Ayn Rand versus Religion

One problem: While being an atheist, Rand was not a fan of evolution.

Her associate/boy-toy Nathaniel Brandon is quoted:


Thanks for the link.

This is something I have been wondering about based on my recent discussions with my friend who supports Objectivism.

He appears to believe humans have a natural state of being rational. And that we otherwise begin our lives in the world with a blank slate. It seems that all knowledge including logic is learned empirically according to Objectivism.

Now, it is my understanding of current neuroscience and evolutionary theory that these notions are contradicted. Human nature and indeed universals have been demonstrated. And we on the skeptics forum know too well about how irrational people can be.

So my question has been what Rand thought about these new emerging ideas before she died. The link argues she apparently did not really know very much about them.
 
But of course it is wonderful when you can take advantage of situations to extort others. Like if I have an epipen and you are dying of anaphylatic shock, I can demand as much payment as I want and have no responsibility to actually treat you unless you agree to my terms. Think about how profitable this would make emergency medicine.

Good example.

When I have tried to give similar arguments to my Objectivist friend, he talks about how Rand had a different definition of altruism and that you cannot construct moral theories "based on emergencies". (Those are his words, not mine.)
 
This analysis makes sense.

I have been arguing with a friend about Objectivism and one key problem we continue to have is that Rand has apparently redefined a lot of terms (such as "altruism" and "selfishness"). I have told my friend that changing definitions of words makes Rand's philosophy easily misunderstood. But he has replied that such changes are necessary because the current definitions used by society refer to "invalid" concepts.
Misunderstood or not, Rand's philosophy is an epic fail. There are many things for which solutions are not found in the free market. There are things the market forces result in the best outcomes and there are things which the free market does not give the best result.

I've given the case of new antibiotics as an example where the market forces would have many dead before a new antibiotic became cost effective enough to develop. Here is another example from this month's Lancet:
Corporations, profits, and public health
Shortly after taking over as CEO of British Petroleum (BP), Tony Haywood said, “We have too many people [at BP] who want to save the world…we need to concentrate on our primary goal: creating value for our shareholders.” Similarly, a well known anti-tobacco advert features an actor playing a tobacco company executive saying to its customers: “We're not in business for your health.” Tobacco and oil companies are easy targets, the first causing completely preventable disease and death, the latter consistently befouling the environment and killing endangered species as an integral cost of doing business. Public health, by contrast, is in business “for your health” and in the context of global health, “to save the world”. Are these two enterprises totally incompatible, as editor William Wiist suggests in the title to this collection, or is it possible that the energy of corporations can be directed and managed in ways that can protect and promote the health of the public in a meaningful way?
I have posted before about corporate social responsibility only to face arguments from some of the more Libertarian forum members that the corporate charge is the bottom line for the shareholders, without any responsibility to the so called "stakeholders". Some see it as a legal requirement that boards of directors are beholden to their fiduciary responsibility even if it means damaging the environment or other individual harm like selling tobacco.

I and a minority so far in the business community disagree. There are a few CEOs and business schools that recognize the stakeholder and corporate social responsibility. Rand would turn over in her grave at the thought.
 
Misunderstood or not, Rand's philosophy is an epic fail.

Epic? Even if fail, it's about 95% the same as current economic understanding as to the economic power of the West.

I understand the emotional need to trash her, but let's be real here. By the way, the religious right hates her, such as William F. Buckley, Jr. Why? Because she didn't base freedom (and capitalism-as-derivative) on a gift from God, but rather as a natural derivative from the rational human mind, which needs to be free to operate at maximum, beneficial potential.

Strange bedfellows. You should take a look at yourself. You are like a hardcore feminist throwing in with Pat Robertson to ban porn.


There are many things for which solutions are not found in the free market.

Sure, if you like to kibitz about the edges while the whole, massive, capitalist thing moves forward like a juggernaut, bring inconceivable amounts of benefits to the masses.

A tiny fraction of the West's economy is, indeed, still huge.


There are things the market forces result in the best outcomes and there are things which the free market does not give the best result.

