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Medical Forum / Diseases and Disorders / Prostate Cancer / October 2005

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In Praise of U.S. Health Care

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Ernest Gudath - 02 Oct 2005 22:35 GMT
An article in The Washington Times by Michael Tanner, a PCa survivor:

http://www.washtimes.com/commentary/20050930-093555-3611r.htm
Steve Jordan - 03 Oct 2005 00:02 GMT
> An article in The Washington Times by Michael Tanner, a PCa survivor:
>
> http://www.washtimes.com/commentary/20050930-093555-3611r.htm 

I am grateful that Ernest posted this article, especially now when those
who suffer (but won't acknowledge it) under socialized medicine are firing
away on this NG at the Yanks, which seems to be a popular sport no doubt
born of jealousy.

The sneering moral superiority affected by some of them is once more given
the lie.

Regards,

Steve J

"Men occasionally stumble on the truth, but most of them pick themselves up
and hurry off as if nothing had happened."
-- Sir Winston L. S. Churchill (a half-American Brit, in case some are
unaware of it)
Charlie - 03 Oct 2005 01:25 GMT
>> An article in The Washington Times by Michael Tanner, a PCa survivor:
>>
[quoted text clipped - 11 lines]
>
> Steve J

What the f.ck do you have that I would even consider for a nano-second being
jealous of?

I was born in Canada and have lived here for all 66 years. When I was
diagnosed with prostate cancer last October there was no rationing of f.ck 
all. It was my choice as to what the remedial action was going to be and
where it was going to take place. Going to the U.S.A. was not even
mentioned.

The surgery was performed here in Victoria as were all follow-up procedures.

There may be some idiots who are jealous of your medical care but it sure as
f.ck is not this guy.

Grow up.

If your attutude is anywhere near the norm for people in this group, I will
be out of here in a flash.

> "Men occasionally stumble on the truth, but most of them pick themselves
> up and hurry off as if nothing had happened."
> -- Sir Winston L. S. Churchill (a half-American Brit, in case some are
> unaware of it)
Steve Jordan - 03 Oct 2005 02:02 GMT
On October 2, ol' Charlie responded, in the cleaner portion, to me:

> Grow up.
>
> If your attutude is anywhere near the norm for people in this group, I will
> be out of here in a flash.

Ah, ol' Charlie's intellectual gravamen and reasoned argument are
impossible to oppose.

Love,

Steve J

"You can fool some of the people some of the time, and those are the ones
you need to concentrate on."
--Christopher Buckley
Steve Jordan - 03 Oct 2005 19:11 GMT
On October 2, I wrote:

> Ah, ol' Charlie's intellectual gravamen and reasoned argument are
> impossible to oppose.

Well, drat, I meant to write "intellectual *gravitas*." Bad fingers, bad,
bad! (slap) (ow)

But anyhow I note that ol' Charlie and some of his compatriots are
(inadvertently) providing support for my case.

Oh, and I note that after approval in 1995 of docetaxel (Taxotere) for tx
of BCa and NSCLC, it was only after ten years, in May of 2005(!), that
Health Canada finally approved it for tx of PCa. I've read that for years
many Canadian men had to slip south of the border in order to get Taxotere
for tx of their PCa. For shame.

Regards,

Steve J

"I am under no obligation to respect your beliefs. Respect is earned; it is
not an entitlement..."
-- Lionel Shriver
Heather - 03 Oct 2005 20:03 GMT
> Oh, and I note that after approval in 1995 of docetaxel (Taxotere) for tx
> of BCa and NSCLC, it was only after ten years, in May of 2005(!), that
> Health Canada finally approved it for tx of PCa. I've read that for years
> many Canadian men had to slip south of the border in order to get Taxotere
> for tx of their PCa. For shame.

And once again, you read wrong.  You really should graduate to adult reading
material that prints the truth, instead of these biased, right-wing articles
you allegedly refer to.

Taxotere has been available here for a lot longer than that.  Women have
been using it for 10 years or more for breast cancer.  Men have been using
it for at least 2 years for prostate cancer.  In fact, our rad onc and I
were discussing it exactly 2 years ago re the good results they were
seeing..

