Post here (abstract only, full article requires a subscription)
Gawande points to a study recognizing a group of people that disproportionately uses medical resources:
‘His calculations revealed that just one per cent of the hundred thousand people who made use of Camden’s medical facilities accounted for thirty per cent of its costs.’
And a potential solution for these ‘super-utilizers:’
‘In addition to physicians and nurses, the Center employs eight full-time “health coaches,” who help patients manage their health.’
‘Health-coaches’ frightens me a bit. I’m still worried about politicizing the issue further; entrenching health-care as a right, which will also make it a political football (soon to be third-rail), potentially unionize it, open it to many more forms abuse and fraud (and diverging political and healh-insurance goals).
A door to single-payer? What about rising costs?
A reader sent in two quotes from Henry Hazlitt, libertarian economist:
“The art of economics consists in looking not merely at the immediate but at the longer effects of any act or policy; it consists in tracing the consequences of that policy not merely for one group but for all groups.”
“The first requisite of a sound monetary system is that it put the least possible power over the quantity or quality of money in the hands of the politicians.”
Related On This Site: Atul Gawande At The New Yorker: ‘Testing, Testing’…From The New Yorker: Atul Gawande On Health Care-”The Cost Conundrum”
A Few Health Care Links-03/18/2010
7:43 long. The title is ‘George Will on rationality, principles, and reality.’
The same reader who sent the link wonders if there are some people who pursue the argument of free market economics with a zealous rationalism (not necessarily materialistic, but rationalist)..and if there isn’t there some Empiricist/philosophcial/political tradition relatively free of this metaphysical debate?
I’m not sure. At the very end, Will states:
“It’s not the question of contradictions being true, but the questions of contradictions being real”
Link to a page on Aristotle’s metaphysics: being qua being.
From a Leo Strauss quote on Edmund Burke earlier posted (Strauss thought Burke too, perhaps, was succumbing to his definition of historicism):
“What ever might have to be said about the propriety of Burke’s usage, it is here sufficient to note that, in judging the political leaders whom he opposed in the two most important actions of his life, he [sic Burke] traced their lack of prudence less to passion than to the intrusion of the spirit of theory into the field of politics.”
Also On This Site: Some Quotations From Leo Strauss On Edmund Burke In ‘Natural Right And History’…Peter Singer discusses Hegel and Marx…A Few Thoughts On Isaiah Berlin’s “Two Concepts Of Liberty” …Harry Jaffa At The Claremont Institute: ‘Leo Strauss, the Bible, and Political Philosophy’
George Will on baseball: From Slate: ‘Old Moneyball’
Full post here.
Our author, David Boaz, quotes Fareed Zakaria:
‘Since 1945 Western governments have, for the most part, embodied both democracy and constitutional liberalism. Thus it is difficult to imagine the two apart, in the form of either illiberal democracy or liberal autocracy. In fact both have existed in the past and persist in the present. Until the twentieth century, most countries in Western Europe were liberal autocracies or, at best, semi-democracies.’
Related On This Site: From The Atlantic: Samuel Huntington’s Death And Life’s Work…From The American Interest Online: Francis Fukuyama On Samuel Huntington…From Foreign Affairs Via The A & L Daily: ‘Conflict Or Cooperation: Three Visions Revisited’
Do we try and invest in global institutions as flawed as they are?: Daniel Deudney On YouTube Responding to Robert Kagan: Liberal Democracy Vs. Autocracy
Fareed Zakaria BBC Interview: America In Decline…Richard Lieber In The World Affairs Journal–Falling Upwards: Declinism, The Box Set…
Full essay here.
‘According to my observations (for which I claim nothing by that they are all I have to go by) inaction is better than wrong action or premature right action, and effective right action can only follow right thinking. “If a great change is to take place,” said Edmund Burke, in his last words on the French Revolution, “the minds of men will be fitted to it.”‘
‘It is a primary instinct of human nature to satisfy one’s needs and desires with the least possible exertion; everyone tends by instinctive preference to use the political means rather than the economic means, if he can do so.’
Albert Jay Nock, a strange animal: Philosophical anarchist…but one whose anti-statism (the State maintains a monopoly on crime) is such that he ends up in a fairly conservative position.
Also On This Site: How many libertarians are fundamentally anti-theist…and would some go so far as to embrace utilitarianism, or Mill’s Harm Principle which both of which are often used by the State-Builders? So, where did Marx get his ideas, anyways? Peter Singer discusses Hegel and Marx
How might Darwin, and those who use him for political purposes, fit into all of this?: PZ Myers, anti-creationsist, has more.
What about Kantian agnosticism…or is that part of the Enlightenment project of reason that Libertarians perhaps ought to be more careful with?: A Few Thoughts On Isaiah Berlin’s “Two Concepts Of Liberty” …Harry Jaffa At The Claremont Institute: ‘Leo Strauss, the Bible, and Political Philosophy’…Via An Emailer: Some Criticism Of Leo Strauss?
What about Noam Chomsky’s philosophical idealism, and his anarchism?: The Politics Of Noam Chomsky-The Dangers Of Kantian Transcendental Idealism?
Full piece here.
“One root cause of the ethnic strife is the retreat of the state; Karachi’s local government has simply failed to keep up with the city’s expanding population. It has refused or been unable to provide basic physical infrastructure and services, such as housing, water, and electricity, or economic opportunities and resources to the majority of residents. Instead, the urban poor have relied on ethnic-based sector entrepreneurs to provide these essential services. This informality in social and economic relations has allowed ethnic rivalries to fester.”
Related On This Site: From Foreign Policy: ‘Reading Woodward In Karachi’…From Michael Yon: ‘General Petraeus Letter’…From March 27th, 2009 At WhiteHouse.Gov: Remarks By The President On A New Strategy For Afghanistan And Pakistan