James M. Buchanan
Were I to characterize my current thinking on the economic order in a single word, I would choose, “bewildered.” I agree with the popes (a whole series of them) that socialism stinks, even in its mildest, most “democratic” forms. I also agree with them that capitalism is a good thing “up to a point,” but that a “capitalist ideology” by which society is entirely commercialized, so that we honour only what makes a profit, & devalue work & production in & of itself, also stinks — albeit less, because the capitalists don’t usually mind if you pursue quixotic noble schemes on your own dollar. They may find these schemes distasteful, but will generally leave off after short expressions of contempt.
Let me briefly advocate bewilderment as an analytical tool, among the more useful in the idler’s repertoire. I am tempted to elevate its status by referring to it as “Socratic bewilderment,” & then allying it with “Socratic irony.” That is, I think a good place to start, when you don’t have the answer, is to say (to yourself, principally), “I don’t know.” It’s amazing what can be learnt after making that assertion.
I don’t know how to proceed on the great economic issues. My tendencies are increasingly “distributist” — i.e. the widest possible distribution of private property, & the fine Catholic principle of subsidiarity in government, within a civilizational order that formally recognizes moral & spiritual truths — but no clew how to get there beyond, “Let’s everyone become traditionalist Catholics.” Meanwhile, no clew either how to disentangle the cat’s cradle of tyranny & deceit that would be necessary to understand what we have in reality, & thus, how to take it apart without using scissors.
Let me meanwhile note the death last week of the economist, James M. Buchanan, who tried very hard to understand that cat’s cradle better. We identify him with “public choice theory,” the basic notion of which was ingenious. Why don’t we use the same methods as economists do, in analyzing behaviour in a marketplace, to analyze behaviour in politics? We all know, or rather, assume without thinking, that each economic agent serves his own self-interest in the marketplace. And we are taught to assume that politicians & bureaucrats are there to serve the public good whenever we detect “market failure.” But what if politicians & bureaucrats also have interests? And what if the selfish motives of the marketplace also applied to them? Might that cast light on their own, supposedly benevolent, behaviour?
This was by no means a new insight, but by the early 1960s it had been forgotten long enough to appear quite new. While Buchanan & his colleagues were soft-spoken gentlemen, the edginess of their proposal caught some attention. Economic thinkers in the “Austrian school” had long argued that politicians & bureaucrats have insufficient information to make decisions that will be genuinely in the public interest, & that is why they (“almost”) invariably make a hash of things. But perhaps that was too gentle a way of sizing them up.
In the earlier 20th century, Vilfredo Pareto had already been there. A pioneer of number-crunching, he is famed today chiefly for his “Pareto curve,” & allied statistical “discoveries.” But in later life, surrounded by his cats, French mistress, &c, he drifted from economics into sociology. Unlike most economists, he became curious as to why his theoretical predictions of aggregate self-interested human behaviour never worked out in practice. He began to suspect that humans behave irrationally. He became obsessed with how they manipulate power to get the strange things they want, actually in defiance of “market forces.” He thought libertarianism would mitigate the effects of the tiny elites who always seem to corner the power; & in his final act of idiocy, thought that Benito Mussolini was a libertarian.
He meant well, of course. Don’t they all.
Buchanan must have been the world’s greatest expert on that political quid pro quo called “logrolling.” This was Davy Crockett’s old (1835) term for the process by which legislators trade votes so that, at the simplest level, “I’ll vote to fund your bridge to nowhere, if you’ll vote to fund my wind farm.” One might almost call this the essence of representative democracy: the system by which two or more wrongs may be combined to create an illusory right. But the principle of mutual backscratching — most familiar to me in literature & the arts — applies at all levels of society. The funny thing: it is not irrational, & will only so appear to e.g. economists postulating a human condition into which stuff like sin has not been factored.
Buchanan was also the author of a very nice distinction between politics & policy. “Politics” is the art of logrolling to determine the rules of the game; whereas, “policy” is how you play the game to win once the rules have stabilized. With this delicious insight he went on to found the sub-discipline of “constitutional economics.”
