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Social Ideas in society
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Social Ideas in society
litkey
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Posted 08/13/08 - 05:14 AM:
Subject: Social Ideas in society
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#1
My own personal political beliefs spans liberalism, anarchisism, and socialisism- and sometimes conservative (but not very often); despite my own political beliefs, I think it is true to say that we all, as people, have a stake in society, however many are not aware of this and tend to think very narrowly, arrogantly, and falsely.

John Stuart Mill brought the concept out in an interesting manner "no man is an island" ; Hume wrote on the same subject, placing the similar notion into the metaphor as society as a 'ship'. - We all are in the same ship: and there is a shared direction. (?)

There is the clash between profit vs people. It isn't necessarily a clash between 'capitalism' and 'socialism' - this is, as said above, to think narrowly. The UK, for example has "social care" (which is disparaged by the fascist amerikan government:see Propaganda) but we wouldn't say the UK was "socialist" - on the contrary, we have companies making billions upon billions, but poor people, and pensioners are dying, and dying because they have no feul, or cannot afford feul costs.

Now, I just heard that Centrica, Shell, and BP have earned (in total) a whacking 8 billion pounds - with this profit, they have just decided to raise the price on average 30% on feul bills. For me, this cannot be justified. More people are dying in the UK than in Syberia - that's a fact.

In America, people are going without health care- and this is after they have paid for thei insurance - the companies are now only working according to profit - to what the man upstairs can devise to become more and more wealthy(see Fascism). 30 million in the states are without insurance; those with insurance still get fooked over' Cuba has a better healthcare system, China does, and Sweden has a better system than all - and France has a very pro-social system.

Are these countries "RED!!" or "Communist"?? Don't we have a stake in society? Ought we to fight for our neighbour? Or not bother?

Your thoughts please.

Edited by litkey on 08/13/08 - 05:27 AM

That's what tyrants get!
- John Wilkes Booth

Something cannot come from nothing. Nothing can only come from nothing.
enkidu
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Posted 08/13/08 - 06:49 AM:
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#2
litkey wrote:
Are these countries "RED!!" or "Communist"?? Don't we have a stake in society? Ought we to fight for our neighbour? Or not bother?

Obviously not.
But let's forget about Cuba and China, China having serious healthcare problems (but they prefer dedicating 1.5% of their GDP to organize "the competition for national bragging rights", rather than using this money to improve their healthcare), and Cuba being the preferred example of conservative pundits to disqualify public healthcare, since Cuba is indeed a communist country, they are just too happy to assert the link between public healthcare and communism, which is obviously ridiculous.

The western european countries you are talking about are mixed economies. A type of economy that is advocated by most serious economists including the americans (Stiglitz, Krugman, Sen(not american),...), and whose superiority over a laissez-faire system is actually proven by their work. Even USA, to some extent, is a mixed economy, while with regards to healthcare they are not, in this domain they almost are a supply-side dictatorship (which for healthcare, is the logical outcome of laissez-faire).

The ideology of laissez-faire, of libertarianism, that you see advocated here, and in the medias, is a populist one, it appeals to the religious minded by asserting an hidden order in the structure of the market, Gods have left Olympus mount to settle in the market place.
I have tried in the last few weeks to develop some rebuttals to these ideas, but it's really pointless, the supporters of such policies mostly have no wish to debate, and to step outside their usual concepts and dogma, their unwillingness to even consider existing works and data that have not received the approval and doctoring from their advocated teachers (Mises, Hayek,...) is proof of that.

Social ideas are actually not in contradiction with a good, efficient capitalist economy, that promotes open fair competition instead of birth rights and corruption (which is what Laissez-faire amounts to), on the contrary, an economy needs state regulation and effort of redistribution to work efficiently in the capitalist sense.



