Showing posts with label American health care system. Show all posts
Showing posts with label American health care system. Show all posts

Tuesday, April 12, 2011

Post No. 162d: Chicago School Bans Some Lunches Brought from Home


According to the Chicago Tribune, an Illinois school has banned certain lunches brought from home. According to the school head, the new policy is designed to assist students in making healthy food choices.

Is this a responsible or irresponsible approach?

Check out the article here.

Monday, February 7, 2011

Post No. 156a: The Ridiculousness of It All


Earlier today, a study was released which found that 3/4 of all women living in America, and 2/3 of all men, are either overweight or obese. The study described the current situation as one approaching epidemic proportions. [Evidently, it's not a problem in Hollywood.]

And to think, we are arguing about how to fund the costs of health care in this country, instead of directly addressing one of the most significant reasons for the high cost.

As Dirty Harry said, "A Country Has to Know Its Limitations."

Saturday, October 3, 2009

Post No. 136b: Black - White Conflict Is Not Society's Largest


The Public Assesses Social Divisions

By Rich Morin, Pew Research Center

September 24, 2009

"It may surprise anyone following the charges of racism that have flared up during the debate over President Obama's health care proposals, but a survey taken this summer found that fewer people perceived there are strong conflicts between blacks and whites than saw strong conflicts between immigrants and the native born, or between rich people and poor people.

"A majority (55%) of adults said there are "very strong" or "strong" conflicts between immigrants and people born in the United States. Nearly as many -- 47% -- said the same about conflicts between rich people and poor people, according to a nationally representative survey by the Pew Research Center Social & Demographic Trends project."

To review the remainder of the survey, click here.

Wednesday, August 19, 2009

Post No. 131b: Re-Posting Of Post No. 92: Dobermans. Surrounded by Dobermans


© 2009, the Institute for Applied Common Sense

We have a colleague, a nice guy, who loves Doberman Pinschers. He loves them so much he’s raising 29 of them at his place.

When we visit him, the dogs do what Dobermans always do.

They bark. They snarl. They attack.

They do so not because they know who or what we are. They’re just in attack mode; in that mode by virtue of the way our colleague raises them.

(About dogs: You can’t make a Doberman behave like a Cocker Spaniel anymore than you can stop a Labrador from curling up on your lap and slobbering all over your sofa. Dogs are simply what they are. So be careful when you fall in love with a puppy, okay?)

Our colleague’s Dobermans got us thinking.

All of us have stress in our lives, and we all react to it differently.

Even though we, individually and collectively, are facing what any reasonable person would call dire circumstances, it seems to us that more and more people these days are firmly set in a default mode on the “attack” side of the register, and as a result, civilized discourse may well have become as extinct as the poor dodo bird.

With fear, well-founded fear at that, running rampant through the land, our recent attention has been directed to a radio commentator whose new book, “The Audacity of Failure,” is expected out soon.

However, for several years now, we’ve been subjected to a constant stream of “something,” which does not have the most pleasant aroma.

How odd, we’ve thought, that so many would resort to the slinging of this “hash.”

Don’t they realize that failure - on the part of any of our institutions at this stage in the game – would amount to a Pyrrhic victory? That incessant ideological chatter will take us nowhere?

Are the slingers, on both sides of the debate, so completely devoid of Common Sense that they fail to recognize that their slinging might negatively impact the personal empires which they’ve built?

Derail their ability to collect dollars from their advertisers, not to mention dampen their listeners’ interest in spending money for the things their advertisers hope to sell?

Try a little enlightened self-interest on for size, we say. Your own. Your country’s.

Our country’s.

Last week, we ran across an article entitled, “Running Scared? Fear Isn’t Good For The Economy Or Your Health.” We could only say, “No hash, Sherlock.”

Feeling a little exhausted, we sent an email to a friend: “… people claim that politics has always been nasty. However, there is something different going on now. Nasty has gotten real nasty, and personal. All the attacks, the name-calling, the questioning of people’s intelligence, the constant dissection of every word and move, with all of it designed to make people look bad. Is getting one’s way that important? It’s as if much of society has had this pent up anger and frustration, which they previously chose not to express, and that the political campaigns gave them license to say what they really felt. What thinking person would want to enter public service?”

We’ve obviously chosen our friends wisely, because she responded with a new insight.

“Anger and negativity have become synonymous today,” our friend wrote, “when in truth they’re two different emotions.”

