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	<title>Comments on: Choice And Risk</title>
	<atom:link href="http://deanesmay.com/2009/07/22/choice-and-risk/feed/" rel="self" type="application/rss+xml" />
	<link>http://deanesmay.com/2009/07/22/choice-and-risk/</link>
	<description>Defending the liberal tradition in history, science, and philosophy.</description>
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		<title>By: Mc Kiernan</title>
		<link>http://deanesmay.com/2009/07/22/choice-and-risk/#comment-174701</link>
		<dc:creator>Mc Kiernan</dc:creator>
		<pubDate>Thu, 23 Jul 2009 23:40:34 +0000</pubDate>
		<guid isPermaLink="false">http://deanesmay.com/2009/07/22/choice-and-risk/#comment-174701</guid>
		<description>&quot;still here? then welcome to The Tragedy of the Commons. You pay taxes, they may be used in ways you dont approve of. label it tyranny if you want, but thats just 

your brute ignorance of the rights-vs-responsibility sacred contract a democratic state makes with its citizens.&quot;

How do you come up with this stuff,  aziz ?</description>
		<content:encoded><![CDATA[<p>&#8220;still here? then welcome to The Tragedy of the Commons. You pay taxes, they may be used in ways you dont approve of. label it tyranny if you want, but thats just </p>
<p>your brute ignorance of the rights-vs-responsibility sacred contract a democratic state makes with its citizens.&#8221;</p>
<p>How do you come up with this stuff,  aziz ?</p>
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		<title>By: The seven percent solution &#124; Likelihood of Success</title>
		<link>http://deanesmay.com/2009/07/22/choice-and-risk/#comment-174693</link>
		<dc:creator>The seven percent solution &#124; Likelihood of Success</dc:creator>
		<pubDate>Thu, 23 Jul 2009 21:40:15 +0000</pubDate>
		<guid isPermaLink="false">http://deanesmay.com/2009/07/22/choice-and-risk/#comment-174693</guid>
		<description>[...] Dave Price writes about choice and risk: Ace makes a great point on one of the many problems in the health care bill: On Fox &amp; Friends, they offered another good talking point: Currently 90% of all Americans are covered by insurance. Obama’s vaunted plan will cover, theoretically, another 7%. So: We’re destroying the entire system to move from 90% to 97% coverage? And that 7%, of course, includes a lot of young people who think they don’t need health insurance because they’re young and healthy (and, in fact, they’re right, according to the statistics; even more right when you consider that each young person is forced to pay way too much for health care, as he subsidizes older customers). [...]</description>
		<content:encoded><![CDATA[<p>[...] Dave Price writes about choice and risk: Ace makes a great point on one of the many problems in the health care bill: On Fox &amp; Friends, they offered another good talking point: Currently 90% of all Americans are covered by insurance. Obama’s vaunted plan will cover, theoretically, another 7%. So: We’re destroying the entire system to move from 90% to 97% coverage? And that 7%, of course, includes a lot of young people who think they don’t need health insurance because they’re young and healthy (and, in fact, they’re right, according to the statistics; even more right when you consider that each young person is forced to pay way too much for health care, as he subsidizes older customers). [...]</p>
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		<title>By: CosmicConservative</title>
		<link>http://deanesmay.com/2009/07/22/choice-and-risk/#comment-174686</link>
		<dc:creator>CosmicConservative</dc:creator>
		<pubDate>Thu, 23 Jul 2009 20:11:03 +0000</pubDate>
		<guid isPermaLink="false">http://deanesmay.com/2009/07/22/choice-and-risk/#comment-174686</guid>
		<description>Greenwell:

You say:

&quot;I have also seen the effects that various government policies have had on costs over those years. And in almost every case, the intervening policy has had the opposite effect of what was stipulated when the policy was put into effect.&quot;

This is in large part due to the fundamental difference between conservative and liberal approaches to problems. Paramount among those differences is the tendency for liberals to discount the Law of Unintended Consequences.

Things cost more than liberals think because they always leave out things they don&#039;t want to confront, and because they refuse to acknowledge the effect of feedback mechanisms that come into play and change the environment as soon as the policy is implemented.

