Showing posts with label 000. Show all posts
Showing posts with label 000. Show all posts

Thursday, July 11, 2019

Can US afford to buy what Sanders is selling?


Don Wooten and I have at least one thing in common: We both like ancient Greek tragedy.

Every time I hear Sen. Bernie Sanders glibly proclaim that if we only trash the present American health-care system, and adopt a single-payer system, the American health-care system will be vastly improved, my thoughts recur to Euripides, The Bacchae: "A man whose glibness flows from his own conceit, is a worthless and stupid citizen."


On June 18, our Rock Island County Board voted to put Hope Creek Care Center up for sale. The county care facility is $7.5 million in debt. Running the facility at a profit has never been the goal. Sadly, the county has been unable to break even. (If the county imposed a one-time $53 tax on every resident of the county, that would cure the $7.5 million deficit, and give Hope Creek a fresh start.)


So why is there any reason to believe that the U.S. government can run a nationwide health-care system, caring for 330 million people from Maine to Hawaii and from Florida to Alaska from headquarters in Washington D.C., when Rock Island County can't manage its small care facility in East Moline? Have we forgotten the problems of the VA?

If Hope Creek is sold, about 220 employees could lose their jobs and some employment benefits. At present, it is estimated that there are 500,000 workers employed by the health insurance companies, such as Aetna and Blue Cross.


Issue No. 1: What happens to those 500,000 health-care employees if the U.S. adopts a single-payer system? Is there even one single-payer advocate addressing this issue?


If we go to single-payer, do the 500,000 lose their jobs? Benefits? If they are transferred to the federal payroll, will the cost to the taxpayers be less than the cost to their former private employers? If so, how does that save any money? Will those who aren't transferred be replaced by new federal workers? If those who aren't transferred are re-trained for new jobs in other industries, what will that cost?


Will the cost of new federal employees, plus the cost of employees transferred from the private sector, plus the cost of re-training those not transferred, exceed what the private sector was paying its 500,000 employees?


And what about workers in related industries? Under single-payer, will the number of employees in hospitals, care centers, and doctors' offices remain the same? And if the numbers decrease, what happens to those workers? Do they go on unemployment or into job re-training?


Issue No. 2: Are American's better off destroying the present systems of coverage and going to single-payer? Total U.S. population (2016): 325,000,000. Covered by Medicare: 53,000,000. Employer plans: 155,000,000. Non-employer private plans: 90,000,000. Veteran's Administration: 15,000,000 Uninsured: 27,000,000.


In 2016, 91.2% of Americans had health insurance coverage and 8.8% didn't. That 8.8% will certainly be better off if we go to a single-payer system, but what percentage of Americans will receive less desirable coverage or substantially inferior coverage?


Would we be better off bringing the 8.8% into the present system? How many of the 8.8% already are on Medicaid?



Issue No. 3: Canada has a single-payer system. The Fraser Institute evaluates the Canadian experience from year to year. Have things gotten better or worse in Canada over the years? They advise that a key indicator is wait time: the time between referral by a general practitioner to a specialist and receipt of treatment. Fraser's answer: substantially worse.


The average Canadian wait time in 2018 was 19.8 weeks; up from 9.3 weeks in 1993. The wait consists of two components: an average 8.7 weeks wait to see the specialist; and an additional 11 weeks to obtain the treatment. In 2018, Canadians could expect to wait an average of 4.3 weeks for a CT scan, 10.6 weeks for an MRI, and 3.9 weeks for an ultrasound.


When the patient is suffering pain, a wait time is not his friend. Wait times can result in poorer medical outcomes. They can transform potentially reversible illnesses/ injuries into chronic, or irreversible conditions, or even permanent disabilities.


When I hurt my knee golfing, it didn't take me 19.8 weeks with my present insurance to see a specialist and get my MRI. What have your wait times been with your private plan or Medicare? Should 91.2% of Americans plunge into the unknown to provide insurance for 8.8%? Or is there a better alternative?