Yes. This is why actual, scientific studies that map outcomes to political/economic "systems" are so valuable. More so if they can actually make testable predictions.

Would you agree that theories that make predictions, which have born out time and time again, would be something that carried some weight?


I've given the case of new antibiotics as an example where the market forces would have many dead before a new antibiotic became cost effective enough to develop. Here is another example from this month's Lancet:

Government was no magical gnostic about this. Everyone shut down development because nobody realized the issues with resistance evolving. On retrospect, humans should have used 2 or 3 antibiotic cocktails all along since it's ridiculously less likely something will spontaneously evolve a resistance to several different antibiotics at once, especially if they operate with dissimilar mechanisms.


Corporations, profits, and public health[/url]I have posted before about corporate social responsibility only to face arguments from some of the more Libertarian forum members that the corporate charge is the bottom line for the shareholders, without any responsibility to the so called "stakeholders". Some see it as a legal requirement that boards of directors are beholden to their fiduciary responsibility even if it means damaging the environment or other individual harm like selling tobacco.

You say this like it's a bad thing. Looking about at the fabulous health and wealth of people in the West, when compared to other, non-capitalist systems, I'm fine with it.

You want to hang around, polishing the edges, be my guest. Please use science, though, just as we try to do everywhere else. That's how we figured out tobacco was bad. And, as a small-L libertarian, I agree that the tobacco companies were committing fraud, especially as the evidence firmed up.


I and a minority so far in the business community disagree. There are a few CEOs and business schools that recognize the stakeholder and corporate social responsibility. Rand would turn over in her grave at the thought.

You have a road to haul. To put not too fine a point on it, it's largely still in the meme/rationalization stage.

Witness people like Bill Gates, who may very well have started his fund with the purpose of deflecting politicians hatin' on him, trying to sic anti-trust laws and whatnot. What politician wants to stand up and say, "This guy is a greedy pig, though he happens to give billions to charity!"

It's nothing new. Rockefeller turned philanthropist, too, I suspect for much the same reason. See, he was the king of the Robber Barons blah blah blah.
 
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Epic? Even if fail, it's about 95% the same as current economic understanding as to the economic power of the West.
You are cherry picking her philosophy if you think all she ever said was the free market is god. She was also completely wrong claiming third world populations were too ignorant and lazy to take advantage of their natural resources so it was fine if we considered them ours because we developed access to those resources. Such hubris ignores the money and direct support our government invested in oppressive regimes, and it's like saying the company that built your house owns it and you are now a renter, not a homeowner. If it weren't for our propping up corrupt regimes, American and international corporations would have been paid to build infrastructure rather than been given the resources themselves in exchange for development.

The bottom line: Rand implied our military might was essentially part of the free market forces without ever acknowledging that fact or explaining the role of military might in her world view.

Many of Rand's underlying premises were based solely on her personal experiences. And many of those premises were wrong.

And you are cherry picking our economy if you think police, fire, public health, highways, and a ton of other public elements only make up 5% of the economy.

I understand the emotional need to trash her, but let's be real here. By the way, the religious right hates her, such as William F. Buckley, Jr. Why? Because she didn't base freedom (and capitalism-as-derivative) on a gift from God, but rather as a natural derivative from the rational human mind, which needs to be free to operate at maximum, beneficial potential.
Alan Greenspan denounced Rand's ideas after the latest economic recession as well. He was shocked that the market forces didn't prevent the the sub prime loan fiasco. So what?

Strange bedfellows. You should take a look at yourself. You are like a hardcore feminist..
If I'm supposed to be hardcore, your view of women's rights must suck big time.

.. throwing in with Pat Robertson to ban porn.
Robertson is a hypocrite whose actions speak louder than his words:
to hear Robertson tell it, one of the abominations prompting God to hide his face from America is this country's self-indulgence, pursuit of financial gain and focus on wealth.

Which is the subject of today's column, and the basis for this humble question: What, pray tell, does the Good Lord make of Pat Robertson's gold-mining venture in Liberia with Charles Taylor, international pariah and one of the most ruthless, greedy and terror-producing heads of state in all of sub-Saharan Africa?
And that's not even mentioning Robertson was convicted of using donations to buy equipment for his private gold mine investment. I'd say Robertson was closer to a Rand supporter than you might think.