I don’t know enough about Buchanan to keep this post going much longer; but from the little I do know, a good & interesting man, & I’m sorry he’s dead, though at the age of ninety-three you must expect things like that to happen.
Departing Tennessee for the Promised Land, Davy said:
“You may all go to hell, and I will go to Texas.”
Please, we capitalize “Hell” on this website, out of respect for proper nouns; just as we capitalize “Texas.”
It isn’t capitalized in the Catholic Encyclopedia. ["New Advent"; links are not permitted in Comments.]
Furthermore, I don’t know of anyone who considers that domain to be “proper.” Thus, it is clearly an improper noun.
It was capitalized before Vatican II. …
Actually, a more careful perusal by our CTC would have yielded the observation that it is sometimes capitalized, & sometimes not, in New Advent & elsewhere. It is capitalized when used as a proper noun, not when not, & not when the writer or editor isn’t sure, or is very “liberal.” We capitalize liberally, because we are not “liberal.”
No comment on the propriety of going there.
Hell, it’s your Sandbox. I’ll play by your rules.
Thank you, CTC. I knew you’d understand. And you may lower-case “hell” in, “hell, it’s your sandbox.” … (Except when starting a sentence.) … (That “sandbox” didn’t really require a cap either, but I don’t mind.) …
(Correspondents are reminded to capitalize their own names, or noms de guerre. … Also, not to change them slightly from post to post, which may be an infraction of the Geneva Conventions.)
But if we heathen atheists capitalize “Hell” are we not being hypocritical? But, since all atheists are destined to go there, I will capitalize it from now on out of respect for my future landlord.
But joking aside, another well written essay. Have you ever given thought to the idea that economics, politics, and other social constructs, are simply man’s attempts to separate himself from (and, in some gloriously failed instances, align himself with) “nature, red in tooth and claw”?
We cannot separate ourselves from nature. We are in it and part of it, and thus always aligned with it.
In it, but not entirely of it. That’s what makes man so dangerous, & interesting.
That depends on how you define dangerous. Are we dangerous because we spew toxins into the air, soil and water? This may be so but we are rookies in the grand scheme of these. Algae and other plants dump untold tons of oxygen into the atmosphere, a deadly toxin to many life forms, even to air breathing animals at concentrations much higher than we see presently. My point, is simply that we are not unique in our impact on the planet. Although we are probably the only life form that continues to do things knowing the damage that we cause.
I am not an economist but even someone with a basic knowledge of ecology knows that continuous growth is not sustainable in a finite system. But economists believe that it is possible with the economy. This in spite if the fact that this has never been demonstrated with any economic system.
I think Acartia is on the right track here: that our “unlimited growth” will crash & burn a long time before we’re able to offer any serious threat to the planet. As the Met Office in London has been forced to concede, despite our very best efforts, we haven’t been able to raise the average temperature on this planet for the last 17 years. We’ll keep trying, but I just don’t think we have it in us. Brother Sun could do it real quick, though.
The danger I specified is on another, “supernatural” level: we are a danger to each other, & to ourselves. Unlike the other animals, we are capable of immortal evil; of the murder & self-murder of souls; & desperately in need of the divine assistance for which we are too proud & negligent to ask.
David, I definitely think we have it in us to have a significant impact on our climate, but I do agree that, from a total planet perspective, we are insignificant. We are very capable of changing the earth to the point that we won’t survive, but we are a very fragile species in spite of our big brains.
Even though I don’t believe in an immortal soul (and I am comfortable with that) I try to lead my life as if I did. If there is a God (I hope you noticed that I capitalized the “G”, just in case), I would also hope that how I treat his “creations” is far more important than stroking His (again with the capital letter) ego.
“In it, but not entirely of it.”
No. No. No. All of human nature is part of nature.
You would contend, DW, that “original sin” is outside of nature?
Yairs, quite unnatural, my CTC.
You will have to (it’s mandatory) explain that. It’s beyond me how any facet of human nature can be outside of nature. Isn’t it axiomatic that “human nature” is part of “nature?”
“Stroking His … ego.”