Simply put: Are you willing to buy the Sander's snake-oil elixir

Posted: QCOline.com   July 11, 2019




Copyright 2019, John Donald O'Shea


Thursday, November 8, 2012

Abortion Is More than Just Another Social Justice Issue





I have often wondered how the German people continued to support Adolf Hitler and the Nazi party, as they came to learn the things he was doing.

I can only suppose their justification went something like this:

"Since Adolf Hitler took office, German unemployment has fallen substantially -- from six million in 1932 to one million in 1936. In addition, his government has embarked upon a massive infrastructure improvement program. If you take time to look, you will see the dams, autobahns, railroads and other public works constructed by this administration.

"The Fuhrer has instituted an array of social welfare programs designed to provide employment for every German citizen, and has instituted programs for social justice to insure a minimal standard of living for every German citizen. Before the Fuhrer, the unfortunate looked only to the charity of the individual; with his Winter Relief campaigns, the resources of the state are being put to use in feeding the poor and clothing the needy.

"The extermination of Jews is not the only important issue. To ignore the good -- the social justice -- that Hitler has done, and focus only on the extermination of a few Jews, and perhaps a few, a hand-full of mentally defectives, is to ignore Christ's social justice teachings that we care for the least of our brothers."

Add to the argument that another German might make, "That the churches should unequivocally denounce Hitler for what he is doing to the Jews, and the Gypsies, and the mentally handicapped."
I imagine that the rejoinder went like this:

"We do not want to be a nation of sheep who do not think for ourselves and weigh all the pros and cons of the various issues. I strongly feel that one needs to decide for oneself what issues are most important and for whom to vote. We certainly don't need the churches telling us how to think and how to vote."

Now substitute the phrase "abortion of fetuses" for the phrase "extermination of Jews," change the venue from Germany to the U.S, and fast-forward from the mid-30s to 2012.

What Hitler did to the Jews was "murder." The Jews were "human beings." Medically and scientifically, they were human beings.

They were as human as any other German. Only their religion was different. But even when they converted to the Christian faith, it made no difference. They were legislatively transformed into "sub-humans," stripped of the citizenship and rights, and exterminated.

Similarly, the human fetus developing within the womb is unquestionably -- from a medical and scientific perspective -- a "human being." And even if you deny that, if it is allowed to come to term, it will unquestionably emerge from the womb as a human being. It is only by deeming fetus in the womb "sub-human" that abortion (without serious justification) can be anything other than a killing which is "in the nature of" murder. (Note, that I am talking only about abortion, not contraception.)

My point is very simple. Human beings with well-(in)formed consciences cannot ignore the extermination or murder of their neighbors, whether they are Jews, Gypsies, the mentally impaired. From a medical and scientific standpoint all were humans, even if the mentally impaired were not "good poster children for the master race." And only those who ignored what their eyes should have seen, could argue otherwise.

Nor can human beings with well-(in)formed consciences ignore what abortion really is.

From a medical and scientific standpoint it is the killing of a human baby. That baby may not be fully developed. That may take nine months. But if not killed, it will emerge as a human, as fully human as you or me. And only those who ignore what their eyes should see, can argue otherwise.

The argument that the fetus is "no more than a part of its mother" is specious; the fetus contains the DNA of not only its mother, but its father as well. The mother's parts do not.

There is something askew with the argument that killing (or enslaving) other humans beings is just another "important" (social) issue. The argument that the government is doing "social justice" in providing the elderly with a pension, the poor with food stamps, and the unemployed with unemployment benefits, and that those things outweigh the extermination of Jews, Gypsies and the mentally impaired, or the enslavement of blacks, or the killing of children (fetuses) turns the notion of "social justice" on its head. Where was Hitler's "social justice" for the Jews when he "redistributed their wealth," sent them to concentration camps, and murdered them?

The reprehensible fact is that over 50 million fetuses have been methodically killed, and half our country doesn't care. But when somebody abuses a dog or kills a cat, the public is outraged. How many babies have to be aborted before the churches cry out?

Or must we look to Hollywood and politicians for our moral guidance?

