Re: MD MOQ and The Moral Society

From: Mark Steven Heyman (markheyman@infoproconsulting.com)
Date: Sun Jul 24 2005 - 19:02:19 BST

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    On 24 Jul 2005 at 11:06, Arlo J. Bensinger wrote:

    On "health care":

    [Platt]
    As I've argued before, "life saving" is a term with different
    meanings to different people. You and I may agree as to what
    constitutes "saving" as opposed to "enhancing," but others will
    disagree.

    [Arlo]
    Likely. My aim was not to argue specifics, but present one way of
    looking at the spectrum of health care that could then be analyzed
    via the MOQ. "Life saving", of course, Pirsig addresses in describing
    the value of the individual.

    msh 7-24-05:
    I guess I don't see how the term "life-saving services" is in anyway
    vague. If a critically injured person isn't rushed to the hospital,
    he will die. If a diabetic is deprived of insulin, he will die. If
    a woman suffering from kidney failure is denied dialysis, she will
    die. If someone suffering from severe hypertension is denied blood
    pressure medicine, he will die. Seems pretty straight-forward to me:
    a doctor, or community-level panel of doctors should be the arbiters.
      Hospitals already provide such panels. Of course, there's the
    problem of wealth and power corrupting the panel's decisions, but
    that's true even of the Supreme Court, which, after all, is packed
    with political appointees. In a moral society, the battle against
    corruption will be waged separately by, among other things, allowing
    a fully-informed (MOQ-inspired) public to oversee institutional
    decision-making.

    Seems to me.

    [Platt continues]
    Some will opt by democratic vote to tax themselves for more health
    services than others. If an entire nation votes for universal health
    services, so be it.

    msh 7-24-05:
    Unfortunately, this ignores the corrupting influence of corporate
    wealth over our putative democracy and its sources of information.
    Such influence has been well-documented in this thread and elsewhere
    on the list. In 1993, when the Clinton administration took a few
    faltering steps toward developing a more equitable system of health
    care, their efforts were blown out of the water by millions of
    dollars of propaganda coming primarily from the health insurance
    industry. So, instead of rational debate of the issue, voters saw
    thousands of commercials asserting that a national health plan was
    some kind of, gasp, socialism. Remember those "Harry and Louise"
    commercials?

    So, again, in a moral society composed of fully-informed individuals,
    it's hard to imagine that US voters would not have gone in the
    direction of every other industrialized nation on earth.

    Here's a report (with lots of documentation, references, links) which
    explores in detail the "defeat" of nationalized health care, after
    Clinton was elected:
    http://www.sourcewatch.org/index.php?title=Coalition_for_Health_Insura
    nce_Choices

    [Platt continues]
    From my knowledge of how other countries have fared under government
    health programs, I would fight and vote against it.
       
    msh 7-24-05:
    Hard to see how real knowledge of government health programs in all
    the other industrialized nations would lead to one's voting against
    one, here. The very fact that the vast majority of people in these
    nations continue to support nationalized health care should be
    evidence enough of its popularity. Why is it different in the US?
    See above.

    Best to all,
    Mark Steven Heyman (msh)

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