than private health insurance.  Will admit up front that I didn't find as strong of evidence of this as I had remembered, so it looks like I over stated the case.  Here is what I've be able to find:

http://www.odl.rutgers.edu/e-leadership/pdf/Waller.pdf
This talks about how VA hospitals are about the best quality-for-dollar healthcare widely available in the US about now.

http://money.cnn.com/magazines...15/8376846/index.htm
More info on the same, but with some more specific numbers, including:
quote:
the VA has achieved all this while containing costs. As more vets have come in the door, the agency's overall budget has nearly doubled since 1996, to $30 billion. But the cost per patient has held steady at roughly $5,000. Over the same period, total health spending for the average American shot up more than 60 percent, to $6,300.


From what I've been able to find on medicare, it does seem to be more expensive, per patient than private insurance.  However, comparing the two directly is a bit tricky because medicare is for over-65s, a group that needs the most medical care, and a group that private insurers prefer not to cover if they can avoid it.  This piece from fox news opposes claims that medicare is more efficient than private insurance,
http://emac.blogs.foxbusiness....n-private-insurance/
but does point out the point I'm making:
quote:
Medicare beneficiaries are by definition elderly, disabled, or patients with end-stage renal disease.  Private insurance beneficiaries may include a small percentage of people in those categories, but they consist primarily of people are who under age 65 and not disabled.

Naturally, Medicare beneficiaries need, on average, more health care services than those who are privately insured.  Yet the bulk of administrative costs are incurred on a fixed program-level or a per-beneficiary basis.


I haven't been able to find a number of the average cost of private health insurance per person for over-65s, so I can't say for certain if medicare or private insurance is actually cheaper for them.

This is a piece that tries to compare private insurance to medicare/medicaid:
http://healthaffairs.org/blog/...dicare-cost-control/

http://www.nytimes.com/2008/02...gton/28medicare.html
This piece talks about medicare advantage, which allows medicare enrollees to take on private plans instead of normal medicare.  This was supposed to lower costs, but has resulted in higher costs in some ways.  Not entirely clear, though, if the costs are offset by sufficient benefits.

So, overall, it doesn't seem like I had enough evidence to back up the claim I made.  But nor, do I think, is there strong evidence that private insurance is cheaper either (at least not for people who actually need it--healthy people in their 20s can get it cheap).
katisara
GM, 3974 posts
Conservative human
Antagonist
Fri 28 Aug 2009
at 12:52
  • msg #437

Re: Doctor, it hurts when I do this:  Health care issues

Sciencemile:
quote:
You realize there are barely more than a hundred million people in the US right now, right?


Umm, what? O_o, I thought there were 304 million or something...that's a little over "barely more than 100 mil"


Yes, I know that, I quoted it earlier. However, his claim that 100,000,000 people are probably dead or dying directly because of insurance companies is ludicrous, because that is such a huge population of the US.
katisara
GM, 3975 posts
Conservative human
Antagonist
Fri 28 Aug 2009
at 13:20
  • msg #438

Re: Doctor, it hurts when I do this:  Health care issues

Tycho:
Okay, and what about health care reform prevents a balance of power just like we have right now? 


'Health care reform' alone doesn't preclude balancing power properly. It's just the reforms I've seen suggested so far. Have I been portraying myself as contrary to all reform?



quote:
None of the reform plans include a plan to give everyone free health care.  That's not currently on the table.  No one is arguing in favor of that in this thread (though I think it does have its merits, and could be argued for).


Several people have mentioned 'universal health care', including the example I gave (a well of free health care controlled by the government) which you specifically asked about. It's not exactly fair to ask me about why I'm against universal, government-controlled health care, and then turn around and say 'your comments have no merit, Obama isn't pushing for that!'

My opposition to Obama's plan is that it fails to leverage the power of market forces to push down prices, and instead heaps this solely in the hands of government employees. I know government employees. I work with them. Efficiency is almost never their first concern.

quote:
If someone was currently trying to hunt me down and shoot me, and taking your $20 would make that go away, then yes.  Not a great bargain, but one that's better than I'd currently be getting.  That's what you seem to be ignoring here.  All the bad stuff you say might happen if the government reforms health care is already happening.


Not at all. The things I'm worried about happening are far more grievous. And regardless, again, when we have better plans, why are we settling on a bad one? It just feels like the dems haven't thought through the full ramifications of their plan, and have no interest in looking across the aisle and putting controls in place to make everyone happy. The plan does not address MY concerns. So why should I support it, when that guarantees not only that my concerns won't be addressed but, whether the system succeeds or fails, my concerns are almost certainly NEVER to be fully met.

quote:
It's like you're on a sinking ship, but refuse to get into the life raft because you think there's a chance it might sink too. 


Which would apply if the Health Care situation was going to result in America soon exploding into fiery death. There's no hard 'end' to this situation. It's not like global warming, where there's some absolute, hard urgency. If we kept the system we have now, America would continue chugging along and the majority of Americans would have no problem.



quote:
But giving the government influence over health care doesn't change any of this.  The government already has the guns.  They can already throw you in jail.  In terms of power over you, this is far less than they've already got.


I've heard this argument before. "But you already can't win, so just give up."

No.

I disagree very strongly with the current political situation. The fact that it is stacked so against me does not mean I'm going to roll over and take it. What if I told you that no amount of protesting would stop Bush from sending men in Iraq, and you should just shut up. Would that have worked? Would you say "well, you're right. I guess I should just stop complaining and vote for whoever he supports in the next election"? Of course not. The argument isn't just silly, it's stupid. Just because I'm not winning doesn't mean I'm going to quit.

quote:
Again, that's ideology over cost-and-benefits.  A view that "concentrating power is a cost that must be balenced by a suitable benefit if it is to be worth doing" is entirely reasonable.  "Don't.  Concentrate.  Power."


The reason I'm being so firm is because people don't seem to be hearing what I'm saying.

I say "don't concentrate power, it invites abuse" and people say, "oohhh... but look, people are hurting! And they already have so much power. Plus, it's more cost efficient!"

I am putting it in bold because you are continuing to fail to address my concerns. If you honestly do not care about my concerns, just say so. Stop brushing me off as an ideologue, like I'm repeating a mantra without meaning. I won't get upset. I'll just know you don't care and I'll move on. But if you are trying to honestly understand my concerns, focus on my concerns, not on what methods I'm using to try and advertise them.

quote:
katisara:
Which is why you provide government regulation and oversight. Balance of power. Everything in the posts above, except for the Swiss system suggested, seems to be so extremist. Either it's complete, laissez faire, free-for-all, corporate rape, OR it's absolute government-run to government-standards, 0-competition.

Who's suggested the latter?


I did, with my 'government run, well of free health care' example, which you took issue with and chose to explore further (and which I thought we were discussing). Sciencemile did, with his questions. Ms. Libertarian continued it. Lulucien brought it up with comparing it to NHS (which, from what I understand, is a Universal Health Care system), and Eur seemed to imply it in his post about how messed up our understanding of insurance is.

So, in short, everyone but you.

quote:
I'm all for compromise, what did you have in mind?  I had gotten the impression you were in the "any change involving the government would be a concentration of power, and thus bad" camp.


Government should regulate, not administer. I've suggested a few things, especially in post #423.


quote:
Things I would suggest:  restructuring physician payment to be salary based instead of fee-for-service based,


How will this help? Fee-for-service encourages physicians to perform as many operations as they can manage, whereas a fixed salary means it doesn't matter if they do a lot or a little, and regardless, it is unlikely to reduce the number of physicians necessary (and likely, their net salary). I don't see the advantage here.


quote:
making insurance companies charge one price for all members regardless of any past or current conditions,


But allow them to change it based on what options you take or drop? What about based on how well you take care of yourself? I think one of our big problems is people don't have much reason to pursue preventative care.

quote:
not being able to drop customers unilaterally,


I could agree to that.

quote:
public not-for-profit system (not funded by taxes, except for those under a certain income who wouldn't be able to afford private insurance anyway)


Ruby slippers mentioned this and I'm intrigued, but really not sure yet. I think it deserves further inspection. (Well, she didn't specify 'public', just non-profit. Any reason why it's public?)

quote:
Implementing the various cost-curbing measures being considered (electronic records, research into which treatments are most effective, etc.).


Again, not opposed, although I don't think it prudent to force hospitals or companies to use them, just to create standards and invest in technological research and such, to make these things available. The government has done this for several technologies which are not really cost-effective to explore at the private level, but once opened up, were a real boon.

quote:
Reform of malpractice laws, to keep both the payouts and the cost of malpractice insurance down.


YES!




Comparing Veteran's Hospitals to non-Vet hospitals isn't exactly fair. Veteran's hospitals focus primarily on a certain set of injuries. You don't have a child's wing, you don't generally do a lot of chemotherapy or dialysis, the sorts of expensive things which can really drive up the cost of running a hospital. Also worth checking into, I don't believe you can sue a government facility the same way you can sue a private one, so the fact that they are immune, or at least more resistant to lawsuits may, as Ms. Libertarian pointed out, seriously reduce the costs. Finally, as was pointed out in this article, the hospitals used to be absolutely terrible, to the point of having black mold and buildings being condemned, etc. So it seems clear that this route is just as likely to end up as a nightmare than it is to end up competitive.
This message was last edited by the GM at 13:23, Fri 28 Aug 2009.
katisara
GM, 3976 posts
Conservative human
Antagonist
Fri 28 Aug 2009
at 14:09
  • msg #439

Re: Doctor, it hurts when I do this:  Health care issues

You know, thinking on it, I think part of our disagreement comes from simply having different values. I suspect you (Tycho mostly, but other people here as well) place a high value on making things 'fair', followed by a high value on making sure the most people get the highest degree of health, regardless as to their own choices.

My values are more in the line of making sure that everyone has the maximum amount of self-empowerment, that people have the maximal control over their own person, property, mind, ideals, etc., that people can pursue their own goals, by their own power, with the least amonut of interference possible, especially from other people. Secondly, and less so, if the resources of our society as a whole are being levied in the most efficient way possible.

Hence, some of my comments earlier to Tycho (and him to me) seemed to be missng the point that Tycho is saying "well, I can meet my values A and B, with a little compromise on C. That seems good. Why don't you agree?" when A and B have little or no value for me (I don't expect life to be fair, for instance, and think any attempts to make it so are wastes of resources), but C has high value.
Tycho
GM, 2666 posts
Fri 28 Aug 2009
at 14:20
  • msg #440

Re: Doctor, it hurts when I do this:  Health care issues

katisara:
'Health care reform' alone doesn't preclude balancing power properly. It's just the reforms I've seen suggested so far. Have I been portraying myself as contrary to all reform?

Okay, fair enough.  I had sort of gotten the impression that you were opposed to all reform (at least any that came from government action).  If that's not the case, I apologize.

katisara:
Several people have mentioned 'universal health care', including the example I gave (a well of free health care controlled by the government) which you specifically asked about. It's not exactly fair to ask me about why I'm against universal, government-controlled health care, and then turn around and say 'your comments have no merit, Obama isn't pushing for that!'

Fair enough, you're dealing with people arguing a number of different things here, so we might have misunderstood each other's aims.  Just speaking for me, I'm looking for what we can currently do to make health care in the US better, and in particular, at the kinds of options that are being considered in congress at the moment.

katisara:
My opposition to Obama's plan is that it fails to leverage the power of market forces to push down prices, and instead heaps this solely in the hands of government employees. I know government employees. I work with them. Efficiency is almost never their first concern.

But efficiency, while admirable, isn't the primary goal.  It's good health care at an affordable cost.  If the government can provide that while flushing five dollar bills down the toilet, I'm okay with that at the end of the day.  Private industry, while probably more efficient on average, isn't focused necessarily on efficiency or on good care at a good price.  It's focused entirely on turning a profit.  If the best way to do that is to screw people over, that's what they'll do (and in many cases, is what they do).  Money that goes to stock-holder is money that's being "wasted" (in the sense that it's money not being used to provide healthcare), but no one ever mentions that what talking about the public/private differences.  Leveraging market forces is good IF it leads to better results at a better cost, but shouldn't be a goal unto itself.  The reason we need health care reform right now is because the market isn't working (in the sense that it's not providing quality care at an affordable rate to many people).  I think its a mistake to start out with a "private always better than government" assumption on this.  In many cases that turns out to be true, but we shouldn't treat it as an axiom.

katisara:
And regardless, again, when we have better plans, why are we settling on a bad one?

Because the system, for better or worse, is set up to force compromise.  Compromise is rarely the best option.  But also it's rarely the worst option.  For better or worse, or political system forces a conservative approach to thing, by requiring some level of compromise to get bills passed.  We can't get the better plans past because politicians demand something in return for their vote.  They want this watered down, or this removed, or this exception made, or this addition put in, etc.

katisara:
It just feels like the dems haven't thought through the full ramifications of their plan, and have no interest in looking across the aisle and putting controls in place to make everyone happy.

While I do agree that it looks like dems haven't thought the whole thing through, I disagree with the idea that they have no interest in looking across the aisle.  If anything, it's been their attempts to gain republican support for the changes that has lead to it getting worse and worse.  They keep trying to please people who will never support the bill anyway.  The key negotiator for the republicans is going across the country telling people that the democrats want to set up "death panels" to "pull the plug on granny."  I haven't seen much evidence that republicans actually want a good health care bill to pass.

katisara:
I've heard this argument before. "But you already can't win, so just give up."

Not what I'm saying.  I'm saying that health care reform is a separate issue to the government having guns or being able to throw you in jail.  Refusing an attempt at health care reform because you don't like other things they're doing is mixing two issues that should be evaluated separately.  By all means, keep up the good fight against issues you feel strongly about, but don't go after health care just because it's easier to defeat than the stuff that's actually bothering you.

katisara:
I am putting it in bold because you are continuing to fail to address my concerns. If you honestly do not care about my concerns, just say so. Stop brushing me off as an ideologue, like I'm repeating a mantra without meaning. I won't get upset. I'll just know you don't care and I'll move on. But if you are trying to honestly understand my concerns, focus on my concerns, not on what methods I'm using to try and advertise them.

Okay, but how can we determine if the benefits of concentrating power outweigh the costs?  It's hard to address your concerns on this (ie, argue that the benefits outweigh the costs) when it sounds like you don't think they ever can.

quote:
Things I would suggest:  restructuring physician payment to be salary based instead of fee-for-service based,

katisara:
How will this help? Fee-for-service encourages physicians to perform as many operations as they can manage, whereas a fixed salary means it doesn't matter if they do a lot or a little, and regardless, it is unlikely to reduce the number of physicians necessary (and likely, their net salary). I don't see the advantage here.

It helps because if a person can make $20,000 in one hour doing a surgery or complicated test, or make $30 an hour writing prescriptions for some pills, there's a large incentive for the person to do the former, even if both are equally likely to help.  Not that I think a significant number of doctors consciously make treatment decisions based on that kind of thinking, at a subconscious level it's there, and plays a roll.  Economically speaking, a doctor doesn't have much incentive to try the cheapest option first.  If they're on a salary, they get paid the same either way, so it removes their monetary motive to pick one or the other of two choices for treatment.  Hopefully that leaves them to base their decision on what is most likely to work best.  Hospitals that pay doctors salaries are able to offer very high quality care at abnormally low rates (the mayo clinic is an example).

quote:
making insurance companies charge one price for all members regardless of any past or current conditions,

katisara:
But allow them to change it based on what options you take or drop?

Like different types of plans for different rates, but its the purchaser who decides which they get?  Yeah, that's fine by me.

katisara:
What about based on how well you take care of yourself? I think one of our big problems is people don't have much reason to pursue preventative care.

I don't know, I think your own health is a pretty good motivator, really.  The reason people in the US are slow to engage in preventative care is that it's expensive.  If insurance covers it, people are much more likely to engage in it.  As for basing costs on how well you take care of yourself, who gets to decide "how well" you're taking care of yourself.  If its the industry, that seems like it's set up for the same kinds of problems we have now--you pay the price while you're well, and as soon as you need coverage, the company decides you haven't been taking care of your self and drops coverage.


quote:
public not-for-profit system (not funded by taxes, except for those under a certain income who wouldn't be able to afford private insurance anyway)

katisara:
Ruby slippers mentioned this and I'm intrigued, but really not sure yet. I think it deserves further inspection. (Well, she didn't specify 'public', just non-profit. Any reason why it's public?)

This is something in at least one of the plans currently on the table in congress, I believe.  As for why it's public, I guess because that's what the government has the power to create.  More importantly, though, we can vote for changes if it's not working well, and because it's goal isn't to make lots of money for stock holders, but to keep the people using it happy.
katisara
GM, 3977 posts
Conservative human
Antagonist
Fri 28 Aug 2009
at 16:11
  • msg #441

Re: Doctor, it hurts when I do this:  Health care issues

Tycho:
But efficiency, while admirable, isn't the primary goal.


For you it isn't. I think addressing the national debt and the recession is a much larger, nation-ending problem than the health care problem, so, from my view, efficiency is very important. Because of outside pressures, I want to reduce how much my government is spending as much as possible, and reduce how much it is taxing as much as possible. These are my priorities. If national health care runs contrary to that, I'm less likely to find it desirable.


You are correct that I operate under the assumption that privately-run, motivated by profit, is almost always better at providing a low-cost and/or high-quality product. I concede that this may not always be the case, and that right now, in many cases, the product is indeed low-cost (for most people), but it is also very low-quality. However, before I support replacing it with a government-run program, I need assurances it will be as low-cost and as high-quality as the current alternative. Statistics help, but it's still just betting on the numbers. Self-correcting mechanisms are better. Veteran's hospitals may be good now, but they were absolutely terrible not ten years ago. Are we willing to consign ourselves to a program which may self-destruct?


quote:
Because the system, for better or worse, is set up to force compromise.


I don't feel like the democrats are really compromising very much. I don't feel like the republicans are either, but the democrats have enough votes that republican assistance really doesn't matter right now. So the best I can do is make my concerns and my goals heard, and make it clear I won't offer my support unless they are at least partially addressed.


quote:
If anything, it's been their attempts to gain republican support for the changes that has lead to it getting worse and worse.


I agree the republicans have not, by and large, been very supportive. Part of this is because we see the most extreme cases, but part of it is because people really have just been working to destroy something because of ideology, and I think it's pretty stupid because they run the risk of losing their say altogether.  And I will give you, I don't really see much of anyone in Congress who represents my view (I still like Dr. Paul very much, but in this particular case I believe he has other values which are taking precedence), so the fact that they aren't listening to me in particular isn't something I can really blame them for. So yes, the republicans have seriously dropped the ball, and they're getting worse.

quote:
I'm saying that health care reform is a separate issue to the government having guns or being able to throw you in jail.


It really depends on what the new solution is. Universal health care does go into that same category. Obama's specific plan, excepting the death panels, isn't quite so much in that arena (it is insofar that it encourages certain loyalties, but you can't really blame people for that).

quote:
Okay, but how can we determine if the benefits of concentrating power outweigh the costs?


How can you measure anything? If it costs the government $100,000 to keep elderly Bob alive, how can you determine if the costs outweigh the benefits? That's the problem with arguing abstract concepts and sociology (which is pretty abstract in itself). You can't just boil it down to simple math.


quote:
It helps because if a person can make $20,000 in one hour doing a surgery or complicated test, or make $30 an hour writing prescriptions for some pills, there's a large incentive for the person to do the former, even if both are equally likely to help.


Hrmm... if you want to incentivize both work and successful treatment, it seems like you'd do best to compare number of patients helped to patient satisfaction/success rate, weighted by the national average for that particular ailment. If you just pay by the hour, regardless as to how much work is done, there's not much incentive to get that fifth cataract surgery in this week. If you pay by the cost of the operation, there's less encouragement to do less-expensive, preventative measures. (Or alternatively, flat salary with incentives for doing more work or whatnot. Or maybe a flat rate 'per patient', so the doctor has to keep them happy to keep the patients around. Although that encourages him to get the maximum number of patients possible, which means less doctor time, so maybe not...)


quote:
As for basing costs on how well you take care of yourself, who gets to decide "how well" you're taking care of yourself.


Definitely not industry, obviously. But for instance, we all know that smoking is bad for you. I think it's fair that, if you smoke, you pay more for insurance. Similarly with not going to the dentist. If you aren't willing to go to the dentist, it doesn't make sense that all of the other members in your insurance plan should have to pay (in increased premiums) to cover your emergency dental care.

quote:
This is something in at least one of the plans currently on the table in congress, I believe.  As for why it's public, I guess because that's what the government has the power to create.  More importantly, though, we can vote for changes if it's not working well, and because it's goal isn't to make lots of money for stock holders, but to keep the people using it happy.


From what I've seen, private non-profits generally work just as well or better. Compare a private non-profit school to a public non-profit school as an example. Once you make it public, it has to follow all of the rules governments have which make things like firing unproductive workers nearly impossible (at an office I worked, an employee went rollerblading through the offices and took naps during the work day. He was fired, and within two months, sued and got his job back.)
Tycho
GM, 2667 posts
Sat 29 Aug 2009
at 17:31
  • msg #442

Re: Doctor, it hurts when I do this:  Health care issues

Tycho:
But efficiency, while admirable, isn't the primary goal.

katisara:
For you it isn't. I think addressing the national debt and the recession is a much larger, nation-ending problem than the health care problem, so, from my view, efficiency is very important.

Hmm.  You realize we currently spend 1/6 of our GDP on health care?  One dollar out of every six in the US goes to health care.  And it just keeps going up.  The leading cause of bankruptcy in the US is health problems, and most of the people who go bankrupt from health problems do actually have insurance.  I'm not sure that health care isn't a bigger threat to the country than the debt.  Also, I think if you feel the debt is the biggest threat, then wanting to lower taxes is a horrible, horrible idea.


quote:
Okay, but how can we determine if the benefits of concentrating power outweigh the costs?


katisara:
How can you measure anything? If it costs the government $100,000 to keep elderly Bob alive, how can you determine if the costs outweigh the benefits? That's the problem with arguing abstract concepts and sociology (which is pretty abstract in itself). You can't just boil it down to simple math.

Perhaps I phrased that poorly.  What I meant was, what should we be looking at to judge this?  You seem to be saying the costs outweigh the benefits, but what would a system look like where the benefits out weighed the costs in your view?  Would you be willing to give more power to the government, say, if it would reduce the debt significantly?

katisara:
Hrmm... if you want to incentivize both work and successful treatment, it seems like you'd do best to compare number of patients helped to patient satisfaction/success rate, weighted by the national average for that particular ailment. If you just pay by the hour, regardless as to how much work is done, there's not much incentive to get that fifth cataract surgery in this week. If you pay by the cost of the operation, there's less encouragement to do less-expensive, preventative measures. (Or alternatively, flat salary with incentives for doing more work or whatnot. Or maybe a flat rate 'per patient', so the doctor has to keep them happy to keep the patients around. Although that encourages him to get the maximum number of patients possible, which means less doctor time, so maybe not...)

That's not a bad idea, though we need to watch out for doctors overworking themselves.  One source of malpractice suits is when doctors try to work 60,70 hours a week, doing surgeries when they're struggling to keep their eyes open.  I don't know if it's a major problem, but I have read stories about doctors who fly to the US from other countries on the weekends to make extra money, who because of being overworked and also being used to a different country's system, end up making errors at a higher rate.  That said, I think the kind of thinking you're talking about is moving in the right direction.


quote:
As for basing costs on how well you take care of yourself, who gets to decide "how well" you're taking care of yourself.

katisara:
Definitely not industry, obviously. But for instance, we all know that smoking is bad for you. I think it's fair that, if you smoke, you pay more for insurance. Similarly with not going to the dentist. If you aren't willing to go to the dentist, it doesn't make sense that all of the other members in your insurance plan should have to pay (in increased premiums) to cover your emergency dental care.

I'm okay with people paying higher rates for that kind of thing, so long as it doesn't turn into a tool to deny coverage.  The "Ah ha!  You've been smoking all this time, eh?  Well, sorry, you just lost your coverage cancer man!" type of thing that can happen right now isn't a good thing, even if it does, to a degree, encourage people not to smoke.

katisara:
From what I've seen, private non-profits generally work just as well or better. Compare a private non-profit school to a public non-profit school as an example.

While many private non-profit schools are good, many are not.  And probably more importantly, they don't have to deal with some of the problems that public schools do (in particular, they have a lot more say over who gets to be their students, and how many students they have).

katisara:
Once you make it public, it has to follow all of the rules governments have which make things like firing unproductive workers nearly impossible (at an office I worked, an employee went rollerblading through the offices and took naps during the work day. He was fired, and within two months, sued and got his job back.)

Did the people you were working for lose the suit, or just give him his job back in order to avoid the suit?  That kind of thing can happen in both public and private non-profits (and for profits for that matter).  I guess I have not strong objection to a private non-profit system for health care, if it's possible for the government to make that happen.
katisara
GM, 3978 posts
Conservative human
Antagonist
Sat 29 Aug 2009
at 19:00
  • msg #443

Re: Doctor, it hurts when I do this:  Health care issues

Tycho:
Hmm.  You realize we currently spend 1/6 of our GDP on health care?  One dollar out of every six in the US goes to health care.  And it just keeps going up.  The leading cause of bankruptcy in the US is health problems, and most of the people who go bankrupt from health problems do actually have insurance.  I'm not sure that health care isn't a bigger threat to the country than the debt.


Is efficiency a primary goal for you or not? You said it isn't, but now it seems like you say it is.

And inefficiency will increase that 1/6th. It's not like Obama's plan deals with lowering the cost of health care. It just spreads out the cost to more people, with extra waste coming from government administration.

quote:
Also, I think if you feel the debt is the biggest threat, then wanting to lower taxes is a horrible, horrible idea.


1) Except if you study Keynes, of course, whose economic theories are the preferred right now.
2) My concern isn't just the national debt, but the private debt of people in our nation, which is also ballooning.

quote:
Perhaps I phrased that poorly.  What I meant was, what should we be looking at to judge this?  You seem to be saying the costs outweigh the benefits, but what would a system look like where the benefits out weighed the costs in your view?  Would you be willing to give more power to the government, say, if it would reduce the debt significantly?


The problem really is that these things are extremely difficult to weigh. We can't currently judge how likely something like tyranny is to occur. However, in most of the cases we've seen, there's simply no reason for the degree of government control suggested, so I don't even know why it's a talking point. There are very many reasons for handing the administration of actual health insurance to a private company, either profit or non-profit, and leave regulating it and, if appropriate, distributing funds, to the government. That levies the advantages of both systems with, AFAIK, no real disadvantages.

quote:
One source of malpractice suits is when doctors try to work 60,70 hours a week, doing surgeries when they're struggling to keep their eyes open.


That had never occurred to me. I guess at a point it would be good to look, for all of the factors, what the extremes are and craft the incentives program around that.

quote:
I'm okay with people paying higher rates for that kind of thing, so long as it doesn't turn into a tool to deny coverage.


I think we can agree there. Again, this is a place where government regulation may be necessary, perhaps limiting things to increase rates to voluntary behaviors, like smoking, drinking, motorcycle-driving, etc., but enforcing required coverage once the contract is in place. The downside is, what is medically necessary is decided by the government, but I really can't think of a better solution there.

quote:
Did the people you were working for lose the suit, or just give him his job back in order to avoid the suit?


I don't know. It happened before I got there. I just know, if you make it that first year in government, it is extremely hard to get fired, or even get your pay docked. This definitely does not encourage people to work hard. There are other weird things about how government works which make it distinctively inefficient. The less you spend this year, the less money is made available to you next year, even for critical processes, so everyone is encouraged to spend every last penny. There are functions that go on which happen just because it's government, but would be killed in a second in private industry.
Tycho
GM, 2668 posts
Sat 29 Aug 2009
at 21:01
  • msg #444

Re: Doctor, it hurts when I do this:  Health care issues

katisara:
Is efficiency a primary goal for you or not? You said it isn't, but now it seems like you say it is.

It's a goal, but not the primary goal.  Health insurance companies are very efficient right now (in terms of not wasting the money of stock holders), but they end up treating a lot of people unfairly, and end up costing us double what the rest of the developed world pays for results that aren't significantly better.  If we could pay less for government health care, even if it was "less efficient" in that it involved wastes that wouldn't be there in the private sector, I'd be okay with that.  People don't consider profit to be a "waste," when the talk about these things, but I'd say money spent on paying stock holders isn't much better than money spent on employees that sleep at their desk at the end of the day.

katisara:
And inefficiency will increase that 1/6th. It's not like Obama's plan deals with lowering the cost of health care. It just spreads out the cost to more people, with extra waste coming from government administration.

To be clear, there's no "obama" plan.  There's a number of different plans in different committees in the house and the senate, any of which Obama would be willing to sign, but there isn't one that "his."  Also, all the plans do address the issue of lower costs of health care.  None of them as well as they could (again, part of our system is that we pretty much never get the best bill, but also don't get the worst bill either), but they all are attempts to reduce the cost of health care over all.

quote:
Also, I think if you feel the debt is the biggest threat, then wanting to lower taxes is a horrible, horrible idea.

katisara:
1) Except if you study Keynes, of course, whose economic theories are the preferred right now.

Eh?  Keynesian thinking would be more in favor of government involvement in the economy.  Of the two standard theories, it seems the one more okay with higher taxes.  Perhaps I'm not understanding something?  Lower taxes are a good goal in general, but if you're worried about a ballooning debt, it seems like lower taxes is counter to that goal.

katisara:
2) My concern isn't just the national debt, but the private debt of people in our nation, which is also ballooning.

Which I think is why health care reform is so critical.  Like I said, the biggest cause of bankruptcy is health problems.  Reforming health care is a crucial part of shoring up individual solvency in the US.

katisara:
The problem really is that these things are extremely difficult to weigh. We can't currently judge how likely something like tyranny is to occur. However, in most of the cases we've seen, there's simply no reason for the degree of government control suggested, so I don't even know why it's a talking point. There are very many reasons for handing the administration of actual health insurance to a private company, either profit or non-profit, and leave regulating it and, if appropriate, distributing funds, to the government. That levies the advantages of both systems with, AFAIK, no real disadvantages.

Except for the fact that that's what we've done, and ended up paying twice as much as everyone else, with results that are arguably worse.  That seems like a disadvantage to me.  I don't have an objection to the private sector in general, but in this specific case, they seem to have done a pretty poor job of things.

katisara:
I just know, if you make it that first year in government, it is extremely hard to get fired, or even get your pay docked. This definitely does not encourage people to work hard. There are other weird things about how government works which make it distinctively inefficient. The less you spend this year, the less money is made available to you next year, even for critical processes, so everyone is encouraged to spend every last penny. There are functions that go on which happen just because it's government, but would be killed in a second in private industry.

Those things do happen in government jobs, it's true.  But they also happen (or things similar to them) in private systems as well.  Institutions are often law-suit averse, and are willing to settle in cases where they'd probably win, just to avoid having to take the risk and spend the money on the lawyers, etc.  The school where I went to grad school (it was a private institution, not state) got sued a few times while I was there by parents of undergrads who did stupid things that got them killed (eg, drank themselves to death, committed suicide, etc.), and settled out of court even though it seemed the school had done everything they could have done to prevent it.  There was a big outcry from the student body (since, at the end of the day, it was our tuition money they were spending on the settlements), but the school was more concerned with not making it a big public court case, getting it over and done with quickly, etc.  I imagine it's more prevalent in government work, but it exists in the private sector too.  I've seen the "spend it or lose it" thinking in people working on private-sector funded grants as well as government funded ones.
katisara
GM, 3979 posts
Conservative human
Antagonist
Tue 1 Sep 2009
at 13:23
  • msg #445

Re: Doctor, it hurts when I do this:  Health care issues

Tycho:
end up costing us double what the rest of the developed world pays for results that aren't significantly better.


This has been brought up a few times, and I'm curious why it is. Aside from the costs of doctors (including the cost for malpractice), are there any more factors which might feed into it? We still do have dozens, perhaps hundreds of insurance companies operating, in competition with each other.


quote:
If we could pay less for government health care, even if it was "less efficient" in that it involved wastes that wouldn't be there in the private sector, I'd be okay with that.


I would agree that, if we had a government alternative which provided sufficient care for lower cost (and is actually being paid for, rather than by taking on more debt), from an efficiency perspective, that would be acceptable. But I don't know that so much of the higher costs for insurance come from the insurance companies' huge profit margin.

quote:
but they all are attempts to reduce the cost of health care over all. 


Again, I'm genuinely curious what they cut out that makes their plans more cost-effective.

quote:
Eh?  Keynesian thinking would be more in favor of government involvement in the economy.  Of the two standard theories, it seems the one more okay with higher taxes.


Because our government is in a repression, which means dropping tax revenue, our first goal should be to increase the movement of the economy. From gov't point of view, under the Keynesian model, you can do this either directly through spending money, or more indirectly by giving tax breaks, with the goal in either case of putting more money in the hands of individuals and corporations, so it can be spent, so the economy picks up, so that 30% tax rate gets a cut of a bigger pie. But ultimately, that's not hugely relevant to the topic at hand.


quote:
Except for the fact that that's what we've done, and ended up paying twice as much as everyone else, with results that are arguably worse.  That seems like a disadvantage to me.


We have allowed for only a handful of competitive models. We can't throw away market competition altogether because one or two versions are not ideal. The Swiss plan suggested is a competitive program, and both of us have agreed that increasing government regulation and clear government standards, like we do with the stock market and such, could serve to greatly reduce the cost and abuse of the current system.
Tycho
GM, 2673 posts
Tue 1 Sep 2009
at 14:18
  • msg #446

Re: Doctor, it hurts when I do this:  Health care issues

Tycho:
end up costing us double what the rest of the developed world pays for results that aren't significantly better.

katisara:
This has been brought up a few times, and I'm curious why it is. Aside from the costs of doctors (including the cost for malpractice), are there any more factors which might feed into it? We still do have dozens, perhaps hundreds of insurance companies operating, in competition with each other.

Lots of reasons all added together, not one single reason, as far as I can gather.  Part of it is higher salaries for doctors, part of it is malpractice insurance, part of it is the fact that even with insurance it's expensive to go to the doctor, so people have a tendency to put off preventative care until something really bad (and really expensive) forces them to go to the hospital, part of it is over-use of expensive testing and treatments when simpler, cheaper (and sometimes safer and more effective) alternatives are available, part of it is the motivation for insurance companies to spend money on court cases to get out of paying for treatments (this ends up saving the company money, but adds to the overall cost of health care because someone else ends up having to pay for it), part of it is the profit margins of insurance companies, part of it is the advertising costs of insurance companies (which is a necessary part of doing business, but which doesn't improve anyone's health at all), part of it is that we don't take advantage of collective bargaining to get lower drug prices the way other countries do, part of it is the additional overhead costs of dealing with dozens of insurance companies all working on their own systems rather than a single system (like countries with single-payer plans have) (I read one article that said the amount we spend on added administrative costs dealing with insurance companies (ie, the extra staff hospitals and doctors need to hire in order to get money from insurance companies) is over $120 billion per year), and probably part is due to a bunch of other stuff I haven't even heard of yet.

katisara:
I would agree that, if we had a government alternative which provided sufficient care for lower cost (and is actually being paid for, rather than by taking on more debt), from an efficiency perspective, that would be acceptable. But I don't know that so much of the higher costs for insurance come from the insurance companies' huge profit margin.

No, I wouldn't guess their profit margin is a huge issue, but the administrative overhead is big, and the fact that they do their best to only insure those who don't need it is big, and the fact that they're willing to spend money (either in court cases, or just on screening and the like) to keep those who are likely to need insurance out of their programs are important.  From their point of view, it makes sense to spend that money, because it reduces their costs, and is thus a net gain for them.  But its money spent on something other than health care, that has to be paid by the rest of the costumers in the end.

katisara:
Again, I'm genuinely curious what they cut out that makes their plans more cost-effective.

From what I understand, they all will involve a transition to electronic medical records, which is something widely expected to lead to a major reduction in costs over the next decade.  I think they all (or at least most) include rules that will prevent insurance companies from screening out or not covering those with pre-existing condition.  I think they include funding for researching into which types of treatment were most effective.  They will all encourage preventative treatments, thus reducing the amount of "wait till it's too serious to ignore" cases.  Some of the plans introduce an "exchange" for insurance plans where anyone can go and compare all insurance options available to them, and figure out which is actually the best value for their money (ie, increase competition between insurance companies).  I think they all either create a non-profit public system, or "non-profit private cooperatives."

katisara:
We have allowed for only a handful of competitive models. We can't throw away market competition altogether because one or two versions are not ideal. The Swiss plan suggested is a competitive program, and both of us have agreed that increasing government regulation and clear government standards, like we do with the stock market and such, could serve to greatly reduce the cost and abuse of the current system.

I'm not saying we should throw away competitive models.  Even if we got universal public coverage, I'd still say people should be able to buy additional private insurance if they want it.  And, none of the current bills going through congress implement universal free coverage, so it's a somewhat moot point anyway.  From what I've read, the Swiss system is the one all the current proposals most closely resemble, in terms of what other countries are doing.

To a degree, it sounds a bit like we have a good deal of agreement on what should be done, but then diverge on whether that means we should support any of the bills being considered or not.  I'll admit I don't have a great grasp of what each of the bills entails specifically.  Do you think it's likely our disagreement is more over what we think the bills do include, than over what we think a decent bill should include?
katisara
GM, 3980 posts
Conservative human
Antagonist
Tue 1 Sep 2009
at 15:39
  • msg #447

Re: Doctor, it hurts when I do this:  Health care issues

Reading through, it seems like most of the problems can be addressed through proper regulation, standardization, and research, all of which are within the government's purview, yes? A public care system does address these (maybe not the research) in that the regulating body and the service-providing body are the same, hence the perceived advantage of public health care. However, I still don't see the advantage of drawing the line more conservatively. Allow for NIH to do its research. Allow NIST to standardize insurance reporting, electronic records, and electronic benefits databases. Once the tools are available, they will be used - the government already made the monetary investment, so private industry will want to leverage that (with the possible exception of insure/care companies, which run their own hospitals). Require things by law when necessary. Also, open up the market more to international trade. If Zykon-B can be bought for half as much in Canada, why not take advantage of that? If Mexico has a health insurance company which meets US standards and requirements, let Americans sign up for that.

