Sunday, August 16, 2009

Two parts does not a spectrum make

The following is a white paper of The Jacksonian Party.

How bad is the 'health care reform' 'debate'?

Two items of note display just how badly stultified 'debate' is in America.

First from Instapundit's reader Quent Cordair on what he saw at the protest rally against 'health care reform' in San Francisco:

I was there all afternoon, protesting with a dozen friends from the Golden Gate Objectivists club. Even more proof that there was a disturbance in the force: from what I saw, there was only one lonely counter-protester all afternoon! She’s the one in the video, pacing the back of the crowd with the sign “Who would Jesus insure?” with “Answer: Everybody!” on the sign’s reverse. During a few minutes of silence being solemnly observed by the protesters, marking the politicians’ refusal to hear our concerns, the counter-protestor continued to frenetically march around the perimeter, chanting loudly, “Free Health Care For Everyone!” We endured her silently for awhile, until someone raised the responding chant, “Free Beer For Everyone!” The counter-protester gave up and went away. It was a good day.

The second is an article is linked by Jonah Goldberg from his Liberal Fascism site at NRO, and it goes to a blog article at the Baltimore Sun which clearly doesn't understand Godwin's Law.  The interesting part is not the article, itself, but the commentary which follows and one thing, in my mind, that is clearly missing from all 'health care reform' 'debate' that is going on today.  I will give the very broadest of overview summary of the major positions held in the commentary:

First is that government is the better 'option' for providing health care to 'everyone'.

Second is that private businesses are better able to do this and that the system, itself does not need a full scale overhaul.

 

In fact nearly all 'debates' I have seen, all commentary at blogs and what little I watch of television have these two centered in the 'debate'.  This debate is so skewed, so twisted, that a woman could hold up a basic WWJD sign and posit that GOVERNMENT is the choice of JESUS.

Now think about that for just a moment.

If you were sick and couldn't get to Jesus, would he instruct the messenger to have the sick person supplicate to the Roman Empire?

Can you even begin to imagine that?

I can't!  I'm no Christian scholar, no daily reader of the Holy Bible, nor much of a mind reader, but just based on what Jesus did and said in his life (and he could heal with just a touch, do remember that) can you imagine that he would send someone to the tender mercies of the Roman Empire for care?  It was this same Jesus who would have us render unto Caesar what is Caesar's and render unto God what is God's, and that the greatest good we can do in our lives is to take care of each other.  That is YOU caring for the sick, the poor, the needy and those who are less well off in mind, body and spirit than YOU are.

Have the State look after the medical and spiritual needs of the sick and needy?

Would Jesus really say that?

Of course he wouldn't, he wanted to make sure that people understood that the State can not do everything and that all of our Earthly works are under God's domain and that we are to understand that God does not rule directly and that we are to demonstrate our worthiness of spirit in this realm so we can receive the rewards of the next after we die.  What a horrific thing to imply, that Jesus would want the State involved in your health and the life and death decisions of your own, personal, care.  That is totally ignoring YOUR responsibility to PERSONALLY care for the poor, the sick, the needy, which demonstrate how much you actually have the good nature necessary for an easy transition to the after-life.

Beyond that, however, I examine in a personal article the major problem with the debate as it has been staged and winnowed down to a 'two choices out of all choices spectrum'.  That winnowing down does not even consider, as seen at the Baltimore Sun's commentators (at least up to a day or so ago when I first started going through the commentary) that there is a third and completely viable, low overhead, efficient and open to all means of providing health care.  Yet this third way is never, not once, talked about and our tax code is set up to create big insurance companies which can out-compete this third form of care via the spiraling of costs that goes with subsidizing care and medications via the tax code.  This third method does not have money to invest in lobbyists to get it further tax breaks because it is so efficient it can not justify getting them.  Yet that very efficiency leaves them at the mercy of a spiraling cost market with no regulator, no Congress, no President willing to sponsor legislation that will PROTECT them from these costs and LEVEL the playing field so as to encourage this third way to survive and thrive, so as to provide MORE coverage to the poor and needy.

In my article I look at other things that need to be done including tort reform to limit damages to actual costs to fix malpractice problems (even if they are disabling that person is due for the health they once had for their normal life) but without the pain and suffering awards lottery that drives up insurance costs beyond all recognition for health care providers. 

Second is to treat health care as an investment and provide vehicles so that individuals with predispositions to certain medical problems can purchase major treatments years or decades before they are needed and then have a guarantee of that procedure at a given future time when it is redeemable.  This would allow individuals to address their family history and begin the hard process of admitting they may not be young and healthy forever, but need future care.  This is a form of direct investment to the health care industry and an encouragement to sustain new and innovative research to specific problems by institutions that would be pre-funded for delivery of care.  In this way the cost of treatment will decline as better procedures are found, and the institution providing such care will now have a long-term investment stream that will be based on how well they provide services now and are preparing to provide them in the future.  This investment, like all investments, can be bought, sold and traded so that when you move you can get a fair market equivalent between what you invested in one locale versus another.

Third is to make donations to HSAs tax-free so as to lower the burdened cost of health care by removing the tax burden on it.  Likewise is to encourage businesses to contribute to their employees accounts on a tax free basis, letting their employees manage accounts which roll-over and grow year-to-year.   So long as money is withdrawn for health care expenses it is not taxed, at all.  This would encourage people to invest in their future health care so that when that most expensive last year of life arrives, they can PAY FOR IT.  Lower the tax burden, now, so we can lower the overall cost, later.

The last major way I look at, however, is this unmentioned way of doing things.

You know, the one that Jesus told us about?

And it is the system being ruined by modern health care even though it was once the sustaining method of providing care to the poor, the sick, the elderly and those who could not afford treatment at for-profit institutions.  It is not the way of the State or of corporations.

It is the way of Charity.

After the 2004 Christmas Tsunami, the #1 largest contributor to recovery and relief to that region was, bar none, the American People via the charitable institutions we have.  Number 2 was our government.  All others pale in comparison and even our government ran substantially behind the power of the American People to do good on their own.

The efficient hourly rate of providing services in the US government, at best, is 65%.  That is the burdened hourly rate of return for every dollar put in to the very best of government agencies, which, strangely enough, resides at that most scorned part of DoD.  That 65% represents the 65 cents on each dollar that is spent actually doing work, with the rest of the time spent on paperwork, unnecessary time spent for non-productive uses, and other overhead that eats up time, like filling out forms, going to EEO seminars and the like.  Almost every meeting could be included in that, but I would like to keep the best above 65% and the government and industry do not count them that way, by and large.

Commercial industry in the same sector provides 80% efficiency: 80 cents on the dollar is spent in productive work hours.  Remember the best of government does not hold a candle to the average of industry.  So here is a prime factor of why so many on the 'conservative' and Right want government to butt out of trying to provide health care: it is horrifically inefficient at best and the government average is 55%, meaning that delta is picked up for by the American taxpayer.

These two are at loggerheads on the Left and Right and have so turned the debate into pap that they do not look at the next most efficient form of providing care and services.

Charity has its own overhead rate analysis and that typically falls between 7-15% waste or 85-93% efficiency.  Yes United Way is corrupt and falls down to 65% but Direct Relief International is at 1%.  That latter flies materials to disaster areas on a global basis and keeps stocks of donated goods ready at a moment's notice to provide immediate and direct relief to those who are stricken by disasters.  Thus the worst of charities compares with the best of government, the average of charities out works the commercial sector and no one, literally no other institution on the planet can touch the very best and most efficient and dedicated of charities.

Period.

And yet we do not give our citizens a full tax write-off to donate to Charity.  Nor do we give a tax write-off on even a minimum wage basis for those who donate time to Charitable works.

Even with that, the American People are the largest donor to Charitable works on the planet, outstripping all governments and when you include the time spent by Americans performing Charity to their fellow citizens, there is no Nation on the planet that provides as much time, effort, and energy as the American People to helping our fellow man.  Not only at home but on a global basis.

But we discriminate and heavily AGAINST charitable donations and provide SUBSIDIES to commercial industry?

What the hell is up with that?

You would think that those on the Right who are 'good Christians' would be bellowing in outrage that we subsidize commerce and discriminate against Charity!  Yet I can't find a peep about this on the Right.

And on the Left you would think that providing no cost care to the poor and means tested care to everyone else would be the MODEL that they would push for, to show that the great good of helping our fellow man is worth supporting and that everyone pays what they can afford to get such care while the good citizens of the Nation make up the rest.  Do they do that?  NO.  They seek to tax ALL CHARITABLE DONATIONS and discriminate further in support of undermining Charity and supporting Big Businesses that would result so that they an be 'regulated' by government and become the lap dogs of government.  No good word for Charity and our personal responsibility to aid our fellow man is ever, not once, spoken of without, in the very same breath, the concept of government being stated.

This is not a 'debate' that is looking at the best ways to cut costs, seek efficient care, ensure that the poor are not burdened to get care and that everyone else pays what they can afford.

It is, instead, a debate between Big Government supporters and Big Business supporters and no one, ever, talking about our responsibility to our fellow man as a personal burden that we each must carry on our own, to demonstrate that we can, indeed, do good works and are worthy individuals who hold that care as important enough to donate time and effort to.  Both seek to shift that burden from your shoulders and put it on someone else's who will NOT do a good a job of holding the spending accountable as Charity does.  After the Christmas Tsunami of 2004 the first groups to cite waste, fraud and abuse of donated goods and money was CHARITIES who served as the watch dog on ALL the donations for the region.  They pointed out the corruption, waste and abuse of funds by large donors and recipients, and then changed their own giving ways to go to those that WOULD deliver relief without the corruption.