For the Person who pulled off the Big Bang and then (according to my tradition) was beat up, mocked and tortured before being nailed alive to some rough framing members and exposed until death at the behest of the local ward bosses (and He let them do it), that is an interesting choice of words. A quick review of the Sermon on the Mount does not reveal any reference to flattery, but maybe that’s just the translation I have. I would suggest that if the correspondent really wants to hedge his bets, he should consider a more subtle approach. I don’t think recycling is going to cut it.
Distinguish between nature and super-nature (as in superior, not spooky Halloween-like supernatural). Men are composite creatures with natural, material bodies and supernatural, spiritual souls — immaterial, of course (God and the angels are pure spirit). The soul is the animating principle of the body. Original Sin affects the spiritual soul with disordered passions, a darkened intellect, and a fascination for evil, among other things. It affects the material body by infirmity, disease, and death.
I first came across Hell being capitalized in the writings of C.S. Lewis. Not long afterward I discovered Chesterton; it was many years later that I stumbled upon Chesterton’s distributist notions. I’m not a fan — not so much because it’s impractical, but because every manifestation I’m aware of has been co-opted by marxists (note the lower-case “m”) or fascists. I think the system could work in a restricted environment, like a monastery; not in the world at large, however.
Other Joe, did I say anything about trying to hedge my bets? I admit to being an atheist. But I have also been brought up in a Christian household and read the Bible repeatedly. If I understood things correctly, and there is no guarantee that I did, I would think that “God” would rather have a person who didn’t believe in “Him” but lived a moral life and treated everyone fairly, than a person who believed in “Him” but treated everyone like crap. But, if you are saying that it is far more important to worship him than to treat everyone with respect, then I will opt for not worshipping him. If that is why atheists are despised, I am happy to be an atheist.
It is arrogant to assume humans are animated in some manner unlike the animation of other animals. There is no evidence for this proposition. But, as a human fantasy, it is also part of nature.
“Isn’t it axiomatic that ‘human nature’ is part of ‘nature’?”
Most words have multiple meanings — many of them dissimilar. With the word “cleave,” you even have different meanings that are complete opposites: (1) to cling together, (2) to cut into pieces.
For this discussion, nature means alternately (1) the physical world, (2) inherent or essential qualities.
Human nature partakes of both the natural (i.e. physical) world and the supernatural (i.e. immaterial, spiritual) world. Our nature (in the second sense) is composite — not purely spiritual, not merely material.
CTC alleges arrogance in those who observe that spiritual faculties of humans are not the same as those of the animals. I would point out that evidence in favor of humans being animated by a different kind of spiritual soul is plentiful. The test is in the way something acts.
The intellect is spiritual — it is a faculty of the soul (we have to infer the soul’s existence: being immaterial, it is not detectable by our senses). The human intellect is rational, and can penetrate intelligibly into the inner heart of things and make generalizations. Syllogisms are another example: only humans trouble with those.
Free will is another faculty humans possess that animals do not.
Acartia is painting the picture of a false dilemma. If we believe in God — not simply as a mental concession, but with the full volition of our will — then we keep His commandments, which necessitates treating others well (i.e. Faith without works is dead). He who says he believes in God but lacks charity or is unjust towards his neighbor indicates a lack of faith in God. Love of God means love of neighbor, because through Faith we see Him reflected in our neighbor.
It is Catholic dogma that the means of salvation are at the disposal of those who err in good faith. Can an atheist be in good faith? I sure hope so.
Human beings often do preposterously evil things to one another and believe collectively in lunatic notions of utopia. That puts them outside the animal kingdom. An animal acts on instinct alone geared to survival, while a human being acts on instinct coupled with not a knowledge, but at least a perception of the infinite and the good.
No animal is malevolent, but human beings can be and often are. God created human beings with the knowledge of right and wrong, and that is what makes us unique in creation.
As per being a good nonbeliever Acartia, God said in the Apocalypse “because thou art lukewarm, and neither cold, nor hot, I will begin to vomit thee out of my mouth.” What this means is that God will damn to hell not only those who deny him, but also nice, respectful people who treat God as a benevolent myth.
