<?xml version="1.0" encoding="UTF-8"?><rss version="2.0" xmlns:content="http://purl.org/rss/1.0/modules/content/" xmlns:dc="http://purl.org/dc/elements/1.1/" xmlns:atom="http://www.w3.org/2005/Atom" xmlns:sy="http://purl.org/rss/1.0/modules/syndication/" > <channel><title>Comments on: How ideology is shaping health care reform</title> <atom:link href="http://www.kevinmd.com/blog/2010/01/ideology-shaping-health-care-reform.html/feed" rel="self" type="application/rss+xml" /><link>http://www.kevinmd.com/blog/2010/01/ideology-shaping-health-care-reform.html</link> <description></description> <lastBuildDate>Tue, 14 Feb 2012 21:09:00 +0000</lastBuildDate> <sy:updatePeriod>hourly</sy:updatePeriod> <sy:updateFrequency>1</sy:updateFrequency> <xhtml:meta xmlns:xhtml="http://www.w3.org/1999/xhtml" name="robots" content="noindex" /> <item><title>By: Tad</title><link>http://www.kevinmd.com/blog/2010/01/ideology-shaping-health-care-reform.html#comment-123619</link> <dc:creator>Tad</dc:creator> <pubDate>Fri, 22 Jan 2010 19:19:01 +0000</pubDate> <guid isPermaLink="false">http://www.kevinmd.com/blog/?p=42144#comment-123619</guid> <description>Yes I am convinced more legislation is needed, because I can&#039;t think of any way to solve the problems of runaway costs and universal coverage without it.  I know there are those who think the answer to everything is legislation, but I&#039;m not one of them.  Neither am I one of those who believes a free market solves all problems (for all the negative things one can say about the government&#039;s ability to manage something, this isn&#039;t really a good time to make a case for the competence and wisdom of big business, either). If you can think of a way to force insurance companies to lower the amount they charge us while simultaneously covering everybody, I&#039;m all ears.  But I&#039;ll tell you upfront, I&#039;m dubious about any idea that says &quot;competition will take care of it&quot;.  We just came this close to sending the world into another Great Depression.  You&#039;&#039; forgive me if I&#039;m not real high on the wonders of capitalism right now.</description> <content:encoded><![CDATA[<p>Yes I am convinced more legislation is needed, because I can&#8217;t think of any way to solve the problems of runaway costs and universal coverage without it.  I know there are those who think the answer to everything is legislation, but I&#8217;m not one of them.  Neither am I one of those who believes a free market solves all problems (for all the negative things one can say about the government&#8217;s ability to manage something, this isn&#8217;t really a good time to make a case for the competence and wisdom of big business, either). If you can think of a way to force insurance companies to lower the amount they charge us while simultaneously covering everybody, I&#8217;m all ears.  But I&#8217;ll tell you upfront, I&#8217;m dubious about any idea that says &#8220;competition will take care of it&#8221;.  We just came this close to sending the world into another Great Depression.  You&#8221; forgive me if I&#8217;m not real high on the wonders of capitalism right now.</p> ]]></content:encoded> </item> <item><title>By: IVF-MD</title><link>http://www.kevinmd.com/blog/2010/01/ideology-shaping-health-care-reform.html#comment-123613</link> <dc:creator>IVF-MD</dc:creator> <pubDate>Fri, 22 Jan 2010 16:56:00 +0000</pubDate> <guid isPermaLink="false">http://www.kevinmd.com/blog/?p=42144#comment-123613</guid> <description>Tad, you are obvious passionate about wanting to improve things and so am I. I have no qualms about your motives.Where we differ is that you have been convinced that more legislation is better or maybe that this SPECIFIC legislation will make things better, whereas I strongly feel that it will make things worse.It would be good then, for us to educate each other on the facts of the issue to help each other understand our viewpoints as to what changes would likely take place if this bill goes through. And perhaps even prior to that, we might both want to reflect on the even broader question of how each of us have come to believe the things that we believe, whether it be by examining the evidence empirically, thinking things out logically or by allowing ourselves to be influenced by the media and/or institutionalized schooling. The last two are actually very powerful and in many ways, more powerful than most of us realize. Take care.</description> <content:encoded><![CDATA[<p>Tad, you are obvious passionate about wanting to improve things and so am I. I have no qualms about your motives.