Sure, if you like to kibitz about the edges while the whole, massive, capitalist thing moves forward like a juggernaut, bring inconceivable amounts of benefits to the masses.

A tiny fraction of the West's economy is, indeed, still huge.
You see what you want to see. I work with police, fire and public health. Then there is all that political interference in the markets Rand warned about. And much of the cost of products that are spent on disposal is not included in the product's cost. It should be. I see a bigger 'blight' on your perfectly functioning free market than you seem to recognize. And yet you are happy with the results.


Yes. This is why actual, scientific studies that map outcomes to political/economic "systems" are so valuable. More so if they can actually make testable predictions.

Would you agree that theories that make predictions, which have born out time and time again, would be something that carried some weight?
If your assumptions about said predictions were correct. But when it comes to research and the economy, you'll have to present your case before I'm going to agree you actually have one.


Government was no magical gnostic about this. Everyone shut down development because nobody realized the issues with resistance evolving. On retrospect, humans should have used 2 or 3 antibiotic cocktails all along since it's ridiculously less likely something will spontaneously evolve a resistance to several different antibiotics at once, especially if they operate with dissimilar mechanisms.
You really shouldn't try to discuss this subject without a bit more education in the field. Your lack of knowledge of the basic underlying issues is showing here.


You say this like it's a bad thing. Looking about at the fabulous health and wealth of people in the West, when compared to other, non-capitalist systems, I'm fine with it.

You want to hang around, polishing the edges, be my guest. Please use science, though, just as we try to do everywhere else.
The Scandinavian countries seem to be doing quite well with their heavier dose of socialism. National health care programs such as Canada's and Britain's exceed the US in many outcome measures. The supposed waiting time for treatment is a myth. And governments invest in medical advances including our government, so the free market is not the sole driving force in medical research.

For example, a lot of medical research in the US takes place in universities under government grants. But those private companies carry out the last step of taking the discovery to market. They get all the profits, the government gives away what should be the public's return on investment. You should complain.

And much medical research is funded through non-profits. People have an interest in solving medical problems they or their loved ones might be suffering from.


You have a road to haul. To put not too fine a point on it, it's largely still in the meme/rationalization stage.
Think BP is going to have a net gain or a net loss from their business plan of putting profits over people and the environment?


Witness people like Bill Gates, who may very well have started his fund with the purpose of deflecting politicians hatin' on him, trying to sic anti-trust laws and whatnot. What politician wants to stand up and say, "This guy is a greedy pig, though he happens to give billions to charity!"

It's nothing new. Rockefeller turned philanthropist, too, I suspect for much the same reason. See, he was the king of the Robber Barons blah blah blah.
That's a pretty cynical view. When it comes to Gates, who lives in my neighborhood, BTW, (his house is only 5 miles from mine), I think it is an ignorant view. Melinda Gates, from what I see, had a much bigger influence on Bill than any bad publicity over his accumulation of wealth.

Gates definitely was an aggressive Rand style businessman when he built his wealth. But kids and a wife, as well as entering a new life phase is what seems to me to have resulted the change. Think about it. You reach your peak in your career, where else are you going to go? A highly motivated person like Gates has likely just felt he had done all he could with Microsoft and now he'd like to cure malaria. I sincerely doubt negative publicity or fear of the government were the main driving factors.
 
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I have been arguing with a friend about Objectivism and one key problem we continue to have is that Rand has apparently redefined a lot of terms (such as "altruism" and "selfishness").
Her most glaring redefinition was to the very concept that gave her philosophy its name: objectivity. She didn't want concepts such as "justice", "freedom" and "love" to be "merely subjective", and declared them to be "objective". Of course different people have very different ideas on what they mean, so she had to declare her own subjective view to be objective reality.