In response to CTC demands, above:
Actually, there’s quite a lot of evidence that we are “animated in some manner unlike the animation of other animals” — which starts accumulating from the time Homo sapiens sapiens appears in the archaeological record, painting on the cave walls (with extraordinary skill), cooking dinner, & … burying their dead. By now, the “special relationship” with God is of some antiquity.
Call it “human exceptionalism” if you will. It’s like American exceptionalism, only infinitely bigger. Worth betting on until some monkey puts you in a zoo.
Interesting as always.
It has always charmed me that persons that believe that every businessman they encounter, from their local plumber to the CEO of the largest multinational, is determined to defraud their fellow man, destroy the planet, and enslave all of humanity for their profit, have such sincere faith in the noble intentions of every politician that kisses babies while lining their own pockets.
While I have lived enough in the world to be aware that bad people are found in all walks of life, I have observed that, in general, the motives and behavior of people in the business of producing goods and providing services to their fellow men are almost always superior to our so-called “public servants.”
For example, having spent much of my life working in medicine (both in private and public institutions), I am certain that our current shift from private to public health care delivery will result in the almost complete elimination of compassion and charity in this area.
The economics of government is governed solely my self-interest made pernicious by the simple fact that all economic choices are made using other people’s money, extracted, ultimately, by force from citizens.
Capitalists are ultimately at the mercy of their customers and cannot oppress them for very long, or in very wide areas of life, without harming their own self-interests (unless the company enjoys a government granted monopoly).
No market is entirely free and small abuses of power by people seeking to maximize their personal gains will occur in even the most laissez-faire economy, but only those purport to “serve and protect” us can, and have repeatedly, terrorized and murdered their ‘customers’ in the millions.
Justice and mercy are much more likely to be granted to those dominated by criminals than a powerful government. Criminals, interact with their victims as individuals, and occasionally are overcome with remorse for their crime. Bureaucrats are made merciless by their status as a “representative” of the state and the excuse that “they were only following orders.” That is why the US Constitution was structured to enfeeble, not empower, my government. The 160 year road towards the Nanny State in the US (about to reach the end of the pavement down here), undertaken, at every step, with assurances that we are headed toward utopia has really been the path to perdition.
Not only will any government rob you, bind you, torture you and even kill you at its whim as soon as it possesses the power, it will insult you by telling you it is for your own good and demand your gratitude.
I wonder if the voters that constantly demand to be shackled by the state in return for “benefits” will awake soon to find that the benefits can no longer be provided but that the chains will remain in place.
I was walking down a lane, yesterday afternoon, with our four unleashed dogs. One of the dogs, Ralph, was walking beside me, while the other three were roaming in the brush to my right. The dogs on my right flushed a squirrel into the lane. Ralph sprinted after the squirrel, caught it, and killed it. No one taught Ralph to hunt and kill. Pure instinctive behavior laid a dead squirrel at my feet.
You would “bet” (thereby acknowledging uncertainty) on human exceptionalism. I would bet the propensity of humans to make such bets is instinctive behavior.
Let me see, CTC. You would bet that you have no choice but to bet on instinctive behavior, is that right? Just like, say, your dog was not able to make a decision, contrary to his or her instinct, to show the squirrel mercy?
No, I didn’t say we have no choice other than to engage in instinctive behavior. I have, for example, elected to not engage in the instinctive behavior of positing human exceptionalism.
No, CTC, I suggested that you bet. It would be unfair for me to do so, because I have insider information.
Let me add one thing to the exchange between God worshippers & Nature idolators. It could follow from my note above on the Homo-sap-saps & their curious artistic, culinary, & religious propensities; or equally from the assertion above, about “instinctive behaviour”; & several other points on this thread.
We have a very limited range of facts on which to hang our anthropological speculations, about the origin & nature of man; little fragments here & there, & little prospect of ever having more than a small sampling.
The facts themselves are often, even usually, quite rivetting. The speculations are almost invariably glib, from all sides. But the worst of it is the constant reiteration of the Darwinite “just so” story (was reading an especially fatuous piece on “the origins of sharing” in the Beeb site yesterday). It is boring; painfully boring. We all know it already. No matter what the evidence, the same drone; & the same drone whether or not there is evidence. This is not information. It is brainwashing. It works on some, backfires on others.