Am I missing anything?
Tycho
GM, 2674 posts
Wed 2 Sep 2009
at 10:34
  • msg #448

Re: Doctor, it hurts when I do this:  Health care issues

katisara:
Reading through, it seems like most of the problems can be addressed through proper regulation, standardization, and research, all of which are within the government's purview, yes?

As far as I'm concerned, yeah, that's within the government's power.  Not sure if it's technically constitutional, but these are things I think the government should be able to do.

katisara:
A public care system does address these (maybe not the research) in that the regulating body and the service-providing body are the same, hence the perceived advantage of public health care. However, I still don't see the advantage of drawing the line more conservatively. Allow for NIH to do its research. Allow NIST to standardize insurance reporting, electronic records, and electronic benefits databases. Once the tools are available, they will be used - the government already made the monetary investment, so private industry will want to leverage that (with the possible exception of insure/care companies, which run their own hospitals). Require things by law when necessary.

Okay, great!  Now we just need to convince the other conservatives!  How do we do it without them smearing us on death panels?  Can we get them to support katisaracare instead of obamacare?  What do we need to do to get conservatives to believe that all this isn't socialism (or fascism for the more excitable ones)?  And I'm being serious here.  I'm all in favor of what you suggest here, but I don't think we can get republican law makers to support it.  We've got a plan that it seems like a large majority of americans should be happy with (I mean, if the two of us can agree on it, pretty much everyone else should be able to, right?), now how do we get it past the politicians without it turning into a shout-fest over death panels?

katisara:
Also, open up the market more to international trade. If Zykon-B can be bought for half as much in Canada, why not take advantage of that? If Mexico has a health insurance company which meets US standards and requirements, let Americans sign up for that.

Wait...isn't that what rubyspillers and Ms.Libertarian were arguing for?  But whatever, I've got not objection to it, so if you don't either, what can we do to make it happen.

katisara:
Am I missing anything?

Well, there is the small point of how we're going to pay for it, I guess.  Personally, I think it's worth paying for with higher taxes, but that'll make it harder to get through congress.  One idea that people on both sides of the debate have batted around is a tax on unhealthy foods--especially sodas.  That seems entirely appropriate to me, but it won't raise enough to cover the costs (a figure that I read was that a 3cent tax on sodas would raise the government 24 billion a year.  If we kick it up to 10 cents, and tax things like fast food as well, we're starting to make a non-trivial dent in the costs, but still not all the way there--and are adding more and more groups with lots of money who will oppose the change).  Another idea I've heard is taxing the benefits on premium insurance policies.  This not only raises money (and it's progressive, since poor people aren't the ones with premium policies), but also encourages people to think more about which insurance policy their getting.  I'm generally in favor of cutting military spending deeply, but that's always very, very difficult to pass.  Any other ideas?
katisara
GM, 3981 posts
Conservative human
Antagonist
Wed 2 Sep 2009
at 12:51
  • msg #449

Re: Doctor, it hurts when I do this:  Health care issues

Tycho:
katisara:
Reading through, it seems like most of the problems can be addressed through proper regulation, standardization, and research, all of which are within the government's purview, yes?

As far as I'm concerned, yeah, that's within the government's power.  Not sure if it's technically constitutional, but these are things I think the government should be able to do.


This is almost always interstate commerce on the one hand, and establishing standardized measures, weights and standards on the other, so yes, all constitutional. The one part that's questionable would be research, from a strict constitutionalist viewpoint, but the government already funds a LOT of research and it's not exactly an extension of power, so it's not something I'm especially worried about.

quote:
Okay, great!  Now we just need to convince the other conservatives!  How do we do it without them smearing us on death panels?  Can we get them to support katisaracare instead of obamacare?


:P

1) Divorce it from politics. Part of the problem is everyone in gov't right now basically is democrat, which means conservatives are automatically on the defensive. It needs to feel it's bipartisan or, better yet, from the population in general.

2) Emphasize that the goal is to increase efficiency through standardization, but that there will be no significant increase in government administration, nor government-run competition or tax-funded services.

3) Reduce the pork-barrelling (haha, yeah right)

I think that emphasizes the primary concerns:
It's policical
It's expensive
It's going to run the current companies out of business, or seriously cut into their business
It's going to raise taxes
It's going to reduce customer choice

quote:
katisara:
Also, open up the market more to international trade. If Zykon-B can be bought for half as much in Canada, why not take advantage of that? If Mexico has a health insurance company which meets US standards and requirements, let Americans sign up for that.

Wait...isn't that what rubyspillers and Ms.Libertarian were arguing for?  But whatever, I've got not objection to it, so if you don't either, what can we do to make it happen.


They're saying we should send our American citizens overseas for treatment, which puts our citizens under the jurisdiction of foreign laws and standards (and possibly paid for with foreign tax dollars). I'm saying we should allow foreign corporations to sell and compete here, under US standards and regulations, under the US courts.

quote:
Well, there is the small point of how we're going to pay for it, I guess.  Personally, I think it's worth paying for with higher taxes, but that'll make it harder to get through congress.


I can't imagine the costs for standards, regulations and such will be in the same ballpark as the costs for running an entire, non-profit health insurance/care company. The research may be expensive, but that was already there. Would it be more expensive for the customer? That I don't know, but the change would be less drastic, so it's not as big of a wager, regardless.

quote:
One idea that people on both sides of the debate have batted around is a tax on unhealthy foods--especially sodas.


I'm on the fence about that, for a few reasons, but thats its own topic.


In general though, I think the 'how to increase revenue' is it's own debate. We could go through the budget with a fine-toothed comb, but what we find has no impact directly on whether a given health-care plan is good or bad.
Tycho
GM, 2676 posts
Thu 3 Sep 2009
at 10:17
  • msg #450

Re: Doctor, it hurts when I do this:  Health care issues

katisara:
1) Divorce it from politics. Part of the problem is everyone in gov't right now basically is democrat, which means conservatives are automatically on the defensive. It needs to feel it's bipartisan or, better yet, from the population in general.

Yeah exactly...but how do we do that?

katisara:
2) Emphasize that the goal is to increase efficiency through standardization, but that there will be no significant increase in government administration, nor government-run competition or tax-funded services.

But that's not really true, is it?  If we're adding regulations, making new agencies to make sure insurance companies are playing by the rules, writing laws that companies have to follow, that seems like government administration (or it will certainly be portrayed as such by opponents), and it will require money to make it all happen, which means either taxes or deficit spending.

katisara:
3) Reduce the pork-barrelling (haha, yeah right)

Oddly, for once I haven't heard much about pork in the complaints about the proposed bills (perhaps because no opponents seem willing to sign on, even in exchange for pork).  Are there parts of the current bills that people consider pork?

katisara:
I think that emphasizes the primary concerns:
It's policical
It's expensive
It's going to run the current companies out of business, or seriously cut into their business
It's going to raise taxes
It's going to reduce customer choice

These are all things that Obama has tried to emphasize, but people don't seem to be biting.  He's tried to get republicans on board, so it doesn't seem like it's just political, he's said it needs to be deficit neutral over the next decade, he's said that people will be free to keep their existing health care, and he isn't forcing any companies out of business.  It will involve raising taxes, but to a degree, I don't see how any plan (the one we've agreed on included) could avoid that without increasing the debt.  How can we get people to believe us when we talk about our plan, if they don't believe Obama when he says it about his?

katisara:
I can't imagine the costs for standards, regulations and such will be in the same ballpark as the costs for running an entire, non-profit health insurance/care company. The research may be expensive, but that was already there. Would it be more expensive for the customer? That I don't know, but the change would be less drastic, so it's not as big of a wager, regardless.

I guess I'm not quite as convinced that taking out the public plan or the private cooperatives will drastically reduce the cost of all this.

katisara:
In general though, I think the 'how to increase revenue' is it's own debate. We could go through the budget with a fine-toothed comb, but what we find has no impact directly on whether a given health-care plan is good or bad.

It won't affect whether a given plan is good or bad, but it could have a very important affect on whether a given plan gets passed or not.  There are a lot of people who will oppose any increase in taxes, no matter what, even if it's to pay for an otherwise perfect healthcare plan.  More importantly, there are people/companies/industries that will fight any taxes on them tooth and nail, regardless of the quality of the bill.

One thing I was thinking the other day, was the option of implementing the changes piece-meal.  Instead of trying to get everything passed in one huge bill, perhaps pushing the changes through in a series of small steps.  That has the advantage that it divides opponents (ie, those who oppose section X may not have a problem with section Y, and vice versa.  Those groups would vote together against an omnibus bill, but only singly against two smaller bills), but the disadvantage of taking a lot longer to get done, and would likely be a lot sloppier with more loopholes, inconsistencies, etc.  There'd also be much more opportunity for pork barreling.  I'm not sure if the benefits outweigh the costs yet, but it does seem like a way to make sure we get the low-hanging fruit that we can all agree on, without letting the highly contentious issues prevent any progress at all.  What do you think about a piece-meal process for getting health care reform through congress?
katisara
GM, 3982 posts
Conservative human
Antagonist
Thu 3 Sep 2009
at 12:48
  • msg #451

Re: Doctor, it hurts when I do this:  Health care issues

Tycho:
katisara:
1) Divorce it from politics. Part of the problem is everyone in gov't right now basically is democrat, which means conservatives are automatically on the defensive. It needs to feel it's bipartisan or, better yet, from the population in general.

Yeah exactly...but how do we do that? 


Eat the politicians?

Well, the funny thing is, the democrats don't really NEED to get the republicans to agree. However, in order to get them to do so, it would probably involve including republicans on the whole process, from drafting on, or even putting it under a republican's name altogether.


quote:
But that's not really true, is it?  If we're adding regulations, making new agencies to make sure insurance companies are playing by the rules, writing laws that companies have to follow, that seems like government administration (or it will certainly be portrayed as such by opponents), and it will require money to make it all happen, which means either taxes or deficit spending. 


Half of it is true. We were talking about what sort of things would decrease costs, through standardization, better tort law, clearer laws and more standard language, etc. Plus, trying to use leverage competitive advantages over government-run options should appeal to more laissez-faire voters. IMO, the goal of health care reform is not a signficant deviation from what we idealistically are doing. For the liberals, we're looking for a change in how effective it is at its stated goal. For the conservatives, we're looking at how it operates, and what the costs of that are. Both groups have a vested interest in efficiency, and most of our changes would address that.


quote:
Oddly, for once I haven't heard much about pork in the complaints about the proposed bills (perhaps because no opponents seem willing to sign on, even in exchange for pork).  Are there parts of the current bills that people consider pork?


Considering it's 1,000 pages, I would be absolutely amazed if there isn't pork in it. I can look into this if you're interested, though.

quote:
How can we get people to believe us when we talk about our plan, if they don't believe Obama when he says it about his? 


I would have to look more carefully at all of Obama's plans to get you an answer on that. But I will definitely say, making it 1,000 pages may have done some harm there. And the comments you included that Obama said don't really address my concerns, which we've brought up here.


quote:
One thing I was thinking the other day, was the option of implementing the changes piece-meal.  Instead of trying to get everything passed in one huge bill, perhaps pushing the changes through in a series of small steps.


I was thinking of that as well, but I'd be concerned if piece A and piece B require each other to work properly, that both of them would be changed so much in the process, or one passed and not the other, that it would cause the process to fail.
RubySlippers
player, 90 posts
Parallelist
Opinioned
Thu 3 Sep 2009
at 17:36
  • msg #452

Re: Doctor, it hurts when I do this:  Health care issues

I want to focus this debate on one group the free market cannot and will not care for in away that people can afford, the poor.

Under both sides of the aisle in Congress expanding Medicaid is being considered and the typical numbers are at the poverty line or 133% of the poverty line considered at the Federal level as the norm. To look at the numbers now for a household of one would be $10,830 and $14,403 respectively. In simple language people not earning the Federal minimum wage working 40 hours a week at 52 weeks a year. Assuming two weeks for other obligations than work. In other words those working under 40 hours a week at low wages.

These people are the major issue if you take out those uninsured who are young and healthy, those who are wealthy enough to opt out of the need for insurance and those for other grounds are not insured.

Homeless, seasonal workers, those working say 30 hours a week or self-employed people who simply don't earn that much for whatever reason plus the unemployed.

As much as I would prefer states or the private market meet the need this block is going to be outside the system without government run options such as expanding Medicaid. People earning say $14,403 a year cannot be expected after major needs like housing, food and utilities to pay for standard deductibles and co-pays.

So my question and something we should talk about as a moral issue is it right for a society to not provide for the least of our nation, citizens who are poor? Forget the rest of this what about this group the bottom third ,estimated, of the uninsured.
katisara
GM, 3983 posts
Conservative human
Antagonist
Thu 3 Sep 2009
at 18:46
  • msg #453

Re: Doctor, it hurts when I do this:  Health care issues

You make some pretty strong assumptions. The free market will help these people as long as there's profit in doing so. Ergo, the solution is to incenvitize the same, perhaps through a voucher system.
Ubuu
player, 21 posts
Thu 3 Sep 2009
at 18:56
  • msg #454

Re: Doctor, it hurts when I do this:  Health care issues

But there isn't much profit to be made compared to what they make now. The free market is centralized around greed, the greedy don't cut profits even a percent or two because they might help some poor unfortunate people as the above mentioned who make only 14K a year. It's not realistic and the free market will always favor a society of extremely poor and extremely rich so what does it come down to? As said above, it's a moral thing and ironically the people who claim such high morals are the ones who would rather have 47 million people without health care because they will have to line their pockets with silver instead of gold.
katisara
GM, 3984 posts
Conservative human
Antagonist
Fri 4 Sep 2009
at 12:43
  • msg #455

Re: Doctor, it hurts when I do this:  Health care issues

I'm sorry, they can't make money when the government gives them money they can solely spend on the offered product? How does that work?

And how does the free market always favor a society of extremely poor and extremely rich? To the contrary, everything I've read is that a strong middle class (the consumer class) is essential to a healthy free market.
Ubuu
player, 22 posts
Fri 4 Sep 2009
at 13:10
  • msg #456

Re: Doctor, it hurts when I do this:  Health care issues

Well look at the past 8 years, no regulation and letting the free market be free is partially to blame for this mess, last I checked during those 8 years the middle class continued to shrink while the poor increased and the rich got richer. My family used to be upper middle class until 2001, then we steadily declined to the point where we almost ended up living in the projects among with many people I know and used to know, I can remember in high school we all just got poor except for a couple of kids whose parents were bankers. That's the free market for you. In reality it shrinks a middle class.


The free market sounds cool and theory but so does communism. The insurance companies don't want to actually take care of anyone that is sick, that's why it's so much harder to get some if you have a pre-existing condition, why they go to court so they don't have to provide insurance to certain people like the sickly. The rates are so high because there is nothing preventing them from doing so. They all profit when they all increase their rates. The public option plan is only being opposed because it would bring the insurance companies back down to earth and they know it. This happens every time health care or social service reform of some sort becomes possible. Happened with Social Security, we all love that now don't we? Happened with medicaid, old people LOVE medicaid and for a good reason. Now another major health reform is possible and as usual the insurance companies don't want anything to happen because the government is looking to help people, not for profit competition with insurance companies and with their unlimited supply of income being a government they will only force them to drive their rates down as the public option plan turns out to be very realistic and reasonable.
katisara
GM, 3985 posts
Conservative human
Antagonist
Fri 4 Sep 2009
at 15:28
  • msg #457

Re: Doctor, it hurts when I do this:  Health care issues

Ubuu:
Well look at the past 8 years, no regulation and letting the free market be free is partially to blame for this mess, last I checked during those 8 years the middle class continued to shrink while the poor increased and the rich got richer.


There are many reasons for this, not the least of which is your sample size is myopically limited, both over time and geography. Look at per capita incomes over the last century and/or all free-market nations.

quote:
The insurance companies don't want to actually take care of anyone that is sick,


That is true, and in that regard, health insurance is counter to the normal free market trend (as well as for several other reasons). So the goal is to bring the goals of health insurance in line with a proper market, OR eliminate the insurance companies as they exist altogether, and redesign their purpose (to be more in line with normal insurance companies). The truth is, none of the suggestions brought up regarding socialized health care have addressed this particular problem you brought up, so the argument you're using here is completely bogus when compared to your suggestions for helping the poor.


quote:
They all profit when they all increase their rates.


Actually, companies collaborating to increase rates collectively is illegal. If you have a shred of proof of what you're saying, I strongly encourage you to take it to a lawyer, because you could get rich on it (and bring down the largest, best hidden economic conspiracy so far of the 21st century). Until then, I'm going to assume you don't have proof of this, and this claim is bogus.

quote:
The public option plan is only being opposed because it would bring the insurance companies back down to earth and they know it.


Thank you for telling me my opinions. I always get confused when left to form opinions on my own.


quote:
Happened with Social Security, we all love that now don't we?


Is this a joke? I'm honestly not sure.
Tycho
GM, 2677 posts
Sat 5 Sep 2009
at 13:01
  • msg #458

Re: Doctor, it hurts when I do this:  Health care issues

katisara:
And how does the free market always favor a society of extremely poor and extremely rich? To the contrary, everything I've read is that a strong middle class (the consumer class) is essential to a healthy free market.

The two aren't always the same.  I'd agree that a strong middle class is essential (or at least best for) a healthy free market, but that doesn't mean that free markets don't tend to eat up the middle class over time, and create large disparities in wealth.  If you watch a free market economy evolve over time, you'll almost always see the richest groups accumulating a larger share of the total money available, and the poor getting comparatively poorer.  The times when you don't see this tend to be when there are strong regulations in place to prevent it (eg, when the market isn't entirely free because regulations prevent certain types of arrangements, or when taxes are set very progressively with the intent of balancing wealth out).  The reason for this isn't anything too surprising.  In a free market economy, having money means having power.  Having power makes it easier to make more money.  This is counteracted to a degree by some people working harder, being smarter, etc., and making more than an average person would with the same amount of money, but for the most part, starting rich is a far better way to get rich than being clever, smart, hard working, etc.  Once you have a lot of money, it's comparatively easy to make more.  There's quite a few reasons for that, but one easy one to understand is that you can just hire the people who work hard, are clever, whatever, to use your money to make more.  Put another way, a rich person with below average intelligence and work ethic will usually end up making a lot more money than a clever, hard working poor person, simply because the rich person can hire the poor person, and end up getting more of the benefit of the poor persons work than does the poor person.  The poor person is better off than they might otherwise have been, but the rich person is even more better off.

The anti-trust laws you mention are an example of regulations that limit the freedom of markets to avoid this affect.  Laws against insider trading are another (though not quite as directly).  Progressive taxes (especially in countries where taxes are more progressive than in the US) are another.
Tycho
GM, 2678 posts
Sat 5 Sep 2009
at 17:12
  • msg #459

Re: Doctor, it hurts when I do this:  Health care issues

http://www.nytimes.com/2009/09...policy/05health.html
This in the news today.  Another version of the healthcare reform bill is being finished up.  This one seems to have the following features:

1.  most people will be require to get insurance of some form

2.  employers that don't provide it will have to help for it for their low-income employees

3.  more people will become eligible for medicaid, and tax credits will be available to even more people to help them pay for health insurance

4.  states will have to pay for some of the program

5.  very expensive health insurance packages will be taxed to help pay for all this

6.  non-profit, consumer-owned "cooperatives" will be created to compete with for-profit insurance companies

7.  insurers would be barred from charging more or denying coverage on the basis of past or present medical conditions, and the amount they can increase the charges based on age is limited

What do people think?  Will any republicans go for it?  Should they?
RubySlippers
player, 91 posts
Parallelist
Opinioned
Sat 5 Sep 2009
at 22:27
  • msg #460

Re: Doctor, it hurts when I do this:  Health care issues

Overall nice if the Medicaid provision passes as is. I've heard a faction wants it to be done just for families but as a single person earning under the 133% of the poverty line limit, with medical problems, its a rather important matter to me.

But to work we need to get EVERYONE covered and those not poor at such a low income level to get Medicaid into some health care program they can afford.

I still would like the foreign medical outsourcing to be part of this its a very good idea, would save lots of money and cost nothing to do just say it has to be offered to everyone, and people on Medicaid at a certain set of conditions MUST be sent abroad. You people here for the free market have to be fair and treat it AS a free market that must include foreign options. This is a perfectly fine free market add on.
katisara
GM, 3987 posts
Conservative human
Antagonist
Mon 7 Sep 2009
at 18:58
  • msg #461

Re: Doctor, it hurts when I do this:  Health care issues

re: the first message - you are correct, a truly, truly free market may not be stable. However, my response was regarding the market we have in the US, which is, over the long-term, fairly stable.

re: second message - DEATH PANELS!!

Seriously... 1 and 4 I'm not sure about (although not game-breakers). I'd have to look at them more carefully, because I feel that that's a little shaky.

7 sounds dangerously like SOCIALISM!!! (But better than government run :P )

Overall, I'd say it's not perfect, but acceptable.

I don't think it addresses some of the issues we brought up but leaves others unaddressed, so, good, not great.

Will republicans go for it? I don't know. Take out the death panels and the socialism (and the democrats) and it might fly.
Tycho
GM, 2682 posts
Tue 8 Sep 2009
at 10:19
  • msg #462

Re: Doctor, it hurts when I do this:  Health care issues

katisara:
re: the first message - you are correct, a truly, truly free market may not be stable. However, my response was regarding the market we have in the US, which is, over the long-term, fairly stable.

I'm not sure I agree, in part because "the market we have in the US" changes over time.  The market we had during the Bush years seemed very much like the one I described (rich getting richer, and more people becoming poor, the middle class getting smaller, etc.).  During the Clinton years incomes seemed to go up for more people, but I wouldn't be surprised if there was still increased stratification (definitely a few people got very rich, very quickly, but I'm not sure on the overall numbers).  During the 20s the types of things I was describing was a huge, huge problem.  During the 30s the rich lost quite a bit, but were living far, far better than the poor.  Income inequality may have been lowered, but standard of living inequality was about as bad as it gets.  During the 40s WWII drove the economy to a large degree (ie, government spending), so it doesn't really fit the "market we have now" model (and I don't have a great idea of what income disparity was like then).  In the 50s and 60s, income inequality wasn't a big problem, and in fact the middle class was pretty healthy...but we had a top tax bracket of 70%.  The 70s I'm not so sure of.  The 80s the top tax rates dropped way down, and income disparity went way up.  So I'd say the market we have in the US is sometimes stable (usually when the top tax bracket is fairly high), and sometimes not.

katisara:
Overall, I'd say it's not perfect, but acceptable.

I don't think it addresses some of the issues we brought up but leaves others unaddressed, so, good, not great.

Oh, definitely it leaves a lot to be desired.  It's not what I would pick by a long shot, if I got to make the choice.  But at the moment it doesn't look like anything more extensive has much of a chance to pass.  Maybe if this one gets pushed through, they'll be able to tack more fixes on latter. :\

katisara:
Will republicans go for it? I don't know. Take out the death panels and the socialism (and the democrats) and it might fly.

Somewhat oddly, some of the best ideas I've heard on health care reform have been from a conservative (David Brooks), but none of the republican politicians seem to be pushing the kind of radical fix that he's pushing (he's very much a pro-free market guy, and feels many of the problems in our current system come from the lack of proper economic incentives (and the presence of improper economic incentives) that are there now).  I really wish a republican lawmaker would put forward a bold, big-changes, really-fix-the-problems alternatives to what democrats are proposing, so the country could be having a debate about which is best, rather than about imaginary death panels and socialism.
RubySlippers
player, 92 posts
Parallelist
Opinioned
Tue 8 Sep 2009
at 20:03
  • msg #463

Re: Doctor, it hurts when I do this:  Health care issues

In reply to katisara (msg #461):

What Death Panels?

I heard serious ideas for a UK Style review of all new medical technology, drugs and procedures apart from the "company funded" research so that the costs of added them makes sense. Are they really better than former options to warrant spending the money?

This is not new in community hospitals in the early 20th century to keep costs down at locally funded hospitals ,which were the norm, any major item had to be approved by a local committee. This included ordinary citizens, politicians and appointed persons such as a representative of the mayor and they would simply ask is this new (say an x-ray machine) better than the one you have? If the appointed doctor at the hospital said yes for these reasons (say it uses less radiation, gives better images, is able to have clear film records to reference etc.) the committee would approve it most likely.

Its just common sense why let the wolf guard the hen house, the farmer should - so to speak.
This message was last edited by the player at 20:04, Tue 08 Sept 2009.
katisara
GM, 3988 posts
Conservative human
Antagonist
Tue 8 Sep 2009
at 20:08
  • msg #464

Re: Doctor, it hurts when I do this:  Health care issues

My dad sent me this VERY LONG article. I'll just include some highlights:

http://www.theatlantic.com/doc/200909/health-care

"But health insurance is different from every other type of insurance. Health insurance is the primary payment mechanism not just for expenses that are unexpected and large, but for nearly all health-care expenses. We’ve become so used to health insurance that we don’t realize how absurd that is. We can’t imagine paying for gas with our auto-insurance policy, or for our electric bills with our homeowners insurance, but we all assume that our regular checkups and dental cleanings will be covered at least partially by insurance. Most pregnancies are planned, and deliveries are predictable many months in advance, yet they’re financed the same way we finance fixing a car after a wreck—through an insurance claim.

...

This seemingly minor tax benefit not only encouraged the spread of catastrophic insurance, but had the accidental effect of making employer-funded health insurance the most affordable option (after taxes) for financing pretty much any type of health care. There was nothing natural or inevitable about the way our system developed: employer-based, comprehensive insurance crowded out alternative methods of paying for health-care expenses only because of a poorly considered tax benefit passed half a century ago. "

"Insurance is probably the most complex, costly, and distortional method of financing any activity; that’s why it is otherwise used to fund only rare, unexpected, and large costs. Imagine sending your weekly grocery bill to an insurance clerk for review, and having the grocer reimbursed by the insurer to whom you’ve paid your share. An expensive and wasteful absurdity, no?

Is this really a big problem for our health-care system? Well, for every two doctors in the U.S., there is now one health-insurance employee—more than 470,000 in total. In 2006, it cost almost $500 per person just to administer health insurance. Much of this enormous cost would simply disappear if we paid routine and predictable health-care expenditures the way we pay for everything else—by ourselves. "

"Every time you walk into a doctor’s office, it’s implicit that someone else will be paying most or all of your bill; for most of us, that means we give less attention to prices for medical services than we do to prices for anything else. Most physicians, meanwhile, benefit financially from ordering diagnostic tests, doing procedures, and scheduling follow-up appointments. Combine these two features of the system with a third—the informational advantage that extensive training has given physicians over their patients, and the authority that advantage confers—and you have a system where physicians can, to some extent, generate demand at will. "

"Perhaps the greatest problem posed by our health-insurance-driven regime is the sense it creates that someone else is actually paying for most of our health care—and that the costs of new benefits can also be borne by someone else. Unfortunately, there is no one else. "

"Cost control is a feature of decentralized, competitive markets, not of centralized bureaucracy—a matter of incentives, not mandates. What’s more, cost control is dynamic. Even the simplest business faces constant variation in its costs for labor, facilities, and capital; to compete, management must react quickly, efficiently, and, most often, prospectively."


"For that matter, try discussing prices with hospitals and other providers. Eight years ago, my wife needed an MRI, but we did not have health insurance. I called up several area hospitals, clinics, and doctors’ offices—all within about a one-mile radius—to find the best price. I was surprised to discover that prices quoted, for an identical service, varied widely, and that the lowest price was $1,200. But what was truly astonishing was that several providers refused to quote any price. Only if I came in and actually ordered the MRI could we discuss price.
...
Keeping prices opaque is one way medical institutions seek to avoid competition and thereby keep prices up. And they get away with it in part because so few consumers pay directly for their own care—insurers, Medicare, and Medicaid are basically the whole game. But without transparency on prices—and the related data on measurable outcomes—efforts to give the consumer more control over health care have failed, and always will.
...
But most health-care technologies don’t exist in the same world as other technologies. Recall the MRI my wife needed a few years ago: $1,200 for 20 minutes’ use of a then 20-year-old technology, requiring a little electricity and a little labor from a single technician and a radiologist. Why was the price so high? Most MRIs in this country are reimbursed by insurance or Medicare, and operate in the limited-competition, nontransparent world of insurance pricing. I don’t even know the price of many of the diagnostic services I’ve needed over the years—usually I’ve just gone to whatever provider my physician recommended, without asking (my personal contribution to the moral-hazard economy).

By contrast, consider LASIK surgery. I still lack the (small amount of) courage required to get LASIK. But I’ve been considering it since it was introduced commercially in the 1990s. The surgery is seldom covered by insurance, and exists in the competitive economy typical of most other industries. So people who get LASIK surgery—or for that matter most cosmetic surgeries, dental procedures, or other mostly uninsured treatments—act like consumers. If you do an Internet search today, you can find LASIK procedures quoted as low as $499 per eye—a decline of roughly 80 percent since the procedure was introduced. You’ll also find sites where doctors advertise their own higher-priced surgeries (which more typically cost about $2,000 per eye) and warn against the dangers of discount LASIK. Many ads specify the quality of equipment being used and the performance record of the doctor, in addition to price. In other words, there’s been an active, competitive market for LASIK surgery of the same sort we’re used to seeing for most goods and services. "


"First, we should replace our current web of employer- and government-based insurance with a single program of catastrophic insurance open to all Americans—indeed, all Americans should be required to buy it—with fixed premiums based solely on age. This program would be best run as a single national pool, without underwriting for specific risk factors, and would ultimately replace Medicare, Medicaid, and private insurance. All Americans would be insured against catastrophic illness, throughout their lives. (covers events of $50,000 or more)
...
How would we pay for most of our health care? The same way we pay for everything else—out of our income and savings. Medicare itself is, in a sense, a form of forced savings, as is commercial insurance. In place of these programs and the premiums we now contribute to them, and along with catastrophic insurance, the government should create a new form of health savings account—a vehicle that has existed, though in imperfect form, since 2003. Every American should be required to maintain an HSA, and contribute a minimum percentage of post-tax income, subject to a floor and a cap in total dollar contributions. The income percentage required should rise over a working life, as wages and wealth typically do.

All noncatastrophic care should eventually be funded out of HSAs. But account-holders should be allowed to withdraw money for any purpose, without penalty, once the funds exceed a ceiling established for each age, and at death any remaining money should be disbursed through inheritance. Our current methods of health-care funding create a “use it or lose it” imperative. This new approach would ensure that families put aside funds for future expenses, but would not force them to spend the funds only on health care.

What about care that falls through the cracks—major expenses (an appendectomy, sports injury, or birth) that might exceed the current balance of someone’s HSA but are not catastrophic? These should be funded the same way we pay for most expensive purchases that confer long-term benefits: with credit. Americans should be able to borrow against their future contributions to their HSA to cover major health needs; the government could lend directly, or provide guidelines for private lending. Catastrophic coverage should apply with no deductible for young people, but as people age and save, they should pay a steadily increasing deductible from their HSA, unless the HSA has been exhausted. As a result, much end-of-life care would be paid through savings.

Some experts worry that requiring people to pay directly for routine care would cause some to put off regular checkups. So here’s a solution: the government could provide vouchers to all Americans for a free checkup every two years. If everyone participated, the annual cost would be about $30 billion—a small fraction of the government’s current spending on care.

...

Of course, none of this would happen overnight. And the government has an essential role to play in arming consumers with good information. Congress should require maximum transparency on services, prices, and results (and some elements of the Obama administration’s reform plan would move the industry in this direction). We should establish a more comprehensive system of quality inspection of all providers, and publish all the findings. Safety and efficacy must remain the cornerstone of government licensing, but regulatory bias should favor competition and prevent incumbents from using red tape to forestall competition.
"




It's a very long article. I tried to keep to the points of his arguments, but if you question the details, I encourage you to read it.
RubySlippers
player, 93 posts
Parallelist
Opinioned
Tue 8 Sep 2009
at 21:09
  • msg #465

Re: Doctor, it hurts when I do this:  Health care issues

HSA's are nice IF you have the money to save what about the low income people and families who don't have much money to put away?

I had last month a whopping $32 after all my basic expenses rent, food, utilities, cheap dial-up and the cheapest cable. Frankly I don't see the extra $25 would let me save the money to pay for this care any more than I have now. And I don't have a 401k or any money saved for retirement I have to count on social security - I don't make that much.

What about people like me are we to just riot away and die? The only option I can hope for is expanded Medicaid I would likely qualify and the fees for that are low in my state. To see a doctor its a few dollars, drugs two dollars and the like.
Tycho
GM, 2684 posts
Wed 9 Sep 2009
at 07:46
  • msg #466

Re: Doctor, it hurts when I do this:  Health care issues

Yeah, I saw that article a few days ago too, and thought it was really good.  I'd be all for the kind of reform he promotes (though, it'd be tarred as even more "socialist" than anything on the table right now, so probably wouldn't stand a chance of passing).  I'd love it if we could get politicians to support that kind of radical reform.

RubySlippers--in the system he's promoting you'd have been making mandatory payments into your HSA during your life, and thus would have built up some money to spend when you get ill.  If you've used it up, you'd be allowed to borrow against the money you'd be putting in in the future.  Also, there'd probably be subsidies for people making less than X% of the national poverty level, so it's possible that the government would be contributing to your account as well.  And, lastly, if it's catastrophic illness (the kind for which you really could "rot away and die") you'd be covered by the federal pool which everyone would be part of.
Sciencemile
player, 741 posts
Opinion is the default
for most everything I say
Wed 9 Sep 2009
at 08:39
  • msg #467

Re: Doctor, it hurts when I do this:  Health care issues

Regardless of what approach taken, an Economy should distribute a good or service in a way that meets as many people's needs as possible. Normatively speaking, of course.

For a majority of goods and services, the Free Market system is the best available method; much as I hate the majority of movies that come out as being cookie-cutter, predictable, and not worth going to, they're making money, and it seems the more I hate them, the more money they make.  They're being encouraged by profit to produce a movie that will appease the greatest number of people.

With the exception of Uwe Boll movies, which he is able to profit off of in a method similar to the one described by Mel Brooks in "The Producers", but I digress.

The demand for health care is extremely inelastic, especially when you need it most. So if you can afford it, you'll pay whatever they'll charge you.  In this way they make more profit by servicing less people at a higher price.

This is obviously not a good method of distributing a good/service in a way that meets as many people's needs as possible, I think.
RubySlippers
player, 94 posts
Parallelist
Opinioned
Wed 9 Sep 2009
at 17:34
  • msg #468

Re: Doctor, it hurts when I do this:  Health care issues

In reply to Tycho (msg #466):

Great make me take some of my meager $30-50 I have after all my other expenses are taken and make me put int into a HSA. I'm POOR what part of that do people not get I can't afford any of the costs that is being put down. And must I add will this not add MORE paperwork isn't that the wrong way to go?

Medicaid is THERE all we need to do is make it needs based off just income as the standard, it would be easier to put into place. And cover maybe 40% of the uninsured.

I would like to point out that most disabled don't work due to not getting access to health care if they work part-time, what most can do. Say earning $13000 a year after taxes at a low wage here $10.00 per hour in my area. Then they would also not be taking social security disability, housing assistance and other aid. In the long run it saves money if we work. But we can't as a group work at a certain level of disability unless we get health care.

For the working poor and the homeless (another major time bomb of costs with certain diseases like HIV and TB plus others) need care to and asking us to pay much for it is unrealistic. I'm not interested in abusing it but I love working and can't work much ,I work 20 hours a week, and save for health care can cover all my other expenses.
katisara
GM, 3989 posts
Conservative human
Antagonist
Wed 9 Sep 2009
at 18:38
  • msg #469

Re: Doctor, it hurts when I do this:  Health care issues

RubySlippers:
In reply to Tycho (msg #466):

Great make me take some of my meager $30-50 I have after all my other expenses are taken and make me put int into a HSA. I'm POOR what part of that do people not get I can't afford any of the costs that is being put down. And must I add will this not add MORE paperwork isn't that the wrong way to go?


A government voucher system would be the only real method available, for those who don't work and never will work in the future. You get X amount to spend on your particular medical condition, just like you only get X amount through disability or welfare to spend on food and everything else.

I'm sorry you have to do more paperwork, but considering welfare asking everyone else to cover one person's costs while not providing anything in return, it seems like paperwork to prevent abuse is more than fair.
Tycho
GM, 2687 posts
Thu 10 Sep 2009
at 10:09
  • msg #470

Re: Doctor, it hurts when I do this:  Health care issues

Transcript of Obama's health care speech to congress:
http://www.nytimes.com/2009/09...cs/10obama.text.html
Tycho
GM, 2688 posts
Thu 10 Sep 2009
at 10:41
  • msg #471

Re: Doctor, it hurts when I do this:  Health care issues

RubySlippers:
In reply to Tycho (msg #466):

Great make me take some of my meager $30-50 I have after all my other expenses are taken and make me put int into a HSA. I'm POOR what part of that do people not get I can't afford any of the costs that is being put down. And must I add will this not add MORE paperwork isn't that the wrong way to go?

Did you miss the part where I said there'd probably be subsidies for people making less than a certain amount?

Okay, you're poor.  That's unfortunate.  But if all you're going to do is say "Someone else pay my way.  Oh, and there'd better not be any paper work either!" people aren't going to be very sympathetic.  I'm someone who is very much in favor of providing affordable health care to people in your situation.  But when all you say is "Gimmie it free!" you don't make those who are going to have to float the bill very enthusiastic about helping you.

Think of it this way:  you can't afford health care right now, and you're basically demanding that therefor the government just give it to you for free.  But it doesn't come magically out of nowhere.  People end up paying for it.  People like Heath, for example.  Heath has worked hard, he's made lots of money, and he pays lots of taxes.  In order for you to get health care, someone like Heath is going to have to fork over more money to uncle Sam.  So when you're arguing your case for expanding health care coverage, you'd do well to think about why Heath should pay for your health care.  When your only justification is that you can't afford it, I can see Heath's point of view.  When you only talk about what you're not willing to do to get it (not fill out paper work, not pay any of the $30-50 that you do have), you don't make a particularly compelling case for yourself.  If you're not willing to sacrifice something to get it, why should Heath be willing to sacrifice something in order to give it to you?

RubySlippers:
Medicaid is THERE all we need to do is make it needs based off just income as the standard, it would be easier to put into place. And cover maybe 40% of the uninsured.

