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#27 Apr 19 2010 at 5:51 PM Rating: Default
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yossarian wrote:
gbaji wrote:
Belkira the Tulip wrote:
gbaji wrote:
Because failing health is not an infringement of liberty.


I definitely don't agree with that statement.


Then you don't really know what liberty is. We're literally speaking different languages here.


Yes, gbaji, we are. We most definitely are.


Which would be fine if we were discussing some purely arbitrary concept. In this case though, we place great value on the principle of liberty because of its original meaning to the founders of this country. That value is not arbitrary, and arguing for an interpretation of liberty which does not match that original meaning becomes fallacious. It's like you and I agreeing that we should eat "healthy foods", but later you decide that cookies and cakes are "healthy". When you change the definition of the word you're using, you also change its importance and relevance to the issue at hand.


When I say that failing health is not a violation of liberty, I'm using liberty as it was understood at the founding of this nation. When Belkira says that she disagrees, that's because she's using a definition of liberty that is just some made up thing after the fact. Her use of the word is meaningless IMO.

Edited, Apr 19th 2010 5:03pm by gbaji
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#28 Apr 19 2010 at 6:00 PM Rating: Good
His Excellency MoebiusLord wrote:

The list of things that I don't understand is short and stops somewhere this side of the impact of human emotion on rational decisions. I have said, on many occasions, exactly what you suggest no one says. I also say what you suggest I could come back with. I'm ok with that position. It would work far better than the extortion currently enacted.


Are health savings accounts, or anything like it, with no government health safety net (of course, with private charity) in existence anywhere? How does it work out?

By the way, it has nothing to do with emotion. It is a simple fact young people get sick before they have time to accrue sufficient funds to pay - and currently they are the best use of our heath care dollars (a disproportionate quantity of which go to the elderly). Further, with no insurance, no government intervention, children are covered by their parents health savings accounts. Most Americans feel that giving children a relatively equal start in life: health, education, some protection from the most abusive households - and that's about it. Unless there was insurance for children and people as they start out in life I doubt very much that pure health savings would work. Lastly, it is my understanding that in trauma situations no account is taken of the person's ability to pay. This would have to change, of course, wasting critical time. I'm sure there is a workable program in there somewhere, but the complexity grows. Which is why I'd love to see it in action before advocating it for a whole nation.

At the end of the day, health savings accounts are asking young people to do is gamble with their lives. Health savings accounts would work great for cars - they are replaceable.
#29 Apr 19 2010 at 6:01 PM Rating: Good
gbaji wrote:
In this case though, we place great value on the principle of liberty because of its original meaning to the founders of this country.


No, we don't. That was easy.
#30 Apr 19 2010 at 6:19 PM Rating: Decent
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yossarian wrote:
gbaji wrote:
In this case though, we place great value on the principle of liberty because of its original meaning to the founders of this country.


No, we don't. That was easy.


Of course "we" do. The positive association to the word "liberty" within our society has been around since before the rise of its use in the context Belk is using. You believe otherwise because you desire it to be so, not because it actually is so. Belk's use of the word removes its value. It becomes synonymous with "government giving you stuff", which is *not* what liberty is about.

Interestingly enough, we do have strong negative associations with words associated with that concept though. I've argued on many occasions in the past that the Left realized nearly a century ago that the US public overwhelmingly rejected concepts like socialism and communism, so they shifted their tactics from selling those things to the public, to changing the definition of liberty to include them. And that is precisely why today people like Belk believe that failing health somehow infringes someone's liberty. If you can't get people to adopt communism directly, sell communism by relabeling it liberty. Then all you have to do is argue that by not adopting said communistic thing, people are infringing the liberties of others. It's why the whole concept of "positive rights" came up in the first place. They repackaged the concept of government providing a livelihood to the people into a set of "rights".


It's just good marketing, but it doesn't make it correct. No amount of someone saying that a Big Mac is "healthy" actually makes it so...