Charity did that.

Not governments.

Not commercial enterprises.

Charity.

Charity that actually wants to deliver goods and services to the needy at the lowest cost possible to help the greatest number possible and never have to turn away the stricken.

Just try to get anyone to say a good word about Charity and how it needs our support to thrive and benefit all our citizens.  As it helps not just those receiving such help, but those giving it who know that they are creating a stronger society by easing such burdens and doing good works for their fellow man.

I can't find that in the modern 'debate', this actually doing the things being said that are wanted to be done by those willing and able to do it.  Regulation I can find lots of.  Helping our fellow man directly?

Lotsa luck, I tellya.

Friday, August 14, 2009

One graph to rue them all

The following is a personal perspective paper of The Jacksonian Party.

I had started thinking on what the current environment of the population would mean for the elections in 2010, what with the vehemence that is being shown against House and Senate members and that so many of them are of the Incumbistani Party, which holds its head up high inside the DC Beltway and disdains the vassal State of Electistan that they really don't wish to represent but must as that is their 'duty'. The Emirs of Incumbistan are very, very cozy in their relationship with their respective parties, both of which have worked very hard to make it impossible for a new party to form on even a State to State basis, not to speak of a National basis.

As the Incumbistani do have to stand for re-election from time to time, although often in 'safe' districts that their parties have gerrymandered into existence to protect those 'safe' seats, most of that is a rubber stamp affair with those backers who get goodies from the Incumbistani government wanting to show up to continue the goody stream, while those not getting goodies feel that they are left out and, soon, unrepresented by their 'Representative' who has the vested interest of those who gain from his or her votes to get goodies to them as a higher principle than the rest of the plebians there.

From memory I had dredged up that this was a modern symptom due solely to the changes of the 'Progressive' era. Thus I dredged through my posts and found the lovely graph of the problem, itself:


Courtesy: thirty-thousand.org

And there they are!

My initial feeling was that it had been a long time since there was even a 30% turnover in Congress, and I was right. The last times that happened in the post-'Progressive' era were: 1904, 1912-1916, 1922, 1934. As the top graph's red line is percentage, the startling artifact is that all Congresses prior to 1902 had never REACHED a 70% return rate. That era of 1896 to 1902 was the one-way 'ratchet' to modern Incumbistani politics, in which America went from 'throwing the bums out' on a continual basis to 'throwing the bums back in' on a continual basis. That percentage shift is as clear as night and day where the left half never reaches up to 70% turnover and the right half rarely reaches below 70%.

That increase that temporarily went outside all historic bounds up to that point changed the political landscape of the United States in ways I have gone over before: the Senate became a directly elected body and no longer represented Statehouses in the federal government, taxation was allowed to be directly and disproportionately levied upon all the people so that the federal government could discriminate who paid how much which was previously left to the States to do, the House capped its size outside of the proportionate powers given to it in the Constitution, and the federal government got the notion that it could restrict the use of medications and criminalize them and arrest doctors for the distribution of them.

The after-effects are astounding to contemplate, in that the government changed from being the protector and care-taker of the Nation to being the dominant player in the Nation, politically. Washington, DC went from a sleepy town to a metropolitan capitol with powers resident in it that none of the signers of the Constitution could imagine, although many of the Anti-Federalists could and did imagine them and stated them quite clearly. We went from the politics of the knock-down, drag-out fights of local concern to ones of huge party machines saying to the States just how a party could form and get on the ballot in each and every State. And when a new party could manage to gasp some air, the rules were changed, yet again to deprive them of air supply. Having come from a family that supported a third party that was once on the State ballot and then lost that due to political changes from the two major parties, I can say that with confidence and the party, itself, reported this happening in more than one State. Even if you don't like socialists, their right to be on the ballot with a party should not be DENIED by any political system.

That change-over would see the federal budget go from modest means, and barely able to support a foreign war in the Philippines, to a massive, government involved complex that would support the last standing million man army in Europe after WWI and be the key part of defeating three of the most dictatorial governments in WWII and defeat the last one in the Cold War. The expense of that was and is astronomical, to gain the most powerful and robust fighting force the planet has ever seen not just once, but multiple times: WWI, WWII, Cold War with Conscription, Cold War without Conscription, and the recent wars in Iraq and Afghanistan. Unfortunately that power went far beyond just defending the Nation and has put in places schemes now causing the government and the Nation to go insolvent in trying to 'help' retirees, the sick, elderly, home owners... each of these places of intervention have drained money from our economy, concentrated power into government at the highest level, and now leave the people at the mercy of the Emirs of Incumbistan who feel that a bureaucracy can actually 'fix' health care while the bureaucracy is the PROBLEM in health care.

NOT conniving pharmaceuticals who now sign on with money and influence to get a bill THEY like.

NOT big retail chains who sign on to the concept so they can make the cost of becoming big insurmountable by PURCHASING political support.

NOT by overseas oil companies that seem to make the same 8% profit no matter where the market is because they have to cope with a fast paced and changing marketplace that has booms and busts thus making the ability to keep experienced hands on the payroll very difficult.

NOT the doctors who now spend as much money and time for staff to fill out paperwork FOR insurance companies as they do in TREATMENT of the ill.

NOT in insurance companies who do make a profit so they can expand coverage and pay back those that invest in them with dividends (and just why don't folks pick up mutual funds that invest in them to get some of THAT money back?).

No, there is a source of these problems and they don't start in 2004, 1992, 1986, 1978, 1966, or even 1948. They start in 1942 when the system was SUBSIDIZED to convince those who were retiring due to Social Security to stay at work: it was a non-cash benefit that wasn't taxed. That's right we subsidized the retirement and then had to subsidize convincing folks to COME BACK TO WORK. Social Security you can trace back to 1934-36, right after that last big turnover in Congress of 70%.

When the President cites 'history' of how we pay for health care,he isn't going back into deep and ancient history, not back to the Founding, not back to the Reconstruction, not back to the Progressive era, nor even back to the Roaring 20s (and damn I would love to have a Chicago Typewriter!). Nope, it is recent history within the living memory of our parents and grandparents! Only to the Baby Boom and post-Boomer generations is this 'history' in that it pre-existed them.

This 'problem' starts WITH government trying to do 'good' and having it backfire on them because they paid ZERO attention to changing demographics for life expectancy when they signed the bill into law back in the '30s. The US Census had that information THEN, BTW.

Even worse is that prior to the 1940's there was no problem in health care AT ALL.

Zilch.

The 'problem' comes when you subsidize insurance and get the problem of subsidies.

European Nations went one step further and made their systems 'universal' for State run coverage and got the Tragedy of the Commons.

Prior to the post-WWII era the US had universal coverage. They got it through charitable hospitals and doctors. Local physicians who did FREE work for the poor and less well off. Pharmacists who could give price breaks to long standing customers. And because the multiple immigrant communities had their own ideas about 'health care' they also went to barbers, butchers and other tradesmen who had a dab hand at injuries and setting bones as they had been doing that for decades as part of their trade. Not as doctors, but being a doctor wasn't all it was cracked up to be and is still more of an 'art' than a 'science'. Which is why doctors 'practice' at it. In case you missed what those things doctors set up are called.

To get to that era of 'change' in the 1930's you needed an entrenched elite class in DC.

That started in the 'Progressive' movement of the late 19th and early 20th century.

It was a light switch going from government doing very little and people exercising full liberty to government taking control in people's lives and restricting liberty.

You want medical marijuana? The 'Progressives', those lovely moralists, took that right from you as they did with all medications by demonizing the worst practices with them. The would NOT allow merely telling the people of the Nation what was in their foods and medicines to be enough... yet in the few years of that the people started to move from snake oil and to better prepared foods and medications... no the idea of restricting your liberty due to the abuses of a very few was the idea across the board.

There were problems with many of those medications, yes.

Restricting the liberty of the people and throwing them in jail for the abuse of those medications was not and is not an answer. Unfortunately church groups of that era didn't want to get that involved on a personal level but wanted government to just outlaw the stuff on moral grounds. Yes get government to do your dirty work for you, and forget that YOU are the one with the moral imperative from the Creator.

Before that era there were NO national restrictions on what you could take and a damned good thing that was because many of the Civil War vets were addicted to morphine due to war injuries and nothing, then or when the restrictions went into place, would solve their pain problems. Yes to do a moral 'good' those surviving veterans were made to SUFFER.

Just like the modern Left wants to do with 'The Greatest Generation' by health care 'reform'.

You know, the folks who went overseas to kill Fascists, Nazis and Imperialists?

Gotta love how they are being called Fascists by those too young to know what Fascism is as they begin to practice it.

That all starts with that light-switch in the Congress.

Things were not all smooth and sweetcakes before it, but it sure as hell beats being berated for what you eat by food Nazis, that's for damned sure. The abuses, even the very worst of them, were never amenable to governmental power in a land where liberty is the highest value for all citizens.

Of course if you don't give a damn about liberty and love authority, then you love the modern era, no end.

Tyrants, authoritarians, despots and dictators always love power and the fellow travelers looking to give it to them.

Perhaps, just perhaps, liberty is not dead in America.