But again, while medicaid might be there, the money to pay for millions of extra people isn't.  Someone will have to pay for your health care.  It doesn't just show up out of no where.  Like I said, I'm very much in favor of health care reform, and making health care available to you at whatever rate you can afford.  But I think you also need to take some ownership of the situation, and say something more along the lines of "I don't have much, but I do have this small amount that I'm willing and able to contribute to help me get health care.  If other people will contribute a bit too, then I'll be able to get out of this unfortunate situation, and make it to a point where I don't need other people to foot the bill for me.  And after that, perhaps I'll even get far enough ahead that I can start helping people who are in the same situation I'm in now."  That's a message that people can get behind, and which might make them willing to pay for your health care.  "I don't want to spend any of my own money on it, and I don't want to do any paper work to get it" just makes people think "well, I don't want to spend my money on it either."

RubySlippers:
I would like to point out that most disabled don't work due to not getting access to health care if they work part-time, what most can do. Say earning $13000 a year after taxes at a low wage here $10.00 per hour in my area. Then they would also not be taking social security disability, housing assistance and other aid. In the long run it saves money if we work. But we can't as a group work at a certain level of disability unless we get health care.

Yes, this is a backward situation, and I do think the health care reform bills currently in the works would make it possible for you to get subsidies up to 400% of the federal poverty level (and get it free if you make up to 133% of it, I think).

RubySlippers:
For the working poor and the homeless (another major time bomb of costs with certain diseases like HIV and TB plus others) need care to and asking us to pay much for it is unrealistic. I'm not interested in abusing it but I love working and can't work much ,I work 20 hours a week, and save for health care can cover all my other expenses.

Yes, and all the proposals are trying to address that.  Like I said, I'm all in favor of getting the system to the point where you can get health care at a rate you can afford.  But please realize that "a rate you can afford" may not be zero, and probably shouldn't be zero.  Even if it's just $10 a month, you should be contributing what you can to this, not just demanding that other people give it to you.  When you demand hand outs, that only makes it harder to get health care reform pushed through, because conservatives see it and shout "entitlements!"  And to a degree, they're right.

You shouldn't go bankrupt for health problems, and health care costs shouldn't keep you in a dire economic situation, but you also shouldn't just expect to get it for absolutely nothing.  We need to remember that all the help the government gives you is coming out of someone else's pocket, who has a family to feed, kids to send to college, etc.  Heath doesn't like paying for your health care anymore than you do.  He doesn't like filling out paper work anymore than you do.  Yes, he's more able to pay for it than you are.  But he's worked hard to be in that position.  If you come across as thinking that he owes you health care, it's going to be tough to convince him to pay for it.  If, instead, you come across as asking for help, so that you might someday be in a position to help someone else, that'll go a lot further.
katisara
GM, 3990 posts
Conservative human
Antagonist
Fri 11 Sep 2009
at 12:58
  • msg #472

Re: Doctor, it hurts when I do this:  Health care issues

My wife posted up a link to a summary of Obama's health care plan which includes, in addition to what Tycho posted, a note that if the plan fails to save money, it will self-terminate (which I think is a very good addition, if it works).

Just from what I've seen so far, the plan seems to be well-thought out and at least addresses the concerns of both sides. I don't think it will probably address the problems (although it's not as radical as the plan which I posted earlier), but it's not something I'm going to actively protest against. I probably should read the 1,000 page bill, but honestly, I'm sorta busy playing Fallout 3 :P
Heath
GM, 4486 posts
Affiliation: LDS
Occupation: Attorney
Tue 22 Sep 2009
at 18:09
  • msg #473

Re: Doctor, it hurts when I do this:  Health care issues

The main problems I see are:

1) When you socialize, the taxpayers are subsidizing, which means that private companies can't compete, and in the end you have a government monopoly.

2) Right now, people have the freedom to spend their money on more, less, or no health insurance coverage (since "insurance" is about hedging risks and is not a God-given right); with government health insurance, people lose that freedom because all will have the coverage and the government will ration the health care based on the government's decisions, and you are powerless to spend more money, buy better coverage, or anything else.

3) There are exceptions, like for Congress members, which are unfair to all the citizens forced to follow the plan who don't get special treatment.

4) The costs cannot be covered without increasing taxes.  For example, I saw an analysis of a guy who will pay about $8000 per year to cover his family with private insurance (after increases are applied between now and when the law goes into effect).  To cover all those without insurance who will get insurance under the new proposal, he will pay about $11,000 per year when the plan goes into effect.

5) The increased costs are essentially a tax, which begs the question of constitutional violations of taxation without representation.

6) Cash for clunkers cost 3 times what the government said, the first home buyer's tax credit cost twice as much, medicare and social security is going bankrupt, and people really want 20% of the economy (i.e., health care) being run by such fiscally irresponsible people?  The government bureaucracy is never as thrifty as private companies because the goal is the opposite of profit; rather, it is gaining of power through increased funding...and that funding comes from taxpayer pockets.

There may be a few more major concerns, but that's plenty for me.
Ms. Libertarian
player, 91 posts
Centrist
ULC Clergyperson
Tue 22 Sep 2009
at 18:34
  • msg #474

Re: Doctor, it hurts when I do this:  Health care issues

I talked to my local House member at a Town Hall Meeting and suggested a simple move make Medicaid needs based to 250% of the poverty line, but have the co-pays and add some deductibles based on their income levels. Say for the very poor have a token amount say to see a doctor $2, the homeless as an example. For the higher end that could be $20 and have a small deductible that would suit that income level. This way everyone ,or maybe a charity, would pay something and I would say that would cover perhaps 15 million of the poor and the increased fee scale would help cover costs.

The other end I noted why not just have one basic package of care, allowing companies to send patients abroad to the first class international hospitals as an option, make this BASIC and low cost enough to make sure its attracive. They can't make a profit on this but can on extras to it if optional. Then when one keeps the costs down more people would opt for it maybe even small businesses. I asked around most would cover people if the costs were say two or three days pay a month and had to cover part of that. It would ration care but that is ok it would be basic and could opt out and in to services just like with care insurance in some areas. A man could opt out of women's care for example or opt in to go overseas for care if it was cost effective to do so and saves the company money etc. My version of a free market option.
Tycho
GM, 2702 posts
Wed 23 Sep 2009
at 09:55
  • msg #475

Re: Doctor, it hurts when I do this:  Health care issues

Heath:
1) When you socialize, the taxpayers are subsidizing, which means that private companies can't compete, and in the end you have a government monopoly.

This always seems odd to me.  Conservatives will tell us that government programs are wildly inefficient, low quality, etc., but that they will always out compete the private sector.  How does that work?  How does a shoddy, inefficient, low-quality government program drive out all the high quality, efficient, every-thing-is-great private companies?  Isn't a choice of "cheap but sort of crap, or expensive by really great" exactly what markets are supposed to offer?  If the expensive private care goes out of business, doesn't that imply that it wasn't what many people wanted?  Even in countries that offer free health care, there can be successful private companies offering alternatives (if I recall, you've experienced this first hand yourself in Japan, right?).  The government only get a monopoly if it makes it illegal for private companies to compete (which no one is suggesting), OR if so many people prefer it to alternatives that no one uses the alternatives (which doesn't seem like a problem).

Heath:
2) Right now, people have the freedom to spend their money on more, less, or no health insurance coverage (since "insurance" is about hedging risks and is not a God-given right); with government health insurance, people lose that freedom because all will have the coverage and the government will ration the health care based on the government's decisions, and you are powerless to spend more money, buy better coverage, or anything else.

No one is suggesting that anyone be barred from buying more healthcare than the government would provide (if the government is to be providing any in the first place, which is looking less and less likely).  You're entirely free to buy more and better coverage, from whomever you like.  Yes, you do lose the right to spend nothing and just take the chance, but since the government is already picking up the bill for those who do that and end up unlucky, I think that's fairly reasonable.

Heath:
3) There are exceptions, like for Congress members, which are unfair to all the citizens forced to follow the plan who don't get special treatment.

Let me repeat:  no one is suggesting that you (or anyone else) be force into any particular plan.  At most they are suggesting that you have to pick some plan.  Some are even advocating that all people be allowed to buy the same kind of coverage that those in congress have access to.

Heath:
4) The costs cannot be covered without increasing taxes.  For example, I saw an analysis of a guy who will pay about $8000 per year to cover his family with private insurance (after increases are applied between now and when the law goes into effect).  To cover all those without insurance who will get insurance under the new proposal, he will pay about $11,000 per year when the plan goes into effect.

Yep, some people will have to pay more.  Unfortunately, that is true.  Some will pay less, some will pay more.  I don't, however, share your aversion to any and every tax.  I don't see taxes as evil.  Unpleasant, perhaps, but a price I'm very much willing to pay to be part of a functioning society.

Also, keep in mind that a major point of the health care reform is to reduce the cost of health care over the long run.  There will be upfront costs that have to be covered, but the savings that results should mean that we, as a whole, come out a head in the long run.  The rest of the industrialized world is already paying significantly less than we do for health care, and getting as good or better results from it.  By paying to fix the system now, we'll be paying less down the line.

Heath:
5) The increased costs are essentially a tax, which begs the question of constitutional violations of taxation without representation.

WHAT??!?!  You have representation!  Tell me your zip code, and I'll be able to tell you their name, and mailing address so you can send him or her a letter.  It's a bit hard for me to believe that you don't actually realize this.  I suppose if you're talking about puerto rico, you may have a point, but I have no objection to them becoming independent or becoming a state (and thus gaining representation in congress), or to giving than an exception to the health care requirements if they don't want to be part of it.  But if you're talking about people living in the states themselves, they have representation.  There is a world of difference between "taxes" and "taxes without representation."  Trying to treat them as the same (as you seem to be doing here), shows either a serious lack of understanding, or a desire to mislead.

Heath:
6) Cash for clunkers cost 3 times what the government said, the first home buyer's tax credit cost twice as much, medicare and social security is going bankrupt, and people really want 20% of the economy (i.e., health care) being run by such fiscally irresponsible people?  The government bureaucracy is never as thrifty as private companies because the goal is the opposite of profit; rather, it is gaining of power through increased funding...and that funding comes from taxpayer pockets.

To be honest, that their goal is the "opposite of profit" actually sounds very, very appealing to me.  That the goal of the insurance companies is profit is a large part of the problem.  Its why people so often lose their insurance when they need it most.  I very much would like an alternative to the profit-driven insurance industry.  I'm happy to pay more taxes, if it means a more ethical health care system.

Profit seeking companies serve consumers well in most situations, but health care seems not to be one of them, because when you need health care, they no longer want your business.  As soon as you start using their product, they would much rather have you go to a competitor than stick with them, so they have no incentive to give you good service.  In most businesses, if you don't like the product, you can say "Well, then I'll just take my business elsewhere," and that costs them money.  But if you're ill and say that, it saves them money, so they have incentive to drive you away with poor service once you actually start needing it.
katisara
GM, 3995 posts
Conservative human
Antagonist
Wed 23 Sep 2009
at 13:12
  • msg #476

Re: Doctor, it hurts when I do this:  Health care issues

Tycho:
This always seems odd to me.  Conservatives will tell us that government programs are wildly inefficient, low quality, etc., but that they will always out compete the private sector.  How does that work?  How does a shoddy, inefficient, low-quality government program drive out all the high quality, efficient, every-thing-is-great private companies?


Let's say the government decides to buy everyone in the US an old, beat-up VW beetle (and let's say it's at $10,000 a pop).

You, as a single gentleman, really only need one car. You need to be able to commute to work, and you probably aren't interested in spending a whole lot for it. You're pretty happy, this meets all of your needs.

However, if I sell reasonably-priced Nissans for commuting gentleman, I've basically lost my target demographic. Even if my cars are only $5,000/each, because I'm more competitive, I'll see few, if any sales. Why would you, Tycho, want to buy my car for $5,000 when you already got one 'free'? And of course, the irony here is that you didn't get it free. You paid $10,000 for a $5,000 car. All that happened was you paid for it, involuntarily, through taxes, rather than by price-shopping to find the car best suited for your needs and budget.

Now let's move on to the 'luxury models' everyone talks about. Let's say Heath really doesn't like VW bugs. He's a big guy, he needs some more leg-space, and maybe some more backseat space for all of his sexy Mormon ladies. However, he doesn't get a choice - he is obligated to pay $10,000 for a car he really doesn't want or need. And good luck selling it - everyone has a car like that now, so demand is pretty limited. He definitely won't get $10,000 for it. If unencumbered, he'd have bought a caddie, which is $25,000. But now he has $10,000 less than he would have originally, and has to cut his costs a little more. He may not be able to afford $25,000 for a new caddie. In fact, since he's now $10,000 shorter than he was before, he may have to not buy a caddie at all, but suffer his VW bug (which is completely inappropriate for him) until he comes across some more scratch.
This message was last edited by the GM at 14:16, Wed 23 Sept 2009.
Sciencemile
player, 744 posts
Opinion is the default
for most everything I say
Wed 23 Sep 2009
at 13:17
  • msg #477

Re: Doctor, it hurts when I do this:  Health care issues

Methinks you copied a little more than you were going for, Katisara; just a heads up ;)
katisara
GM, 3996 posts
Conservative human
Antagonist
Wed 23 Sep 2009
at 14:16
  • msg #478

Re: Doctor, it hurts when I do this:  Health care issues

Thank you. Fixed!
Tycho
GM, 2703 posts
Wed 23 Sep 2009
at 14:39
  • msg #479

Re: Doctor, it hurts when I do this:  Health care issues

Okay, I see, if we give everyone health care without making them pay for it, yes, that will put many insurance providers.  I sort of figured that since no one is proposing to do that, that that wasn't what Heath was talking about.  None of the reforms being seriously considered at the moment gives away health care to everyone.  The only people who would get free health care (or heavily subsidized health care) would be people who couldn't afford it on their own, thus, no business is lost by anyone, since they weren't in the market for anything in the first place.  Also, I think all the proposals under consideration let you pick which coverage you want, rather than giving one you don't want, even if you're getting the subsidy (ie, poor people would get money to buy whichever plan they want, public or private, rather than being handed the public plan for free).

So, to use your analogy, it would be the case of the government saying "everyone has to buy a car.  We don't really care which car you buy, but you have to have something.  We're offering government-brand cars for those who want them, but you're free to buy something else if they're more efficient, snazzy, have better commercials, whatever.  If you don't have enough of an income to afford a car, we'll give you money to pay for one of the cheap ones on the market of your choice."  Yes, it does mean some people are going to have to pay more taxes in order to give that money to the people who can't afford it, but it's not going to drive any insurance companies out of business (unless people flock to other options, but that's just every day capitalism, not the government's doing).

If we or Heath want to debate universal government coverage we can, but it seems somewhat moot, considering none of the bills under serious consideration contain such a thing.
Jude 3
player, 269 posts
Contend for the faith
once delivered to you
Wed 14 Oct 2009
at 17:36
  • msg #480

Re: Doctor, it hurts when I do this:  Health care issues

Thought this was interesting:

Cong. John Flemming's website:
House Resolution 615

Over the past few weeks, members of Congress and the American people have come to know the details of the Administration's proposed health care plan. Call it whatever you like, I believe this proposal is nothing more than government-run health care. As a physician, I am amazed at the number of bureaucrats in this House who are quick to claim a government-run health care plan is the reform this country needs. In response to this, I have offered a resolution that will offer members of Congress an opportunity to put their money where their mouth is, and urge their colleagues who vote for legislation creating a government-run health care plan to lead by example and enroll themselves in the same public plan.

Under the current draft of the Democrat healthcare legislation, members of Congress are curiously exempt from the government-run health care option, keeping their existing health plans and services on Capitol Hill. If Members of Congress believe so strongly that government-run health care is the best solution for hard working American families, I think it only fitting that Americans see them lead the way. Public servants should always be accountable and responsible for what they are advocating.
Together we will work to ensure that any plan that is good enough for American families is good enough for every member of Congress.


Here's the link to the resolution:

http://fleming.house.gov/image...ARE%20RESOLUTION.pdf
Ms. Libertarian
player, 95 posts
Centrist
ULC Clergyperson
Wed 14 Oct 2009
at 17:58
  • msg #481

Re: Doctor, it hurts when I do this:  Health care issues

I have been looking at the bill just paseed and the doctors, hospitals, insurance companies, states, companies and unions ALL think they are getting shafted - which in my mind makes the bill seem like its actually a GOOD one. My theory of politics if everyone is getting in their mind the short end of the stick its all pretty fair to everyone in the end.

And I for one live very simply so when I can get onto Medicaid I will see I earn just low enough to qualify, its my only worry and why I work longer than part-time. The second I don't have to I will not. I just don't see the need to work so hard when I spend for everything save health care no more than $12,000 a year if I can get Medicaid it will free me to work noticeably less.

I just hope they kick it in faster than 2014 as intended.
katisara
GM, 4005 posts
Conservative human
Antagonist
Thu 15 Oct 2009
at 13:19
  • msg #482

Re: Doctor, it hurts when I do this:  Health care issues

I'm sorry, you are going to work and produce LESS so you can get medical care on the government's (i.e. my) dime rather than pay for any of it yourself? Did I read that correctly?
Jude 3
player, 270 posts
Contend for the faith
once delivered to you
Thu 15 Oct 2009
at 13:39
  • msg #483

Re: Doctor, it hurts when I do this:  Health care issues

That was what I got out of it too Lib.  You may want to clarify....  or maybe not?
Ms. Libertarian
player, 96 posts
Centrist
ULC Clergyperson
Fri 16 Oct 2009
at 00:13
  • msg #484

Re: Doctor, it hurts when I do this:  Health care issues

Yes you got that right, I'm a big supporter of the Idle Foundation and Leisure Theory that is rather simple one should work the least that one has to to free up more time for other things one Wants to do. I live very simply and can afford room & board, tranportation (public transit) and other things the only pain in my side is health care. That is the only reason I work more than 20 hours a week now so why should I work so hard if I can get health care and work less?

In my defense my needs and wants are minimal so my lifestyle really doesn't demand I make alot of money. I'd rather do volunteer work, read more and frankly do things I want to do that is simple enough. I simply have different values if I lived in Europe I would not have to work so much now most have national health care.
Sciencemile
player, 775 posts
Opinion is the default
for most everything I say
Fri 16 Oct 2009
at 00:22
  • msg #485

Re: Doctor, it hurts when I do this:  Health care issues

Actually, working less doesn't necessarily mean producing less unless you mean the opportunity cost.

I learned in Macroeconomics this week that even though Americans have gone from an average of 50 hours a week to 35 hours a week we're producing more than ever per Capita.
RubySlippers
player, 95 posts
Parallelist
Opinioned
Fri 16 Oct 2009
at 01:02
  • msg #486

Re: Doctor, it hurts when I do this:  Health care issues

Why should anyone be forced to work more ,often alot more, for health care?

Health care is not a commodity everyone at some point uses it from birth to death, and making it a for profit business is rather morbid. One should treat it as a fundamental human right like getting food, water and other things people need. Need is the main focus.

San Francisco has an excellent program that is well regarded, save people in business complaining on how its funded. http://www.healthysanfrancisco.org/ Why not consider options like that also?
Ms. Libertarian
player, 97 posts
Centrist
ULC Clergyperson
Fri 16 Oct 2009
at 01:59
  • msg #487

Re: Doctor, it hurts when I do this:  Health care issues

Yes exactly what is wrong with idea?

Every person should only work to meet the needs of the lifestyle they have chosen to lead, as little or as much as necessary.

(sounds like this could go off topic maybe this would be a good debate thread)

Anyway I just pointed out I have no issue with you working to suit your chosen lifestyle and if in doing that you end up paying for my health care it will all work itself out.
Tycho
GM, 2740 posts
Fri 16 Oct 2009
at 07:29
  • msg #488

Re: Doctor, it hurts when I do this:  Health care issues

I think the problem are having here is that you would work less if someone else paid for your healthcare, and are using that as a reason to demand it.  But you seem to only think about the effect this has on you.  Just because you're getting your healthcare at no cost to you, don't think that it's at no cost to anyone.  By working less you're causing someone to have to work more (or work the same and go without some of the stuff they'd like to have).  It's all well and good to work as little as necessary to support your desired lifestyle.  But its very different to demand that other people work more to support your desired lifestyle.

As I said before, I'm very much in favor of universal coverage, but people with the mentality that you're espousing here are one of the best arguments against it.  I want universal coverage so that people who are working hard, do what they have to to get by, supporting their kids, etc., don't get their lives ruined by some unfortunate event beyond their control.  Not because I think anyone has any obligation to help you live a life of more leisure.  I'm willing to accept people freeloading like this, because I think the alternative of letting deserving people go without is worse, and because I think (perhaps incorrectly) that people with your views are a small minority that won't have a major effect on the system.

Really, though, what comes next?  Once healthcare is provided to you free, will you be saying "The only reason I work 20 hours a week is because I have to pay my rent!  The government should pay my rent, so that I can work less!"  And then food, and whatever else?  You're coming off as very self-centered and entitled here.  It doesn't seem like you realize (or perhaps do but just don't care) that someone else is going to have to work more to allow you to work less.  Passing a law doesn't just make the costs of healthcare disappear.  It just changes who pays for them.
katisara
GM, 4006 posts
Conservative human
Antagonist
Fri 16 Oct 2009
at 12:40
  • msg #489

Re: Doctor, it hurts when I do this:  Health care issues

Indeed. I too would prefer not to work. The truth is, I would have to work less if my taxes were less. My costs are pretty fixed - mortgage, clothes, food, utilities, diesel and repairs. But 40% of my paycheck goes to taxes, and because of that, both my wife and I have to take on extra work to make ends meet.

If it comes to a vote, I think pretty clearly I should be voting AGAINST any sort of universal or socialized health care system. It might only cut 5% off my taxes, but that's still maybe a week a year I don't have to do extra work, and can instead read or spend time with my kids. It's nothing personal against you, it's just the Idle Foundation and Leisure Theory.
Ubuu
player, 24 posts
Fri 16 Oct 2009
at 12:47
  • msg #490

Re: Doctor, it hurts when I do this:  Health care issues

I see where you are coming from but thinking like that is one of the major reasons we are so divided as a country, everyone is only worried about themselves and only themselves.
Tycho
GM, 2741 posts
Fri 16 Oct 2009
at 12:57
  • msg #491

Re: Doctor, it hurts when I do this:  Health care issues

RubySlippers:
Why should anyone be forced to work more ,often alot more, for health care?

Because it doesn't just magically appear out of nowhere.  By the government giving it to you free doesn't mean no one has to work more for it, it just means that someone else has to work more for it.

RubySlippers:
Health care is not a commodity everyone at some point uses it from birth to death, and making it a for profit business is rather morbid. One should treat it as a fundamental human right like getting food, water and other things people need. Need is the main focus.

You're still supposed to work for food, water, shelter, and all the other things you need, too.  Because again, if you don't, someone else is working to get them for you.  If you're starving, yes, we should provide you with food so you don't die.  But if you're intentionally not working because you know someone else is going to go to work to buy food for you, then you're abusing the system.

What you, Ms.Libertarian, and a disturbing number of americans don't seem to realize is that someone has to pay for healthcare.  Some person who'd rather be volunteering, reading, whatever, is having to do work so that you get treated when you go to the doctor.  I'm all for doing my part to help out people who need coverage that they can't provide for themselves.  But when you decide to intentionally work less so that others will work more to pick up the slack, that's unethical.

Ms. Libertarian:
Every person should only work to meet the needs of the lifestyle they have chosen to lead, as little or as much as necessary.

The trouble is, you've chosen a lifestyle that costs more than you seem to want to work.  You want a lifestyle that includes healtcare, but you don't want to do the work necessary to get it.  You want someone else to do the work necessary to support your chosen lifestyle.  That's not what healthcare reform is meant to do.  It may well end up doing it, but that's not why I'm in favor of it.  If we could keep people from doing what you're suggesting, without increasing the overall cost, then I'd support doing so.
Sciencemile
player, 776 posts
Opinion is the default
for most everything I say
Fri 16 Oct 2009
at 15:41
  • msg #492

Re: Doctor, it hurts when I do this:  Health care issues

I think that the productivity gained from people no longer having to worry about not having health-care would overwhelm that lost from people who weren't producing much in the first place.

The main reason why we have health insurance is because health-care it's so darn expensive, and it's expensive because, when we really need it, we'll pay anything.
katisara
GM, 4008 posts
Conservative human
Antagonist
Fri 16 Oct 2009
at 19:12
  • msg #493

Re: Doctor, it hurts when I do this:  Health care issues

I think it's expensive because the machines are unusual (can't be mass-produced), cutting edge, and require years of training, and the individuals who do this work require 10+ years of training and all carry a specialty. In other words, if you want to lower the cost of health care, the quickest way is reduce its quality.
Sciencemile
player, 777 posts
Opinion is the default
for most everything I say
Sat 17 Oct 2009
at 01:34
  • msg #494

Re: Doctor, it hurts when I do this:  Health care issues

That is a problem a lot of service-based industries; the maximum capacity is pretty low, and the capacity at which the service starts losing quality is even lower.

If there was a way to increase the number of patients a doctor could handle at once, or even reduce the number of doctors needed, or even just increase the "radius" of the Hospital to cut down on the Dis-economies of Scale putting a CAT-scan machine in every hospital creates, we could reduce the costs.
------

Though realistically, we could simply change the way the Doctors are Graduated in these schools; the way the Doctors keep their salaries high is by reducing the Supply; as a future Accountant, I know my fellow Accountants are guilty of this as well (I mean, it's just simple addition which a bunch of procedure, formatting, and presentation thrown in, are we really worth 60k+ a year?)

According to my Economics Teacher, Medical Schools hand out only so many "Passing Grades" per year; You could have a 4.0 and you still might not graduate that year. If we were to make this a little less strict (aka passing everyone who got a 4.0 instead of just a few), then we wouldn't really decrease the quality, but we would increase the supply.
Ms. Libertarian
player, 98 posts
Centrist
ULC Clergyperson
Sat 17 Oct 2009
at 23:59
  • msg #495

Re: Doctor, it hurts when I do this:  Health care issues

In reply to Tycho (msg #491):

Not unethical everyone should chip in poor and rich and have that cover everyone with health care, rationed perhaps but health care. I'll be happy to pay a percentage of my income say 8% and I expect you and Oprah to pay that same 8%. Then use that for a national health service or something. That's fair.
Jude 3
player, 271 posts
Contend for the faith
once delivered to you
Sun 18 Oct 2009
at 01:27
  • msg #496

Re: Doctor, it hurts when I do this:  Health care issues

I have never understood the liberal idea that if someone works their hinder off and becomes successful that they should contribute more money to support those who choose to sluff off and not make money.  To me things like welfare, food stamps, state funded medical insurance (Minnesota has Minnesota Care for people under a certain income level) are for people who find themselves in tough times and are WORKING to get themselves out of it.  I agree with the idea that if you decide to read books and sit on the couch all day because that's what you want your life to be, then you need to either bust your butt to make a ton of money so you can live that life comfortably or go without.  I don't agree with a flat % for taxes for this very reason.  Why should Oprah have to support you just because she worked hard to become successful?  Long live capitolism!!! ;)
RubySlippers
player, 96 posts
Parallelist
Opinioned
Sun 18 Oct 2009
at 17:36
  • msg #497

Re: Doctor, it hurts when I do this:  Health care issues

Its call spreading the costs. What if she was disabled and instead of going on social security, getting housing assistance, getting food stamps and Medicaid wanted to work part time. Its clear if all she needed was medical care the cost to society and her state is better IF she got medical coverage and supported herself for these other costs.

I know several people that are disabled, can only work 20 hours a week due to physical limitations and lack health coverage because sadly they work.

Look at this in the big picture if these people don't get health care and get sicker they suddenly are real drains on the government for full support and not one area.

In her case since health care is to be universal and the rules clearly will favor her plan I don't know how you can stop her. I suspect most people aren't like her I'm disabled and work 30 hours a week what I can and get by for now but I need reforms so I can get coverage. My employer raised the hours needed to work for coverage to 40 hours to go into effect next year and I really cannot handle more hours. Physically and mentally I'm holding on now myself what about people like me? If I get less well I may have to cut my hours more should I be punished for the few that will abuse the system?

Just ideas to think about.
Falkus
player, 890 posts
Sun 18 Oct 2009
at 23:11
  • msg #498

Re: Doctor, it hurts when I do this:  Health care issues

I have never understood the liberal idea that if someone works their hinder off and becomes successful that they should contribute more money to support those who choose to sluff off and not make money.

I have never understood the conservative belief that people who live below the poverty line and people who get ill or injured have actively chosen that life in order to leech off of society.

Now, perhaps we can stop making ludicrous, unsubstantiated claims about our opposition and debate with facts?

  To me things like welfare, food stamps, state funded medical insurance (Minnesota has Minnesota Care for people under a certain income level) are for people who find themselves in tough times and are WORKING to get themselves out of it.

And what makes you think that the majority of people living below the poverty line AREN'T trying to get out of it?

don't agree with a flat % for taxes for this very reason.  Why should Oprah have to support you just because she worked hard to become successful?

Why is Oprah getting to keep an inconsequential amount of money (to her) more important than preserving human lives?

I, personally, favor a progressive tax system. People who can barely afford to stay alive should pay a lower percentage of taxes compared to those who have millions of dollars left over after they've met their basic needs.
This message was last edited by the player at 23:12, Sun 18 Oct 2009.
Tycho
GM, 2745 posts
Mon 19 Oct 2009
at 07:26
  • msg #499

Re: Doctor, it hurts when I do this:  Health care issues

Ms. Libertarian:
Not unethical everyone should chip in poor and rich and have that cover everyone with health care, rationed perhaps but health care. I'll be happy to pay a percentage of my income say 8% and I expect you and Oprah to pay that same 8%. Then use that for a national health service or something. That's fair.


That sounds fair and good, and I support that kind of thinking.  However, that's not what you suggested a few posts back.  You said that you'd start working less once you started getting handed your healthcare for free.  That's not everyone chipping in anymore.  Its everyone else chipping in, and you taking advantage.  That's when it becomes abuse of the system.

If you have some problem that prevents you from working, say your health, or needing to take care of your kids, or the like, thats when other people having to help you out seems acceptable to me.  When you're just working less than you could because other people are supporting you, that's very different.

You say you want Oprah to pay the same 8% as you do, but that's not accurate, because Oprahs working 40+ hours a week, and you're cutting back to less than 20 because she's doing it.  If Oprah cuts back to less than half time, how many people end up having to go without healthcare because of it?
Tycho
GM, 2746 posts
Mon 19 Oct 2009
at 07:36
  • msg #500

Re: Doctor, it hurts when I do this:  Health care issues

Jude 3:
I have never understood the liberal idea that if someone works their hinder off and becomes successful that they should contribute more money to support those who choose to sluff off and not make money. 

To be very clear, that is NOT the liberal idea.  That's not the goal or intent of liberals (at least not most of them...and I point to Ms.Libertarian's name on this one).  The idea is that someone who works their hinder off and has decent luck and becomes successful should contribute some money to help support those who work their hinders off and have some very bad luck and end up unable to get out of a very bad spot.  I freely admit that in making that happen, we often make it possible for people to choose to sluff off and not make money as Ms. Libertarian is suggesting, but covering them is not the reason for doing it.  It's an unwanted side-effect, but it's not the goal.


Jude 3:
To me things like welfare, food stamps, state funded medical insurance (Minnesota has Minnesota Care for people under a certain income level) are for people who find themselves in tough times and are WORKING to get themselves out of it.

Yes, exactly.  That's what we're all wanting to be the case, liberal, conservative, or otherwise.  I think the main difference between conservatives and liberals on these things, is that liberals think it would be worse if those things weren't there for the people who really need and deserve than, and conservatives think it's worse that they are there for people who don't really need or deserve them.  Hearing what Ms. Libertarian suggests really frustrates me, and bothers me, but not nearly as much as it would if there was a person who really busted their hiney, did everything they could possibly do to get out of poverty, and then got hit by some disease they had no control over, and had no way of paying for it because it caused them to loose their job and with it their insurance.  I (and other liberals) are willing to grit our teeth and let those like Ms. Libertarian slide by in order that those who really need it don't get left out in the cold, whereas I think most conservatives feel the opposite (ie, they'll except that a few people won't get the help they need, in order to prevent people from abusing the system).

Jude 3:
Why should Oprah have to support you just because she worked hard to become successful?

Legally?  Not much reason.  Ethically?  Quite a few reasons.  Christianitly (?)...because Jesus told people to do so. ;)
This message was last edited by the GM at 14:58, Mon 19 Oct 2009.
katisara
GM, 4009 posts
Conservative human
Antagonist
Mon 19 Oct 2009
at 17:03
  • msg #501

Re: Doctor, it hurts when I do this:  Health care issues

A flat tax is actually pretty conservative, and not generally what liberals push for (and I'm pretty sure it's not what any of the health bills are). The basic idea is everyone is carrying the same burden. The only time I've seen anything less is for luxury items. My complaint would never be with a flat tax, that's probably the most fair way of taxing, it would be with how that money is being used (or abused).
Jude 3
player, 273 posts
Contend for the faith
once delivered to you
Mon 19 Oct 2009
at 23:41
  • msg #502

Re: Doctor, it hurts when I do this:  Health care issues

In my opinion it's neither ethical nor Christian to force people to give their money to help people.  If people want to give money, time or resources to help the poor they have plenty of outlets to do so, but the govornment shouldn't force them to.  Besides,I thought you guys were against legislating morality. ;)

As to a flat tax, why is it that the govornment is the only entity that charges the people who use their services the least the most money?  Something to think about.
Falkus
player, 891 posts
Tue 20 Oct 2009
at 00:18
  • msg #503

Re: Doctor, it hurts when I do this:  Health care issues

As to a flat tax, why is it that the govornment is the only entity that charges the people who use their services the least the most money?

The government is not a business.

The purpose of government is not to serve individual citizens in exchange for their money, but to serve society as a whole. This entails a certain amount of redistribution of wealth for the betterment of society as a whole. That is the very essence of the social contract we all must abide by for any sort of society to exist.
This message was last edited by the player at 00:21, Tue 20 Oct 2009.
Jude 3
player, 274 posts
Contend for the faith
once delivered to you
Tue 20 Oct 2009
at 00:58
  • msg #504

Re: Doctor, it hurts when I do this:  Health care issues

I disagree Falkus.  I think the govornment is here to provide a non-intrusive framework in which it's citizenry can pursue life, liberty and happiness.  Why should a rich man who has worked all his life and built up a business with the sweat of his toils be forced to support a person who takes a risk on the stock market and fails or maxes out his debt to income ratio and then looses his job for whatever reason?  It's not my job as a US citizen to make sure that everyone else is taken care of.  As a Christian, God asks me to care for the poor, but he leaves it up to me.  If I want mercy, I'll show it.  If I want God to care for me when I'm downtrodden, then I'll care for my neighbors when they are in those situations, but God doesn't require me to do it.  It's still my choice.  When the govornment requires me to take care of those "less fortunate" they hinder my right to pursue life, liberty and happiness.  The constitiution gives NO provision for govornment to run social programs.  That is should be up to individuals and their values.  Again, I thought you are against legislated morality aren't you, or is that just in certain areas?
Sciencemile
player, 779 posts
Opinion is the default
for most everything I say
Tue 20 Oct 2009
at 01:28
  • msg #505

Re: Doctor, it hurts when I do this:  Health care issues

To put it simply, a flat tax on a progressive demographic like Income would be grossly inefficient, compared to the Progressive Taxation we have now.  The largest use of taxes by the United States Government is transfer payments, meant to transfer money from those with exponentially higher income to those with exponentially lower income.

If we want an efficient government, Progressive Payroll Taxes is the best choice.

  If we want to ease the strain on the Entrepreneur, we could get rid of taxes on Corporate Dividends and perhaps ease taxes on Corporations as a whole, since even though they make more profit than any other sort of business, they aren't as big of a contribution to GDP compared to Employee Compensations.
Jude 3
player, 275 posts
Contend for the faith
once delivered to you
Tue 20 Oct 2009
at 01:48
  • msg #506

Re: Doctor, it hurts when I do this:  Health care issues

And who's paying all those employees again???
Sciencemile
player, 780 posts
Opinion is the default
for most everything I say
Tue 20 Oct 2009
at 02:08
  • msg #507

Re: Doctor, it hurts when I do this:  Health care issues

Not sure what you mean; an employee sells his labor to a company for cash so that in return the business may use the labor to produce a product or service in which to sell. The only way to solve that Entrepreneurial stress would be having the employees work for free.
Jude 3
player, 276 posts
Contend for the faith
once delivered to you
Tue 20 Oct 2009
at 04:16
  • msg #508

Re: Doctor, it hurts when I do this:  Health care issues

My point is if you tax the heck out of the employer, he has to lay off workers to pay his taxes so the people he lays off can go on welfare.  Kind of backward if you ask me.  If the govornment really wanted to help people who wanted to work out of their bad situation then the govornment should give these people jobs, not welfare.  Since it seems the govornment is going to own all the major corperations soon anyways that would be a good way to help people.  Give them a job and a financial advisor rather than a handout and a case worker.  Help them learn how to use money, how to get out of debt, budget, save, and help them get jobs.  Seems a good way to weed out the ones like Mrs Lib that just want to sit on their hinder and get free stuff.
Sciencemile
player, 781 posts
Opinion is the default
for most everything I say
Tue 20 Oct 2009
at 05:05
  • msg #509

Re: Doctor, it hurts when I do this:  Health care issues

You forget; any Company worth its salt always passes along its costs to the customer.  Cutting back on your factors of production is a mistake a lot of CEO's made; short-term profit, long-term disaster for a company if it wants to grow.

Besides, most of the things you've just suggested are already in place or currently being done.

Government Employment agencies offering free classes on how to search for jobs and build an impressive Resume are located throughout the States. Guess what; if you want to collect unemployment, not only do you have to be looking for a job, but you have to attend these classes (at least in my State).
----------------
https://fortress.wa.gov/esd/worksource/

The Government-aided Bank of GMAC now offers incentive-laden interest rates, returning the word "Bank" back to what it used to be: A business solely focused on Savings and Loan.  Just look at those interest rates, encouraging you to save so that banks and the companies they loan to can invest in the future :D
-------------------------------
http://www.ally.com/?CP=ppc110171


Government-aided Organizations like the Ad Council also offer financial advice.
-------------------------------
http://www.feedthepig.org/
http://www.360financialliteracy.org/
Tycho
GM, 2751 posts
Tue 20 Oct 2009
at 07:47
  • msg #510

Re: Doctor, it hurts when I do this:  Health care issues

Jude 3:
In my opinion it's neither ethical nor Christian to force people to give their money to help people.  If people want to give money, time or resources to help the poor they have plenty of outlets to do so, but the govornment shouldn't force them to.