One must develop the intellectual ability to distinguish fact from speculation, in order to escape this tendency to drone, or to be hypnotized by droning. If one must add one’s useless speculations, at least make them poetical & suggestive. They will then be no more, nor less, “scientific” than the drone; but have some chance of supplying variety & entertainment.
Inside information? Forget about exceptionalism, we seem to have crossed over into human narcissism.
I should explain to other correspondents, that my CTC has a special, technical definition of “narcissism.” It refers to anyone who disagrees with his belief that he alone, without aid from any human or divine authority, is able to discern the truth about man, nature, & God.
No, it refers to those who claim, but cannot demonstrate, the possession of “inside information.” They are thus reduced to thinking self-referentially.
I feel compelled to drone on. His denial notwithstanding, CTC, to my ear, has asserted that humans are not exceptional, meaning they are like his dogs (themselves unlike my border collie, incidentally, who seems almost constantly burdened by guilt) and therefore imprisoned by the same determinism implied by instinct. This does not allow for right and wrong, as such, and therefore precludes any assertion on his part regarding what is true and what is not without such statement being self-refuting.
I think I have that right but, if not, expect to be enlightened.
By CTC’s alternative definition, all Christians are narcissists, for we are all privy to inside information, via Revelation; & all who diligently study & ponder the intellectual & spiritual inheritance of Old & New Christendom, over thousands of years — & all else that may cast light upon it — are self-referential.
Ah well. We’ve been called worse.
George, your statements have a grain of truth but there is one significant flaw in your argument. You ignore the fact that both the private sector and government are populated by people with the same motivations, drives, passions, values, etc. Moving health care from the private to the public sector, ignoring whether or not it is a good idea, will not reduce compassion or charity. These are traits (values?) of people, not of organizations. There is no lack of compassion in the Canadian health care system. What there is a lack of is resources. But why can’t health care be publicly funded, ensuring that everyone is covered and receives the same quality of care, and privately delivered, maximizing on efficiencies that only the private sector can provide.
Human beings are different from animals because we are capable of altruism and also capable of loving something greater than ourselves. We can never know the infinite good thorougly, but we can perceive it via what is learned from the Gospels.
A mother cat will burn herself horribly to save her kittens, but that is pure infused instinct, and not selfless love. Honour is also unknown amongst animals. Dogs will attack a thug trying to attack their master, but that is just because they are pack animals instinctively programmed to protect the pack. Love has nothing to do with it, despite what sentimental movies might wish to tell us.
If one is an atheist, then one does not have any reason to be appalled by the vileness of man. A Hitler or Stalin are just acting according to instinct particular to them. Such monsters of history were just unfortunate in their behaviour, not wrong or evil, because wrong and evil have no meaning.
But back to James M. Buchanan. David wrote, “a ‘capitalist ideology’ by which society is entirely commercialized, so that we honour only what makes a profit, & devalue work & production in & of itself, also stinks…”
Indeed. The modern liberal capitalists get it wrong too, though their excesses are of a different order.
The Christian view of labor, meanwhile, is encapsulated in a prayer to St. Joseph (patron to working people) composed by Pope St. Pius X. The prayer expresses the Catholic attitude toward labor, and also provides a lesson of the Holy Family’s work at Nazareth.
Glorious St. Joseph, model of all who devote their lives to labor, obtain for me the grace to work in a spirit of penance in order thereby to atone for my many sins; to work conscientiously, setting devotion to duty in preference to my own whims; to work with thankfulness and joy, deeming it an honor to employ and to develop by my labor the gifts I have received from God; to work with order, peace, moderation, and patience, without ever shrinking from weariness and difficulties; to work above all with a pure intention and with detachment from self, having always before my eyes the hour of death and the accounting which I must then render of time ill spent, of talents wasted, of good omitted, and of vain complacency in success, which is so fatal to the work of God. All for Jesus, all through Mary, all in imitation of you, O Patriarch Joseph! Thus shall be my motto in life and in death, Amen.
