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[Merged] So much for states rights/Pot-2 steps forward ten steps back

"Leftists recognize the fact that people without ability to pay their own health care costs lead to one of two possibilities: Either they are left to bleed out and die in the streets, or their costs must be paid for by common funds."​

No. There are three other well-known and frequently adopted solutions. There are the traditional two solutions: they turn to friends and family for help, or else they get a whopping big medical bill and it takes them a while to pay it off and sometimes they go bankrupt. And there's the modern solution: the majority orders some outvoted minority to cover the costs at its own expense.

Those are not alternatives at all. Millions do not have friends and family that could or would cover the expense and thus would just die (same my my first option). And, it is well established that you do not get proper medical treatment without upfront proof that you can pay (so, again, same as my first option). That's why all scientific analyses show sizable reductions in preventable mortality
No where is there or ever has their been a system that doesn't either have massive public coverage of medical expense or people suffering and dying from being unable to get proper medical treatment.
No logical alternatives exist, except in a magical fairy land where companies that exist solely for profit, willingly give away expensive treatment they know they will never be compensated for.

" Unlike conservatives, liberals have enough basic human empathy that rules out option 1."​

No. Leftists knowingly and deliberately leave people to bleed out and die in the streets every day, and they self-deceive in order to not notice.

Red-herring bullshit. Failing to bankrupt oneself by personally trying to house and feed every homeless person is not at all the same as refusing to establish a collective societal system that offers medical care to those who need it. Only the latter requires a lack of basic empathy. The former simply means you aren't willing to completely sacrifice your and your loved one's well being in order to make a microscopic dent in a society-wide problem.

"But option 2 amounts to the uninsured harming others by using more than their fair share of the commons."​

No. You might as well claim, like the Soviets did, that since refuseniks were educated at state expense and emigration deprives the collective of a return on its investment, it's fair for the government to hold its people prisoner to keep them from "harming others" by climbing over the wall and sticking others with the bill. The Soviets deliberately ignored the fact that the refuseniks weren't given a choice about participation in state schooling and the fact that the state had systematically dismantled all competing sources of education. When a guy won't buy insurance because it's unreasonably expensive because the government jacked up the price of health care to ten times the market rate, and then he gets sick and asks for help and the government gives it to him even though he wouldn't buy insurance, that's not him harming others by using more than his fair share of the commons. That's the government harming everyone by overloading the commons.

So first permit us to buy cheap drugs from Canada, permit us to get our Pakistani doctors out of their taxicabs and into our hospitals, and permit us to open new hospitals without a "Certificate of Need"; then tell us why we have a duty to buy insurance if we can.

None of this has anything to do with what I said. The "option 2" I referred to was about a system where people choose to get medical care and the public must pay for it. The ACA, despite its flaws, is a well-intentioned effort to strike a balance where people are not left to die from easily treatable health concerns without opening the door for an abuse of the commons that would occur with simply free health care for all. For all its problems, it is an attempt to use the Fed to help people from actual demonstrable harm.

The two solutions to this are either public health care where everyone's bills are paid by the common fund or requiring each person to have proof they can cover their neccessary expenses (aka, health insurance) and supplying that insurance only to those who cannot afford it.

Contrast this well intentioned use of the Fed..."
That's not a well-intentioned use of the Fed. That's hunter-gatherers imposing hunter-gatherer morality on farmers. It's "well-intentioned" only if hunter-gatherer morality is correct and farmer morality is evil. Which of course is what hunter-gatherers customarily assume. Hunter-gatherers don't grok how farming works, they don't grok why it works, and they don't grok how farmer morality contributes to it working. So they just take for granted that any aspect of farmer society that doesn't follow the dictates of hunter-gatherer morality ought to be deleted from farmer societies.

In particular, they apply zero-sum-game economic reasoning, they imagine that a person with more possessions than he can carry to the next campsite is using more than his fair share of the commons, they infer that his extra stuff belongs in the common fund, and they conclude that since it's well-intentioned for the community to all take turns helping the injured guy limp to the new campsite, it must also be well-intentioned for the community to pick a guy who's unpopular because he used too much of "the commons" and make him be the guy's crutch.

So first enact a nondiscriminatory tax system; then tell us why making charity compulsory is well-intentioned.

