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	<title>Comments on: I&#8217;m not dead!</title>
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	<description>where orders emerge</description>
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		<title>By: Anonymous</title>
		<link>http://cafehayek.com/2009/09/im-not-dead.html/comment-page-1#comment-180327</link>
		<dc:creator>Anonymous</dc:creator>
		<pubDate>Mon, 07 Sep 2009 03:53:00 +0000</pubDate>
		<guid isPermaLink="false">http://cafehayek.com/?p=6186#comment-180327</guid>
		<description>Whiff of a red herring?  Shame this had to be state-sponsored television.  Awkward that the Daily Telegraph report about a funding-agnostic but grossly flawed healthcare protocol was accompanied by a report about a breakthrough in the development of public financed flu vaccines

And interesting that the CIA world factbook rates the UK 35th in life expectancy, and the US 50th, just above Albania.  Better organized universal coverage systems irritatingly top the list of life expectancy:   Japan, Singapore, Australia, Canada, France, Sweden, Switzerland and Israel.  Same confusing state of affairs for child mortality - inexplicable correlation between low numbers and universal health coverage.  But at least the US famously gets value for its health care expenditure.   

No, i am not a socialist.  No more than the taxpayer funded CIA whose state sponsored publication of the state sponsored statistics quoted here...</description>
		<content:encoded><![CDATA[<p>Whiff of a red herring?  Shame this had to be state-sponsored television.  Awkward that the Daily Telegraph report about a funding-agnostic but grossly flawed healthcare protocol was accompanied by a report about a breakthrough in the development of public financed flu vaccines</p>
<p>And interesting that the CIA world factbook rates the UK 35th in life expectancy, and the US 50th, just above Albania.  Better organized universal coverage systems irritatingly top the list of life expectancy:   Japan, Singapore, Australia, Canada, France, Sweden, Switzerland and Israel.  Same confusing state of affairs for child mortality &#8211; inexplicable correlation between low numbers and universal health coverage.  But at least the US famously gets value for its health care expenditure.   </p>
<p>No, i am not a socialist.  No more than the taxpayer funded CIA whose state sponsored publication of the state sponsored statistics quoted here&#8230;</p>
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		<title>By: Anonymous</title>
		<link>http://cafehayek.com/2009/09/im-not-dead.html/comment-page-1#comment-180313</link>
		<dc:creator>Anonymous</dc:creator>
		<pubDate>Sun, 06 Sep 2009 23:31:00 +0000</pubDate>
		<guid isPermaLink="false">http://cafehayek.com/?p=6186#comment-180313</guid>
		<description>&quot;Right. I don&#039;t. I don&#039;t use the word &quot;rights&quot; as you do, because your usage confuses your sense of what ought to be with established legal rights&quot;Of course it is a dodge.  You dodge the issue at hand--rights, as a concept guiding how people interact and how laws are made--for a childishly simple &#039;rights as the state defines it&#039;.  BOTH exist, whether you care to think about it or not.  And YOU follow such a higher concept, whether you care to recognize its influence or ground it rationally, or not.  Whether you &quot;ground&quot; your ethics in some mystical notion of &quot;god&quot;, or in some arbitrary or simply undiscovered source, they do have a source.  Likely the source is just as nonsensical and capable of justifying any number of contradictory and unreal ethics.  And the conscious acceptance of an arbitrary grounding (rather than merely a failure to recognize it) is nihilistic.You think by asserting such stipulated simplicity that you have somehow obtained intellectual security, but you haven&#039;t.  You&#039;ve merely found a replacement concept to arbitrarily sink your hooks into--your own kind of floating god, that permits you to avoid the harder intellectual work of identifying the actual concepts you are following, and determining what, if any, grounding they have in reality.Ultimately your problem is that you haven&#039;t thought about it enough.  Either because of laziness, or because if inability.  I suspect the latter--not as a lack of intelligence, but because your emotional needs are more satisfied by the comfort of even a false intellectual grounding (as is the case with all mystical groundings) than by the satisfaction of real understanding.</description>
		<content:encoded><![CDATA[<p>&#8220;Right. I don&#8217;t. I don&#8217;t use the word &#8220;rights&#8221; as you do, because your usage confuses your sense of what ought to be with established legal rights&#8221;Of course it is a dodge.  You dodge the issue at hand&#8211;rights, as a concept guiding how people interact and how laws are made&#8211;for a childishly simple &#8216;rights as the state defines it&#8217;.  BOTH exist, whether you care to think about it or not.  And YOU follow such a higher concept, whether you care to recognize its influence or ground it rationally, or not.  Whether you &#8220;ground&#8221; your ethics in some mystical notion of &#8220;god&#8221;, or in some arbitrary or simply undiscovered source, they do have a source.  Likely the source is just as nonsensical and capable of justifying any number of contradictory and unreal ethics.  And the conscious acceptance of an arbitrary grounding (rather than merely a failure to recognize it) is nihilistic.You think by asserting such stipulated simplicity that you have somehow obtained intellectual security, but you haven&#8217;t.  You&#8217;ve merely found a replacement concept to arbitrarily sink your hooks into&#8211;your own kind of floating god, that permits you to avoid the harder intellectual work of identifying the actual concepts you are following, and determining what, if any, grounding they have in reality.Ultimately your problem is that you haven&#8217;t thought about it enough.  Either because of laziness, or because if inability.  I suspect the latter&#8211;not as a lack of intelligence, but because your emotional needs are more satisfied by the comfort of even a false intellectual grounding (as is the case with all mystical groundings) than by the satisfaction of real understanding.</p>
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		<title>By: Anonymous</title>
		<link>http://cafehayek.com/2009/09/im-not-dead.html/comment-page-1#comment-180226</link>
		<dc:creator>Anonymous</dc:creator>
		<pubDate>Sun, 06 Sep 2009 02:41:00 +0000</pubDate>
		<guid isPermaLink="false">http://cafehayek.com/?p=6186#comment-180226</guid>
		<description>&lt;blockquote&gt;... you still provide no way, outside of unambiguous stipulation, of how laws should be constructed.&lt;/blockquote&gt;
I&#039;ve often accepted the &quot;utilitarian&quot; label, and I&#039;ll discuss what the word means in my case if you want, but it doesn&#039;t imply &quot;how laws should be constructed&quot;. Ethics has something to say about what laws ought to be. How laws are constructed is politics. I have little faith in any political system, but I can tell you, always tentatively, why I favor one positive rule over posited alternatives.