Posted Online: :   Nov. 07, 2012, 3:02 pm   - Quad-Cities Online
by John Donald O'Shea

Copyright 2012
John Donald O'Shea



Tuesday, January 16, 2007

irish thinker: "47,000,000 Dead and Counting"

THE LEGACY OF ROE V. WADE: 47,000,000 DEAD AND COUNTING


On January 22, 2007, America will “celebrate” the 24th anniversary of the U. S. Supreme Court’s decision in Roe v. Wade.

In our society, some wrongs are deemed “wrong in and of themselves.” Others, are deemed wrong only because they are prohibitied by a legislative enactment. Examples of acts that are deemed “wrong in and of themselves,” include murder, rape, and robbery. Distilling whiskey without paying a tax would be a typical example of a neutral act made wrong only because it is prohibited by law.

The bases for judging an act “wrong in and of itself” may come from several sources. Parents teach children that it is wrong to murder. Churches teach that murder violates God’s law. Schools teach that murder is inconsistent with living in a civilized society. An act is deemed “wrong in itself” because the act violates some natural or moral law, or other public principle deemed essential to living in a civilized society.

Locally, Sarah Kolb’s despicable murder and dismemberment of Adrianne Reynolds in January of 2005 serves to illustrate the preceding point. Obviously, there are statutes that make such acts of murder the gravest of crimes. But quite apart from any criminal statute, there is something about Kolb’s loathsome conduct which shocks the conscience of every feeling American. We judge these killings to be wrong in and of themselves - violations of natural law or moral law.


But what happens when our law is changed by our highest court so that an act previously deemed unlawful suddenly becomes lawful? When the act becomes legal, does it also become moral? That, of course, is what drives the furor behind the abortion debate. One segment of our society still sees abortion as wrong in and of itself. The other, either sees no moral wrong in the act, or reasons that since our Supreme Court has said Roe v. Wade that abortion is legal, that it must now also be moral.


Few Americans understand that the Roe Court did not consider the question of whether a fetus was a human person. The Court considered only the narrower issue of whether the fetus was a “Constitutional Person” -- a “person” within the meaning of the Fourteenth Amendment.

"Our task, of course, is to resolve the issue by constitutional measurement, free of emotion and of predilection."


The relevant portion of the Fourteenth Amendment to the U. S. Constitution provides

“... nor shall any State deprive any person of life, liberty, or property, without due process of the law; ....”

The Plaintiff, “Jane Roe,” challenged the Constitutionality of a Texas statute that made it a crime to

"procure an abortion," ... except with respect to "an abortion procured ... by medical advice for the purpose of saving the life of the mother."

Roe alleged that she was unmarried and pregnant; that she wished to terminate her pregnancy by an abortion "performed by a competent, licensed physician, under safe, clinical conditions;" that she was unable to get a "legal" abortion in Texas because her life did not appear to be threatened by the continuation of her pregnancy. She claimed that the Texas statutes abridged her right of personal privacy, protected by the First, Fourth, Fifth, Ninth, and Fourteenth Amendments.

The court summarized Roe’s contentions, saying

“The principal thrust of appellant's attack on the Texas statutes is that they improperly invade a right, said to be possessed by the pregnant woman, to choose to terminate her pregnancy.”


The court continued

“Appellant would discover this right in the concept of personal "liberty" embodied in the Fourteenth Amendment's Due Process Clause; or in personal, marital, familial, and sexual privacy said to be protected by the Bill of Rights or its penumbras.”


On the other side, the State of Texas argued that the fetus is a "person" within the language and meaning of the Fourteenth Amendment. The Court conceded that,

“If this suggestion of personhood is established, the appellant's case, of course, collapses, for the fetus' right to life would then be guaranteed specifically by the Amendment.”

The court held

“This right of privacy, whether it be founded in the Fourteenth Amendment's concept of personal liberty and restrictions upon state action, as we feel it is, or, as the District Court determined, in the Ninth Amendment's reservation of rights to the people, is broad enough to encompass a woman's decision whether or not to terminate her pregnancy."


To prove that the fetus was a human person, and that it’s “life was protected under the Fourteenth Amendment, Texas had detailed the well-known medical facts of fetal development. The court also made reference to two thousand years of conflicting opinions as to precisely when a fetus becomes a person.