I think as soon as one declares concepts that are subject to opinion to be "objective" than one's philosophy is doomed as it no longer makes a distinction between "objective" and "subjective" and therefore all hope to objectively prove one's philosophy evaporates. The way I see it, one should not declare "subjectivity" as something bad, but rather one should embrace it. Many of the things that people find really important are subjective, or if they think it is important to get lots of people to agree on them: intersubjective.
 
Surprised no one has mentioned it yet -- but her philosophy was most likely influenced by her living in Russia when the Communists took over the government. Hmmm, perhaps no one mentioned it because it’s so obvious.
:)
 
I think what one needs to consider is there are at least two distinctly differently thinking humans in our social circles.

One group likes big gas guzzlers and America the bully, while the other is more of the consider the rest of the world type.

Very simplistic indeed (bad Republican vs good Liberal), almost childish, which informs me alot about your overall worldview. And also, how very American-centric. You do know that this board isn't just American?
 
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Surprised no one has mentioned it yet -- but her philosophy was most likely influenced by her living in Russia when the Communists took over the government. Hmmm, perhaps no one mentioned it because it’s so obvious.
:)
I posted it, but it was in an earlier recent Rand thread.


Note: this is from a different thread.
...
Rand has some reasonable rational ideas, but was influenced by the communist revolution in Russia and it is clear that distorted her view of the nature of humankind. In the Donahue interview she expresses a belief we own all the third world's natural resources because Western corporations paid to develop the infrastructure to recover the resources. That's like saying if someone pays to have a well drilled they agree they owe the driller for the cost of all the water they use once the well is in service.

The cult that developed around Rand was/is something else. It's an excuse for self indulgence so no wonder it attracted a following. But it pisses me off that Alan Greenspan who was in Rand's inner circle adopted her warped ideas and was involved in the recent economy tanking because he had the power and influence. He was like a conned ignorant sap, saying how misled he'd been believing the self interest of CEOs and their ilk would translate into protecting the interests of the stock holders. What a jerk.

And for Pardalis:
...It proved I and my fellow Progressives who don't trust the corporate decision makers and believe we need REGULATED capitalism were right. Regulation does not have to equate to directing the companies' business. It just needs to keep the a-holes honest.
That is 'a-holes' as in A MINORITY of corporate decision makers, not 'a-holes' as in ALL corporate decision makers.

Conservatives and Libertarians often claim that regulation is government interference and bad for business. Then we get big economic debacles that turn out to be the result of greed mucking up the free market and somehow the need for regulation to keep this human nature in check is overlooked.
 
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Very simplistic indeed (bad Republican vs good Liberal), almost childish, which informs me alot about your overall worldview. And also, how very American-centric. You do know that this board isn't just American?
Oh for crying out loud. It's mind boggling that people turn what I say into their own personal version and then proclaim it is I who has the simplistic black and white thinking.

Post the quotes you are referring to, Pard, rather than just your blanket ad hom and let's see what I actually said.
 
You really shouldn't try to discuss this subject without a bit more education in the field. Your lack of knowledge of the basic underlying issues is showing here...
National health care programs such as...Britain's exceed the US in many outcome measures. The supposed waiting time for treatment is a myth.

I live in the UK. I've had to wait for treatment via the NHS. It's no myth.

I'm guessing you don't live in the UK, and don't make use of our wonderful NHS.

Fortunately for me, I'm now on Bupa thanks to my wife's employer.

Back in 2006 my waiting time on the NHS to see a Dermatologist about suspected skin cancer was 2.5 months. It took another 5 weeks to get the damn thing removed.

The operation was very quick, and done under local anaesthetic. Despite this, I was told to turn up the previous evening and stay overnight.

I was stuck in an open-plan 'ward' with 5 other people. I'm guessing this used to a waiting area as it sat directly in front of a nurses station. There was no privacy.

The guy next to me was screaming in agony. His doctor came and asked me what I was in for, and on hearing told me to go home as I'd never get any sleep here. He did me a big favour, and I'm very thankful.

The only reason I was there taking up a bed was their inability to run a proper day surgery system. A system where I turn up the morning of the operation, have it, and then go home. The sort of system that would save everybody time, and the NHS money.