"...with conservative malicious use of federal force to cause harm to people by prohibiting them from getting the most scientifically sound medical treatments, such as abortions, often motivated by trying to profit from this harm, such as by prohibiting pot use to profit makers of far more dangerous and less effective drugs."​

No. They aren't stopping abortions maliciously, but because they believe fetuses are people and because they believe reproduction is holy. They aren't prohibiting pot because they want people to take fentanyl so Johnson & Johnson will be richer, but because drugs are bad, m'kay? They're sincerely judging

Really? What principle do they use to conclude that pot is bad? Do they apply this principle consistently? No, they just made it up out of nothing in order to rationalize making it illegal, just like they do with homosexuality. If their actions are not malicious, then no actions in history can ever be said to be malicious. They know their justifications are lies and made up nonsense, which is why they consistently advocate violence against those who merely doubt them. They have no reason to think their beliefs are true. They believe them out shear desire for them to be true, because it rationalizes their desired actions. Belief in a hateful God is a willful malicious act of inventing a God that let's you engage in hateful acts and call them "love". Malicious desire to oppress and exert authoritarian control is the sole basis of monotheism.

; they're judging what's right and wrong by relying on unsupported premises, just like you; and they're believing their ideology's self-congratulatory just-so-stories about how its adherents are good and its opponents are evil, just like you.

Nonsense. My arguments are based on the premise that it's wrong to cause another individual human bodily harm or to prevent their control of their own person, unless they are using their person to harm others. I require that empirical evidence of harm be shown.
This is the direct opposite of the rightist principle that "harm" is whatever I (masquerading as a God I invented for this purpose) arbitrarily declare it to be, and that no one's will will but my (aka "God's") matters for what should or should not be done to or for anyone.

In short, you entire argument is a false equivalence where you assert that the following positions are identical:
1) "We should not let people put poison in each other's drinking water, because people don't want that to happen to them, and we cannot have anything resembling a peaceful civil society if we allow such things."
2) "We should let people poison each others drinking water, because God said so, and we should only consider what God wants."
 
Sometimes I think it's too bad the writers of our Constitution didn't go to the trouble of listing the powers they wanted the Federal government to have. And then maybe writing something else in there that all the other powers are left to the states or the people.

I think the founders that would have proposed that, "those men that fly through the air like birds in giant metal machines shall have the right to a comfortable seat" might have been laughed out of the room.

What would they have done with the guy that said, "instantaneous communication with all men across the Earth shall not be impeded by any organization".

It would be like, today, someone proposing an Amendment to the constitution stating that all sentient organisms from the planet Orbox-9 shall be considered a "person" for the purposes of establishing voting rights for emperor of Sol.

.. It's all just not on the transx-polytracker... err, I mean, "RADAR", as it's called today.
I agree with Dismal. The founders wouldn't have needed to know the future of technology to enumerate many such powers such as "sanctuary cities" for immigrants which have and continue to be a very grey area.

Less grey and more black and white would have been better IMO.
 
Sometimes I think it's too bad the writers of our Constitution didn't go to the trouble of listing the powers they wanted the Federal government to have. And then maybe writing something else in there that all the other powers are left to the states or the people.

I think the founders that would have proposed that, "those men that fly through the air like birds in giant metal machines shall have the right to a comfortable seat" might have been laughed out of the room.

What would they have done with the guy that said, "instantaneous communication with all men across the Earth shall not be impeded by any organization".

It would be like, today, someone proposing an Amendment to the constitution stating that all sentient organisms from the planet Orbox-9 shall be considered a "person" for the purposes of establishing voting rights for emperor of Sol.

.. It's all just not on the transx-polytracker... err, I mean, "RADAR", as it's called today.
I agree with Dismal. The founders wouldn't have needed to know the future of technology to enumerate many such powers such as "sanctuary cities" for immigrants which have and continue to be a very grey area.

Less grey and more black and white would have been better IMO.

Yes, for example, they could have clarified that immigration (and bankruptcies, or course) was a federal issue by enumerating a power to regulate it.

I don't know maybe something like:

"The Congress shall have Power To ... establish an uniform Rule of Naturalization, and uniform Laws on the subject of Bankruptcies throughout the United States."
 