In my career I’ve worked in the healthcare field, with federal and state governments, and in the private sector. I don’t imagine Canada is terribly different from the States. My own experience has been that private sector and government are populated by people with different motivations, drives, passions, values, etc. Allowing for individual exceptions, private sector workers generally are motivated to satisfy customer demand and so be profitable. Government employees, meanwhile, are motivated by a desire to clear paperwork off their desk or to comply with regulations. Private industry aims at producing wealth; government aims at consuming and redistributing it.
Acartia offered, “There is no lack of compassion in the Canadian health care system. What there is a lack of is resources.”
Good judgement and a correct moral code appear to be lacking. This inevitably comes from misunderstanding human nature, denying the rights of God in society, and then attempting to compel people to adhere to an inhuman philosophy. Besides, the compassion is not universally distributed: certain groups enjoy privileged status — these days, particularly those who can concoct a historical grievance and inflict a false sense of guilt on the unwary. How compassionate is that?
“But why can’t health care be publicly funded, ensuring that everyone is covered and receives the same quality of care…”
If the quality were universally high, that would be one thing. The concern is that, given government inefficiency and fixation on external conformity, the quality will satisfy what amounts to the lowest common denominator. Inmates in a prison generally receive the same quality of care.
David, I beg to differ as to the existence of immortal evil.
Acartia, sad to say you are dead wrong. I’m not sure exactly why there is a difference, but there is.
Same as Sean, I have worked (for 30 years) inside and consulting to a variety of mental health care facilities, inpatient and out, state run and private. There is simply no comparison in the level of care and investment of the staff and the progress of the patients. And it is the public facilities that cost dramatically more, so the resources are not the difference.
Now, you can argue that the clientele is what matters, because the consumers in the state programs bring very different qualities to the table than those from functioning, financially endowed families. But that then brings you to the question of what happens when you try to mix the two populations together and give them the “same” care.
At least in mental health, those results are extraordinarily detrimental to the more functional individuals. Which is, not coincidentally, what we also see in the schools.
Wow. If I could follow all the brain-frying logic flying around here, I wouldn’t know whether to call Mensa or a shrink. Have at ‘er boys.
Meanwhile Sean, it is nice to see someone who recognizes how often the victimization card is overplayed to poor results for everybody but the halo-polishers.
Maybe “self-referential” isn’t the right characterization. Self-righteous seems to be more appropriate. Because you don’t admit of any possibility of error in your theological framework. It’s your way or Route 66.
I too spent a number of years in the healthcare business. In the broadest possible terms (due to lack of space), it can be said that healthcare workers base their primary concern on matters of health. Business workers in health related businesses base their primary concern on matters of business and political “workers” (in quotes because they say they are in “service”) base their primary concern on matters political. How can it be otherwise? Greed exists in all enterprises. How can it be otherwise in a fallen world?
Nevertheless, political greed is furthered at the point of a gun. Once state power is fully consolidated, there is no going back until collapse. The Rubicon can only be crossed once. Only a fool and a knave believes in state compassion. Individuals may feel badly when they have to make another’s life a misery due to policy demands, but that is usually sentimentality and not compassion. The government will not accept a chicken to make a house call at the hovel down the lane. Hasn’t anyone noticed that there is no longer any accountability? What does that say about the future of government controlled health services? No one will ever count the dead resulting from medical devices and drugs that were never made because of over-regulation. Hint, it is already in the millions and climbing. This is quite apart from the state sponsored abortions.
“You don’t admit of any possibility of error in your theological framework.”
My dear CTC, it is time you realized that it is not my theological framework. After fifty years of shopping, I bought into the Catlick one; or more precisely, found that I already more-or-less had. And in the end you’re not arguing with me. You’re arguing with my buddy Thomas Aquinas, & all his buddies. And having tried to argue with them myself, let me tell ya. …
It is a working out, over twentyish centuries of often quite heated argument & debate, of what the best minds could discern in the Christian Revelation, on the principle of non-contradiction. The result has been concisely & carefully set out in the Catechism of the Catholic Church, which you might want to obtain as a kind of phone directory to what “people like me” (i.e. Catlicks) believe.