I did go home, and reported back to the nurses station the next morning. Nobody seemed to have noticed. They were all rushed off their feet. This was at the Royal Free in Hampstead. It's what actually happened to me, rather than some stat you read off a list compiled by a government employee.

Meanwhile on Bupa at a private hospital the waiting time to get the Upper GI Endoscopy I'm having tomorrow morning is 6 days.

I'm sitting at home typing this, rather than wasting my time in a hospital bed while the man next to me screams in agony as his doctor tries to stop the pain. The difference is night and day.

You can keep your damn NHS.
 
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So, why did you go to NHS? Why didn't you just buy private insurance? Why did you wait for your wife's employer to offer it?

Ward
 
Skeptic Ginger said:
Epic? Even if fail, it's about 95% the same as current economic understanding as to the economic power of the West.
You are cherry picking her philosophy if you think all she ever said was the free market is god. She was also completely wrong claiming third world populations were too ignorant and lazy to take advantage of their natural resources so it was fine if we considered them ours because we developed access to those resources.

You are the one who called it epic fail, not me. In order for it to be epic fail, it has to be wrong almost everywhere. I do not see that whatsoever.

Epic fail is thinking government is the core of human advancement.

I am willing to see evidence she thought there was something inherently lazy or incompetent about third world populations, as opposed to mere circumstances (culture, millenia of nothing but oppression, etc.) stultifying the local industry.

And what to do w.r.t. a third world population sitting atop natural resources we'd like to buy? As opposed to other, similar populations (Africa, e.g.) that do not sit atop them, so we leave them alone. Which tends to be better?

I, too, would like to wave a magic wand and install a free nation there. Until then, what? Someone there will seize control and sell into the international markets anyway. So even if you don't deal directly, someone will, and it will reduce international prices anyway.


Such hubris ignores the money and direct support our government invested in oppressive regimes, and it's like saying the company that built your house owns it and you are now a renter, not a homeowner. If it weren't for our propping up corrupt regimes, American and international corporations would have been paid to build infrastructure rather than been given the resources themselves in exchange for development.

Wut? Corporations do all the work, true, but are you saying there's a difference between whether they're paid directly, or do it as a side-effect of being allowed access? Are you suggesting the "locals" would get more money out of it by striking better deals with the corporations? And what does that have to do with Rand anyway?


The bottom line: Rand implied our military might was essentially part of the free market forces without ever acknowledging that fact or explaining the role of military might in her world view.

When it's used to...what? Brush aside local warlords? Gunboat diplomacy?

It's fashionable, of course, to presume that, once local warlords are swept away (in an ideal situation, I guess) that the resources are "owned by everybody" local to that area, and that the West should come in, when asked by same, and harvest it and spread the money around.

If you know a good way of doing this, let me know. I am willing to accept that "ownership" of such local resources was not obtained by any means we, in a free country, would consider proper. Which is to say, like old school kings who were the most skilled at killing off their neighbor lords.



Many of Rand's underlying premises were based solely on her personal experiences. And many of those premises were wrong.

Examples? "Many" examples?


And you are cherry picking our economy if you think police, fire, public health, highways, and a ton of other public elements only make up 5% of the economy.

And you are exhibiting hubris if you think things government does are necessarily, or even best, done by said government. We could fit the police, fire, roads, and so on, into the 5%. Just because government is an obese slob sitting on a sofa eating bon bons all day doesn't mean every last gas and fat roll is sexy. I would agree that you could not also squeeze in the gigantic, standing military.

Properly speaking, those things (police and military, anyway) are the proper tools used by free people to secure their rights.




Sure, if you like to kibitz about the edges while the whole, massive, capitalist thing moves forward like a juggernaut, bring inconceivable amounts of benefits to the masses.

A tiny fraction of the West's economy is, indeed, still huge.
You see what you want to see. I work with police, fire and public health. Then there is all that political interference in the markets Rand warned about. And much of the cost of products that are spent on disposal is not included in the product's cost. It should be. I see a bigger 'blight' on your perfectly functioning free market than you seem to recognize. And yet you are happy with the results.