And once again I will point out that I have never, ever heard of a person
living in this Province going to the US for prostate cancer treatment of any
kind!!  So kindly provide me with evidence of this.  We have two very
well-known, large cancer hospitals here in Toronto that are doing an amazing
job with tx and research.  BC has one of the best Genome Labs in the world
that is doing amazing research.....seems you forgot to check that out.

And may I point out......your definition of *socialism* and ours is quite
different.  A National Health Care System is just that.....a national health
care system.  It is not *socialism* as you perceive it to be.  Perhaps you
should learn how our system works, then you will have some idea of what you
are talking about.

And I said I would not comment further, but I will not sit here and read
your distortions of the truth.   Get your facts straight!!

HF
Steve Jordan - 03 Oct 2005 20:39 GMT
Quoting me:

>>Oh, and I note that after approval in 1995 of docetaxel (Taxotere) for tx
>>of BCa and NSCLC, it was only after ten years, in May of 2005(!), that
>>Health Canada finally approved it for tx of PCa. I've read that for years
>>many Canadian men had to slip south of the border in order to get Taxotere
>>for tx of their PCa. For shame.

She replied:

> And once again, you read wrong.  You really should graduate to adult reading
> material that prints the truth, instead of these biased, right-wing articles
> you allegedly refer to.

Haw. See below.

> Taxotere has been available here for a lot longer than that.  Women have
> been using it for 10 years or more for breast cancer.  Men have been using
> it for at least 2 years for prostate cancer.  In fact, our rad onc and I
> were discussing it exactly 2 years ago re the good results they were
> seeing..

Heather should avoid rehashing what I have written about use of Taxotere to
treat BCa (and/or NSCLC).

If true, that doesn't mean that *Health Canada* had approved it. I am well
aware that various Provinces have a measure of autonomy in these matters.

In preparation for just such a reaction as Heather's, I ran a Google search
on "Canada & taxotere" and got many many hits. I chose the first of those many:

http://www.docguide.com/news/content.nsf/news/8525697700573E188525701200446324

Let her find the right-wing bias on this professional medical site.

> And once again I will point out that I have never, ever heard of a person
> living in this Province going to the US for prostate cancer treatment of any
> kind!!  So kindly provide me with evidence of this.  We have two very
> well-known, large cancer hospitals here in Toronto that are doing an amazing
> job with tx and research.  BC has one of the best Genome Labs in the world
> that is doing amazing research.....seems you forgot to check that out.

First, I have read what I said I have read. It was in a Canadian daily
publication. I do not intend to take further time to research it. Heather
can believe me or not, as it suits her.

And what Genome Labs have to do with *present* tx of PCa I'll leave to
Heather's imagination.

> ......Get your facts straight!!

I recommend that Heather, otherwise a nice person, heed her own admonishment.

Regards,

Steve J

"Facts are stubborn things; and whatever may be our wishes, our
inclination, or the dictates of our passions, they cannot alter the state
of facts and evidence."
 --John Adams
Heather - 04 Oct 2005 00:52 GMT
>> >Taxotere has been available here for a lot longer than that.  Women have
>> >been using it for 10 years or more for breast cancer.  Men have been
[quoted text clipped - 5 lines]
> aware that various Provinces have a measure of autonomy in these
> matters.<<

Good, that's a start.  There are also studies that do not require Health
Canada's explicit seal of approval in order to test new treatments or
variations of older treatments.

Read this report from Canada's largest TV station (CTV) written in October
of 2004 (FOUR) about Taxotere.........and scroll down the page to the name
** Dr. Andrew Loblaw ** of Sunnybrook Hospital's Cancer Care Centre.  That
man is our doctor and he told me about the studies a couple of times.

http://www.ctv.ca/servlet/ArticleNews/story/CTVNews/20041006/prostate_chemothera
py_20041006/TopStories?s_name=&no_ads
=

Then go back to *your* Google hit and read the words "landmark
studies"....guess who was doing that?  Quite a few hospitals in Canada,
including Sunnybrook.
> http://www.docguide.com/news/content.nsf/news/8525697700573E188525701200446324

> First, I have read what I said I have read. It was in a Canadian daily
> publication. I do not intend to take further time to research it. Heather
> can believe me or not, as it suits her.

No, I don't believe it frankly.  Probably something along the lines of that
slanted  *newspaper article* you started all of this with.

> And what Genome Labs have to do with *present* tx of PCa I'll leave to
> Heather's imagination.