Edited, Apr 19th 2010 5:45pm by gbaji
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#31 Apr 19 2010 at 6:37 PM Rating: Decent
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Allegory wrote:
Why are creating some contrived separation between paying the government or paying private companies? People who don't have insurance and get sick still cost money; they don't magically disappear. So when a person without insurance goes in for an emergency procedure, they've only paid their share of taxes for the procedure leaving the rest of the cost to everyone else. However, when they're fined for not having insurance they've paid their taxes plus the fine for that procedure, so more of the financial risk is directed to them.


Because the math on the "provide health coverage instead of paying at the ER" is horribly flawed. It works if you only look at the people who show up in emergency rooms. That person would have cost us less if he'd had health care. Maybe.

But since we don't know which people will end up in the ER for health care, we'd have to cover many times that number of people, which makes the total cost much higher, not lower as is advertised.


It really is cheaper to provide full care only for those who pay (with the amount of care based on the amount they pay) and provide basic emergency care to those who don't, then to provide full care for everyone. There are some really really obvious economic factors which explain why. If you can't figure them out, then maybe there's just not much hope for you?
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#32 Apr 19 2010 at 7:08 PM Rating: Excellent
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gbaji wrote:
F'uck humans. Its all about the cash


Translated and condensed for clarity.
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#33 Apr 19 2010 at 7:25 PM Rating: Excellent
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gbaji wrote:
Which would be fine if we were discussing some purely arbitrary concept. In this case though, we place great value on the principle of liberty because of its original meaning to the founders of this country. That value is not arbitrary, and arguing for an interpretation of liberty which does not match that original meaning becomes fallacious. It's like you and I agreeing that we should eat "healthy foods", but later you decide that cookies and cakes are "healthy". When you change the definition of the word you're using, you also change its importance and relevance to the issue at hand.
I find it odd that you would argue this point considering that just a few days ago you argued that the people calling Obama a "socialist" were valid despite using the word as a placeholder for something completely different.

















Smiley: lol Haha, nah I'm just kidding, I don't find it odd at all.



Edited, Apr 19th 2010 8:25pm by bsphil
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#34 Apr 19 2010 at 7:49 PM Rating: Decent
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gbaji wrote:
Because the math on the "provide health coverage instead of paying at the ER" is horribly flawed. It works if you only look at the people who show up in emergency rooms. That person would have cost us less if he'd had health care. Maybe.

That isn't at all what we're talking about. This has nothing to do with providing preventative care. That discussion has nothing to do with raising or lowering costs. It has everything to do with distributing those costs, because that was the topic of risk spread.

gbaji is a good citizen who pays his taxes and has bought health insurance. Allegory is a less than perfect citizen who pays his taxes but doesn't own health insurance. If gbaji gets sick, then only gbaji pays for it. If Allegory gets sick, then there are situations where the cost is paid for by taxes; it is paid for half by gbaji and half by Allegory. Here the risk is spread unevenly. In one situation you pay everything (for yourself) and the other situation we split it equally. If Allegory is fined for not owning health insurance, then if I fall sick I'm not paying my taxes plus fine, and since the cost is the same gbaji is paying his taxes minus the fine. Now ine one situation you still pay everything (for yourself) but the other situation I now pay some amount over half for my care and you pay some amount less than half for my care. The risk is spread more evenly.

If the government enacts a new fine, then one of two things has to happen. Either the government increases service, such as building new national parks or buying more F22s, or the government has to reduce taxes fees in some other area to maintain a constant income. In either case the people who own insurance benefit. If the government decides to use the fine revenue to increase service, then those who bought insurance get free additional services. If the public instead decides they want lower taxes, then the government can use the revenue to offset a tax decrease without cutting services.

The money the government gains from fining people has to go somewhere, and it inevitably ends up coming back to the people who weren't fined. This is how the risk is spread.

It might be a bad idea to spread the risk, but it is being spread.

Edited, Apr 19th 2010 8:51pm by Allegory
#35 Apr 19 2010 at 8:08 PM Rating: Default
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bsphil wrote:
gbaji wrote:
Which would be fine if we were discussing some purely arbitrary concept. In this case though, we place great value on the principle of liberty because of its original meaning to the founders of this country. That value is not arbitrary, and arguing for an interpretation of liberty which does not match that original meaning becomes fallacious. It's like you and I agreeing that we should eat "healthy foods", but later you decide that cookies and cakes are "healthy". When you change the definition of the word you're using, you also change its importance and relevance to the issue at hand.
I find it odd that you would argue this point considering that just a few days ago you argued that the people calling Obama a "socialist" were valid despite using the word as a placeholder for something completely different.


