Friday, October 9, 2009
Adam Smith and the INTP Writing Spider
The idea is that people act in their own best interests, and if those interests opposed other interests, they bounce off each other in a logical, mathematical way, like laser beams or those charts that David Stockton used to describe trickle down economics. As conflicting interests intersect, they cause actions which, in the end, lead to fair prices, exactly enough production, and wealth and happiness for all.
The problem here, as I see it, is that Adam Smith was INTP (like me.) He believed that people acted in their own best interests. He couldn't believe that people would act in a way that was harmful to their best interest in order to harm others. He probably said, "don't cut off your nose to spite your face" a lot. He probably saw that some people acted counter to their own self-interest in order to help others, but that would usually be small and concentrated --- like a church or a family or a small village helping others even if they sacrificed their own best interest. (Some people insist that altruism is another way of acting in one's own best interest, with the interest being "feeling good" or salvation or something. I don't care.)
But Adam Smith (OK, I'm projecting, get over it), couldn't believe that people would, for instance, refuse to hire the best person for a job because of personal dislike or prejudice. He (and by that I mean "I") couldn't believe that people would support a friend even if that friend's actions destroyed the business, family, community or whatever they were building. He certainly couldn't understand a person who supported someone she hated simply because she hated the opponent more. (The enemy of my enemy is my friend.)
The free market system, as an economic or social model, isn't going to operate the way it has been projected to act because the basic premise is wrong: people do not act in their own best interest. They are willful, ornery, and stupid. (Sorry, I meant to avoid that word.)
Now, does that mean that the other side of the dichotomy does work as predicted? Communism is based on the notion that people will act in the best interest of the community so that overall people will be better off.
Right.
That does work in some cases, but they tend to be small scale and/or short lived. Families, churches, Utopian communities all operate fairly well as communal groups. It probably worked better in the old days, and it surely works better in non-Western societies where individualism isn't as valued as it is here.
I mean, I live in SC, where people who hate guns own guns just because someone from NY City said they shouldn't. I've known people who smoked even though they wanted to quit because it pissed them off that anyone would tell them not to (OK, that was me.) I personally eat extra carbs to balance all of those poor souls on low-carb diets. (What, you always act in your own self interest?) So, what I'm saying is that if people don't act in their own self interest, they aren't going to act in the communal interest either. At least, not most people.
OK, you ask, what type of economy do you think we should have?
How should I know? I answer. I'm really thinking about myself and why I don't act in my own self interest by eating well, praying for peace, and buying locally. I'm thinking about my INTP tendency to think people will act in their own self-interest. Even if it's not mine, it's rational & I can plan for it. But no, they cut off their noses to spite their faces, and I'm left with mouth agape staring at No-nose and thinking, "Wow. I didn't see that coming." Every day. Over and over again. Every. Single. Day.
So I'm writing it in my web in the hopes that I can at least entertain myself.
Note to self: People are freakin' nuts. Drink more water.
Wednesday, August 19, 2009
Unhealth Care
Robert and Katy were both very sick and in different rooms in the adult emergency room. Gabe was in the infant section of the children's hospital, with Bob and me by his crib-side. Katy & Gabe had Medicaid, but Robert was uninsured. They ran tests on Katy & Gabe, figuring that if they had bacterial meningitis so did Robert.
At the urging of Gabe's doctor, we brought Mark and Joseph to the emergency room. They both had flu-like symptoms and at that point, bacterial meningitis was a possibility.
Joseph was brought into the adult emergency room, where he stayed in a pod for two days until they decided he probably had the flu. Mark was seen by a doctor in the pediatric emergency room who looked at him, pronounced him well and sent him home. Mark's bill was almost $600. Joseph's was over $1200. We had met the family deductible of $700, so we only had to pay $125 special co-pay (for following doctor's advice and taking them to the emergency room), plus regular co-pays for about $250 each.
Everyone survived, and this is the lesson:
The health care debate is about the wrong things... for the most part.
Many Opponents of health care reform have put up a straw man and are fighting him well. "Medical care should be between a patient and the doctor." "Don't let the government get between you and your doctor." My elderly neighbor announced that all people in the US have perfectly good health care, why change it if it isn't broken?
Proponents have presented plans that will essentially make the government the insurer or which will subsidize private insurers, and that doesn't really solve the problem, either.
Medical insurance does not equal medical care.
More recently, I was waiting to see a doctor at a Doc-in-the-Box (where I read almost all of A Portrait of a Lady by Henry James, a short but dense book), when a woman brought her son in for care. She presented her insurance card --- the same insurance as I have --- and was told she'd have to pay $300 that day in order for him to be seen because she had not met his deductible. She didn't have $300. Also, the billing clerk should have said "up to" $300, because it wouldn't have cost that much. Anyway, HIPPA violations aside, this well-insured woman took her sick son home. I finished by novel and saw a doctor two hours later.
