We are developing the social individualist meta-context for the future. From the very serious to the extremely frivolous... lets see what is on the mind of the Samizdata people.
Samizdata, derived from Samizdat /n. - a system of clandestine publication of banned literature in the USSR [Russ.,= self-publishing house]
|
Various precincts of the US body politic are obsessed with Terri Schiavo, a young woman who has been at the center of an ongoing familial, legal, and now, sadly, political dogfight.
In very broad terms, Terri Schiavo is unable to make decisions for herself. She is apparently brain damaged, and has been in some degree of coma or “persistent vegetative state” for years. Her husband wants to withdraw artificial life support and let nature take its course. Her parents want her kept on life support indefinitely in the hopes that some day she will make some degree of recovery. As ever, you can find a medical expert to present just about any side of this that you want. This situation is, sadly, all too common.
The uproar around Terri Schiavo illustrates rather nicely the key distinction between libertarians and, well, everyone else. For libertarians, the critical question is “who decides?”, based on their belief that you should be able to make your own decisions in life. Most other folks, it seems, don’t care “who decides” nearly as much as they care about “what decision is made,” and particularly, “whatever decision is made, it damn will better be one I approve of.”
In Terri’s case, this means that all sorts of folks who you think would know better than to invite the state to participate in medical decision-making are doing exactly that, because Terri’s husband has made a decision that they do not approve of.
So, not only have we been treated the spectacle of the Governor of Florida, Jeb Bush, trying to elbow his way to Terri’s bedside so he can dictate what care she will receive, we also have various Florida legislators trying to insert the State of Florida into the mix. Now the US Congress, apparently not satisfied with embarrassing itself* in its ongoing investigation into steroid use in major league baseball, is preparing to abuse its subpoena power to block the decision made by Terri’s husband.
A fundamental principle of health care law, and one dear to the hearts of libertarians, is that you must give informed consent to any treatment before it is administered to you (with an exception in cases of emergency when you are unable to communicate, in which case the caregivers are allowed to assume you want life-saving treatment). A doctor who treats you without your consent has committed assault and battery. It is your right to refuse any treatment at all, even if it will mean your death, and so long as you are a competent adult no court or legislature can intervene to force treatment on you.
When the patient is not a decisional adult, someone who will make decisions on their behalf must be located. You can appoint your own surrogate decision-maker, via a health care power of attorney (which I strongly recommend). Some states have lists of “deemed” surrogate decision-makers on the statute books, such as spouses, parents, siblings, etc., in rank order so everyone knows who has authority in a given case. As a last resort, a court will appoint a guardian.
The whole process is focused on the proper issue of identifying “who will decide.” Once the decision-maker is identified/appointed, they stand in the shoes of the patient. The state retains (or should retain) only the most limited role, to ensure that the decision-maker does not abuse their power. Clearly, the decision to withdraw life support is a decision that Terri Schiavo could make for herself. Indeed, my wife has told me that if she were in Terri’s position, that is exactly what she would want. Her husband’s decision to make it in her stead is by no means an abuse of his power as her surrogate decision-maker – such decisions are made routinely, every single day, across the country by people charged with the heavy burden of making health care decisions for someone else.
What we have in the Schaivo case, then, is the legally appointed and recognized decision-maker making a choice that is well within his purview. Multiple court reviews have concluded that he is the right person to make the call, and his decision should be honored. To this libertarian, that is the end of the matter, because the very essence of being a libertarian is respecting the decisions of others even when you might decide otherwise. To a broad spectrum of conservatives, however, the fact that medical decision-making should be private is of no concern when the decisions made are decisions they disagree with.
*While at the gym yesterday, I caught a few minutes of the steroid hearings. It was painfully embarassing to see the solons of American governance earnestly seeking noted idiot Jose Canseco’s advice on public policy. A quick survey of the fellows in the locker room revealed that this latest Congressional exercise in nannying competent adults and chasing headlines is not being well-received by the public. The universal sentiment was, “Don’t they have anything better to do?”
Stephen Pollard, a former member of Britain’s Young Conservatives who is now a New Labour guru, has an article in the Times called: My easy ride in the Senate seat.
