December 11, 2007

“I Can’t See You”

Posted at 2:18 PM by John Quinterno

"The realization of what is hoped for and evidence of things not seen" is an apt definition not only of faith, but also of Washington's newest response to the problem of uninsured Americans.

In recent years, a variety of studies have shown what too many families know firsthand; namely, that health insurance is becoming harder to find. The share of Tar Heels without health insurance, for example, jumped from 13 to 17 percent between 2000 and 2006. Yet as the impasse surrounding the reauthorization of the State Children's Health Insurance program demonstrates, Washington seems unable to take even the simplest steps towards addressing a problem that threatens the well-being of Americans and the competitiveness of the nation's businesses.

One response that, sadly, appears to have garnered interest is simply to stop counting the uninsured, or at least stop counting them in an accurate way. Buried in the current debate over the federal budget are provisions to reduce funding for the two most reliable estimates of health insurance coverage produced by the U.S. Census Bureau. Reduced funding for the Survey of Income and Program Participation and the Current Population Survey would substantially undercut the reliability of insurance estimates in at least 27 states.

In a perverse way, this approach actually represents a kind of solution. After all, if the uninsured can't be seen or counted, there exists no challenge to the politician's naive faith that, when it comes to the uninsured, "all shall be well."

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10 Comments

10 Comments Add yours »

Pirate 11 Dec 2007 2:20 pm

“That the only purpose for which power can be rightfully exercised over any member of a civilized community, against his will, is to prevent harm to others. His own good, either physical or moral, is not sufficient warrant. He cannot rightfully be compelled to do or forbear because it will be better for him to do so, because it will make him happier, because, in the opinion of others, to do so would be wise, or even right…The only part of the conduct of anyone, for which he is amenable to society, is that which concerns others. In the part which merely concerns himself, his independence is, of right, absolute. Over himself, over his own body and mind, the individual is sovereign.” – John Stuart Mill

aplum 11 Dec 2007 2:23 pm

Hmm…isn’t that what we did with high school dropouts, undercount them.

gregflynn 12 Dec 2007 9:32 am

Pirate, you missed a spot. The very next text in Wikipedia:

“Though this principle seems clear, there are a number of complications. For example, Mill explicitly states that “harms” may include acts of omission as well as acts of commission. Thus, failing to rescue a drowning child counts as a harmful act, as does failing to pay taxes, or failing to appear as a witness in court. All such harmful omissions may be regulated, according to Mill.”

Pirate 12 Dec 2007 9:44 am

I get accused of providing bad sources because I offer a link to a timeline on the Discovery Channel and then you bust out with Wikipedia… nice.

gregflynn 12 Dec 2007 10:58 am

Perhaps the Stanford Encyclopedia of Philosophy is more to your liking:

It seems abundantly clear from various claims Mill makes both within On Liberty and elsewhere, that he is willing to countenance restrictions on individual liberty that do not appear designed to prevent harm to others. Here is a partial list of such commitments.

1. Some actions for the benefit of others may be compelled on the ground that their omission causes harm. These include (a) giving evidence in court, (b) contributing one’s fair share to common defense and other public goods, and (c) certain kinds of mutual aid (e.g. Good Samaritanism) (I 11).
2. Each may be required to bear his fair share of the costs of securing public goods (IV 3).
3. Government may regulate trade (e.g. fixing prices or regulating manufacture), because such conduct is not purely private (IV 4).
4. The state should make education compulsory (V 12-14). (a) This is a form of paternalism that is consistent with Mill’s scope worry (I 10), but also (b) a restriction on the liberty of parents that seems not to conform to the harm principle.
5. Mill accepts many forms of social welfare legislation. He thinks that local and central government are empowered to enact various kinds of legislation pursuant to the community’s interest (PPEV.i.2; CRGXV/CW XIX 538, 541). He explicitly includes the following items on the governmental agenda: (a) the redistribution of wealth (through taxes on earned and unearned income and inheritance) so as to ensure a decent minimum standard of living, (b) Poor Laws that provide work for the able-bodied indigent (PPE II.xii.2, V.xi.13), (c) labor regulation (e.g.regulation of the hours of factory-laborers) (PPE:V.xi.12), (d) provision for a common defense (OLI 11; PPEV.viii.1), (e) development of a system of public education (OL:V 12‑13; PPEII.xiii.3, V.xi.8; CRG VIII/467-70; AutoV/128), (f) maintenance of community infrastructure (e.g. roads, sanitation, police, and correctional facilities) (PPEV.viii.1; CRGXV/538, 541), and (c) state support for the arts (PPEV.xi.15). Some of these regulations restrict liberty directly; others do so indirectly inasmuch as the implementation of the legislation can only be supported by compulsory taxation.

