Education and Healthcare

Some thoughts on government run education system, and private run healthcare.  Break the false choices, it's time to be focused on solutions, and measurable results.  Leave your party membership at the door.

I feel that the US has an under-performing private healthcare system and public education system.  There are no simple answers, but at least we can look at these and say, it's not like public vs private makes all the difference.  It's not like one way solves the problems of these essentials, and the other doesn't... in this case, they both don't work.

But the point is, they are essential.  As a society of people, we have different beliefs, and even different values.  Through experience, we learn that we have some core essentials in common.  One way or another, we as a people have a duty to ensure these essentials are available to all people.  That's a belief that I have, I think it's in all our interests to ensure all people have basic human rights.

If the government has any role, it's to represent our interest in terms of protecting these basic human rights.  The extent to which a government can do this effectively depends entirely on the day to day activities of these elected representatives.  We have to understand, regardless of our differences, real working solutions are what matters.  We have to put aside our differences, and our ideologies, and just focus on what actually provides results. Oranization that are not about forcing one ideology, and do not depend on everyone agreeing about everything all the time.  Maybe some solutions are public, maybe some are private, maybe some are a combination.  We need to break from the false choices, and binaries in these conversations.

Our values and ideologies are important, and drive our positions on issues.  We can come from these different points of view, and still sit at the same table.  We need to put in place the type of organizations and systems that respect the plurality of voices.   To that extent, the push for a smaller federal government, and more state and local representation makes a lot of sense to me.  What's good for Cali may not be good for Ohio, they can have some specific needs, and even different cultures, and we can be ok with that.  Bascially, the less we need to agree on at a Federal level, the better. 

People get scared when they hear a call for smaller federal government.  They think, oh you want to destroy public institutions, or take away the rights of some group.  There's a conversation that needs to happen on each issue.  Also, just because I favor removing Federal responsibility for some law or some service doesn't mean that law or service would just disappear.  I'm saying, be very careful what you ask a central, Federal organization to do for you.  When you hand over the responsibility, it may seem like a great idea, but you may have also lost a lot of control. 

I think temptation we have is we want equality, one law for everyone, one system for everyone.  This is great in theory, but I think in practice there has to be a balance.  Local leadership has to be allowed to have a strong enough voice to ensure this balance is kept.  A community should be empowered to be more directly involved in the types of services it supports.  It should also be in a position to advocate laws based on the values of it's local population. 

We have to be very careful with too much top down thinking or laws or services, and use these only when we have a true consensus, and for the most core essential human rights issues.  Even then, we must be vigilant to ensure the results match up with what is promised.  We must be always engaged in the effort, even though we fail sometimes, 99% of people want justice for all people of the earth.  If you actually sit down with them, reason with them, you will find they listen to you when you talk about justice and human rights.  If they don't then they are basically a Nazi, and they have no place at the table.  Just remember that, because we all have that in common regardless of politics.

 

 

part 2

 

I said education and healthcare are essential.  This means that I believe that essential services in this regard, like emergency services, like early childhood education, should be available to all people, regardless of their economic class, religion, creed, etc.  If they are unable to afford these services, then yes, local, state, and perhaps federal government must guarantee that programs and services exist that meet this requirement.

In addition to this, those who are homeless have a right to shelter, and food.  The local, state, and perhaps federal government has a responsibility to guarantee programs and services available to these people without prejudice. 

Note that the programs and services could actually be provisioned by public, non profit / ngo, or private organizations.  I believe that the government needs to guarantee basic human rights, but that results are what should drive solutions.  Measurable, real results, and creative problem solving, by coming together with a genuine desire to provide justice and basic human rights for all.  If we ensure transparency in government, and also ensure it has a clear and focused mission, we can measure the results of it's effectivness.

Also, we should be sure to define the scope of the programs and services, and always err in favour of maintaining personal freedoms, and local preferences, so long as they do not impact the real, and measurable results that we must define.  We must define what role the government has, especially the large central federal system, and how it measures results effectively.

It is up to each of us, regular people, to advocate causes, get involved and provide the real solutions.  We must be the watchdog, we must measure the results, and we must correct the failures.  Transparency is critical, so we must remove the curtain to see who's money is buying policy, and forcing us into false choices and division.  I do firmly believe government has a role in such services as these, but I'm wary of handing off too much responsibility, especially to a large, centralized system of government. 