“Negativity in the national discourse,” she noted, “has become purely intellectual.”

“None of us are born [negative],” she said. “In fact, I dare you to stop by any grade school playground and find one child who would qualify as negative by nature.”

Fear. We’ve all felt it on occasion, and we’re feeling it again.

Earlier today we sat in front of the computer, fearful, unsure, stomach churning. Probably like a lot of people.

The thing about people, it dawned on us, is that all of us, some to a greater degree than others, were born with the genetic coding necessary to think through the obstacles we encounter.

Paraphrasing our friend’s comment about the lack of negativity of children, it also struck us that, unlike our colleague’s Dobermans, none of us are genetically coded to bark, snarl and attack only.

Common Sense says we must be guided, in Lincoln’s words, “by the better angels of our nature.”

There has to be something bigger than this ideological dispute.

Do we still have those angels?


© 2009, the Institute for Applied Common Sense

Wednesday, May 20, 2009

Post No. 119a: Reposting of Post No. 69: A Country Has to Know Its Limitations


© 2008, the Institute for Applied Common Sense

On November 30, 2008, shortly after Sen. Obama’s election, we asked our readers whether any governmental entity should have the responsibility to provide healthcare for its citizens.

We invited our readers to provide their views on the subject, prior to our putting forth an argument as to why no government entity should have that responsibility, except perhaps in the case of veterans, or those injured during the course of service for the nation. (Since that time, we have also considered the inclusion of children below a certain age, since they have very little role in making decisions about their health until they are much closer to adulthood.)

It led to a very lively and stimulating exchange. Even a cursory examination of the comments in connection with Post No. 68d (http://theviewfromoutsidemytinywindow.blogspot.com/2008/11/post-no-68d-argument-why-no-government.html) reveals the diversity and passion of opinion regarding this subject.

Is it really the government's responsibility to ensure the good health of, and the provision of health care facilities and treatment to, its citizens? Why do so many citizens feel that it is something which the government, at some level, should provide?

Is there a reasonable expectation on the part of the taxpayers that health care is a "service" due them by virtue of their current level of tax contribution?

What responsibility should be placed on the citizens themselves to make the "best efforts" to maintain their health, and utilize the very latest in scientific knowledge about health risks, particularly nutrition, and the detrimental consequences associated with certain behaviors? Should citizens be required to show that they engaged, or failed to engage, in certain behaviors, prior to being extended heath care benefits by the government?


We indicated that we would generate some thoughts after entertaining those of others. Here are five arguments which can be advanced to support the notion that we should not have a national healthcare system, or perhaps that America is not ready to have such a system.

1. All relationships are about expectations. An argument can be made that the American public has an unreasonable expectation about what it takes to manage and operate a large organization and its accompanying bureaucracy. Most interestingly, those who have never run a large organization seem to think that they have all the answers. The criticism of the various executives, associated with the Big Three American Automakers, suggests to us that we as a nation do not fully comprehend the complexities and difficulties associated with management of a large organization in an everchanging, global environment. We are apparently “qualified” to criticize others who do not achieve the results that we expect.

2. In contemplating a national healthcare system, it appears that most proponents suggest that it provide benefits to all of our nation’s citizens, namely 300 million people. We do not have the capability to manage anything involving 300 million people. We don’t do it with respect to the other “essentials” of civilized life, food, housing, clothing, or education, which are arguably more simplistic in nature, and which at least have components around which we can wrap our arms. What makes us think that we can do it with respect to arguably the most complex of issues, namely human health? To borrow a phrase from Dirty Harry, “A country has to know its limitations.”

3. We do not have anyone, or any board or committee for that matter, with the capabilities, sophistication, and experience to manage a 300 million recipient organization. Furthermore, as noted earlier, as an organization grows in size, its sense of “reality” changes to ensure the advancement of its interests and its continued survival. We’re setting ourselves up for failure and unnecessary criticism.

4. Any system delivering services to 300 million people will undoubtedly parcel out its services in unfair and inequitable ways during the course of the execution of its policies. It’s not like an engine with simple, mechanical, moving parts. Humans do not function in accordance with the rules of physics. They’re emotional, and they have minds of their own. No one has yet discovered how to manage emotion. At least in the military, they understand what needs to be done to craft humans into fungible, interchangeable units, for management purposes, and even they have difficulties.