But the personhood of the fetus was decided not as a “question of fact,” but only as a “question of law.” All medical and scientific evidence tending to show the fetus was a person was ignored as irrelevant to the question of whether the fetus was a “person within the meaning of the Fourteenth Amendment.” The Supreme Court, however, decided that matter strictly as a “question of law:”

“... no case could be cited that holds that a fetus is a person within the meaning of the Fourteenth Amendment.”


It is very difficult to disagree with the Supreme Court’s conclusion that the men who passed the Fourteenth Amendment were not concerned with protecting fetuses. Those men, had just emerged from the horrors of the Civil War. They passed the Fourteen Amendment to insure that men of the black race, and others who later might find themselves similarly situated, could look to the Federal goverment in the event any state again tried to deprive them of life or liberty. The men who had saved the Union had no desire to fight a second civil war to vindicate the rights of the next group threatened by State action.

At the same time, however, the records of the debates clearly demonstrate that the the men who passed the Fourteenth Amendment had no notion they were guaranteeing that women would have a right to an abortion. That, too, was far from their thoughts.

In the view of many, the Roe decision is wrongfully decided. It construes just one sentence of the Fourteenth Amendment.

“... nor shall any State deprive any person of life, liberty, or property, without due process of the law; ....”


But, under the court’s holding, the mother’s right to “liberty” is construed expansively, while the fetus’s right to “life” is construed in the narrowest possible fashion. Two words, separated by a mere comma, are construed in diametrically different fashions. This is not consistent with any known legal rule of statutory construction. Had both words been construed narrowly, the Court would have held that abortion was not included within the word “liberty,” and fetal life was not included within the word “life.” Had both words been construed expansively, the mother would have been found to have “liberty” to have an abortion, but the fetus would have been found to have had a right to “life.” A balancing the equities would have then been required in each case.

Mr. Justice Scalia correctly points out a second serious difficulty with Roe’s logic. In America persons are deprived of life and liberty every day. Scalia argues that the Fourteenth Amendment doesn’t preclude imprisonment or capital punishment. It simply requires that before persons can be deprived “liberty” or “life,” they first be afforded “due process,” which since Magna Carta has meant a hearing “in accordance with the laws of the land.” He argues that Roe creates a “liberty” that cannot be curtailed even after a hearing consistent with due process. Such a hearing might take account of the actual personhood of the fetus, notwithstanding the fact that the men who wrote the Fourteenth Amendment never gave the issue a thought.

Those people who believe that abortion is a moral wrong, believe, that at a minimum, that abortion laws should be made based at least on medical and scientific imput. And when it comes to deciding whether fetal life should be protected, and the extent of the protection, they believe that in a democracy that that power should reside with the elected representatives people, rather than with nine judges. Statutes, unlike Constitutional holdings, can be amended as new facts emerge, and as society reevaluates its earlier views.

The Alan Guttmacher Institute compiles its own data from surveys of abortion providers. Its numbers are generally considered the most reliable in the industry. It has estimated that since the Roe decision in 1973 until 1998 there were 38,000,000 abortions in the United States. In 2006, it is estimated that 47,000,000 fetuses have now been aborted since Roe.

Some of those abortions were unquestionably done to protect the lives of the mothers, or to terminate pregnancies caused by rapes or incests. Most thinking Americans agree that such abortions “sound” in “self defense,” and therefore should be allowed.

But what about the rest? Were the lives of those who did not threaten the lives of their mothers, or who were not conceived in rape or incest worth any less than the lives of the children murdered in their schools? Is a fully formed child one day short of a natural birth any less a human person than a one day old newborn? Is it moral to kill a viable fetus for reasons of pure personal convenience?

As of News Year’s Day, our press tells us that the number of American soldiers killed in Iraq has now reached 3000. When the number of dead fetuses reaches 48,000,000 will anybody notice?



Originally published in Moline Dispatch, page A7, January 7, 2007.

Copyright 2007
John Donald O'Shea