</p><p>Where we differ is that you have been convinced that more legislation is better or maybe that this SPECIFIC legislation will make things better, whereas I strongly feel that it will make things worse.</p><p>It would be good then, for us to educate each other on the facts of the issue to help each other understand our viewpoints as to what changes would likely take place if this bill goes through. And perhaps even prior to that, we might both want to reflect on the even broader question of how each of us have come to believe the things that we believe, whether it be by examining the evidence empirically, thinking things out logically or by allowing ourselves to be influenced by the media and/or institutionalized schooling. The last two are actually very powerful and in many ways, more powerful than most of us realize.<br /> Take care.</p> ]]></content:encoded> </item> <item><title>By: Tad</title><link>http://www.kevinmd.com/blog/2010/01/ideology-shaping-health-care-reform.html#comment-123574</link> <dc:creator>Tad</dc:creator> <pubDate>Fri, 22 Jan 2010 01:47:49 +0000</pubDate> <guid isPermaLink="false">http://www.kevinmd.com/blog/?p=42144#comment-123574</guid> <description>IV, I&#039;m not a politician, and I stand to profit or gain power not one iota from a health care like the one being debated now. Assuming I am genuinely interested in seeing it pass, which I am, what evil motive do you ascribe to me and the millions like me?   What else can you tell about my morals and my value system from my support of the health care proposal?That&#039;s a serious question, BTW</description> <content:encoded><![CDATA[<p>IV, I&#8217;m not a politician, and I stand to profit or gain power not one iota from a health care like the one being debated now.<br /> Assuming I am genuinely interested in seeing it pass, which I am, what evil motive do you ascribe to me and the millions like me?   What else can you tell about my morals and my value system from my support of the health care proposal?</p><p>That&#8217;s a serious question, BTW</p> ]]></content:encoded> </item> <item><title>By: Tad</title><link>http://www.kevinmd.com/blog/2010/01/ideology-shaping-health-care-reform.html#comment-123573</link> <dc:creator>Tad</dc:creator> <pubDate>Fri, 22 Jan 2010 01:43:31 +0000</pubDate> <guid isPermaLink="false">http://www.kevinmd.com/blog/?p=42144#comment-123573</guid> <description>&quot;I was merely saying that your conclusion about the motives of the politicians was based on something akin to what you call “a fundamental understanding of human behavior” and not based on what their actual observed actions are&quot; -------------------------------- Wow, IVF, you&#039;re seriously astonishing me here.  They couldn&#039;t possibly let people out of medical school let alone into people&#039;s organs with the kind of logic and intellectual rigor you&#039;re demonstrating here, could they?  That&#039;s 10% insult and 90% genuine jaw-dropping shock.Because even as you try to avoid saying it outright, you continue to state a pathologically delusional belief that you have the ability to read minds.  Do you really believe you are able to discern evil motive from a loooong overdue health care bill that is trying to make the best attempt to solve problems everybody (but you, apparently) is on board with trying to solve?  Seriously?I&#039;m not asking so I can debate a piece of the health care proposal wth you, you&#039;re pretty clearly beyond the debating point.I&#039;m just trying to understand what has you so emotionally roiled up that you&#039;ve started hallucinating.Seriously.Imagining that you can read minds is scary enough in a plumber.  In a physician, its bone-chilling.</description> <content:encoded><![CDATA[<p>&#8220;I was merely saying that your conclusion about the motives of the politicians was based on something akin to what you call “a fundamental understanding of human behavior” and not based on what their actual observed actions are&#8221;<br /> &#8212;&#8212;&#8212;&#8212;&#8212;&#8212;&#8212;&#8212;&#8212;&#8212;&#8211;<br /> Wow, IVF, you&#8217;re seriously astonishing me here.  They couldn&#8217;t possibly let people out of medical school let alone into people&#8217;s organs with the kind of logic and intellectual rigor you&#8217;re demonstrating here, could they?  That&#8217;s 10% insult and 90% genuine jaw-dropping shock.</p><p>Because even as you try to avoid saying it outright, you continue to state a pathologically delusional belief that you have the ability to read minds.  