-Caveat Lector-

http://www.amatecon.com/etext/dosm/dosm-ch01.html

<A HREF="http://www.amatecon.com/etext/dosm/dosm-ch01.html">The Dangers of
Socialized Medicine - Chapter 1</A>

Part II


       For over one hundred years, the American people said no to
governmental intervention into health care. Americans did not permit their
respective states to license physicians and other health-care providers. They
did not permit government to provide health care to the poor and needy. No
one was required to purchase health insurance. The result of this unusual way
of life was the most advanced medical system in the history of man.
       The real question is, �Why?� Why did five or six generations of
Americans say no to such governmental schemes and controls as licensing,
Medicare, Medicaid, and compulsory health insurance?
       President Clinton and his wife Hillary would have us believe that the
reason is that Americans simply had not yet invented or discovered these
devices. The Clintons claim that governmental control over people�s health,
and political redistribution of their wealth, are brand-new, 21st-century
concepts whose time has come. And, unfortunately, most Americans, having
received their �education� in public schools, don�t know any better.

The Declaration of Independence

       The reason for the American rejection of socialized medicine for over
one hundred years lies in the principles of the Declaration of Independence.
Our ancestors had a radically different understanding of the words in that
document than their counterparts living today.
       What did the words �. . .they [men] are endowed by their Creator with
certain unalienable rights; that among these are life, liberty, and the
pursuit of happiness. . . .� mean to our ancestors? They meant that you, as
an individual, have the right to live your life the way you choose, so long
as you do not interfere, in some direct way, with the rights of others to do
the same. You have a right to sustain your life by producing goods and
services through the exercise of talents and abilities that God gave you-and
then trading these with others who are doing the same. You have a right to
accumulate unlimited amounts of wealth (i.e., property) through this process.
And you have a right to choose what to do with your own money.
       And while the political process was certainly abused (i.e., slavery,
tariffs, railroad grants), the prevailing philosophy of our American
ancestors was that it was the height of evil and immorality to use the
political process to steal one person�s money in order to give it to someone
else. This is the reason�not ignorance, but rather morality�that Americans
rejected such schemes as Medicare, Medicaid, and Social Security. Unlike
their modern-day American counterparts, they believed in and practiced God�s
commandment, �Thou shalt not steal.�
       Here is an example of how radically different our ancestors� beliefs
were compared to those of Americans living today. In the 1880s, Texas farmers
suffered a long, devastating drought. Congress passed a relief bill that
appropriated $10,000 to the farmers. The philosophy of our American ancestors
was expressed by President Grover Cleveland�a Democrat!�in his veto message:


I find no warrant for such an appropriation in the Constitution, and I do not
believe that the power and the duty of the General Government ought to be
extended to the relief of individual suffering which is in no manner properly
related to the public service or benefit. A prevailing tendency to disregard
the limited mission of this power and duty should, I think, be steadfastly
resisted, to the end that the lesson should be constantly enforced that
though the people support the Government the Government should not support
the people.
       The friendliness and charity of our countrymen can always be relied
upon to relieve their fellow-citizens in misfortune. This has been repeatedly
and quite lately demonstrated. Federal aid in such cases encourages the
expectation of paternal care on the part of the Government and weakens the
sturdiness of our national character, while it prevents the indulgence among
our people of that kindly sentiment.and conduct which strengthens the bonds
of a common brotherhood.

       Thus, Americans believed that charity towards others meant nothing
unless it came from the willing heart of the giver. They understood that
�coerced charity� was simply disguised thievery. And while they would fight
to protect the right of a person to say no to his neighbor, they had faith
that most people would voluntarily help those in need.

�Freedom� according to the Clintons

       How dramatically different things are today. President and Mrs.
Clinton tell us that Americans must be forced to provide for everyone�s
health care. Private citizens are not able to take care of themselves. And
they certainly cannot be trusted to help others voluntarily. People should be
�free,� the Clintons tell us, as long as they do what they are told by their
political masters. And worst of all, the Clintons denigrate the memory of
people like Thomas Jefferson, George Washington, and Patrick Henry by falsely
claiming that the Declaration of Independence entails �a right to health
care,� that is, a right to steal the fruits of someone else�s earnings
through the use of the political process.
       Whenever the Clintons extol the virtues of socialized medicine, they
point to the European model. �France, Germany, and Great Britain all have
compulsory health care,� we are told, �and so how can a major industrial
power like the United States be without it?�
       What the Clintons need to be reminded of, however, is that two hundred
years ago, our ancestors fought a war in which they killed thousands of
British soldiers�and that the reason for these deaths was our ancestors� full
and complete rejection of the European model of omnipotent government that
now holds the Clintons and their statist supporters in its grip.
       The truth is that President and Mrs. Clinton and their statist friends
hate everything that the American revolutionaries and their 18th-century
successors believed in. The idea that an individual should be free to manage
his own life is anathema to the present-day American public official. Like
his European counterpart, he believes that private citizens exist only to
serve the public good-and to obey the commands of public officials.
       The Clintons and their cohorts have one, and only one, objective in
mind�to maintain the 20th-century, statist empire over which they preside.
But they know that, in the final analysis, they need the support of their
subjects to continue and expand their control. For this, they rely heavily on
the ignorance of those who received their �education� in social-studies
classes in public schools. And, unfortunately, public-school teachers have
done their job well. For Americans honestly believe the claims of the
Clintons and their statist friends that the so-called �health-care crisis�
reflects the failure of America�s �free-enterprise system.�

Free enterprise . . . or socialism?