Well, apparently they don't want to give money to help the poor, then.  I guess we have different ideas of whats more important, it sounds like.  I don't here you complaining about forcing people to support the military, or subsidies to already-rich businesses, or the like.  It seems the just forcing people to help out their neighbors is unchristian in your view.  Is it that taxes are unethical and unchristian in your view, or using them to help the poor that is?

Let's try to get to the root of the problem:  Say you were exempt from paying taxes, so no matter what the programs were, it wouldn't cost you a dime.  Would you then think the government spending money on helping the poor would be an acceptable thing to do?  Is the problem that they're taking your money, or is the problem that people are getting hand outs?

Jude 3:
Besides,I thought you guys were against legislating morality. ;)

I was just answering the question of "why should Oprah do it," not the "why should the government make Oprah do it," at that point.  Morality isn't necessarily why the government should have these programs, but it is a good reason for you to support them.

Jude 3:
As to a flat tax, why is it that the govornment is the only entity that charges the people who use their services the least the most money?  Something to think about.

Yeah, I think Falkus got this one right.  Its because the government isn't there to make a profit, but rather to make the country as a whole run better.  They charge differently because they're not a business (and we should be glad of that).

Jude 3:
If the govornment really wanted to help people who wanted to work out of their bad situation then the govornment should give these people jobs, not welfare.

Yeah, I'd be all in favor of more programs like that.  Though, as sciencemile points out, I think the majority of welfare dollars these days are tied to people trying to get work.

Jude 3:
Give them a job and a financial advisor rather than a handout and a case worker.  Help them learn how to use money, how to get out of debt, budget, save, and help them get jobs.  Seems a good way to weed out the ones like Mrs Lib that just want to sit on their hinder and get free stuff.

Yeah, that's meant to be how the system works right now.  You can only spend 2 years getting benefits before you're out of the program, I believe, and you can only spend 5 years total getting benefits.  The government doesn't just give them a job, which I think would be a good idea.  Though it would probably cost us all more to do so--I'd be okay with that, though.  Would you?  Would you be willing to pay a bit more taxes for a wokers-progress type welfare than the one we currently have?  I'd say pressure for that coming from the right would probably go further than pressure from the left, and that us lefties would probably be happy to go for that.
Falkus
player, 892 posts
Tue 20 Oct 2009
at 10:18
  • msg #511

Re: Doctor, it hurts when I do this:  Health care issues

I disagree Falkus.  I think the govornment is here to provide a non-intrusive framework in which it's citizenry can pursue life, liberty and happiness.

The very nature of a government is intrusive. We are required to give up various freedoms for a government and society to even exist. That's the nature of the social contract.

Why should a rich man who has worked all his life and built up a business with the sweat of his toils be forced to support a person who takes a risk on the stock market and fails or maxes out his debt to income ratio and then looses his job for whatever reason?

Because his having a few extra dollars to spend on fancy cars, houses, or Hawaiian vacations is of less inherent value to society than helping preserve the lives of those who can't support themselves.

It's not my job as a US citizen to make sure that everyone else is taken care of

It's not. It's the job of the government.

When the govornment requires me to take care of those "less fortunate" they hinder my right to pursue life, liberty and happiness.  The constitiution gives NO provision for govornment to run social programs.

Yes, it does, as a matter of fact. Section 8 of the constitution requires that the congress provide for the general welfare of the country, something social programs clearly fall under. Supreme court rulings clearly support this interpretation.

Again, I thought you are against legislated morality aren't you, or is that just in certain areas?

The government is require to protect its citizens. This entails more than just police and military.
This message was last edited by the player at 10:18, Tue 20 Oct 2009.
katisara
GM, 4010 posts
Conservative human
Antagonist
Tue 20 Oct 2009
at 13:30
  • msg #512

Re: Doctor, it hurts when I do this:  Health care issues

Jude, overall while I agree with your end point, I disagree with your supporting points. Government is not a business, it will be intrusive, it provides services for all levels of society, and to afford it, it necessarily must charge the rich more (for less provided in return). Funny enough, this distribution of cost is still, in many cases, beneficial to the rich as much as to the poor. The rich benefit from a standing military, even if they paid for far more of it than the poor. Same with roads and fire departments. So ultimately, the idea that the rich should pay less because they get less sort of falls flat - if the rich paid less, no one would get any, and even the rich would come out with a net loss.


However, there is a point when the money being taken ceases to have a proper return on its investment. Building roads clearly has a major return, for everyone, and it allows businesses to prosper. Does giving flu shots to poor people? Does giving unemployed a living wage? I don't know. I could see the argument made that flu shots to poor people does have a clear benefit - flu affects everyone, including employees. One of the single greatest draws on economic power in Africa is time lost to preventable illnesses. I assume that's less of a concern in the US, but even so, giving out free polio vaccines to all children seems to have an excellent ROI.

Living wage for unemployed? The safety net makes the US more attractive for laborers. With the price of labor as high as it is, perhaps that's still something - a laborer can afford to work without needing additional money to cover periods of unemployment, and the pool of strong labor is kept more full.

I could definitely see BASIC preventable health care as being beneficial even to the rich. I don't know about the more expensive health care beyond that, however. If you want me to argue for preventable health care providing a positive ROI I can, although it should be pretty straight-forward - workers who take preventable measures spend less time calling in sick, and need less salaries later in life.
Ms. Libertarian
player, 100 posts
Centrist
ULC Clergyperson
Tue 20 Oct 2009
at 14:56
  • msg #513

Re: Doctor, it hurts when I do this:  Health care issues

People here believe in freedom and so do I but that the government provide at a baisc level for all its citizens necessary needs. For example we have public education K-12 and libraries so provide everyone with education that want it as a basic level. We have public safety services such as police, firefighters, a military (I find it very large for the nations defense but its there) and even public health (CDC is one example). We even provide under rules for retirement with social security and laws that provide tax shelters such as IRA's. So why not health care at a fairly modest level of care?

I think the society as a whole ,the consumer based culture, is sick not me. I don't own a cellphone, have computer with dial-up that isn't expensive, take mass tranportation, buy from thrift stores and prefer to do things other than work myself to the bone. You generally here seem want more stuff and things so want or choose freely to work more for them, that is your right to.

So why not view it this way the governments duty in health care (and other things) should be stated simply: The government should be neutral, in that the government at all levels should strive to meet the basic needs of all citizens regardless of their income level to make sure they have freedom from needs, leaving wants to their own willingness to get more than that - wants.
katisara
GM, 4011 posts
Conservative human
Antagonist
Tue 20 Oct 2009
at 15:14
  • msg #514

Re: Doctor, it hurts when I do this:  Health care issues

I do believe it is good the government provide certain services. However, most of the services you list 1) shouldn't be provided at the federal level and 2) arguably shouldn't be provided at the level currently provided at all. The federal government does not provide police or firefighters, and the military is far too large and in violation of the intent of the Constitution (even if not strictly illegal). Social security also really doesn't belong, and may ultimately sink our country. Tax breaks are a different matter, and are only as problematic as income tax may be (which it indeed may be). So until you establish things like medicare and social security are good now (which you haven't), the argument that expanding them may be good doesn't hold a lot of weight.

And in response to your second point... I travel 80 miles a day by public transit. We own one cell phone, pay as you go, in the car, as an emergency phone, since we live in a big city. We do have broadband internet access, because my wife has an at-home job she took on to make ends meet. We don't have cable. We don't have air conditioning. Actually, right now, we don't have heat, because things are too tight to repair our broken boiler. If we didn't have to pay taxes for a year, we could definitely pay for that. We buy 90% of our things at thrift stores (I generally buy clothes for work at the office new, from Target, because they need to be in good condition for appearing in meetings and such.) We eat out about ten times a year. We bought a diesel truck so, next year, after I rewire the house myself (older house, it has knob and tube which needs replacing) I can start making my own biodiesel, to save money. I don't buy beer, I brew it myself, in my basement.

We are exceptionally thrifty. I'm not sure where you get off saying "you generally here seem want more stuff". If I weren't paying for things like medical care and welfare, I could afford to repair our furnace and our broken bathroom floor, but I can't. That money is going towards taxes. My wife is taking on a second job and caring for two children, to allow us to buy clothes for them and make up for hiccups in the economy. So if you want to convince me that I should spend MORE money, working 40 hours a week to keep my family housed and fed, so you can spend FEWER hours working, you're going to have to make an awfully compelling argument.
Tycho
GM, 2753 posts
Tue 20 Oct 2009
at 15:39
  • msg #515

Re: Doctor, it hurts when I do this:  Health care issues

Ms. Libertarian:
People here believe in freedom and so do I but that the government provide at a baisc level for all its citizens necessary needs. For example we have public education K-12 and libraries so provide everyone with education that want it as a basic level. We have public safety services such as police, firefighters, a military (I find it very large for the nations defense but its there) and even public health (CDC is one example). We even provide under rules for retirement with social security and laws that provide tax shelters such as IRA's. So why not health care at a fairly modest level of care?

I'm all for supplying health care to all.  It does rub me the wrong way, though, that you think you shouldn't have to pay for it, but everyone else should.

Ms. Libertarian:
I think the society as a whole ,the consumer based culture, is sick not me. I don't own a cellphone, have computer with dial-up that isn't expensive, take mass tranportation, buy from thrift stores and prefer to do things other than work myself to the bone. You generally here seem want more stuff and things so want or choose freely to work more for them, that is your right to.

But it's you who want more stuff.  You want health care.  And you don't want to work for it.  Guess what, everyone wants it, and nobody wants to work for it.  But somebody has to.  In fact, pretty much everyone has to work for it, even if the government is providing it, because it's expensive.  You seem to have this illusion that if the government provides health care, then everyone can just stop working those hours they used to work to be able to afford health care.  But it doesn't work that way.  Plain and simple, you're looking for a free ride.  You're every bit a part of the consumer-based culture as everyone else, but you don't want to pay for your consumption.  If you don't want to work, and are happy going with out the things that others work to get, I think you should have every right to do that.  But you don't want to work, but you still want the benefits of working, like healthcare.  You really need to realize that someone is paying for your healthcare.  Someone who would like to work less just as much as you do, but can't, because if everyone does that, no one gets any healthcare at all (or roads, or education, or defense, or social security, or...).  It's all well and good to not want to work yourself to the bone, but don't expect to get the same stuff that people who do work themselves to the bone get.  Healthcare is expensive.  Its a necessity, but that doesn't mean it grows on trees and we can give out for free without anyone paying for it.

Ms. Libertarian:
So why not view it this way the governments duty in health care (and other things) should be stated simply: The government should be neutral, in that the government at all levels should strive to meet the basic needs of all citizens regardless of their income level to make sure they have freedom from needs, leaving wants to their own willingness to get more than that - wants.

But the part you seem to be missing, is that you're part of the government in the US.  It's your duty to provide some money for healthcare of everyone else.  When you put responsibilities on the government, that means its on you, and all the other tax payers, to pay for it.  You don't seem to want to do your part to help the government do its duty, but you're all for doing your part to cash in on the government's help.  You want all the benefit, with none of the cost.

Put it this way: do you at least realize that not everyone can do as you're planning to do, because if we all did, no one would get any healthcare at all?  Do you at least realize that you're asking other people to work more, and get less, so that you can work less and get more?  Do you feel there is some reason you deserve to get healthcare for free, while other people not only work to get it for themselves, but also work to provide it for you?  Why do you feel you're the special one that others should be providing for, rather than you providing for them?
RubySlippers
player, 97 posts
Parallelist
Opinioned
Tue 20 Oct 2009
at 15:58
  • msg #516

Re: Doctor, it hurts when I do this:  Health care issues

I do believe she said she would pay a percentage of her income so she does want to pay for it, and makes a point in my mind, why should everyone not pay the same flat percentage on their income. The people that are wealthy want productive workers and not to get a plague if its not contained due to the poor not seening a doctor when it would have mattered. So asking them to pay a percentage of their incomes benefits them. As I would like to point out also she could already be earning a marginal income anyway if its just say $15,000 now and she would benefit from reducing it why shouldn't she. The difference in co-pays and deductibles between Medicaid and insurance supported by the government could be large.

Lets say she is working 30 hours a week full-time in most call centers in my area, I know I work at one. And say she earns with commissions $15,000 a year. I know now I can't use the insurance I have. I would love to get on Medicaid frankly. Is it unreasonable of me then when I lose my coverage next year which I will to go and work say 20 hours so all my medical conditions can be treated. I think not I have a duty to look out for myself as well I have Type I diabetes, a heart condition, a mental illness that needs a drug to counter and have cerebral palsy. I have no clue what I'm going to do. And you would look at me like scum for doing what I am forced to do if going on Medicaid is my only option in a few years.

Attacking her for just wanting to live modestly is also the American way the freedom to choose people died for and I will make a case for her. As long as she paying into the system and works, and is treated the same as everyone else having a few Ms. Libertarians is not a big issue. The bigger issue is can everyone that needs medical care get it at a price they can afford? Now from my experience that is a huge NO.
Tycho
GM, 2754 posts
Tue 20 Oct 2009
at 16:37
  • msg #517

Re: Doctor, it hurts when I do this:  Health care issues

You're misunderstanding (or misrepresenting) what Ms. Libertarian is proposing, Rubyslippers.  She doesn't want to "just live modestly," she wants to work modestly, and live like those who work much more.  She says she's going to work less if the government pays for her health care, because she won't have to pay for it herself.  She's letting everyone else pick up the bill for her desires, while she gets to go do fun things.  It's not that she's not able to work and afford health care, she just doesn't want to.  Protecting those who can't provide for themselves is indeed a priority.  Supporting those who choose not to provide for themselves isn't what people are trying to do with healthcare reform.

You say you have a duty to look after yourself, and I agree.  We all have a duty and responsibility to look after our own needs.  Ms. Libertarian doesn't seem to feel she has that duty, though.  She thinks everyone else has a duty to look out for her needs while she goes and does the fun stuff.  That's why people are bothered by her plan of action.

Yes, I agree that as long as it just a few Ms. Libertarians it won't break the system, and I agree that there are bigger issues that need to be addressed.  Like I've said a few times now, I'm wiling to grit my teeth and accept people like her gaming the system if that's what we have to do to protect the people who really, honestly need it.  But she's not going to get my blessing or approval for doing what she's doing.  She's proposing taking advantage of everyone else, and abusing the system.  She's not being forced to do this, she's just seeing a free ride and taking it.
katisara
GM, 4012 posts
Conservative human
Antagonist
Tue 20 Oct 2009
at 17:09
  • msg #518

Re: Doctor, it hurts when I do this:  Health care issues

I would also agree, if the system is such that you benefit more from doing X rather than Y, I fully expect you to take advantage of that. Even while I complain about how the system is broken, I may take advantage of those aspects to help me and my family prosper. I don't think anyone is saying, especially when it's a life or death situation, not to use broken aspects of the system to keep yourself alive. The problem is rather, intentionally breaking the system so that you can exploit it more fully. I have to imagine that, if it came to a vote, you would rather fix the system so you can work for 30 hours AND get the coverage you need, rather than have to intentionally work less so you can accept care on the public's dime, yes?
RubySlippers
player, 98 posts
Parallelist
Opinioned
Tue 20 Oct 2009
at 23:38
  • msg #519

Re: Doctor, it hurts when I do this:  Health care issues

Well there is the matter I mentioned what if its more important to get health care and the only way is to work less. Sad as that is in my case it might be the only option I may have in a few years.

In her case since the American way of life is freedom to choose her lifesyle choices are as valid as someone who is a workaholic executive, maybe even more honest. If its a problem to not accept her contributions to the health care system are not as high as they might be when they are as valid as the workaholic executives, that is a matter of opinion. Since she does volunteer work as she says I would say that is productive since its labor in service to the community even if its unpaid and it has value.

Do your really want a review board determining whether someone is "working hard enough" to deserve health care when they are a citizen?
Tycho
GM, 2757 posts
Wed 21 Oct 2009
at 07:54
  • msg #520

Re: Doctor, it hurts when I do this:  Health care issues

RubySlippers:
In her case since the American way of life is freedom to choose her lifesyle choices are as valid as someone who is a workaholic executive, maybe even more honest.

Except that the workaholic is paying for his own health care AND other peoples, whereas Ms. Libertarian isn't even paying for her own.  She's letting everyone else pay for hers.

RubySlippers:
If its a problem to not accept her contributions to the health care system are not as high as they might be when they are as valid as the workaholic executives, that is a matter of opinion. Since she does volunteer work as she says I would say that is productive since its labor in service to the community even if its unpaid and it has value.

It may have value, but it doesn't help pay for the healthcare she's using.  This is fairly straight forward to sort out.  She is a net drain on the system.  She's taking more out than she's putting in.  Not because she's in a rough spot, or has had some bad luck, or anything like that, but because she's simply choosing to be that way.

RubySlippers:
Do your really want a review board determining whether someone is "working hard enough" to deserve health care when they are a citizen?

No, because that'll cost more than it saves, which is why I've said I'm willing to grit my teeth and accept people like Ms. Libertarian in the system.  But what she proposes is an abuse of the system, and it does rub me the wrong way.  And, it's also making it much harder to pass health care reform for those who really need it.
This message was last edited by the GM at 13:44, Wed 21 Oct 2009.
katisara
GM, 4013 posts
Conservative human
Antagonist
Wed 21 Oct 2009
at 13:27
  • msg #521

Re: Doctor, it hurts when I do this:  Health care issues

RubySlippers:
Well there is the matter I mentioned what if its more important to get health care and the only way is to work less. Sad as that is in my case it might be the only option I may have in a few years.


Which I addressed. If the current system is such that the best way to care for yourself is to work less, than some might argue you have an ethical obligation to do that (especially when it comes to your health specifically). I'm not going to argue whether it is ethical to take advantage of holes in the system - thats its own debate. What I am arguing is that it is unethical to intentionally BREAK the system, making it less effective, so in the future you can drain more.

I am sorry that you are in a place where you will live better by doing less. That's not good for you and it's not good for America. But if that's the situation you're presented with, I expect you to take advantage of it. Like I said though, if it comes to a vote, I expect you, as an ethical person, to vote to change the system so you can get the care you need AND work as many hours as you are able.

quote:
If its a problem to not accept her contributions to the health care system are not as high as they might be when they are as valid as the workaholic executives, that is a matter of opinion.


It's not a matter of opinion. Her income is representative of the value she creates by her working (more or less). If she does not have the money to pay for her own needs, that is likely indicative that she is not producing much value. If she is not able to produce enough value to take care of herself, she probably should take care of herself before she starts doing charity work - because she's making herself into a charity case. This is pretty basic economics, it is measurable, and it's not a matter of opinion.

quote:
Do your really want a review board determining whether someone is "working hard enough" to deserve health care when they are a citizen?


If it paid for itself, and it's talking about health care *I* am paying for? Yes. I like to know that *MY* money is being spent responsibly. Don't you?
Sciencemile
player, 793 posts
Opinion is the default
for most everything I say
Mon 26 Oct 2009
at 07:33
  • msg #522

Re: Doctor, it hurts when I do this:  Health care issues

Even if someone didn't "work" at all, it would still be impossible for them not to contribute production to society.

We all have the desire to create which is our nature, and most of the time we create things people want to buy. Paintings, Music, Ideas, Youtube Videos, they are all things that have value (popular Youtube Videos indirectly through Ad Revenue).

But even if they just sat around on their butt all day playing World of Warcraft, they're still producing something: Network Effects.  Just by going online every day and chatting with people, they are increasing the value of the experience, producing that extra enjoyment that comes from having someone to chat to when you're...I don't know, I play Runescape personally.

There is no escaping being a productive member of society in a Service-Based economy unless you're a vegetable on life support, and even then you're paying somebody's salary.
katisara
GM, 4018 posts
Conservative human
Antagonist
Mon 26 Oct 2009
at 13:00
  • msg #523

Re: Doctor, it hurts when I do this:  Health care issues

Sciencemile:
But even if they just sat around on their butt all day playing World of Warcraft, they're still producing something: Network Effects.  Just by going online every day and chatting with people, they are increasing the value of the experience, producing that extra enjoyment that comes from having someone to chat to when you're...I don't know, I play Runescape personally.


Are you seriously making this argument? That a person who does nothing but play WoW all day is producing more value than he is consuming in cheeseburgers, electricity, waste and housing? If this 'network node' disappeared, would its services be missed, or would it be replaced almost immediately? And who is ultimately paying for all of this? If he's living on welfare, i.e. *I* am paying for this, am I getting value for my money spent?

Think about it like this. You have a house with a dozen appliances, including an old whatsit from your grandma. It takes up a nice corner in the kitchen, where you could put a cabinet. It burns as much power as the fridge, all day and all night. It gives off negligible heat, but otherwise doesn't do much except serve as a flat surface to put dirty dishes on.

So every day you are running something whose services are immediately replaceable (with a cardboard box), which is costing you money, and is taking up space that could be better used. How is that possibly NOT wasteful? Because it keeps the other appliances company?
Sciencemile
player, 794 posts
Opinion is the default
for most everything I say
Mon 26 Oct 2009
at 14:41
  • msg #524

Re: Doctor, it hurts when I do this:  Health care issues

quote:
Are you seriously making this argument? That a person who does nothing but play WoW all day is producing more value than he is consuming in cheeseburgers, electricity, waste and housing? If this 'network node' disappeared, would its services be missed, or would it be replaced almost immediately? And who is ultimately paying for all of this? If he's living on welfare, i.e. *I* am paying for this, am I getting value for my money spent?


Most importantly, you're spending money preventing behaviors that would cost more money; if they weren't sitting around, content with the small stipend they've been granted, they would be homeless and may turn to crime, things that would cost society a lot more.

The benefits do not outweigh the costs, but not paying would create costs that outweigh the benefits you might gain through not paying.

There are cheaper alternatives, but those would only be preferable to people who consider the term "Useless Eaters" an okay term to use for this demographic.

quote:
So every day you are running something whose services are immediately replaceable (with a cardboard box), which is costing you money, and is taking up space that could be better used. How is that possibly NOT wasteful? Because it keeps the other appliances company?


Because humans aren't appliances; in reality you have a house where you live with a dozen relatives, including a grandmother who doesn't do anything, yet eats the same amount.  You could stand to gain by throwing her out in the street and letting her die, but the majority of the people living in the house would probably object to it. At least she washes a few dishes now and again, and yes, she keeps you company.
katisara
GM, 4019 posts
Conservative human
Antagonist
Mon 26 Oct 2009
at 16:27
  • msg #525

Re: Doctor, it hurts when I do this:  Health care issues

Sciencemile:
Most importantly, you're spending money preventing behaviors that would cost more money; if they weren't sitting around, content with the small stipend they've been granted, they would be homeless and may turn to crime, things that would cost society a lot more.


1) I don't agree with the argument of 'if we don't pay them, they'll use violence against us'. That sounds suspiciously like giving in to bad people, which is never a behavior I'd encourage, just for its own ends.

2) We aren't talking about getting these people enough food to eat. We're talking about health care, specifically health care for people who can work, but are choosing not to (i.e. Ms. Libertarian's example, where she can work for 20 hours, but wants this health care bill to go through so she can work for fewer and charge her bills to Uncle Sam aka me.) I don't think Ms. Libertarian is going to turn to crime if her bill doesn't get passed - she'll get a job and work, just like everyone else is doing right now.
RubySlippers
player, 99 posts
Parallelist
Opinioned
Tue 27 Oct 2009
at 01:17
  • msg #526

Re: Doctor, it hurts when I do this:  Health care issues

Actually I think she wants to work 20 hours and works more now, to cover some of her health care costs.

On a serious note you do know how much health care costs now, in Florida if I went on the state backed plan Cover Florida I would need to pay $400 a month for health care. That is with high deductibles and no coverage for things like cancer with a $50,000 lifetime cap on benefits. That $400 is 35% of my income right now and I work 32 hours a week. My limit and its hard to keep up with that.

It may be she could work more but would not be able to afford health care even if she did so I can see her working less if Medicaid becomes available to her or government supported health care at a lower income.

As for the Leisure Theory I read up on it and its interesting I'll find a link to a site and maybe that could be a new thread if I find good one that is not a debate for here.

I don't see why we can't just bite the fraking bullet and go to a one-payer system like that have in Europe and have doctors be semi-public employees.
katisara
GM, 4020 posts
Conservative human
Antagonist
Tue 27 Oct 2009
at 13:46
  • msg #527

Re: Doctor, it hurts when I do this:  Health care issues

The cost of health care varies. My normal costs for health care would be about $200/yr - $100 for a normal doctor's checkup, $100 for a normal dentists checkup, plus perhaps another $200 for a filling.

My health INSURANCE costs a good deal more, something like $200-$400 for myself and my family (and this is pretty good insurance).

quote:
It may be she could work more but would not be able to afford health care even if she did so I can see her working less if Medicaid becomes available to her or government supported health care at a lower income.


but that's not what she said. She said, right now, she has to work about 30 hours, so she can pay for her own health insurance. She would rather work 20 hours, and have me pay for her health insurance. As the person paying, I do not think that is fair.

If she had said she was working 30 hours, but then lost both of her legs in a terrible swimming accident, and now can only work 20 hours but needs me to help fill in that gap, that would be a different question. If she said she's working 30 hours, the most she can, but it's still not enough, that would also be a different question. But she said, in her post, it's not that she's not CAPABLE of it, she just doesn't want to.

So my response is, I don't want to pay for her insurance.
RubySlippers
player, 100 posts
Parallelist
Opinioned
Wed 4 Nov 2009
at 02:40
  • msg #528

Re: Doctor, it hurts when I do this:  Health care issues

I suggest reading Uninsured in America by Susan Sered and Rushika Fernandopulle who looked at the uninsured in America and the caste we are talking about the marginally employed, chronically ill and inform in other words me and many others.

Let me explain the caste and we are one we cannot work full-time or work full-time in low wage jobs often do to our appearance (some are obese, others may have horrible or no teeth and others sores obviously not healing well) or mental issues (mental illness or lack of social skills) or poor work records (many get jobs without frequency and are temps) or disability (we have trouble working full time if we can work at all). In most cases we are effectively locked into low wage lifestyles because education costs money and time we don't have. Or industries shifted and crippled regions and cities of employment options. Or we don't drive and can't work hours employers want like 24/7 availablity or working early or late.

In other words we work as hard as we can, cannot hope to afford proper health care, the system is not geared to taking care of people like us long term now and as we get sicker we work less, giving us less money to pay for health care, we get sicker and may end up homeless. The writers of the book call it the Death Spiral we die far sooner due to lack of the consistant care we need.

For example if your sickly looking (lets say sores on the body), have ugly rotting teeth, maybe not the best clothes and no car your not going to get a good job. Many of the issues are health care related with proper care the signs of pverty would be less likely making employability more likely as well.

I'm not overtly defending Ms. Libertarian but this is no issue limited to some lazy people that live off the system, its about making sure the very poor do not suffer needless and can more likely stay employed more. And I will add what about other people people caring for a sick relative and can't work, but is meeting a need saving the government money since they not a nurse or nursing home are caring for a sick parent. Should they even if able bodied be denied health care? What about working earning minimum wage jobs locked into the caste of the working poor, infirm and homeless many who are not lazy but due to circumstances are unable to move up into better work.

My view is covering the very poor should be the first thing we are in need and the system is not geared for those poor who have no ability to get decent health care and are far more likely to be a burden on the state far more.

This is also a religious issues site what would Jesus do and approve of, or Jewish traditions of charity, or Muslim ones or other faiths?
This message was last edited by the player at 02:41, Wed 04 Nov 2009.
katisara
GM, 4033 posts
Conservative human
Antagonist
Wed 4 Nov 2009
at 13:55
  • msg #529

Re: Doctor, it hurts when I do this:  Health care issues

I don't think anyone is disagreeing. There needs to be a mechanism, whether private, public or religious, for caring of the basic needs of those who are physically unable to care for themselves. Caring for them includes food, shelter and basic health care.

There are three questions here though:
1) Who should be paying for this? Some people have suggested this is best dealt with through voluntary charity. Others have suggested dedicated government work programs, or tax the rich programs.

2) How do we prevent abuse? Some people have genuine needs that prevent them from working, as much as they try. But some people just figure they're above working at 7-11, so they won't even try to contribute anything.

3) What is the limit of reasonable health care? Should we pay $100,000 for a treatment that MIGHT work but might not? $2,000 a day to keep a comatose patient alive knowing he may not wake up for years, and likely won't ever? In an ideal world, we'd do the best for everyone, but the truth is, we simply can't afford that - there's not enough money available.
RubySlippers
player, 101 posts
Parallelist
Opinioned
Wed 4 Nov 2009
at 14:37
  • msg #530

Re: Doctor, it hurts when I do this:  Health care issues

Replies:

1. The system doesn't work for the very poor the "Caste of Untouchables" in the US. It's patchwark and nothing is really geared for long term chronic care. So private charity is not enough this needs a government response other than - your poor so frak you and just suffer and die. We have a free clinic in my city I volunteer at and a county plan the former is not there fro longer term care and the latter cuts off after three years, and you have to be virtually homeless.

2. You can't since Ms. Libertarian for example is going to take advantage of the laws. In a way I would have to since I have chronic medical problems and cannot work 40 hours the new demand for my employer to provide coverage. For me it would be a matter though of working less to get better care not to not work to be a lazy person.

3. Ration care, I see no issue with just finding out what treatments are standard and what expensive care could be outsourced abroad if needed to give the best bang for the buck. I would argue lets work on chronic medical conditions first and care that should not go to the emergency room but does now due to lack of primary care. Its less costly and has the benefit of being a known quantity. We know if someone has diabetes diet, medicines and the like work. Add to this we must consider expanding Food Stamps for people with such conditions if poor so they can buy the good food they need over other options. The last we must tighten up to include real food not junk so donuts, ice cream and fristed cereals are considered food I think that is just wrong.

And I for one think the poor need to pay something like our local free clinic asks $5.00 for a visit if one can pay it (homeless can't do that all the time), Medicaid has small co-pays in Florida we could expand that to make those earning more to pay a little more and the like.
Heath
GM, 4497 posts
Affiliation: LDS
Occupation: Attorney
Wed 4 Nov 2009
at 19:32
  • msg #531

Re: Doctor, it hurts when I do this:  Health care issues

katisara:
I don't think anyone is disagreeing. There needs to be a mechanism, whether private, public or religious, for caring of the basic needs of those who are physically unable to care for themselves. Caring for them includes food, shelter and basic health care.

We already have all these in place, from public housing to medicaid to social security.

Socialized medicine is a completely different animal.  It's just that those advocating for it disguise it as helping the poor in order to garner support for something that will ultimately be very bad for health care for every man, woman and child who ever needs it in this country.
RubySlippers
player, 102 posts
Parallelist
Opinioned
Wed 4 Nov 2009
at 20:33
  • msg #532

Re: Doctor, it hurts when I do this:  Health care issues

The caste of the poor, those that look poor you know the kind bad teeth and appearance from being poor are not getting health care. Medicaid has serious limits not just income but in most states you must prove your disabled. In the case of social security disability you must again jump through hoops. I will like to point out those marginalized don't see doctors regularly, one doctor regularly is almost impossible so such barriers keep the poor out of the system. And charity care I pointed out can only go so far our free clinic limits care to urgent care for short terms.

Must I ask what good is all the best health care around, the most expensive and the high tech wonders if people can't access it at all. Frankly to people like me the system might as well not be there at all to help those who are very poor. Why not take a gun and shoot us in the head when we start into the Death Spiral where we get sicker and less work then sicker it would be more humane, and I'm not being sarcastic.

Lets be blunt are the poor entitled to the same health care standards we give a DOG, a DOLPHIN or an animal in the ZOO? I think so and if you had a sick dog and can be treated odds are someone would treat the animal, a sick dolphin gets lots of care (I live near a facility that helps) and a zoo animal immediate care. What about a poor sick person its like we are less than an animal.

You don't see the system like I do, most of yoyu have good jobs and good health care it seems. You don't have a clue on what the poor are going through when I see it every week as a volunteer at the Free Clinic. People that are on the brink suffering and can't prove it enough to get onto Medicaid or get Social Security Disability.

National and universal health care is the only option I see for the people that really need it, a system like Britain it may not be perfect but if your poor at least you can SEE a doctor regularly. That is something. And since we already spend more on health care than any other nation its not about more money its about doing the humane thing and use that money to cover everyone. And I for one would welcome government rationing it is far more sensible than saying your not rationed, your just poor and can't afford good health care so go and die. That is the worst sort of rationing one can have IMHO.
Heath
GM, 4498 posts
Affiliation: LDS
Occupation: Attorney
Wed 4 Nov 2009
at 21:43
  • msg #533

Re: Doctor, it hurts when I do this:  Health care issues

It seems like your concerns are more with failings in the medicaid, social security, and similar programs, not with socialization of medicine.  Socialized medicine really has nothing to do with the poor; it has to do with redistribution of the wealth and taking away free choice.

So, for example, right now you have the freedom to buy great insurance or not to buy great insurance, to see the best doctors or not to see the best doctors.  Some people allocate much of their wealth to have the best; some (especially the young and healthy) choose to minimize their health care costs -- maybe they want a better car, or XBox games, or a fancier apartment...whatever.  Some choose to get braces or go to the dentist more; some choose not to.

Those who do not have the wealth to choose even the most minimal health care should receive "minimal" health care from the government.  This doesn't mean Medicaid should cover great dental costs and other care (as too often it does not, thus taking funds away from others who need basic coverage).  This doesn't mean those who need a house should receive a great house, but they should provide adequate accommodations.  But these are not "socialized medicine."

Under socialized medicine, everyone receives the same basic plan, and those who produce more that is valuable to society (i.e., those with more money) pay more for the same plan as those who don't produce as many valuable things for society.  And it means that the health care system is flooded with tens of millions more who otherwise only seek help in an emergency, thus causing a shortage of doctors.  It means that doctors must accept less money because the government runs a monopoly and can dictate the prices it will pay (with the full force of the laws and police powers, not just contracts, behind it).  It means that even if you want to spend a lot of money on great health care, you will get the same minimal health care as everyone else and stand in the same lines.  It means more costs of bureaucracy, more waits for needed care and testing, quotas and rationing of care, and doctors cutting corners to make up for the lower amount of money the government will pay (using old machines, cutting down on nurses or other providers, sticking you in a room with many people, etc.)

There's a huge difference between the two.  Anyone who doesn't think Obama's plan will lead to the socialized medicine realities above is simply fooling themselves.  I've lived in a country with socialized medicine and moved back to the U.S. for the primary reason to receive the great health care we have...and yes, I work for my money and pay for great health care...

...because I have that option (for now).
Heath
GM, 4499 posts
Affiliation: LDS
Occupation: Attorney
Wed 4 Nov 2009
at 21:52
  • msg #534

Re: Doctor, it hurts when I do this:  Health care issues

RubySlippers:
Lets be blunt are the poor entitled to the same health care standards we give a DOG, a DOLPHIN or an animal in the ZOO? I think so and if you had a sick dog and can be treated odds are someone would treat the animal, a sick dolphin gets lots of care (I live near a facility that helps) and a zoo animal immediate care. What about a poor sick person its like we are less than an animal.

None of those animals is entitled to any health care.  Those who choose to give them health care may do so.  They deserve the freedom to use their money in that manner.
quote:
You don't see the system like I do, most of yoyu have good jobs and good health care it seems. You don't have a clue on what the poor are going through when I see it every week as a volunteer at the Free Clinic. People that are on the brink suffering and can't prove it enough to get onto Medicaid or get Social Security Disability.

There are poor and suffering.  There are people who commit suicide.  There are people who murder other people.  There are terrible things in the world.  This is not reason for socialized medicine where everyone is put on the exact same grounds, regardless of their desires to spend more for better health care and regardless of their contributions to society.
quote:
National and universal health care is the only option I see for the people that really need it, a system like Britain it may not be perfect but if your poor at least you can SEE a doctor regularly.

It's not only not perfect, it's deeply flawed.  What you may not understand is that, as one example, tens of thousands of people (30,000 was the number I read) die each year from breast cancer because socialized medicine prolongs their testing.  Socialized medicine may provide coverage for the poor, but it simply turns the death and suffering onto others (who may actually be willing to pay for it too).

quote:
That is something. And since we already spend more on health care than any other nation its not about more money its about doing the humane thing and use that money to cover everyone.

That argument makes no sense.  You are saying take this money we spend on health care and spend it in a different way that creates more bureaucracy, more suffering and death, more waits, and more rationalized care, and somehow that will still preserve the best health care system in the world.  You can't turn a wheel into a square and expect it to roll.

quote:
And I for one would welcome government rationing it is far more sensible than saying your not rationed, your just poor and can't afford good health care so go and die. That is the worst sort of rationing one can have IMHO.

So you're for productive people dying instead?  You have the misunderstanding that less people suffer and die from socialized medicine.  The opposite of that is true.

If your goal is to minimize suffering and death by extending health care to those who need it, then you should be advocating for changing and honing in on the system already in place (medicaid, social security, etc.) rather than completely changing the system that has produced the best health system in the world.  Sure, let's make medicaid and social security better available to those in need, but let's NOT create socialized medicine.  It's failed in every country it's been introduced to, created more suffering, more death, and costs more.  It is not a solution, but a far worse problem.
Heath
GM, 4500 posts
Affiliation: LDS
Occupation: Attorney
Wed 4 Nov 2009
at 21:54
  • msg #535

Re: Doctor, it hurts when I do this:  Health care issues

As an aside legal issue, health care has traditionally been part of the sovereign area reserved by the states.  Nationalizing it could lead to constitutional violations beyond the federalist powers granted to the United States by the individual states.  This is why universal health care in the U.S., where it's been actually introduced, has been at the state level (like Massachussetts).

Of course, the Massachussetts' universal health care system is going bankrupt, if that tells you anything...
Falkus
player, 927 posts
Wed 4 Nov 2009
at 23:15
  • msg #536

Re: Doctor, it hurts when I do this:  Health care issues

regardless of their contributions to society.