Life after his easy ride is getting a little more tricky, with a savaging from Global Growth, the free-market NGO.
The Centers for Disease Control released new life expectancy figures for the USA today. Average life expectancy is up to 77.6 years, up three tenths in a mere two years. Also remarkable is the rapidly closing gap between the life expectancies of men and women. It was a 7.8 year gap in 1978 and is now down to 5.3 years.
When I was in my twenties I told friends my life’s goal was to go downhill skiing on Ganymede at age 120. If the technological exponential keeps going as I expect — and I am ‘lucky’ enough not to draw the Ace of Spades — I might just do it.
See you on the slopes!
For more information, see Space.com’s Live Science article.
Leon Trotsky’s views on the role of arts were well known. He argued that art in all its forms existed to convey political messages to the masses and that any other use of the arts was bourgeois nonsense. The idea that it was acceptable for the arts exist to express the personal views of some artist or to simply ‘entertain’ in a non-political sense (not that anything is really non-political to a statist) was just preposterous to Trotsky. Thus if the state wished to advocate or depreciate something, it was the role of the arts to assist with that process. A modern day example of this would be, say, the relentless demonization of smoking.
Which brings us to the views of the Orwellian sounding Centre for Tobacco Control. This group of lobbyists is infuriated that their calls for smoking to be censored by the British Board of Film Classification (who were once simply known as the Film Censors) has been rejected.
The board’s cautious mention of smoking for the first time falls far short of demands that smoking scenes, particularly in any film likely to be seen by children, should be banned in Britain and consigned to the cutting room floor. Professor Gerard Hastings, director of cancer research at the UK’s Centre for Tobacco Control, said: “If the BBFC doesn’t accept its moral responsibility, it might as well pack up and go home.”
And so we discover that this lobby thinks is the ‘moral responsibility’ of the state to impose standards on entertainment to make them more in accordance with the wishes of our technocratic betters (them, of course). Not only do they wish to make it as difficult as possible for you to make your own non-coerced choices as to what stresses and chemicals you expose your body to, they wish to prevent you seeing images which do not conform to the message they wish to indoctrinate you with. I would be curious to know if Professor Hastings also supports forcing people to take favoured chemicals?
Remember this?
The sun’s rays, which are called ultraviolet A and ultraviolet B rays (UVA and UVB rays) damage your skin. This leads to early wrinkles, skin cancer and other skin problems.
Being in the sun often over time, even if you don’t burn, can lead to skin cancer. A tan is the body’s desperate attempt to protect itself from the sun’s harmful rays.
Well, forget that. Now learn this:
Sunshine might stop certain cancers from growing, including skin cancers, according to two new studies.
One found it helped beat the deadly skin cancer malignant melanoma. The other found the sun helped with non-Hodgkin lymphoma.
Tobacco is also known to prevent cancer. So get out that sunbed and a packet of cigarettes now. It’s for your own good.
One of the unspoken benefits of globalisation is the use that professionals make of the new instruments and techniques that are publicised over the internet or through the wider dissemination of networks to newly emerging economies, such as India. However, as one example demonstrates, medical professionals in India read or learn about new developments from the West in their specialism but are unable to apply them because they are too expensive or the instruments cannot be imported or the patients are not rich enough to afford them. This is providing a spur to entrepreneurial and philanthropic activity.
Narayana Hrudayalaya is a medical foundation established in India by Mother Teresa’s cardiologist, Davi Prasad Shetty. Acknowledging the dilemma faced by all professionals in poorer countries, Shetty aimed to pioneer low-cost cardiac surgery that would prove affordable, with charitable supplements and insurance for even the Bengali peasantry and textile workers inhabiting the countryside around Kolkata.
In an interview with New Scientist, Shetty understood that governments and international bureaucracies were a hindrance, not a benefit.