Why? In both cases, I'm pointing out that the meaning behind the word is more important than the label that is used. Conservatives are not confused about what is meant by words like liberty and socialism. Liberals, on the other hand, spend ridiculous amounts of time trying to come up with new definitions of those words, and new applications of them, so as to support whatever they happen to be trying to do at the moment.

I've been pretty darn consistent with this position.
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#36 Apr 19 2010 at 8:23 PM Rating: Excellent
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gbaji wrote:
I've been pretty darn consistent with this position.
Gbaji has been consistent with how he uses liberty, so it's sort of meaningless to say you agree or disagree with him on what liberty means. It's not just a definition he made up in this case either, it's a fairly well established approach, and Gbaji has laid out exactly what he's referring to.

What is meaningful to say is that you place something else on the same or a similar level of importance as the liberties that Gbaji refers to, in this case health care.

Gbaji, I think you'd be better off not worrying about what word people use, and actually address what they're trying to say rather then arguing endlessly about what word they're using, but this seems unrealistic.

Edited, Apr 19th 2010 9:28pm by Xsarus
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#37 Apr 19 2010 at 8:30 PM Rating: Decent
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Allegory wrote:
gbaji wrote:
Because the math on the "provide health coverage instead of paying at the ER" is horribly flawed. It works if you only look at the people who show up in emergency rooms. That person would have cost us less if he'd had health care. Maybe.

That isn't at all what we're talking about. This has nothing to do with providing preventative care.


Of course it does. I responded directly to a statement that it makes no sense to oppose paying for this stuff via public funding since we're already paying for it via subsidized costs in the ER room. This is incorrect because the costs go up if you replace that with public funded care.


Even assuming we don't provide them with "full care", it'll still go up. Want to know why? Because when you shift from the private industry absorbing the cost of folks who can't pay showing up at the ER, but which otherwise is profit driven, to a publicly funded system which is not only not profit driven, but driven by political agendas which desire to provide health care as a right/benefit for all citizens, you're going to see the amount which will be provided go up. And that will drive the costs up.


The private industry will absorb the cost, but will do everything it can to reduce that cost. A public system not only wont, but will actually have a vested interest in making it more expensive. This is the same argument raised in opposition to the "public option". Once government steps in like that, it can mandate service in such a way that private industry cannot afford it. Given that one of the major arguments for single-payer (ie: government funded) health care is that it would be cheaper because you take all the private industries out of the way it benefits the government to make costs in the private system as high as possible. But of course, it's only cheaper if you first create an incredibly inefficient system. Which is precisely what we've been doing for the last 30+ years.

This is obviously just a step to the next step, with full socialized medicine as the ultimate goal. For a whole lot of reasons, I oppose this, so I oppose that step. I'd rather we look at how poorly we manage health care and go in the other direction instead. But this health care bill had nothing to do with fixing any of the problems, and a whole lot to do with making the system (and the problems) bigger, so that in 15-20 years, when the subject comes up again, single payer will look even more attractive.


Quote:
That discussion has nothing to do with raising or lowering costs. It has everything to do with distributing those costs, because that was the topic of risk spread.


I reject the premise that we should be talking about "distributing costs" at all though. If the government wants to tell hospitals that they must provide emergency care, then that's their choice. If that means that the private industry has to absorb that cost, then that sucks, but that's what has to happen. This is no different than the government mandating any of a zillion other requirements into other industries which increase the cost of their products.

If said private industries can convince people to buy that more expensive product then that's great for them. If it can't, then that's no so great, but let's not lose sight of what placed that increased cost there (government). It is absurd to say that you're going to "help" the private industries out by having the government mandate that people buy their product in order to spread out the costs, and then fine them if they don't. Not only is that certainly a violation of the Constitution, it's also just a dumb idea.

