From: mireles@anhinga (David Mireles)
Subject: Think Twice! pt2 Re: The Decline of America:  Apartheid in Health-Care
Followup-To: alt.activism.d
Originator: rich@pencil.cs.missouri.edu
Organization: Florida State University
Date: Thu, 8 Oct 1992 22:50:29 GMT

In article <1992Oct6.163041.25448@mont.cs.missouri.edu>  
harelb@math.cornell.edu (misc.activism.progressive co-moderator)  
writes:

> =============================
> Study: Insurance affects cure
> =============================
> 
> Uninsured patients and those on Medicaid were less likely to  
receive
> three common treatment for heart disease than those with insurance,  
a
> study of 37,994 people in Massachusetts has found. The e study
> examined The care of heart disease patients admitted to more than  
100
> Massachusetts hospitals in 1985. Researchers looked at three common
> but expensive treatments: angiography, use to diagnose heart  
disease;
> and bypass grafting and angioplasty, procedures to treat blocked
> arteries.

This is precisely why socialized heath care (which, need I remind,  
Medicaid is a form of) must be avoided! The obvious solution is not  
lowering the rest of the population to fit into these statistics, but  
to raise those out of the situation that is forcing them to fall prey  
to this inefficient socialized medicine.  Someone might suggest that  
what we need to do is just pump more money in the the social welfare  
system (S.W.S.) to raise the standards.  This has time and again  
proven to be inadequate--or else why is the system still in such a  
poor state?!  I'll suggest a reason why.  The only way of increasing  
money to the S.W.S. is to increase the amount of money the government  
allots to it.  In the past, the typical way of doing this has been by  
raising taxes through some form or another.  I'll pause here to say  
that this is not the only way to do this.  Our government has been  
accurately criticized for spending too much money--spending more  
money than they have available to spend is a part of what has driven  
the deficit so high.  I think everyone would agree that the only way  
a business can survive is by efficiently managing their  
resources--working with what they have and borrowing money only if  
they know that it can be invested in something that will pay itself  
back and add to further the profits.  

This is essentially the attitude that we should take in running a  
government.  A government should not assume that it has an infinite  
wealth to work with, but rather to work only with what wealth it has  
and do that in such a way that it not only covers its expenses but,  
in addition, increase the amount of wealth coming in (and by this  
raising taxes is not the proper way since that again fosters the  
assumption that your are working with an infinite wealth and further  
propagate careless spending of money).  The solution then (which  
works so well for private industry) is to have a government  
re-evaluate its budget each fiscal year paying particular attention  
to funding projects that profit the government in the long term along  
with those that are strictly consuming money.  It should first be  
assessed whether those creating profits can over compensate for those  
creating deficit.  If the answer is no, then the government should do  
either of these things: Increase funding to projects that can raise  
income and/or decrease funding to those causing deficit and/or  
decease funding to those projects that are no longer needed.  Every  
project should in turn be run through these sound business  
principles. If a new project needs to be started, it should be  
started with caution.  The budget for the project should be carefully  
calculated out, borrowing money only in the case that the profits  
from other projects or the new project will overcompensate the  
borrowing.  If the project cannot in the long run pay for itself,  
then it should be abandoned or re-worked.  Instead of borrowing, a  
government (or any business) should try to re-allot money--shifting  
it from projects that have not tilled up the investments, or taking  
from the profits of other projects.  

It is these basic points that our government has failed to strictly  
abide by.  We are continuously funding programs that do not result in  
any sufficient amount of wealth back to the system.  But how do we  
get wealth back into the system?  This is where most people become  
misguided.  First, a government is a system supported by its  
constituents.  It is the people of the government (citizens) that  
sacrifice some of their earnings so that they can have a system of  
organization that will provide a protection in the >>world<< to their  
present and future standard of living.  Only to a minor extent should  
the amount of taxes that a person pays affect how well a government  
is able to operate.  All businesses should be tailored around doing  
the maximum that it can with what it has available.  And this means  
making the proper investments to draw in more income.  For a  
government, the most efficient way to do this is by increasing the  
>>>taxable income<<< of its constituents, not by increasing the  
proportion that the constituents pay (raising taxes).  >>>>A profit  
for the constituents, means a profit for the government!<<<<  This is  
where most people who don't consider the complex interactions between  
standard of living and government income become misguided, and  
believe the only solution is raising taxes.

Obviously, the other way a government (or business) can raise income  
is by offering its own services and the services of its people to not  
only its own constituency, but to others that are willing to pay for  
it.  The government should thus be active when its people need to  
interact and compete in a global system.  Now interactions in a  
global economy is just that.  When an economic change occurs  
globally, the system at home is affected and we adjust our system to  
derive the maximal benefits from what is occurring. [There's much  
more to say about our economy in relation to the global economy, but  
I'll stop here for the present purposes.]  Part of interacting in a  
global economy involves keeping the system at home healthy.  And this  
means curing that which is ill.  So what is the best way to tackle a  
disease?  Hit at it's source.  Why do some people have very poor  
health insurance and some not at all?  Because people can't afford  
it.  And how do people come to afford it?  Not by just giving them  
money, but by increasing their own economic system's wealth so they  
can have the money to pay for it themselves--without draining it from  
others!  If you drain it from others that strains the nation's as a  
whole standard of living.  Which in turn (for those who are careful  
to calculate the interactions between businesses and standard of  
living) steadily deceases the nation's over economic status in almost  
all respects (which is what has been going on for the past twenty  
years!).  So how do you kill the disease with out poisoning the whole  
system?  Look back at the basic principles of maintaining a growing  
business.  You find out what programs serve to increase the wealth of  
the people (and thus the wealth of the government).  For the case of  
the poor who cannot  help themselves, you concentrate spending on  
programs that attack what is causing their problems--the social  
breakdown.  Fund programs that encourage building support amongst  
themselves and fund programs that work to build a self-motivation to  
educate themselves and succeed in life so that they can in turn be  
able to give back to the system.  This is the only reasonable way to  
solve our problems--be very careful in viewing all the consequences  
of every action we take--don't just throw money at the first symptom  
that pops up.  And for the money that you do use to tackle the  
problem, be certain that it is not taken from sources that will in  
the long run have detrimental effects.  Give the minimal necessary to  
maintain the symptoms at bay while focusing your strongest on solving  
the underlying problem--and do that quickly!  Or else the government  
(or business) will go further and further into debt.

Now one last thing, what I've described is by far an ideal system.   
And we can only hope to obtain a government, filled with all of its  
bureaucracies and expensive operations, that is as efficient as a  
business.  But if we are to change this is where change has to come  
from and the direction it must go, not into feeding the old system of  
inefficiency and pouring large proportions of taxes into treating  
symptoms that will never heal by themselves.  Pumping money into  
socialized medicine is doing just that.  Our government's main focus  
should be governing a body of people, not dictating the lives of  
every single person.  When it comes to the affairs of individual  
lives, >>>the government should monitor not manage<<<.  Health care  
should be monitored, and let the experts manage it--just as any other  
kind of insurance is!  After all, insurance is just another  
specialized business, that should be run with the efficiency of a  
business, not the bureaucracy of a government.   Let the government  
put the money where it counts in the long run.


D.E. Mireles

-- NewsGrazer, a NeXTstep(tm) news reader, posting --
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