Hi Ray:

The same as you pay them for talent or luck.  But you don't give a guy (or
company) exclusivity for a hundred years or whatever the time frame is,  for
what may amount to a good dream and a little thinking.

Thomas


----------
>From: "Ray Evans Harrell" <[EMAIL PROTECTED]>
>To: "Harry Pollard" <[EMAIL PROTECTED]>, <[EMAIL PROTECTED]>,
<[EMAIL PROTECTED]>, <[EMAIL PROTECTED]>
>Subject: Re: [Futurework] NYTimes.com Article: For Middle Class, Health
Insurance Becomes a Luxury
>Date: Mon, Dec 8, 2003, 10:02 AM
>

> Once you get rid of the patent system which includes copyrights how would
> you pay people for their creativity?
>
> REH
>
>
> ----- Original Message -----
> From: "Harry Pollard" <[EMAIL PROTECTED]>
> To: <[EMAIL PROTECTED]>; <[EMAIL PROTECTED]>;
> <[EMAIL PROTECTED]>
> Sent: Monday, December 08, 2003 3:01 AM
> Subject: RE: [Futurework] NYTimes.com Article: For Middle Class, Health
> Insurance Becomes a Luxury
>
>
>> Arthur,
>>
>> We could start by getting rid of the patent system that
>> articially raises drug prices along with the bottom lines of the
>> huge drug companies. This money helps them pay off Congress.
>>
>> If you saw the Bill Moyer show on Friday you would appreciate why
>> Eisenhower originally intended to call it the
>> military-industrial-congressional complex.
>>
>> Of course the other privileges should also go - primarily the one
>> that gives some people the ability to collect Economic Rent - or
>> rather an amount much higher than economic Rent, because the
>> price mechanism doesn't control Rent. Thus it becomes something
>> known throughout history - rack-rent - the path to poverty for
>> generations of peasants.
>>
>> So, we are back to the problems in the article. If the basics are
>> not dealt with, such problems will always be with us. But as
>> Thoreau said: "There are a thousand hacking at the branches of
>> evil to one who is striking at the root . . . . "
>>
>> So, I'll keep striking, perhaps to little avail, leaving the rest
>> of you to get sweaty hacking away at those branches. Of course
>> there is great benefit to doing that, That's the psychological
>> uplift that reformers get even if nothing of consequence is
>> accomplished. I know - I've been one.
>>
>> So, work on a dozen or a hundred programs designed to ameliorate
>> rather than end misery. It passes the time.
>>
>> Harry
>>
>> PS It costs $266 a month for a 59 year old to join Kaiser. That
>> $275 for Ms Pard's nine year old seem a bit stiff.
>>
>>
>> ********************************************
>> Henry George School of Social Science
>> of Los Angeles
>> Box 655  Tujunga  CA  91042
>> Tel: 818 352-4141  --  Fax: 818 353-2242
>> http://haledward.home.comcast.net
>> ********************************************
>>
>>
>> -----Original Message-----
>> From: [EMAIL PROTECTED]
>> [mailto:[EMAIL PROTECTED] On Behalf Of
>> [EMAIL PROTECTED]
>> Sent: Sunday, November 16, 2003 4:45 PM
>> To: [EMAIL PROTECTED]; [EMAIL PROTECTED]
>> Subject: RE: [Futurework] NYTimes.com Article: For Middle Class,
>> Health Insurance Becomes a Luxury
>>
>> So, Harry P., how do you deal with this??
>>
>> -----Original Message-----
>> From: [EMAIL PROTECTED]
>> [mailto:[EMAIL PROTECTED]
>> Sent: Sunday, November 16, 2003 3:38 PM
>> To: [EMAIL PROTECTED]
>> Subject: [Futurework] NYTimes.com Article: For Middle Class,
>> Health Insurance Becomes a Luxury
>>
>>
>> This article from NYTimes.com
>> has been sent to you by [EMAIL PROTECTED]
>>
>>
>> For those who are not NYT subscribers.
>>
>>
>> [EMAIL PROTECTED]
>>
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>>
>> For Middle Class, Health Insurance Becomes a Luxury
>>
>> November 16, 2003
>>  By STEPHANIE STROM
>>
>>
>>
>>
>>
>> DALLAS - The last time Kevin Thornton had health insurance
>> was three years ago, which was not much of a problem until
>> he began having trouble swallowing.
>>
>> "I broke down earlier this year and went in and talked to a
>> doctor about it," said Mr. Thornton, who lives in Sherman,
>> about 60 miles north of Dallas.
>>
>> A barium X-ray cost him $130, and the radiologist another
>> $70, expenses he charged to his credit cards. The doctor
>> ordered other tests that Mr. Thornton simply could not
>> afford.
>>
>> "I was supposed to go back after the X-ray results came,
>> but I decided just to live with it for a while," he said.
>> "I may just be a walking time bomb."