Pleasant sentiments, fully in line with the ideals of the Founding Fathers, I'm sure.
Falkus
player, 928 posts
Wed 4 Nov 2009
at 23:19
  • msg #537

Re: Doctor, it hurts when I do this:  Health care issues

If your goal is to minimize suffering and death by extending health care to those who need it, then you should be advocating for changing and honing in on the system already in place (medicaid, social security, etc.) rather than completely changing the system that has produced the best health system in the worl

The US Health care system is rated thirty-eighth best in the world, right behind Cuba. It's France that has the best health care system in the world.
Ubuu
player, 63 posts
Thu 5 Nov 2009
at 13:32
  • msg #538

Re: Doctor, it hurts when I do this:  Health care issues

http://www.photius.com/rankings/healthranks.html


Just to back that up. I always find it hilarious when someone shouts the USA has the best health care system in the world, what's even more funny is I used to think so when I still had health insurance XD
RubySlippers
player, 103 posts
Parallelist
Opinioned
Thu 5 Nov 2009
at 14:20
  • msg #539

Re: Doctor, it hurts when I do this:  Health care issues

Its about one fact people with Chronic Health Issues need static care with one provider and proper support like medicines and testing supplies if a diabetic in the last case. Patchwaork care doesn't work and has so many barriers that its an obstacle to many that need the help and just burn out or don't understand how to access the system.

Take Medicaid it in my state covers pregnant women, children and nursing home care if very much in need easily enough. If your an adult you have to be poor and disabled the last takes applications, appeals and more applications. And you oddly have to have medical records of regular care a HUGE problem since free clinic records are not sufficient one hardly ever sees the same provider regularly. The county care you have to earn under $623 a month (not much) and it cuts off after three years of care, and they will help kind of with applications for the Medicaid and Social Security but you still have to do it all yourself mostly. Daunting if your sick, poor and of modest education with perhaps poor social skills.

Alot of this can be solved by raising the income levels and just using income levels for Medicaid, say 133% to 140% of the poverty line. Then if they are also disabled after a time they will have medical records to apply for Social Security help and Food Stamps. But they need the access first to static and consistent health care that is vital to get the records to prove you need the added help.

And I agree no country has better access to health care than the US and the best treatments IF you can afford it or have incredible insurance, if your poor like I said its more humane if we get real sick to kill us. It would be far more humane. For people like me just access to a primary care practice and standard treatment is far more important, I have bleeding into my right eye and it partially treated and the insurance stopped payments for the laser care. Now I could go blind someday without more help and trust me at that point you all will pay far more since I would get SSD, Medicaid, Food Stamps, Housing Assistance and need extensive training to function. And I'm not alone so which option is cheaper do nothing and let innocent poor people suffer or provide ordinary care we know works and keep me working and others like me?

May I ask what kind of nation are we? Hospitals dumping people who are uninsured in LA, homeless people without basic health care who may have real needs like mental illness to deal with, working disabled that may end up disabled to the point they can't work due to lack of health care and others. Are people so petty and so selfish they can't work together and accept some loss of income to assure we poorer people, they and the rich if they fall on very bad times and lose their wealth all have access to standard health care. Remember none of you are immune one cancer insurance now won't cover the costs of, one lost job or one sick relative in need and your where I am.

I liked to think of us as a great and generous nation to those in need, maybe I'm wrong.
katisara
GM, 4036 posts
Conservative human
Antagonist
Thu 5 Nov 2009
at 16:28
  • msg #540

Re: Doctor, it hurts when I do this:  Health care issues

Heath does bring up a strong point though - this is a state issue, not federal. The federal government has absolutely no business intruding on this issue. Take it up with your state legislature.

Similarly, I'd be curious to see how individual states rank on that ranking. Grouping all the US is a little unfair since no two states give health care on exactly the same basis or to the same standard of quality.
Ms. Libertarian
player, 101 posts
Centrist
ULC Clergyperson
Thu 5 Nov 2009
at 20:28
  • msg #541

Re: Doctor, it hurts when I do this:  Health care issues

States decided to be part of the system with the Federal government, unless they decide to refuse to be part of Medicaid or take Federal dollars for all sorts of other programs and projects. Even if the Constitution does say the Federal government can't its a mute point now.

All I know is we need a universal halth care system since the system is broken, costs too much and is enforcing rationing its just to me who is doing the rationing. Private companies, hospitals, doctors or the government I figure the government might as well make this and try to be fairer than the system we have now.

And I for one don't consider it immoral when one obeys the law and works within the system, if they do expand Medicaid and I work less to get onto it there is nothing wrong with that. Acting within the laws is moral. May I ask a question when you take tax write-offs because they are there is that moral or immoral, since every dollar you don't pay must be paid by someone to pay for the government services?

Since in the same vain I work less to get health care that is better than I have now ,what I can pay out of pocket, I stay employed and won't get sicker long term which saves the system money. I could make this case by working less I preserve the government funds and so am acting very morally for all.
katisara
GM, 4037 posts
Conservative human
Antagonist
Thu 5 Nov 2009
at 21:22
  • msg #542

Re: Doctor, it hurts when I do this:  Health care issues

Ms. Libertarian:
All I know is we need a universal halth care system since the system is broken, costs too much and is enforcing rationing its just to me who is doing the rationing. Private companies, hospitals, doctors or the government I figure the government might as well make this and try to be fairer than the system we have now.


The system isn't 'broken'. The majority of people get excellent health care. It may not be meeting your expectations, but it's hardly broken. The question is, what you are proposing, will it overall make the system more effective or less? So far all you've given is rhetoric.

quote:
And I for one don't consider it immoral when one obeys the law and works within the system, if they do expand Medicaid and I work less to get onto it there is nothing wrong with that. Acting within the laws is moral.


Firstly, your comparison is ridiculous. Congress made tax breaks intentionally, to encourage certain or help with certain behavior. Tax breaks were intentionally made to be used. Medicaid was made because it's necessary. Congress is happy people are using tax breaks because it means people are engaging in behavior they want to support. Congress is NOT happy people are using medicaid because it means there are people in such bad straights they (presumably) have no other options to fall back on.

Secondly, even including tax breaks that perhaps were not intended for me, but I technmically qualify for, still isn't immoral. Working within the system for my own benefit is the idea of capitalism. However, breaking the system for personal profit is not. Once the system is broken, there's nothing left. Like I said before, I have no problem with Ruby Slippers working fewer hours to qualify for medicare to get the care she needs to get by. I'm upset the system is broken, but not because she's doing what she has to. I am, however, upset that you would vote to intentionally break the system for your own profit. It's short-sighted and destructive.
Heath
GM, 4501 posts
Affiliation: LDS
Occupation: Attorney
Fri 6 Nov 2009
at 00:55
  • msg #543

Re: Doctor, it hurts when I do this:  Health care issues

This article is very enlightening about showing what I mean with universal health care.  With it, you don't get good and bad coverage; you get only bad coverage:

Twisted equality in socialized medicine
In still yet another shuddering preview  of health under Hillarycare or whatever form of socialized medicine that the mainly Democratic candidates promise to impose on us, Britain's National Health Service has issued this truly Orwellian/Kafkaesque decree.
A WOMAN will be denied free National Health Service treatment for breast cancer if she seeks to improve her chances by paying privately for an additional drug.

quote:
Colette Mills, a former nurse, has been told that if she attempts to top up her treatment privately, she will have to foot the entire £10,000 bill for her drugs and care. The bizarre threat stems from the refusal by the government to let patients pay for additional drugs that are not prescribed on the NHS.

Huh?  And what is the purpose of this truly potentially deadly NHS policy?
quote:
Ministers say it is unfair on patients who cannot afford such top-up drugs and that it will create a two-tier NHS. It is thought thousands of patients suffer as a result of the policy.

(snip)

The Department of Health said: “Co-payments would risk creating a two-tier health service and be in direct contravention with the principles and values of the NHS.”


So instead of a two tier system, good (private) and bad (public), only one system--bad--is  allowed in England with no role model for improvement (private).  Death, in the holy pursuit of equality, seems to be the goal.

Other solutions are up against equally twisted negative rationalizations. And beware the politician who oh so sincerely promises that a similar situation could not happen here.  Oh yeah?  Surrendering to government for free treatment means surrendering freedom.
Having many friends and relatives, alas, afflicted with breast cancer, this article, and previous ones on socialized health posted here, and here, and here touch me personally and deeply.  While these friends and relatives are in various stages of treatment--and sadly, a few are gone--not one seems to have been denied a beneficial treatment.

For some reason, Michael Moore's film, Sicko, a paean to socialized medicine, failed to mention cases like this.  He didn't so we must.

Heath
GM, 4502 posts
Affiliation: LDS
Occupation: Attorney
Fri 6 Nov 2009
at 00:58
  • msg #544

Re: Doctor, it hurts when I do this:  Health care issues

And here's another one:

Gird Yer Loins, Government Run Health Care This Way Cometh
Tuesday, June 9th, 2009


It’s a health-care palooza over at American Issues Project today, my column included. Here’s a snippet:

Here is my concern about the health care legislation: While people will start sifting through the details of the legislation, the most important message of all will likely get lost: With fewer employed people, with less tax revenue, America cannot afford the spending we are currently endeavoring. Adding another government program is state-icide.

In the case of health care, Americans are wise to keep the big picture. The minutia of these pieces of legislation will have some good and bad sounding ideas but it’s all irrelevant. Money must exist for these programs. And there isn’t any money.

Jim Hoft, aka Gateway Pundit, talks about government run health care and breast cancer:

Currently the United States leads the world in treating breast cancer. Women with breast cancer have a 14 percent higher survival rate in the United States than in Europe. Breast cancer mortality is 52 percent higher in Germany than in the United States, and 88 percent higher in the United Kingdom. Breast cancer mortality is also 9 percent higher in Canada than in the US. Less than 25 percent of U.S. women die from breast cancer. In Britain, it’s 46 percent; France, 35 percent; Germany, 31 percent; Canada, 28 percent; Australia, 28 percent, and New Zealand, 46 percent. The European Network of Cancer Registries reported:

Breast cancer is also the most common cancer in females in Europe. It is estimated that in the year 2000 there were 350,000 new breast cancer cases in Europe, while the number of deaths from breast cancer was estimated at 130,000. Breast cancer is responsible for 26.5 percent of all new cancer cases among women in Europe, and 17.5 percent of cancer deaths.

In Britain, where they enjoy socialized medicine, breast cancer rates have soared by more than 80 percent in the past 30 years under their system. A big reason for this is early diagnosis. Nine of 10 middle-aged American women (89 percent) have had a mammogram, compared to less than three-fourths of Canadians (72 percent). Women who develop breast cancer in Europe are four times more likely to be diagnosed when the tumor has spread and survival is less likely than are women in the US.

And finally, another American Issues writer John Beski compares Social Security at its formation and government-run health care now:

A few decades ago, some folks in the federal government decided that pretty much everybody was incapable of saving money: so incapable, in fact, that the government decided that it would force us all to save for our own retirement. So, since 1935, the government has taken some money out of each of our paychecks and saves it for us, so we won’t be poor when we retire. To be fair, a lot of people don’t save as much as they should, but some of the very basic problems inherent to the Social Security system mean that many of us may never again see the money that’s left out of our checks on pay day.

Social Security has been one of the biggest undertakings of the government in the past century, and at the present it will become insolvent and fail well before this humble writer is even close to retirement. Many of the underlying problems with Social Security would likely come up in any socialized health care system. The different circumstances of 1935 and 2009 account for much of the reason that Social Security is failing. When some politicians start crafting health care plans, they would do well to remember this fact and that they are not magical seers.

Falkus
player, 933 posts
Fri 6 Nov 2009
at 01:01
  • msg #545

Re: Doctor, it hurts when I do this:  Health care issues

One sentence into the article you linked revealed that it was being written by a person not particularly interested in actually analyzing the essential facts of the issue, and more interested in partisan ranting.
Heath
GM, 4503 posts
Affiliation: LDS
Occupation: Attorney
Fri 6 Nov 2009
at 01:05
  • msg #546

Re: Doctor, it hurts when I do this:  Health care issues

Falkus:
If your goal is to minimize suffering and death by extending health care to those who need it, then you should be advocating for changing and honing in on the system already in place (medicaid, social security, etc.) rather than completely changing the system that has produced the best health system in the worl

The US Health care system is rated thirty-eighth best in the world, right behind Cuba. It's France that has the best health care system in the world.

This is a faulty statement.  Those statistics for "best" are based on comparing expenditures to life expectancy to coverage.  So of course universal health care systems like France, Canada and Cuba will rank high.  Those numbers are based on WHO's 2000 figures, and then WHO admitted it was too complex to rank what was best, thus acknowledging the faultiness in their own ranking system.

What you need to look at is that the U.S. is the number one (to number 3, depending on your source) spender per capita on health care, has the best trained doctors and newest, most technologically advanced equipment.

If you don't believe me, just go live in Cuba or Canada for awhile.  There's a reason Canada's doctors are fleeing to the U.S....where they can actually be "doctors."  I lived in a socialized medicine country for many years, and it is far, far worse care than in the U.S.

The U.S. is the number one country for health care.  You get the best treatment here.
Heath
GM, 4504 posts
Affiliation: LDS
Occupation: Attorney
Fri 6 Nov 2009
at 01:06
  • msg #547

Re: Doctor, it hurts when I do this:  Health care issues

Ubuu:
http://www.photius.com/rankings/healthranks.html


Just to back that up. I always find it hilarious when someone shouts the USA has the best health care system in the world, what's even more funny is I used to think so when I still had health insurance XD

See my post above. It's hilarious that you would base the quality of health care on the highest number of people covered for the lowest amount of money...
Trust in the Lord
player, 1579 posts
No Jesus No Peace
Know Jesus Know Peace
Fri 6 Nov 2009
at 01:07
  • msg #548

Re: Doctor, it hurts when I do this:  Health care issues

I do have to agree with Heath that Canada has a difficulty in keeping doctors considering the USA does pay much better for doctors.
Heath
GM, 4505 posts
Affiliation: LDS
Occupation: Attorney
Fri 6 Nov 2009
at 01:12
  • msg #549

Re: Doctor, it hurts when I do this:  Health care issues

Ms. Libertarian:
States decided to be part of the system with the Federal government, unless they decide to refuse to be part of Medicaid or take Federal dollars for all sorts of other programs and projects. Even if the Constitution does say the Federal government can't its a mute point now.

Wrong.  The government used interstate commerce clauses to justify it.  Even that is very tenuous and was challenged for Medicare, as I recall.  The feds walk a very fine line when they do this kind of thing.

quote:
All I know is we need a universal halth care system since the system is broken,

Why do you guys think universal health care is the only answer?  That's like saying if my leg hurts, the only solution is to cut it off and see if I can't regrow another one.  There are other solutions too.

quote:
costs too much and is enforcing rationing its just to me who is doing the rationing. Private companies, hospitals, doctors or the government I figure the government might as well make this and try to be fairer than the system we have now.

The problem is your reasoning.  Right now, the rationing is done by the individual's free choice.  You choose to get coverage or not; you choose to get treatment or not.  If the government is in charge, you lose all free choice in the matter of your health care treatment.

quote:
And I for one don't consider it immoral when one obeys the law and works within the system,

That's what Hitler's followers said too...

quote:
if they do expand Medicaid and I work less to get onto it there is nothing wrong with that. Acting within the laws is moral.

I strongly disagree.  Does that mean cigarette smoking is moral?  Does that mean cheating on your spouse is moral if there is no law against it?  Does that mean spanking your kids is moral?

quote:
May I ask a question when you take tax write-offs because they are there is that moral or immoral, since every dollar you don't pay must be paid by someone to pay for the government services?

Wrong.  The issue is limitation of government.  Taxes are the government taking away YOUR money.  It is not the government's money.  Therefore, the government has to have a valid excuse to take away your money through taxes.  Tax deductions are you demonstrating to the government it doesn't have a right to take away that money that you earned.

quote:
Since in the same vain I work less to get health care that is better than I have now ,what I can pay out of pocket, I stay employed and won't get sicker long term which saves the system money. I could make this case by working less I preserve the government funds and so am acting very morally for all.

If your sole goal in life is minimal health care coverage and living off other people's hard earned dollar, then you are right.  America wasn't built on the lowest common denominator, however, but on the dream and hope of freedom and hard work.
Heath
GM, 4506 posts
Affiliation: LDS
Occupation: Attorney
Fri 6 Nov 2009
at 01:17
  • msg #550

Re: Doctor, it hurts when I do this:  Health care issues

Falkus:
regardless of their contributions to society.

Pleasant sentiments, fully in line with the ideals of the Founding Fathers, I'm sure.

Although you are being sarcastic, it is exactly that.  America was built on the Judeo-Christian work ethic that people should have the freedom to work and earn and be free from government control.  Taking away people's money that they earned by contributing to society (i.e., government interference to take your money away and give it to someone who didn't contribute to society) interferes with your right to pursue life, liberty and the pursuit of happiness and instead introduces the very same taxation without representation that our Founding Fathers sought to get away from.

There is a strange and disturbing trend in America for people to think they are entitled to things.  Entitled to housing, entitled to health coverage, entitled to phones, entitled to...you name it.  The country was founded upon the freedom to decide to work for what you want and give you opportunity, not entitlement.

Health insurance is exactly that:  insurance.  Insurance is protection you buy to hedge your bets against the cost in case you need or want medical care.  If you don't want to hedge your risks with insurance, you pay cash.  There is no right to health insurance any more than there is a right for you to demand car insurance or house insurance or life insurance.  Capitalism is based on contributing to society that which society deems valuable, and this process creates wealth, opportunity, and progress.  Health insurance is part of that opportunity...buy or don't buy, invest in insurance or don't.  There is no such fundamental right to it.
Heath
GM, 4507 posts
Affiliation: LDS
Occupation: Attorney
Fri 6 Nov 2009
at 01:18
  • msg #551

Re: Doctor, it hurts when I do this:  Health care issues

Falkus:
One sentence into the article you linked revealed that it was being written by a person not particularly interested in actually analyzing the essential facts of the issue, and more interested in partisan ranting.

Well, are you going to be specific or just use ad hominem attacks to try to discredit something you disagree with?  Your statement above is of little use without specifics.
Heath
GM, 4510 posts
Affiliation: LDS
Occupation: Attorney
Fri 6 Nov 2009
at 01:27
  • msg #552

Re: Doctor, it hurts when I do this:  Health care issues

Another article on why ranking health care systems on mortality and amount spent is completely untenable, from a more scientific standpoint:
http://www.nationalcenter.org/...mparativeHealth.html
Falkus
player, 934 posts
Fri 6 Nov 2009
at 01:47
  • msg #553

Re: Doctor, it hurts when I do this:  Health care issues

Well, are you going to be specific or just use ad hominem attacks to try to discredit something you disagree with?  Your statement above is of little use without specifics.

The word 'Hillarycare' in the first sentence tells me just about everything I need to know about the intellectual honesty of the author. A person righting an unbiased article based off of genuine interest in learning does not use terms such as that.

Although you are being sarcastic, it is exactly that.

I seem to recall a fair bit about equality and whatnot.

America was built on the Judeo-Christian work ethic

Hold it. Full stop. The United States was founded on the principles of the Enlightenment, not Christianity.

and instead introduces the very same taxation without representation that our Founding Fathers sought to get away from.

...

The term taxation without representation refers to being taxed without being able to elect representatives to the government.

How can you possibly think that this in ANY WAY relates to health care? That's the seventh most absurd thing I've ever heard.

There is a strange and disturbing trend in America for people to think they are entitled to things.  Entitled to housing, entitled to health coverage, entitled to phones, entitled to...you name it.  The country was founded upon the freedom to decide to work for what you want and give you opportunity, not entitlement.

Citizens have the right to life. By denying everybody equal health care, you are denying some the right to life. It's the governments job to ensure that our right to life is protected.

And the constitution makes it clear that the government is entitled to tax the public in the interests of the general welfare. Supreme court rulings support this interpretation.
This message was last edited by the player at 01:48, Fri 06 Nov 2009.
katisara
GM, 4038 posts
Conservative human
Antagonist
Fri 6 Nov 2009
at 13:48
  • msg #554

Re: Doctor, it hurts when I do this:  Health care issues

Heath:
The U.S. is the number one country for health care.  You get the best treatment here.


I think it's important to clarify here, since I don't think everyone means the same thing when they're talking about '#1 for health care' or whatnot.

Correct me if I'm wrong, but...
Heath is referring to the fact that the best health care available (for those who have money) is available in the US (and not in other countries). If you had lots of money, you'd go to the US to get your health care, and you'd get the best. Hence, the US is the best.

Ms. Libertarian is referring to the fact that without money, it is difficult to get any health care, muchless good health care. Because the lower bound of the population is so low compared to other countries, the US is not the best.

Falkus is taking the two and saying, for the average person (the poor, the rich, the middle class, sampling them all) the US does not perform as well in all metrics as some other nations do. Therefore, our average 'grade' is not the best.

I think these are all valid metrics - what is the best care available? What is available to our poor? What is available to our middle class? Increasing the care to the poor at the expense of the care available to everyone else is not desirable. Any solution that addresses care for one group shouldn't be done at the significant expense of another.
Ms. Libertarian
player, 102 posts
Centrist
ULC Clergyperson
Sat 7 Nov 2009
at 01:39
  • msg #555

Re: Doctor, it hurts when I do this:  Health care issues

I just want to point a few facts from when employer based halth care became the norm in the 1940's and 1950's.

1. People don't stay with one employer for their entire lives.

2. People are very likely to be consultants, temps or independent contractors now than years ago OR work part-time for more than one employer.

3. We are one of the few nations that demand employers be mainline providers of health care. From my limited contact with those that run businesses they don't want that responsibility its not what they do. They want to sell food or sell a product or provide a service.

4. There is a poor safety net like I said I do work 30 hours a week, what I didn't say is due to pre-exisiting medical conditions and my low income I can't get any health care coverage. And since I exhausted the county benefits I have not seen the same doctor regularly and have had to forgo regular medical care for my diabetes. No insulin, no testing supplies not even a simple $4 drug from Walmart due to the need to pay for the prescription from a doctor which would cost me more than I can afford. Not to mention routine tests like pap smears, tests for my kidneys and the like I should be getting. If I could workj the extra hours over what I want to AND get coverage that takes care of me fine. In this case Medicaid is the far better option and I would gladly reduce my hours to get coverage. The fact I want to work less is not the main issue if I work and can't get care then what is the point, right now I could go blind or lose limbs and then guess who would be paying far more. The taxpayers.

Our health care system needs reform. And more than a bandaid this time. And the best health care sure I pointed out if your rich fine. For me just seeing the same doctor every three months and routine care for my diabetes would be a huge deal for me. And this I can't get now. And even if you banned discrimination for pre-existing conditions the insurance still would cost too much most likely to use. And the HSA are a joke when I couldn't pray to get $2500 saved and in such an account to use.
katisara
GM, 4040 posts
Conservative human
Antagonist
Sat 7 Nov 2009
at 13:51
  • msg #556

Re: Doctor, it hurts when I do this:  Health care issues

That's fine, I understand. However, IMO, this is a case of 'beggars can't be choosers'. Your goal seems to ONLY be that you need to get health care. Since I'm the 'taxpayer', it seems reasonable that I, not you, should be stipulating conditions, since it's my money you're spending. Am I wrong?
Ubuu
player, 67 posts
Sat 7 Nov 2009
at 17:18
  • msg #557

Re: Doctor, it hurts when I do this:  Health care issues

I'm a taxpayer too but I don't have healthcare, so why would you have any more say than I do on the matter?
RubySlippers
player, 104 posts
Parallelist
Opinioned
Sat 7 Nov 2009
at 20:05
  • msg #558

Re: Doctor, it hurts when I do this:  Health care issues

katisara:
That's fine, I understand. However, IMO, this is a case of 'beggars can't be choosers'. Your goal seems to ONLY be that you need to get health care. Since I'm the 'taxpayer', it seems reasonable that I, not you, should be stipulating conditions, since it's my money you're spending. Am I wrong?


Because I VOTE, an am AMERICAN and happen to be low income working poor. And thankfully in a representative democracy someone that votes and is willing to change votes if I don't get something done I want is important. And all my elected representatives already are on notice and they are of both I will not vote for them or their party in any office IF they fail to the needs of the poor. I'm hardly against tossing incumbents out on their "laurels" if they don't do their job.

You pay taxes and they spend them, who do you think I care more about its not the taxpayer its the one that has the power to do what I want done. And I want and need Medicaid expanded asap.
RubySlippers
player, 105 posts
Parallelist
Opinioned
Sun 8 Nov 2009
at 04:25
  • msg #559

Re: Doctor, it hurts when I do this:  Health care issues

Well I'm watching CNN and the House passed their bill even getting one Republican into the mix. Its going to happen I think, no democrat will want to go into the next round of elections without something to promote. The economy and the unjustified conflicts abroad are clearly not going to be the way to go.

It is likely unconstitutional and all but with the Feds in bed with the States on many programs outside the Constitution its a mute point now. The Federal Courts have plenty of precedents to use to make this legal now.

Any comments on the House Bill specifically?
katisara
GM, 4042 posts
Conservative human
Antagonist
Sun 8 Nov 2009
at 17:07
  • msg #560

Re: Doctor, it hurts when I do this:  Health care issues

Ubuu:
I'm a taxpayer too but I don't have healthcare, so why would you have any more say than I do on the matter?


Morally, because you are free to do what you want with your money, but using someone else's money against their will is called theft. Your stealing my money to spend it on yourself and using the government to do it is still theft, it's just theft on a higher level.

Functionally, because most voters don't vote based on their representative's voting record. They have no idea what the representative's voting record is, or where to check it. The vast majority of voters vote based on completely ancillary information. Congressmen need to get money more than anything. Poor people, by and large, have no money (or they wouldn't be poor). Upper class and lobbyist groups do. So the fact that you are a voter with little to donate in campaign money and, presumably, you're not especially well connected, means you do indeed have less say than me, as a person who donates every election cycle and contributes to lobbyist groups.
Tzuppy
player, 270 posts
Fear My Wrath!
Sun 4 Apr 2010
at 22:44
  • msg #561

Re: Doctor, it hurts when I do this:  Health care issues

Ubuu:
I'm a taxpayer too but I don't have healthcare, so why would you have any more say than I do on the matter?
katisara:
Morally, because you are free to do what you want with your money, but using someone else's money against their will is called theft.

Please! War in Afghanistan is a theft?! How come it's a theft when the government uses the money for something you don't support, such as the health care, and it's not when it's for something you support such as war in Afghanistan, when both policies have about same support among population?


katisara:
...So the fact that you are a voter with little to donate in campaign money and, presumably, you're not especially well connected, means you do indeed have less say than me, as a person who donates every election cycle and contributes to lobbyist groups.

You say it like it's a good thing. Don't you feel that there's something wrong with a democracy that functions like that? How come you care about Thomas Jefferson only when he's not mention in a history class and not when his ideas are so blatantly perverted by politicians you support?


Now couple of points I want to raise.

From my fellow conservatives I want to know if the health care has affected you yet or Obama is just blowing hot air.

From liberals I want to know if things can possibly get better without the public option or (again) Obama is just blowing hot air.
silveroak
player, 83 posts
Sun 4 Apr 2010
at 23:13
  • msg #562

Re: Doctor, it hurts when I do this:  Health care issues

Can things get better without teh public option? Sure.
Can things get worse than what they are pre-healthcare reform? Possible but it would be difficult.

The biggest problem that I have seen is too much health insurance gets sold on teh basis of low cost then when people actually get sick they lose theri health care for some farcical reason- as an example at one point I got health insurance for myself and my children. On teh form it asked if I was pregnant and, being male I answered no. to be 100% fair on this I even asked teh agent about thsi question specifically because my fiance was pregnant but she was on medicare due to permenant disability.
After I got the insurance I got married and we had my son. I called and asked the insurance company  how to add my new son to the policy and they dropped my coverage because I had said I wasn't pregnant.

Because insurance is one of teh few fields where you don't make money by providing better customer service, it's one where you make money by providing less while making tehm fel they have more. being an industry that is almost set up in favor of con men and shysters it needs more govrnment oversight, or possibly government replacement. After all isn't there an old saying about government fighting criminals because they don't like the competition?
Falkus
player, 1020 posts
Sun 4 Apr 2010
at 23:24
  • msg #563

Re: Doctor, it hurts when I do this:  Health care issues

Morally, because you are free to do what you want with your money, but using someone else's money against their will is called theft. Your stealing my money to spend it on yourself and using the government to do it is still theft, it's just theft on a higher level.

The government is not obliged to spend taxes on things that directly benefit you, only on things that benefit society as a whole.
silveroak
player, 85 posts
Sun 4 Apr 2010
at 23:26
  • msg #564

Re: Doctor, it hurts when I do this:  Health care issues

Fighting an infectious disease while it has a low incidence in the population does benefit society as a whole.
katisara
GM, 4300 posts
Conservative human
Antagonist
Mon 5 Apr 2010
at 12:58
  • msg #565

Re: Doctor, it hurts when I do this:  Health care issues

Tzuppy:
Please! War in Afghanistan is a theft?! How come it's a theft when the government uses the money for something you don't support, such as the health care, and it's not when it's for something you support such as war in Afghanistan, when both policies have about same support among population?


War in Afghanistan is also a theft. The question is, does the good of what the money is spent on outweigh the bad of it being taken in violation of my personal freedom. Just like it is bad to limit my freedoms in say... setting things on fire, but not as bad as the violation of my setting someone else's things on fire (or filling their space with smoke).

So we need another method to determine which expenditures are warranted, and which are not.

quote:
You say it like it's a good thing.


No, I don't know that it's GOOD. It's its own discussion. I'm simply saying it's a fact. This is how the system works.


quote:
From my fellow conservatives I want to know if the health care has affected you yet or Obama is just blowing hot air.


No, and it won't until I file my 2010 taxes.

silveroak:
being an industry that is almost set up in favor of con men and shysters it needs more govrnment oversight, or possibly government replacement. After all isn't there an old saying about government fighting criminals because they don't like the competition?


And that is definitely true (on both points). But yes, if we just changed how the industry is regulated, that would have addressed 80% of our concerns, for half the price. I would have at least STARTED there.

Falkus:
The government is not obliged to spend taxes on things that directly benefit you, only on things that benefit society as a whole.


And the government is morally required to follow the law and treaties it's agreed to.
This message was last edited by the GM at 12:59, Mon 05 Apr 2010.
silveroak
player, 92 posts
Mon 5 Apr 2010
at 13:02
  • msg #566

Re: Doctor, it hurts when I do this:  Health care issues

Unfortunately the Rupublicnas chose to stay out of teh discussion and protest the idea that any bill was being considered instead of weighing in on what would be teh best approach until the bill was already done and then insisting they needed to start over. I think the result would have been 100% better if teh Republicans had cooperated on teh drafting liek Obama begged them to do, but they wanted to score talking points instead.
Bart
player, 417 posts
LDS
Mon 5 Apr 2010
at 17:57
  • msg #567

Re: Doctor, it hurts when I do this:  Health care issues

I think it was rushed through far too fast.  Despite the good things it offers, I think it's really going to hurt small businesses which have traditionally never really made enough to give such bonuses to all employees.  Small businesses generally supply at least half of all available jobs in the US economy.  That's a huge burden to suddenly shove off on small business owners.  I'm seeing a lot of newspaper articles mention the new health care tax credit for small businesses but so far none of the articles has mentioned that the new tax credit will be scaled back every year until 2014 at which point it will vanish.
silveroak
player, 98 posts
Mon 5 Apr 2010
at 18:04
  • msg #568

Re: Doctor, it hurts when I do this:  Health care issues

Rushed through too fast? It took over a year from a campaign promise and orriginated as a Republican proposal in the 1990's as an alternative to 'Hillary care' as teh Republican dubbed it. The only reason it took as long as it did was Republican foot dragging, kicking and screaming. I'm sorry but the Republicans really dropped the ball on this one, it's hard to protest the quality of the bill when you were asked to contribute and acted like spoiled kindergardeners instead.
Bart
player, 420 posts
LDS
Mon 5 Apr 2010
at 18:25
  • msg #569

Re: Doctor, it hurts when I do this:  Health care issues

Aside from the economic concerns which is primarily why I opposed this and continue to hope that it'll go down in flames in court challenges, the Democrats just didn't really seem to be all that concerned with the nitty gritty details.  They seemed to be more concerned with just "getting it passed" whatever "it" actually was.  Perhaps that's because it was Republicans proposing amendments in an effort to force it back to another vote and Democrats just trying to shove it through before they lost one more seat and couldn't shove it through anymore, but it kept seeming like Republicans were the ones coming up with all the good ideas that were routinely ignored.

I have a hard time believing that no Democrats ever, in all the time that the bill was being considered, were congenitally unable to come up with any of those ideas or considerations for potential ramifications.  I think they're smart people and I think it's just that they didn't really read and consider all the ramifications.  Some of them, like the House Majority Leader, even publicly said that they didn't read it before voting on it.  For most of last year, this wasn't the only thing on their plate, they had all the normal things that Senators and Congressional Representatives are responsible for.

Obviously, a year or ten years or decades back to when a national health care plan was first proposed was just not enough time -- although the general idea was considered, obviously (in my opinion) the Democrats just didn't spend enough time on the details and now we have this piece of sludge which I'm not happy with for a number of different reasons (primarily the economic one which says that we just cannot afford this).  They should have stopped and spent enough time on the details before trying to ram it through.
silveroak
player, 100 posts
Mon 5 Apr 2010
at 18:38
  • msg #570

Re: Doctor, it hurts when I do this:  Health care issues

actually a number of Republican proposals *were* in teh bill, and most of their proposals were, as you said, designed to delay rather than enhance. I don't think the democrats should be criticized for their ability to cut through procedural obstructionism. Again, if Republicans had actually taken the time to be involved in teh process instead of trying to undermine it the bill probably could have been much better, but realistically it took longer than it should have because the democrats kept giving Republicans so mamy opportunities to make a constructive contribution.
Falkus
player, 1022 posts
Mon 5 Apr 2010
at 22:38
  • msg #571

Re: Doctor, it hurts when I do this:  Health care issues

Aside from the economic concerns which is primarily why I opposed this and continue to hope that it'll go down in flames in court challenges

I thought the right was against legislation by the courts?
silveroak
player, 106 posts
Mon 5 Apr 2010
at 23:10
  • msg #572

Re: Doctor, it hurts when I do this:  Health care issues

The right's concept of what procedures are correct are highly situational. In case anyone has missed that. Most of the 'parlimentry trickery' they are complaining about regarding teh health care bill they invented and used under Bush.
RubySlippers
player, 130 posts
Parallelist
Opinioned
Tue 6 Apr 2010
at 17:41
  • msg #573

Re: Doctor, it hurts when I do this:  Health care issues

I read the US Constitution on the matter of the voting on the bill and I don't see a conflict. The vote must be made in both houses and signed by the President but how that is done seems to up to the respective parts of the Congress. So if the House used "Deem and Pass" where the House in the bill granted such power when it went up it was as far as I can tell acceptable. There is nothing to ban it in the Constitution at all. I suspect any court would consider this an internal matter of the House and Senate as long as a proper vote as in they voted in the two houses. And it was signed by the President. So was that the case all around - yes.

Add to this the individual mandate is not new. An early precedent at the Federal level demanded members of the militia provide of their own expense a musket, powder, ammunition and a backpack. This was not in the Constitution technically the states should have done this but its a precendent even if an old one.  And since this is a tax consideration either you have insurance or pay a tax penalty, no one is forcing anyone to provide or get insurance or go to prison. You don't the government using its legitimate power to tax will do so they have that right under the US Constitution and its amendments.

As for Medicaid states don't have to participate its voluntary and states can always refuse. But if they participate they must accept Federal rules its a join program offered by the Federal government for part of the funding. And if they refuse then the states would likely have to make up for the care to their disabled and poor seniors in nursing homes etc. on their own somehow.

I don't see any issues in any of this that would be overturned the courts unless they wanted to overturn decades of precendents. I don't see why this is at all a problem we finally have Universal Health Care like most other advanced nations.
Sciencemile
GM, 1166 posts
Opinion is the default
for most everything I say
Tue 6 Apr 2010
at 18:01
  • msg #574

Re: Doctor, it hurts when I do this:  Health care issues

Universal Health Care?  I thought all that got passed was a restriction on revoking someone's insurance once they got sick...maybe I'm thinking of another bill?
Bart
player, 426 posts
LDS
Wed 7 Apr 2010
at 00:15
  • msg #575

Re: Doctor, it hurts when I do this:  Health care issues

silveroak:
Most of the 'parlimentry trickery' [the right] are complaining about regarding teh health care bill they invented and used under Bush.

The procedures were invented decades ago and have been used by both political parties when they were the minority party and decried by the majority party.  When I hear of points that the Right brought up, my first thought is, "Why didn't anyone on the Left think of that at any point along the way while the bill was being put together or discussed before it turned into a 'ram it through without any more discussion'?"
Tycho
GM, 2785 posts
Wed 7 Apr 2010
at 07:28
  • msg #576

Re: Doctor, it hurts when I do this:  Health care issues

Which points are you speaking of in particular, Bart?  Right now the discussion is just a "Right is bad!" "No!  Left is bad!" argument about generalities.  But if we bring up some specific, concrete issues we might be able to get some level of agreement, or at least fruitful discussion.
silveroak
player, 123 posts
Wed 7 Apr 2010
at 12:08
  • msg #577

Re: Doctor, it hurts when I do this:  Health care issues

Let me add this though- teh right and teh left have different perspectives. That is why Obama wanted teh right to participate constructively- so a difference in persepctive could be used to help improve the bill. Asking why the left didn't think of it is as pointless as asking why The catholic Clergy didn't realize that the earth goes arround the sun rather than the other way around- their perspective didn't see things in that way.

And when the Republican side is yelling about 'death panels' when they should have been talking about fiscal responsibility didn't help.
katisara
GM, 4313 posts
Conservative human
Antagonist
Wed 7 Apr 2010
at 12:55
  • msg #578

Re: Doctor, it hurts when I do this:  Health care issues

Yeah, the right dropped the ball no matter how you want to cut it. Whether you think all the fuss and PR was an intentional plan to stop an undesirable bill from going through or not, the bill did go through - and the only things we wanted that we DID get were basically gifts from Obama.