I believe that smaller local organizations provide critical checks and balances.  When empowered relative to central authority, government becomes more representative of the people.  This is because it's much harder to form a collusion of power over a larger field of power relationships.  You are forced to sit down, talk, reach consensus.  I think this is critical, and has been missing from recent politics.  Terrible consequences like endless war, and systemic economic injustice result.

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You have completely overlooked, among many things, financing those programs.  Putting a public utility into private hands is always more expensive and it always creates inefficiencies that would not otherwise exist.  Not only that, privatization of services that absolutely everyone needs always creates opportunities for corruption that otherwise would not exist.  And when corrupt influences effect public utilities, disaster is often the result because those utilities affect everyone, and the damage can be extreme.  If there's one thing that we should have learned from the Enron debacle and the mortgage market manipulations by the banks that were a major cause our current economic disaster, it's that putting that much power in private hands is never a good idea.

In healthcare, even though the right-wing is complaining that a "government run" system wouldn't allow you to see the doctor you want, that is exactly what is happening with private insurance, unless, of course, you jump through a lot of hoops, but even then it's not guaranteed.  What's more, we're paying extra for our health care because we're the one's who are paying for insurance companies' profits and for executives' bonuses.  Health care always will be rationed.  But government has an interest in keeping you healthy in order to minimize costs, while insurance companies' motive is to minimize health care services in order to maximize profits.

In education, which is something that absolutely everyone needs, no individual could afford the true cost of educating their children.  But since everyone benefits from having an educated population, even people who don't have children pay into the system.  And if taxpayers must pay for that system, they should own it.  There are no private universities that cost as relatively little as state universities do while providing not only the same quality of education but also the scientific research that spawns so much of our economic growth.  And while closing failing public schools rather than fixing them is all the rage nowadays, which virtually forces parents to seek seats for their children in for-profit schools, it is completely unnecessary.  We have dumbed down our schools by allowing religious doctrine to influence lesson plans and by discouraging people who would be good teachers from becoming teachers at such low pay to such a degree that we should be surprised that any of our children become more than hamburger flippers and hair stylists.  But instead of fixing that problem, you are advocating putting our children in private hands, at the mercy of the schools' boards of directors and stockholders.  What you want doesn't matter.  They will provide the minimum service that they can in order to maximize profits, or they will indoctrinate your child into an ideology that is nothing more than an intellectual handicap.

The marketplace is not the answer to all problems.  Your ideas are part of the problem.  You've surrendered to the myth that government -- you and I -- cannot do what needs to be done.  That is simply not true.

Quit surrendering to the right-wing.  Start using your power with your government to get it to do what you want it to do rather than surrender your power to the corporations.  Otherwise, you should give up all hope of having an effective voice in public affairs.

by EveningStarNM on 03/03/2011 06:26:46 PM EST

i agree that basic healthcare and education should be provisioned in non-profit, transparent way.  It's the specific details of how it's implemented that matter. 

 My main point is that if we can't get past words like public, private, as an issue of political left / right, then how can we even start the conversation?  Our we going to place ideology over analysis and discussion of solutions?

Are there things you allow the private sector to do? yes, they can do some effective programs that augment the core public service.  Would that be large corporations?  I would say that's a bad idea when it comes to education and healthcare.  But does that mean you can't hire private tutors, or a specialist doctor for your cosmetic surguery?

  I run a small business, many small, medium business exist of all shapes and sizes, and they do not have to be publicly traded corporations.  I think publicly traded corporations are the worst candidates for essential services, for the very good points you made.  But is there a way smaller private orgs get involved, if there is some transparency?  Think healthcare prevention as just one example of a beneficial service that might find a contract with smaller local private orgs.  Don't get stuck on false divisions, I know the details are tough, but can be more creative. We can do a lot better than this black and white world.

Look, we need to face that the world is too complex to fit into the boxes we make, like left, right, democrat, republican.  My point is, we need to make move the focus to solutions, not ideology.  Also that local representation is a critical balance to central power that is missing in this country.

by snellcode on 03/03/2011 07:51:58 PM EST

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We often get distracted by ideology.  Liberalism, libertarianism, conservatism, and corporatism all focus on doctrinal structure rather than outcome.  And it's that belief in a doctrine that actually hinders us from focusing on pragmatics.  Rather than identify a problem, examine solutions, and select the one that benefits the most, hurts the least, and respects all people's rights, we argue about who is moral and who is immoral.

But that's why I'm a progressive.  I don't give a damn what the structure is.  If it works, fine.  If it doesn't then we need to change it.

