I've been thinking about this November's election, and the presumption
that PA is a swing state and That Matters, and voting for the lesser
plausible evil versus voting one's conscience. I started to write
about this in comments in someone else's journal (where it was
arguably off-topic), so I figured I should bring it here.
Most of the time we
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Having said that, do you really feel that the Libertarian candidate, if elected, would do a better job of running the country? I don't mean theoretically, based on his political posture; I mean practically, given the existing political infrastructure. If you can answer "yes", then by all means, vote for him.
Remember that you're not voting for a party; you're voting for a pair of individuals (who happen to be backed by a party). The Libertarians haven't put forth any pleasing candidates that I can remember. Like most modern presidential candidates, they get their votes as either "least of the evils" or "party-line voting". Feel free to make me better informed about the current candidate; my disappointment in previous years has prevented me from properly researching this year's candidate.
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I have a feeling we are going to see this continuing on the national level regardless of who is elected president, however the impact of the president will be on the war, justice and other federal agencies, the supreme court, and our civil liberties.
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I disagree. Worst-case outcome for a McCain win is that he dies on day two, and Sarah Palin controls the nominations for 3 Supreme Court appointments that are currently "liberal". This is the woman who tried to have a librarian fired for not deaccessioning certain books. The erosion of civil liberties would be implemented through executive orders to bypass Congress, upheld for another generation by a SCOTUS that would make Rehnquist look like a brie-loving liberal.
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One approach would be to pick a single state and switch it over, as a test case. Unfortunately there's no way to pick which state.
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Is that why the richest people from around the world choose to have their health care in this country? Is that why doctors choose to come here in droves for their training? Why virtually everyone who has received care in other countries prefers to have it here? There are reasons why we have high infant mortality and low life expenctancy. Quality of health care is not one of them. We pay a premium price for premium health care.
Doomsayers have been predicting the imminent demise of the health care system for the last 40 years, because clearly it cannot possibly get any more expensive without drowning under its own weight.
Picking a single state doesn't work. The goal of universal health care is to drive costs down with monopolistic pricing. Doctors can leave a state; it's harder to leave a country.
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Do you happen to know what fraction of health care costs passes through doctor's salaries, and what fraction goes directly to infrastructure or pharmaceuticals? I'd always assumed salaries were a relatively small part of the cost of an average hospital stay.
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Jeez. /Now/ who's emotional? ;>)
But now I have to admit that I don't understand your meaning. A local minimum is a relatively stable situation. That's (in some sense) a good thing. The doomsayers claim that we're one MRI away from bankrupting the country with burdensome health care costs. So.... I'm lost.
You are correct that salaries are a surprisingly small percentage of costs (compared to other industries). Once upon a time, I knew the exact number. But I didn't just mean salaries when I said "monopolistic pricing".
At the moment, it is still feasible to refuse Medicare patients. That wouldn't be an option in single-payer.
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