However, that's focusing only on the bill. On the larger scale, the Dems have lost a lot of credibility with the general population as 'getting stuff done', and they're going to suffer come this election.

And the response to that, of course, is that really, should either party be using legislation primarily as a pawn to putting itself in power? (This applies to both parties equally, but the Reps in the past two years especially.)
Bart
player, 429 posts
LDS
Wed 7 Apr 2010
at 16:11
  • msg #579

Re: Doctor, it hurts when I do this:  Health care issues

Tycho:
Which points are you speaking of in particular, Bart?

There were a lot of proposed amendments during the 20 hour reconciliation amendment period.  Here are the first few that were proposed: http://coburn.senate.gov/publi...ad-4748-3ac0f35d4335

I have a hard time disagreeing with most of those.  The first was "No Viagra to convicted hard core sex offenders".  Come on, people have been arguing about that for years now, surely someone on the left would have thought of this if they'd bothered to stop and think about the bill.  As it is, it's giving huge soundbites that make the left seem like antisocial nutjobs.

There were a lot of amendments proposed and I find myself forced to accept one of three scenarios for each one:
1. They pushed it through too quickly to think about that.
2. They didn't care about that and so ignored it.
3. They were incapable of thinking of that.

Also, let me note again that some people (like the House majority leader) expressly said that they didn't bother reading it before voting on it, so I'm pretty much forced to support 1 -- they pushed it through far too fast.
katisara
GM, 4317 posts
Conservative human
Antagonist
Wed 7 Apr 2010
at 16:40
  • msg #580

Re: Doctor, it hurts when I do this:  Health care issues

Politicians rarely read full bills any more. They hire people to do that for them. Politicians are busy politicking, to make sure they're re-elected.
RubySlippers
player, 131 posts
Parallelist
Opinioned
Wed 7 Apr 2010
at 17:42
  • msg #581

Re: Doctor, it hurts when I do this:  Health care issues

People miss the point when talking about this people ,as a rule, will forgo soft freedoms for hard freedoms such as having enough food to eat or health care.

Why do you think in the old Soviet Union the vast majority of people did not care? It wasn't force it was because the government provided freedom from want - everyon was entitled to housing, food, medical care, a job and generally don't screw up the system and be a good citizen you never have to worry.

The same thing here people under a Capitalist system will be happy as long as they don't have to worry if that means adding in socialism to the system to make sure we are all happy citizens. So in this case people are pissed about health care, the poor are not happy its to keep the people happy. I know as long as I'm taken care of I'll not shake the boat and focus on not getting into trouble.

That is all that matter here so my guess is regardless of the Constitutional issues they will never overturn this there is to much to lose, in other words greater instability.
katisara
GM, 4319 posts
Conservative human
Antagonist
Wed 7 Apr 2010
at 17:47
  • msg #582

Re: Doctor, it hurts when I do this:  Health care issues

RubySlippers:
Why do you think in the old Soviet Union the vast majority of people did not care?


Because if you cared, you got shot?
silveroak
player, 132 posts
Wed 7 Apr 2010
at 18:17
  • msg #583

Re: Doctor, it hurts when I do this:  Health care issues

Only if you said something about it. You could quietly care all day long.

As to te proposed amendments a lot of them did get in. I also have to wonder if some of tehm were trully necessary. Take for example the exampel of no viagra to convicted hard core sex offenders. Now if tehre already exists a law prohibiting teh prescription of viagra to a convicted sexx offender then this proposal s redundant. Or if if there are other rules in place regarding, for example, who will determine which drgsa are to be made available based on which criteria then it wouldn't be necessary to spell out individula cases such as sex offenders and viagra. Tehre may even be a schedule of drugs that are not availabel to ex-cons (including many that can be usd to manufacture street drugs) and viagra may be on that list...
This message was last edited by the player at 18:22, Wed 07 Apr 2010.
RubySlippers
player, 132 posts
Parallelist
Opinioned
Wed 7 Apr 2010
at 18:18
  • msg #584

Re: Doctor, it hurts when I do this:  Health care issues

No because they got their wants taken care of and were loyal citizens. If the people rose up they were not going to stop such a revolution they knew that. So they made sure most people were happy enough and kept troublemakers to a minimum.

True they were hard on troublemakers that was not an issue for me they had the right to rebel and never did so most poeple obviously tolerated their state.

Its still not altering my basic case people want to be taken care of and as long as their free from worry everything will be fine if they lose some freedoms here or there in the process. Just look at other capitalist governments like Singapore they have few rights and might have issues with the government BUT are comfortable in a stable nation. They don't harm the govenments interests and are safe, have enough freedom and are prosperous. Seems like the situation in many capitalist nations even ours.

So no they will not rule the bill unconstitutional there is to much at stake for the government to regain stability and control long term.
silveroak
player, 135 posts
Wed 7 Apr 2010
at 18:38
  • msg #585

Re: Doctor, it hurts when I do this:  Health care issues

They will not rule the bill unconstitutional because it isn't. Personally I also think the bill is a good idea.
That doesn't mean the Soviet Union was peacefull because the people agreed with the government or were simply satisfied because the government took care of their needs.
Bart
player, 431 posts
LDS
Wed 7 Apr 2010
at 19:20
  • msg #586

Re: Doctor, it hurts when I do this:  Health care issues

RubySlippers:
No because [in the Soviet Union] they got their wants taken care of and were loyal citizens. If the people rose up they were not going to stop such a revolution they knew that. So they made sure most people were happy enough and kept troublemakers to a minimum.

I'm pretty sure that conditions were miserable for most of the country and any large outbursts were forcibly put down by the army until Gorbachev, who was the first one who didn't use the army to squelch a revolution in the works.
katisara
GM, 4325 posts
Conservative human
Antagonist
Wed 7 Apr 2010
at 20:18
  • msg #587

Re: Doctor, it hurts when I do this:  Health care issues

Having actually lived in the Soviet Union, I can attest that Bart is right. The living conditions there were ABYSMAL. Speaking with them, they knew it was abysmal. They did not like the government, and did not consent to anything that was happening to them. However, to so much as complain was grounds for getting shot (no, I am not kidding. We invited a Russian and his son to visit us at our house in the US compound. While passing by the Russian guards out front, this man was literally shaking in his boots - because he knew if he was stopped by the guards outside of the gate, they could do whatever they pleased with him, and there was nothing he or we could do to stop them.)
Tycho
GM, 2790 posts
Thu 8 Apr 2010
at 09:28
  • msg #588

Re: Doctor, it hurts when I do this:  Health care issues


Tycho:
Which points are you speaking of in particular, Bart?

Bart:
There were a lot of proposed amendments during the 20 hour reconciliation amendment period.  Here are the first few that were proposed: http://coburn.senate.gov/publi...ad-4748-3ac0f35d4335

I have a hard time disagreeing with most of those.  The first was "No Viagra to convicted hard core sex offenders".  Come on, people have been arguing about that for years now, surely someone on the left would have thought of this if they'd bothered to stop and think about the bill.  As it is, it's giving huge soundbites that make the left seem like antisocial nutjobs.

Really?  I don't know man, I have a very hard time believing that any of those amendments were offered in good faith.  They seemed like pretty much pure political theatre to me:  not meant as an effort to improve the bill, but simply as a source of campaign sound-bites to embarrass democrats.  I mean, I read a lot of commentary about health care in the US during this whole debate, and I never once heard anyone mention the issue of viagra for sex offenders as a problem with US health care.  Perhaps people have been arguing about that for years, but I've missed it all.  And really, I don't think that's very high on the list of things that need addressing in the US health care system.  Seriously now, do you really see that as something particularly important, such that any health care bill that didn't address it should be deemed a failure?  I certainly have things I don't like about the bill that passed (I supposed I should call it a law now then), but the issue of whether or not insurance can cover viagra for sex offenders doesn't make the list of important ones for me.

Bart:
There were a lot of amendments proposed and I find myself forced to accept one of three scenarios for each one:
1. They pushed it through too quickly to think about that.
2. They didn't care about that and so ignored it.
3. They were incapable of thinking of that.

Also, let me note again that some people (like the House majority leader) expressly said that they didn't bother reading it before voting on it, so I'm pretty much forced to support 1 -- they pushed it through far too fast.

Hmm.  I think you're still talking about process and people involved, rather than substance of the law.  I guess I'm not to interested in that discussion.  If you want me to agree that all politicians are dirty tricksters, and that they don't read the bills they vote on, I won't put up much of a fight.  I guess I'm more interested in hearing what specifically you don't like about the bill, rather than what you don't like about democrats, or about the pace of government in the US.  I'd disagree that it was passed too fast (in fact I think the process was drawn out far too long, and became far more theater than governance), but that's purely a matter of opinion on our parts, and there's not much hope of agreement.  Sort of like debating whether vanilla or chocolate is better.  Like I said, I think there are plenty of legitimate reasons to not like the new law, and also plenty of legitimate reason to like it, and those could be worth discussing/debating.  But arguing that the law is bad because it was passed "too fast" or because someone didn't read it seems to be focusing on the politics instead of the law.
Bart
player, 432 posts
LDS
Thu 8 Apr 2010
at 10:24
  • msg #589

Re: Doctor, it hurts when I do this:  Health care issues

Tycho:
I never once heard anyone mention the issue of viagra for sex offenders as a problem with US health care.

There was a Reader's Digest article that touched on it a while ago (not this year).  Maybe it was featured in That's Outrageous or maybe it was it's own article.  I'll see if I can find it.
katisara
GM, 4326 posts
Conservative human
Antagonist
Thu 8 Apr 2010
at 12:42
  • msg #590

Re: Doctor, it hurts when I do this:  Health care issues

I have to admit, I really haven't read it very far. I established it wouldn't have any impact on me personally (so I don't have to change my lifestyle in anyway to adjust), but going any further is either going to make me say "okay. Hurrah." or infuriate me.
RubySlippers
player, 133 posts
Parallelist
Opinioned
Thu 8 Apr 2010
at 19:23
  • msg #591

Re: Doctor, it hurts when I do this:  Health care issues

I have to ask what grounds are they going to try and have this law in its entirety declared unconstitutional?

The vote was internal procedure the Consitutional mandate was followed to the letter and how they voted is not an issue they can vote for a law, add the "Deem and pass" in it and effectively they voted for the final bill. As required. And it was signed. Parlimentary procedures over the demand both houses vote and its signed is left to the discretion of the Congress. That is not a Federal Court matter how they decided the bill and vote on it they did so the Consitution was properly respected, in the legal mandates perhaps not in spirit.

Personal mandates there are precedents for that on private citizens. The first seated Congress passed one measure as example and this included Founding Fathers big time. They mandated under Federal Law all men who were qualified for the state militias have ,paid for on their own, a musket and powder and ammunition (50 balls) and a backpack if they could afford these items. This was outside their authority and should be a state matter but the Federal government made that law anyway. Or be fined. Is health care any different now? An old precendent under the Founding Fathers clearly shows they had the intent to use said government for what needed to be done, and they wrote and voted on the document that is a clear matter to me.

The rest is perfectly legal including taxes for NOT having insurance, they can tax anyway they want its in both the original Consitution for businesses and in the amendments for citizens. Medicaid is a join program they can mandate anything there and states can opt out its voluntary or decide to stay in and accept the new rules.

So there is no way this will all be taken out in the courts there are no grounds, most legal experts say there are no grounds so its a done deal. Unless the Congress changes hands enough they can overturn it and override the presidential veto or a Senate filibuster. And I hate to say the obvious but the insurance companies and doctors will still be making money as will drug companies so the lobby to repeal will be hard against that once they figure out how to use this law to their advantage and keep making money. Everyone knows if its repealsed and the system fails there is a one-payer option as the only choice left that will be horrible for the current special interests across the board.
Bart
player, 435 posts
LDS
Thu 8 Apr 2010
at 19:41
  • msg #592

Re: Doctor, it hurts when I do this:  Health care issues

The Democrat stance is that the health care bill is ok because it regulates inter-state commerce.  The Republican stance is that, the individually mandated health tax if you don't buy health insurance steps outside the bounds of regulating inter-state commerce and mandates something that Congress doesn't have the power to mandate.  That's where 15 states attorneys general are coming from.

The 16th from Virginia says that it's a federal/states rights issue, that it's the state's right to mandate such things and that it would conflict with a Virginia law which says that Virginia citizens don't have to pay such a tax, but the tax which would conflict with Virginia's state law don't actually start until 2014, at which point this health care bill would likely be far too entrenched for a court challenge.  So whether or not Virginia's challenge can go through is iffy.

Anyway, those are the two main legal arguments that are going on right now.
katisara
GM, 4336 posts
Conservative human
Antagonist
Thu 8 Apr 2010
at 20:05
  • msg #593

Re: Doctor, it hurts when I do this:  Health care issues

(Which, BTW, is the same grounds as laws and bills in several other states such as Montana, which says that federal firearm laws do not apply to firearms made, sold, owned and used only within that state. If those go to court, that will largely decide whether Virginia will be success with their attempt.)
silveroak
player, 175 posts
Thu 8 Apr 2010
at 20:17
  • msg #594

Re: Doctor, it hurts when I do this:  Health care issues

Lets not forget California's medical marijuana initiative, which contradicts the federal laws on drug regulation. The Republican position on that however has always been that Federal law trumps.
Tzuppy
player, 272 posts
Fear My Wrath!
Fri 9 Apr 2010
at 03:40
  • msg #595

Re: Doctor, it hurts when I do this:  Health care issues

First let me thank katisara for candidly replying that the health care reform won't affect him for about a year. I will ask the same question then again.


Tzuppy:
Please! War in Afghanistan is a theft?! How come it's a theft when the government uses the money for something you don't support, such as the health care, and it's not when it's for something you support such as war in Afghanistan, when both policies have about same support among population?
katisara:
War in Afghanistan is also a theft. The question is, does the good of what the money is spent on outweigh the bad of it being taken in violation of my personal freedom. Just like it is bad to limit my freedoms in say... setting things on fire, but not as bad as the violation of my setting someone else's things on fire (or filling their space with smoke).

So we need another method to determine which expenditures are warranted, and which are not.

Precisely my point. So tell me, man, why did you feel compelled to call the health care bill a theft?



katisara:
...So the fact that you are a voter with little to donate in campaign money and, presumably, you're not especially well connected, means you do indeed have less say than me, as a person who donates every election cycle and contributes to lobbyist groups.
quote:
You say it like it's a good thing.
katisara:
No, I don't know that it's GOOD. It's its own discussion. I'm simply saying it's a fact. This is how the system works.

Are you saying that American people should not work to change this?


silveroak:
being an industry that is almost set up in favor of con men and shysters it needs more govrnment oversight, or possibly government replacement. After all isn't there an old saying about government fighting criminals because they don't like the competition?
katisara:
And that is definitely true (on both points). But yes, if we just changed how the industry is regulated, that would have addressed 80% of our concerns, for half the price. I would have at least STARTED there.

And that is exactly what I wanted to hear. What do Republicans think how to fix these legitimate grievances? Instead all I heard were death panels, tea parties which sound like KKK picnics and Sarah Palin shouting from top of her lungs that health care reform is immoral.


And to the liberals, what are exact benefits of this reform, again now that public option was abandoned?


Tycho:
I certainly have things I don't like about the bill that passed (I supposed I should call it a law now then), but the issue of whether or not insurance can cover viagra for sex offenders doesn't make the list of important ones for me.

And let's face it, not even Serbia would bother writing in a law (especially not a general health care law) which drugs are and are not available to sex offenders. At best it would say whose responsibility is to make such lists annually.


Bart:
Also, let me note again that some people (like the House majority leader) expressly said that they didn't bother reading it before voting on it, so I'm pretty much forced to support 1 -- they pushed it through far too fast.

There is an issue here which is rather important. For purposes of passing this law Obama administration has set a precedent that it takes only 51 votes in the Senate, not 60. However I would prefer this issue debated either on an own thread or under US Politics.


Tycho:
I guess I'm more interested in hearing what specifically you don't like about the bill, rather than what you don't like about democrats, or about the pace of government in the US.

I second this statement.
Tycho
GM, 2801 posts
Fri 9 Apr 2010
at 08:07
  • msg #596

Re: Doctor, it hurts when I do this:  Health care issues

Tzuppy:
And to the liberals, what are exact benefits of this reform, again now that public option was abandoned?

Main benefits is near universal health insurance coverage (ie, everyone is now more or less legally required to have insurance), subsidies for lower-income people to buy health insurance, getting rid of 'prior conditions' in insurance so that everyone will always have the option of buying insurance (previously if you get sick and need insurance, you're often kicked out and have no real way of getting it back), there's also a change in the age of children which can be included on their parents insurance (raised from 21 to 26 I believe) which isn't all that major perhaps but is fairly widely liked, markets will be set up to make it easier for an individual to shop around and find the best option for them (and get 'group rate' prices, in theory).

Tzuppy:
There is an issue here which is rather important. For purposes of passing this law Obama administration has set a precedent that it takes only 51 votes in the Senate, not 60. However I would prefer this issue debated either on an own thread or under US Politics.

Well, that precedent goes way, way back.  To a degree, that's what the system was set up to do.  The idea that every bill had to overcome filibuster is a relatively new one (last few decades), that's gotten more and more entrenched each time the party in power switched.  The senate was fully intended to be a simple majority rules body (that's why the VP gets to cast the tie-breaking vote), though the option of the filibuster was put in to give the minority party some power.

More importantly, though, the bill passed with a super majority of 60 votes.  Reconsillation wasn't used to pass health care, it was only used to amend it after it was passed.  To be honest, I was somewhat surprised the dems used it for that.  Would the Republicans really go on record as filibustering all the "cornhusker kickbacks" and such that they had spent so much time complaining about?  I guess they probably actually would have, but I think it would have been to the dems benefit to just let them kick and scream and oppose the amendments needed to fix the problems they claimed to have so much objection to.  Do a degree the senate dems had to do it this way to make good on a promise to the house dems, so it was probably the right way to do it, but it just seemed to me that the republicans couldn't really try to filibuster a bill to repeal the "backroom deals" after spending so long railing about them.
silveroak
player, 183 posts
Fri 9 Apr 2010
at 12:31
  • msg #597

Re: Doctor, it hurts when I do this:  Health care issues

One of the main things is te combination of not being able to reject on pre-existing conditions for group insurance combined with state assited group insurance purchasing. What that means is that if I have insurance that I thought was good and then my child is born or I get sick and teh insurance comapny decides to dump my insurance on some trumped up reason I can turn arround and buy health insurance somewhere else instead of being left without the ability to buy.
katisara
GM, 4347 posts
Conservative human
Antagonist
Fri 9 Apr 2010
at 12:58
  • msg #598

Re: Doctor, it hurts when I do this:  Health care issues

Tzuppy:
Precisely my point. So tell me, man, why did you feel compelled to call the health care bill a theft?


I don't have to be the specific victim for a theft to be a theft :)

Let me be more clear though on this particular case...

Health insurance is in fact an intrastate business. As such, the federal government has the power to REGULATE it. So things such as not permitting discrimination based on pre-existing conditions, raising the age of 'children' on the plan, etc., are legitimate changes. I'm all for those, and I'm glad they were made.

Changes such as paying out of the federal coffers to extend health insurance to those in need is *NOT* a valid move, however. If people want that, they should approach it at the state level, like they've done, quite successfully, in Massachusetts. Enacting it at the federal level is assuming what is good for California is also good for Wyoming (or, also likely, what is good for California is good for California, and Wyoming doesn't have enough voters so they can suck an egg). This is precisely why the laws were set up as they were.

Now as an interesting aside, had the law been "we are creating this program to shift funding between citizens in different states, and states may opt in or opt out, voluntarily", I would argue that that WAS legal - because the federal government is serving only as a facilitator to empower the states. But ultimately, the states had the power to enact the laws for their own states.

quote:
katisara:
...So the fact that you are a voter with little to donate in campaign money and, presumably, you're not especially well connected, means you do indeed have less say than me, as a person who donates every election cycle and contributes to lobbyist groups.
quote:
You say it like it's a good thing.
katisara:
No, I don't know that it's GOOD. It's its own discussion. I'm simply saying it's a fact. This is how the system works.

Are you saying that American people should not work to change this?


Like I said, it's its own discussion. It isn't relevant to the discussion at hand. All I'm saying is, that's how the mechanics work right now.

quote:
And that is exactly what I wanted to hear. What do Republicans think how to fix these legitimate grievances? Instead all I heard were death panels, tea parties which sound like KKK picnics and Sarah Palin shouting from top of her lungs that health care reform is immoral.


1) The Republican party doesn't represent a large proportion of conservatives any more.
2) I would do more research on the Tea Parties before I labelled them as 'KKK picnics', if I were you. I'm sure you'd appreciate the same if I were describing politics in your country.

Bart:
Also, let me note again that some people (like the House majority leader) expressly said that they didn't bother reading it before voting on it, so I'm pretty much forced to support 1 -- they pushed it through far too fast.


Reading this the second time, I'm going to also take issue with it.

The issue isn't that they pushed the bill through too fast. The issue is, our lawmakers are not doing their job.

It's like if you put your taxes in through H&R Block, and got a letter back from the IRS saying they're done wrong. You call your accountant and he said "oh, yeah, sorry about that. I was so busy running ads to get more customers, I didn't actually get around to reading your tax return."

Our lawmakers are there for a single reason - to pass sensible legislation. You cannot pass sensible legislation if you don't read it. They seem to have forgotten this and think their job there is to make sure they stay there longer.
silveroak
player, 186 posts
Fri 9 Apr 2010
at 13:19
  • msg #599

Re: Doctor, it hurts when I do this:  Health care issues

On the otehr hand if you call H&R block and they say 'okay sure, I need to get with my assistant in charge of processing that part of the application' that wouldn't be such a big issue. In Washington it is the staff which reads teh bills tehse days- you may ot believe that is how it should be done or believe that the bills need to be shrunk down to where the staff is not necessary, but the job is getting done at this point.
Tzuppy
player, 273 posts
Fear My Wrath!
Sun 11 Apr 2010
at 05:43
  • msg #600

Re: Doctor, it hurts when I do this:  Health care issues

Tzuppy:
And to the liberals, what are exact benefits of this reform, again now that public option was abandoned?
Tycho:
Main benefits is near universal health insurance coverage (...), getting rid of 'prior conditions', (...) a change in the age of children which can be included on their parents insurance (...from 21 to 26...)...

You currently have an evil middle man who is taking 45 cents of every dollar Americans spend on health care and is keeping 15% of Americans without coverage. Now do you think that this bill alone will cut him out? Can it be that simple? Don't you think they will stop dropping people off their coverage just because Obama said they could no longer? Or will they simply become less blatant?


Tzuppy:
There is an issue here which is rather important. For purposes of passing this law Obama administration has set a precedent that it takes only 51 votes in the Senate, not 60. However I would prefer this issue debated either on an own thread or under US Politics.
Tycho:
Well, that precedent goes way, way back.  To a degree, that's what the system was set up to do.  The idea that every bill had to overcome filibuster is a relatively new one (last few decades), that's gotten more and more entrenched each time the party in power switched.  The senate was fully intended to be a simple majority rules body (that's why the VP gets to cast the tie-breaking vote), though the option of the filibuster was put in to give the minority party some power.

More importantly, though, the bill passed with a super majority of 60 votes.  Reconsillation wasn't used to pass health care, it was only used to amend it after it was passed.  To be honest, I was somewhat surprised the dems used it for that.  Would the Republicans really go on record as filibustering all the "cornhusker kickbacks" and such that they had spent so much time complaining about?  I guess they probably actually would have, but I think it would have been to the dems benefit to just let them kick and scream and oppose the amendments needed to fix the problems they claimed to have so much objection to.  Do a degree the senate dems had to do it this way to make good on a promise to the house dems, so it was probably the right way to do it, but it just seemed to me that the republicans couldn't really try to filibuster a bill to repeal the "backroom deals" after spending so long railing about them.

I would love to continue this discussion, but on a different thread.

For this discussion is important only the following part.

Tycho:
Would the Republicans really go on record as filibustering all the "cornhusker kickbacks" and such that they had spent so much time complaining about?  I guess they probably actually would have, but I think it would have been to the dems benefit to just let them kick and scream and oppose the amendments needed to fix the problems they claimed to have so much objection to.

From a point of view of winning the next elections, maybe, but for how long would it delay the health care reform? My guess is that Democrats were scared they would lose not only supper majority (they lost it after they lost Ted Kennedy's seat in Massachusetts), but even more seats, so they could not pass any reconciliation at all.


Tzuppy:
Precisely my point. So tell me, man, why did you feel compelled to call the health care bill a theft?
katisara:
I don't have to be the specific victim for a theft to be a theft :)

That is not what I asked. You have already agreed with me that health care reform is theft as much as war in Afghanistan is. My question is why do you choose to call one theft and not the other?


katisara:
Health insurance is in fact an intrastate business. As such, the federal government has the power to REGULATE it. So things such as not permitting discrimination based on pre-existing conditions, raising the age of 'children' on the plan, etc., are legitimate changes. I'm all for those, and I'm glad they were made.

So you're going on the record to say that getting rid of pre-existing conditions (and raising limit for children to 26) is a good thing?

Then explain me one thing. During past 30 years (almost my entire lifetime, I don't know about yours) Republicans were in power twice as much as Democrats. During this time this cancer of pre-existing conditions has only grown and grown. In all that time I don't recall any serious effort by Republicans to cut it out and they have stopped one attempt already. How can you complain then when Democrats cut off more healthy tissue then they need to? Why couldn't Bush (George W.) pass No Patient would be Left Behind act?


katisara:
Changes such as paying out of the federal coffers to extend health insurance to those in need is *NOT* a valid move, however.

So, gas subsidies are OK, while health care subsidies are not?


katisara:
If people want that, they should approach it at the state level, like they've done, quite successfully, in Massachusetts.

Again you're saying that government spending (big government) is good on state level and bad on federal level. And again I don't understand it. It seems to me that you're trying to deny citizens of one state rights that citizens of another state are already enjoying.

If Massachusetts was successful why not extend it to entire US?


katisara:
Like I said, it's its own discussion. It isn't relevant to the discussion at hand.

Perhaps. But together with your position on some other issues (calling health care reform theft, inconsistency between government spending on state and federal level, similar inconsistency on human right issues and so on) such indifference becomes hard to explain by decent conservatism when you protest something as trivial as removal of Thomas Jefferson from history books. I can think of no reason that can explain all this other than old South advocacy and as you know it bothers me.


quote:
And that is exactly what I wanted to hear. What do Republicans think how to fix these legitimate grievances? Instead all I heard were death panels, tea parties which sound like KKK picnics and Sarah Palin shouting from top of her lungs that health care reform is immoral.
katisara:
1) The Republican party doesn't represent a large proportion of conservatives any more.

Really? Then who does represent them? And more importantly who do Republicans represent? How come that Republicans can both split and actually INCREASE the number of seats on next elections.


katisara:
2) I would do more research on the Tea Parties before I labelled them as 'KKK picnics', if I were you. I'm sure you'd appreciate the same if I were describing politics in your country.

I did not mean to offend your nation, but tell me am I under a wrong impression when I think that racist chanting and insults are present at a substantial portion of Tea Party rallies?
Tycho
GM, 2814 posts
Sun 11 Apr 2010
at 08:36
  • msg #601

Re: Doctor, it hurts when I do this:  Health care issues


Tzuppy:
And to the liberals, what are exact benefits of this reform, again now that public option was abandoned?
Tycho:
Main benefits is near universal health insurance coverage (...), getting rid of 'prior conditions', (...) a change in the age of children which can be included on their parents insurance (...from 21 to 26...)...

Tzuppy:
You currently have an evil middle man who is taking 45 cents of every dollar Americans spend on health care and is keeping 15% of Americans without coverage. Now do you think that this bill alone will cut him out?

Er...no.  If I had, I would have listed that as one of the things the bill does.  I freely admit the bill doesn't go as far as I would like.  But democracy doesn't tend to give the 'best' solution, but some compromise solution that the least people disagree with.  I'll take "better than what we had" even if its not "as good as we can come up with" when I can get it.  And, by the by, I'm not going to call insurance companies "an evil middle man."  There's plenty wrong with them, but that's a little overboard.

Tzuppy:
Can it be that simple? Don't you think they will stop dropping people off their coverage just because Obama said they could no longer? Or will they simply become less blatant?

Well, for starters, I'll take 'less blatant' when I can get it.  I'm sure there will be those who don't follow the new rules, but at least there will now be a stronger disincentive for doing so.  Also, even if they do start dropping people, those people will now be able to get into a new program easily (the no "prior conditions" thing).


Tzuppy:
I would love to continue this discussion, but on a different thread.

Feel free to dig one up (american politics?) if you like.

Tzuppy:
From a point of view of winning the next elections, maybe, but for how long would it delay the health care reform? My guess is that Democrats were scared they would lose not only supper majority (they lost it after they lost Ted Kennedy's seat in Massachusetts), but even more seats, so they could not pass any reconciliation at all.

Yeah, that was certainly part of it.
katisara
GM, 4362 posts
Conservative human
Antagonist
Sun 11 Apr 2010
at 16:51
  • msg #602

Re: Doctor, it hurts when I do this:  Health care issues

quote:
Tzuppy:
Precisely my point. So tell me, man, why did you feel compelled to call the health care bill a theft?
katisara:
I don't have to be the specific victim for a theft to be a theft :)

That is not what I asked. You have already agreed with me that health care reform is theft as much as war in Afghanistan is. My question is why do you choose to call one theft and not the other?


Imagine you get your phone bill. You get charged $20 for your month of making phone calls (and that's what you signed up for). That's fine. Now imagine you get your phone bill and, without your consent, the phone company has added DSL to your house and charged you for that as well. THAT is theft. What is the difference? The US is set up that the War in Afghanistan is legally available to the government to take. They may have broken some other rules to pay for it, but the war itself is legal. It's within the government's rights to spend my money on that.

It is NOT within the government's rights to spend my money on health care (outside of salaries for government employees). That's not part of the contract. The government is tacking things on to my bill in violation of my contract and without my consent. That makes it theft.

quote:
So you're going on the record to say that getting rid of pre-existing conditions (and raising limit for children to 26) is a good thing?


I'm not an expert in this sort of thing. I haven't really researched it. My initial inclination is to say yes, but that's an uneducated opinion. It IS however a legal thing. Even if I think it's a bad thing and raises my rates, it's not theft. (The exception being, if an insurance company in my state offers me insurance, then the law should not apply to them.)

quote:
During this time this cancer of pre-existing conditions has only grown and grown.


One can argue that, really, it's not the government's job. You know what else has gone up and up? The price of toilet paper. So what? Should we expect the government to address every issue we run into in our normal lives?


quote:
So, gas subsidies are OK, while health care subsidies are not?


No, gas subsidies are not okay. Where did you get that from?


quote:
Again you're saying that government spending (big government) is good on state level and bad on federal level.


No, I said it's LEGAL on the state level, and illegal on the federal level. I disagree with Massachusset's program, but it's their right.

quote:
If Massachusetts was successful why not extend it to entire US?


Because maybe the people in Vermont don't want that program. Oops! Sorry, you get no choice. You're paying for it whether you want it and need it or not.


quote:
Perhaps. But together with your position on some other issues (calling health care reform theft, inconsistency between government spending on state and federal level, similar inconsistency on human right issues and so on) such indifference becomes hard to explain by decent conservatism when you protest something as trivial as removal of Thomas Jefferson from history books. I can think of no reason that can explain all this other than old South advocacy and as you know it bothers me.


I would strongly recommend you take the time to read the US Bill of Rights. It's really very short. Each blurb is a small paragraph, and there are 10 of them. Most important to understand my position is #10. I know this isn't really relevant to where you live, but if you want to understand my political position, that sums it up pretty nicely.

quote:
Really? Then who does represent them? And more importantly who do Republicans represent? How come that Republicans can both split and actually INCREASE the number of seats on next elections.


The Constitution and Libertarian parties have both grown by leaps and bonds recently, and probably 90% of their numbers are ex-Republicans. The Democratic party has also been growing. Republicans get the seats that would otherwise go to the Constitution and Libertarian voters though, because in the US, the two-party system is so deeply entrenched. That's why Ron Paul ran as a Republican, even though he's really libertarian - he knows that his odds of winning with an R next to his name are ten times greater than winning with an L.


quote:
I did not mean to offend your nation, but tell me am I under a wrong impression when I think that racist chanting and insults are present at a substantial portion of Tea Party rallies?


I'm sure they are. However, when I ride the bus, which is generally all dark-skinned people, and I hear the one guy in the back almost every time with bottle in a paper bag, spewing out insults, that doesn't mean every person on the bus is a rancid drunk, muchless every black person.
Tzuppy
player, 274 posts
Fear My Wrath!
Mon 12 Apr 2010
at 04:44
  • msg #603

Re: Doctor, it hurts when I do this:  Health care issues

Tzuppy:
You currently have an evil middle man who is taking 45 cents of every dollar Americans spend on health care and is keeping 15% of Americans without coverage. Now do you think that this bill alone will cut him out?
Tycho:
Er...no.  If I had, I would have listed that as one of the things the bill does.  I freely admit the bill doesn't go as far as I would like.  But democracy doesn't tend to give the 'best' solution, but some compromise solution that the least people disagree with.  I'll take "better than what we had" even if its not "as good as we can come up with" when I can get it.  And, by the by, I'm not going to call insurance companies "an evil middle man."  There's plenty wrong with them, but that's a little overboard.

Is it? France spends 10% of its GDP on health care and has 100% coverage. Meanwhile US is spending 16% of its GDP and has only 85% coverage. Mind you I do feel morally justified to call that evil.

But more importantly where do you thing these figures will go in next couple of years?


Tzuppy:
Can it be that simple? Don't you think they will stop dropping people off their coverage just because Obama said they could no longer? Or will they simply become less blatant?
Tycho:
Well, for starters, I'll take 'less blatant' when I can get it.  I'm sure there will be those who don't follow the new rules, but at least there will now be a stronger disincentive for doing so.  Also, even if they do start dropping people, those people will now be able to get into a new program easily (the no "prior conditions" thing).

How come? Now these pre-existing conditions would become existing conditions and no insurance company would consider these patients profitable.


Tzuppy:
I would love to continue this discussion, but on a different thread.
Tycho:
Feel free to dig one up (american politics?) if you like.

Yea. I was only hoping you'd do that for me as you are a mod here. ;)


Tzuppy:
Precisely my point. So tell me, man, why did you feel compelled to call the health care bill a theft?
katisara:
I don't have to be the specific victim for a theft to be a theft :)
quote:
That is not what I asked. You have already agreed with me that health care reform is theft as much as war in Afghanistan is. My question is why do you choose to call one theft and not the other?
katisara:
Imagine you get your phone bill. You get charged $20 for your month of making phone calls (and that's what you signed up for). That's fine. Now imagine you get your phone bill and, without your consent, the phone company has added DSL to your house and charged you for that as well. THAT is theft.

Now imagine this. The government says that every citizen has the right to water. Now the government wants all its citizens to have water, but it wants to discourage wastefulness, so it charges its citizens a token sum for every glass they drink. It's nowhere close the sum needed to supply water to every citizen, it gets that from taxes, but it's still an incentive for people to spend only as much water as they need. Same is the case with electricity except that this token sum is much larger, lets say 60% of production cost. Now I can call it a token to discourage wasting of electricity, while you can call a power subsidy. Same was true historically for telephone, but over time it became so cheap that the token become actually higher than the production cost. But by now people are so used to paying the telephone token that the government said "so what, we need money from somewhere to fund providing water and electricity to our citizens". So now it can be a price of the telephone or a tax on a telephone.

Same is the case with plenty other things including security. Certainly a person can buy a private security, but done on an industrial scale it is much cheaper and it covers more people. And that's how we got an army. Now suppose a president decides to invade a foreign country. Now as long as the army is stationed on the home soil it is much cheaper to maintain than the one that goes invading. And it makes little difference whether the invaded country is across a river or on the opposite side of the globe as long as the country has enough reserves. If it does not the president can do one of the two things. He can increase taxes or he can borrow from Chinese, who have enough reserves. Knowing that his voters don't like taxes he decides to borrow from the Chinese knowing that by the time the country needs to pay it back he will no longer be in power. And indeed when the next president is elected he scratches his hear and says: "why don't we provide health care for our people at home, we sure have more need for it than for nation-building in that country we just conquered".

Got the picture?


katisara:
What is the difference? The US is set up that the War in Afghanistan is legally available to the government to take.

Care to tell me where in the constitution it is spelled?


katisara:
They may have broken some other rules to pay for it...

You mean they broke some laws in order to acquire wealth? Isn't that the very definition of theft?


katisara:
...but the war itself is legal. It's within the government's rights to spend my money on that.

So they resorted to theft because they couldn't afford the war? And that makes it better?


katisara:
It is NOT within the government's rights to spend my money on health care (outside of salaries for government employees). That's not part of the contract.

But you are mistaken. It is a part of contract signed on 4th of July 1776. That contract is still binding, isn't it?


katisara:
The government is tacking things on to my bill in violation of my contract and without my consent.

You mean it taxes it?


katisara:
That makes it theft.

When is the last time you consented to a tax?


quote:
During this time this cancer of pre-existing conditions has only grown and grown.
katisara:
One can argue that, really, it's not the government's job.

I have just demonstrated that it is.


katisara:
You know what else has gone up and up? The price of toilet paper. So what? Should we expect the government to address every issue we run into in our normal lives?

Yes. Once there are no more pressing matters.


quote:
So, gas subsidies are OK, while health care subsidies are not?
katisara:
No, gas subsidies are not okay. Where did you get that from?

Republican stereotype I guess.


quote:
Again you're saying that government spending (big government) is good on state level and bad on federal level.
katisara:
No, I said it's LEGAL on the state level, and illegal on the federal level. I disagree with Massachusset's program, but it's their right.

You are flip-flopping more often than Obama. Just a message ago you wrote:
katisara:
If people want that, they should approach it at the state level, like they've done, quite successfully, in Massachusetts.



quote:
If Massachusetts was successful why not extend it to entire US?
katisara:
Because maybe the people in Vermont don't want that program. Oops! Sorry, you get no choice. You're paying for it whether you want it and need it or not.