Quote:
gbaji is a good citizen who pays his taxes and has bought health insurance. Allegory is a less than perfect citizen who pays his taxes but doesn't own health insurance. If gbaji gets sick, then only gbaji pays for it. If Allegory gets sick, then there are situations where the cost is paid for by taxes; it is paid for half by gbaji and half by Allegory. Here the risk is spread unevenly.


Yup. And as the guy paying for it, I can legitimately call you a lazy bum who needs to get a job.

Quote:
In one situation you pay everything (for yourself) and the other situation we split it equally. If Allegory is fined for not owning health insurance, then if I fall sick I'm not paying my taxes plus fine, and since the cost is the same gbaji is paying his taxes minus the fine. Now ine one situation you still pay everything (for yourself) but the other situation I now pay some amount over half for my care and you pay some amount less than half for my care. The risk is spread more evenly.


No. It's not fine. I'm still paying for your care. The government is collecting a fine from you. However, there is no indication in this system that my health insurance, which is paying the bulk of the extra costs for you to go to the ER will ever be paid back by the government. It's going to collect that fine and spend it on it's own programs. So someone on medicare will be funded (to a tiny degree) by your fines. I wont see a cent.

All it serves to do is get the government yet more involved financially in the industry. Needlessly. Let's also not forget that at the same time they are doing this, they're placing requirements for the insurers to insure even people with pre-existing conditions. What that means is that not only am I not going to see your fine money, but once you get sick, you can then sign up for health insurance, can't be denied, and the costs will go up even more for me since now I'm not just paying a relatively small amount to pay for the hospitals cost (which they'll keep to a minimum since it's straight loss for everyone right now), but I'll have to pay for the loss to the insurance company for having to cover you.

You get that if the hospital has to sneak the extra costs into their bills structure to subsidize a cost, it will always cost less than if that extra cost is realized and passed on directly to the insurance companies, right? Or do you need me to explain this to you?


You are making a classic mistake. You assume you can change the rules of the game, and the players will not change the way they play. That's simply not true. Right now, the extra cost born is a loss for everyone involved, so they work hard to keep that loss to a minimum. But if those costs are covered by the insurance system in some way, they are no longer a loss, but a potential source of profit. The cost per person in that situation will go up.

Edited, Apr 19th 2010 7:50pm by gbaji
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#38 Apr 19 2010 at 8:44 PM Rating: Decent
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Sir Xsarus wrote:
Gbaji, I think you'd be better off not worrying about what word people use, and actually address what they're trying to say rather then arguing endlessly about what word they're using, but this seems unrealistic.


Huh? This is exactly what I have been doing. The principle that the best society is one in which the people have the least amount of external human constraints on their lives possible is the principle I'm talking about and which I call "liberty". It is this principle on which the founders formed this nation, and it is this principle which most people today hold in high regard.

That Belkira wants to call something else "liberty" doesn't change that what she's talking about violates the principle I'm talking about.


Having said that, the problem with what you suggest is that while you and I may know that the labels are less important than the thing itself (and I repeat this over and over), most people do associate words with concepts. That is what language is, after all. We do hold words like "liberty" in high regard, and if I let people like Belkira succeed in changing the meaning of that word, then it allows them to go back and quote any historical document referring to the importance of "liberty" and associate that with the new thing they now call liberty. I would argue that this is precisely why she believes it to mean something so radically different than what the folks who wrote those documents believed it to mean.


So yeah, I'll make a point about the meaning I'm using and its relevance by itself, but I'll *also* point out the change in meaning going on. Because otherwise, I'm allowing someone to effectively re-write history to suit their own current political agenda. Sorry. I'm not just going to sit quietly and let that happen.

Edited, Apr 19th 2010 7:46pm by gbaji
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#39 Apr 19 2010 at 10:00 PM Rating: Good
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Sure, but just use one sentence and move on. You're using an established definition of liberty so just say that and address what people are actually saying, which is that there are things that are as important as the things you define as liberty.
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#40 Apr 20 2010 at 12:12 AM Rating: Good
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Belkira the Tulip wrote:
yossarian wrote:
Another option is to just levy a tax to pay for the whole deal like medicare does.