       Free-enterprise system? How can licensing of physicians and other
health-care providers be �free enterprise�? Free enterprise means to engage
in enterprise freely. If a person must receive the permission of the
political authorities to engage in an enterprise, then the enterprise is not
free. The reason that 18th-century Americans had no licensing was not because
they were ignorant but because they knew that people had the God-given right
to engage in any economic enterprise without seeking the permission of their
public officials.
       Licensing of physicians came into existence in the U.S. at the
beginning of the 20th century. It is a device to limit the supply of doctors,
to protect them from competition, and to increase their income levels. It is
a throwback to the old European guild system that Americans in 1776 found so
revolting.
       Free enterprise? How can Medicare and Medicaid, established in the
1960s, be free enterprise? Here, the political process is used to steal money
from some individuals in order to give the loot to others. It is a throwback
to the old European, socialist notion of �from each according to ability, to
each according to need.�
       Free enterprise? How can the taxing of incomes be free enterprise?
Either people have the right to accumulate unlimited amounts of wealth by
serving others, or the political authorities decide how much a person will be
permitted to accumulate. The progressive taxation of incomes is a throwback
to the old, European, socialist notion of public ownership of the results of
production.
       The truth is that it is not �free enterprise� that has failed the
American people. Rather, it is the European, socialist experiment with which
the Clintons and their friends are so enamored that has failed the American
people. After several decades of the welfare state and the managed economy,
the chickens are coming home to roost. The old, decrepit, bankrupt European
ideas of governmental licensing and medical care for the poor and aged have
failed, not only here, but in Cuba, Russia, France, Great Britain, and
everywhere else they have been tried.
       And the results are clear for all to see. The American revolutionaries
and their 18th-century successors have been proven right. And their
20th-century counterparts have been proven wrong�and now they are
panic-stricken at the thought of their empire�and its omnipotent power over
the lives of the American people�coming crashing down.
       The struggle is not new�it has been going on for centuries. On the one
side are aligned the supporters of empire�of control�of plunder. Aligned on
the other side are the small minority of those who cherish individual
freedom. As the empire continues to crumble, the question is, will the
solution be more control, or will it be a dismantling of America�s
20th-century experiment with socialism?


Part III


       The only solution to America�s health-care crisis is to end, not
reform, governmental intervention into economic activity. What would this
entail? A way of life in which people would be free:

�to do whatever they want, so long as their conduct is peaceful and does not
intrude, in some direct way, on the rights of others to do the same; �to
engage in any economic activity without political permission or restriction;
�to enter into mutually beneficial exchanges with others; �to accumulate
unlimited amounts of wealth; �to choose for themselves what to do with their
own money�save, spend, donate, invest, or whatever.

       Generally, the solution to America�s social woes lies in ending, not
reforming, its welfare-state, regulated-economy way of life. Specifically,
the solution to America�s health-care crisis entails the elimination of
income taxation, licensing laws, Medicare, and Medicaid.

Income taxation

       What is the relationship of income taxation to the health-care crisis?
A major part of the problem is that people cannot afford the costs of health
care. But suppose income taxation had been abolished ten years ago. Assume
that a person has paid an average of $15,000 a year in income taxes. If he
had saved the money, this would mean, of course, that he would have $150,000
plus interest in his bank account�an amount that would be very helpful in
paying medical bills and medical-insurance premiums today.
       Now, granted, that�s water under the bridge. But the point is this:
the more money that government sucks out of the pockets of the people, the
more difficult it is for people to afford health care and other things they
wish to buy. Conversely, if people were free to keep everything they earn,
they would be able to afford health-care costs, as well as a multitude of
other things.