>>
>> Mr. Thornton, 41, left a stable job with good health
>> coverage in 1998 for a higher salary at a dot-com company
>> that went bust a few months later. Since then, he has
>> worked on contract for various companies, including one
>> that provided insurance until the project ended in 2000. "I
>> failed to keep up the payments that would have been
>> required to maintain my coverage," he said. "It was just
>> too much money."
>>
>> Mr. Thornton is one of more than 43 million people in the
>> United States who lack health insurance, and their numbers
>> are rapidly increasing because of ever soaring cost and job
>> losses. Many states, including Texas, are also cutting back
>> on subsidies for health care, further increasing the number
>> of people with no coverage.
>>
>> The majority of the uninsured are neither poor by official
>> standards nor unemployed. They are accountants like Mr.
>> Thornton, employees of small businesses, civil servants,
>> single working mothers and those working part time or on
>> contract.
>>
>> "Now it's hitting people who look like you and me, dress
>> like you and me, drive nice cars and live in nice houses
>> but can't afford $1,000 a month for health insurance for
>> their families," said R. King Hillier, director of
>> legislative relations for Harris County, which includes
>> Houston.
>>
>> Paying for health insurance is becoming a middle-class
>> problem, and not just here. "After paying for health
>> insurance, you take home less than minimum wage," says a
>> poster in New York City subways sponsored by Working Today,
>> a nonprofit agency that offers health insurance to
>> independent contractors in New York. "Welcome to
>> middle-class poverty." In Southern California, 70,000
>> supermarket workers have been on strike for five weeks over
>> plans to cut their health benefits.
>>
>> The insurance crisis is especially visible in Texas, which
>> has the highest proportion of uninsured in the country -
>> almost one in every four residents. The state has a large
>> population of immigrants; its labor market is dominated by
>> low-wage service sector jobs, and it has a higher than
>> average number of small businesses, which are less likely
>> to provide health benefits because they pay higher
>> insurance costs than large companies.
>>
>> State cuts to subsidies for health insurance to help close
>> a $10 billion budget gap will cost the state $500 million
>> in federal matching money and are expected to further spur
>> the rise in uninsured. In September, for example, more than
>> half a million children enrolled in a state- and
>> federal-subsidized insurance program lost dental, vision
>> and most mental care coverage, and some 169,000 children
>> will lose all insurance by 2005.
>>
>> "These were tough economic times that the legislature was
>> dealing with, and the governor believed in setting the tone
>> for the legislative session that the government must
>> operate the way Texas families do and Texas businesses do
>> and live within its means," said Kathy Walt, spokeswoman
>> for Gov. Rick Perry.
>>
>> She noted that the legislature raised spending on health
>> and human services by $1 billion this year, and that
>> lawmakers passed two bills intended to make it easier for
>> small businesses to provide health insurance for their
>> employees.
>>
>> Those measures, however, will not help Theresa Pardo or
>> other Texas residents like her who have to make tough
>> choices about medical care they need but cannot afford.
>>
>> Ms. Pardo, a 29-year-old from Houston, said that having no
>> insurance meant choosing between buying an inhaler for her
>> 9-year-old asthmatic daughter or buying her a birthday
>> present. The girl, Morgan, lost her state-subsidized
>> insurance last month, and now her mother must pay $80
>> instead of $5 for the inhaler.
>>
>> Rent, car payments and insurance, day care and utilities
>> cost Ms. Pardo more than $1,200 a month, leaving less than
>> $200 for food, gas and other expenses. So even though her
>> employer, the Harris County government, provides her with
>> low-cost insurance, she cannot afford the $275 a month she
>> would have to pay to add her daughter to her plan.
>>
>> When Morgan's dentist recently wanted to pull a tooth, Ms.
>> Pardo hesitated. The tooth extraction proceeded, but: "I
>> had to ask him, if you pull this tooth, will it cause other
>> problems? Because if it does, I can't afford to deal with
>> them."
>>
>> Lorenda Stevenson said her choice was between buying
>> medicine to treat patches of peeling, flaking skin on her
>> hands, arms and face and making sure her son could continue
>> his after-school tennis program. "There's no way I will cut
>> that out unless we don't have money for food," she said.
>>
>> Mrs. Stevenson's husband, Bill, lost his management job at
>> WorldCom two years ago, when an accounting scandal forced
>> the company into bankruptcy. They managed to pay $900 a
>> month for Cobra, the government policy that allows workers
>> to continue their coverage after they lose their jobs, but
>> when the cost rose to $1,200, they could no longer afford
>> it.
>>
>> When their son, a ninth grader, needed a physical and shot
>> to take tennis, Mrs. Stevenson turned to the Rockwall Area
>> Health Clinic, a nonprofit clinic in Rockwall, a city of
>> 13,000 northeast of Dallas. The clinic charged her $20
>> instead of the $400 she estimated she would have paid at
>> the doctor's office.
>>
>> "I sat filling out the paperwork and crying," she said,
>> tears streaming down her face. "I was so embarrassed to
>> bring him here."