Edited by enkidu on 08/13/08 - 07:04 AM
litkey
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Posted 08/14/08 - 12:14 PM:
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#3
enkidu wrote:

Obviously not.
But let's forget about Cuba and China, China having serious healthcare problems (but they prefer dedicating 1.5% of their GDP to organize "the competition for national bragging rights", rather than using this money to improve their healthcare), and Cuba being the preferred example of conservative pundits to disqualify public healthcare, since Cuba is indeed a communist country, they are just too happy to assert the link between public healthcare and communism, which is obviously ridiculous.



Well, let's agree that they have a system that allows people to receive healthcare on demand- and that other system are incongrous to this; amerika being the example. I watched Sicko (Michael Moore's movie) and it hit home with a few important points; but the one I liked the best was "we are the best country in the world!" - - and even poland has a better healthcare distribution- free on demand.


The western european countries you are talking about are mixed economies. A type of economy that is advocated by most serious economists including the americans (Stiglitz, Krugman, Sen(not american),...), and whose superiority over a laissez-faire system is actually proven by their work. Even USA, to some extent, is a mixed economy, while with regards to healthcare they are not, in this domain they almost are a supply-side dictatorship (which for healthcare, is the logical outcome of laissez-faire).

The ideology of laissez-faire, of libertarianism, that you see advocated here, and in the medias, is a populist one, it appeals to the religious minded by asserting an hidden order in the structure of the market, Gods have left Olympus mount to settle in the market place.
I have tried in the last few weeks to develop some rebuttals to these ideas, but it's really pointless, the supporters of such policies mostly have no wish to debate, and to step outside their usual concepts and dogma, their unwillingness to even consider existing works and data that have not received the approval and doctoring from their advocated teachers (Mises, Hayek,...) is proof of that.

Social ideas are actually not in contradiction with a good, efficient capitalist economy, that promotes open fair competition instead of birth rights and corruption (which is what Laissez-faire amounts to), on the contrary, an economy needs state regulation and effort of redistribution to work efficiently in the capitalist sense.



The attacks on the left, particularly dangerously done from the far-right in amerika, are done in a self-aggrandizing manner, and the psychology of those within the system making such attacks needs to be understood. What do they have to gain?

For example, when the UK brought in Universal Healthcare, in the states such an idea was paralleled with socialism; so, if you were a person supportive of healthcare for all people, irrespective of wealth (see:Canada), then you would have been tarred, not only with the socialist brush, but you would be acting UnAmerican. Indeed. And millions of Americans have been duped by this 'type of thinking' - ever since the early days of communism, socialism, or any leftist ideology.

Yes, I am all for a mixed and planned economy: some things are just too important to be privatised.

Edited by litkey on 08/14/08 - 12:20 PM

That's what tyrants get!
- John Wilkes Booth

Something cannot come from nothing. Nothing can only come from nothing.
Cadrache
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Posted 08/14/08 - 03:46 PM:
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*shrugs* Canadian healthcare isn't all what it's cracked up to be.

Had to loose a ligament (ALT, in the knee), wait 4-8 wks for it to 'heal', like any very bad sprain, or ligament damage. Hurt the knee again, then go to outpatience. A few months after the 6 month wait period to see the specialist; it took another 6 months or so to actually confirm the ligament was gone to be placed on a 3 year 'wait'.

4 years after confirmation they call up to see if I want to still stay on the wait list. Then I moved to Alberta about a year later. Still haven't set up a doctor here yet. Oh well.. only been 6.5 years for the missing ligament.
litkey
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Posted 08/15/08 - 03:18 AM:
Subject: TAX
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#5
Ok, but this still doesn't disprove the fact that America has one of the worst healthcare systems in the world. Even if we gleaned further examples from Canada, from France, and even from the UK (where there are many!) this doesn't equate to the system being wrong - all it underlines is that there needs improvements to the current system -simple. There was an example of a victorian hospital, being infected and this caused an individual to get mrsa. Terrible, but the person was still admitted into the hospital for free. =)

But, back on track, who feel that "taxation" is theft? In some sense I consider myself an anarchist, however many anarchists feel that taxation without consent and without representation is "theft." Ideally we want our money to go to clean the streets, to good schools, to good policeman etc., we don't want it to go to unjust wars, and to nuclear weapons etc., IF we have individuals in our midst earning ridiculous amounts of money, then it should be taxed - on principal.