&lt;blockquote&gt;You claim to follow the Lockean notion of rights, but you are a complete subjectivist on the matter.&lt;/blockquote&gt;
I accept certain Lockean principles as starting points, like the propriety of a man governing (owning) his own means of production. I don&#039;t subscribe to any deductivist ethics. I don&#039;t believe that we know what&#039;s ethical by positing a few simple rules of conduct and then judging all conduct following from repeated application of these rules &quot;ethical&quot;. Rules are means. Ethics is about ends.

&lt;blockquote&gt;You have no objective theory of rights.&lt;/blockquote&gt;
Right. I don&#039;t. I don&#039;t use the word &quot;rights&quot; as you do, because your usage confuses your sense of what ought to be with established legal rights. When you tell me that Bill Gates has some &quot;right&quot; as a wealthy founder of the Microsoft Corporation, I understand only the positive legal sense of the word. I know nothing of any Lockean propriety, because Lockean propriety doesn&#039;t govern Bill Gates, whether or not you or I think it should.

&lt;blockquote&gt;You have only your own &quot;personal&quot; ethics, and whatever arbitrary decrees emanate from whomever you recognize as &quot;the state&quot;.&lt;/blockquote&gt;
Yes, I have my personal ethics, and I don&#039;t pretend that it&#039;s handed down by God or rigorously deduced from indisputable first principles. I know too little of God and too much of rigorous deduction to pretend either.

My recognition of the state is irrelevant. States exist as a matter of fact. A particular state governs me, whether I recognize it or not.

&lt;blockquote&gt;But that isn&#039;t a concept of rights. That is a dodge.&lt;/blockquote&gt;
No. It&#039;s facing reality.

