Dick Margulis said to Teresa Trujillo
 
> I don't know that this is on-topic for the group, but it's not like
> we're burning up bandwidth with anything else. In any case, here's the
> link, for those who were puzzled by Teresa's cryptic post:
> 
> http://www.nytimes.com/2008/10/14/opinion/14herbert.htm
> 
> As it's the Times, you may be required to obtain a free login ID. Or
> not. One can never tell with the Times.

(Didn't need to sign up for this one.)

Can't argue with the main points, especially about the de-emphasis on
math, and about the damage being done by No Child Left Behind.
Definitely, you can't get a serious debate on issues during an election
campaign - which might explain why the US campaign has basically been
going for two years... Other observations in that article might be
questionable.

For example, nobody ever thinks that there's another way to look at
health insurance costs - to wit:

If you woke up and found yourself in 1995, would you regard it as the
medical dark ages? Or would you (knowing what would be the state of the
overall art in 2008) think that the available health care in 1995 was
pretty decent overall?  That 99.993 percent of the useful stuff that
could be used to diagnose or treat anything that you would be likely to
suffer in 2008 would already have been pretty much mainstream in 1995?

Let's say that you had the option to buy a full-pop comprehensive
medical policy for available 2008 medical diagnostic-and-treatment care,
OR a budget policy that would cover you for only those tests and
treatments that were available to patients in 1995 - what's your choice?
Why?

Just like computer stuff, medical stuff arrives esoteric and expensive,
then filters down to the mainstream, becoming cheaper and more
commoditized as time passes. 

Rich people can always get the best of treatment and the best of
insurance, because they have more absolute dollars to throw at
health-care concerns. They can afford to get the cutting-edge tests and
treatments that are barely out of the development labs.  Let them.

Instead of demanding that your insurance cover the early-adopter
whiz-bangs that the rich can afford, why not opt to pay for a package of
stuff that was fairly standard practice a dozen years ago (in 1995 for
the current example)?  

Of course, _some_ medical things have appeared since 1995 and yet
managed to spread into general use so quickly that they're more
efficient than the 1995 equivalent, so by all means adopt those
exceptions without in any way detracting from the general principle of
living within the medical means of a dozen years ago.

There's also the concern that it often takes ten or fifteen years for
the whoopses to become apparent - when some new whiz-bang treatment
turns out to be less effective than originally thought, or to have nasty
side-effects that weren't noticed in the trials and the early roll-out.
Let the rich be the guinea-pigs for high prices, then adopt what shakes
out, once the window of "tried and true" has caught up.

I've been arguing, fruitlessly, that that should be the approach for our
socialized medical system in Canada, to keep it from further collapse -
it's already staggering badly.  The same principle translates readily to
personal and employer-mediated medical insurance in the USofA.

Chances are, you heard this here first.   :-)

 - Kevin
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