"Costs of disposal not reflected in a product's cost" is a buzz phrase, much like "externalities", whose purpose is to conjure up a rationale to control business. Or so a cynic might think. If they hadn't seen it happen over and over through the decades.

Once direct attacks using class warfare began to falter at the polls more and more, those who would control business had to think up something else.

Don't really care about the minutia. Do care about the massive, wild successes of capitalism.


Yes. This is why actual, scientific studies that map outcomes to political/economic "systems" are so valuable. More so if they can actually make testable predictions.

Would you agree that theories that make predictions, which have born out time and time again, would be something that carried some weight?
If your assumptions about said predictions were correct. But when it comes to research and the economy, you'll have to present your case before I'm going to agree you actually have one.

For the eight billionth time, not that anyone pays attention, Theory. Prediction. Successful results.
Better yet, start with the epilogue.


Government was no magical gnostic about this. Everyone shut down development because nobody realized the issues with resistance evolving. On retrospect, humans should have used 2 or 3 antibiotic cocktails all along since it's ridiculously less likely something will spontaneously evolve a resistance to several different antibiotics at once, especially if they operate with dissimilar mechanisms.
You really shouldn't try to discuss this subject without a bit more education in the field. Your lack of knowledge of the basic underlying issues is showing here.

Evasion and cheap shot noted. Now please address it properly. Precisely what am I misunderstanding? The only technical problem (aside from interaction) with multiple antibiotics is, transparently and obviously, the issue of side effects, which can be bad enough from just one at a time.

The R&D into antibiotics was put on the back burner because of the wild success. When resistance started to rear its head, there was a lead time in getting back up to speed in forging new ground.

So, what am I misunderstanding here?


You say this like it's a bad thing. Looking about at the fabulous health and wealth of people in the West, when compared to other, non-capitalist systems, I'm fine with it.

You want to hang around, polishing the edges, be my guest. Please use science, though, just as we try to do everywhere else.
The Scandinavian countries seem to be doing quite well with their heavier dose of socialism. National health care programs such as Canada's and Britain's exceed the US in many outcome measures. The supposed waiting time for treatment is a myth. And governments invest in medical advances including our government, so the free market is not the sole driving force in medical research.

Of course it isn't the sole force, but it's is the major force. Socialized countries that restrict medical profits (for more reasons than just socialized medicine -- generally high tax rates and business-unfriendly climates may even exceed the socialized medicine itself as a drag on medical development) do indeed produce fewer innovations, per capita, than does the US. As such, they are not carrying their weight.

And, immediately and obviously, their "free" goodies they give out are, more likely than not, not invented by themselves. Other, more capitalistic economies drive most of the innovation, and they just take advantage of it.

Like a parasite, I submit. Sad and sickening. Their very own populations would be better off in the long run re-organizing their economies to be more business friendly to drug and cure and treatment development. And that would include letting medical companies profit more.


For example, a lot of medical research in the US takes place in universities under government grants. But those private companies carry out the last step of taking the discovery to market. They get all the profits, the government gives away what should be the public's return on investment. You should complain.

And a lot of people drive on roads because the government paves them. That does not mean, sans government, roads would not exist.

In any case, the public's "return on investment" is the supposed success of the R&D efforts themselves. Isn't that why the government asserts itself and dumps in the money? This is not an argument for government that I make, merely an observation of the status quo.

And, of course, "For example", most medical research in the US is done privately. Which says a lot because, it is true, the government dumps a ton into it. Why wouldn't you want both?

If greed can cure cancer a year earlier, there's millions of lives saved right there. Slowing development kills on the scale of major, ongoing wars. That is what I want to avoid because I get a kick out of seeing as much success as possible, and that's how I define it: most lives saved.



And much medical research is funded through non-profits. People have an interest in solving medical problems they or their loved ones might be suffering from.

I encourage foundations and so on. I also encourage greedy capitalists.

If someone invented a cure for AIDS tomorrow, but wanted to charge $10,000 per, no exceptions, would that be good or bad? (Note: I doubt they'd be anal about it for poor people, but that's beside the point.)