Sometimes I think it's too bad the writers of our Constitution didn't go to the trouble of listing the powers they wanted the Federal government to have. And then maybe writing something else in there that all the other powers are left to the states or the people.

I think the founders that would have proposed that, "those men that fly through the air like birds in giant metal machines shall have the right to a comfortable seat" might have been laughed out of the room.

What would they have done with the guy that said, "instantaneous communication with all men across the Earth shall not be impeded by any organization".

It would be like, today, someone proposing an Amendment to the constitution stating that all sentient organisms from the planet Orbox-9 shall be considered a "person" for the purposes of establishing voting rights for emperor of Sol.

.. It's all just not on the transx-polytracker... err, I mean, "RADAR", as it's called today.
I agree with Dismal. The founders wouldn't have needed to know the future of technology to enumerate many such powers such as "sanctuary cities" for immigrants which have and continue to be a very grey area.

Less grey and more black and white would have been better IMO.

Ah, good 'ol hindsight... that which makes us all wish we had a V8 while thinking of that perfect comeback that you SHOULD have said.

Yes, but not just technology... culture. Why did the founders refer to "Men" and not "people"? was that a lack of forethought? Should we amend it to say "Sentients" in stead of "people" now? you know.. it may not be biological life for which we acknowledge rights... that is both culture and technology (which cannot be separated).
 
"Leftists recognize the fact that people without ability to pay their own health care costs lead to one of two possibilities: Either they are left to bleed out and die in the streets, or their costs must be paid for by common funds."​

No. There are three other well-known and frequently adopted solutions. There are the traditional two solutions: they turn to friends and family for help, or else they get a whopping big medical bill and it takes them a while to pay it off and sometimes they go bankrupt. And there's the modern solution: the majority orders some outvoted minority to cover the costs at its own expense.

Lets look at those "solutions" the right loves.

Friends and family--you're not going to raise anything like what it would take for major medical treatment.

A big medical bill/bankruptcy--once again, nonsense. That will work for one catastrophic incident, that will not work for something that requires ongoing treatment.

Realistically, for many the only answers are society or die. The other "answers" are the easy cases that those on the right use to pretend the answer isn't "go off and die".
 
Firstly who the fuck asks their friends to cover large medical expenses? Secondly family is out since families are growing smaller and smaller, partially because of bad republican policy that doesn't incentivize couples to grow families that they could then later fall back on. If anything republican policy decentivizes this! There is also a social stigma attatched to people who have "Too many kids" and are often considered leeches gaming the system even though they're doing their civic duty in bringing up the next generation. As far as I'm concerned, raising the next generation should be considered paid work as it IS a fulltime job.
 
The other "answers" are the easy cases that those on the right use to pretend the answer isn't "go off and die".

Loren,

It has always been the latter, or as Barack Obama put it "You're on your own."

The fact that rightists weasel out of the truth is a sign that they know what they're selling.

A.
 
"Leftists recognize the fact that people without ability to pay their own health care costs lead to one of two possibilities: Either they are left to bleed out and die in the streets, or their costs must be paid for by common funds."​

No. There are three other well-known and frequently adopted solutions. There are the traditional two solutions: they turn to friends and family for help, or else they get a whopping big medical bill and it takes them a while to pay it off and sometimes they go bankrupt. And there's the modern solution: the majority orders some outvoted minority to cover the costs at its own expense.

Lets look at those "solutions" the right loves.

Friends and family--you're not going to raise anything like what it would take for major medical treatment.

A big medical bill/bankruptcy--once again, nonsense. That will work for one catastrophic incident, that will not work for something that requires ongoing treatment.

Realistically, for many the only answers are society or die. The other "answers" are the easy cases that those on the right use to pretend the answer isn't "go off and die".
Hey, I'm not arguing that those are better solutions, or that they work for everybody, or that single-payer is a bad idea, or that conservatives aren't wrong; the point is that they exist. The point is that rb is dehumanizing his outgroup based on an oversimplified view of the world, based on the premise that whatever he thinks is a fact must be something his enemies are consciously aware of, and based on the premise that whatever he thinks the outcome of their policies would be is automatically the purpose they are trying to achieve with those policies. He is painting them as mustache-twirling cartoon villains. It's delusional; and it's the sort of thinking that has been known to lead leftists to round up suspected non-leftists, tie them together into a big ball of suspected non-leftists, and shove them into a river to drown.