&lt;blockquote&gt;It is laziness or inability to identify a rational concept--a concept which precedes and underlies the creation of laws.&lt;/blockquote&gt;
No. You&#039;re reverence for some simple system of &quot;rights&quot; is laziness. You&#039;re just like every other statesman who would impose the One, True system of forcible propriety, because you cannot or will not question your own assumptions.

&lt;blockquote&gt;You leave your ethics open to any arbitrary notion ranging from the peaceful to the monstrous.&lt;/blockquote&gt;
No, I don&#039;t. Repeating this falsehood doesn&#039;t substantiate it. You&#039;re just another politician peddling straw men. I&#039;m a &quot;monster&quot;, and you juxtapose yourself with my monstrosity, so you must be more saintly. How incredibly simple.

&lt;blockquote&gt;You give yourself no objective way of determining what your own ethics are.&lt;/blockquote&gt;
You just go on and on with this nonsense as though you have a clue what my ethics are or how I determine them, when you plainly don&#039;t.

&lt;blockquote&gt;You HAVE your personal ethics, I&#039;m sure, but god knows where they came from--you sure don&#039;t.&lt;/blockquote&gt;
I know their history well enough and can discuss it with you, but you aren&#039;t really interested; otherwise, you&#039;d ask me about them rather than presuming to tell me, only revealing your ignorance.

&lt;blockquote&gt;Rights in the Lockean sense is not &quot;whatever the state stipulates&quot;.&lt;/blockquote&gt;
I never say it is.

&lt;blockquote&gt;It is instead at least an effort at identifying a concept derived from observations in nature--universal and objective.&lt;/blockquote&gt;
Locke says nothing about &quot;universal and objective&quot; rights. He has a notion of &quot;natural rights&quot;, but I don&#039;t think much of it. I can observe the natural world easily enough, and Lockean rights clearly are not natural. They are artificial instead. They don&#039;t exist in the natural world outside of human culture, and they don&#039;t even exist in human culture very much. I hardly live in a Lockean utopia.

&lt;blockquote&gt;And it is such a higher nonsubjective notion that those in this country--and certainly in the context of the founding of the USA--typically use. It isn&#039;t always clear and consistent the way people use it, but unlike your completely subjective stipulated notion of rights, it is relevant and useful.&lt;/blockquote&gt;

Regardless of your dull repetition, my stipulation of rights is not subject at all. Nothing I advocate is a &quot;right&quot; unless and until it is actually enacted as forcible propriety. What I call &quot;a right&quot; is objectively what any proper attorney at law will tell you, insofar as a rule of law operates effectively, and one does operate effectively in my neck of the woods. You&#039;re the one with a subjective notion of &quot;rights&quot;, not me. Your &quot;rights&quot; are whatever &lt;em&gt;you&lt;/em&gt; say they are, whatever follows &quot;logically&quot; from some first principles that &lt;em&gt;you&lt;/em&gt; accept.

