Globalizing Health Care

HERE AT the Road to the Middle Class we are not so sure about the 15 percent of GDP spent on health care. When it comes to improving life expectancy, expensive bio-medicine isn’t exactly outperforming sanitation and baisc OB-GYN care to keep infant mortality down.

And then there’s the regulation and the licensure and the special interests, not to mention the herioc end-of-life care that doesn’t relieve suffering and doesn’t extend life.

So it’s good to see the chaps at Democracy Project doing a bit of thinking. They don’t like

the status quo or various extensions of the status quo such as proposals for a single payer system, mandating employee coverage, mandating employer coverage, health spending accounts[.]

Everyone, Democrat and Republican, wants to give the present system a few tweaks. But nobody is thinking big ball.

The problem with our health care system is over-regulation. Yet, all the Republican solutions and Democratic solutions involve extending or reshaping the regulation.

Why not sidestep regulation altogether?

This can be accomplished through overseas medical treatment.

What, medical tourism, risking life and limb in third-world countries? Well, not so fast.

Back in the 1950s, many Americans believed that goods "made in Japan" were of low quality. As it turned out, by the 1970s "made in Japan" meant better quality than U.S.-manufactured goods. There is no reason why health care can’t be provided in the third world.

What makes you think that medical care in say, India, won’t be competitive with the US in 10 years or so?

The beauty of it is that it would force the US health care industry to start cutting costs and improving quality. Just like the US auto industry had to do.

We’ll find out, along the way, just how privileged and subsidized our vast health industry has become. And we can expect our doctors and nurses and adminstrators to go screaming to Congress for relief from medical “dumping.”

But we won’t pay a blind bit of attention to their screeching.

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Christopher Chantrill blogs at www.roadtothemiddleclass.com. His Road to the Middle Class is forthcoming.

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Action

The incentive that impels a man to act is always some uneasiness... But to make a man act [he must have] the expectation that purposeful behavior has the power to remove or at least to alleviate the felt uneasiness.
Ludwig von Mises, Human Action

Chappies

“But I saw a man yesterday who knows a fellow who had it from a chappie that said that Urquhart had been dipping himself a bit recklessly off the deep end.” —Freddy Arbuthnot
Dorothy L. Sayers, Strong Poison

China and Christianity

At first, we thought [the power of the West] was because you had more powerful guns than we had. Then we thought it was because you had the best political system. Next we focused on your economic system. But in the past twenty years, we have realized that the heart of your culture is your religion: Christianity.
David Aikman, Jesus in Beijing

Churches

[In the] higher Christian churches… they saunter through the liturgy like Mohawks along a string of scaffolding who have long since forgotten their danger. If God were to blast such a service to bits, the congregation would be, I believe, genuinely shocked. But in the low churches you expect it every minute.
Annie Dillard, Holy the Firm

Civil Society

“Civil Society”—a complex welter of intermediate institutions, including businesses, voluntary associations, educational institutions, clubs, unions, media, charities, and churches—builds, in turn, on the family, the primary instrument by which people are socialized into their culture and given the skills that allow them to live in broader society and through which the values and knowledge of that society are transmitted across the generations.
Francis Fukuyama, Trust

Class War

In England there were always two sharply opposed middle classes, the academic middle class and the commercial middle class. In the nineteenth century, the academic middle class won the battle for power and status... Then came the triumph of Margaret Thatcher... The academics lost their power and prestige and... have been gloomy ever since.
Freeman Dyson, “The Scientist as Rebel”

Conservatism

Conservatism is the philosophy of society. Its ethic is fraternity and its characteristic is authority — the non-coercive social persuasion which operates in a family or a community. It says ‘we should...’.
Danny Kruger, On Fraternity

Conservatism's Holy Grail

What distinguishes true Conservatism from the rest, and from the Blair project, is the belief in more personal freedom and more market freedom, along with less state intervention... The true Third Way is the Holy Grail of Tory politics today - compassion and community without compulsion.
Minette Marrin, The Daily Telegraph

Conversion

“When we received Christ,” Phil added, “all of a sudden we now had a rule book to go by, and when we had problems the preacher was right there to give us the answers.”
James M. Ault, Jr., Spirit and Flesh

Democratic Capitalism

I mean three systems in one: a predominantly market economy; a polity respectful of the rights of the individual to life, liberty, and the pursuit of happiness; and a system of cultural institutions moved by ideals of liberty and justice for all. In short, three dynamic and converging systems functioning as one: a democratic polity, an economy based on markets and incentives, and a moral-cultural system which is plural and, in the largest sense, liberal.
Michael Novak, The Spirit of Democratic Capitalism

Drang nach Osten

There was nothing new about the Frankish drive to the east... [let] us recall that the continuance of their rule depended upon regular, successful, predatory warfare.
Richard Fletcher, The Barbarian Conversion

Education

“We have met with families in which for weeks together, not an article of sustenance but potatoes had been used; yet for every child the hard-earned sum was provided to send them to school.”
E. G. West, Education and the State

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