This is a LARGE reason that conservatives are suspicious of government solutions to things, we EXPECT them to have unintended consequences, and by and large they are virtually always NEGATIVE ones.</description>
		<content:encoded><![CDATA[<p>Greenwell:</p>
<p>You say:</p>
<p>&#8220;I have also seen the effects that various government policies have had on costs over those years. And in almost every case, the intervening policy has had the opposite effect of what was stipulated when the policy was put into effect.&#8221;</p>
<p>This is in large part due to the fundamental difference between conservative and liberal approaches to problems. Paramount among those differences is the tendency for liberals to discount the Law of Unintended Consequences.</p>
<p>Things cost more than liberals think because they always leave out things they don&#8217;t want to confront, and because they refuse to acknowledge the effect of feedback mechanisms that come into play and change the environment as soon as the policy is implemented.</p>
<p>This is a LARGE reason that conservatives are suspicious of government solutions to things, we EXPECT them to have unintended consequences, and by and large they are virtually always NEGATIVE ones.</p>
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		<title>By: greenwell</title>
		<link>http://deanesmay.com/2009/07/22/choice-and-risk/#comment-174685</link>
		<dc:creator>greenwell</dc:creator>
		<pubDate>Thu, 23 Jul 2009 19:52:18 +0000</pubDate>
		<guid isPermaLink="false">http://deanesmay.com/2009/07/22/choice-and-risk/#comment-174685</guid>
		<description>I know that anecdote does not equal data, but here goes anyway...

I have been working in the health care industry since 1980. That&#039;s 29 years. I work for a very large medical device vendor so I get to see the operating practices of a lot of both public and private institutions and health care providers. 

In every single one of those institutions and providers - from the big university medical centers down to the free-standing, private imaging centers - they are more than willing to negotiate their fees when a patient is paying out-of-pocket. (ie has no insurance) Indeed, most of them actually have a standing discount for no-insurance patients that is substantially lower than the published procedure price.

I have also seen the effects that various government policies have had on costs over those years. And in almost every case, the intervening policy has had the opposite effect of what was stipulated when the policy was put into effect.</description>
		<content:encoded><![CDATA[<p>I know that anecdote does not equal data, but here goes anyway&#8230;</p>
<p>I have been working in the health care industry since 1980. That&#8217;s 29 years. I work for a very large medical device vendor so I get to see the operating practices of a lot of both public and private institutions and health care providers. </p>
<p>In every single one of those institutions and providers &#8211; from the big university medical centers down to the free-standing, private imaging centers &#8211; they are more than willing to negotiate their fees when a patient is paying out-of-pocket. (ie has no insurance) Indeed, most of them actually have a standing discount for no-insurance patients that is substantially lower than the published procedure price.</p>
<p>I have also seen the effects that various government policies have had on costs over those years. And in almost every case, the intervening policy has had the opposite effect of what was stipulated when the policy was put into effect.</p>
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		<title>By: Hank Barnes</title>
		<link>http://deanesmay.com/2009/07/22/choice-and-risk/#comment-174684</link>
		<dc:creator>Hank Barnes</dc:creator>
		<pubDate>Thu, 23 Jul 2009 19:25:29 +0000</pubDate>
		<guid isPermaLink="false">http://deanesmay.com/2009/07/22/choice-and-risk/#comment-174684</guid>
		<description>Harry Reid has sensibly said this thing needs to slow down a bit -- no vote until the Fall. 

A good responsible move.

--HB</description>
		<content:encoded><![CDATA[<p>Harry Reid has sensibly said this thing needs to slow down a bit &#8212; no vote until the Fall. </p>
<p>A good responsible move.</p>
<p>&#8211;HB</p>
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		<title>By: Hank Barnes</title>
		<link>http://deanesmay.com/2009/07/22/choice-and-risk/#comment-174683</link>
		<dc:creator>Hank Barnes</dc:creator>
		<pubDate>Thu, 23 Jul 2009 19:17:05 +0000</pubDate>
		<guid isPermaLink="false">http://deanesmay.com/2009/07/22/choice-and-risk/#comment-174683</guid>
		<description>&lt;i&gt;This is the false nobility of the leftist: “I care about the poor, and I am morally superior because I am forcing everyone else to help them.” &lt;/i&gt;

Translation:  I will give you the shirt of someone else&#039;s back!