My husband was saying the other day that he didn't like that the bill forced people to buy insurance. But he's all for a public option. I said, "What's the difference? They make you purchase a policy, or they raise your taxes by the same amount and you still get healthcare?"

He said it's the principle of the thing...

I see what he's saying. It is a little scary, I guess, to think of the government forcing you to buy something. But I just can't see any other way that this bill would work otherwise.

If only we had a public option... Smiley: bah

The difference is that the private health companies have an obligation to their shareholders to make a profit. Thus some of everyones' money (and the tax dollars buying policies for poor people) is going to private individuals who hold shares in insurance companies.

If there was a public option, it would only be obliged to run to budget. Profits would not be a consideration. If they occurred, they would go back to general revenue, or back into the health system itself.

If I was American, I'd be looking for a cheap internet stockbroker like belldirect and getting a few health insurance company shares, so you can have your tiny fingers in a suddenly larger pie when Obamacare kicks in.
#41 Apr 20 2010 at 1:03 AM Rating: Excellent
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gbaji wrote:
Smasharoo wrote:
Let's ignore health care for a minute, as it has added complexities beyond just this issue, and let's talk about public safety. We collectively pay, via taxes, for an established military force and law enforcement services. The political, logical, and emotional argument to "repeal the mandate" here is identical. Why do I pay for police services for a decade when I never have occasion to use them? Why am I forced to, against my will, pay for the investigation of a murder of someone I don't know? Why am I forced to pay for national defense?


Because failing health is not an infringement of liberty. A criminal or military action which inflicts harm on the citizenry *is*.

Understand yet?


Quote:
We hold these truths to be self-evident, that all men are created equal, that they are endowed by their Creator with certain unalienable Rights, that among these are Life, Liberty and the pursuit of Happiness.


Ok, so I've highlighted an American ideal to the right to Life. I contend that all the little niggling illnesses and injuries are a detriment to the Right to Life, too.

Secondly, as someone who has lived a long time with an extremely debilitating chronic illness: Sickness in ALL PRACTICAL MEASURES infringes on personal liberty. An injury to a knee, foot, or hip, and suddenly you can't walk well, or without great pain? Suddenly you can't walk around a shop/office floor, around an art museum, get up stadium steps, play a sport, cook, look after your kids properly by moving around the house, or helping them dress, you can't make it to the corner store when before you could walk all over town all day? Let me tell you: that's an infringement of Liberty right there. An INCREDIBLE infringement on Liberty.

Agonising tooth so you can only eat soup, and you are debilitated by pain all day, circumscribing the activities you are up to? Infringement of liberty.

For a liberty to be a liberty, you have to not only have the right to do it, but also the ability to do it.
#42 Apr 20 2010 at 7:36 AM Rating: Decent
Aripya,

Quote:
Secondly, as someone who has lived a long time with an extremely debilitating chronic illness: Sickness in ALL PRACTICAL MEASURES infringes on personal liberty. An injury to a knee, foot, or hip, and suddenly you can't walk well, or without great pain? Suddenly you can't walk around a shop/office floor, around an art museum, get up stadium steps, play a sport, cook, look after your kids properly by moving around the house, or helping them dress, you can't make it to the corner store when before you could walk all over town all day? Let me tell you: that's an infringement of Liberty right there. An INCREDIBLE infringement on Liberty.


I have an idea; why don't you take the 9 out of the drawer go to your neighbors house and force him to give you money to support treatment of your illness? Sound about right?

It's sad so few understand what liberty truly is.



#43 Apr 20 2010 at 7:44 AM Rating: Good
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knoxxsouthy wrote:
It's sad so few understand what liberty truly is.
What's sad is how some people hold on to such an antiquated definition of the word liberty.
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#44 Apr 20 2010 at 8:51 AM Rating: Excellent
gbaji wrote:
yossarian wrote:
gbaji wrote:
In this case though, we place great value on the principle of liberty because of its original meaning to the founders of this country.


No, we don't. That was easy.


Of course "we" do.