You don't know what Genome Labs have to do with research on prostate cancer?
Astonishing!!  Allow me to educate you....

http://www.bccrc.ca/gsc/?h  and another.....

http://www.bccancer.bc.ca/ABCCA/NewsCentre/2004/BC+Cancer+Agency+researchers+see
k+answers+to+the+progression+of+prostate+cancer.htm


> I recommend that Heather, otherwise a nice person, heed her own
> admonishment.

I did and I am a nice person......until someone runs down my country, and my
healthcare system.

Now...will that do?  I have better things to do with my time than listen to
you and your Siamese Twin rave on about the US medical system....and put
down the rest of the world!!

Heather
I. P. Freely - 04 Oct 2005 03:31 GMT
>  I have better things to do with my time than listen to you and your
> Siamese Twin rave on about the US medical system....and put down the rest
> of the world!!

Uh, Heather . . . we didn't start this issue. We're just responding -- just
as you do -- to others' attacks on our system and our nation.

I.P.
I. P. Freely - 03 Oct 2005 21:06 GMT
> {Steve's] definition of *socialism* and ours is quite different.  A
> National Health Care System is just that.....a national health care
[quoted text clipped - 3 lines]
> I will not sit here and read [Steve's] distortions of the truth.   Get
> your facts straight!!

Fact: American Heritage Dictionary definition of socialized medicine reads,
verbatim "The provision of medical and hospital care for people at nominal
cost by means of government regulation of health services and subsidies
derived from taxation."

Something here looks, walks, and quacks like a duck.

I.P.
Steve Jordan - 03 Oct 2005 21:22 GMT
Quoting Heather:

>>{Steve's] definition of *socialism* and ours is quite different.  A
>>National Health Care System is just that.....a national health care
>>system.  It is not *socialism* as you perceive it to be.  Perhaps you
>>should learn how our system works, then you will have some idea of what
>>you are talking about.

(snip)

IP replied:

> Fact: American Heritage Dictionary definition of socialized medicine reads,
> verbatim "The provision of medical and hospital care for people at nominal
> cost by means of government regulation of health services and subsidies
> derived from taxation."
>
> Something here looks, walks, and quacks like a duck.

Er, not referring to a duck, but I think that Heather is just winging it.

She has absolutely no slightest clue regarding my definition of "socialism"
nor of my perception of it, if different from my definition. Yes, I know
that the foregoing sentence makes no sense;  I'm just trying to follow
Heather's train of thought. I have never discussed socialism here or
elsewhere on the 'net.

Regards,

Steve J

"Everyone is in favor of free speech.  Hardly a day passes without its
being extolled, but some people's idea of it is that they are free to say
what they like, but if anyone says anything back, *that* is an outrage."
--Sir Winston L. S. Churchill
I. P. Freely - 03 Oct 2005 22:12 GMT
> I'm just trying to follow Heather's train of thought

I hope that's not AMTRAK.

I.P.
Steve Jordan - 04 Oct 2005 01:14 GMT
Quoting me:

>>I'm just trying to follow Heather's train of thought

He responded:

> I hope that's not AMTRAK.

Er, no, I think that Canadian National Railways or mebbe Canadian Pacific
would be more likely.

Regards,

Steve J

"You must pay for conformity. All goes well as long as you run with
conformists. But you, who are honest men in other particulars, know that
there is alive somewhere a man whose honesty reaches to this point also,
that he shall not kneel to false gods, and, on the day when you meet him,
you sink into the class of counterfeits."
-- Ralph Waldo Emerson
Heather - 04 Oct 2005 03:28 GMT
> Er, no, I think that Canadian National Railways or mebbe Canadian Pacific
> would be more likely.

Hate to break it to you....but there is no Canadian Pacific Railways any
more....been gone for a long time.

Heather 8-))
I. P. Freely - 04 Oct 2005 03:34 GMT
"Steve Jordan" wrote>
> Er, no, I think that Canadian National Railways or mebbe Canadian Pacific
> would be more likely.

Here's hoping they have a better track record than AMTRAK.