Moreover, if the fact that a particular possible solution doesn't work for everyone means it doesn't count, then there's no choice to make -- it's just bleed out and die in the streets full stop. Because "their costs must be paid for by common funds" doesn't work for everybody. A couple of years ago a friend of mine literally bled out and died in an ambulance in the street. She was a Medicare patient, and Medicare did it to her, because some Medicare bean-counter had decided people in her condition didn't warrant hospitalization, so some facility had treated her as an outpatient and sent her home. If she'd had normal insurance instead of Medicare she of course might well have died anyway; then again, she might not have. We'll never know; all we know is Medicare decided to roll the dice.
 
Firstly who ... asks their friends to cover large medical expenses?
Desperate people.

Secondly family is out since families are growing smaller and smaller, partially because of bad republican policy that doesn't incentivize couples to grow families that they could then later fall back on. If anything republican policy decentivizes this!
Are we talking about the same republican party that tries to ban abortion and not cover contraception?

There is also a social stigma attatched to people who have "Too many kids" and are often considered leeches gaming the system even though they're doing their civic duty in bringing up the next generation.
And you think there isn't a social stigma attached to childlessness? It seems to be just part of the human condition that for every person there is somebody else who considers that person a leech.
 
The fact that rightists weasel out of the truth is a sign that they know what they're selling.
When a leftist weasels out of the truth, is that a sign that he knows what he's selling? rb tried to weasel out of the truth that his ingroup doesn't have enough basic human empathy to rule out leaving people to bleed out and die in the streets; do you think he knows what he's selling? Do you ever leave people to bleed out and die in the streets? If you do, do you admit it?

People weasel out of the truth all the time, often with no idea what they're selling. "Man is not a rational animal; he is a rationalizing animal." - Robert Heinlein
 
No. There are three other well-known and frequently adopted solutions. There are the traditional two solutions: they turn to friends and family for help, or else they get a whopping big medical bill and it takes them a while to pay it off and sometimes they go bankrupt. And there's the modern solution: the majority orders some outvoted minority to cover the costs at its own expense.
Those are not alternatives at all. Millions do not have friends and family that could or would cover the expense...
As noted upthread, if not working for everybody meant something wasn't an alternative, well, the public option doesn't work for everybody so that isn't an alternative either.

And, it is well established that you do not get proper medical treatment without upfront proof that you can pay (so, again, same as my first option).
Lots of people have gotten proper medical treatment without upfront proof that they can pay. Sometimes it works, sometimes it doesn't, as with the other possibilities.

That's why all scientific analyses show sizable reductions in preventable mortality
Sure. Not saying your solution isn't the best; just saying cut out the religious chauvinism. Stop pretending people are subhuman monsters for disagreeing with you. You don't need the ad hominems. You just need to show your preferred solution gives better medical outcomes for less money.

No where is there or ever has their been a system that doesn't either have massive public coverage of medical expense or people suffering and dying from being unable to get proper medical treatment.
No where is there or ever has there been a system that doesn't have people suffering and dying from being unable to get proper medical treatment.

No logical alternatives exist, except in a magical fairy land where companies that exist solely for profit, willingly give away expensive treatment they know they will never be compensated for.
Only in magical fairy land does costs paid for by common funds mean everybody gets proper treatment. Only in magical fairy land do companies exist solely for profit. Only in magical fairy land does "No logical alternatives exist" follow from you denouncing my first two alternatives and silently ignoring my third. Only in magical fairy land are the protagonists' enemies a gang of scoundrels trying to do whatever is best suited to harm people and whatever is best suited to help the protagonists feel like superior life forms.

Red-herring <expletive deleted>. Failing to bankrupt oneself by personally trying to house and feed every homeless person is not at all the same as refusing to establish a collective societal system that offers medical care to those who need it. Only the latter requires a lack of basic empathy. The former simply means you aren't willing to completely sacrifice your and your loved one's well being in order to make a microscopic dent in a society-wide problem.
In the first place, two things do not need to be "the same" in order for them both to 100% qualify as not "ruling out leaving people without ability to pay their own health care costs to bleed out and die in the streets". Just because your enemies let it happen to more people than your allies do does not magically fly us to a fairy land where letting something happen means you rule it out.