Enough. You may have the last word here.</description>
		<content:encoded><![CDATA[<blockquote><p>&#8230; you still provide no way, outside of unambiguous stipulation, of how laws should be constructed.</p></blockquote>
<p>I&#8217;ve often accepted the &#8220;utilitarian&#8221; label, and I&#8217;ll discuss what the word means in my case if you want, but it doesn&#8217;t imply &#8220;how laws should be constructed&#8221;. Ethics has something to say about what laws ought to be. How laws are constructed is politics. I have little faith in any political system, but I can tell you, always tentatively, why I favor one positive rule over posited alternatives.</p>
<blockquote><p>You claim to follow the Lockean notion of rights, but you are a complete subjectivist on the matter.</p></blockquote>
<p>I accept certain Lockean principles as starting points, like the propriety of a man governing (owning) his own means of production. I don&#8217;t subscribe to any deductivist ethics. I don&#8217;t believe that we know what&#8217;s ethical by positing a few simple rules of conduct and then judging all conduct following from repeated application of these rules &#8220;ethical&#8221;. Rules are means. Ethics is about ends.</p>
<blockquote><p>You have no objective theory of rights.</p></blockquote>
<p>Right. I don&#8217;t. I don&#8217;t use the word &#8220;rights&#8221; as you do, because your usage confuses your sense of what ought to be with established legal rights. When you tell me that Bill Gates has some &#8220;right&#8221; as a wealthy founder of the Microsoft Corporation, I understand only the positive legal sense of the word. I know nothing of any Lockean propriety, because Lockean propriety doesn&#8217;t govern Bill Gates, whether or not you or I think it should.</p>
<blockquote><p>You have only your own &#8220;personal&#8221; ethics, and whatever arbitrary decrees emanate from whomever you recognize as &#8220;the state&#8221;.</p></blockquote>
<p>Yes, I have my personal ethics, and I don&#8217;t pretend that it&#8217;s handed down by God or rigorously deduced from indisputable first principles. I know too little of God and too much of rigorous deduction to pretend either.</p>
<p>My recognition of the state is irrelevant. States exist as a matter of fact. A particular state governs me, whether I recognize it or not.</p>
<blockquote><p>But that isn&#8217;t a concept of rights. That is a dodge.</p></blockquote>
<p>No. It&#8217;s facing reality.</p>
<blockquote><p>It is laziness or inability to identify a rational concept&#8211;a concept which precedes and underlies the creation of laws.</p></blockquote>
<p>No. You&#8217;re reverence for some simple system of &#8220;rights&#8221; is laziness. You&#8217;re just like every other statesman who would impose the One, True system of forcible propriety, because you cannot or will not question your own assumptions.</p>
<blockquote><p>You leave your ethics open to any arbitrary notion ranging from the peaceful to the monstrous.</p></blockquote>
<p>No, I don&#8217;t. Repeating this falsehood doesn&#8217;t substantiate it. You&#8217;re just another politician peddling straw men. I&#8217;m a &#8220;monster&#8221;, and you juxtapose yourself with my monstrosity, so you must be more saintly. How incredibly simple.</p>
<blockquote><p>You give yourself no objective way of determining what your own ethics are.</p></blockquote>
<p>You just go on and on with this nonsense as though you have a clue what my ethics are or how I determine them, when you plainly don&#8217;t.</p>
<blockquote><p>You HAVE your personal ethics, I&#8217;m sure, but god knows where they came from&#8211;you sure don&#8217;t.</p></blockquote>
<p>I know their history well enough and can discuss it with you, but you aren&#8217;t really interested; otherwise, you&#8217;d ask me about them rather than presuming to tell me, only revealing your ignorance.</p>
<blockquote><p>Rights in the Lockean sense is not &#8220;whatever the state stipulates&#8221;.</p></blockquote>
<p>I never say it is.</p>
<blockquote><p>It is instead at least an effort at identifying a concept derived from observations in nature&#8211;universal and objective.</p></blockquote>
<p>Locke says nothing about &#8220;universal and objective&#8221; rights. He has a notion of &#8220;natural rights&#8221;, but I don&#8217;t think much of it. I can observe the natural world easily enough, and Lockean rights clearly are not natural. They are artificial instead. They don&#8217;t exist in the natural world outside of human culture, and they don&#8217;t even exist in human culture very much. I hardly live in a Lockean utopia.</p>
<blockquote><p>And it is such a higher nonsubjective notion that those in this country&#8211;and certainly in the context of the founding of the USA&#8211;typically use. It isn&#8217;t always clear and consistent the way people use it, but unlike your completely subjective stipulated notion of rights, it is relevant and useful.</p></blockquote>
<p>Regardless of your dull repetition, my stipulation of rights is not subject at all. Nothing I advocate is a &#8220;right&#8221; unless and until it is actually enacted as forcible propriety. What I call &#8220;a right&#8221; is objectively what any proper attorney at law will tell you, insofar as a rule of law operates effectively, and one does operate effectively in my neck of the woods. You&#8217;re the one with a subjective notion of &#8220;rights&#8221;, not me. Your &#8220;rights&#8221; are whatever <em>you</em> say they are, whatever follows &#8220;logically&#8221; from some first principles that <em>you</em> accept.</p>
<p>Enough. You may have the last word here.</p>
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		<title>By: Anonymous</title>
		<link>http://cafehayek.com/2009/09/im-not-dead.html/comment-page-1#comment-180208</link>
		<dc:creator>Anonymous</dc:creator>
		<pubDate>Sat, 05 Sep 2009 23:43:00 +0000</pubDate>
		<guid isPermaLink="false">http://cafehayek.com/?p=6186#comment-180208</guid>
		<description>&quot;I&#039;m not a nihilist. I understand legal rights to be what lawmakers decree&quot;
&quot;I avoid phrases like &quot;X is right&quot; precisely to avoid conflating to very different things. I rather say, &quot;X follows from my personal ethics&quot;.&quot;