That's what tyrants get!
- John Wilkes Booth

Something cannot come from nothing. Nothing can only come from nothing.
philthemn
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Posted 08/15/08 - 10:26 AM:
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#6
This topic is one I find interesting and divisive. I feel that, as a libertarian, the individual has no obligation to the state. I am not denying that people often act in a communal way (i.e. no man is an island), but that we must have the freedom to choose when and how we are part of society.
In truth, the power to coerce is a violation of an individuals rights and permission to do so cannot simply be assumed by the government. Therefore, the 'contract' formed between the individual and the state - that the individual must adhere to the laws of the land and that the state must allow the individuals the benefits of taxation etc. - must be explicitly outlined.

I understand that a lot of pain and suffering could come from the abolition of taxation, but this does not make taxation any more moral in itself, it justs makes it moral in the utilitarian sense.

Unfortunately though, freedom and individual rights are of no inherent value within the philosophy of utilitarianism, since freedom does not necessarily bring happiness. Utilitarianism is a philosophy of consequentialism, and the belief in rights and freedom is one of deontology. For example, the freedom to drink and smoke excessively is one that any liberal would uphold, yet it cannot be denied that it is a freedom that generally causes more grief, due to death and illness, than happiness. As such it is contradictory to uphold the values of freedom and self-government alongside the utilitarian values of taxation and social welfare.

The only solution to this contradiction is to rely on voluntary contributions to uphold a welfare state, and not through compulsory taxation.

Edited by philthemn on 08/15/08 - 10:30 AM
litkey
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Posted 08/17/08 - 07:35 AM:
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philthemn wrote:
This topic is one I find interesting and divisive. I feel that, as a libertarian, the individual has no obligation to the state. I am not denying that people often act in a communal way (i.e. no man is an island), but that we must have the freedom to choose when and how we are part of society.



The very language of this discourse can easily create its own quagmires. Its difficult to map out these obligations in a very real way, because we by and large exist in a community sense, and our experiences and dealings with the state are largely obscure, and indirect; one example being taxation. Also, we arrive in a society, it is pre-existing, so to "choose" a society does not make sense: what hypothetical choice we might want to make *now* comes from the very society we have arrived in.





I understand that a lot of pain and suffering could come from the abolition of taxation, but this does not make taxation any more moral in itself, it justs makes it moral in the utilitarian sense.


You see, this is one of the contradictions - people will tell you they want clean roads, a decent education, firefighters, police on the beat, and on and on, and the only means to provide such a *Public service is through taxation: can you think of *1* Civilisation that has existed without taxation? Given such thoughts on public services there are those who do not want to pay tax - as tax is necessarily theft iff the taxation has come involuntarily/ without the required consent. However, I started the thread with the claim that "we all have a stake in society." - And this is true, right?


Unfortunately though, freedom and individual rights are of no inherent value within the philosophy of utilitarianism, since freedom does not necessarily bring happiness. Utilitarianism is a philosophy of consequentialism, and the belief in rights and freedom is one of deontology. For example, the freedom to drink and smoke excessively is one that any liberal would uphold, yet it cannot be denied that it is a freedom that generally causes more grief, due to death and illness, than happiness. As such it is contradictory to uphold the values of freedom and self-government alongside the utilitarian values of taxation and social welfare.

The only solution to this contradiction is to rely on voluntary contributions to uphold a welfare state, and not through compulsory taxation.