You have a road to haul. To put not too fine a point on it, it's largely still in the meme/rationalization stage.
Think BP is going to have a net gain or a net loss from their business plan of putting profits over people and the environment?

A loss, I hope. They destroyed that which did not belong to them.

Also, it's perfectly reasonable for the government, by way of the vote, to set rules on how risky one can be when dealing with something like that. It is my understanding BP exceeded the government-allowed risks. And neither the government nor BP is perfect, and big problems happen from time to time, and everybody learns and tries to prevent it in the future.

By the way, when a CEO says "corporate responsibility", they're just playing the age-old game of public relations. If embarrassment and losses help to increase conscientiousness n keeping machinery running properly, I'm all for it. Threats of social ostracism are all still in the realm of the voluntary.




Witness people like Bill Gates, who may very well have started his fund with the purpose of deflecting politicians hatin' on him, trying to sic anti-trust laws and whatnot. What politician wants to stand up and say, "This guy is a greedy pig, though he happens to give billions to charity!"

It's nothing new. Rockefeller turned philanthropist, too, I suspect for much the same reason. See, he was the king of the Robber Barons blah blah blah.
That's a pretty cynical view.


Thanks! All in a day's work.


When it comes to Gates, who lives in my neighborhood, BTW, (his house is only 5 miles from mine), I think it is an ignorant view. Melinda Gates, from what I see, had a much bigger influence on Bill than any bad publicity over his accumulation of wealth.

Gates definitely was an aggressive Rand style businessman when he built his wealth. But kids and a wife, as well as entering a new life phase is what seems to me to have resulted the change. Think about it. You reach your peak in your career, where else are you going to go? A highly motivated person like Gates has likely just felt he had done all he could with Microsoft and now he'd like to cure malaria. I sincerely doubt negative publicity or fear of the government were the main driving factors.

I would like to think you are right, but even if that's so now, I still think it's curiously coincidental to start about the time of the big anti-trust stuff here and in Europe was getting under way.

I still maintain it's all too common for the ultra-rich to play defensive politics by way of philanthropy. And the curious part of me would like to see success rates for these private funds vs. public funds, to see if spending one's own money (without direct profit potential) yields more results, more efficiently.
 
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I live in the UK. I've had to wait for treatment via the NHS. It's no myth.
I live in the US. I have excellent health coverage. I had to wait two months to see a rheumatologist and my son had to wait 3 months to see a dermatologist. I'm guessing you don't realize how long we have to wait here depending on the specialty.

Back in 2006 my waiting time on the NHS to see a Dermatologist about suspected skin cancer was 2.5 months. It took another 5 weeks to get the damn thing removed.
Believe it or not I wrote the above before reading this far down in your post.

I was stuck in an open-plan 'ward' with 5 other people. I'm guessing this used to a waiting area as it sat directly in front of a nurses station. There was no privacy.

The guy next to me was screaming in agony. His doctor came and asked me what I was in for, and on hearing told me to go home as I'd never get any sleep here. He did me a big favour, and I'm very thankful.
I've been a nurse for years. Patients don't get decent sleep in the hospitals here even in private rooms which most people don't get. Insurers will not pay for private rooms. It's not like one gets whatever one wants here. If you were very rich in either the UK or the US, my guess is you get your private room. If you are not, money or insurance coverage can be just as limiting as government allocation. More so, in fact, if you are poor and you can't get care at all.

The only reason I was there taking up a bed was their inability to run a proper day surgery system. A system where I turn up the morning of the operation, have it, and then go home. The sort of system that would save everybody time, and the NHS money.

I did go home, and reported back to the nurses station the next morning. Nobody seemed to have noticed. They were all rushed off their feet. This was at the Royal Free in Hampstead. It's what actually happened to me, rather than some stat you read off a list compiled by a government employee.
Incompetence in the system is not limited to the public sector. And the reverse can cause serious problems as well. Insurers cracked down on hospital stays years ago. Now patients are sent home too soon and return with raging infections.