Since when do life, liberty and pursuit of happiness function differently in Vermont?

And if Vermont decides it doesn't want to go to war to Afghanistan? Or that it wants to opt out of this program called US Army?


quote:
Perhaps. But together with your position on some other issues (calling health care reform theft, inconsistency between government spending on state and federal level, similar inconsistency on human right issues and so on) such indifference becomes hard to explain by decent conservatism when you protest something as trivial as removal of Thomas Jefferson from history books. I can think of no reason that can explain all this other than old South advocacy and as you know it bothers me.
katisara:
I would strongly recommend you take the time to read the US Bill of Rights. It's really very short. Each blurb is a small paragraph, and there are 10 of them. Most important to understand my position is #10. I know this isn't really relevant to where you live, but if you want to understand my political position, that sums it up pretty nicely.

I had read it and I've read it again today. And I have to tell you two things.

1) My political position is summed up by the following line: "We hold these truths to be self-evident, that all people are created equal, that they are endowed by their Creator with certain unalienable Rights, that among these are Life, Liberty and the pursuit of Happiness. That to secure these rights, Governments are instituted among People." I find it curious that it is I who defend these ideals from you.

2) Both of us know that the only time tenth amendment of US constitution was actually enforced was briefly during the slavers' rebellion and even they discovered that in practice it was virtually impossible to implement.

Which again brings me to my original point.


katisara:
The Constitution and Libertarian parties have both grown by leaps and bonds recently, and probably 90% of their numbers are ex-Republicans. The Democratic party has also been growing. Republicans get the seats that would otherwise go to the Constitution and Libertarian voters though, because in the US, the two-party system is so deeply entrenched.

I was talking about senate and congress seats. In senate for instance, currently there are no third party seats, so Republicans cannot take seats from independents.


quote:
I did not mean to offend your nation, but tell me am I under a wrong impression when I think that racist chanting and insults are present at a substantial portion of Tea Party rallies?
katisara:
I'm sure they are. However, when I ride the bus, which is generally all dark-skinned people, and I hear the one guy in the back almost every time with bottle in a paper bag, spewing out insults, that doesn't mean every person on the bus is a rancid drunk, muchless every black person.

Of course, but if that happened during a political rally the organizer and politicians who speak on such rally would certainly lose credibility. Remember reverend Jeremiah Wright? It seems that Republicans cannot win unless they persuade all racists to vote for them and that frankly makes me sick.
Tycho
GM, 2819 posts
Mon 12 Apr 2010
at 07:42
  • msg #604

Re: Doctor, it hurts when I do this:  Health care issues

Tycho:
Er...no.  If I had, I would have listed that as one of the things the bill does.  I freely admit the bill doesn't go as far as I would like.  But democracy doesn't tend to give the 'best' solution, but some compromise solution that the least people disagree with.  I'll take "better than what we had" even if its not "as good as we can come up with" when I can get it.  And, by the by, I'm not going to call insurance companies "an evil middle man."  There's plenty wrong with them, but that's a little overboard.

Tzuppy:
Is it? France spends 10% of its GDP on health care and has 100% coverage. Meanwhile US is spending 16% of its GDP and has only 85% coverage. Mind you I do feel morally justified to call that evil.

I guess "evil" isn't as strong a term for you as it is for me then.  I agree its inefficient.  The price of gas here in the UK is probably about 3x what it costs in the states.  I don't consider that evil (or even a bad thing, actually).  The rent on a flat in the city can be double or triple the price of an equal flat out in the country, and I don't consider that evil.  I'm not saying I'm a huge fan of insurance companies.  I have plenty of complaints about them.  I just think that if we use "evil" to describe people who charge too much money for something, then when we use it to describe people who do actually evil stuff the term doesn't mean so much.  The Nazi concentration camps were evil.  US health insurance companies are not even in the same ballpark (despite what tea-party signs might try to imply).

Tzuppy:
But more importantly where do you thing these figures will go in next couple of years?

Which figures?  Comparing the cost in the US to France?  I'm not totally sure.  France will still be well ahead in cost per person, I assume, and will have actual universal coverage, while we'll still have a few people who don't.  Costs will probably grow in each place, perhaps more so in the states, I don't know.  However, we really didn't have a choice of implementing France's system in the US.  For better or worse, the US is a democracy, and not enough people would have supported that.  I wish we could implement one-payer system, but not enough other US voters do, so it wasn't on the table.

Tzuppy:
How come? Now these pre-existing conditions would become existing conditions and no insurance company would consider these patients profitable.

True, but the law has changed (well, the law has passed, the various components come on line at different times, so this isn't in effect yet, I don't think) so that companies are not legally allowed to reject customers for having existing conditions.  Will they try to wiggle out of that and look for loop holes?  Probably some will, but it will be much more difficult for them to do so than before.

Tycho:
Feel free to dig one up (american politics?) if you like.

Tzuppy:
Yea. I was only hoping you'd do that for me as you are a mod here. ;)

I'll right, I'll go bump it for you.
katisara
GM, 4363 posts
Conservative human
Antagonist
Mon 12 Apr 2010
at 13:59
  • msg #605

Re: Doctor, it hurts when I do this:  Health care issues

Tzuppy:
Now imagine this. The government says that every citizen has the right to water.
...
"why don't we provide health care for our people at home, we sure have more need for it than for nation-building in that country we just conquered".


1) While the government affirms my right to clean water, that does not mean the government is in anyway required to provide this right to me. I have the right to free speech, but that doesn't mean the government should buy me a printing press. It means solely that the government may not interfere with my exercising that right.

2) The federal government does not provide water, electricity or telephone service to me. My municipality does. The federal government should not provide water, electricity, or telephone service to me. That is not its job.

3) You know what else everyone needs? A kitten. If everyone had a kitten, they'd all be happy. However, that does not mean the government should go around providing it - even if it is a good thing. Debatably, if Obama had a well of free medical care, and could provide medical care for free to every citizen of the US, as the President of the United States, he still should not provide it. I do not know if you are fully appreciating this. It's like if the garbageman knocked on your door and asked to check through your clothes for any inappropriate textiles. Even if he's doing a good thing, it's none of his business!

I think the core of your misunderstanding is you are living in an environment of strong government - whatever you need, the government should provide. Debatably, it is morally obligated to provide. That is not the case in the U.S. The U.S. was conceived on the concept of weak government - that a strong government forgets its place as slave to the people. Government should always be kept on a tight leash, given only the space necessary to serve critical functions. Imagine it as a vicious, untrained guard dog you keep in your front yard. You need it there, to keep bad guys away, and you need to give it just enough space to defend you. But if you give it too much freedom, one day, it's going to jump the fence and mangle a toddler.

quote:
katisara:
What is the difference? The US is set up that the War in Afghanistan is legally available to the government to take.

Care to tell me where in the constitution it is spelled?


Sure. Article II, Section 2 specifies:

"The President shall be Commander in Chief of the Army and Navy of the United States, and of the Militia of the several States, when called into the actual Service of the United States;

Article I, Section 8 specifies:

"The Congress shall have Power To ...
To declare War, grant Letters of Marque and Reprisal, and make Rules concerning Captures on Land and Water;

To raise and support Armies, but no Appropriation of Money to that Use shall be for a longer Term than two Years;

To provide and maintain a Navy;

To make Rules for the Government and Regulation of the land and naval Forces;"



quote:
You mean they broke some laws in order to acquire wealth? Isn't that the very definition of theft?


Yes. However, you were asking if the war was a theft - not if how they raised funds for it was. If I steal thirty thousand dollars from you, that's theft. If I use it to legally buy a corvette, that is not.

quote:
So they resorted to theft because they couldn't afford the war? And that makes it better?


You're asking an ethical question, not a legal one. Theft is a legal question.

quote:
But you are mistaken. It is a part of contract signed on 4th of July 1776. That contract is still binding, isn't it?


Funny enough, no. The declaration of Independence is not considered legally binding (because it was a declaration of war, the war having already been concluded). However, let us assume it is, and you are referring to the natural right of people to health.

The government is required to respect and not impede on our rights. This is NOT the same as the government being required to actively support them. It is OUR duty to actively support our own rights, the government's to respect them. Therefore, the natural right of man to health implies a government requiring universal health care the same way that the natural right of man to happiness requires the government find for all men wives. The argument is ludicrous, and contrary to the philosophy that birthed the Declaration.

quote:
katisara:
The government is tacking things on to my bill in violation of my contract and without my consent.

You mean it taxes it?


Illegitimate taxes are one of the more minor (if pervasive) items. While itself relatively minor, what it creates space for (such as unethical wars) is more significant.

quote:
katisara:
That makes it theft.

When is the last time you consented to a tax?


When I purchased groceries last night. I consented to a state sale's tax.

quote:
katisara:
You know what else has gone up and up? The price of toilet paper. So what? Should we expect the government to address every issue we run into in our normal lives?

Yes. Once there are no more pressing matters.


Hahaha, so we're understood!

No wait... you're serious, aren't you? You want the government to regulate the rising costs of toilet paper?!? REALLY?!?

quote:
quote:
Again you're saying that government spending (big government) is good on state level and bad on federal level.
katisara:
No, I said it's LEGAL on the state level, and illegal on the federal level. I disagree with Massachusset's program, but it's their right.

You are flip-flopping more often than Obama. Just a message ago you wrote:
katisara:
If people want that, they should approach it at the state level, like they've done, quite successfully, in Massachusetts.


I am not flip-flopping. I am saying how it should be done, within the law. Not that it is a good thing to do. You are confusing moral and legal answers as being the same, and they are not.

quote:
quote:
If Massachusetts was successful why not extend it to entire US?
katisara:
Because maybe the people in Vermont don't want that program. Oops! Sorry, you get no choice. You're paying for it whether you want it and need it or not.

Since when do life, liberty and pursuit of happiness function differently in Vermont?


Yes, when DID "LIBERTY" function differently in Vermont?

(To answer your question more directly, maybe Vermont pays enough in welfare that the poor can easily afford health insurance as it currently stands.)

quote:
And if Vermont decides it doesn't want to go to war to Afghanistan? Or that it wants to opt out of this program called US Army?


Frankly, the relevant clauses in the Constitution regarding to the army have been stretched to breaking point. This is a relatively new thing. Unfortunately, the laws are written as they are written, and we would do best to obey them. That means Vermont either needs to get lawmakers to voluntarily follow the spirit of the law, or pass a law or amendment to require it. The standing army issue is a whole can of worms with a long history, and I think you'd probably rather not get me started yammering on about it :)


quote:
1) My political position is summed up by the following line: "We hold these truths to be self-evident, that all people are created equal, that they are endowed by their Creator with certain unalienable Rights, that among these are Life, Liberty and the pursuit of Happiness. That to secure these rights, Governments are instituted among People." I find it curious that it is I who defend these ideals from you.


Where we disagree is that I don't believe it is the government's job to go out, find those wrongs and correct them. It is necessary that man depends on himself to defend his rights, because government is it's own creature and depending on it for everything makes men weak. Down that road lies totalitarianism.

quote:
2) Both of us know that the only time tenth amendment of US constitution was actually enforced was briefly during the slavers' rebellion and even they discovered that in practice it was virtually impossible to implement.


I guess I'm just an idealist :)

quote:
I was talking about senate and congress seats. In senate for instance, currently there are no third party seats, so Republicans cannot take seats from independents.


That is true. The country fell into a two-party system and, as was predicted, that may just destroy it in the end.

quote:
Of course, but if that happened during a political rally the organizer and politicians who speak on such rally would certainly lose credibility. Remember reverend Jeremiah Wright? It seems that Republicans cannot win unless they persuade all racists to vote for them and that frankly makes me sick.


I actually don't remember Jeremiah Wright. As for losing credibility... I guess Americans are funny things. They might be losing credibility with the left, but really, they didn't have any with them anyway, so no loss. I don't know that it's seriously hurt people more on the right because racists have been attached to the Republican party for at least fifty years.

(As a note, the Democratic party certainly has racists as well, and I've met quite a few. The difference is, they're more likely to be black racists, so in US media, they get a pass.)
Tzuppy
player, 277 posts
Fear My Wrath!
Mon 19 Apr 2010
at 10:14
  • msg #606

Re: Doctor, it hurts when I do this:  Health care issues

Tycho:
I guess "evil" isn't as strong a term for you as it is for me then.

Is it? Mind you to deny medical assistance to even one child is evil.

Seems to me you are following that Stalin's saying "Kill one person and it's a crime, kill million and it's a social phenomenon".


Tzuppy:
But more importantly where do you thing these figures will go in next couple of years?
Tycho:
Which figures?  Comparing the cost in the US to France?  I'm not totally sure.  France will still be well ahead in cost per person, I assume, and will have actual universal coverage, while we'll still have a few people who don't.  Costs will probably grow in each place, perhaps more so in the states, I don't know.

I'm asking this because Obama has a chance of becoming next Bill Clinton. No matter how many of his policies not only fail miserably but also produce opposite results people may keep loving him repeating the "if only he..." line.


Tycho:
However, we really didn't have a choice of implementing France's system in the US.  For better or worse, the US is a democracy, and not enough people would have supported that.

Or Obama simply didn't have a backbone.


Tzuppy:
How come? Now these pre-existing conditions would become existing conditions and no insurance company would consider these patients profitable.
Tycho:
True, but the law has changed (well, the law has passed, the various components come on line at different times, so this isn't in effect yet, I don't think) so that companies are not legally allowed to reject customers for having existing conditions.  Will they try to wiggle out of that and look for loop holes?  Probably some will, but it will be much more difficult for them to do so than before.

I have trouble believing that no matter how much I wish for universal health-care.


Tycho:
Feel free to dig one up (american politics?) if you like.
Tzuppy:
Yea. I was only hoping you'd do that for me as you are a mod here. ;)
Tycho:
I'll right, I'll go bump it for you.

Thanks, although this was only to satisfy my curiosity about how far you'd go in tolerating my laziness. ;)


Oh, and could you open a thread called "How Low will Labour Go?", please?


Tzuppy:
Now imagine this. The government says that every citizen has the right to water.
...
"why don't we provide health care for our people at home, we sure have more need for it than for nation-building in that country we just conquered".
katisara:
1) While the government affirms my right to clean water, that does not mean the government is in anyway required to provide this right to me. I have the right to free speech, but that doesn't mean the government should buy me a printing press.

But that is only because it cannot buy you one. But the government can provide you with Internet access and it should.


katisara:
It means solely that the government may not interfere with my exercising that right.

But isn't it just the same? When does "not providing" becomes "interfering"?


katisara:
2) The federal government does not provide water, electricity or telephone service to me. My municipality does. The federal government should not provide water, electricity, or telephone service to me. That is not its job.

Again I disagree. It is explicitly said in the declaration of independence.


katisara:
Debatably, if Obama had a well of free medical care, and could provide medical care for free to every citizen of the US, as the President of the United States, he still should not provide it. I do not know if you are fully appreciating this. It's like if the garbageman knocked on your door and asked to check through your clothes for any inappropriate textiles. Even if he's doing a good thing, it's none of his business!

But that's only because he's interfering with privacy and eating your time. But if the government could find enough competent volunteering reporters, a donated printing press and kids to throw newspapers to your lawn, wouldn't that be a good thing?


katisara:
I think the core of your misunderstanding is you are living in an environment of strong government - whatever you need, the government should provide.

If it can and I cannot provide it myself, yes.


katisara:
Debatably, it is morally obligated to provide.

Shouldn't government in a democracy reflect morality of its people?

You know what's scary? That American government does!


katisara:
That is not the case in the U.S. The U.S. was conceived on the concept of weak government - that a strong government forgets its place as slave to the people.

Frankly I don't see US government as anyone's but gun lobby's and health-care insurance companies' slave. Certainly not a slave of its people. It sure looks more like a cattle rancher.


katisara:
Imagine it (government) as a vicious, untrained guard dog you keep in your front yard. You need it there, to keep bad guys away, and you need to give it just enough space to defend you. But if you give it too much freedom, one day, it's going to jump the fence and mangle a toddler.

I must say I cannot. I have no need for either wild dogs or even guns to defend my home.


katisara:
What is the difference? The US is set up that the War in Afghanistan is legally available to the government to take.
quote:
Care to tell me where in the constitution it is spelled?
katisara:
Sure. Article II, Section 2 specifies...

So US reserves right for it to conquer. I didn't think it did.


quote:
But you are mistaken. It is a part of contract signed on 4th of July 1776. That contract is still binding, isn't it?
katisara:
Funny enough, no.

Actually I knew that, but I wanted to know if you do too.


katisara:
The declaration of Independence is not considered legally binding (because it was a declaration of war, the war having already been concluded). However, let us assume it is, and you are referring to the natural right of people to health.

And frankly I'm curious to see how long it will take you to feed it to a bonfire of political argument (so to speak) like the confederacy did.


katisara:
The government is required to respect and not impede on our rights. This is NOT the same as the government being required to actively support them.

Can you find that in the constitution?


katisara:
It is OUR duty to actively support our own rights, the government's to respect them.

It is our duty only to defend our rights and liberties should they (GOD-FORBID) be endangered. The rest of the time we should TRUST our government to protect and promote our rights.

It is a sad consequence of American historical low population density and frontier mentality that they cannot trust their own government.


katisara:
Therefore, the natural right of man to health implies a government requiring universal health care the same way that the natural right of man to happiness requires the government find for all men wives.

It is only PURSUIT of happiness (and therefore courting) that is guaranteed. You know that.


katisara:
The argument is ludicrous, and contrary to the philosophy that birthed the Declaration.

Care to elaborate on that?


quote:
When is the last time you consented to a tax?
katisara:
When I purchased groceries last night. I consented to a state sale's tax.

Did you? Or weren't you simply compelled by the fear of IRS?


katisara:
You know what else has gone up and up? The price of toilet paper. So what? Should we expect the government to address every issue we run into in our normal lives?
quote:
Yes. Once there are no more pressing matters.
katisara:
Hahaha, so we're understood!

No wait... you're serious, aren't you? You want the government to regulate the rising costs of toilet paper?!? REALLY?!?

I'm caricaturing things as much as you are.


quote:
Again you're saying that government spending (big government) is good on state level and bad on federal level.
katisara:
No, I said it's LEGAL on the state level, and illegal on the federal level.

I know it's a comment from past message, but I have to say this.

Aren't all Americans entitled to equal protection under the law?


quote:
Since when do life, liberty and pursuit of happiness function differently in Vermont?
katisara:
Yes, when DID "LIBERTY" function differently in Vermont?

(To answer your question more directly, maybe Vermont pays enough in welfare that the poor can easily afford health insurance as it currently stands.)

Again aren't all the people entitled to same rights?


quote:
And if Vermont decides it doesn't want to go to war to Afghanistan? Or that it wants to opt out of this program called US Army?
katisara:
Frankly, the relevant clauses in the Constitution regarding to the army have been stretched to breaking point.

I know and therefore I don't see what's the problem with doing the same with health-car.


katisara:
The standing army issue is a whole can of worms with a long history, and I think you'd probably rather not get me started yammering on about it :)

Actually I'd love to discuss that. I can't wait to see YOU taking the side with Berkley liberals.


quote:
1) My political position is summed up by the following line: "We hold these truths to be self-evident, that all people are created equal, that they are endowed by their Creator with certain unalienable Rights, that among these are Life, Liberty and the pursuit of Happiness. That to secure these rights, Governments are instituted among People." I find it curious that it is I who defend these ideals from you.
katisara:
Where we disagree is that I don't believe it is the government's job to go out, find those wrongs and correct them.

Tell me what government did the declaration speak then?


katisara:
It is necessary that man depends on himself to defend his rights, because government is it's own creature and depending on it for everything makes men weak. Down that road lies totalitarianism.

But mistrust of other people leads to savagery. It is because we cannot be defending our rights all the time that we invest our trust into governments.


katisara:
I guess I'm just an idealist :)

Don't you think that idealism that created the confederacy is dangerous one. I certainly know that it is the case with idealism that spawned Soviet Union.


katisara:
That is true. The country fell into a two-party system and, as was predicted, that may just destroy it in the end.

This statement is intriguing. Care to elaborate?


quote:
Of course, but if that happened during a political rally the organizer and politicians who speak on such rally would certainly lose credibility. Remember reverend Jeremiah Wright? It seems that Republicans cannot win unless they persuade all racists to vote for them and that frankly makes me sick.
katisara:
I actually don't remember Jeremiah Wright.

http://www.youtube.com/watch?v=hwQWuQVE6sw
http://www.youtube.com/watch?v=bEd0Wg_QMrg
http://www.youtube.com/watch?v=MIW5C5NHBoE

Even for Obama's standards of flip-flopping this one was quick.


katisara:
(As a note, the Democratic party certainly has racists as well, and I've met quite a few. The difference is, they're more likely to be black racists, so in US media, they get a pass.)

I know. And while I do think that with liberals that they are somewhat less dangerous than white racists (only because of numbers), but I think that they are far from harmless. If nothing else they give an excuse to white racism which in itself is enough to make them too dangerous to tolerate.
Tycho
GM, 2851 posts
Mon 19 Apr 2010
at 10:43
  • msg #607

Re: Doctor, it hurts when I do this:  Health care issues

Tycho:
I guess "evil" isn't as strong a term for you as it is for me then.

Tzuppy:
Is it? Mind you to deny medical assistance to even one child is evil.

Seems to me you are following that Stalin's saying "Kill one person and it's a crime, kill million and it's a social phenomenon".

No, it's not an issue of numbers, its an issue of intent.  The goal or purpose of the current system isn't to kill anyone, that's an unintended by product.  Which is certainly bad, undersirable, something we should fix, etc., but it's not an active movement trying to kill people.  We all 'kill people' all the time in the same way.  Every time I buy lunch instead of sending my money to africa to buy someone a misquito net I 'kill people.'  Every time I pass a homeless person on the street and don't go into the next store I see to buy them some food, I could be 'killing someone.'  I'd be a much better person if I gave far more money to charity, aided people more often, volunteered more of my time to helping others, tracked down someone in need of a kidney that matched mine so I could give them one, etc.  But I don't think I'm "evil" for not doing them.  Lazy, not as caring as I should be, apathetic, jaded?  Sure, I'm probably all of those things and more at many points of the day, every day.  But "evil" is a word I reserve for something a bit bigger than that kind of thing.  Likewise for health care.  It's got a lot of problems.  The current system is a mess, and the new, 'fixed' system is only incrementally better.  There's still many things that can and should be improved.  It doesn't give everyone the healthcare they could have (though, providing everyone in the US the healtcare they could have would be killing people in the same way--if our only goal is saving lives, the money is much better spent in the 3rd world, rather than on health care in the US), but to me that's not the same as being "evil."  Like I said, the word may mean something smaller, more common to you than it does to me, but I don't throw the word around as casually as you seem to do.

Tzuppy:
I'm asking this because Obama has a chance of becoming next Bill Clinton. No matter how many of his policies not only fail miserably but also produce opposite results people may keep loving him repeating the "if only he..." line.

Seems like vague speculation without any real substance, then.

Tycho:
However, we really didn't have a choice of implementing France's system in the US.  For better or worse, the US is a democracy, and not enough people would have supported that.

Tzuppy:
Or Obama simply didn't have a backbone.

An interesting position, that Obama caved to the conservatives?  If you can find any conservatives in the US who will agree with that, I'll be somewhat surprised.  Perhaps you weren't paying attention to the US news over the last year or so, but it was damned hard to get even this bill passed, and it very nearly didn't happen.  If you honestly believe a single-payer system could have passed the senate, if only Obama had more backbone, I think you don't understand the american system very well.  The senate couldn't pass single payer even before Brown got elected.  I wish it was possible to get single payer in the US, but the US is a republic, and the votes simply weren't there.

Tzuppy:
How come? Now these pre-existing conditions would become existing conditions and no insurance company would consider these patients profitable.
Tycho:
True, but the law has changed (well, the law has passed, the various components come on line at different times, so this isn't in effect yet, I don't think) so that companies are not legally allowed to reject customers for having existing conditions.  Will they try to wiggle out of that and look for loop holes?  Probably some will, but it will be much more difficult for them to do so than before.

Tzuppy:
I have trouble believing that no matter how much I wish for universal health-care.

<shrug> I guess it's pointless to even try to change health care then, right?  It's all doomed from the start, and the evil-profit mongers will break it no matter what we do.  If you're so jaded, why all the fuss in the first place?

Tzuppy:
Oh, and could you open a thread called "How Low will Labour Go?", please?

Will do.  But if you don't post in this one, you're on your own from here out. ;)
katisara
GM, 4397 posts
Conservative human
Antagonist
Mon 19 Apr 2010
at 14:28
  • msg #608

Re: Doctor, it hurts when I do this:  Health care issues

quote:
Tzuppy:
Now imagine this. The government says that every citizen has the right to water.
...
"why don't we provide health care for our people at home, we sure have more need for it than for nation-building in that country we just conquered".
katisara:
1) While the government affirms my right to clean water, that does not mean the government is in anyway required to provide this right to me. I have the right to free speech, but that doesn't mean the government should buy me a printing press.

But that is only because it cannot buy you one. But the government can provide you with Internet access and it should.


It isn't a question of price. While the government could provide me with free paper and pens, the point is, that would be a threat to my own holding that right.

quote:
katisara:
It means solely that the government may not interfere with my exercising that right.

But isn't it just the same? When does "not providing" becomes "interfering"?


It's action vs. inaction. In a nutshell, it's saying "hey, I am permitted to live as I please. While you (the government) will interfere in some areas, and we can negotiate this, you absolutely may not interfere in these areas..."

So for instance, regarding free speech - the government does not have to support internet, buy me a computer, teach people braille, pay for expensive surgery, etc. to enable me to use my right (active). However, should I stand on the corner with a bullhorn, write to the newspaper, run my own newspaper, talk to my friends, etc., they (the government still) may not interfere with me when I do that.

(The limits of these rights come up only when it influences someone else's rights. So if I'm shouting in a bullhorn and causing harm to other people, the government MAY assist those people in defending their rights against me. And it's important to separate between my right to communicate and the "right" to communicate in whichever way I please. Spraypainting my name on government buildings isn't okay not because the message is bad, but because that particular method isn't permitted. I am certainly permitted to broadcast my name.)


quote:
katisara:
2) The federal government does not provide water, electricity or telephone service to me. My municipality does. The federal government should not provide water, electricity, or telephone service to me. That is not its job.

Again I disagree. It is explicitly said in the declaration of independence.


1) No, it isn't explicitly stated. You may mean it is IMPLIED, i.e. implicitly stated.
2) The Declaration of Independence isn't a legal document.
3) No, it really doesn't say that. It says people have a right to... You seem to have a strange sense that my rights only exist when the government is actively serving them to me. Why is this? Am I not exercising my right at this moment, in writing to you, even though it's on my computer I paid for, on my internet connection, I paid for? Is it only exercising my right if the government interferes somewhere and says "oh, yes, this is okay"?

quote:
But that's only because he's interfering with privacy and eating your time. But if the government could find enough competent volunteering reporters, a donated printing press and kids to throw newspapers to your lawn, wouldn't that be a good thing?


No! It would not be a good thing. It would, arguably, not be a bad thing, because of the circumstances, but it is not good (or better stated, the potential evil far outweighs the current good).

Why? Because it creates a sense of necessary dependence, and because it drives out healthy competition. Imagine we have a newspaper, the RPoL times. It provides perhaps unbalanced reporting, lots of ads, doesn't always deliver on time, whatever.

Tzuppy is elected president and starts his paper, World Times, which is always on time, always unbiased, and actually, factually free (because it's all government volunteers).

People become dependent on the World Times, because of that. RPoL times struggles to keep up its subscription, and shrinks.

Tzuppy gets suddenly embroiled in political scandal. Of course, since he runs the paper, he has the World Times avoid reporting on it at all.

Now, most of the people are depending on the government for their news. Did Tzuppy do things well or poorly this year? The election is coming up. Should we vote for him or the new guy? Well, because the World Times, which everyone reads, doesn't report the political scandal, the voters never know about it. RPoL times reported about it, but who reads that rag? It costs money! And the World Times have a comics page.


You see where this is going?

Government, by its nature, attracts those who want to hold power over other people. Now, if we have an organization run by people who enjoy nothing more than having power over other people, is it a good idea to give those people MORE power or less?




quote:
katisara:
Debatably, it is morally obligated to provide.

Shouldn't government in a democracy reflect morality of its people?

You know what's scary? That American government does!


Reflecting the morality of its people is a different question. And there's no reason the government should do a charity drive when there are already institutions to provide that service.


quote:
Frankly I don't see US government as anyone's but gun lobby's and health-care insurance companies' slave. Certainly not a slave of its people. It sure looks more like a cattle rancher.


YES. Very true. And that is a problem. So the question is, when our slave becomes unruly, do we give him more power? Do we entrust our health to him?



quote:
So US reserves right for it to conquer. I didn't think it did.


Politics. A weak answer, I know. If you read the federalist papers, the intention was to create a balance of power such that the US could not conquer. That didn't exactly work as intended... almost immediately. But at least it kept the US confined to the local area. WWII changed that. Eisenhower went on and opened a hole wide enough to drive an aircraft carrier through, then signed off saying "beware the military industrial complex". Thanks, dummy. There was no "military industrial complex" until you set it up.


quote:
katisara:
The government is required to respect and not impede on our rights. This is NOT the same as the government being required to actively support them.

Can you find that in the constitution?


What exactly are you looking for? The difference between not infringing and actively supporting? Of course that's not defined in the Bill of Rights - it was such a simple concept, especially back then, that it required no further explanation (sort of like "shall not be infringed", which now apparently means something else). However, it is very clearly expounded upon in the Federalist. If you want to go into the details of at least a few of the founders (and, funny enough, the founders most in favor of big government, discounting Hamilton), that's the place to start. If you're interested in political theory, I think you could really enjoy it. Seeing the reasons for X Y or Z explained there is, really, hugely illuminating and, even if you disagree with it, pretty cool.


quote:
It is our duty only to defend our rights and liberties should they (GOD-FORBID) be endangered. The rest of the time we should TRUST our government to protect and promote our rights.


I agree with the first (well, not 'only'), but I'd appreciate a source on the second, even if it's just 'read this book'.


quote:
It is a sad consequence of American historical low population density and frontier mentality that they cannot trust their own government.


I can think of quite a few people who trusted their own government only to regret it. And I think we all know the fact that more people have been killed by governments, usually (by the numbers) their OWN government, than by any other source of violence.

And the fact that, right now, my own government, which you'd like me to trust, is engaged in at least one illegitimate war, holding a thousand people illegally in camps where they undergo "interrogation techniques",  recently sold weapons to countries who turned to use them on their own people, has overthrown legitimate regimes to install puppet leaders (and leading to more genocide), is supporting institutionalized criminal behavior...

Yeah. Not a lot of trust from me :) Certainly not with my health care.

quote:
It is only PURSUIT of happiness (and therefore courting) that is guaranteed. You know that.


Ah, well... People are free to PURSUE health care then.

quote:
katisara:
The argument is ludicrous, and contrary to the philosophy that birthed the Declaration.

Care to elaborate on that?


I hope I have above. If it's still not clear, I'll try to be more direct (and in the appropriate thread).

quote:
quote:
When is the last time you consented to a tax?
katisara:
When I purchased groceries last night. I consented to a state sale's tax.

Did you? Or weren't you simply compelled by the fear of IRS?


If I didn't want to pay tax, I would have bought it in Delaware, or ordered online, where no sales tax is levied. (The IRS does not collect taxes on sales, only income and international trade. This was a state sales tax.)


quote:
quote:
Again you're saying that government spending (big government) is good on state level and bad on federal level.
katisara:
No, I said it's LEGAL on the state level, and illegal on the federal level.

I know it's a comment from past message, but I have to say this.

Aren't all Americans entitled to equal protection under the law?


Honestly? I'd have to check. Are you asking from a moral or legal standpoint?

But more to the point, State and Federal governments aren't "Americans". They aren't people. They're institutions. It's okay to discriminate against institutions.


quote:
Again aren't all the people entitled to same rights?


Yes (not counting children), but this feeds into what we were discussing above - providing a service is not entitling you to a right. The government cannot infringe on our rights to pursue health care, but that does not mean it is obliged to, or that it is desirable for it to provide that health care.

quote:
quote:
And if Vermont decides it doesn't want to go to war to Afghanistan? Or that it wants to opt out of this program called US Army?
katisara:
Frankly, the relevant clauses in the Constitution regarding to the army have been stretched to breaking point.

I know and therefore I don't see what's the problem with doing the same with health-car.


Because two wrongs still make a wrong?

quote:
Actually I'd love to discuss that. I can't wait to see YOU taking the side with Berkley liberals.


Bring up the thread :P (Or ask for a new one if it's just about that.)


quote:
Tell me what government did the declaration speak then?


I believe the declaration of Independence was speaking on the part of the people, not a specific government. And even a government "of the people" is not literally the people.

Failing that, it was referring to the Continental Congress, which has already disappeared.




quote:
Don't you think that idealism that created the confederacy is dangerous one. I certainly know that it is the case with idealism that spawned Soviet Union.


Can idealism be dangerous? Yes. It needs to be curbed by other factors. But that doesn't mean it should be thrown out. After all, it wasn't Idealism which killed people in the USSR. It was the government.


quote:
katisara:
That is true. The country fell into a two-party system and, as was predicted, that may just destroy it in the end.

This statement is intriguing. Care to elaborate?


Not here :P Although I've been touching on it in the thread Tycho just created.
silveroak
player, 293 posts
Mon 19 Apr 2010
at 15:48
  • msg #609

Re: Doctor, it hurts when I do this:  Health care issues

While I do not believe the Federal government is required to provide health care for everyone (or require everyone to have health care) I don't believe it is specifically prevented to by teh constitution either. in short I just don't see this as a constitutional issue.
When it comes to government reasons to get involved in health care I see 2 primary reasons:

1) Infectious disease affects the security and general welfare of the community
2) Insurance, being a business which take a payment now in exchange for a promise to act later is a natural magnet for scoundrels and con men. Realistically the issue is more insurance than health care, the difference being if our car is uninsurable we can sell it for scrap or spare parts, but if our body becomes uninsurable then we can't exactly trade it in for an upgrade.
katisara
GM, 4401 posts
Conservative human
Antagonist
Mon 19 Apr 2010
at 15:54
  • msg #610

Re: Doctor, it hurts when I do this:  Health care issues

The Bill of Rights said, in a nutshell, "the powers not given to the Federal government right in this here document are not available to the Federal government" - which, presumably would include health care.

The wide open exception is intrastate commerce. The government is permitted to regulate that. So regulating the insurance industry is specifically granted. But regulating is different from running.
silveroak
player, 296 posts
Mon 19 Apr 2010
at 16:10
  • msg #611

Re: Doctor, it hurts when I do this:  Health care issues

article 1 Section 8 of the constitution:
quote:
The Congress shall have Power To lay and collect Taxes, Duties, Imposts and
Excises, to pay the Debts and provide for the common Defence and general
Welfare of the United States;

I think provide for the general wlefare will probably apply here.

also under Article 6:
quote:
This Constitution, and the Laws of the United States which shall be made in
Pursuance thereof; and all Treaties made, or which shall be made, under the
Authority of the United States, shall be the supreme Law of the Land;

which means any treaty we sign as a country essentially becomes a part of the constitution.
Heath
GM, 4577 posts
Affiliation: LDS
Occupation: Attorney
Mon 19 Apr 2010
at 17:08
  • msg #612

Re: Doctor, it hurts when I do this:  Health care issues

silveroak:
Lets not forget California's medical marijuana initiative, which contradicts the federal laws on drug regulation. The Republican position on that however has always been that Federal law trumps.

Most Republicans actually support medical marijuana...it's just that democrats tend to assume republicans don't.  Republicans probably don't embrace it as much on morality grounds, but Republicans probably would embrace it more on a "state rights" grounds, since Republicans favor a small federal governmental power, while democrats try to expand the federal government's role.

To say that federal or state law trumps is a legal issue, not a political one.  These issues depend on whether the feds have been granted the authority by the states to make the law...often through the Commerce Clause.  The way our government works is that states have supreme sovereign authority...except to the extent that authority has been ceded to the federal government by the states through the constitution.  In such cases, we call it a "preemption" by federal law, and the federal law would be supreme.

As such, each law has to be looked at on its own merits.  It's not an all or nothing proposition.
Tycho
GM, 2854 posts
Mon 19 Apr 2010
at 17:26
  • msg #613

Re: Doctor, it hurts when I do this:  Health care issues

Heath:
Most Republicans actually support medical marijuana...it's just that democrats tend to assume republicans don't.

Do you have a source on this, Heath?  I know that some republicans support medical marijuana, certainly, but most?  If this were the case, it seems odd that there would be such trouble getting it legalized.  I wouldn't have guessed that the opposition to this is primarily from democrats (though, I also know that there are some democrats who oppose it).
katisara
GM, 4403 posts
Conservative human
Antagonist
Mon 19 Apr 2010
at 17:52
  • msg #614

Re: Doctor, it hurts when I do this:  Health care issues

silveroak:
article 1 Section 8 of the constitution:
quote:
The Congress shall have Power To lay and collect Taxes, Duties, Imposts and
Excises, to pay the Debts and provide for the common Defence and general
Welfare of the United States;

I think provide for the general wlefare will probably apply here.
quote:
This is a compelling argument, and I will have to consider it. I'd certainly appreciate the input of any other legal scholars (such as Heath).

<quote>also under Article 6:
<quote>
This Constitution, and the Laws of the United States which shall be made in
Pursuance thereof; and all Treaties made, or which shall be made, under the
Authority of the United States, shall be the supreme Law of the Land;

which means any treaty we sign as a country essentially becomes a part of the constitution.