If there is one organisation that can be squarely blamed it is the WHO. Headquartered in Geneva, separated from reality, it runs its global activities with help from government representatives who are mostly bureaucrats. In the countries I travel to, bureaucrats are a class of people who are experts in nothing but authorities on everything. They are not best-suited to guide planning at the WHO. One of the WHO declarations was “Health for all by 2000”. How can a global body make that kind of statement when a country like Zambia does not have an echo-Doppler, without which you cannot detect any heart problem, or when one cannot find a single functioning ECG machine in many African countries?
Apart from the WHO, I have stopped blaming the politicians and bureaucrats. We are better placed to bring about changes by being outsiders, not by being a part of the system. All that the government can do is to stop being an obstacle. If it decides to be a bystander, things will fall in place. My belief is that within ten years, the government healthcare systems in all Third World countries will fold up. The government will not be able to pay even salaries, never mind offering healthcare. In that situation, organisations like ours should come forward to take over and manage it in a professional manner.
Whilst Shetty describes himself as a social worker as a libertarian, he has recognised that governments cannot provide the resources to meet his objectives and that it is best if they stand aside or collapse. When the state is no longer a factor, the economics or healthcare starts to add up.
Yes, it’s very different. In Western hospitals, about 60 per cent of the revenue is spent on salaries, while in government hospitals in India, 90 per cent goes on salaries. By contrast, in our hospital only 12 to 13 per cent is spent on salaries. That doesn’t mean our doctors are being exploited. Since their output is ten times more, unit operating costs are very low. To earn a given salary in another hospital, a doctor would have to perform one operation a day. With us he might have to operate on five patients. We also work with zero inventory, so the burden lies with the supplier. And since we are the largest consumers of medical disposables, we procure them at a discount of 30 to 35 per cent.
Increasingly, for the pragmatists of the world, freedom provides the answers that the state is unable to.
Peter Cuthbertson has some pretty clear views about those who would control us for ‘our own good’
Any Brit who turns their television on to ITV or Channels 4 or 5 now will sooner or later see a vile new National Health Service advertisement, funded by their own tax money. Showing a young man running around bars and shopping centres spraying foul smells into the air and onto the clothes of others, it literally urges people that just as they would not tolerate anyone who does that, they should fight against the freedom of smokers to light up in bars and pubs. An obvious prelude to the government’s campaign to stop restauranteurs and landlords from allowing smoking on their own property, it is no doubt hoped the advertisement will edge public opinion in the nannying direction.
It is difficult to fathom the petty, narrow mind of the sort of otherwise unemployable bureaucrat who came up with this one. But one comes to understand the idea of people feeling aliens in their own country when one sees such things. What a profoundly un-British little broadcast it was. What a sickening way to impose the morality of the elite’s stateless global citizen onto a country whose famous tolerance and fair-mindedness is probably what left-liberal nannies feel necessitates such propaganda – sorry, such a campaign of public education – in the first place. One can only hope enough independently-minded people are emboldened by such spiteful nonsense to take stands on behalf of smoking, one of the few remaining mass activities that genuinely is not in some way anti-social, in an age where it seems few Britons can enjoy themselves in a group without being obnoxious to others.
Somehow worse than this, however, one sees explicit use of taxpayers’ money to campaign for one side on politically controversial areas, over behaviour that is perfectly legal and normal. This is a precedent that should worry everybody.
In any reporting on a quasi-tyranny, the state’s control and use of the media is usually cited to show that a country cannot be a genuine liberal democracy. Chile’s slide into dictatorship in the early 1970s is exemplified by Salvador Allende’s decision to eliminate criticism of his regime by nationalising the press. Today’s Russia is now widely described with the euphemism ‘managed democracy’ to a considerable degree because so much of its television is under state control: the elections themselves are free, but the state-run television stations campaigned strongly for Vladimir Putin in advance of last March’s Presidential election.
It’s because the use by the state of the media to advertise its own virtues and ideals is so symbolic of a wider lack of freedom that it is such a good indicator of the health of a society. The state is effectively limitless in its power to take by taxation anything people earn and produce. When it also feels free to use that money to take political stands, often stands opposed by the very people who pay these taxes, that is a signal of an overmighty government, wherever it exists.