We shall see if the authoritarians, who always say they will win and that you shouldn't resist... we shall see if they are right, and we are supine sheep for the fleecing and slaughter of the lambs... or if we are a free people willing to suffer the problems of liberty so that we can use our liberty to address those same problems without the help of government.

Because that is what We say as We the People.

Soon we will learn if we should have listened to the Anti-Federalists just a bit more, and paid less attention to the erudite supporters of a system that had the readily seen problems in it that we now see manifesting themselves today.

That choice rests in you.

Do your trust a bureaucrat more than yourself?

If you don't, then just when do you say: enough is enough?

Thursday, August 13, 2009

Price vs value

"What is a cynic? A man who knows the price of everything and the value of nothing."
Oscar Wilde, Lady Windermere's Fan, 1892, Act III
Irish dramatist, novelist, & poet (1854 - 1900)

Visiting Megan McArdle's site (h/t Instapundit) where she writes about her writing about nationalized health care and how critics are trying to paint a very narrow window for criticism while the larger objective is to get nationalized health care is interesting.  What is more interesting is that a number of commentators speak about chronic diseases and their cost.

So, having a number of chronic conditions or conditions which can complicate chronic conditions or being treated with medication that treats chronic conditions that lead to further and worse fall out from chronic conditions... do you follow that?

One chronic condition can get complicating factors from other, possible, causes and medicating to lower the risk of those separate causes then lowers the risk of further complications to the main condition down the road.  Thus you treat the others at the first sign of problems or, due to the effects of medications for those conditions, you have the medication supplied BEFORE any of those other conditions show up as they help the main condition stave off further problems.

Got it now?

Good!

Now I've had type I diabetes (previously 'Juvenile Diabetes' but it now has been demonstrated to show up independent of age and other conditions, although may have some environmental factors associated with it as seen in the Scandinavian effect of more cases showing up in late fall and winter) since 1983.  Over 25 years with it and nearly 26.  As type I is not amenable to the medications for type II, and has different symptoms with it, and is the low percentage of all types of diabetes (~10%), it has some similar and some different risk factors with it although complications run about the same direction.

Starting in the early 80's and going to the early 90's I was on NPH insulin, one injection per day.  That had crept up with a resistance to it, but that (as it turns out) is not a permanent effect.  I was switched to Lantus (glargine) which lasts longer in the blood stream, but my use of it crept up, also.  Before all this I was and am prone to infections of the upper respiratory tract, and if you have ever experienced a dual ear infection, sinus infection, pleurisy and vomiting, I know EXACTLY what you have gone through.  All at the same time.  Without modern antibiotics of the 1970's I wouldn't be here, today.

Now this all changed when I volunteered for a trial study at NIH.

You know, National Institutes of Health?

I was, relatively, well at that point but a few of my cholesterol and other numbers needed to be 'baselined' so I was taken off of one statin that was causing me to gain weight and put on another.  That all squared away I was then put through a day or so of 'how to properly maintain your blood glucose level for this study' which turned out to be a primer on how to do this for your life.  It is not that complicated, and takes about a month to finally get all the proportions worked out right so you are balancing carbohydrate net intake per meal with the proper amount of insulin to counter it, per meal, and then do a test two hours later to ensure that your glucose levels are in the preferred range.

Thus my control of my condition went from 80's understanding relatively so-so to early 2004 understanding by the top researchers on the planet.

With poor control I was getting normal and expected complications due to how long I have had the disorder.  I had three bouts of laser surgery to cauterize areas at the back of my eyes that were seeping interstitial material.  I was getting some peripheral neuropathy, mostly in my feet, but still had and have decent sensation in them.  Basically, at 20 years onwards I was doing pretty well, all things considered.  And being a government employee and having chosen a health plan, all of the complication were picked up by the plan.

Now things changed in 2004-05 as one of the medications given to me to lower my cholesterol level had truly nasty and undesired side-effects that are not well publicized but horrific for anyone getting them.  Beyond memory loss I was having sudden lapses where I could not do anything with my body but was conscious.  Lethargy was omnipresent and my stamina plummeted to almost nothing.  Starting in DEC 2004 when these problems first started to appear, they were not correlated to the study medication and the best minds at NIH got a chance to try and figure out what was going on.  My personal physician also started work on it.  My endocrinologist identified the medication and the problem immediately... that was FEB 2005 and things were getting worse as the loss of body control was happening multiple times per day.  I was taken off the medication but the problems persisted and were not getting better.  By MAY 2005 I had my primary care physician fill out the paperwork to take me off the roads and I could no longer function at work.  From MAY-JUL 2005 I went to a neurologist who had a preliminary diagnosis in JUN 2005 (after an MRI) and final diagnosis after a PET scan (which I paid for out of pocket) as I wanted the condition nailed down.

From then, onwards, I have been dealing with a steadily improving condition via treatment with medications that we still don't know very much about even after they were invented in the mid-1970s.  Seems fitting as my genetic background has a predisposition to the condition that the prescription medication caused to become present.  That is no hard and firm diagnosis, but it does fit all the facts and will continue to be the best-fit explanation until a better one can come along.  Turns out my own endocrinologist was thinking of putting me on that medication, anyway, because of my underlying condition.

That period from DEC 2004 to JUL 2005 saw me taking more blood tests, getting imaged multiple ways, having my heart scanned in 3D (I was interested but my lack of energy and stamina kept that to a minimum), having pins inserted into my muscles to measure them and then have them artificially stimulated (it is not as unpleasant as it sounds, but isn't pleasant, either) and until I got a neurologist who could figure it out the next thing up was a spinal tap.

Mind you, this is with the VERY BEST researchers and clinicians I could get my hands on in the DC metro area...

To go through the disability paperwork I had to fill out a raft of forms from SSN.  That was necessary for my government disability, I expected nothing, zip, zilch from SSN because I was just debilitated to the point I couldn't drive, could walk around the block, and had problems staying awake most of the day.  My lady helped me and SHE was fine!  She had problems understanding the SSN paperwork which appears to be meant to defeat anyone who does not have their full cognitive abilities to their credit which was my case at the time.  Remember, this is FOR that exact, same sort of problem, so the paperwork is made in such a way as to stymie those needing help.

Gotta love that.

My diabetes, however, was in great control!

And I was put on two non-systemic medication to address cholesterol which runs relatively high in my family.

So, from that, and trying to avoid things like dialysis by keeping my blood vessels open NOW means a raft of medications, many that can have pretty nasty side effects and a tendency towards low blood pressure... I have had nurses at NIH look at me and ask if I was actually still conscious when they took my blood pressure.  Twice.  Two different machines.  Then come back in a half hour only to find that it hadn't increased.

So, what is my annual cost to keep going?  Well, I will round and ballpark some figures.

Insurance cost: $7,800 /year

Insulin - $120/year for one on co-pay, market price $370/year

$120/year for a second type co-pay, market price $480/year

$120/year for a third type co-pay, market price $480/year

$160/year for syringes co-pay, market price $160/year

$180/year for pen needles co-pay, market price $180/year

$200/year for test strips co-pay, market price $1,560/year (I kid you not)

$45/year for lancets co-pay, market price $75/year

Hypertension - $240/year co-pay, market price $240/year (now if I take the pet version my price plummets)

Cholesterol - $240/year co-pay for the first medication, market price $340/year

$240/year co-pay for the second medication, market price $2,700/year

Neurological condition - $240 year co-pay, $800/year

Cost of medical visits varies, but I have few of them per year at this point.  A hard guess is $60/year co-pay, $600/year market

Dental costs vary widely due to my conditions and my ability to actually be conscious in a dental chair.  If I was healthier I could give an estimate on that, but I can't... the price differential due to my plan only giving partial dental coverage is generally a wash.

When I add up the numbers I come to the total cost insured, with cost of insurance: $9,765/year

Total cost without insurance: $7,985/year

Why stick with insurance?

Since I get my lady covered under this plan her costs, added in, would tend to balance things a bit, making health insurance a bargain.  It would be even more of one if we could just get to single plans, but that is not to be in our lovely world.  Shocking, but true, we could knock nearly $2,000 off our total coverage costs if we had two single plans.  Yup, divorce and re-marry!  Hey what a way to 'preserve the family'!  Thank you to the two party system for making something simple so asinine.

Plus my conditions and possible complications.

I am NOT a relatively healthy individual.  And yet just about half my net income goes towards my health.

I really do love how people make the argument, to me, that 'this is for those who are very sick', not realizing that I am very sick.

If I had federal paperwork ON TOP of all the other paperwork INCLUDING the daft SSN paperwork, I would not be here.

What I did do was ascertain the shortened life expectancy of people with my condition, the cost of long term complications, and then started planning when I was younger to deal with these problems.  My personal precautions were about half-done when the second chronic disorder was visited upon me.  Yet planning, saving, and working out how to deal with these things with the ones I love meant that I would not be a burden on them, that I would not be in poverty and that I would not need charity.  I have looked into getting a price break on some of my medications, but I am just 'too rich' for that.  Yes, take what I pay out and multiply it by 2.  That is 'too rich' in the way of income.  I do have other sources of funds, yes, but the plans I made have served me well.  I have gotten unexpected support from others, but that is extra and I am damned and duly grateful for such gifts and am not too proud to accept them... because I know I am not in the best of shape.

