Earlier quoted context omitted.
I actually meant that as a genuine question without meaning to discuss it but.. We believe that almost everything the government does, it does poorly There is definitely some truth in that in a general sense. But it seems to me that it is really a technical side issue in this particular case. The efficiency costs/gains are debatable. Even if you think you see an answer, it's marginal. It largely depends on what you c…
I don't think it's safe to measure various health care systems against each other. The prevailing theories these days seem to suggest that most of the problems are due to lifestyle. Diet, pollution, obesity, exercise levels, etc. all play a major part as well, and those have little to do with the health system. So I don't think it's safe to say that publicly funded health systems would work as well here as they do el…
OK. How about measuring various health care systems against themselves? What I am putting forward is that given that we are talking about improvement in the types of metrics used to compare health care systems, the US system would improve it's output by being public to an extent.
Various implementations are possible from direct government ownership of hospitals to means-tested health care subsidies & everything in between. Obviously crappy implementation has the ability to make things worse. But within the realm of the currently probable, steps taken in that direction would probably lead to an improved result.
But again, that's a purely technical line of argument. I think that in this case the rule of thumb economic liberalism is wrong. I'm reasonable happy to let economists bash that one out. But I do think that in the absense of an overwhelming victory for one of the practical debates, the moral argument here is very strong.
practical grounds
That's an area worthy of discussion in itself. Even if you do believe that drug use is deeply immoral, but see that the consequences of prohibition on are so severe, it'd be very rational to let it slide. But then, I wonder what I would think if I did understand drug use to be deeply immoral in the same sense as rape or murder is immoral. Would I allow legalised rape if the long term if the consequences of prohibiting it were as severe as the drug case. I dn't know how to answer that. (*Most would say no to a purely utilitarian approach http://www.nysun.com/arts/putting-practice-into-ethics/69595...)
For me that particular issue is all about practical. It's hard for me to see any justification for drug prohibition on moral grounds, just the opposite. It's an infringement on liberties. So there have to be net benefit reasons. But I would consider the flipside. In Australia (where I live) Alcohol & gambling are legal. Certain communities (usually extremely remote communities) here have severe social problems linked to abuse of these. Very severe. Some have decided that Alcohol prohibition (like dry counties in the states) are necessary to get the situation under control.
Even though I think individuals should have the right to consume alcohol, in these circumstances the prohibition creates large net gain for the community. I'm OK with that.