I.P.
Heather - 04 Oct 2005 01:09 GMT
> Fact: American Heritage Dictionary definition of socialized medicine
> reads, verbatim "The provision of medical and hospital care for people at
> nominal cost by means of government regulation of health services and
> subsidies derived from taxation."<<<

You left out a couple of words.....on how it is paid for.   Or don't you
have *philanthropy* in the US??
Main Entry: socialized medicine
Function: noun

Medical and hospital services for the members of a class or population
administered by an organized group (as a state agency) and paid for from
funds obtained usually by assessments, philanthropy, or taxation

     Source: Merriam-Webster's Medical Dictionary, © 2002 Merriam-Webster,
Inc.
Heather - 03 Oct 2005 01:33 GMT
I won't even go into this, you two, other than to say that it is a blatant
bunch of lies and distortions!!    And for you to praise it astounds me!!

And that is all I will say on the matter.  But it is total BS with regard to
Canada!!

And to my knowledge, no Canadian has demonstrated a *sneering moral
superiority* with regard to the US medical system.  But you have just
demonstrated that to us and the rest of the world.

Heather

>> An article in The Washington Times by Michael Tanner, a PCa survivor:
>>
[quoted text clipped - 16 lines]
> -- Sir Winston L. S. Churchill (a half-American Brit, in case some are
> unaware of it)
I. P. Freely - 03 Oct 2005 01:57 GMT
"Heather"  wrote >
> And to my knowledge, no Canadian has demonstrated a *sneering moral
> superiority* with regard to the US medical system.

> What the f.ck do you have that I would even consider for a nano-second
> being jealous of?

> I was born in Canada and have lived here for all 66 years. When I was
> diagnosed with prostate cancer last October there was no rationing of f.ck 
[quoted text clipped - 4 lines]
> it sure as f.ck is not this guy.
> Grow up.

I.P.
Heather - 03 Oct 2005 02:05 GMT
> "Heather"  wrote >
>> And to my knowledge, no Canadian has demonstrated a *sneering moral
>> superiority* with regard to the US medical system.

And you should have seen the 2 other highly irate posts that I deleted
because I was trying to retain some composure!  And I wrote them well before
seeing  Charlie's post and I have to say I don't blame him for being so
angry.  That was an extremely patronizing bunch of crap by Stephen and has
no place on this news group.

And you wonder why we get so ticked off at *some* Yanks at times?  Try
reading it in the reverse and put yourself in our place.   You would be
furious as well.

And I am not about to get into a "my blank is bigger than your blank"
argument.  So drop it!!

HF
J - 03 Oct 2005 01:47 GMT
> > An article in The Washington Times by Michael Tanner, a PCa survivor:
> >
[quoted text clipped - 7 lines]
> The sneering moral superiority affected by some of them is once more given
> the lie.

Not sure who you think is firing or sneering.
Canadians with cancer or heart disease usually get prompt and very good care.
The others mightn't not since getting diagnosed requires a family doctor to
order tests.
Many don't have a family doctor and the tests take quite a while because of
backlogs.

On the other hand, perhaps if you read other newsgroups, you'd realize that
healthcare in the US isn't always that wonderful.
I was just reading that a 16 year old (with insurance) broke her femur on
Thursday a.m. at school.
She was transported to hospital (new Mexico)
AT 930 pm that night she still didn't have a room.
24 hours later she was in a room awaiting surgery.
She hadn't eaten in 18 hours because she wasn't supposed to eat before surgery.

At 5 pm (31 hours after her fall) they transferred her to a different hospital
so she could have a room for the night (they needed the other room for
something more urgent).
Then they were to transport her back to the original hospital for surgery the
next morning (48 hours after her fall). - which would be yesterday morning.
Her leg was splinted. I assume but don't know if they were giving her pain
medications.
Someone else replied to her that "county hospitals are full to the brim with
over the border people. so if
you went to a county chances are you could die whilst kids and mom and
dads get treatment first."  So all is not well in America....

Nor in Canada, but I'll spare you hearing the mess one (soon to retire) doctor
made of my friend's bone break.
J
ross lazarus - 03 Oct 2005 03:01 GMT
Steve, I'm sure your views are based on personal and extensive experience of health systems in
developed countries outside the USA? However, having lived and practiced medicine in Australia
(which had the same kind of publicly funded "socialised" medical system as our Canadian fellows) and
more recently having lived in the US and worked in the health care system here for 5 years, I
disagree with your view. The US has some excellent health care, although driven by the profit
imperative, there is a perhaps more emphasis on paperwork, gadgets and drugs than on health. Worse,
the very best care is only really available to those citizens and visitors fortunate enough to be
insured or otherwise able to afford it.

