Plain Broun Wrapper (or, What’s Really In That Bag?)

I thought I might write about something other than politics this morning, but some things are just too there to ignore.  But perhaps this isn’t strictly about politics. Representative Paul Broun of Georgia recently said the following.  I’m pulling the quote from news sources so I don’t get it wrong. “God’s word is true. I’ve come to understand that. All that stuff I was taught about evolution, embryology, Big Bang theory, all that is lies straight from the pit of hell. It’s lies to try to keep me and all the folks who are taught that from understanding that they need a savior. There’s a lot of scientific data that I found out as a scientist that actually show that this is really a young Earth. I believe that the Earth is about 9,000 years old. I believe that it was created in six days as we know them. That’s what the Bible says. [More . . . ]

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How doctors contribute to the high cost of health care

At Better Medicine, Negoba points out how doctors contribute to the high cost of health care. Even though some doctors make high salaries (some specialists making extremely high salaries), the salaries are not the biggest part of the problem.

A doctor can be just as valuable as a controller of loss as a source of profit. In either case, the amount of money flow a doctor controls is easily 5-10 times the amount he or she makes in salary. Many larger systems with interests both at the office and hospital level will take losses on salary to retain a physician whose orders then net a profit in orders.

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Luxuries of sickness

Ever since I heard the detailed story of holocaust survivor Ben Fainer, I've been haunted by Ben's story. His video interview is about an hour long and it is riveting. I was sick for most of the past four days, including two days on which I barely crawled out of bed. I had a fever, my muscles ached, I had chest congestion and migraine headaches and I couldn't think straight. I'm better now, but while I was at my sickest, I wondered how Ben survived Nazi concentration camps for six years, even through the sicknesses that people periodically experience, especially when they were in the process of being starved. Ben just happened to call me yesterday (on another matter), and I took the opportunity to ask him: What would happen at Buchenwald if a prisoner was so sick that he was unable to report for work duty on even one occasion. Ben answered: "The system was simple. If you didn't report for work, several people would go inside the barracks to pick you up, and they would walk you over to the crematorium oven, which was burning 24 hours a day. Even if you were still alive, they would throw you into the oven. I saw this happen and I heard the screams." I still can't conceive of how a young boy could have survived this horror, even as he aged into a teenager during his six years of captivity. And I'm so very lucky to live in a situation where sickness is usually not life-threatening, either biologically or socially.

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Health care and death

Progressive sites are howling at the insensitivity of the Tea Party based on a hypothetical. This is how the conversation went down at a recent Republican debate:

Wolf Blitzer: A healthy 30 year old young man has a good job, makes a good living, but decides—you know what? I’m not going to spend $200 or $300 a month for health insurance because I’m healthy—I don’t need it. But something terrible happens … all of a sudden he needs it. Who’s going to pay for it if he goes into a coma. Ron Paul – He should do whatever he wants to do and assume responsibility for himself . . . My advise to him is to have a major medical policy . . . Blitzer: But he doesn’t have that and he needs intensive care for six months. Who pays? Ron Paul: That’s what freedom is about . . . taking your own risks. This whole idea that you have to compare and take care of everybody . . . Blitzer: Are you saying society should just let him die?" [A couple voices in the large crowd shout “Yes!”] Ron Paul: . . . The churches . . . [will help him]
Several things come to mind. The hypothetical was designed to make us not want to take care of this man. After all, if I am working overtime to scrape together huge payments for my family’s health insurance and the man in the hypothetical decides he won’t bother to pay even though he “makes a good living,” my gut feeling is he is trying to cheat the system, which makes me highly ambivalent about him, and much less sympathetic about his terrible situation. How much do I care about this man? I once told a friend of mine that I “cared” about a sad situation, and he said, “No you don’t. If you cared, you would do something to fix the problem and all you’re doing is complaining.” I think he was dead-on with that comment. If we care, we get involved. If we’re merely complaining, we don’t really care, no matter what we say. How do Americans often show they really care? By reaching into their pockets and giving money to the cause. With this in mind, allow me to offer a few of my own hypotheticals. [More . . .]

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