Meanwhile on Bupa at a private hospital the waiting time to get the Upper GI Endoscopy I'm having tomorrow morning is 6 days.

I'm sitting at home typing this, rather than wasting my time in a hospital bed while the man next to me screams in agony as his doctor tries to stop the pain. The difference is night and day.

You can keep your damn NHS.
You'll need to compare the same specialists or the same procedures if you want to make your case. Like I said, seeing a dermatologist requires a long wait here. I got a CT Scan on the spot, however. So I cannot say your UGI wait was shorter because of the system or because that procedure doesn't have a waiting time.


I have read the studies on wait times in Canada and the UK and they are comparable to here. Going by just your anecdotal experience, your view of the bigger picture is limited. There are longer waits in rural areas be it NHS or private pay. Some specialties just have a shortage of physicians. It is not the system that results in the wait times.
 
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Wait times ARE a problem, at least here in Sweden. My mother, who's severely disabled by rheumatoid arthritis, had to wait some 2,5 years to get her hips replaced when she basically needed them right away, and that was with maximum queue skipping, so to speak.

I don't think privatization is a problem, however, but more encouragement for physicians. A lot of physicians work outside Sweden since our wages are comparatively low (but still very high compared to any other job).
 
Wait times ARE a problem, at least here in Sweden. My mother, who's severely disabled by rheumatoid arthritis, had to wait some 2,5 years to get her hips replaced when she basically needed them right away, and that was with maximum queue skipping, so to speak.

I don't think privatization is a problem, however, but more encouragement for physicians. A lot of physicians work outside Sweden since our wages are comparatively low (but still very high compared to any other job).
So there is a shortage of surgeons? 2.5 years is too long to wait if that was the case. But the evidence shows in many outcome measures, the US does worse than countries with universal health care. And we have problems with insurers denying claims, so the same thing could easily have occurred here.

The point is, we can cite anecdotes and myths. But the evidence says something else. The problem is wait times are affected by local medical care availability. It's a very complex problem then to compare one system to another if you are only comparing John's experience in Timbuktu with Mary's experience in Los Angeles. Even comparing LA to Seattle to Toronto to London are going to give you different wait times unrelated to the reimbursement system.

Wiki has a decent discussion of the issue.

And it's getting off topic and it is a time consuming tedious matter to debate. I don't have time right now but I suggest anyone who thinks they know because of their personal experience, take the time to look at the studies because of all the variables affecting one's personal experience.
 
Oops, I meant "I don't think privatization is a solution." I'm completely against privatization of health care, and I think it degenerates the service, making parts of it a luxury for the rich. That little typo basically flipped the meaning of my post, didn't it.


What I meant was, there ARE problems with public health care systems that need to be solved. That doesn't mean the public health care needs to be privatized and make profit.
 
Oops, I meant "I don't think privatization is a solution." I'm completely against privatization of health care, and I think it degenerates the service, making parts of it a luxury for the rich. That little typo basically flipped the meaning of my post, didn't it.


What I meant was, there ARE problems with public health care systems that need to be solved. That doesn't mean the public health care needs to be privatized and make profit.
Of course there are problems, and some trade offs with each system. I don't think I said there weren't. I said there was a wait times myth, and in this country people imagine wait times to be some huge difference between the systems because it has been grossly exaggerated by the people against national health insurance in this country. The myth is not that one never has to wait for service, the myth is that there is a huge drawback of wait times with universal care that does not exist in private care. The average person in this country has to (or would have to if they needed it) wait for many health care services. The net effect of an insurer deciding a knee replacement is only covered for people with severely advanced disease, or an insurer who only approves payment to surgeons within the "preferred provider" group can easily be similar wait times as you described.

It wouldn't surprise me if people in countries with NHS also believe the myth we don't have to wait for care here. :)
 
Obviously, the availability of physicians doesn't just magically increase in private health care, and making it public seems like a really freaking obvious thing for any human with a shred of solidarity.

But I digress. My bottom line is that both public and private health care has their problems, many of them shared, but at least everyone gets an equal opportunity in a public system.
 

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