Is it infallible? No, nothing from the hand of man is infallible (& check that CCC for what we mean when we say the pope is pronouncing on doctrine “infallibly”). It isn’t “infallible,” in the sense you might use, but it is extremely good, because if anyone, Catlick or non-Catlick, can find a contradiction in the thing, we sweat it through until we’ve fixed it.
But by now that body of doctrine has been remarkably stable for a very long time. This is because our best minds have been sweating it through for all these centuries. And in fact most of it was clear enough to the candid & honest & intelligent from early on: working from what they sincerely believed, & for cause, that Christ had told them about what’s what, checked & re-checked interminably against the known facts of “reality.”
You don’t have to believe a word of it. There are many soi-disant Catholics who never bother to consult it (even before speaking publicly “as a Catholic”), & who believe what they want to believe. Some of them even serve in your Congress. “Cafeteria Catlicks,” if you will. People who don’t listen when being corrected on fact. What can I say?
But there it is, Catholic Doctrine. And since the whole of Western Civ was erected upon it, I suggest you check it out. So that you can know, at least, what it is you are rejecting as you walk off into the scientistic aether, pitching Western Civ to the dogs.
Acartia asserted the “compassion” of the public healthcare workers is frustrated by the “lack of resources of the public sector.” (The constant refrain of the bureaucratic mindset, see Hayek for the ultimate result of believing this.)
I will test the reader’s patience by sharing my own experiences on this point.
1. Most of my experience has been in radiation therapy for cancer and I have observed over and over that if an equipment problem results in a few hours downtime of the treatment machine, the government clinic simply cancels patient treatments because lunch, breaks, pace of work, and the clinic closing time are sacrosanct. (Remember this is treatment for a life-threatening condition.) At private clinics, any patient willing to wait will be worked in somehow even if people must work through lunch, stay late, hustle; whatever is required is done. Is this motivated by billing? Yes, to some degree, but it is enabled by a spirit of service to customer being required to be successful and a willingness to alter rules to fit circumstances (anathema to the bureaucrat). The result is better for the patient and more considerate of their understandable desire for treatment. The “invisible hand” working benevolent magic.
2. After Katrina, the chain of radiation therapy clinics I worked at offered to complete the radiation treatment, gratis, of any patient that had fled New Orleans in the middle of their therapy for cancer. This was not only expensive but also meant accepting some liability for treatments of unknown quality already completed, and taking on the difficult and (professionally) dangerous task of safely stepping into the middle of a treatment course, often without good records of what had been done to the patient previously. However, not to do so was to condemn the patient to certain failure of their best hope for a cure. Try going to a government clinic and asking for treatment you are not “entitled” to. A “compassionate” bureaucrat (if such exists) would be fired for considering violating the rules about who can be treated, and they certainly would not extend their neck by doing anything so outside the rule book.
3. This same chain of clinics routinely took charity patients (there was no legal requirement to do so in this for-profit setting). The owner’s feeling was that no one should be denied life-saving treatment due to a lack of money, simply because he was a good man. As noted above, try asking for care, other than your “entitlement” from a government treatment facility. Good luck! I know from personal discussions with Canadian colleagues that radiation treatments are routinely denied to patients once the bureaucratically determined “capacity” of the clinic has be reached. No squeezing in one more patient as would be done in a private clinic. You may call it a “lack of resources” but I call it laziness, the main attribute of all government workers.
All really great crimes are perpetrated by governments. All real charity comes from the hearts of individuals. As we, more and more, submit ourselves to the non-existent mercy of the bureaucracy, only ideological blindness allows the useful idiots to repeat that, “the government will take care of us!” The government will deal with you as it suits them, for its own selfish reasons, but it will “care” for you only as long as you are of use to it.
Does the entire Commentariat work in healthcare? I spend a lot of my time visiting oldies in nursing homes; perhaps I should change the focus & title of this website to “Healthcare & Geriatric Notes & Topics,” or “HAGNAT” to assimilate into the bureaucratic regime.
By “your” framework, DW, I meant the one you have assumed as your own. I was using “your” in the same sense as one might say, “your political party.” You knew this. Thus, this business about it being time for me to “realize” something amounts to condescension.