>>
>> A salve to treat her skin condition costs $27, and she pays
>> roughly $50 a month for medications for high blood pressure
>> and hormones. She does without medication she needs for
>> acid reflux, treating the conditions sporadically with
>> samples from the clinic.
>>
>> Carol Johnston cannot afford even doctor visits. A single
>> mother in Houston, she lost her job in health care
>> administration in May and said she was still unemployed
>> despite filling out 500 to 600 applications and attending
>> countless job fairs.
>>
>> Cobra would have cost $214 a month, or more than one-fifth
>> of the $1,028 in unemployment she gets a month. As it is,
>> her monthly bills for rent, car, utilities and phone exceed
>> her income.
>>
>> She got a 12-month deferral on her student loans, and Ford
>> pushed her car payments back by two months. The Johnstons
>> rely on television for entertainment and almost never use
>> air-conditioning, despite Houston's muggy, hot climate.
>>
>> Now Ms. Johnston's 16-year-old son is losing the portion of
>> his insurance that covered treatment for his learning and
>> emotional disabilities because of state cutbacks.
>>
>> Ms. Johnston herself does not qualify for Medicaid, the
>> government insurance program for the indigent, because her
>> income is too high, the same reason she qualifies for only
>> $10 a month in food stamps. "I worry, I worry so much about
>> making sure my son is safe," she said.
>>
>> As for her own health, Ms. Johnston has two cysts in one
>> breast and three in another but has had only one aspirated
>> because she cannot afford to check on the others. "Do I
>> have to move to Iraq to get help?" she asked. "They have
>> $87 billion for folks over there," she said, referring to
>> money Congress allocated for military operations and
>> rebuilding.
>>
>> Experts warn that allowing health problems to fester is
>> only going to increase the costs of health care for the
>> uninsured. "As Americans, when are we going to realize it's
>> cheaper to save them on the front end than when they get
>> cancer and show up in the emergency room?" said Sandra B.
>> Thurman, executive director of PediPlace, a nonprofit
>> health clinic in Lewisville, Tex.
>>
>> Many hospitals and neighborhood clinics here say that the
>> well-heeled are now joining the poor in seeking their care.
>> Emergency rooms are particularly hard hit, since federal
>> law requires them to treat anyone who walks through their
>> doors for emergency treatment, regardless of whether they
>> can pay.
>>
>> Public hospital emergency rooms are even harder hit, since
>> private hospitals will move quickly to shift uninsured
>> patients to them. And clinics for the poor are also seeing
>> an increase in demand.
>>
>> A clinic run by Central Dallas Ministries charges patients
>> $5 for a doctor visit, $10 for medication and $15 if
>> laboratory work is needed, but often settles for no payment
>> from many of the 3,500 patients it treats each year.
>>
>> "I'm not real optimistic it will get a lot better," said
>> Larry Morris James, executive director of Central Dallas
>> Ministries. "Demographic and economic trends tell you that
>> it's probably going to get worse."
>>
>> For Irma Arellano, the problem has already hit home. Mrs.
>> Arellano is a secretary in the Royse school district
>> northeast of Dallas, which provides her health insurance
>> for $35 a month but offers no discounts for her three
>> children or husband.
>>
>> Two years ago, the Arellanos paid $269 a month to insure
>> the family. The price jumped last year to $339 and this
>> year to $780, more than their monthly mortgage payment.
>>
>> Her husband works for a small landscaping company that does
>> not offer insurance. So Mrs. Arellano is insured, but her
>> husband, Jose, and their three children - Jackie, 16; Joe,
>> 15; and Anthony, 13 - are going without insurance.
>>
>> The Arellanos' income, which ranges from $2,800 to $3,200 a
>> month, makes them ineligible for state-subsidized
>> insurance. Their basic expenses run $2,000 a month or more.
>>
>>
>> "I'm one of those people in the middle," Mrs. Arellano
>> said. "We don't make enough to pay for insurance ourselves,
>> but we make too much to qualify for CHIP," the
>> government-subsidized program for children.
>>
>> So her children were recently at the Rockwall clinic for
>> the physicals they need to participate in after-school
>> sports, paying $25 instead of the $100 or more Mrs.
>> Arellano would have paid at the doctor's office.
>>
>> The family has catastrophic insurance, but Mrs. Arellano is
>> uncertain how much longer she can afford it. Mr. Arellano's
>> income typically drops in the winter, and his wife is
>> hoping the children will then qualify for the state
>> insurance program.
>>
>> Even so, newly initiated regulations require families to
>> reapply for the insurance every six months, rather than
>> once a year, so they are not likely to qualify for long.
>>
>> "I'll take what I can get," Mrs. Arellano said.
>>
>>
>> http://www.nytimes.com/2003/11/16/national/16INSU.html?ex=1070015
>> 089&ei=1&en
>> =71a5f688d394a03d
>>
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