The Declaration of Independence still wasn't made by the United States Government. It was made by the Continental Congress, which then ceased to exist.
silveroak
player, 301 posts
Mon 19 Apr 2010
at 18:08
  • msg #615

Re: Doctor, it hurts when I do this:  Health care issues

This was quoted from our constitution, not teh declaration of independance. I';m sure MacBeth is equally irrelevant but since it isn't what I am quoting that does not matter.
katisara
GM, 4405 posts
Conservative human
Antagonist
Mon 19 Apr 2010
at 19:05
  • msg #616

Re: Doctor, it hurts when I do this:  Health care issues

Edit: Sorry - why are you quoting the second one? Why are we bringing up the power of Congress to make international treaties binding?
This message was last edited by the GM at 19:06, Mon 19 Apr 2010.
silveroak
player, 302 posts
Mon 19 Apr 2010
at 19:36
  • msg #617

Re: Doctor, it hurts when I do this:  Health care issues

Because the idea presented that anything not granted to the congress specifically in the constitution is applied to the states as per teh 10th amendment is heavilly affected by this. For example if teh US signs an international environmental treaty- bam it is now a power of the federal government to regulate this. If they sign a UN document that all countries should recognize oh say from the Universal Declaration of human rights:
quote:
Article 3

Everyone has the right to life, liberty and security of person.

then it is now effectively a part of the constitution.

Or equally:
quote:
Article 22

Everyone, as a member of society, has the right to social security and is entitled to realization, through national effort and international co-operation and in accordance with the organization and resources of each State, of the economic, social and cultural rights indispensable for his dignity and the free development of his personality.


Or perhaps most apprapo:
quote:
Article 25

(1) Everyone has the right to a standard of living adequate for the health and well-being of himself and of his family, including food, clothing, housing and medical care and necessary social services, and the right to security in the event of unemployment, sickness, disability, widowhood, old age or other lack of livelihood in circumstances beyond his control.

(2) Motherhood and childhood are entitled to special care and assistance. All children, whether born in or out of wedlock, shall enjoy the same social protection.


Yes, we signed the international agreement, it is now effetively part of the constitution, and has been since 1966.
katisara
GM, 4407 posts
Conservative human
Antagonist
Mon 19 Apr 2010
at 19:58
  • msg #618

Re: Doctor, it hurts when I do this:  Health care issues

silveroak:
Because the idea presented that anything not granted to the congress specifically in the constitution is applied to the states as per teh 10th amendment is heavilly affected by this. For example if teh US signs an international environmental treaty- bam it is now a power of the federal government to regulate this. If they sign a UN document that all countries should recognize oh say from the Universal Declaration of human rights:


1) Declaration of Human Rights is not a treaty.

2) Can the Federal government sign treaties prescribing behaviors the government itself does not have the power to mandate? I mean, I have the power to sign contracts. Can I sign contracts that you now have to follow?
silveroak
player, 305 posts
Mon 19 Apr 2010
at 20:25
  • msg #619

Re: Doctor, it hurts when I do this:  Health care issues

The difference is that you are not in a position of authority over me. You signing a conract to abridge my freedom would be like the US government signing an agreement with Germany to limit what Canada can do. The limitations inherant to the Federal government by teh constitution that are limited by teh constitution are also excepted *by teh constitution* in the case of a treaty requiring that power. In short yes it is there in teh constitution in black and well really light brown, that yes if teh Federal government signs a treaty or *other international agreement* that the act of doing so empowers the federal goevernment with teh authority to carry out the terms of that agreement. It isn't a question, it is written into the document in article 6.
Bart
player, 462 posts
LDS
Mon 19 Apr 2010
at 23:33
  • msg #620

Re: Doctor, it hurts when I do this:  Health care issues

katisara:
Can the Federal government sign treaties prescribing behaviors the government itself does not have the power to mandate?

Yes.  Treaties trump the Constitution.  I'll post more in the US Politics thread.
RubySlippers
player, 135 posts
Parallelist
Opinioned
Tue 20 Apr 2010
at 01:46
  • msg #621

Re: Doctor, it hurts when I do this:  Health care issues

Convention on the Rights of Persons with Disabilities (US Signed and Ratified, Includes a Right to Health

International Covenant on Economic, Social and Cultural Rights (US is Signitary)
Includes right to Adequete Housing and Health Care

Convention on the Elimination of All Forms of Discrimination against Women  (US Signed and Ratified)
Includes a mandate to take steps to eliminate all forms of discrimination practiced against women by individuals, organizations, and enterprises.

Ok these three we are at least signees to if not fully ratified and all affect a right to health care and health care equality in one form or another. The disabled get a right to health (period), the ICESCR we did sign so at least has some force under US law if not on par with the US Consitution we have a commitment to its principles and the last one can make a case disparities in health care is a violation when one gender gets lower rates. Combined one would have a hard time saying we have no obligations under international law regarding health care. If one adds in the UN Declaration of Human Rights which is considered international customary law as in similar to common law as we understand it it just adds to the package.

And lets be frank the US Constitution is well over 200 years old and the Federal Courts have through layered interpretation of laws of the US Constitution. Article III gives the powers of the Federal Courts and I don't see an issue with their interpreting the US Constitution its noted it can -to COntroversies where the United States is party- which is their version of the "Necessary and proper" clause in my view. So when they granted certain powers to government or make judgements to the language of the US Consitution as it pertains to the government and people they can do so. So the 10th Amendment is mute if the government decides to tax or use a tax for encouraging behaviors the government wishes to encourage so why not discourage.

Example if two married adults make a child there are tax breaks for that and they get money for each child in a tax deduction. If you donate money to a charity you can deduct that to encourage donations of money. You go to school there is a tax break to encourage further education. etc. etc. etc.

So what is the issue if they opt to tax for not having health care its the same thing its to encourage companies and private citizens that can afford to get some health care OR pay a tax penalty. Encouraging of behavior that is upheld in the other way by the Federal Courts is the use to support health care mandates any better or worse. No.
Bart
player, 465 posts
LDS
Tue 20 Apr 2010
at 07:00
  • msg #622

Re: Doctor, it hurts when I do this:  Health care issues

I think we're moving off the subject of health care -- it'll make it harder when I'm trying to find a thread again if I'm gone for a few days.
Sciencemile
GM, 1215 posts
Opinion is the default
for most everything I say
Tue 20 Apr 2010
at 08:46
  • msg #623

Re: Doctor, it hurts when I do this:  Health care issues

If this continues along the lines of discussing the Constitution in regards to Health Care, it would be beneficial to move the discussion over to the Constitution Thread I just created :)
RubySlippers
player, 139 posts
Parallelist
Opinioned
Tue 20 Apr 2010
at 16:44
  • msg #624

Re: Doctor, it hurts when I do this:  Health care issues

Well this is a matter of the US Consittution people are making a case the new law is unconstitutional and not supported. I make the case the courts decide matters of constitutional application and its in their powers listed under Article III, Section 2 so that is proper. And this will be decided it seems at that branch of the government.

I'm just making the case that the mandate and the tax penalty is no different than other tax uses to encourage behaviour the government wishes to encourage whether its having a child or getting further education or getting a health care plan if one can afford to. The courts supported this taxing power many, many times so its not like its unconstitutional as an option.

I think the new law and its mandate is a health care issue so fits here.
This message was last edited by the player at 16:45, Tue 20 Apr 2010.
Sciencemile
GM, 1222 posts
Opinion is the default
for most everything I say
Tue 20 Apr 2010
at 20:49
  • msg #625

Re: Doctor, it hurts when I do this:  Health care issues

Yes, the new law and Mandate are fine.
--------------------------------------

I think that, laws and economic systems set aside for now, we should first try to help people help themselves, and then failing that help them.

Getting back a little into economics, however, I don't like the way insurance works; instead of innovating to make the costs cheaper, insurance has people putting in money to pay for today's prices.  As a result, the motivation to make things like health-care and cars cheaper to replace/provide is put off.
This message was last edited by the GM at 20:50, Tue 20 Apr 2010.
silveroak
player, 332 posts
Tue 20 Apr 2010
at 23:33
  • msg #626

Re: Doctor, it hurts when I do this:  Health care issues

the biggest problem with insurance IMO is that if there is no way to get the liability off the books and get back to collecting premiums it is more profitable to drop the patient with some flimsy reasoning that they can't affoard a lawyer to contest because they are overwhelmed with medical bills and don't have the time if they could find a lawyer because they are sick.
Republicans can talk about government death panels but realisticly the insurance companies already have them.
RubySlippers
player, 140 posts
Parallelist
Opinioned
Wed 21 Apr 2010
at 00:48
  • msg #627

Re: Doctor, it hurts when I do this:  Health care issues

I have to comment and I do this to ask Republicans and those that don't like the new law, how are poor people supposed to get health care and I mean regular care for chronic conditions. To prevent them from getting so sick they need to go to the hospital for mandatory care.

I don't see any Republican ideas for this that would work. The Democrats expanded Medicaid at least that is one way in practice that works for the working poor and those in need earning $14,400 or less using current Federal poverty level considerations.
Bart
player, 470 posts
LDS
Wed 21 Apr 2010
at 06:42
  • msg #628

Re: Doctor, it hurts when I do this:  Health care issues

A "poor person" who has a chronic medical condition which will lead to more serious medical conditions if not regularly treated.  Please give an example.

As it now stands, the new "universal health care" only mandates that a person must do what they should have done originally before acquiring the chronic condition -- buy health care.
Tycho
GM, 2869 posts
Wed 21 Apr 2010
at 07:03
  • msg #629

Re: Doctor, it hurts when I do this:  Health care issues

It also provides a subsidy for those with lower incomes to help them buy the insurance, which makes it possible for people to do what they perhaps should have done before, but couldn't.
Bart
player, 472 posts
LDS
Wed 21 Apr 2010
at 07:30
  • msg #630

Re: Doctor, it hurts when I do this:  Health care issues

Chronic conditions are still going to be heck of expensive -- virtually no insurance companies take the route that a little maintenance now will pay off in the long run.  Virtually all would rather wait until the need is pretty serious.  So, in that regard, nothing's really going to change.  And that subsidy is coming at the expense of other programs that would pay for this (and most of the subsidy will be gone by 2014).
Sciencemile
GM, 1229 posts
Opinion is the default
for most everything I say
Wed 21 Apr 2010
at 07:36
  • msg #631

Re: Doctor, it hurts when I do this:  Health care issues

So we need to make maintenance programs either mandatory or cheap enough that there's little excuse not to partake in it.  Maybe giving Gyms the sort of Local Government support that Museums and Science Centers get, maybe?
Tycho
GM, 2870 posts
Wed 21 Apr 2010
at 07:42
  • msg #632

Re: Doctor, it hurts when I do this:  Health care issues

Bart:
Chronic conditions are still going to be heck of expensive -- virtually no insurance companies take the route that a little maintenance now will pay off in the long run.  Virtually all would rather wait until the need is pretty serious.  So, in that regard, nothing's really going to change.

I think you misunderstand what ruby is talking about here.  essentially, with insurance you can go to a doctor, without, you have to wait until you can go to the emergency room.  I think that makes a non-trivial difference (if for no other reason than you're no longer lengthening the queue in the emergency room at very least).  And, if what you say is true, then shouldn't have bought insurance in the first place, because it won't do them any good.

Bart:
And that subsidy is coming at the expense of other programs that would pay for this (and most of the subsidy will be gone by 2014).

Do you have a source for this (that the subsidy will stop after 2014)?  Did you mean most of those subsidies don't actually start until 2014?

Out of curiosity, what would your ideal solution to the health care situation be?
Bart
player, 474 posts
LDS
Wed 21 Apr 2010
at 07:59
  • msg #633

Re: Doctor, it hurts when I do this:  Health care issues

No, you can still go to the emergency room if you don't have an emergency, although you may not get the treatment that you want.  I think we need actual examples to discuss, though.

No, I mean that the subsidies start now but most will end in 2014, which is why Virginia's lawsuit against the new healthcare bill technically has no merit now because there's a personal subsidy so people aren't going to be required to pay until 2014, so there's technically no damages or anything contravening Virgina law until 2014.  Virginia is hoping that the Supreme Court will decide to hear the case now anyway, because otherwise the law will be quite firmly entrenched and changing or stopping it will be far more serious.  The small business subsidies also start now and will be stepped down every year until they run out in 2014.  I thought it was kind of a sneaky way to ensure that the true cost of the bill won't be obviously apparent until the bill is so firmly entrenched that it can't really be changed or revoked.

"And, if what you say is true, then shouldn't have bought insurance in the first place, because it won't do them any good."
What?  I didn't quite understand that.  Health insurance is not a magical panacea that makes all medical care easily affordable.  It doesn't even prevent a person from possibly having to sell their house and move into a small rental in order to pay their medical bills.  It just helps ease the medical burden and can possibly save your butt financially.
Tycho
GM, 2872 posts
Wed 21 Apr 2010
at 08:08
  • msg #634

Re: Doctor, it hurts when I do this:  Health care issues

Bart:
No, you can still go to the emergency room if you don't have an emergency, although you may not get the treatment that you want.  I think we need actual examples to discuss, though.

Do you think that's the proper/best way to go about things?

Bart:
No, I mean that the subsidies start now but most will end in 2014

Again, do you have a source for that?  That's not my understanding of the law.  The mandate doesn't start until 2014, and the main subsidies don't start until that point either, in my understanding.

Tycho:
"And, if what you say is true, then shouldn't have bought insurance in the first place, because it won't do them any good."

Bart:
What?  I didn't quite understand that.  Health insurance is not a magical panacea that makes all medical care easily affordable.  It doesn't even prevent a person from possibly having to sell their house and move into a small rental in order to pay their medical bills.  It just helps ease the medical burden and can possibly save your butt financially.

You said that poor people with chronic conditions should have bought insurance in the first place.  But then you also said that once they have insurance, "nothing is really going to change."  If having insurance isn't going to change their situation, why should they have had it in the first place?  Are they better off with insurance, or not?

Also, out of curiosity, what would your ideal solution to the health care situation be?
Sciencemile
GM, 1231 posts
Opinion is the default
for most everything I say
Wed 21 Apr 2010
at 09:25
  • msg #635

Re: Doctor, it hurts when I do this:  Health care issues


quote:
Again, do you have a source for that?  That's not my understanding of the law.  The mandate doesn't start until 2014, and the main subsidies don't start until that point either, in my understanding.



http://voices.washingtonpost.c...ice_confirms_vi.html

WARNING: Blog, take with grain of salt.

But if it's true, apparently the State made it illegal to have the government require the purchase of health insurance.

If I recall though, Federal trumps State, though maybe they know something I don't.
Tycho
GM, 2874 posts
Wed 21 Apr 2010
at 09:53
  • msg #636

Re: Doctor, it hurts when I do this:  Health care issues

Yeah, I know that Virginia is suing because it made a law saying the government can't require people to buy insurance (which, technically, this one doesn't--you just miss out on the big tax break if you don't--but that effectively what it does.  not sure how courts would/should deal with that, though I'm pretty sure states can't just veto federal laws they don't like).  I was asking if Bart had a source for his claim that the subsidies for low-income people to buy insurance would end in 2014.
katisara
GM, 4420 posts
Conservative human
Antagonist
Wed 21 Apr 2010
at 13:11
  • msg #637

Re: Doctor, it hurts when I do this:  Health care issues

RubySlippers:
I have to comment and I do this to ask Republicans and those that don't like the new law, how are poor people supposed to get health care and I mean regular care for chronic conditions. To prevent them from getting so sick they need to go to the hospital for mandatory care.


Depends on how that given republican feels about levels of government interference.

I think most Republicans can agree with silveroak that enforcing government regulations to prevent people from getting kicked off their insurance plan when it's financially convenient to the insurance company is a good idea. Or they would if silveroak were a republican, anyway ;P


Now the question is, should the federal government be in the health insurance business, and to what level. Given your feelings on that, I can see three different answers:

1) Do what people have always done. Fall back on family, your employer, your church and your community. This has always been the traditional response for people in times of need.

2) Get your state government to create the welfare insurance program you have in mind.

3) Create a federal insurance voucher system permitting people to shop around for the insurance company that best matches their needs (permitting free market competition), but make sure the person isn't ever handed cash, and the government is never given the duties of running an insurance company.
silveroak
player, 338 posts
Wed 21 Apr 2010
at 13:18
  • msg #638

Re: Doctor, it hurts when I do this:  Health care issues

Number 3 is actually a part of the new law to a degree, excepting that tehy are also putting everyone on the government plan together to get a good group rate.
Tycho
GM, 2877 posts
Wed 21 Apr 2010
at 13:23
  • msg #639

Re: Doctor, it hurts when I do this:  Health care issues

Do you have a source for that, silveroak?  I was pretty sure the 'public option' got shot down pretty early, so there isn't so much a "government plan" on which to put everyone.

Katisara, do you think it would be reasonable, given those three choices, for a person to think "I'd prefer it if #1 would get the job done...but if it doesn't, I'll move on to the next best option, #2...if that doesn't work, well I'll take #3?"  That's sort of where I'm seeing things.  Yes, it'd be great if charities, families, etc., took care of everything, but that doesn't seem to be happening.  It also doesn't seem to be the case that the states are solving the problem either.  If they were, we wouldn't need a federal plan.  But they're not, so perhaps bringing in the federal solution is reasonable?
silveroak
player, 340 posts
Wed 21 Apr 2010
at 13:34
  • msg #640

Re: Doctor, it hurts when I do this:  Health care issues

Several lawmakers have mentioned it in discussions on teh daily show and elsewhere. It isn't the Public option (government provided health insurance) but an alternative to it..

from http://docs.house.gov/energycommerce/SUMMARY.pdf

quote:
QUALITY, AFFORDABLE HEALTH CARE FOR ALL AMERICANS
...

��
Creates health insurance exchanges – competitive marketplaces where individuals and small business can buy affordable health care coverage in a manner similar to that of big businesses today.
��
Offers premium tax credits and cost‐sharing assistance to low and middle income Americans, providing families and small businesses with the largest tax cut for health care in history.
��
Insures access to immediate relief for uninsured Americans with pre‐existing conditions on the brink of medical bankruptcy.


Okay, technically it's tax credits not vouchers, but isn't that actually more Republican?
Tycho
GM, 2879 posts
Wed 21 Apr 2010
at 13:41
  • msg #641

Re: Doctor, it hurts when I do this:  Health care issues

Hmm, perhaps I misunderstood what you meant when you said "putting everyone on the government plan together to get a good group rate."  It sounds like you meant the health insurance exchanges, and if that's the case, that's fine.  I wouldn't have called them "the government plan" myself (since that makes me think of the public option), but I think I see what you're saying now.
Tycho
GM, 3549 posts
Sat 10 Mar 2012
at 21:47
  • msg #642

Re: Doctor, it hurts when I do this:  Health care issues

http://www.latimes.com/health/...0309,0,6657163.story

Saw the above story today, and found it pretty ironic.  Apparently the lead plaintiff in the case against the affordable care act declared bankruptcy...in part due to medical bills she couldn't afford to pay.

In fairness, it sounds like it wasn't the medical bills that were the primary cause of the bankruptcy, but still she will be leaving unpaid medical bills that others will have to accept as a loss because of this.  Avoiding this kind of situation is part of what the act meant to do.  It's also somewhat ironic that she currently lists unemployment benefits as her only source of income.  Will the republicans call her a freeloading, living-off-benefits wellfare queen now?  Somehow I guess not.  It would be nice if it could be a sort of ah-ha moment for some of those on the right, realizing that small business owners sometimes need government help and can end up pushing their medical costs on to others when they "exercise their right" not to have insurance.
katisara
GM, 5224 posts
Conservative human
Antagonist
Sun 11 Mar 2012
at 10:50
  • msg #643

Re: Doctor, it hurts when I do this:  Health care issues

Yeah, she's definitely an example how NOT to do it.

Health insurance is definitely a tough issue to decide on. I can certainly see both sides. My wife is a sole proprietor of a business, and while my health insurance covers her, I can say that health insurance is a complex expense that she just would not have been able to include until recently (which is unfortunate, because she would have needed it!) I wouldn't mind a more gradual shift though. Preventative care is cheap, and saves buckets of money over the long-run. I think if we started with the goal of 'keep people out of the emergency room for preventable diseases', there would be less pushback. Then, when we have more data on the cost-savings, we could implement (or not) the next step.
Tycho
GM, 3550 posts
Sun 11 Mar 2012
at 12:47
  • msg #644

Re: Doctor, it hurts when I do this:  Health care issues

I agree on the preventative care thing.  Part of the trouble, I think, is that in a capitalist system, the health service provider doesn't have incentive for providing the cheap service.  By preventing emergency room care, they're only hurting their bottom line.  They have a perverse incentive to NOT push for preventative care.  I suppose one way to fix that, while keeping a capitalist system, would be to have different agents provide preventative care from the ones who provide reactive care.  A "one doctor for your vitamins, one for your stitches" system, I guess.  So they'd be in competition, and by providing good preventative care, the first doctor would be hurting someone else's bottom line, rather than their own, so there wouldn't be that conflict of interest.  On the other hand, I guess they'd still have an incentive to over-sell preventative care?  Or perhaps provide care that has higher likelihood of unpleasant side effects?  Not sure.  But whatever the case, such a model would require putting restrictions on doctors/hospitals, and limiting them to one type of service or the other.  And we'd presumably need more doctors and hospitals for that, which might push up demand and drive up prices as well.  And I'd imagine that one type of care would end up paying better than the other (my guess would be reactive would be more lucrative), and there'd be little incentive to go into the other.  There'd also be a lot of wasted talent, since many of the doctors would be able to do both jobs if allowed.

Anyway, I tend to think healthcare is one of those areas where markets aren't as well-suited to the task as they are for most goods and services.  The average person isn't an expert on medical options, so it's tough to expect them to make well-informed decisions on the best treatment.  Add in the fact that their life may depending on the decision, and you only compound the problem.  There's also the moral issue of whether less affluent people (especially children, who's wealth is entirely outside their control) should have poorer health care (or worse, none at all) when their affliction is just a random throw of the dice they have no control over.  It's one thing to say "if you want a porche, work hard and pay for it yourself," but it's another to say "if you want to get your cancer treated, find a new job so you can afford it," and still another to say "if you want your treatable disease fixed, find some richer parents who can afford it, kiddo!"  I'm not sure where the right line should be drawn, but my general feeling these days is that there should be some level of service that everyone should have access to, regardless of their wealth, but people who the means should be able to spend more to get more if they like.  The level everyone has access to would depend on how much we have to spend on it, so it's a balance between taxes (or however we're paying for it) and minimum level of service.
RubySlippers
player, 19 posts
Sun 11 Mar 2012
at 15:04
  • msg #645

Re: Doctor, it hurts when I do this:  Health care issues

I want to address another big issue expensive end of life care or care for chronic conditions that will end in death.

The twin issues are is it right to offer expensive care if your not going to cure someone or necessarily improve the quality of life or worse it could go down.

Lets say a man has heart failure and you want to put in an artificial valve that will limit his movements needing battery charging and the like. And right now the man loves to go out alot and enjoy his life. Is it right not to offer doing nothing or some minor care and let the disease take its natural course as an option. Right now it seems doctors push all the care possible and that can be done regardless of other considerations that has to drive up costs.

I know in my case if I had cancer I would want all the options and if it was aggressive and the chance of a cure was low, doing nothing would be appealing over a hellish course of treatment and then still die just maybe adding some months. But now sickened from treatments not able to enjoy what life I have left.

And if there is no chance of a cure is treatment to add months alone worth the money.

I know we are talking rationing care in some of this but someone had to say no at some point if one wants to cut costs and since this eats up ample funds it has to be on the table/
Tycho
GM, 3551 posts
Sun 11 Mar 2012
at 17:59
  • msg #646

Re: Doctor, it hurts when I do this:  Health care issues

On that I do agree with you, RubySlippers.  End of life treatment is where most of the healthcare money is spent, for the least benefit, and doctors again have an incentive to draw out life as long as possible, rather than to provide the highest quality of living for the time that remains.  Largely it's well intended, I'd say, since many (both doctors and family) would feel guilty if they didn't do everything in their power to try to extend life to its fullest.  But part of it is also the incentive issue, I think.  People are aware of this problem, but when anyone's tried to do anything about it, they've gotten shouts of "Death panels!"  I do think there should be more focus on making sure the patient knows what treatment can and can't do, what the odds are, what the quality of life effects are likely to be, and generally be put into a position where they can make an informed decision.

In terms of dealing with the large costs involved with most end of life care, I think it would make sense have some of the least cost effective bits of it not be covered by 'standard' insurance, or require heavier co-pays.  Extending a life by a month, say, is arguably closer to an elective procedure than a must-have one.  I'm not sure where the line should be drawn on that, nor who should be making that decision (it's certainly not a job I'd want!), but I would like to see it dealt with in a rational way.  Unfortunately the political climate in the US doesn't really allow for that.
katisara
GM, 5225 posts
Conservative human
Antagonist
Sun 11 Mar 2012
at 20:49
  • msg #647

Re: Doctor, it hurts when I do this:  Health care issues

I've never heard of any instances of a doctor recommending the wrong treatment in order to make more profit. Perhaps part of that is because the guy who I see in the doctor's office is not the same guy who does the CAT scans who isn't the same guy in the ER, but part of it is also, I think, that the medical industry really has plenty of business as it is, and doesn't need to spend their reputation drumming up more. There is a tendency to recommend 'unnecessary' tests, but that isn't a profit so much, as a pound of cure issue, I think.

I do know that doctors may recommend the 'no treatment' option. I have a friend right now who is doing that for her cancer. In fact, I read an article just the other day about how many doctors choose the 'no treatment' option for terminal diseases. There's just something in our cultural mindset though that we can and should 'treat' anything, and fight to the bitter end. I'd start with the cultural side there, before I pin it on the hospitals.
Anadoru
player, 1 post
Tue 13 Mar 2012
at 16:54
  • msg #648

Re: Doctor, it hurts when I do this:  Health care issues

=RubySlippers:
is it right to offer expensive care if your not going to cure someone


By the same token, is it right to refuse treatment to terminally ill patients? In some cases, treatment can extend life by a matter of years - are another 2 years of life, say, not worth the expense? Is six weeks, or a month? How long must a treatment extend life to make it economically viable? In other words, how do you put a value on a life?

In addition, should we consider this differently for people in idfferent situations? For example, is it more acceptable to give treatment to a married mother of four than a single person with no children?

I think that I would take any chance at extra time that I was presented, but I can understand people's decision not to. The thing that would make me uneasy is someone else deciding that a patient cannot have that time.
Tycho
GM, 3553 posts
Tue 13 Mar 2012
at 18:47
  • msg #649

Re: Doctor, it hurts when I do this:  Health care issues

katisara:
I've never heard of any instances of a doctor recommending the wrong treatment in order to make more profit.

Consciously/intentionally?  Yeah, I'd say that'd probably be pretty rare.  But the system is set up such that the "normal" behavior can often lead to it being done without thinking about it.  For example drug companies are primarily about making money, not saving people.  They spend a lot of effort making tiny changes to existing drugs so that they can get it approved as a new drug, and thus get more exclusive use of it, which drives up costs.  They're not consciously thinking "hey, we'll give these people worse service just so we can make more money!" they're just thinking "hmm, this drug is a big money maker for us, but our patent is about to expire!  What can we do to keep making money off it?"  It's not intentionally malicious or devious, it's just that the profit incentive causes them to think in certain ways that they wouldn't if their only goal were to get the best health care to as many people as possible.  Another example is what drug companies will bother researching.  They're much less interested in researching health benefits from natural products because they often can't patent them.  And doing expensive research on something that anyone will be able to copy once you've done the work isn't something they're likely to be interested in.  Again, it's not them being sneaky or underhanded, its just that they don't have much incentive to do the research.

katisara:
There is a tendency to recommend 'unnecessary' tests, but that isn't a profit so much, as a pound of cure issue, I think.

Not profit, but part of it is fear of loss, which I'd say is largely the same thing.  Doctors do a lot of "defensive" testing, covering their bases so they can't get sued.  Not the only reason for excessive testing, but I think it plays a role.

katisara:
I do know that doctors may recommend the 'no treatment' option. I have a friend right now who is doing that for her cancer. In fact, I read an article just the other day about how many doctors choose the 'no treatment' option for terminal diseases. There's just something in our cultural mindset though that we can and should 'treat' anything, and fight to the bitter end. I'd start with the cultural side there, before I pin it on the hospitals.

I'd agree with all that.  Though I'd perhaps say that addressing the cultural issue will probably involve hospitals, since that's where most people come face to face with such issues.
Tycho
GM, 3554 posts
Tue 13 Mar 2012
at 18:57
  • msg #650

Re: Doctor, it hurts when I do this:  Health care issues

Anadoru:
By the same token, is it right to refuse treatment to terminally ill patients?

It depends a bit on what we're giving up by treating them, I'd say.  Is the patient just spending their own money, so only just reducing their kids inheritance?  Sure, let'em have any treatment they want.  Or is it tax-payer financed, and thus taking money away from someone or something else where it might cause a lot more good?  Then it's a much more difficult question.  When it's private insurance covering it, it's a bit of both.  If everyone gets to choose if their insurance covers such treatment, then no real problem, because you end up paying for it yourself before you get there (at least on average).  But if we're talking about looking at insurance is required to cover, then it's a bit of the second situation, because everyone ends up paying for the persons end of life treatment, even if they don't think it's a good buy themselves.

Anadoru:
In other words, how do you put a value on a life?

It's certainly not easy to do, and I don't envy the people who have to make such decisions.  But people certain do have to, and there are ways of going about it.  In a very simple example you can say things like "For $X we can extend this guys life for 2 months, and he'll be in extreme pain the whole time.  OR we can cure 50 toddlers of a life-threatening disease and give them a very good chance of a normal life."  When you come at it less from a "is this worth $X" point of view, and more from a "what are we giving up by spending this $X on this" point of view its because more tractable of a problem.

Anadoru:
In addition, should we consider this differently for people in idfferent situations? For example, is it more acceptable to give treatment to a married mother of four than a single person with no children?

In a perfect world, yeah, probably we should.  Will it be practical to do so in many cases?  Probably not.

Anadoru:
I think that I would take any chance at extra time that I was presented, but I can understand people's decision not to. The thing that would make me uneasy is someone else deciding that a patient cannot have that time.

I'd say it's less an issue of anyone deciding that a patient cannot have that time, and more of an issue of someone deciding that if a patient wants that time, they'll have to pay for it themselves.  It's not so much being told "you can't get this treatment" and more "we can't afford to buy this treatment for you, but feel free to buy it yourself if you can."  Still not nice news to hear, especially for people who simply can't afford it, but better than a simple "you're not allowed," I'd say.
RubySlippers
player, 25 posts
Sun 15 Jul 2012
at 21:22
  • msg #651

Re: Doctor, it hurts when I do this:  Health care issues

Okay seems to me with the Affordable Care Act out of the courts its pretty clear most of it is on some grounds constitutional save for the Medicaid expansion which has been declared not obligatory by states, but they can opt in.

Now it comes to the odds of a repeal that is November and how the elections turn out from my study of this its not looking good on repeal grounds for the Republicans.

1. Obama gets re-elected its over.

2. Democrats hold a majority of at least 51 seats in the Senate its over.

3. They take one seat in the Senate and take the White House (only light in the dark tunnel)

3A. They can repeal through reconciliation the financial parts leaving those non-financial and then try the rest this includes the mammoth mandate insurers can't refuse customers due to medical issues (the king kong on the bills back). The democrats the filibuster the parts they can as they come up on the grounds they will look at the Republican replacement before deciding on that matter.

OR

3B. They go for a full repeal and smack into a filibuster by the Senate Democratic minority until hell freezes over.

4. Romney does his waivers to states and then some states will still want to do the ACA provisions and must get the funding anyway and other states do some of it or none of the ACA.

Seems to me regardless of the expected outcome barring a massive shift in the Senate of elevel seats a repeal is not going to be easy if it can be done at all depending on how stubborn the Democrats are in the Senate. I would think with the clear mandate of their re-election to office or election to office they might play hardball.

I just don't see how they can repeal this even if they do gain technical ability to do so.
katisara
GM, 5314 posts
Conservative human
Antagonist
Mon 16 Jul 2012
at 13:07
  • msg #652

Re: Doctor, it hurts when I do this:  Health care issues

I agree with you. I think ACA is here to stay. And honestly, it's not that much of a bugaboo. They were way kinder then they could have been, and most of the changes are good ones.
RubySlippers
player, 26 posts
Mon 16 Jul 2012
at 16:47
  • msg #653

Re: Doctor, it hurts when I do this:  Health care issues

Oh there needs to be some changes I would lower the Medicaid threshold to the poverty line only, the rest can afford to get into an exchange with the subsidies and you can tweak those easily. But a full repeal would be remote.
katisara
GM, 5315 posts
Conservative human
Antagonist
Mon 16 Jul 2012
at 19:35
  • msg #654

Re: Doctor, it hurts when I do this:  Health care issues

I'd also support those changes. I'm still not sure how I feel about requiring people to hold insurance either (since the other option is to refuse care and let people die in the streets).
RubySlippers
player, 27 posts
Mon 16 Jul 2012
at 20:53
  • msg #655

Re: Doctor, it hurts when I do this:  Health care issues

Well the problem is you cannot have insurers have to take anyone that applies and not have the mandate to get the risk pool far lower for them, otherwise here is what one local hospital will do. I know I gave them the idea and know the hospital financial department head.

They will apply for the insurance for the poor person paying the premium if the cost benefit ratio is high, provide the care getting the most generous plan they can then let the coverage drop upon the patiant leaving. The hospital taking their share of the payments. So if John Smith has cancer, they will pay for Blue Cross Blue Shields best plan for the Mr. Smith and the insurance the best plan they have and get the treatment on what profit they get. Then at the end of care stop paying for it.

It would be legal and the hospital for say a investment of two months premiums even if high say $5000 for two months and would get say 70% paid of the bill say its $200,000 instead of zero so for $5000 they make $140,000 its an option that could be there. And they could always go after tha patiant if they wanted to but if very poor why would they bother its still more than Medicaid would pay. Its also the reason the law must stand how long would medical insurers survive this if its what people and hospitals are doing with the law? A year or two, maybe three?
katisara
GM, 5316 posts
Conservative human
Antagonist
Tue 17 Jul 2012
at 13:16
  • msg #656

Re: Doctor, it hurts when I do this:  Health care issues

Oh wow, I hadn't even considered that. But the current law doesn't change that. If I have Cheapo Ins. which caps payments at $100k, and my treatment will cost $200k, what's stopping the hospital from doing that again anyway?
RubySlippers
player, 28 posts
Tue 17 Jul 2012
at 13:58
  • msg #657

Re: Doctor, it hurts when I do this:  Health care issues

Under the new law there will be no review and denial Homeless Bob has major heart issues costing alot to treat the insurers can still refuse, when they cannot and all he needs is the payment covered starting 1/1/14 barring a repeal of the law. And my state is not expanding Medicaid so far this is likely going to be the thing that forces the state into the ACA barring a repeal which is a long shot. And only a repeal of the insurance company mandate will stop that and they cannot reconcile that out.

Add to that the Senate majority can reconcile once a year they use it on Obamacare they lose it for the rest of the year say at budget time when they likely will have to have it.
katisara
GM, 5317 posts
Conservative human
Antagonist
Tue 17 Jul 2012
at 14:01
  • msg #658

Re: Doctor, it hurts when I do this:  Health care issues

RubySlippers:
Under the new law there will be no review and denial Homeless Bob has major heart issues costing alot to treat the insurers can still refuse, when they cannot and all he needs is the payment covered starting 1/1/14 barring a repeal of the law.


I'm sorry, I don't understand what you're saying here.
RubySlippers
player, 29 posts
Tue 17 Jul 2012
at 15:23
  • msg #659

Re: Doctor, it hurts when I do this:  Health care issues

Oh the mandate to cover everyone kicks in in 2014, until then a hospital for an adult cannot assure Homeless Bob with the bad heart needed care can get insurance when sick. In fact they would refuse. So at the start of the year the hospital in question can cover the premium and he would have to be insured regardless of the bad heart, which makes the scheme work. Its intended for those who would have been in the Medicaid expansion under 100% of the poverty line since the ones over that could be expected to have an exchange based plan (state run or federal run).
Heath
GM, 4968 posts
Affiliation: LDS
Occupation: Attorney
Fri 7 Sep 2012
at 16:59
  • msg #660

Re: Doctor, it hurts when I do this:  Health care issues

This quote from a physician in the U.S. captures Obamacare in one sentence:

"We're going to be gifted with a health care plan we are forced to purchase, and fined if we don't, which purportedly covers at least 10 million new people without adding a single new doctor, but provides for 16,000 new IRS agents, written by a committee whose chairman says he doesn't understand it, passed by a Congress that didn't read it but exempted themselves from it, and signed by a President who smokes, with funding administered by a Treasury chief who didn't pay his taxes, for which we will be taxed for 4 years before any benefits take effect by a government which has already bankrupted Social Security and Medicare, all to be overseen by a Surgeon General who is obese, and financed by a country that's broke.

So what the ____ could possibly go wrong?"

--Dr. Barbara Bellar
Kathulos
player, 162 posts
Sat 8 Sep 2012
at 17:17
  • msg #661

Re: Doctor, it hurts when I do this:  Health care issues

Bat Man would kill the United States Congress if he were real.
tieflingpaladin
player, 1 post
Views: Liberal Christian
Profession: Student
Sat 8 Sep 2012
at 18:28
  • msg #662

Re: Doctor, it hurts when I do this:  Health care issues

Heath:
This quote from a physician in the U.S. captures Obamacare in one sentence:

"We're going to be gifted with a health care plan we are forced to purchase, and fined if we don't, which purportedly covers at least 10 million new people without adding a single new doctor, but provides for 16,000 new IRS agents, written by a committee whose chairman says he doesn't understand it, passed by a Congress that didn't read it but exempted themselves from it, and signed by a President who smokes, with funding administered by a Treasury chief who didn't pay his taxes, for which we will be taxed for 4 years before any benefits take effect by a government which has already bankrupted Social Security and Medicare, all to be overseen by a Surgeon General who is obese, and financed by a country that's broke.

So what the ____ could possibly go wrong?"

--Dr. Barbara Bellar


Your quote would carry significantly more weight if you were to provide Dr. Bellar's sources for all of that information.

Kathulos:
Bat Man would kill the United States Congress if he were real.


Batman doesn't kill people.
Doulos
player, 106 posts
Sun 9 Sep 2012
at 04:18
  • msg #663

Re: Doctor, it hurts when I do this:  Health care issues

As a Canadian who does not follow politics, I am amazed at how angry/happy people get over this Obamacare thing in the US.  I was in Washington State for work at the time when it was first passed and people were either freaking out excited or foaming at the mouth angry.  It was interesting to watch.
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