But there are certain lessons that we have learned that there is no need to relearn, except that we keep making the same mistakes over and over and over.  Drug wars, permitting the accumulation of vast wealth in the hands of a few without imposing obligations to society at large, allowing corruption and influence peddling, and privatizing public utilities -- just to name a few.

I do understand your point about allowing private enterprises to provide services that they can do more efficiently.  They should provide those services to the government for fixed and limited terms.  For instance, the government has no business creating a public construction company for short-term projects, such as to build a power plant or a hospital.  A private construction company that already possesses the infrastructure necessary for the task and that will reuse it for other projects when this one is done is far more efficient.

But when it comes to actually providing electricity or medical services to the public at large, the public should own the infrastructure and provide those services to itself.  There is absolutely no need for privately-owned businesses to get involved in routine matters that affect everyone because they always want to change the routine in some why to benefit themselves more because that is what a private business is supposed to do.  When they mess with something that affects everyone, the result can be too catastrophic for the risk.

That doesn't mean that all doctors have to be government employees.  Personally, I don't think it's relevant who employs a doctor or if a doctor is completely self-employed.  Any qualified doctor should be able to practice in a public hospital.  But let them form a union and negotiate with the public the price of the services that they perform.  When what we're talking about is one continuing and routine but vital service (health care) to one customer (the public), the public should not divest itself of its right to absolute control of those services.

by EveningStarNM on 03/03/2011 10:44:30 PM EST

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1.  Parochial schools provide a reasonably priced secular education to many children.

2.  Online schools are very cheap and most children do better than children taught in class.

3.  I don't recommend it, but Brigham Young provides a quality education at a state school price.

4.  There is no religious doctrine in our public schools unless you count secular religions.

5.  You are confusing regulation with ownership.  There are very few govt owned utilities.  Deregulation was the problem with Enron.

6.  Most mortgages were managed by Freddie and Fannie a quasi govt entity.

The problem is proper regulation.  With proper regulation, problems could be solved without centralization.

Join the 99%, Join Americans Elect and throw the bums out. Vote Mike Ballantine in 2012

by Mcamelyne II on 03/03/2011 09:57:22 PM EST

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That was well written and well thought out. Nice job. Only criticism of your ideas is that the centralized government actually is responsible for upholding and defending the US Constitution for every citizen, as well as other basic human rights.

The problem with giving too much power to the states is that they often pass unconstitutional laws that end up in court for years costing the people major tax money. Even at the state level, if 99% of the people in your state don't want their food products labeled as GMO, the 99% still cannot have that law because it is unconstitutional. All foods must be labeled properly with all ingredients, nationwide.

Otherwise I love your ideas and maybe someday when people learn:

"Liberty is the only thing you can't have unless you give it to others." William Allen White

and when they stop attacking their own constitution with really bad laws; well then maybe just maybe we can have more liberty at the local level. It's liberty for all or its liberty for none. And those who would sacrifice liberty for security, deserve neither.

I really like the idea of getting people together for the human rights discussion. Everyone in the world has human rights. It is silly and absurd for any American to think they can have some kind of liberty for themselves while taking these away from others.

I really think we need to teach the US Constitution in a class by itself at the high school level to all children. And I also hope that all Americans will read it, learn it, understand it, discuss it, and possibly even make some changes.

I know I am for one against the death penalty and executing prisoners. I never can understand people bickering over abortions when prisoners are being murdered. Sorry about the fetuses, but we have people dying who are already alive.

Have you heard of the cradle to prison program?

Before we destroy the old systems, rebuild the replacements!

by Ground Zero Press on 03/03/2011 08:13:56 PM EST

I think we need to all get used to more critical thinking.  We have to make distinctions.  Do we want no central authority?  Then how could we ensure core human rights are equally guaranteed?  But with too much central authority, the executive branch might just decide to go to war, and not be balanced by having to reach a consensus.

So I feel like I look at basic human rights, and earnestly try to think of the fairest way to provide this. I try to think about how far these guarantees go.  More 'extreme' public / private examples...

 

Should tax payers pay for every nose job a celeb wants?

Should we let a house burn because the owner didn't pay some fee?

Should tax payers pay for anyone to get a phd?

Should we allow rural children to go without education, because the private company will not serve the area?

 

We need to start seriously seeing grey instead of blank and white.  I like your points too! :)

 

by snellcode on 03/03/2011 08:24:01 PM EST

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