Helping the poor

       What about the poor�those who still would be unable to afford health
care? Doesn�t government have a duty to help them?
       No! First and foremost, it is important to remember the fundamental
immorality of governmental assistance. Under Medicare, Medicaid, or any other
political subsidization, the money is taken by force from one person
(primarily through income taxation) and given to another. When public
officials engage in this conduct, they celebrate the �goodness� of their act.
They say, �We are good because we are helping others.� But the truth is that
their conduct is highly evil, for they are �being good� with the fruits of
earnings that have been taken by force from others. In other words, while
their conduct is legal, it ranks with that of private thieves in terms of
morality.
       What would happen to the poor if Medicare and Medicaid (and all
coercive transfer programs) were eliminated (rather than reformed)? Would
they starve in the streets or die for lack of medical care?
       Governmental officials say, �Yes! The American people cannot be
trusted to care for others on a voluntary basis. They must be forced to
provide assistance to others through the Internal Revenue Service, Medicare,
Medicaid, and other welfare programs.�
       It is a lie. And it is the most important lie underlying the entire
welfare-state way of life. For if the American people ever conclude that they
can be trusted to care for others on a purely voluntary basis, that will be
the day that the welfare state will come to an end.
       How do we know that the American people would help others if they were
not forced to do so? Because the evidence is all around us. The caring nature
of others can be found everywhere.
       I grew up on a farm on the U. S.-Mexican border, near one of the
poorest cities in the United States. One day, one of our farm hands�a Mexican
illegal alien�discovered a lump on his neck. We took him to our physician,
who diagnosed the lump as cancerous.
       What happened to him? Well, it�s a story that will warm your heart. We
had a friend who had been poor for most of his life. His poverty had
dramatically ended with the discovery of huge quantities of oil under lands
on which he had a sizable interest. Our friend learned about the plight of
our employee. The next day, our friend picked up the employee, escorted him
to the airport, put him on his Learjet, and had him flown to Houston for
treatment at one of the world�s leading cancer clinics. The man was admitted
into the clinic, even though he had no money (although we suspected that our
friend may have covered the bill). The cancer was successfully treated�it
never recurred.
       And the same beneficent attitude characterized our family physician.
Every time I visited him, his waiting room was filled with people who could
not afford to pay for his services. I never saw him turn away�or heard of him
turning away�any patient for lack of ability to pay. He just kept treating
them even though the chances of his getting paid were minuscule.
       Does this happen all over the country? You bet it does! But it takes a
willingness to see it happen. The person who fails to see it is the person
who does not want to see it!
       It is useless to try to convince governmental officials of the caring
nature of the American people. For public officials have a vested interest in
the continuation of the welfare state.
       Our battle must be for the hearts and minds of those in the private
sector. They must be persuaded not only to have faith in themselves but,
equally important, to have faith in others as well. People�s belief must go
from, �I would help, but no one else would,� to �I would help, and I know
that others would do the same.� Once this shift in mind-set takes place among
the American people, the foundation of the welfare state will crumble.

Licensing

       Licensing is special-interest legislation for the benefit of
physicians and other medical personnel. Its primary purpose and effect are to
limit entry into the medical profession in order to protect medical people
from competition.
       Does licensing ensure competent doctors and nurses? If it does, then
why do we continue to have so many malpractice judgments against doctors and
other medical personnel? And one problem with licensing is that it seduces
the public into believing that because a person has been licensed by the
state, he must be competent.
       What would happen if licensing were repealed? Well, no one would run
out into the street looking for a quack to perform heart surgery on him. The
current stock of physicians would continue to exist. People would probably
continue using the doctor they are using today. What if someone needed a new
doctor? The likelihood is the person would rely on the recommendation of his
current physician. Moreover, well-established and well-known physicians in
the community would band together to publish a list of recommended doctors in
the area; private certifying agencies (i.e., Consumer Reports or Good
Housekeeping) would do the same. The market would provide the vehicles that
people needed for selecting their physicians and other health-care providers.
       What, then, is the difference between a system of licensing and one
without licensing? The latter enables people to reject the official or
approved method of treatment! For example, suppose someone who is not a
licensed physician treats an AIDS patient in some non-approved manner. Under
current law, he is thrown into jail for practicing medicine without a
license. And governmental officials tell the AIDS patient that he cannot use
the treatment because it might kill or otherwise injure him.
       But what authority does the state have to prevent a grown-up from
seeking out the medical care that he wishes to have? The decision as to what
course of action a person wishes to take with respect to the treatment of his
own illness properly lies with him, not with governmental officials. And,
while it may appear unlikely to the established medical order, there is
always the possibility that the alternative, non-approved treatment could
prove to be effective.
       The idea behind medical licensure can be summed up as follows: �We
governmental officials will not permit you to seek alternative medical care,
because you might hurt yourselves. No matter how old you are, you will always
be a child of the state. We will take care of you, just as your daddy and
mommy once did. We will not permit you to make mistakes. We will not let
others take advantage of you.�
       But one fundamental problem is that the state is not like daddy and
mommy were. After all, very few daddies and mommies inject their children
with malaria, hepatitis, and radiation, as the U.S. government did to
hundreds, possibly thousands, of Americans, some of whom were innocently
seeking medical care when they unknowingly received their injections. And
most daddies and mommies would never send their children to a place like the
Veterans� Administration Hospital for medical treatment; in fact, if they
did, they would surely be convicted of child abuse by any jury in the land.

Conclusion

       Several decades ago, the American people were seduced into abandoning
the principles of our ancestors. The state took control over our education.
It took control over our earnings. It took control over our economic
activity. It took control over our social activity. It took control over our
charitable activity.
       And now the state wishes to take control over our health care. If we
permit this to happen, we will reap the whirlwind, for the results will be as
disastrous as they have been in very other field of governmental endeavor.

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