I have argued here before that wealth is contingent; many folks are simply rich because their parents were rich. The next monarch of the UK will become monarch simply because a fact of birth - and this is the same for poverty: but, we create circumstances that either make people richer or make people poorer. If it's the case that a *democratic* government is for the *people, then you would expect UTILITARIANISM as the natural outcome, and by the way, this would help people become Free, as wealth and education aids in the freedom process.

That's what tyrants get!
- John Wilkes Booth

Something cannot come from nothing. Nothing can only come from nothing.
Benkei
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Posted 08/18/08 - 02:32 AM:
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Litkey, I find this tricky.

If we assume for a moment that healthcare is ar right of citizens in any society then what should it contain? Certainly that can only be related to the general economic welfare of a country? Universal healthcare in Kenia can simply not come to the level of universal healthcare in the Netherlands. Healthcare to me is very clearly a luxury and comparing healthcare in France with healthcare in the Netherlands is like comparing apples and pears.

The right to healthcare are most certainly not the same; how many trips to the fysiotherapist are covered? is abortion covered? is in-vitro fertilisation covered? how about access to the pill for women or other contraceptives? how many months waiting lists are acceptable?

Should these things be covered? These are political questions but in the Netherlands have been insiduously relegated to the "expertise" of the Ministry of Health and they have turned it purely into a budgetary issue.

It is very noble to want to take care of people and it is a generally recognised virtue to help others but the question should be whether such coercion is justified. Since it is a luxury and therefore directly related to the overall economic standing of a country as a whole I believe it is justified to simply turn it into an economic question.

Can you provide, regardless of the content of the actual healthcare, insurance more efficiently by regulating it at state level than through the market? Of course, with insurance it is such that it is more effective the greater number of insured as risk is spread more evenly among the participants. There's a good reason to regulate paying the insurance fee through taxation with exemption for hardship cases. The amount of payable insurance should be capped per person. There's no commercial insurance company that will commit itself to paying an indefinitive amount; the government shouldn't either. It should be a responsible economic actor in this field (some fundamental rights should be protected at all costs as they transcend economic sensibility. E.g., the government is not alway an economic actor.).

Where almost EVERY government goes wrong is prohibiting these insured people to get their healthcare anywhere they want! You want the best healthcare for the insured so it should not make a difference whether you spend the money in the Netherlands or in Belgium or Germany. In fact, this will stimulate competition between hospitals and create specialisations that will benefit not only our own insured with better healthcare and lower costs but those for Belgians and Germany as well.

Of course, in reality what I am paying for is not an insurance, although it is sold that way to me through government propaganda. Right now I'm paying for the care of the people currently in the hospital and needing other forms of care. But is 100% certain that the level of care I could get now will not equal what I can get in the future simply because the coverage of the healthcare insurance is continually lowered by decree, because some types of treatment are simply excluded.

This also means that with a stroke of the pen a form of treatment in the Netherlands immediately becomes economically unviable whereas it says nothing about the cost-effectiveness of such treatment on the personal level or it's possible development in the future. It's no longer covered so there is no longer a market for it.

So, really, I think people should have an insurance which stipulates what minimum type of diseases and bodily shortcomings should be covered (and not what sort of treatments) and that people should be free to choose what type of treatment they want at what cost and whatever place they want as long as they realise they cannot spend more than the insured amount. Perhaps some provision for chronic diseases should be made, I don't know; a question for society at large.

A separate, private market will then come into existence to cover additional costs or additional diseases or shortcomings.

I believe in this way, a society can have efficient minimum healthcare for all its citizens. That some people are born lucky or have worked hard so they can afford better healthcare should not be begrudged. If we do that we should bedgrudge them their big houses, big cars and extravagant dinners. This is quite clearly ridiculous. We do not say that homeless people have a right to Jaguars so why should they have the right to the same level of healthcare that the richest of us can afford?

The homeless should have a right (and this is a political opinion, I do not believe they have a fundamental right!) to a minimum level of healthcare, the minimum of which should be set by society through political discourse.