My life plan had not included anyone else, and I had expected to live a life alone.  That plan was adapted with changed circumstances, but the basis of preparing early for one's future meant that I had to face the basics of my condition as it was, then, and not expect a damned insurance company to pick up the tab for my costs.  Plus I did not and do not expect a single penny from SSN as it is heading towards insolvent and draining cash out of the rest of the federal budget which will sink this government like a rock heading into the abyss.

 

What is my 'solution' for 'health care reform'?

 

If you read past this, don't complain.

 

First - tort reform - Any malpractice suits are limited to actual costs to fix what wasn't done right and, yes, pay for your upkeep if the problem is permanent.  NO 'pain and suffering' awards which have become an inflator and a lottery system for juries to hand out bundles of cash that insurers have to pay, that raise the cost of insurance.  And double damages on anyone bringing a frivolous suit in attempt to win a payout lottery.

Second - remove the subsidies - Remove all tax incentives for 'health insurance'.  Why?  Because subsidized goods and services get over-utilized in an uneconomic fashion, raising costs.  What do we see?  Raising costs of health insurance and health care?  Why?  It is subsidized.

Third - incentivize health care - What the hell is that?  Here is a two-fold deal: change 'health care' from an 'insurance' system to an 'investment' system.  Instead of paying for 'coverage' you pay for 'treatment' that you may or may not immediately use.  Your 'treatment' can then be cashed in at any future time at any set institution that you invested in.  The cost is set on purchase and can even be reduced if the group providing treatment doesn't expect you to need it any time soon.  What would a triple-bypass cost 20 years before you could reasonably expect to need it?  If you paid for it NOW via investing at an institution that will guarantee the procedure (backed up with proper insurance and bonding) then you have an ironclad guarantee of service for that treatment.  Going to move?  TRADE IT.  This is an investment, after all, but one for treatment.  So if you wanted to trade it for, say, similar coverage at a facility near where you are moving to and, maybe, 3 visits over 5 years for a top notch specialist in the area and can work that trade, then you have those in trade for your previous investment.  Like bonds, if an institution goes under you are first in line for the FULL COST of the treatment when the place goes under: you are a creditor.  That is part one of incentivizing health care so you pay, now, for procedures you may not need and can then trade for ones you DO need.

Fourth - health savings accounts redux - Allow a full roll-over of money in all HSAs just like IRAs.  Allow full investment in money earning vehicles in HSAs.  Do not tax money earned in HSAs so long as they are used for medical procedures, medications, office visits, durable equipment, etc.  Set no limit on how much can be put into such accounts.  Allow employers to put money into their employees accounts TAX FREE.  Thus the employee could manage these funds towards the good end of paying for their health care (be it with or without insurance).  When employers offer job packages they can offer HSA contributions in lieu of pay or in addition to health insurance but with a lower salary.  Good long term investments will yield larger accounts, over time, and will ease the worry of skyrocketing medical costs... particularly if people decide to invest IN those providing health care.  Are health care companies and pharmaceutical companies making gonzo bucks?  That is reflected in investment portfolios, is it not?  If you invest in a portfolio, then you gain the benefit of a growing industry that will help you pay for the costs of it due to it being the one you need services from.

Fifth - there is no such thing as a 'national market' for health care - This is why we have 50 States.  You see a better arrangement in another State?  MOVE THERE.  Or write to your State representatives to see if a State to State arrangement can be made to expand coverage.  Large companies providing coverage already do this, of course, but smaller ones need protection due to the fact they address more localized markets and are better adapted to them.  When localized health care companies go under to be taken over by larger ones, the market loses competition and that is a long term worry to the citizenry and should be to the Nation as only a dog-eat-dog system at the lowest level allows larger structures to be pulled apart by innovation.  As it is the larger companies gobble up the small, shut the small facilities and leave communities without the facilities or coverage that used to be available.  Small scale inefficiency that is adapted to the small scale may have other benefits outside of 'cost maintenance': like providing any care AT ALL to a small community or sub-community in a larger population center.  If we are supposed to have 'laboratories of liberty' in our 50 States then getting a 'national market' is the last thing anyone should want.  That concentrates too much power in the hands of too few groups and individuals.  This also removes the 'tragedy of the commons' in which no one really much cares about the larger market and it then starts to stagnate because no one has the power to actually make sure it is working well at the small scale.

Sixth - The grotesque thing about government run anything is the inefficiencies of government, itself.  The best run of government agencies at the federal level, and I worked at it, was 65% efficient at what it did.  Yes the government, via overhead, only wasted 35% of every dollar spent!  Private industry does a much better job at 20% inefficiency, on average.  Remember the average of industry is still better than the best of government.  But if you really want to drive costs DOWN and put COMPETITION into the market there is one area that can compete with industry.  That is charity.  There are organizations that rate the amount that charities spend on overhead, and it is typically in the 7-15% range.  That is the equivalent of waste for a charity.  There are some that try to get that down to 1% via volunteers and other organized form of help that doesn't need to be paid for.  Of these three groups, which is the most efficient at providing 'health care'?  Government, industry or charity?  If you answer 'charity' then why is not the full and absolute amount donated to charity given as a tax write-off?  This, too, is a marketplace incentive, but one geared towards actually HELPING the poor get treatment.  Pharmaceutical companies could be given write-offs based on donations of modern medicines, not those that have expired, but fresh production.  Ditto to other parts of industry making durable goods and consumables used in health care.  By allowing companies to donate goods directly to charity to be used for the poor or those that cannot pay, we ALL gain greatly without any further interference by government.  Indeed local governments can give incentives in the way of property tax and other tax breaks to charitable organizations that do this work.  What is garnered are committed individuals who have the best interest of patients and the community at heart.

 

I do, indeed, want a health care system that 'works' for everyone.

One where we invest in our future infrastructure, not worry about current payments.

One where individuals are allowed to invest in themselves and their families, not one that takes money from them in taxes.

One that rewards charity to build communities so that the poor and needy are looked after by those who want to and will do their level best to cut all costs so that the money is spent ON the poor and not for profits.

To do these things requires that we change our way of viewing 'health care' as a service and treat it as an investment for ourselves, our children, our neighbors and our Nation.  You can't get that with government oversight.

But you can do that by the common citizen willing to take part to donate money and time, precious time from their lives, to charity.  Why do we penalize that instead of rewarding it? 

We are missing out on the best value around when we argue about costs.

Saturday, August 08, 2009

When civility disappears you have tyranny

I left a comment over at Mr. Z's place after seeing how those on the Left were following various marching orders for how to 'stop disruption' at town hall meetings held by Congresscritters: bus people in with the same outfits, with pre-printed pamphlets, surround the Congresscritter to 'protect' them, and then work to shout down citizens who were vocally complaining about health care, the stimulus that isn't stimulation, bail outs, not actually reading bills before passing them, expectations of the National Debt crushing the Nation, and so on.

Here is the comment verbatim, all spelling errors and such left intact for the amusement of the audience:

The mask slips on the Left and we now see organized violence, unions threatening to 'confront' people like the SEIU and disrespect of our elders by organizations purporting to support their wishes... and forget that those people are from The Greatest Generation and will not go down without a fight when opposed by tyrants be they monsters at the head of mighty nations or sweet mouthed deceivers looking to snooker them out of the very care they say they will provide.

Yes there is an 'astroturf' campaign going on... HCAN, SEIU and others are all following a script... saying the same things, intimidating their fellow citizens and seeking to end debate by their presence and closing out those who disagree with them.

If this were Bush doing that, the Left would howl in outrage over 'civil rights violations' and corruption at the highest levels of government. Instead we get the sockpuppets of repetition who are part of the campaign, itself. Those wishing to dissent are not starting this fight. That takes those wanting to intimidate, coerce and stifle debate to do that. It is clearly stated, clearly laid out and enunciated.

Not by those wishing to hold their Representatives accountable.

But by those wishing to stop speech and democracy in action.

Amazing how the Left decries 'astroturf' campaigns after committing so many in the past few decades on everything from 'global warming' (or is the PC term now 'climate change', as if the climate never changes?), 'race relations', housing, expanding 'entitlements', and doing such lovely things as attacking the character of a US General during an active military campaign. Yes the Code Pink, MoveOn, anti-war groups, global warming/climate change priests, million being marches that don't get 10% of a million... all of the usual suspects have been 'astroturfing' with Big Money backing from various individuals and corporations for years. The problem was that they got so used to that style of money-backed 'organizing' in politics that they didn't ever expect to see any other kind... and aren't able to RECOGNIZE any other kind due to the hot house theatrics the Leftist 'organizers' have been staging for decades.

The nature of American political movements is not top-down, but bottom-up.

Martin Luther King showed up a couple of years after protests were actively going on and were bolstered by men coming from the integrated Armed Forces who had fought with their fellow Americans of all races in Korea. The bottom part of racism in the south, that held by individual men of a young age, had changed due to military service post-WWII.

The Anti-Viet Nam war movement did not start out as a National scale movement, but one of isolated protests in the early to mid-1960's. The civil rights 'organizers' who moved to that venue saw success of a limited kind, and their grand idea that this would 'save lives' overseas proved to be drastically wrong with the North Vietnamese killing their way through the south, the collapse of Laos to Communism and the take-over of Cambodia by the genocidal Pol Pot. Those dominos plunked on the beach with no further to follow, but the wash of red, in blood, told a tale quite different than the lovely scenario painted by the 'activists' of how everything would just go perfectly once the US left. Well, the silence of the grave is a form of perfection, I guess, but not the one predicted.