Do you really believe you are able to discern evil motive from a loooong overdue health care bill that is trying to make the best attempt to solve problems everybody (but you, apparently) is on board with trying to solve?  Seriously?</p><p>I&#8217;m not asking so I can debate a piece of the health care proposal wth you, you&#8217;re pretty clearly beyond the debating point.</p><p>I&#8217;m just trying to understand what has you so emotionally roiled up that you&#8217;ve started hallucinating.</p><p>Seriously.</p><p>Imagining that you can read minds is scary enough in a plumber.  In a physician, its bone-chilling.</p> ]]></content:encoded> </item> <item><title>By: David Allen, MD</title><link>http://www.kevinmd.com/blog/2010/01/ideology-shaping-health-care-reform.html#comment-123563</link> <dc:creator>David Allen, MD</dc:creator> <pubDate>Thu, 21 Jan 2010 23:07:52 +0000</pubDate> <guid isPermaLink="false">http://www.kevinmd.com/blog/?p=42144#comment-123563</guid> <description>Having read this article, I wonder why the author even wrote it.  It doesn&#039;t really accomplish anything.  His last sentences are really meaningless.  And I&#039;m still trying to figure out what he means by his introduction:  &quot;I’m an ideological pragmatist. I believe in what works and what suits the temperament of American people, rather than what is politically correct or what passes some moral litmus test.&quot;&#039;What works&#039; has a lot to do with what one is trying to accomplish, which has a lot to do with one&#039;s ideology.  What Cuba does currently, by controlling its populace, nationalizing businesses, etc. - could be viewed as &#039;not working&#039;, since the country is highly non-productive.  On the other hand, looked at through the leader&#039;s eyes, they are &#039;equalizing&#039; outcomes (even if the outcomes are generally bad) and so, they might view this as a success!Can the author necessarily believe both in &#039;what works&#039; and in &#039;what suits the temperament of the American people&#039;?  What if the American people want no new taxes and the best health care in the world run by the government?  It is up to the author (and each of us) to decide what is right and then convince others that it is right - the author is essentially abdicating this responsibility to think for himself.Even if the author feels he knows what is correct (which he doesn&#039;t appear to even claim)  but realizes that the American public won&#039;t be convinced to his way of thinking; at least he should advocate pushing, as much as possible, in the correct direction.But his view is the borrowed: &#039;All developed nations have a mix of public and private systems.&#039; and the implied - so we should too.  It&#039;s only a matter of the exact ratio of public to private, you see.  There are no fundamentally right or wrong principles, there is good and bad on either side, there is honestly and dishonesty on either side, time will tell, we&#039;ll see... yawn.</description> <content:encoded><![CDATA[<p>Having read this article, I wonder why the author even wrote it.  It doesn&#8217;t really accomplish anything.  His last sentences are really meaningless.  And I&#8217;m still trying to figure out what he means by his introduction:  &#8220;I’m an ideological pragmatist. I believe in what works and what suits the temperament of American people, rather than what is politically correct or what passes some moral litmus test.&#8221;</p><p>&#8216;What works&#8217; has a lot to do with what one is trying to accomplish, which has a lot to do with one&#8217;s ideology.  What Cuba does currently, by controlling its populace, nationalizing businesses, etc. &#8211; could be viewed as &#8216;not working&#8217;, since the country is highly non-productive.  On the other hand, looked at through the leader&#8217;s eyes, they are &#8216;equalizing&#8217; outcomes (even if the outcomes are generally bad) and so, they might view this as a success!</p><p>Can the author necessarily believe both in &#8216;what works&#8217; and in &#8216;what suits the temperament of the American people&#8217;?  What if the American people want no new taxes and the best health care in the world run by the government?  It is up to the author (and each of us) to decide what is right and then convince others that it is right &#8211; the author is essentially abdicating this responsibility to think for himself.</p><p>Even if the author feels he knows what is correct (which he doesn&#8217;t appear to even claim)  but realizes that the American public won&#8217;t be convinced to his way of thinking; at least he should advocate pushing, as much as possible, in the correct direction.