It may come as a surprise to some US dwellers who have little experience outside their own fair
shores, but there are other democratic, developed nations which manage to provide excellent health
care on a more equitable basis and with far less profiteering. Personally, I found that article to
be shallow and ignorant - typical of the jingoistic, polemical blathering of the ill-informed,
conservative nutjobs from the Cato Foundation. Rhetoric like that won't make the increasingly
serious social, legal and political imperfections of today's USA go away.

>> An article in The Washington Times by Michael Tanner, a PCa survivor:
>>
[quoted text clipped - 7 lines]
> The sneering moral superiority affected by some of them is once more
> given the lie.
I. P. Freely - 03 Oct 2005 05:17 GMT
> the very best care is only really available to those citizens and visitors
> fortunate enough to be insured or otherwise able to afford it.

Isn't that true of anything that costs money? It's called capitalism, and
it's a prime motivator for individuals, and, collectively, a society to work
hard and produce. The primary alternatives are socialism and its big
brother, communism, and most U.S. citizens want no part of those.

"Fortunate enough"? Luck seldom has much to do with it. Most millionaires
get rich by earning it and saving it, after paying their dues in education
and/or hard work. Other than being born with a good memory, did you "luck
into" being a physician?

I.P.
Claude - 03 Oct 2005 03:45 GMT
>> An article in The Washington Times by Michael Tanner, a PCa survivor:
>>
[quoted text clipped - 11 lines]
>
> Steve J

I wasn't going to participate in this, but I just can't let this right wing
nonsense pass.

Those Americans who are not able to afford our escalating private-enterprise
driven health insurance do not get the same care you do.  You are totally
deluded in thinking that.  Do you have anyone close to you who has been
seriously ill, but does not have health insurance?  I do.  Unfortunately
these people also cannot afford computers and internet access servers to
tell you what it's really like out there.
I. P. Freely - 03 Oct 2005 05:51 GMT
>  Unfortunately these people also cannot afford computers and internet
> access servers to tell you what it's really like out there.

Of course not. Most of them blew off their education, and many own pricier
cars than I do, have more kids than I do, smoke, watch nicer TVs than I
(mine cost under $100), buy their clothes in season at full retail, and have
been taught that it's the government's -- *M*Y* -- responsibility to take
care of them.

Sorry; no sale.

I.P.
Claude - 03 Oct 2005 13:18 GMT
>>  Unfortunately these people also cannot afford computers and internet
>> access servers to tell you what it's really like out there.
[quoted text clipped - 6 lines]
>
> Sorry; no sale.

IP, you are obviously well-read, very bright, extremely articulate.  But
it's obvious you have never lived with or worked with poor people.  I have.
You have demonstrated a very keen understanding of the complexity of dealing
with prostate cancer.  Unfortunately, you have no grasp or understanding of
the complexity of poverty.  You have bought into all of the easy cliches.
Alan Meyer - 03 Oct 2005 17:15 GMT
>>>  Unfortunately these people also cannot afford computers and internet access servers
>>> to tell you what it's really like out there.
[quoted text clipped - 11 lines]
> Unfortunately, you have no grasp or understanding of the complexity of poverty.  You
> have bought into all of the easy cliches.

I think Claude is right I.P.  Your statement really is composed of "easy cliches".
There are lazy poor people who smoke, watch TV, and spend their money
foolishly - but I think you'd be surprised if you lived in a poor neighborhood to
see how many people there behave a lot more responsibly than that.

When it comes to spending money foolishly the great American middle class,
and especially the "upper" middle class, seems to set an astonishingly
high standard.  Let's count the number of middle class people who buy
houses with mortgages at the extreme limit of their ability to pay, with credit
cards maxed out and paying 25% interest, with SUV's that cost double the
price of an economy car and get 1/3 the gas mileage, with second mortgages
that drained all the equity out of their houses, and with little or no savings in
spite of pretty good salaries.  How many of those with the good fortune to have
employer paid health insurance, are just one or a few missed paychecks
away from bankruptcy?

Is that a cliche?  Yes it is.  Many middle class people are not at all like that.