You and one old guy on the supreme court. There are so many ways to attack this naive "meaning to the founders" argument. First: slavery. Second: the founders did not all agree. Third: they allowed for the constitution to be amended. Lastly: the new deal. Virtually everyone else within the US agrees the new deal is legal. If there was substantial dissent, we would have amended the constitution to specifically allow it. gbaji's philosophy was resoundingly defeated at that point. Just as many arguments I believe in have been defeated. The difference is that I don't say: this is the way it is! This is the meaning of the constitution! I just acknowledge and move on.

It is called life. I choose to live in it - not pretend it obeys some rules of logic only I can see. That is magical thinking and that way lies madness.
#45 Apr 20 2010 at 8:53 AM Rating: Excellent
Aripyanfar wrote:
gbaji wrote:
Smasharoo wrote:
Let's ignore health care for a minute, as it has added complexities beyond just this issue, and let's talk about public safety. We collectively pay, via taxes, for an established military force and law enforcement services. The political, logical, and emotional argument to "repeal the mandate" here is identical. Why do I pay for police services for a decade when I never have occasion to use them? Why am I forced to, against my will, pay for the investigation of a murder of someone I don't know? Why am I forced to pay for national defense?


Because failing health is not an infringement of liberty. A criminal or military action which inflicts harm on the citizenry *is*.

Understand yet?


Quote:
We hold these truths to be self-evident, that all men are created equal, that they are endowed by their Creator with certain unalienable Rights, that among these are Life, Liberty and the pursuit of Happiness.


That is what I was getting at, as well. I am not surprised that gbaji discounts this as meaningless and disagrees with me.

Let's be honest about it, though. It's not just that we should want people to be healthy because that's the humanitarian way to be. We should also want people to be healthy so they can be good productive members of society. It makes no sense to encourage insurance companies to deny services and keep our citizens sick and dying.
#46 Apr 20 2010 at 10:40 AM Rating: Excellent
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No one has ever explained to me yet why we should protect capitalism as an economic system.

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#47 Apr 20 2010 at 11:17 AM Rating: Good
To protect the possibility that gbaji and knoxsouthy might someday be rich, duh.
#48 Apr 20 2010 at 11:19 AM Rating: Good
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Samira wrote:
No one has ever explained to me yet why we should protect capitalism as an economic system.



Because change is scary!!!!
#49 Apr 20 2010 at 12:05 PM Rating: Good
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Samira wrote:
No one has ever explained to me yet why we should protect capitalism as an economic system.


Because if we don't, the USSR will move right on in.
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#50 Apr 20 2010 at 1:16 PM Rating: Good
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Samira wrote:
No one has ever explained to me yet why we should protect capitalism as an economic system.



We shouldn't. Its a doomed system. Its being milked to its fullest extent by many who already know that, aided and abetted by even more who have no interest in understanding the situation.

But its in its death throes imo.

Of course that could change if we managed to stop killing each other for 5 minutes and made more of an effort to get off this planet.
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#51 Apr 20 2010 at 1:21 PM Rating: Decent
Tulip,

Quote:
Let's be honest about it, though. It's not just that we should want people to be healthy because that's the humanitarian way to be.


And if someone doesn't want to be healthy and live what you think is a healthy lifestyle what then? Do you make laws requiring them to attend a gym at least 4 times a week? It's our right to be as fat and disgustingly lazy as we want to be. What you're promoting is that those of us who have chosen to live a healthy lifestyle should in fact be responsible and pay for the care of those who do not. When the govn controls this much of our life we cease to be free. Then again most liberals don't want freedom. What they really want is security. They want to be released from having to deal with the consequences of their choices.


Quote:
It makes no sense to encourage insurance companies to deny services and keep our citizens sick and dying.


This is about as stupid a statement as you've come up with a while. Every time you say something like this it just makes me sad that people like you have the privilege of voting. Go spend another 4yrs at college and learn something about assumed risk.


Samy,

Quote:
No one has ever explained to me yet why we should protect capitalism as an economic system.


You mean besides the fact that it's been proven to be, by far, the most effective economic system in the history of the world?



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