That 'activist' generation has a lot to answer for on that, but no one ever held their feet to the fire to put forward that the ideology presented was self-serving, nihilistic and lethal to those we supported overseas and those that depended on us to hold a line we said we would hold.

That generation also got the space program gutted and then ensured that the authoritarian presence of government would stifle private space industry by limiting space access. When I hear complaints about global warming/climate change and the dangers of nuclear power, plus how industry is so very, very bad... I look back to Gerard K. O'Neill's group of engineers who had put forth a perfectly good plan to start removing fossil fuel based power stations via a system of expanding space based presence and industry. That was done from 1968-1972. Somehow the idea of expanding industry to the one, guaranteed, non-polluting basis that is still available so as to expand the economy and start getting industry moved off the planet just never did get to those who wanted to get more money spent on welfare and expand the power of government. Say, did all those billions put out in anti-poverty programs actually end poverty?

Just asking.

Wanting government to do the hard work for you misses the point that government is non-productive: it has a negative role in our economy and our lives by design. Any government that tries to get a 'positive' role seems to end up being expensive, authoritarian, expansive against personal liberty, and starts to dictate your life, your health and when you should die to you. And stifle your freedom of expression, your liberty and your pursuit of happiness to boot. I don't need to go back to the 1930's for that! I just have to see a President wanting a 'snitch list' of Americans who have the temerity to DISAGREE WITH HIM and that self-same President getting up and saying that those who 'caused the health care problem' need to shut up.

Say, that's the LEFT! They have been the #1 cause of inefficiency via government through increased regulation and encroachment on personal liberties AND productivity for decades, now. Congress, too. And the President himself, come to that.

Meanwhile 'youths' in decaying France hold more 'car-b-que' events, and that sort of thing is now spreading to Germany not on the ethnic 'youths' side but from the LEFT. In Great Britain, meanwhile, those in constant back pain don't get to have access to medication for it via 'the government plan', so that the POOR are deprived of pain relief. Why, that is just so compassionate, isn't it? And forget about defending yourself or your home in the UK: try to do that and YOU will be arrested on assault charges and tried. They disarmed the public a few years ago, the Red Mafia saw fertile fields to deploy lots of illegal automatic weapons, and the UK police, the grand, old 'Bobbies' are now in body armor and ALSO toting rifles and automatic weapons.

That worked out so well, didn't it?

All these lovely, grand, multi-culti ideals of the Left tend to wind up with property destroyed, economies in the doldrums, birth rates below sustaining levels, crime on the rise, and individuals oppressed by government in large ways and small: from their life to their health, there is no end to the 'good' government can't do.

I remember, clearly, going through university in the mid-1980's that the largest, number one, by far out distancing all other Leftist complaints, bar none, no exceptions was the following: that the American people weren't 'activist' and wouldn't join marches, etc.

And now... now... when the American people actually do start to attend meetings, rallies, and hold protests, what do we get from the Left?

Complaints that this is 'organized'!

One...

Two...

Three....

AWWWWWWWWWW!! Poor Babies!!!

You got what you wished for.

Deal with it.

The people most effected by 'health care reform'? You know the ones that are being called 'fascists' for complaining?

Yeah, as I put up above, 'The Greatest Generation'.

Amazing to think that men who had stormed the Beaches of Normandy, Iwo Jima, Tarawa, Sicily... these guys who fought and killed fascists for years are being called 'fascists' by an ungrateful, wretched Left that can't appreciate just how much they have twisted the language around to protect themselves from reading history and understanding what fascism is. I am not seeing anyone in protests standing up for more government, for socialism, and for fascism.

No only those following the lock-step orders on the Left are doing that. They did, indeed, read 1984 as a training manual. That describes Europe, however, not America. When you follow socialist doctrine aimed towards limited transportation societies with a history of authoritarian regimes going back centuries, you can get Orwell. When you do that in America, however, you get Alice in Wonderland and find yourself not supporting Big Brother but the Red Queen with her races and your words meaning just whatever you want them to. Which is Duckspeak.

That winds up with 'Off with their heads', in case its been forgotten.

Yes, 1984 through the Looking Glass... what a grotesquely horrific thing these events portend.

As civility decreases on the part of the Left, we hear the voice of ordering authority.

The Big Red Queen arises.

In the most well armed civilian population on the planet.

The violence has already started from the Left.

They either step back, now, and disown the authoritarianism... or they find out just what happens in a Nation like America when the public actually DOES become active.

And it is not what they wanted, I'll tell you that right now having seen their expectations from the '80s onwards.

Saturday, August 01, 2009

Signposts to the road out

America, as a culture, has had two great political movements that have moved across her people.

The first is that engendered at the Founding, which saw the level of acceptance of it go from a state of 15% of the population to being accepted by the equivalent of 75% by the end of it: the concept that humans come from Natural Law and have, from that, vested in them all the Liberty that Nature provides us.  With such Liberty we create relationships with our fellow man and that, in turn, creates society.  Society, by its nature, is a vesting place of some negative liberties to ensure that there is social cohesion: there is group understanding, group associations and the ability of the group to identify those that adhere to, or at least put up with, a set of values held in general by all members of society.  Thus from self-rule we go to the self-evident form of first governance in which we vest the ability to shift members of society out of society for the protection of that society when those commonly held beliefs and practices are violated by its members.  That is a negative liberty, to ostracize, imprison or kill such members and it is one that we, as individuals, yield up to the organs of society made to stand in judgment of them.

What is garnered in return for that negative liberty is protection of society by those organs of society deemed worthy of creation and sustaining.  Likewise when the State is created to add further oversight upon what is and is not allowable within society, we further invest our negative liberties for self-judgment in bodies made up to create what those factors are to be judged.  This is, at heart, a process of making up those things called 'laws' which are a representation of those things deemed so important to that society that they must be adhered to across it.  A State with officially recognized internal organs that are identified by the population is then created and it need not be large: the first States were City States and incorporated within a single city and some small amounts of surrounding territory.

From Webster's Revised Unabridged Dictionary (1913):

Corporate \Cor"po*rate\ (k?r"p?-r?t), a. [L. corporatus, p. p. of corporare to shape into a body, fr. corpus body. See Corpse.]

1. Formed into a body by legal enactment; united in an association, and endowed by law with the rights and liabilities of an individual; incorporated; as, a corporate town.

2. Belonging to a corporation or incorporated body. ``Corporate property.'' --Hallam.

3. United; general; collectively one. They answer in a joint and corporate voice. --Shak.

Corporate member, an actual or voting member of a corporation, as distinguished from an associate or an honorary member; as, a corporate member of the American Board.

To create an incorporated entity, like a State, requires the understanding that the law of that State rules within that State's boundaries.  Thus States have bounds and limits to them and are considered areas of civil rule where society has created an understood and accountable entity to which any individual can appeal if they feel the law is misapplied or badly created.  Often that was under a strongman or warlord who came up through the ranks of society but was, more often, the leader of a small body representing parts of the State.  These parts were not just geographic but often social, and many State governments had members of trades, crafts and mercantile associations within their membership as the well run State did not want to overly impact the livelihood of such members who helped create wealth in society.

Isolated City States when they got involved with other City States or other governing bodies of foreign populations then created the first Nations:  this is the external organization that has organs of its own to allow for understandings between society to be made so as to lessen friction between societies.  This concept expanded when multiple City States or loosely incorporated regions recognized that they had more in common with each other than with other entities that did not hold similar outlooks on how to run one's life properly.  Thus the Nation State would grow to include all such areas under its governing oversight and create a fully incorporated entity that had common agreement internally on laws, society and government.  By setting down regularized forms of internal rules on trade, commerce and protection of members of society, wealth would increase multi-fold as the Nation State took on the negative liberties of warfare with other entities as well as the liberties to create and sustain agreements with other Nations.

This is not a political concept, per se, but one of taking a reasoning approach to how mankind rules himself, comes into cooperation with his fellow man and then creates larger organs for the good of society by investing such negative liberties in such Nation States that would then allow him to concentrate time and energy on other matters.

The abuses of such organs of government by Kings, Parliaments, Oligarchies, Aristocrats, Plutocrats and other less than representative organizations and individuals lead to the abuses of government that are the terror of those negative liberties turned on society: draconian laws, confiscatory taxation, abuse of the law by those in power and then chaotic rule centered upon a very few that then makes society captive to government.  These abuses are ones to be wary of as they are a misuse of those negative liberties meant to protect society.  It is amongst such misuses by a Nation State that forms the bulk of the Declaration of Independence which has, as its largest part, the abuses of government upon its people and why they cannot be tolerated:

[..]

--Such has been the patient sufferance of these Colonies; and such is now the necessity which constrains them to alter their former Systems of Government. The history of the present King of Great Britain is a history of repeated injuries and usurpations, all having in direct object the establishment of an absolute Tyranny over these States. To prove this, let Facts be submitted to a candid world.