</p><p>But his view is the borrowed: &#8216;All developed nations have a mix of public and private systems.&#8217; and the implied &#8211; so we should too.  It&#8217;s only a matter of the exact ratio of public to private, you see.  There are no fundamentally right or wrong principles, there is good and bad on either side, there is honestly and dishonesty on either side, time will tell, we&#8217;ll see&#8230; yawn.</p> ]]></content:encoded> </item> <item><title>By: IVF-MD</title><link>http://www.kevinmd.com/blog/2010/01/ideology-shaping-health-care-reform.html#comment-123558</link> <dc:creator>IVF-MD</dc:creator> <pubDate>Thu, 21 Jan 2010 22:07:45 +0000</pubDate> <guid isPermaLink="false">http://www.kevinmd.com/blog/?p=42144#comment-123558</guid> <description>lol Tad, if there&#039;s an idea that you would like to discuss so that we, and other readers can be enlightened, I&#039;d be glad to debate with you. I pledge not to resort to personal attacks and you are welcome to choose your own tactics as well.I was merely saying that your conclusion about the motives of the politicians was based on something akin to what you call &quot;a fundamental understanding of human behavior&quot; and not based on what their actual observed actions are. I still think we&#039;re in basic agreement on that. peace</description> <content:encoded><![CDATA[<p>lol Tad, if there&#8217;s an idea that you would like to discuss so that we, and other readers can be enlightened, I&#8217;d be glad to debate with you. I pledge not to resort to personal attacks and you are welcome to choose your own tactics as well.</p><p>I was merely saying that your conclusion about the motives of the politicians was based on something akin to what you call &#8220;a fundamental understanding of human behavior&#8221; and not based on what their actual observed actions are. I still think we&#8217;re in basic agreement on that. peace</p> ]]></content:encoded> </item> <item><title>By: Tad</title><link>http://www.kevinmd.com/blog/2010/01/ideology-shaping-health-care-reform.html#comment-123554</link> <dc:creator>Tad</dc:creator> <pubDate>Thu, 21 Jan 2010 21:49:52 +0000</pubDate> <guid isPermaLink="false">http://www.kevinmd.com/blog/?p=42144#comment-123554</guid> <description>IV... what exactly has got up in your underwear about this health care bill?  Try to have a little perspective: for a whole lot of Americans, this is one effed-up health care system.  Try not to see the path America needs to take in order to fix it as being all about you.  That&#039;s pretty selfish and short-sighted, don&#039;t you think?</description> <content:encoded><![CDATA[<p>IV&#8230; what exactly has got up in your underwear about this health care bill?  Try to have a little perspective: for a whole lot of Americans, this is one effed-up health care system.  Try not to see the path America needs to take in order to fix it as being all about you.  That&#8217;s pretty selfish and short-sighted, don&#8217;t you think?</p> ]]></content:encoded> </item> <item><title>By: Tad</title><link>http://www.kevinmd.com/blog/2010/01/ideology-shaping-health-care-reform.html#comment-123552</link> <dc:creator>Tad</dc:creator> <pubDate>Thu, 21 Jan 2010 21:36:00 +0000</pubDate> <guid isPermaLink="false">http://www.kevinmd.com/blog/?p=42144#comment-123552</guid> <description>IV... Unfortunately, no, you didn&#039;t read my reply correctly (I hope you read your patients&#039; medical charts better than replies to blogs).  My assertions are based entirely on observation and a fundamental understanding of human behavior. I can only shudder at the thought of a doctor treating patients while professing no understanding or acknowledgment of the fundamentals of basic human behavior. Your position-- which you must admit is severely compromised by a gigantic personal stake in the outcome-- not only throws out everything we know about people, but goes further by making motives up, completely out of your imagination.  Its a far more ridiculous position to take that you know these people&#039;s motives and they&#039;re evil than to assume their motives aren&#039;t any different than yours would be if you held that job.  I assume you&#039;re a fair and reasonable man who tires to do the right thing by his patients.  Are you really sayinf that if you were a politician, you would adopt a completely different personality and value system, tailored to whatever perks of the job you could wring out?  I find that very hard to believe, but that&#039;s precisely what you accuse those in Washington of.  Your best defense, the &quot;But They&#039;re Aren&#039;t Like Us&quot; defense is very, very weak.