I know.  I&#039;ve read what you&#039;ve written before.  And in all that I&#039;ve read, you still provide no way, outside of unambiguous stipulation, of how laws should be constructed.  You claim to follow the Lockean notion of rights, but you are a complete subjectivist on the matter.  You have no objective theory of rights.  You have only your own &quot;personal&quot; ethics, and whatever arbitrary decrees emanate from whomever you recognize as &quot;the state&quot;.

But that isn&#039;t a concept of rights.  That is a dodge.  It is laziness or inability to identify a rational concept--a concept which precedes and underlies the creation of laws.  You leave your ethics open to any arbitrary notion ranging from the peaceful to the monstrous.  You give yourself no objective way of determining what your own ethics are.  You HAVE your personal ethics, I&#039;m sure, but god knows where they came from--you sure don&#039;t.

Rights in the Lockean sense is not &quot;whatever the state stipulates&quot;.  It is instead at least an effort at identifying a concept derived from observations in nature--universal and objective.  And it is such a higher nonsubjective notion that those in this country--and certainly in the context of the founding of the USA--typically use.  It isn&#039;t always clear and consistent the way people use it, but unlike your completely subjective stipulated notion of rights, it is relevant and useful.</description>
		<content:encoded><![CDATA[<p>&#8220;I&#8217;m not a nihilist. I understand legal rights to be what lawmakers decree&#8221;<br />
&#8220;I avoid phrases like &#8220;X is right&#8221; precisely to avoid conflating to very different things. I rather say, &#8220;X follows from my personal ethics&#8221;.&#8221;</p>
<p>I know.  I&#8217;ve read what you&#8217;ve written before.  And in all that I&#8217;ve read, you still provide no way, outside of unambiguous stipulation, of how laws should be constructed.  You claim to follow the Lockean notion of rights, but you are a complete subjectivist on the matter.  You have no objective theory of rights.  You have only your own &#8220;personal&#8221; ethics, and whatever arbitrary decrees emanate from whomever you recognize as &#8220;the state&#8221;.</p>
<p>But that isn&#8217;t a concept of rights.  That is a dodge.  It is laziness or inability to identify a rational concept&#8211;a concept which precedes and underlies the creation of laws.  You leave your ethics open to any arbitrary notion ranging from the peaceful to the monstrous.  You give yourself no objective way of determining what your own ethics are.  You HAVE your personal ethics, I&#8217;m sure, but god knows where they came from&#8211;you sure don&#8217;t.</p>
<p>Rights in the Lockean sense is not &#8220;whatever the state stipulates&#8221;.  It is instead at least an effort at identifying a concept derived from observations in nature&#8211;universal and objective.  And it is such a higher nonsubjective notion that those in this country&#8211;and certainly in the context of the founding of the USA&#8211;typically use.  It isn&#8217;t always clear and consistent the way people use it, but unlike your completely subjective stipulated notion of rights, it is relevant and useful.</p>
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		<title>By: Anonymous</title>
		<link>http://cafehayek.com/2009/09/im-not-dead.html/comment-page-1#comment-180205</link>
		<dc:creator>Anonymous</dc:creator>
		<pubDate>Sat, 05 Sep 2009 23:21:00 +0000</pubDate>
		<guid isPermaLink="false">http://cafehayek.com/?p=6186#comment-180205</guid>
		<description>MB, I admire your skepticism, but if you would apply the same level to your own preconceived notions, you&#039;d do a lot better--or be completely paralyzed.I don&#039;t know how, after reading the Hadley paper, that you can think that the evidence is not at least up to par with evidence for other health care statistics.  I mean, if you are going to hold to your preconceived notion that uninsured cost-shifting is expensive, I would ask what your evidence is, and how it compares with the Hadley paper that the CBO itself references.  