5. What makes us think that we can devise a system to provide benefits or services to recipients who essentially do whatever they want or desire to do, from a health perspective, and then have an expectation that the system should address the negative ramifications flowing therefrom? It doesn’t make sense. What makes us believe that we can “herd cats,” each with their own goals, motivations, and selfish interests, and deliver some nebulous, unspecified level of service resulting in what we refer to as “good health?”

As a general proposition, Americans are not “sufficiently motivated” to maintain a state of good health. We don’t want it badly enough. The only proven way to get humans to adhere to a policy or approach is to force/ prod them, or have them buy into it voluntarily.

Although some ambitious and very thoughtful suggestions were put forth in your comments, no one, who responded to our challenge about reforming the health care system, really explained how they planned to address the uncertainties and complexities associated with the human side of the equation, and each individual’s responsibility to the system.

As a practical matter, it can’t be done in America, at least not under our current political philosophy. Any attempt in that regard will be regarded as socialist, or even worse, communist, in nature. As we all saw during the most recent election, we can’t have that.


This is a country built on social Darwinism or survival of the fittest. If you happen to be one of the fittest and you survive, kudos to you. If you are one of the not so fit, we leave it you to fend on your own, perhaps with the gratuitous assistance of non-profits, the religious community, and the kindness of others. Many in our country feel that if we assist the not so fit, or guarantee certain things to the masses, we play into their weaknesses and thus become enabling agents.

This is neither a culture nor governance model which has as its goal the equal treatment of its citizens or the equality of the services or opportunities available to them. It is a culture that simply guarantees that each individual citizen has a chance to pursue whatever they might so desire. That has nothing to do with results.

We don’t guarantee results in America.

Simply put, a national healthcare system does not fit within our governance model, nor does it fit within our cultural philosophy. This is not to suggest that it should not, just that it does not. It’s just that it would require a significant paradigm shift in our way of thinking about our role as citizens.

Don’t you think?

© 2008, the Institute for Applied Common Sense

Thursday, December 11, 2008

Post No. 69: A Country Has to Know Its Limitations

© 2008, the Institute for Applied Common Sense

On November 30, 2008, shortly after Sen. Obama’s election, we asked our readers whether any governmental entity should have the responsibility to provide healthcare for its citizens.

We invited our readers to provide their views on the subject, prior to our putting forth an argument as to why no government entity should have that responsibility, except perhaps in the case of veterans, or those injured during the course of service for the nation. (Since that time, we have also considered the inclusion of children below a certain age, since they have very little role in making decisions about their health until they are much closer to adulthood.)

It led to a very lively and stimulating exchange. Even a cursory examination of the comments in connection with Post No. 68d (http://theviewfromoutsidemytinywindow.blogspot.com/2008/11/post-no-68d-argument-why-no-government.html) reveals the diversity and passion of opinion regarding this subject.

Is it really the government's responsibility to ensure the good health of, and the provision of health care facilities and treatment to, its citizens? Why do so many citizens feel that it is something which the government, at some level, should provide? Is there a reasonable expectation on the part of the taxpayers that health care is a "service" due them by virtue of their current level of tax contribution?


What responsibility should be placed on the citizens themselves to make the "best efforts" to maintain their health, and utilize the very latest in scientific knowledge about health risks, particularly nutrition, and the detrimental consequences associated with certain behaviors? Should citizens be required to show that they engaged, or failed to engage, in certain behaviors, prior to being extended heath care benefits by the government?

We indicated that we would generate some thoughts after entertaining those of others. Here are five arguments which can be advanced to support the notion that we should not have a national healthcare system, or perhaps that America is not yet ready to have such a system.

1. All relationships are about expectations. An argument can be made that the American public has an unreasonable expectation about what it takes to manage and operate a large organization and its accompanying bureaucracy. Most interestingly, those who have never run a large organization seem to think that they have all the answers. The criticism of the various executives, associated with the Big Three American Automakers, suggests to us that we as a nation do not fully comprehend the complexities and difficulties associated with management of a large organization in an everchanging, global environment. We are apparently “qualified” to criticize others who do not achieve the results that we expect.

2. In contemplating a national healthcare system, it appears that most proponents suggest that it provide benefits to all of our nation’s citizens, namely 300 million people. We do not have the capability to manage anything involving 300 million people. We don’t do it with respect to the other “essentials” of civilized life, food, housing, clothing, or education, which are arguably more simplistic in nature, and which at least have components around which we can wrap our arms. What makes us think that we can do it with respect to arguably the most complex of issues, namely human health? To borrow a phrase from Dirty Harry, “A country has to know its limitations.”