In the second place, bringing up bankrupting yourself is a red-herring. Bankrupting yourself wouldn't enhance your ability to save people; consequently, failing to bankrupt yourself by personally trying to save everyone who the system won't save isn't what it takes to have "enough basic human empathy that rules out option 1". It doesn't take trying to do the impossible; all it takes is doing what you can. All it takes is sacrificing your and your loved one's well being in order to make a microscopic dent in a society-wide problem. If you buy your beloved daughter a PlayStation when you could have given that money to help save someone's life, well, that's what it means to have priorities. That's what it means not to "rule out" letting somebody die in the street. That's what it means to have enough human empathy to choose a PlayStation over a human life. This isn't Humpty Dumpty land. Words mean things.

And in the third place, this wasn't even about personally trying to stop somebody from dying in the street. Leftists knowingly and deliberately leave people who can't pay to bleed out and die in the streets every day with their public policy choices, and they self-deceive in order to not notice. Of course nobody wants to be the sucker who pays more so others can pay less; of course it still counts as empathy when you want to pay for strangers' medical care and make your neighbors pay for it too even if you aren't willing to go it alone; but it does not count as empathy to make your neighbors pay for you and your loved ones "to get proper medical treatment" while the world is still packed with people who can't get any medical treatment at all. The priorities exhibited by American leftist public policy demands are as follows:

1. Not leaving people in America who can't pay their own health care costs without proper medical treatment

2. Letting American taxpayers keep some of our money

3. Not leaving people in the Third World who can't pay their own health care costs to bleed out and die in the streets​

Those priorities are not what empathy looks like. Those priorities are what tribalism looks like. If America's leftists were really the empathy-motivated superior beings they pat themselves on the back for being, then they would not be demanding that taxpayers provide Obamacare, let alone a single-payer National Health Service for everyone in America. They would be demanding that all those billions being taken away from Americans to pay for health care be handed over to Doctors Without Borders.


"But option 2 amounts to the uninsured harming others by using more than their fair share of the commons."​

<Counterargument snipped>

None of this has anything to do with what I said.
It has everything to do with what you said. You said the uninsured are harming others by using more than their fair share of the commons. I pointed out that by imposing an overpriced monopoly on the provision of health care, the government is in effect holding the commons hostage. When a hostage is killed because you don't give an extortionist what he wants, that doesn't mean you harmed the hostage. The extortionist is the one who harmed the hostage. Option 2 amounts to the government harming others by wasting the commons. When you accuse the uninsured of harming others, you're blaming victims.

The "option 2" I referred to was about a system where people choose to get medical care and the public must pay for it. The ACA, despite its flaws, is a well-intentioned effort to strike a balance where people are not left to die from easily treatable health concerns without opening the door for an abuse of the commons that would occur with simply free health care for all. For all its problems, it is an attempt to use the Fed to help people from actual demonstrable harm.
Didn't say it wasn't. But that's an argument for the ACA; it is not an argument that the uninsured are harming others. You don't need to blame the victims in order to argue for the ACA.

No. They aren't stopping abortions maliciously, but because they believe fetuses are people and because they believe reproduction is holy. They aren't prohibiting pot because they want people to take fentanyl so Johnson & Johnson will be richer, but because drugs are bad, m'kay? They're sincerely judging

Really? What principle do they use to conclude that pot is bad? Do they apply this principle consistently? No, they just made it up out of nothing in order to rationalize making it illegal, just like they do with homosexuality. If their actions are not malicious, then no actions in history can ever be said to be malicious.
Why would you expect a principle? Why would you expect consistency? They think pot is bad because people they've been trained to look up to have been telling them it's bad all their lives, the same way they've been told homosexuality is bad, and it's normal for humans to just carelessly believe what they've been told and what everybody around them believes. It's one thing to accuse somebody of malice for originating memes like those; it's quite another to accuse the masses who just picked it up by osmosis. They're guilty of all sorts of intellectual failings -- gullibility, lack of skepticism, irresponsibly spreading inadequately examined ideas, and so forth -- but malice is a ridiculous accusation.

