From: mireles@anhinga (David Mireles)
Subject: Think Twice! pt2 on "The Decline of America..." series
Followup-To: alt.activism.d
Originator: rich@pencil.cs.missouri.edu
Keywords: socialized medicine, statistics
Organization: Florida State University
Date: Fri, 9 Oct 1992 21:17:21 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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`

Xref: sparky alt.activism:17460 talk.politics.misc:51565 ba.politics:6079 ca.politics:8654