When the state, as distinct from any political party, takes on the role of encouraging people to have the correct views and oppose the right habits, the liberty of everyone is made immediately more precarious. There is a very great supply of petty nannies with a favoured cause, and altogether more dangerous authoritarians and social engineeers with their own pet projects, who would love to get their hands on the power the NHS is now abusing. Rest assured, they will find ways of doing so if the precedent now being set is not reversed.
As the unrelieved gloom surrounding freedom in the UK becomes too much to bear, here is a recommendation for all of those who wish to celebrate the diversity of snackdom before the health fascists force us all to eat lentils and turnips.
Visit snackspot and track down all of those arcane foods such as Gummi Zone Gummi Pizza before they are banned by the edict of Nanny Blair.
According to Dutch health investigators, going to church can cause lung cancer and other respiratory problems, because of the carcinogenic effects of candles and incense. Dr Theo de Kok, says that it is “very worrying”. With Christmas approaching, levels of pollutants would be expected to rise.
The solution is obvious. The European Union must immediately ban church-going for all children, impose a tax on adult church-goers, put health warning signs on the outside of all churches and copies of the Bible.
Oh, and ban Christmas.
Obviously, the EU must also impose diplomatic and economic sanctions on any country that does not comply with this (the USA).
In dreaming up appropriate health warnings for church-going, I like the following:
God kills!
Do not worship God in the presence of children
and cutest of all:
God can seriously damage your unborn child
Last month a British panel of the Great and Good issued a thumpingly big report on the state of Britain’s pensions system covering both the private and state networks of provision. In short, the report said that we are living longer, have fewer children, and hence pensions systems which were constructed in the middle of the last century are buckling under the strain. It is all now a fairly familiar story and likely to prove one of the most ticklish political domestic issues in Europe and north America for the next few years.
But consider this – if we are living longer and able to live healthier lives for longer, and this is causing certain strains to emerge in pension provision, then how do the doomongers square that with the claim that we face all manner of threats to our health? One can barely open the pages of a newspaper or turn on the television without being regaled about all the horrible risks out there, obesity being the latest issue, but by no means the last.
Well, for all our supposed problems, something wonderful has happened to the health of most people in modern industrial nations these past few decades. (Clues: modern medicine, drugs, decline of heavy manual labour, greater awareness of healthy diet, dangers of tobacco, etc). I appreciate that stating such a thing in today’s culture of gloom is unfashionable, even reckless, but there it is.
Business enterprises are often attacked for selling people ‘junk food’ and not telling them about the health benefits of vegetables.
Well recently ASDA (the British arm of Walmart) labelled its vegetables, explaining that people who eat certain types of vegetable have a lower chance of developing certain forms of cancer.
ASDA was promptly prosecuted and punished. It seems that ‘making health claims’ is not legal in Britain.
Oh well, back to selling junk. The state is not your friend.
Via Catallarchy, here is something you do not hear every day from a legislator:
Folks have got to take personal responsibility for their actions.
So said Michigan Representative David Palsrok, sponsor of a bill signed into law today in that state by Democratic Governor Jennifer Granholm – a law which bans people suing food companies and restaurants for ‘making’ them fat.
And here is another quotation from the same article which is not quite as much of a shocker:
The Legislature and society should focus on preventing the sale of fatty, sugar-laden products in our nations [sic] schools or requiring that fast food manufacturers provide nutritional information on the food they sell.
Says who? The Michigan Trial Lawyers’ Association, of course.
|
Who Are We? The Samizdata people are a bunch of sinister and heavily armed globalist illuminati who seek to infect the entire world with the values of personal liberty and several property. Amongst our many crimes is a sense of humour and the intermittent use of British spelling.
We are also a varied group made up of social individualists, classical liberals, whigs, libertarians, extropians, futurists, ‘Porcupines’, Karl Popper fetishists, recovering neo-conservatives, crazed Ayn Rand worshipers, over-caffeinated Virginia Postrel devotees, witty Frédéric Bastiat wannabes, cypherpunks, minarchists, kritarchists and wild-eyed anarcho-capitalists from Britain, North America, Australia and Europe.
|