He has refused his Assent to Laws, the most wholesome and necessary for the public good.
He has forbidden his Governors to pass Laws of immediate and pressing importance, unless suspended in their operation till his Assent should be obtained; and when so suspended, he has utterly neglected to attend to them.
He has refused to pass other Laws for the accommodation of large districts of people, unless those people would relinquish the right of Representation in the Legislature, a right inestimable to them and formidable to tyrants only.
He has called together legislative bodies at places unusual, uncomfortable, and distant from the depository of their public Records, for the sole purpose of fatiguing them into compliance with his measures.
He has dissolved Representative Houses repeatedly, for opposing with manly firmness his invasions on the rights of the people.
He has refused for a long time, after such dissolutions, to cause others to be elected; whereby the Legislative powers, incapable of Annihilation, have returned to the People at large for their exercise; the State remaining in the mean time exposed to all the dangers of invasion from without, and convulsions within.
He has endeavoured to prevent the population of these States; for that purpose obstructing the Laws for Naturalization of Foreigners; refusing to pass others to encourage their migrations hither, and raising the conditions of new Appropriations of Lands.
He has obstructed the Administration of Justice, by refusing his Assent to Laws for establishing Judiciary powers.
He has made Judges dependent on his Will alone, for the tenure of their offices, and the amount and payment of their salaries.
He has erected a multitude of New Offices, and sent hither swarms of Officers to harrass our people, and eat out their substance.
He has kept among us, in times of peace, Standing Armies without the Consent of our legislatures.
He has affected to render the Military independent of and superior to the Civil power.
He has combined with others to subject us to a jurisdiction foreign to our constitution, and unacknowledged by our laws; giving his Assent to their Acts of pretended Legislation:
For Quartering large bodies of armed troops among us:
For protecting them, by a mock Trial, from punishment for any Murders which they should commit on the Inhabitants of these States:
For cutting off our Trade with all parts of the world:
For imposing Taxes on us without our Consent:
For depriving us in many cases, of the benefits of Trial by Jury:
For transporting us beyond Seas to be tried for pretended offences
For abolishing the free System of English Laws in a neighbouring Province, establishing therein an Arbitrary government, and enlarging its Boundaries so as to render it at once an example and fit instrument for introducing the same absolute rule into these Colonies:
For taking away our Charters, abolishing our most valuable Laws, and altering fundamentally the Forms of our Governments:
For suspending our own Legislatures, and declaring themselves invested with power to legislate for us in all cases whatsoever.
He has abdicated Government here, by declaring us out of his Protection and waging War against us.
He has plundered our seas, ravaged our Coasts, burnt our towns, and destroyed the lives of our people.
He is at this time transporting large Armies of foreign Mercenaries to compleat the works of death, desolation and tyranny, already begun with circumstances of Cruelty & perfidy scarcely paralleled in the most barbarous ages, and totally unworthy the Head of a civilized nation.
He has constrained our fellow Citizens taken Captive on the high Seas to bear Arms against their Country, to become the executioners of their friends and Brethren, or to fall themselves by their Hands.
He has excited domestic insurrections amongst us, and has endeavoured to bring on the inhabitants of our frontiers, the merciless Indian Savages, whose known rule of warfare, is an undistinguished destruction of all ages, sexes and conditions.

In every stage of these Oppressions We have Petitioned for Redress in the most humble terms: Our repeated Petitions have been answered only by repeated injury. A Prince whose character is thus marked by every act which may define a Tyrant, is unfit to be the ruler of a free people.

Nor have We been wanting in attentions to our Brittish brethren. We have warned them from time to time of attempts by their legislature to extend an unwarrantable jurisdiction over us. We have reminded them of the circumstances of our emigration and settlement here. We have appealed to their native justice and magnanimity, and we have conjured them by the ties of our common kindred to disavow these usurpations, which, would inevitably interrupt our connections and correspondence. They too have been deaf to the voice of justice and of consanguinity. We must, therefore, acquiesce in the necessity, which denounces our Separation, and hold them, as we hold the rest of mankind, Enemies in War, in Peace Friends.

We, therefore, the Representatives of the united States of America, in General Congress, Assembled, appealing to the Supreme Judge of the world for the rectitude of our intentions, do, in the Name, and by Authority of the good People of these Colonies, solemnly publish and declare, That these United Colonies are, and of Right ought to be Free and Independent States; that they are Absolved from all Allegiance to the British Crown, and that all political connection between them and the State of Great Britain, is and ought to be totally dissolved; and that as Free and Independent States, they have full Power to levy War, conclude Peace, contract Alliances, establish Commerce, and to do all other Acts and Things which Independent States may of right do. And for the support of this Declaration, with a firm reliance on the protection of divine Providence, we mutually pledge to each other our Lives, our Fortunes and our sacred Honor.

If we remember the preface to these words, then why do we forget these words?  For the preface is just that, a pre-facing of the later argument and the basis for it, giving the necessary definitions and underpinnings for what will then be given after it.  In holding such self-evident truths, the nature of the problems about to be listed are tantamount to government abusing and enslaving members of its society by ignoring or creating punitive law against members of society who have done no wrong to the larger body of the people.

As no one had catalogued and analyzed the upwards creation of government from society and only had the record of government already in place, as it is an early formation of society to create organs to protect itself, the concept that man had the ability to self-rule and that government should not punish man for that was one that took thousands of years to finally be understood. 

Man created government through society for self-protection. 

Government did not create society to rule man.

Sadly, the century or two of learning that it took to get to this point of understanding is still one missed by those seeking to rule society.

By the end of the 19th century the idea had arisen that government could do 'good things' for society and its members.  This concept was that of utilizing government to change society by using the power of government to mandate new aspects of society.  To do that all members of society had to pay for the oversight of such new 'good things'.  This idea did not originate in the United States as it had been a part of pre-Westphalian governing concepts in which religious bodies would set Ecclesiastical Law that would then be imposed via the Nation State upon its people.  That goes back to the time of the Pharaohs in Ancient Egypt and to the unification of China under a Sun Emperor and throughout the Americas where religious groups had great sway over secular government.  This creates a system of morals that are then imposed by law upon the members of society from no other source than the religion held by the majority of society.

The ills of this are great and many, and create wars, genocide and the migration of peoples seeking to flee tyrannical government and set up government more to their liking that did not punish them for religious belief.  With that said the cause of this was enforcing morals upon society and its individuals, and that is a separate problem from having a strictly religious backing to it.  From that understanding the concept of government enforcing morals held, even by a majority, becomes problematical as those in the minority that do not hold such moral views will then be persecuted for those simple differences in belief.  Once taking up the role enforcing morals, government must grow to do so, which eats up more in the way of wealth of society to enforce such moralistic beliefs, no matter what their origin.

Religion, however, does have a part to play in society and in promulgating morality within its members who then follow them to lead good lives.  The modern thought of divorcing religion from our guidance in society is an ill one, even when religion can come to ill-ends trying to promulgate morality outside of its adherents.  During the time of the ratification of the Constitution we get two supporters of it that give us this moderate view of religion.

First is Nicholas Collin in A Foreign Spectator XXVIII on 28 SEP 1787 :

The rational opinion, that sincere worshippers in whatever religion are pleasing to Almighty God, is now pretty generally established in all civilized nations. It is of the highest consequence, because the belief that eternal happiness depends on a particular creed or mode of worship, will prompt even good men to establish such at all adventures. We must not however imagine that this species of bigotry has alone produced the many religious wars and tumults; for there are antipathies arising merely from the peculiar genius of a religion, capable of doing much hurt. Any thing that appears to another sect very absurd, mean, unsocial, &c. has an ill effect. A bad influence on manners and government is a serious affair. If it cannot be helped, divide et impera is a good maxim with religious as other parties—where any sect has a decided superiority, or a rapid increase, others may be encouraged. Indifferency is not the proper remedy against superstition; for a very defective religion is better than none. Let then the several professions respect the advantages of each other, and with candid benevolence criticize mutual infirmities—Let the bright luminary of reason gradually rise, and shed its majestic radiance over this western world; it will manifest to all the same great God, and the same road to happiness here and hereafter.
The second is Noah Webster writing as A Citizen of America on 17 OCT 1787:

Of all the memorable eras that have marked the progress of men from the savage state to the refinements of luxury, that which has combined them into society, under a wise system of government, and given form to a nation, has ever been recorded and celebrated as the most important. Legislators have ever been deemed the greatest benefactors of mankind—respected when living, and often deified after their death. Hence the fame of Fohi and Confucius—of Moses, Solon and Lycurgus—of Romulus and Numa—of Alfred, Peter the Great, and Mango Capac; whose names will be celebrated through all ages, for framing and improving constitutions of government, which introduced order into society and secured the benefits of law to millions of the human race.

This western world now beholds an era important beyond conception, and which posterity will number with the age of Czar of Muscovy, and with the promulgation of the Jewish laws at Mount Sinai. The names of those men who have digested a system of constitutions for the American empire, will be enrolled with those of Zamolxis and Odin, and celebrated by posterity with the honors which less enlightened nations have paid to the fabled demi-gods of antiquity.

But the origin of the AMERICAN REPUBLIC is distinguished by peculiar circumstances. Other nations have been driven together by fear and necessity—the governments have generally been the result of a single man’s observations; or the offspring of particular interests. IN the formation of our constitution, the wisdom of all ages is collected—the legislators of antiquity are consulted—as well as the opinions and interests of the millions who are concerned. In short, in it an empire of reason.

Here are some of the basics of those who adhered to the Constitution as proposed at the Founding.  Now one of these men was a Christian devoted to culture and another of them a Reverend likewise devoted to culture, and both brought with them a strong set of views on religion which transcended minor varieties of Christianity.  Indeed some of the harshness of their views comes from the fact that there were and are varieties of Christianity, but in looking at their particular beliefs within the large manifold of all beliefs (and even non-belief) they reason through the place of religion in forming laws and influencing government.  Laws and good laws can come from ANY religion: no religion is given that sanction to itself for all of society.  Because of the power of religion, the attempt to have a majority religion dominate society in the attempt to become the totality of religion that would then guide society is seen as the opposite of moderation and reason.

