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- Efficiency to me is, at least in most enterprises, the ability to not run at a loss.
School is a tricky one to wrap into that of course. But I will say private schools tend to outperform public schools even though their goal is the same. Some (not all) public schools run with similar amounts of funding as private schools, but still can't seem to pull themselves out of the muddied waters of just getting children to graduate. Score one for private enterprise there as far as I'm concerned. Admittedly there's probably more to that story but I can only research so much.
Medical care is an interesting one. I wrote software for a company that provided medical practice management software, and was one of the few that dealt with CHOs. A noble cause, but a money loser. In that time (quite a while) I dealt with doctors, business analysts, SMEs, etc... And they all sang the same tune. When insurance companies, post HMOs, and Medicare/Medicaid set prices for certain ICDs and the doctors were charging less, it didn't make sense not to raise their rates to meet what they could get paid for the procedure. By trying to do a good thing our government inadvertently raised everyone's rates. No matter though, insurance covered it. Of course the real story there is that it wound up costing everyone more money.
In the meantime the shrinking margins of emergency care were pushing hospitals out of the ability to offer treatment for the poor and indigent, so laws were passed (and more Medicare funds thrown) to fix a problem that didn't exist before the changes.
I realize it's argued often that medical care doesn't fit into the free market principle of what a consumer would pay for a service vs its value. What's the value of a person's life? Well, not every treatment is life saving, and even then, the consumer can make a choice. Weeks of chemo and it's ill effects for a possibility of surviving a few more years or just letting go. People make that choice all the time. Some pay and some don't, and not always because of their ability or lack thereof to pay for it.
What I'm really getting at is while it's noble to offer preventative care to everyone, it's not manageable, especially by a country that's already in insurmountable debt. Plus, noting the almost 50/50 split on the desire for Obamacare, not everyone wants it.
Back to the 10th amendment, each state can make up their own collective minds to do so or not to. I understand what you're saying about complications regarding people moving for jobs or school, but each state has residency laws as well. Just try to go to an out of state college to find out what the difference is :)
Long winded post, and this time I haven't proofread, so it may ramble a bit. But you should be able to tell from it that I'm mostly libertarian and a believer in the Constitution, and what the framers believed when they conceived it. It seemed to me to have worked until presidents and congressmen realized they could buy votes by ignoring it.May 4, 2012
- so, not a fan of personal liberty then.May 4, 2012
- I definitely believe in choice to a point. Example, my 20 year old smokes pot, can't keep a job, hangs with other pot heads, is on probation, the story goes on and on (true story). My 12 year old is responsible, does good in school, knows pot and drugs are bad, chooses good friends and makes good choices. I give her more leeway than my 20 year old as he is obviously not capable of making good decisions.
Moral of story, some people can not be left to make decisions for themselves and have to be looked out for their entire lives. Making pot legal will only help to make all the trailer trash, losers, etc more irresponsible. Sure there are the 10% that may smoke responsibly but we need to protect against the 90% that won't be responsible.May 4, 2012
- You have a point, but don't forget it would also eliminate the criminalization of thousands of otherwise productive people.
I know several people who smoke pot but are able to keep a job. I know a few that don't smoke pot or drink but can't keep a job. My point is I believe it's a coincidence/causation issue. I don't believe pot by itself makes people lazy and irresponsible, but rather people who are lazy and irresponsible may be drawn to pot.
Best of luck with your son. I don't have any wisdom on how to deal with that, and I hope you come up with a viable solution.May 4, 2012
- My son wants to come live with me but he knows my stance on pot and it is forbidder on his probation as well. Not sure I am ready for all that drama.May 4, 2012
- Just check out my page.May 5, 2012