HB</description>
		<content:encoded><![CDATA[<p><i>This is the false nobility of the leftist: “I care about the poor, and I am morally superior because I am forcing everyone else to help them.” </i></p>
<p>Translation:  I will give you the shirt of someone else&#8217;s back!</p>
<p>HB</p>
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		<title>By: CosmicConservative</title>
		<link>http://deanesmay.com/2009/07/22/choice-and-risk/#comment-174681</link>
		<dc:creator>CosmicConservative</dc:creator>
		<pubDate>Thu, 23 Jul 2009 18:42:21 +0000</pubDate>
		<guid isPermaLink="false">http://deanesmay.com/2009/07/22/choice-and-risk/#comment-174681</guid>
		<description>Dave:

You have a flaw in your criticism of Aziz, and it is a flaw which essentially concedes the key point to the Leftist. You say:

This is the false nobility of the leftist: “I care about the poor, and I am morally superior because I am forcing everyone else to help them.”

The falseness of this statement is not just that they are morally superior, but that their &quot;solution&quot; ACTUALLY HELPS THE POOR.

I would hope that the failure of the Great Society had proven that Leftist wealth redistribution efforts simply do NOT WORK. Not only will Aziz force you to do something, but he will force you to do something that does not ACTUALLY HELP THE POOR.

Once health care is rationed, the poor will (as always) be the ones who find it hardest to get new hips, new hearts and new leases on life, while the politically connected will find it easiest.</description>
		<content:encoded><![CDATA[<p>Dave:</p>
<p>You have a flaw in your criticism of Aziz, and it is a flaw which essentially concedes the key point to the Leftist. You say:</p>
<p>This is the false nobility of the leftist: “I care about the poor, and I am morally superior because I am forcing everyone else to help them.”</p>
<p>The falseness of this statement is not just that they are morally superior, but that their &#8220;solution&#8221; ACTUALLY HELPS THE POOR.</p>
<p>I would hope that the failure of the Great Society had proven that Leftist wealth redistribution efforts simply do NOT WORK. Not only will Aziz force you to do something, but he will force you to do something that does not ACTUALLY HELP THE POOR.</p>
<p>Once health care is rationed, the poor will (as always) be the ones who find it hardest to get new hips, new hearts and new leases on life, while the politically connected will find it easiest.</p>
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		<title>By: TexasAg03</title>
		<link>http://deanesmay.com/2009/07/22/choice-and-risk/#comment-174680</link>
		<dc:creator>TexasAg03</dc:creator>
		<pubDate>Thu, 23 Jul 2009 18:26:56 +0000</pubDate>
		<guid isPermaLink="false">http://deanesmay.com/2009/07/22/choice-and-risk/#comment-174680</guid>
		<description>&lt;i&gt;They may negotiate a payment plan, but you will not pay less with no insurance. In fact, you will probably pay more.&lt;/i&gt;

Absolutely untrue.  I know several people without insurance (by choice) and they always get SUBSTANTIAL discounts when they negotiate.  The hospital and doctors do not have to deal with the insurance bureaucracy, so it is a good deal for them to discount the services.

Also, the Republicans DO have alternatives on the table - it&#039;s just that the MSM wouldn&#039;t dare let this out.

http://is.gd/1JaQd

And a response to the &quot;some want to do nothing&quot; meme:

http://is.gd/1JaRM</description>
		<content:encoded><![CDATA[<p><i>They may negotiate a payment plan, but you will not pay less with no insurance. In fact, you will probably pay more.</i></p>
<p>Absolutely untrue.  I know several people without insurance (by choice) and they always get SUBSTANTIAL discounts when they negotiate.  The hospital and doctors do not have to deal with the insurance bureaucracy, so it is a good deal for them to discount the services.</p>
<p>Also, the Republicans DO have alternatives on the table &#8211; it&#8217;s just that the MSM wouldn&#8217;t dare let this out.</p>
<p><a href="http://is.gd/1JaQd" rel="nofollow">http://is.gd/1JaQd</a></p>
<p>And a response to the &#8220;some want to do nothing&#8221; meme:</p>
<p><a href="http://is.gd/1JaRM" rel="nofollow">http://is.gd/1JaRM</a></p>
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		<title>By: Dave Price</title>
		<link>http://deanesmay.com/2009/07/22/choice-and-risk/#comment-174677</link>
		<dc:creator>Dave Price</dc:creator>
		<pubDate>Thu, 23 Jul 2009 17:53:27 +0000</pubDate>
		<guid isPermaLink="false">http://deanesmay.com/2009/07/22/choice-and-risk/#comment-174677</guid>
		<description>It&#039;s perfectly wonderful, Aziz, if you want to spend your own money being your brother&#039;s keeper.  Fine.  Go for it.  If you donate your whole income, I will applaud your nobility and caring nature.

But your caring stops being noble when you want to seize and spend MY money.   This is the false nobility of the leftist: &quot;I care about the poor,  and I am morally superior because I am forcing everyone else to help them.&quot;</description>
		<content:encoded><![CDATA[<p>It&#8217;s perfectly wonderful, Aziz, if you want to spend your own money being your brother&#8217;s keeper.  Fine.  Go for it.  If you donate your whole income, I will applaud your nobility and caring nature.</p>
<p>But your caring stops being noble when you want to seize and spend MY money.   This is the false nobility of the leftist: &#8220;I care about the poor,  and I am morally superior because I am forcing everyone else to help them.&#8221;</p>
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		<title>By: Hank Barnes</title>
		<link>http://deanesmay.com/2009/07/22/choice-and-risk/#comment-174675</link>
		<dc:creator>Hank Barnes</dc:creator>
		<pubDate>Thu, 23 Jul 2009 16:10:20 +0000</pubDate>
		<guid isPermaLink="false">http://deanesmay.com/2009/07/22/choice-and-risk/#comment-174675</guid>
		<description>Great discussion!!

To throw another angle at the issue:

&lt;a href=&quot;http://jama.ama-assn.org/cgi/content/abstract/279/15/1200&quot; rel=&quot;nofollow&quot;&gt;According to Lazarou in JAMA&lt;/a&gt; (Journal of American Medical Association), a large meta-analysis, &quot;proper&quot; use of prescription drugs CAUSE about 106,000 deaths each year in hospitals. 

Adding the true, but unfortunate, observations of Dr. Starfield of Johns-Hopkins (JAMA, 2000: 284:483- 485), who calculates the iatrogenic deaths each year in the USA as follows:

*      12,000 deaths/year from unnecessary surgery

*       7,000 deaths/year from medication errors

*     20,000 deaths/year from other errors in hospitals

*     80,000 deaths/year from infections acquired from hospital staff or patients

This is about 225,000 deaths/year in the US from doctors and hospitals. This is only outnumbered by cancer and heart disease.

Maybe, the folks who &lt;i&gt;aren&#039;t &lt;/i&gt; insured are better off!

--HBarnes</description>
		<content:encoded><![CDATA[<p>Great discussion!!</p>
<p>To throw another angle at the issue:</p>
<p><a href="http://jama.ama-assn.org/cgi/content/abstract/279/15/1200" rel="nofollow">According to Lazarou in JAMA</a> (Journal of American Medical Association), a large meta-analysis, &#8220;proper&#8221; use of prescription drugs CAUSE about 106,000 deaths each year in hospitals. </p>
<p>Adding the true, but unfortunate, observations of Dr. Starfield of Johns-Hopkins (JAMA, 2000: 284:483- 485), who calculates the iatrogenic deaths each year in the USA as follows:</p>
<p>*      12,000 deaths/year from unnecessary surgery</p>
<p>*       7,000 deaths/year from medication errors</p>
<p>*     20,000 deaths/year from other errors in hospitals</p>
<p>*     80,000 deaths/year from infections acquired from hospital staff or patients</p>
<p>This is about 225,000 deaths/year in the US from doctors and hospitals. This is only outnumbered by cancer and heart disease.</p>
<p>Maybe, the folks who <i>aren&#8217;t </i> insured are better off!</p>
<p>&#8211;HBarnes</p>
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