This is not beside the point. It is precisely this snippy, know-it-all, non-sceptical, arrogant, imperious mode of thought and tone that I was getting at when I tagged you as self-righteous. You call your certitude “faith.” I call it “presumption.”
But I forgive you.
CTC, not having come up with any sound reasons with which he can refute us, has resorted to calling names. But we forgive him.
How you can write about Vilfedo Pareto and not mention his chief contribution to understanding the human experience is beyond me. What a wasted opportunity. I refer to the Pareto Principle of course! Which posits that 20 percent (or is it 80?) of the effects come from 80 percent (or is it 20) of the causes. I have developed and expanded this amazing statistical truth to apply it to everything. Everything is properly divided 80-20 (or 20-80). Try it out.
The Catechism of the Council of Trent
The Catechism of St. Thomas Aquinas
The Baltimore Catechism
The Catechism of St. Pius X
The Penny Catechism
I would recommend any of these over the CCC.
George, when I said that the people delivering health care in the public sector were just as compassionate as those in the private sector but that they were hampered by the lack of resources, I did not mean that there was a lack of funding. Although often linked, these are different things. If the management in a hospital do not allow workers to work longer hours, there is a lack of resources. If they do not allow flexibility, there is a lack of resources. When the government blindly ascribes to the idea that all health services must be delivered by the public sector, their is a lack of resources.
I have been unlucky enough to have needed to use the Canadian health care system several times in my life and I can say that the level of compassion of the health care workers and the quality of care that I received was second to none. And I suspect that it is the same in private health care settings. How the doctor or nurse or orderly is paid will not change this.
Personally I would like to see a system that has universal access (no pre-existing conditions clauses, nobody going into debt to pay for health care bills, everybody being given the same level of treatment regardless of their ability to pay, etc.) with the services themselves being delivered and managed by the private sector.
There are grades of presumption. The really big one is assuming God is deaf and doesn’t hear prayers, or take regard of denials of His existence. The small presumptions arise from confusion amongst human beings when they interact with one another.
Actually, I don’t see any name-calling. Just an imperialist being imperial.
Ah, I didn’t realize the adjectives “snippy,” “arrogant,” and “self-righteous” were compliments in Texas.
“Imperialist?” … Moi? … Next my CTC will accuse me of being regressive, or backward, or reactionary or something. … (Would threaten to burn down the White House again, but Texas would probably cheer.)
(I misread Sean. I thought he was in accord with me.)
No, Sean, “snippy,” “arrogant,” and “self-righteous” don’t amount to name-calling in the Texas lexicon. If we want to engage in name-calling, we call someone an “imperialist” or a “monarchist” or a “journalist.”
Sean, your recommendations as regards catechisms was very sound and good. Anyone who would recommend the Catechism of the Council of Trent has got my vote (if only I were a cardinal in a papal conclave).
By the way, I have forgiven Simone Weil for not shooting Trotsky when she had the chance. Not every religious philosopher and mystic should be expected to carry a concealed and loaded firearm on their person.
DW, if you burned the White House, we Texans would call it “The Bonfire of the Inanities.”
It’s been 199 years since the White House was last burned down by English pyromaniacs. If being a regressive, backward reactionary was all it took, the deed would have been repeated by now.
CTC, were you a fan of Molly Ivins (RIP)?
Sean, that Washington blitz was in retaliation for a hit on Muddy York, a.k.a. Toronto, a.k.a. the Greater Parkdale Area. Your guys torched Fort York, just a short walk from the High Doganate; & then made pretty free around the town. Not that what we did back wasn’t pyromania. But it was justified pyromania.
Sean: I considered Molly a witty wordsmith, but that was her only redeeming quality.
The things you miss with modern efficiencies. My visits to Toronto have consisted of a change of planes en route to and from a Winnipeg wedding (i.e. doesn’t count). Had I lived in the good old days of the horse-drawn carriage, I would have been obliged to take in a bit of the town; then there would have been the opportunity to survey the spot where the Yankee torchers left their scorched mark. On the other hand, I’m from Atlanta; we’ve had our own, more recent, visit from the Yankee pyros.