Religion, by its intercourse via society, creates morals that can then be tested against the whole of society and when more than those that adhere to a given religion also do so, then such a thing moves beyond private morals to public morals.  That does not mean it is something fit for government to make laws about save when such morals ensure the liberty of ALL members of society: then the pressing need for laws to enforce such public morality becomes predominant as there is general agreement across society that such morality is deemed good and worthwhile as sustaining all parts of society.

Movement away from such moderate precepts started in the 1880's and 1890's in many forms.  I have more than touched on Progressivism in the past and note that it becomes a vehicle for other movements, also.  The Temperance Movement played no small part in the early days of Progressivism which rode on the idea that government can enforce itself to the good ends of public morality.  Likewise Theodore Roosevelt encouraged the Shanghai Opium Conference which would lead to the Harrison Narcotics Tax Act of 1914.  Both of these Progressive causes used public morality as their basis, and while it was then morality of allied religious groups, the concept that public morals could be pushed by government was one that became a hallmark of all later Progressive movements including those using Socialist views.  The devoutness of a Theodore Roosevelt, Woodrow Wilson, Herbert Hoover or Franklin Delano Roosevelt is never questioned.  The political ends that would come from inculcating public morality, however, would seek to supplant the known order of government stemming from the people and replace that with society enforced by government upon the people. 

That is not a difference of degree, but of kind, from restricting liberty for public safety to enforcing 'public rights' or 'social rights' at the cost of all of the people for the very few is a large step towards authoritarian ends.  Enforcing 'positive rights' from government carries with it a huge cost of government and eroding the rights of the individual to lead a good and upstanding life without government interdiction or overburden.  By supporting only some rights and taking the means to exercise others out of the hands of individuals, there is a cost to the individual of these 'new rights' which Theodore Roosevelt correctly identified in his autobiography as the 'old rights' of tyranny and despotism, of the strong over the weak and contradicted the right of the individual to self-rule and duty to self and Nation.  Yet it is exactly that form of 'rights', those created by government fiat and supported by government, that took root in America.  It is at loggerheads with the concept of individuals being the central point of all rights and posits that government can and must enforce rights... rights that only the government can decide upon.  Instead of moderating and refereeing the interplay of rights amongst the people and the States, government seeks to set the tone, write the tune, hire the band, and then enforce applause via the law.

Nations have an understood set of internal and external parameters to them, and this was understood not only by the Founders but derived from post-Westphalian period when such works as those by Grotius (written during the 30 Years War) were then picked up as topics for the purpose and role of the Nation in the affairs of mankind.  The sources for this would span Europe and finally come down to a few writers who would work to compile them and regularize their understanding, which would finally be put down by Emmerich de Vattel in close coordination with other legal scholars like William Blackstone who would incorporate ideas with his Commentaries on the Common Law of England.  The end product was the first attempt to compile all that was known and could be reasoned about what Nation States were and put into Law of Nations.  That work would identify the qualities of Nations of any stripe or form, be they religious or non-religious based it was a compilation and analysis of all known governments and their types which were then distilled down to their essential ingredients.  And the basis of Nations is that they acknowledge and respect the society that they represent.

The swing from Rights of Man liberalism to Government Enforced Rights liberalism is a long, long swing of society, and the extent of the latter swing over the past 130 years has been frightening.  Yet, just as that formulation took a century from the Founding to get going, we are now seeing, perhaps, the start of the movement back and away from Government Ruling Society as a 'good concept' for governing.

While many on the political Left today still try to sell the idea that Tea Parties are run by Republicans or  are racist or stooges for the wealthy or any number of things, the sheer number of explanations that are given indicate that they are none of those things.  People from all walks of life, all ages, all ethnic groups show up at such events.  What is not understood by the Left and by Progressives of all persuasions, is that American politics is, at its heart, an expression of its culture formed by individuals.  The chaotic tumult of society does have direction, but does not, of necessity, want LEADERS.  Indeed, American political movements start out leaderless and then find good people willing to lead them and who know that if they DON'T follow the general direction of those in the organization, they can easily get cut off from it.  American Revolutions and politics are self-organized and only those that need a high definition, hierarchy and 'Leaders' demonstrate that the movement has lost some steam as it goes 'mainstream'.  Those that wish to control society need organizations they can pin down, and rambunctious, chaotic and yet not directionless associations are a horror to them: uncontrolled social expression is an anathema to Progressivism which seeks control in all venues.

Thus Tea Parties show up as a signpost in the US culture that has an expression in politics.  It is not National politics, alone, but also local politics:  Tea Party members now show up at town council meetings, meet and greets by politicians, and stand up to ask questions of those 'in authority' who do not budget money wisely and are continually asking for more money due to their inability to make the hard decisions of what is necessary for government to do and what is not.  This is a re-expression of small government views given to a new era, so as to begin the process of addressing the actual problems that government has let go in the way of public maintenance of infrastructure.  The largesse of the federal government to State and local governments in the way of cash transfers now make such governments dependent upon the federal government.  As the actual cost for running such things as road maintenance, sewer line upkeep, constructing water treatment plants, snow removal, the full cost of schooling children... across all those areas the Nation has seen a marked decline in public services.  Even when expanding older infrastructure is not updated, not supported and maintenance is always the first place to cut and the last to get its full needs re-budgeted during better times.  Bridges built in the 1930's are at the end of their lifecycle for municipal roadways.  Interstate thruways now face decades of lack of properly maintaining and assessing the needs of these roads and we see bridges collapse and wholesale construction projects that remove roads from service as new ones are put in to replace them.  Things that should have had regular and scheduled maintenance and upgrading over time now must be built new as they fail.

By expanding the power and scope of federal outlays, local and State governments are deprived of local revenue streams to address local concerns in the most accountable way possible.  When you accept federal funds the entire federal regulatory structure comes with the money, and it is not an efficient structure at all, often eating as little as 35% of funds in 'accounting' and 'oversight' with other inefficiencies of federal mandates and that lost efficiency often stretches far beyond 35%.  For all the tens and hundreds of billions poured into local schools, the reading level has remained rock solid since the late 1950's when it was a scandal that poor Johnny couldn't read.  Johnny, Jane, Jose, Janet... all of them now read at that exact, same level WITH a federal bureaucracy 'helping'.  And as there is already a baseline on how bad things were BEFORE the government 'helped' we have a situation where no amount of 'help' has changed things and we now have a government department set up to employ over educated wonks who can't FIX the problem.

Another signpost is one that Progressives and those wishing to concentrate power in the National government structure don't want to hear as it is a re-assertion of the public's understanding of civil rights.  It is in an area that has been a paramount push to have changed by the Left and Progressives on the Right as it is a civil right that threatens them both.  It is essential to being a citizen and even if you don't practice the right, it is given to you by the Law of Nature in positive and negative aspects.  We hand the negative to the Nation State for protection of society as it is negative, but we keep the positive right for ourselves as no government may divorce it by any law, as the moment events happen to require the use of such a right, it magically re-appears outside the confines of human law.  It is the liberty to defend oneself, one's loved ones and your property and no government can take it from you: it can only kill or imprison you for transgressing it if it has the hubris to do so.  This liberty has the direct part of it from the Law of Nature, as all beings have a right to defend themselves to survive.  The derived portion is to protect your property and as that property is an expression of your liberty, you do have the right to defend it, also.  The defensive right to keep and bear arms is a necessary part of establishing and keeping civil society functioning as it is the prime expression of your right to be free of oppression.  We hand the Nation State portion of warfare to the Nation as civil society would be at risk if any many could declare war for it.  When government seeks to remove the means of self-defense we call it tyrannical and despotic, totalitarian in seeking to rule over society not help to govern it.

One of the bedrock stances of Progressivism is to remove the right of you to say 'no' to more government at a personal level.  The horror of WWII saw a strong backlash against firearms, and yet the natural understanding of man is that war is to be avoided unless handed to you and then fought to the hilt to end so as to rebuild and help honorable foes to stand up and for themselves with the understanding that war is not the answer as America is the solution.  This from Gallup Poll of 08 APR 2009 that tracks the post-WWII period on this question:

gallup graph gun control

Likewise Pew Research also examined this phenomena on 30 APR 2009, and saw the steady, long-term decline in support for gun control and restrictions on gun ownership from 1993 to present.  Any single public poll on any day is but a single data point of little meaning alone.  When given with a continuous series of polls over years and decades, polling shows up long term social trends that can otherwise go unnoticed until they come to a majority and change all perceptions of just what society wants from its government organs.  The NRA has been a supporter of the right to keep and bear arms, even when it got influenced by members seeking to shift its traditional stance the rest of the membership pushed back and continue to do so to this day.  Not all such social advocacy groups for civil rights on firearms are so successful: the original NRA group in the UK, founded by Sir Arthur Conan Doyle, was unable to prevent the Progressivist movement to restrict and then ban firearms.  Yet in the time of Queen Victoria bars had shooting ranges as part of their construction, and she personally cut a ribbon for one near Parliament.  The 'saloon gun' was a single shot, typically tip-up, pistol meant to demonstrate marksmanship and one's ability to control not only their aim but their liquor.  Moralist movements on both venues have eroded the perception of this quintessential positive right, but Americans have been moving to repair the damage done by government to this right.  For the first time in decades there is growing support for fewer firearms laws, fewer restrictions and recognizing a civil right, that right to protect oneself and support one's society and be accountable for it, AS a civil right.