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enkidu
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Posted 08/18/08 - 08:44 AM:
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Benkei,

I agree with you to say that philosophical (even metaphysical) discussion about rights are not very productive with regards to healthcare.
Human beings associate in society to gain benefits, and these benefits are granted by society insofar they are not in conflict with social harmony and are economically viable (which simply means that they do not compromise the material existence of society).
Therefore, I believe the debate about healthcare has two perspective, a social and an economic.
When you ask:
Can you provide, regardless of the content of the actual healthcare, insurance more efficiently by regulating it at state level than through the market?
The key-term here is "efficiently".
According to the social point of view, is efficient something that preserve or further social harmony, clearly providing healthcare to everybody does that. So it is efficient to have universal healthcare (without presuming the origin of it).
According to the economic point of view, is efficient something that is cheap for teh society as a whole, and here I think a public healthcare is actually cheaper than a private one, and I shall develop this point shortly.
So I believe the answer to your question is yes, both economically and socially, state regulations can and will do better than the market.

To analyse the economic perspective, one has to consider the supply-demand relationship, this one is not even across all sectors. In healthcare, clearly the customers cannot decide not to purchase the service, with the same ease he can for a computer or even for food, since he cannot provide this service to himself. In an unregulated environment, the question whether competition will exist at all between providers is not a trivial one. Healthcare providers are in a position of obvious superiority, they are delivering a service that nobody can refuse to purchase, and their number is relatively low in comparison to the pool of customers; in such a situation, the rational thing to do is to cooperate rather than to compete, by associating and granting some quality label or certification, they can effectively control the supply-demand relationship, and fix whatever price they judge beneficial for them as a corporation. It is clear that this set-up is inflationary, and I believe it largely explains the high-cost of healthcare in USA.
So the market left to himself will produce the highest possible cost for society while not covering all the people, since from the providers point of view, as long as there is enough people to pay high prices, they don't have to care for others. That actually reflects the fact that the market does not take into consideration the social aspect of things, other than accidentally.

Now, the level of regulations is another problem, it is obvious that providing unlimited healthcare to everybody is absurd, what everybody should get is the healthcare one needs, the state does not have to finance hypochondriac's fantasies. No state does that, regulations are as much to provide universal healthcare than they are to limit the abuse of the system. And in France for instance, a private market does exist to upgrade hospitalization services for instance, and increase the comfort of the patient, as long as the market logic is not the one to decide whether one can be treated for an illness or not, it's perfectly admissible within the social perspective.

I feel there is an ambiguity in what you wrote about "the level of quality of healthcare", if you mean that rich should get larger room, better view, again it's fine, but if you mean that they may get (because of their wealth) better treatment, and therefore better objective chance (I precise objective because comfort might indeed be seen as a cause for better health, but not as an objective one, since the link is not demonstrated) to live longer and healthier, this view may be in conflict with the spirit of the Hippocratic Oath. The service a doctor provides should not be commensurate to the benefit (material or otherwise) he gets from it.
If one gets to pay more for a better purely medical care, and if this practise is institutionalised, there is something very fundamental in the practise of medicine and in the way this one relates to society, that is under threat; and the structure of society needs to be fully reconsidered. I believe such a change would result in an unchecked dictatorship of the medical corporation which would then be given the right of life and death over all the other people, and the authorization to use this right as a means to whathever ends they see desirable.



Edited by enkidu on 08/18/08 - 08:55 AM
unenlightened
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Posted 08/18/08 - 10:24 AM:
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#10
Is it worth pointing out that property, money, ownership, and marketplace, are already social ideas? In order to 'have' rights to land, property and money, one has already to have accepted a social contract, which likely includes a tax that pays for administration and protection of those rights. One of the most efficient ways of protecting such rights is to ensure that there are as few people as possible with nothing to lose. Hense policing with consent and social welfare programs are part of the sensible administration of any social system based on private property. It's cheaper than castle walls and private armies, and it's more secure.

The observer is the observed. J Krishnamurti

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