Then ask how you can justify greater skepticism of Hadley over your point of view.BTW here&#039;s another relevant quote right from the Hadley study:&quot;Private insurance premiums are at most 1.7% higher because of the shifting of the costs of the uninsured to private insurers in the form of higher charges&quot;--p.5 &lt;a href=&quot;http://content.healthaffairs.org/cgi/content/abstract/hlthaff.27.5.w399v1&quot; rel=&quot;nofollow&quot;&gt;http://content.healthaffairs.org/cgi/content/ab...&lt;/a&gt;&quot;I also doubt that prices charged the uninsured (and reported as uncompensated) are higher.&quot;Why on earth would you doubt that?  Do you think insurance companies negotiate for HIGHER rates?  I don&#039;t know of any studies looking into it, nor do I know why anyone would waste their time, because it is a well known uncontroversial fact to those in the industry who see the actual list and insurance reimbursement prices.  I thought it was uncontroversial outside the industry as well, until I just heard from you.I agree with many of your points about insurance, but I reemphasize that it is irrational to show such disproportionate concern for the cost shifting by the uninsured.  At &lt;2% (which is what our best evidence shows), it will almost certainly cost more to have the government cover them and NOT cost shift (e.g., look at Medicaid and current Congressional proposals to cover them).  Additionally, that 2% is a pittance compared to cost shifting from government insurance, and likely isn&#039;t much (2% isn&#039;t &quot;much&quot; more than even 0%) different than the cost shifting you pay for your local bank, grocery store, gas station, or Best Buy.BTW, besides misdirecting people like you, the politicians&#039; focus on the uninsured also maligns the uninsured.  The uninsured DO pay the majority of their health care bills.  Not everyone who is uninsured wants or needs insurance, and not everyone cost shifts.</description>
		<content:encoded><![CDATA[<p>MB, I admire your skepticism, but if you would apply the same level to your own preconceived notions, you&#8217;d do a lot better&#8211;or be completely paralyzed.I don&#8217;t know how, after reading the Hadley paper, that you can think that the evidence is not at least up to par with evidence for other health care statistics.  I mean, if you are going to hold to your preconceived notion that uninsured cost-shifting is expensive, I would ask what your evidence is, and how it compares with the Hadley paper that the CBO itself references.  Then ask how you can justify greater skepticism of Hadley over your point of view.BTW here&#8217;s another relevant quote right from the Hadley study:&#8221;Private insurance premiums are at most 1.7% higher because of the shifting of the costs of the uninsured to private insurers in the form of higher charges&#8221;&#8211;p.5 <a href="http://content.healthaffairs.org/cgi/content/abstract/hlthaff.27.5.w399v1" rel="nofollow">http://content.healthaffairs.org/cgi/content/ab&#8230;</a>&#8220;I also doubt that prices charged the uninsured (and reported as uncompensated) are higher.&#8221;Why on earth would you doubt that?  Do you think insurance companies negotiate for HIGHER rates?  I don&#8217;t know of any studies looking into it, nor do I know why anyone would waste their time, because it is a well known uncontroversial fact to those in the industry who see the actual list and insurance reimbursement prices.  I thought it was uncontroversial outside the industry as well, until I just heard from you.I agree with many of your points about insurance, but I reemphasize that it is irrational to show such disproportionate concern for the cost shifting by the uninsured.  At &lt;2% (which is what our best evidence shows), it will almost certainly cost more to have the government cover them and NOT cost shift (e.g., look at Medicaid and current Congressional proposals to cover them).  Additionally, that 2% is a pittance compared to cost shifting from government insurance, and likely isn&#039;t much (2% isn&#039;t &quot;much&quot; more than even 0%) different than the cost shifting you pay for your local bank, grocery store, gas station, or Best Buy.BTW, besides misdirecting people like you, the politicians&#8217; focus on the uninsured also maligns the uninsured.  The uninsured DO pay the majority of their health care bills.  Not everyone who is uninsured wants or needs insurance, and not everyone cost shifts.</p>
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