Another social factor is a trend away from centralized news sources.  This is seen in all media, but print media and newspapers have been the hardest hit.  This from Journalism.org and its Average Circulation for daily and sunday newspapers:

daily and sunday

Of critical note is that the US population has been increasing over this entire timeframe, and yet the readership has remained stagnant to declining, thus as a penetration of a source for news, newspapers are becoming marginalized as they have been unable to grow their audience size.  This shows that, at best, there is a cohort of dedicated readership or subscribers that remains fixed in size even while population grows, overall.  A 2008 graph showing where people get their news from in average minutes per week shows where those people not reading newspapers have gone:

average minutes per news type weekly

Thus a third signpost shows up, and considering that the internet as a news system was not available in 1990, its ability to dominate reader/viewer time is astounding.  The term invented for this phenomena in the late 1990's, during the dot com boom, was 'disintermediation'.  Also known as 'getting rid of the middleman'.  The ability of news organizations to act as a 'gate keeper' of news, to determine what is and is not news, is eroding.  While television and radio get more time per individual per week, it is no longer 90% as it was before the internet and is now closer to 66% (and I am going by eye, not by measurement) for all of the old media COMBINED against a form of news delivery that did not even exist 15 years ago.  What this did in sales, marketing and advertising is well known, as it changed the basis of the market place but still had room in it for traditional stores.  Not everyone wants their groceries delivered by FedEx and the same goes for buying clothing, durable goods and major items.  What has changed is that the internet now provides opportunities to market in areas that were once isolated and to form wider based markets from multiple niche markets that were isolated.  What this does in the economy it does in politics: it breaks the 'gate keeper' function of the two parties to set the tone of what is and is not necessary for politics in the Nation.

Progressivism had always had a strong form of collectivism in it from its early days, taking a page from the socialists and populists to create 'social movements' to press home political goals.  The older party structures could not adapt to that and both became Progressive in response to it.  By moving to get centralized media systems swayed by Progressive ideals (such as film, radio and later television) the 'gate keeping' function served as a sieve to slowly remove non-Progressive ideas from coverage or to put forward biased coverage of those ideas on how to govern.  Disintermediation, however, removes 'gate keepers': they may still be there but the fence has been removed, making the gate something that is unneeded and unwanted by the population.  That ability to do authoritarian, top-down organizing served Progressives early on in the internet, also.  Yet when trying to set up 'gate keeping' systems via web sites, the absolute democracy of electronic communications via TCP/IP thwarted those attempts.  Major websites have traffic, yes, often dwarfing their 'conservative' counterparts, but all of politics, combined, is far less a part of all internet traffic as a whole: politics is disintermediated so other people can do more interesting things on the net.

Before government starts to intrude on their lives.

Because the population has grown 'net savvy, and has new means and media types that are personal in nature, the ability of individuals to reach out to each other BEYOND partisan political points of the existing party structure is now coming into force in US politics.  The last of the old style elections are still going on, of course, but the new wave of how individuals seek rapport with each other to lead a good life will, by its own weight, shift politics.  The two party system has been losing steam and power for decades as seen by the percentage of eligible voters actually utilizing their franchise right as seen by the Census Bureau:

Congressional Election cycle graph percent

Presidential Election cycle graph percent

Along with the decline in support for gun control, and the decline in readership of newspapers has gone, hand-in-hand a decline in the exercise of the civil right to vote in elections.

This, too, is a signpost for the future.

Representative democracy, to be legitimate, must have a representational fraction of its population show up to vote not only in demographic outlays but in numbers.  When the sheer numbers start to dwindle the actual ability of the remaining faction to know what so many people are thinking is limited.  We each vote for ourselves, not each other, and we are not determining the route of the Nation based on broad-based popular support but on narrow-base support amongst those still exercising their franchise.  Many peoples across the world have paid dearly in blood to win the right to vote, yet Americans have been slowly sliding away from that right and withdrawing their support for government.  While it may have tart humor the phrase 'Don't vote, it just encourages them' has had the opposite effect of encouraging minorities, particularly organized Progressive minorities, in each party that has sought to impress its ideals upon society via the organs of government.  When popular support diminishes, authoritarianism rises as those seeking an 'agenda' push for it, be it from the Left or Right.

These signposts are clear in their statement: the current political structure of the Nation must change to suit society.

Not suit society so as to change it to make it easier to rule.

Each of these factors point to a new basis that is growing for new political outlooks.

Such a social shift gaining political expression cannot be centralized and overbearing: Tea Parties are the first sign of popular support for limited and meaningfully accountable government.  This starts with movement on lower spending and taxation from the local to the National level, so its large-scale effects may take some years to be felt.  The organizing for them has not stopped, the protests continue on and in a declining economic climate those without work will have time to consider their condition and the source of it, being government mandates, spending and attempts to make local and State government arms of the federal government.

The expression of the fundamental and inalienable Rights of Man gains expression outside of direct politics but is having an effect.  It is along a pathway I talked about and have talked about in many areas: the ethical and responsible self-arming of citizens for the protection of themselves and society.  This has been written about in the San Diego Reader by Rosa Jurjevics, 15 JUL 2009 (H/t: Instapundit), which examines the Open Carry movement as seen in San Diego.  It is interesting that one of the last States in the Continental US to be the 'Wild West' still has those laws on the books, and folks at Calguns and California Open Carry are now putting their civil rights forward and protecting them in the harshest Progressive State in the Union.  While small this, too, is slowly permeating into the culture from its majority position after decades of authoritarian responses by government to civil firearms ownership.  Southern Maryland Shooters are helping to organize an Open Holster Day in Baltimore on 01 AUG 2009 to show that those who are responsible shooters are your friends and neighbors. The NRA is also running USA Carry for Open and Concealed Carry site to help bring social awareness to how important this civil right is in our communities across the Nation.

One of the prime reasons the 14th Amendment incorporated the Bill of Rights into the States was to ensure that post-Civil War black families and communities would have legal recourse to protecting themselves.  Not just the right to vote and freedom of speech, but the right of defending yourself was seen as a prime and necessary right so that one's liberty was not put at risk by those seeking to intimidate or kill individuals due to race.  The modern Left has forgotten this most primary of concepts and is now facing a situation of retreat: something that shouldn't ever happen if your 'Progressive' stance is correct.  By having put so much energy into this over the last decades and gotten only a few States to forget their duties under the Constitution in Article I, Section 10, the society of the Nation now pushes back to ensure that civil rights, all civil rights, are respected.

This is not the return of the Wild West to US culture, but a change in stance to one that leads to a better integration and understanding of one's civil rights across the board.  Discrimination based on one's want to defend themselves is no better, and actually far worse, than discrimination on race, age, gender, or any other basis, as it removes the ability to protect yourself from extremism of those looking to intimidate or kill you based on those other biases.  Montana is one of the first States to begin re-asserting its sovereignty for its citizens by moving to change the gun laws for its citizens.  This puts Montana and other States that follow it, like Tennessee, into a direct clash with modern Progressive government ideals of centralizing government to dictate rights to the people, and the rights of the people and the States to defend themselves as is stipulated in the Constitution. 

A process such as this hits directly on the very rationale of a BATF and attempts to regulate firearms on a National basis without the input of EACH of the States, not just representatives in DC.  As each State has the right to autonomously defend itself from invasion or during times of danger, the federal government has stepped into restricting the sovereignty of the States without first regularizing what the States want done.  While the Militia Act of 1903 puts stipulations on the organized and unorganized militia, it does not allow for federal oversight of the latter, which is given to the States and with incorporation of the 2nd Amendment by the 14th Amendment, the States may not restrict ownership of firearms for the civil population save as a criminal penalty via due process of law.  Even that latter sees juries not convict individuals who had their life put in danger and were threatened with lethal force and regained their right of self-defense via Nature.  Civil society understands this and juries will refuse to convict on that basis.

The fundamental underpinnings of the US Constitution are brought out by the 2nd Amendment movement for civil use of firearms and to de-stigmatize them and ensure that the larger population understands just why responsible ownership, use and carry of them is not only legitimate but necessary to one's liberty and freedoms.

Progressives and authoritarians have pushed hard for over a century in America.

Now the signposts to the era beyond it are starting to be seen in the fog.

The 21st Century will not be the 20th, and like the 20th I doubt we will see much of the structure of large scale governments survive to the end of the 21st.  The 20th started in the last glory days of Empires still vying for power on a global scale.  The 21st sees entrenched government authoritarianism and elitism in power across Europe, the Americas, Asia and thugocracies and kleptocracies in Africa.  The dream of human liberty and freedom given its play has never, ever been an easy one as those that seek to use the negative power of government to gain tyrannical and despotic ends changes form but never direction.  Yet, in America, the response to such overbearing and officious government seeking to dictate to the people is clear.  The laundry list of abuses may change, but the abuses continue.  What started in 1765 took years to get to the point of 1776.

Backlashes take time to build.

Once built they are very hard to stop without bloodshed.

And that is done on the side of those seeking power, not those seeking liberty and freedom.

America has always kept a civil mood and society, even leading up to the Revolution.

The people stood to defend themselves.

It took a government seeking power to kill.

Such as it was, so shall it be.