They know their justifications are lies and made up nonsense, which is why they consistently advocate violence against those who merely doubt them. They have no reason to think their beliefs are true. They believe them out shear desire for them to be true, because it rationalizes their desired actions. Belief in a hateful God is a willful malicious act of inventing a God that let's you engage in hateful acts and call them "love".
Where do you get this stuff? They don't know their justifications are lies and made up nonsense; those justifications seem as intuitively correct to typical Christians as yours do to you. They advocate violence against unbelievers because a good God sending unbelievers to Hell is something they were taught to believe in when they were malleable children. Good grief, if Christians all invented a God, what would the odds be of them all inventing the same one? Belief in a hateful god is the normal natural expected consequence of having a human brain and being indoctrinated by the previous generation of believers in that god: a generation who believed for the exact same reason. Religion is a contagious disease of the human brain, a disease most brains have little natural immunity to. You might as well accuse people of maliciousness for catching cholera.

Malicious desire to oppress and exert authoritarian control is the sole basis of monotheism.
Quite possibly; but what has the basis of monotheism got to do with today's monotheists, people who are three thousand years removed from whatever the basis was?

Nonsense. My arguments are based on the premise that it's wrong to cause another individual human bodily harm or to prevent their control of their own person, unless they are using their person to harm others. I require that empirical evidence of harm be shown.
This is the direct opposite of the rightist principle that "harm" is whatever I (masquerading as a God I invented for this purpose) arbitrarily declare it to be, and that no one's will will but my (aka "God's") matters for what should or should not be done to or for anyone.

In short, you entire argument is a false equivalence where you assert that the following positions are identical:
1) "We should not let people put poison in each other's drinking water, because people don't want that to happen to them, and we cannot have anything resembling a peaceful civil society if we allow such things."
2) "We should let people poison each others drinking water, because God said so, and we should only consider what God wants."
You are not good at correctly representing your opponents' positions. I assert nothing of the sort; Christians didn't invent their God. You are arguing against strawmen of your own construction. And your conviction that your arguments are based on the premise that it's wrong to cause another individual human bodily harm or to prevent their control of their own person, unless they are using their person to harm others, is a self-delusion you maintain by applying unreasonable criteria for who is harming whom. You're applying the same sort of inference procedure as a libertarian who claims he's against initiation of violence and then justifies copyright laws by defining making a photocopy of a book as initiating violence.

When you impose an individual mandate, you are preventing a mandated guy's control of his own person. To square that with your positive self-image of what your principles are, you need to convince yourself if he remains uninsured then he's harming others. Well, where's the empirical evidence you say you require?

(Note for any who need it: I'm not arguing against Obamacare. It can stand on its own merits; it doesn't need to rely on ad hominems against the people it taxes. I'm only arguing against ronburgundy.)
 
Lots of people have gotten proper medical treatment without upfront proof that they can pay.

Generally, hospitals ask for insurance info and if none, some kind of assurance you will pay in writing and by your wages, don't they?
 
Lots of people have gotten proper medical treatment without upfront proof that they can pay.

Generally, hospitals ask for insurance info and if none, some kind of assurance you will pay in writing and by your wages, don't they?
My aunt had a stroke. She was spotted by a neighbor, the fire department broke into her house, she was helicoptered fifty miles to a hospital, she was hospitalized until it was safe for her to go home. She got whopping big bills. After service providers investigated her financial situation and decided she couldn't pay them, her bills mostly just went away. They didn't even take her house. (Don't know how much equity she had in it, though.)

So you're right, generally, hospitals ask for insurance info and if none, some kind of assurance you will pay in writing and by your wages. And lots of people have gotten proper medical treatment without upfront proof that they can pay. It's a complicated world.
 
Lots of people have gotten proper medical treatment without upfront proof that they can pay.

Generally, hospitals ask for insurance info and if none, some kind of assurance you will pay in writing and by your wages, don't they?
They do. But if you are in some sort of immediate threat of death or major problem, they cannot refuse to treat you.
 
Lots of people have gotten proper medical treatment without upfront proof that they can pay.

Generally, hospitals ask for insurance info and if none, some kind of assurance you will pay in writing and by your wages, don't they?

Depends on if it's an emergency or not. If you need treatment now they're going to do it without proof of ability to pay. Plenty of times it's done without even identifying the person. (If you're unconscious or out of it the fact that you're in the hospital will be taken as consent unless there's some reason to think that's not the case.)
 
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