Remember, insurance companies are there to MAKE MONEY. They make money by RECEIVING MORE PREMIUM MONEY than they PAY OUT IN HEALTH CARE. This is only possible if THEY DENY HEALTH CARE CLAIMS.Medical decisions are not made between a patient and a doctor, but between a billing clerk at either the insurance company or medical facility and the potential patient.
I have been prescribed medication only to find that my insurance company doesn't agree with my doctor. My doctor's office has to explain to my insurance company why I need a mammogram or a colonoscopy. Preventive health care is rarely provided, even though it would be beneficial economically and medically. Health Care professionals do not call the shots. The Insurance companies do... if you are luck enough to have insurance.
A "death panel" does not decide if you get life-saving treatment, your bank account decides.
Sarah Palin does not believe that Trig's worth should be determined by his mental or physical abilities, but by his parent's bank accounts.
She is not the only parent struggling with a child's illnesses and health needs. She can be cavalier in suggesting Trig might not get treatment, because, unlike many parents, she knows he always will.
Sit in the chemotherapy rooms at any oncology center and listen to the people there wondering if they should pay for another round of chemo or for groceries. Listen to older adults wondering if it is right for them to spend their families' money on what may be hopeless.
Sometimes we just don't need that extra test...
I'm sorry Dr. D, I love you, but I really did not need that nuclear stress test. And did they have to hook me up to a monitor every time I gave birth? (Well, in my cases, probably... but that's not my point.) Can you please send me to a nutritionist instead of prescribing cholesterol medication? Tell me to get off my a$$, quit smoking, put down the donut? I know it doesn't sound doctorish, but does all medicine have to come in a bottle or by way of a trillion dollar machine with bells and whistles signifying nothing? Do I have to go to a specialist to have ear wax removed? (OK, it was fossilized and the size of a grape, but that's not my point.)
We really need health care reform, but I don't think we are going to get it until we have a clear picture of what we have right now. Then we can figure out where the problem is and what we can do to fix it.
But this atmosphere in which the word "compromise" is coupled with "wishy-washy" and "flip-flop" is damn un-American... on everyone's part. To everyone involved, I say: take an aspirin and let's talk about this in the morning.
Wednesday, July 1, 2009
Mark & Jen + 4 million
I was first asked, "do you know where your governor is?" at the National Alliance for Public Charter Schools, I said, "of course not and who cares?" Then I found out that he was actually missing. The drama played out and the jokes piled up, but no one really thought that a woman would be involved because: 1) everyone knows Jenny has the money, the looks, the brains, and the political savvy in the family & 2) who would do it with that self-centered ice prince unless she was invested in him?
But no, some Argentine chick is his soul-mate. The shared really nauseating e-mails, which unfortunately we all got to see. (Note to self: erase all e-mails.) He has had "media availabilities" in which he rambles about his boyhood on
And do I feel sorry for the tragic hero? Hell no. I feel sorry for Jenny Sanford who has to listen to the father of her children prattling on about his freaking soul-mate and announce to CNN that he will try to learn to love his wife again. Hey, Jen, I got your back. If you run over him with your SUV, I'm pretty sure you'll get off with a speeding ticket.
But I am really sorry for the 4 million citizens of SC who are damn sick and fed up with hearing the words "South Carolina" on late night talk shows. It's bad enough that this self-centered, arrogantly shabby governor has refused to work even with his own party members in the legislature because he's smarter than all of us. It's bad enough that this trust fund baby tried to refuse stimulus money that this poor state desperately needs. It's bad enough that the failed governor of a small southern state has considered taking his brand of elite arrogance to the White House. Now we are embroiled in an absurd lust triangle and are led by the LUV GUV.
And to make it worse, if he resigns, the Lite Guv takes over, and that can't be good.
Sunday, June 28, 2009
Technical/business education vs College Prep
Should there be middle/high schools devoted to technical/apprentice type careers, separate from college prep schools? Are we helping kids who will becomes electricians, plumbers, masons, etc. by giving them a curriculum designed as an apprenticeship with business-slanted courses? Or are we shuffling them toward something limited?
My thoughts, which are rambling and incomplete:
Not everyone wants to go to college, but is it necessary to survive? Do even skilled tradespeople need a college degree? Is it elitist to insist that only college prep is valuable? Is it elitist to say that skilled tradespeople don't need to read Shakespeare? Does anyone need to read Shakespeare?
If we do have apprenticeship programs, I think they should be rigorous and include rigorous history, math, English, science, business, and foreign language.
I see contractors and others who are very good at what they do but are confused about the business aspect and get caught up in payroll, business licenses, and tax problems. It would be helpful to teach business stuff to tradespeople.
What is important (relevant?) history, English, science?
Whether a child goes into business after high school or on to college, they need to be able to analyze and make decisions. We need to teach beyond the test.
Enough rambling. Help me out here, please.