</description> <content:encoded><![CDATA[<p>IV&#8230;<br /> Unfortunately, no, you didn&#8217;t read my reply correctly (I hope you read your patients&#8217; medical charts better than replies to blogs).  My assertions are based entirely on observation and a fundamental understanding of human behavior. I can only shudder at the thought of a doctor treating patients while professing no understanding or acknowledgment of the fundamentals of basic human behavior. Your position&#8211; which you must admit is severely compromised by a gigantic personal stake in the outcome&#8211; not only throws out everything we know about people, but goes further by making motives up, completely out of your imagination.  Its a far more ridiculous position to take that you know these people&#8217;s motives and they&#8217;re evil than to assume their motives aren&#8217;t any different than yours would be if you held that job.  I assume you&#8217;re a fair and reasonable man who tires to do the right thing by his patients.  Are you really sayinf that if you were a politician, you would adopt a completely different personality and value system, tailored to whatever perks of the job you could wring out?  I find that very hard to believe, but that&#8217;s precisely what you accuse those in Washington of.  Your best defense, the &#8220;But They&#8217;re Aren&#8217;t Like Us&#8221; defense is very, very weak.</p> ]]></content:encoded> </item> <item><title>By: Tad</title><link>http://www.kevinmd.com/blog/2010/01/ideology-shaping-health-care-reform.html#comment-123548</link> <dc:creator>Tad</dc:creator> <pubDate>Thu, 21 Jan 2010 21:01:52 +0000</pubDate> <guid isPermaLink="false">http://www.kevinmd.com/blog/?p=42144#comment-123548</guid> <description>Oh, I thought you were talking about Kevin&#039;s blog.  You&#039;re right, I only know about Dr. Reece&#039;s positions what he said here, and it seemed awfully lopsided to me.  It sounds like he is saying Democrats are crooked and Republicans are impractical.  While there&#039;s something in there for both parties, the Dems get the clear shaft in that comparison.  I don&#039;t think either party has a legitimate claim to any moral superiority.  The paragraph in question left me with the impression that the good Dr Reece does.  If he doesn&#039;t, if maybe he just wasn&#039;t as clear and precise as he could have been, all the better.  Never mind.</description> <content:encoded><![CDATA[<p>Oh, I thought you were talking about Kevin&#8217;s blog.  You&#8217;re right, I only know about Dr. Reece&#8217;s positions what he said here, and it seemed awfully lopsided to me.  It sounds like he is saying Democrats are crooked and Republicans are impractical.  While there&#8217;s something in there for both parties, the Dems get the clear shaft in that comparison.  I don&#8217;t think either party has a legitimate claim to any moral superiority.  The paragraph in question left me with the impression that the good Dr Reece does.  If he doesn&#8217;t, if maybe he just wasn&#8217;t as clear and precise as he could have been, all the better.  Never mind.</p> ]]></content:encoded> </item> <item><title>By: IVF-MD</title><link>http://www.kevinmd.com/blog/2010/01/ideology-shaping-health-care-reform.html#comment-123546</link> <dc:creator>IVF-MD</dc:creator> <pubDate>Thu, 21 Jan 2010 20:52:52 +0000</pubDate> <guid isPermaLink="false">http://www.kevinmd.com/blog/?p=42144#comment-123546</guid> <description>I see, Tad. So if I read your reply correctly, your assertion that the politicians have sincere motives for helping people with this attempted healthcare takeover is based purely on your pre-existing beliefs that people (including politicians) are generally pretty good and it&#039;s not based on any observation of what they are actually doing in this case. I don&#039;t have the inclination to try to argue that.Thanks for clarifying, :)</description> <content:encoded><![CDATA[<p>I see, Tad. So if I read your reply correctly, your assertion that the politicians have sincere motives for helping people with this attempted healthcare takeover is based purely on your pre-existing beliefs that people (including politicians) are generally pretty good and it&#8217;s not based on any observation of what they are actually doing in this case. I don&#8217;t have the inclination to try to argue that.</p><p>Thanks for clarifying, <img src="http://cdn1.kevinmd.com/blog/wp-includes/images/smilies/icon_smile.gif?e8bd46" alt=':)' class='wp-smiley' /></p> ]]></content:encoded> </item> </channel> </rss>
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