In all of these cases, liberty is restricted not, it would seem, to prevent harm to others but rather to provide benefits to others. (1) alone explicitly tries to convert the failure to supply benefits into harms.

Jerimee 12 Dec 2007 12:16 pm

That got heavy real quick.

Regardless of if John Stuart Mill would agree with it, I would hope that the Republican party would not turn a blind eye to the suffering of North Carolina children.

I know that the “greed is good” crowd got some fancy ways of spinning their selfishness into some sort of academic virtue, but hopefully Republican leaders retain some sense of common decency.

Pirate 12 Dec 2007 12:45 pm

We prefer the term “selfishness is virtue”, actually. Greg, this pretty much reads like the National Republican Party platform.

Jerimee 13 Dec 2007 1:35 pm

Pirate, I can’t tell if you are joking or not.

If you are, I appreciate the joke.

If you’re not, I’m scared.

Pirate 14 Dec 2007 9:25 am

All of our motivations are based in selfishness. When you volunteer for a cause, donate money to charity, or give someone a helping hand, you may appear ‘selfless’ but you really aren’t because helping people makes us feel good about ourselves. A truly selfless act means you receive no sense of satisfaction or benefit from doing the act and would also require an external motiviational force (like men in black suits with firearms).

1) Altruism = A willingness to sacrifice yourself to others.
2) Subjectivist Egoism = A willingness to sacrifice others to yourself.
In both of these philosophies, human existence requires martyrs; some men are mere means to the ends of others; somebody must be sacrificed. Is it your life for their sake or theirs for yours? This is not a dispute over a moral principle. It is a haggling over victims by two camps who share the same principle.

3) Selfishness = Concern with one’s own interests.
Man is an end in himself. The sacrifice of a man’s free will is evil no matter who becomes the beneficiary.

http://www.amazon.com/Virtue-Selfishness-Ayn-Rand/dp/0451163931

“The meaning ascribed in popular usage to the word “selfishness” is not merely wrong; it represents a devastating intellectual “package-deal,” which is responsible, more than any other single factor, for the arrested moral development of mankind. In popular usage, the word “selfishness” is a synonym of evil: the image it conjures is a murderous brute who tramples over piles of corpses to achieve his own end, who cares for no living being and pursues nothing but the gratification of the mindless whims of any immediate moment. Yet the exact meaning and dictionary definition of the word “selfishness” is concern with one’s own interests. This concept does not include a moral evaluation; it does not tell us whether concern with one’s own interests is good or evil, nor does it tell us what constitutes man’s actual interests. It is the task of ethics to answer such questions.” (The Virtues of Selfishness)

“The Objectivist ethics proudly advocates and upholds rational selfishness–which means: the values required for man’s survival qua man–which means: the values required for human survival–not the values produced by the desires, the emotions, the “aspirations,” the feelings, the whims or the needs of irrational brutes, who have never discovered an industrial society and can conceive of no self-interest but of grabbing the loot of the moment. The Objectivist ethics holds that human good does not require human sacrifice and cannot be achieved by the sacrifice of anyone to anyone. It holds that the rational interests of men do not clash–that there is no conflict of interests among men who do not desire the unearned, who do not make sacrifices nor accept them, who deal with one another as traders, giving value for value.” (The Virtues of Selfishness)

infarse 4 Apr 2009 12:37 am

???.. ??????? …

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