5 ms·

There must be more than two alternatives, though? If we're examining it from the perspective of advancement, and we know that political restrictions on economi

There must be more than two alternatives, though? If we're examining it from the perspective of advancement, and we know that political restrictions on economic development (i.e., regulation) slow development (compare the development delta of periods in 19th century with today), what we end up with is an infinite number of mixtures between freedom and controls. What I'm telling you is that there are some controls we have in place today that are helping to kill me, and it is almost perceptually obvious that an alternative (freedom) is possible, and that is what we should move toward. Freedom from political and economic controls is good for those that want to work and think. It doesn't do much for those who can't or won't, but so what? Those people that work and think are the source of everything, and they have the right to priority. (Consider the effects on societies where the complete opposite principle is in action: the Soviet Union, Dark Ages Europe, Nazi Germany, Chavismo in Venezuela, Maoist China, ... possibly America in 20-40 years?)

cmurf 10y ago
On the one hand you argue for a free market approach (less regulations and hence more doctors) but then you also argue for a meritocracy (those who work and think should get priority). Both of these are definitely not democratic, and for the time being democracies are the preeminent social construct with massive momentum behind them. Changing that abruptly would be seriously destabilizing for the entire world.
- maxharris 10y ago
  Changing that abruptly would be seriously destabilizing for the entire world. You're absolutely right about this point, which is why benefits need to be removed over time. (People that have expected a Social Security check, and have paid into it their entire lives can't be expected to react just as they reach retirement. However, a 25-year-old can be told, "save for your own retirement, because this won't be there for you.") Having said that, controls can be removed instantly, and to very positive effect. Even a partial relaxation could massively improve things! Imagine how much better my situation would be if the federal government had, in 1999, decided not to keep restricting the number of medical residents allowed to enter/be funded each year. (https://www.aamc.org/advocacy/gme/71178/gme_gme0012.html https://www.aamc.org/advocacy/gme/71178/gme_gme0012.html)
  - ZenPsycho 10y ago
    Disingenuously left out of your arguments here is the fact that a medical education costs a hell of a lot of money, and your economic measures would remove the ability to study medicine from a lot of people who might be willing to learn, but don't have massively rich parents. Deregulating university fees, getting rid of social security, and so fourth massively reduces the number of people who are able to study medicine.
    - maxharris 10y ago
      Disingenuously left out of your arguments here First, this is way out of line. I'm going to reply anyway, but please don't do this kind of thing in your next reply. Second, instead of treating it like a black box that has a fixed cost that we have to accept, take a medical education apart the way Musk would do when figuring the ultimate cost of one his cars or rockets: Putting people in a room, books in their hands, and having them sit in front of a lecturer is not actually that expensive. I won't name names, but two medical students I knew in the last fifteen years actually skipped most of their lectures, studied straight out of the book and did just fine. It is true that the hands-on aspect of medical training is more expensive, but people in much poorer countries manage to do it. Even if you managed to show that this education outlined above is inferior to the ones available today, right now I'd still be overjoyed to see a doctor educated in this manner. It's better than waiting two months (note that this is not even for treatment - it's just a biopsy!) while I can feel this thing getting bigger, with sharper pain as time goes on. Finally, what is the point here? An more economically "equal" society, or a society where people like me don't die waiting in line for care? I stridently advocate for the latter.
      - ZenPsycho 10y ago
        "Finally, what is the point here? An more economically "equal" society, or a society where people like me don't die waiting in line for care? I stridently advocate for the latter." this is a false dichotomy. To get more doctors you need more people who can afford the education. Not less. I'd say check your privilege- Any of those options you listed for getting an education still take a vastly greater amount of resources, than you are giving credit for. You can't study out of a book if you don't have a house to live in. as for whether my comment was out of line, I'd say if your argument is to take away government subsidy for infrastructure, force people to pay for their own education, leaving out the basic costs of the education is a critical part of the argument you left out, and for a transparently self serving purpose.

cmurf 10y ago

On the one hand you argue for a free market approach (less regulations and hence more doctors) but then you also argue for a meritocracy (those who work and think should get priority). Both of these are definitely not democratic, and for the time being democracies are the preeminent social construct with massive momentum behind them. Changing that abruptly would be seriously destabilizing for the entire world.

maxharris 10y ago
Changing that abruptly would be seriously destabilizing for the entire world. You're absolutely right about this point, which is why benefits need to be removed over time. (People that have expected a Social Security check, and have paid into it their entire lives can't be expected to react just as they reach retirement. However, a 25-year-old can be told, "save for your own retirement, because this won't be there for you.") Having said that, controls can be removed instantly, and to very positive effect. Even a partial relaxation could massively improve things! Imagine how much better my situation would be if the federal government had, in 1999, decided not to keep restricting the number of medical residents allowed to enter/be funded each year. (https://www.aamc.org/advocacy/gme/71178/gme_gme0012.html https://www.aamc.org/advocacy/gme/71178/gme_gme0012.html)
- ZenPsycho 10y ago
  Disingenuously left out of your arguments here is the fact that a medical education costs a hell of a lot of money, and your economic measures would remove the ability to study medicine from a lot of people who might be willing to learn, but don't have massively rich parents. Deregulating university fees, getting rid of social security, and so fourth massively reduces the number of people who are able to study medicine.
  - maxharris 10y ago
    Disingenuously left out of your arguments here First, this is way out of line. I'm going to reply anyway, but please don't do this kind of thing in your next reply. Second, instead of treating it like a black box that has a fixed cost that we have to accept, take a medical education apart the way Musk would do when figuring the ultimate cost of one his cars or rockets: Putting people in a room, books in their hands, and having them sit in front of a lecturer is not actually that expensive. I won't name names, but two medical students I knew in the last fifteen years actually skipped most of their lectures, studied straight out of the book and did just fine. It is true that the hands-on aspect of medical training is more expensive, but people in much poorer countries manage to do it. Even if you managed to show that this education outlined above is inferior to the ones available today, right now I'd still be overjoyed to see a doctor educated in this manner. It's better than waiting two months (note that this is not even for treatment - it's just a biopsy!) while I can feel this thing getting bigger, with sharper pain as time goes on. Finally, what is the point here? An more economically "equal" society, or a society where people like me don't die waiting in line for care? I stridently advocate for the latter.
    - ZenPsycho 10y ago
      "Finally, what is the point here? An more economically "equal" society, or a society where people like me don't die waiting in line for care? I stridently advocate for the latter." this is a false dichotomy. To get more doctors you need more people who can afford the education. Not less. I'd say check your privilege- Any of those options you listed for getting an education still take a vastly greater amount of resources, than you are giving credit for. You can't study out of a book if you don't have a house to live in. as for whether my comment was out of line, I'd say if your argument is to take away government subsidy for infrastructure, force people to pay for their own education, leaving out the basic costs of the education is a critical part of the argument you left out, and for a transparently self serving purpose.