Your characterization of the poor is in the same class as that.

I wish it were true that every poor person could pull himself out of poverty
by his bootstraps.  But it isn't true.  Life can be very tough.

Is Medicaid a safety net providing health care to everyone who needs it?

No.  It's not.  Medicaid is much better than no Medicaid.  But millions of people
who really need it don't qualify at all and among those that do, the availability
of services is limited and strictly rationed.

See http://www.cbpp.org/2-4-05health.htm for a liberal, but still pretty well
documented discussion of the Medicaid program.

   Alan
I. P. Freely - 03 Oct 2005 18:26 GMT
"Alan Meyer" wrote.

> I think Claude is right I.P.  There are lazy poor people who smoke, watch
> TV, and spend their money
> foolishly - but I think you'd be surprised if you lived in a poor
> neighborhood to
> see how many people there behave a lot more responsibly than that.

That's why I said "many".
Not "all", or even "most", but "many".

I.P.
I. P. Freely - 03 Oct 2005 18:07 GMT
> I.P.  it's obvious you have never lived with or worked with poor people.
> I have. You have demonstrated a very keen understanding of the complexity
> of dealing with prostate cancer.  Unfortunately, you have no grasp or
> understanding of the complexity of poverty.  You have bought into all of
> the easy cliches.

I've not worked with the poor professionally, but I grew up in the deep,
very rural south with sharecropper kids who lived in uninsulated, unpainted
wooden "homes", and now I'm very often around migrant workers who pick fruit
80 hours a week and live in their 20-year-old cars. I have more respect and
empathy for hard-working people like that than I do people who choose bling
and yucks over an education and then expect a free ride at society's
expense. And I loathe the left's ENCOURAGEMENT of that choice.

By "poor" in this context and thread, I was referring to people who claim
they can't afford health insurance, regardlesss of their income. That
includes legions of people like my buddy whose pickup truck cost $40k U.S.
(it got repossessed), who lives in a beautiful 3-story home on a wooded
acre, who is trying to put three kids through school . . . and thus can't
afford medical care and went bankrupt.

I paid my own way through college, got my first cell phone just this summer,
drive my cheap cars into the ground, buy my clothes at Walmart at the end of
the season, have spent less than $3,000 on furniture in our 38 years of
marriage, consider my 100%-mortgaged $165k home almost lavish . . . and thus
have plenty of money for the IMPORTANT things in life. i.e., I CHOSE to be
well-off.

I know that true poverty is a snowball rolling down a mountainside, that
they face bigger obstacles to boot-strapping themselves than I did. But we
all have access to the same secondary education that millions of self-made
millionaires and scores of millions of middle class people did, and that's
where it starts.

I.P.
Alan Meyer - 03 Oct 2005 21:06 GMT
> ...
> I've not worked with the poor professionally, but I grew up in the deep, very rural
[quoted text clipped - 4 lines]
> society's expense. And I loathe the left's ENCOURAGEMENT of that choice.
> ...

It's a problem.  The left's demand for entitlements does indeed encourage
people to think that they are owed things by society and don't owe anything
in return.

On the other hand the right's insistence that everybody is responsible only
for himself and that the poor are poor only because they're lazy and/or
dumb, errs on the other side, accepting poverty, ill health, and many other
social evils because the people who suffer from them deserve them.

I don't pretend to know where the truth lies or what the best course of action
is.  I do know that, when push comes to shove, I have a lot more sympathy
for those sharecroppers and migrant workers you refer to than to the wealthy
folk who have whatever they want.

So, what precisely should we do for thos migrant workers working 80 hours
a week and living in cars?

Don't imagine for a minute that those folks get adequate medical care.  I'd
bet most of them don't get ANY medical care.

    Alan
I. P. Freely - 03 Oct 2005 21:50 GMT
"Alan Meyer" >
> On the other hand the right's insistence that everybody is responsible
> only
> for himself

I've never heard that from the right. The present administration has spent
far more -- about 40% more, I think the figure is -- fighting poverty than
any previous administration.

> and that the poor are poor only because they're lazy and/or
> dumb

Neither have I heard that applied across the board. Besides, I don't think
anyone would begrudge helping the mentally impaired, with self-induced drug
aftermath being a debatable case.