3. We do not have anyone, or any board or committee for that matter, with the capabilities, sophistication, and experience to manage a 300 million recipient organization. Furthermore, as noted earlier, as an organization grows in size, its sense of “reality” changes to ensure the advancement of its interests and its continued survival. We’re setting ourselves up for failure and unnecessary criticism.

4. Any system delivering services to 300 million people will undoubtedly parcel out its services in unfair and inequitable ways during the course of the execution of its policies. It’s not like an engine with simple, mechanical, moving parts. Humans do not function in accordance with the rules of physics. They’re emotional, and they have minds of their own. No one has yet discovered how to manage emotion. At least in the military, they understand what needs to be done to craft humans into fungible, interchangeable units, for management purposes, and even they have difficulties.

5. What makes us think that we can devise a system to provide benefits or services to recipients who essentially do whatever they want or desire to do, from a health perspective, and then have an expectation that the system should address the negative ramifications flowing therefrom? It doesn’t make sense. What makes us believe that we can “herd cats,” each with their own goals, motivations, and selfish interests, and deliver some nebulous, unspecified level of service resulting in what we refer to as “good health?” As a general proposition, Americans are not “sufficiently motivated” to maintain a state of good health. We don’t want it badly enough. The only proven way to get humans to adhere to a policy or approach is to force/ prod them, or have them buy into it voluntarily.

Although some ambitious and very thoughtful suggestions were put forth in your comments, no one, who responded to our challenge about reforming the health care system, really explained how they planned to address the uncertainties and complexities associated with the human side of the equation, and each individual’s responsibility to the system.

As a practical matter, it can’t be done in America, at least not under our current political philosophy. Any attempt in that regard will be regarded as socialist, or even worse, communist, in nature. As we all saw during the most recent election, we can’t have that.


This is a country built on social Darwinism or survival of the fittest. If you happen to be one of the fittest and you survive, kudos to you. If you are one of the not so fit, we leave it you to fend on your own, perhaps with the gratuitous assistance of non-profits, the religious community, and the kindness of others. Many in our country feel that if we assist the not so fit, or guarantee certain things to the masses, we play into their weaknesses and thus become enabling agents.

This is neither a culture nor governance model which has as its goal the equal treatment of its citizens or the equality of the services or opportunities available to them. It is a culture that simply guarantees that each individual citizen has a chance to pursue whatever they might so desire. That has nothing to do with results.

We don’t guarantee results in America.

Simply put, a national healthcare system does not fit within our governance model, nor does it fit within our cultural philosophy. This is not to suggest that it should not, just that it does not. It’s just that it would require a significant paradigm shift in our way of thinking about our role as citizens.

Don’t you think?

© 2008, the Institute for Applied Common Sense

Sunday, November 30, 2008

Post No. 68d: An Argument Why No Government Entity Should Have Responsibility to Provide Healthcare for Citizens (Except Vets)

Much debate has been waged in our nation for quite some time now about the establishment of a national health care system available to all US citizens. Former First Lady Hillary Clinton's efforts in this regard were met with extreme resistance. The issue has been revived again recently by virtue of the election of Sen. Obama.

Is it really the government's responsibility to ensure the good health of, and the provision of health care facilities and treatment to, its citizens? Why do so many citizens feel that it is something which the government, at some level, should provide? Is there a reasonable expectation on the part of the taxpayers that health care is a "service" due them by virtue of their current level of tax contribution?

What responsibility should be placed on the citizens themselves to make the "best efforts" to maintain their health, and utilize the very latest in scientific knowledge about health risks, particularly nutrition, and the detrimental consequences associated with certain behaviors? Should citizens be required to show that they engaged, or failed to engage, in certain behaviors, prior to being extended heath care benefits by the government?

Our next article shall explore an argument to the effect that the government should not provide any medical or health care benefits, to any of its citizens, with the possible exception of veterans, and those individuals injured during the course of service to their nation.

We invite you to weigh in with your views before we present that argument.

"There Are More Than 2 Or 3 Ways To View Any Issue; There Are At Least 27"™

"Experience Isn't Expensive; It's Priceless"™

"Common Sense Should be a Way of Life"™