> accepting poverty, ill health, and many other
> social evils because the people who suffer from them deserve them.

And I haven't heard any responsible party use the "deserve" word.
"Self-inflicted", maybe, or "consequences of the decisions they made", such
as blowing off the education the taxpayers made certain they were provided
and/or addling their brains with drugs. .

> I have a lot more sympathy for those sharecroppers and migrant workers
> you refer to than to the wealthy

Certainly. But a) I don't OWE them any assistance, b) I'm much more inclined
to help the ones who jump though the green cards hoops, and c) the
government shouldn't force me to help them under penalty of law beyond bare
necessities . . . whatever the heck that means. Many of them already get
many valuable benefits you and I don't, including educational, medical, and
just plain cash just because they're immigrants, LEGAL OR NOT, or homeless
(regardless of income), or a minority group, etc.

> So, what precisely should we do for thos migrant workers working 80 hours
> a week and living in cars?

They should be next in line behind equally needy U.S. citizens such as the
mentally incompetent (with the congenital problems trumping the self-induced
ones), disabled vets, and I'm sure a few other groups I haven't thought of.
But should anyone with an average IQ and capable of flipping burgers or
digging ditches be outright GIVEN the same care a CEO can afford? Hell, no.
Taxed less, sure, but total equality? Of course not.

> Don't imagine for a minute that those folks get adequate medical care.
> I'd
> bet most of them don't get ANY medical care.

They get the same ER treatment I do, even if they're ringtails (that's what
my Hispanic bud, Ed, called himself, explaining that, "I'm not a wetback; I
swam across on an inner tube") and/or never paid a cent in taxes . . . and
that doesn't bother me. But passing laws that give them better college
chances, the same birth citizenship, job preferences, etc. as/than
tax-paying U.S. citizens punishes the latter for playing by the rules.

I.P.
Steve Kramer - 04 Oct 2005 01:46 GMT
> > Of course not. Most of them blew off their education, and many own pricier
> > cars than I do, have more kids than I do, smoke, watch nicer TVs than I
[quoted text clipped - 4 lines]
> Unfortunately, you have no grasp or understanding of
> the complexity of poverty.  You have bought into all of the easy cliches.

Nothing personal, but "'complexity of poverty" IS the cliché.  IP's
descriptions in his last few posts, whether garnered by experience or just
dumb luck, are extremely accurate.  The crux of the issue does not exist so
much in the complexity of poverty, but the simplicity of its solution.
I. P. Freely - 04 Oct 2005 03:25 GMT
"Steve Kramer" >
> Nothing personal, but "'complexity of poverty" IS the cliché.  . . .
>  The crux of the issue does not exist so
> much in the complexity of poverty, but the simplicity of its solution.

Yup:
Stay clean and sober.
Get edjicated.
Get a good job.
Quit pissing away yer money on bling.

Pretty straightforward for anyone without a mental handicap.

I.P.
John Loomis - 03 Oct 2005 00:54 GMT
What a great article...
Yes, we are fortunate, and at the same time are losing our hospitals
services, insurance rates are skyrocketing,and many cannot afford insurance.
What is the matter with this country that it cannot address these issue.....
Why are we chasing a bunch of radical islamic, and such, and not back here
at home fixing our country?
We need great health care, energy solutions, and mass transportation.  We
need good schools, and programs for kids after school while mom and dad are
working.
We , need, we, need, we need not to be spending lives, and our resources
fighting a religious battle........
Great Article, yes, America does have many things to be proud of, along with
those that we are not proud of.
I think the good outweighs the bad.
John Loomis
> An article in The Washington Times by Michael Tanner, a PCa survivor:
>
> http://www.washtimes.com/commentary/20050930-093555-3611r.htm
judamd@aol.com - 03 Oct 2005 15:48 GMT
Certainly the US of A has health care unsurpassed by any country in the
world.  My gripe is that many other countries provide equally good care
at a fraction of the cost, and I'm not talking just about Switzerland
and Sweden.  India and Thailand for instance have some medical
facilities equal to the best American hospitals with US and European
trained doctors and nurses at a quarter the cost.  Unfortunately, many
natives of those countries still can't afford even that but if I had no
insurance and was faced with a six figure procedure I'd be on the next
plane.  Outsourcing isn't limited to entry level manufacturing jobs.
Dave Perry
 
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