Even the massive transfer of crucial decisions from millions of doctors and patients to Washington bureaucrats and advisory panels-- as momentous as that is-- does not measure the full impact of this largely unread and certainly unscrutinized legislation.

If the current legislation does not entail the transmission of all our individual medical records to Washington, it will take only an administrative regulation or, at most, an Executive Order...]]> Tue, 16 Mar 2010 00:00:00 -0500 In a swindle that would make Bernie Madoff look like an amateur, Barack Obama has gotten a substantial segment of the population to believe that he can add millions of people to the government-insured rolls without increasing the already record-breaking federal deficit.

Those who think in terms of talking points, instead of realities, can point to the fact that the Congressional Budget Office has concurred with budget numbers that the Obama administration has presented.

Anyone who is so old-fashioned as to stop and think, instead of being swept along by rhetoric, can understand that a budget-- any budget-- is not a record of hard facts but a projection of future financial...]]> Tue, 09 Mar 2010 00:00:00 -0600 Abraham Lincoln once asked an audience how many legs a dog has, if you called the tail a leg? When the audience said "five," Lincoln corrected them, saying that the answer was four. "The fact that you call a tail a leg does not make it a leg."

That same principle applies today. The fact that politicians call something a "stimulus" does not make it a stimulus. The fact that they call something a "jobs bill" does not mean there will be more jobs.

What have been the actual consequences of all the hundreds of billions of dollars that the government has spent? The idea behind the spending is that it will cause investors to invest, lenders to lend and employers to...]]> Tue, 09 Mar 2010 00:00:00 -0600 A woman with a petition went among the crowds attending a state fair, asking people to sign her petition demanding the banning of dihydroxymonoxide. She said it was in our lakes and streams, and now it was in our sweat and urine and tears.

She collected hundreds of signatures to ban dihydroxymonoxide -- a fancy chemical name for water. A couple of comedians were behind this ploy. But there is nothing funny about its implications. It is one of the grim and dangerous signs of our times.

This little episode revealed how conditioned we have become, responding like Pavlov's dog when we hear a certain sound-- in this case, the sound of some politically correct...]]> Sat, 06 Mar 2010 00:00:00 -0600 Some years ago, one of my favorite doctors retired. On my last visit to his office, he took some time to explain to me why he was retiring early and in good health.

Being a doctor was becoming more of a hassle as the years went by, he said, and also less fulfilling. It was becoming more of a hassle because of the increasing paperwork, and it was less fulfilling because of the way patients came to him.

He was currently being asked to Xerox lots of records from his files, in order to be reimbursed for another patient he was treating. He said it just wasn't worth it. Whoever was paying-- it might have been an insurance company or the government-- would either pay him or not,...]]> Thu, 04 Mar 2010 00:00:00 -0600 With all the controversies, charges, counter-charges and buzzwords swirling around the issue of medical care in the United States, there is a lot to be said for going back to square one and asking just what is the fundamental problem.

The quality of the medical care itself is not the problem. Few-- if any-- countries can match American medical training, medical technology or the development of life-saving pharmaceutical drugs in the United States. Most countries with government-controlled medical care cannot come close to matching how fast an American can get medical treatment, particularly from specialists.

Political hype is no reason to throw all that away. In fact,...]]> Wed, 03 Mar 2010 00:00:00 -0600 What is most like Alice in Wonderland is discussing medical care reform in the abstract, as if there are not already government-run medical care systems in this country and elsewhere.

Yet there seems to be remarkably little interest in examining how government-run medical care actually turns out-- medically and financially-- whether in Medicare, Medicaid, Veterans Administration hospitals in this country, or in government-run medical systems in other countries.

We are repeatedly being told that we need to have a government-controlled medical care system, because other countries have it-- as if our policies on something as serious as medical care should be based on the...]]> Tue, 02 Mar 2010 00:00:00 -0600 Most discussions of health care are like something out of Alice in Wonderland.

What is the biggest complaint about the current medical care situation? "It costs too much." Yet one looks in vain for anything in the pending legislation that will lower those costs.

One of the biggest reasons for higher medical costs is that somebody else is paying those costs, whether an insurance company or the government. What is the politicians' answer? To have more costs paid by insurance companies and the government.

Back when the "single payer" was the patient, people were more selective in what they spent their own money on. You went to a doctor when you had a broken leg but not...]]> Wed, 24 Feb 2010 00:00:00 -0600 Tiger Woods doesn't owe me an apology. Nothing that he has ever done has cost me a dime nor an hour of sleep.

This is not a plea to be "non-judgmental." I am very judgmental about all sorts of things, including Tiger Woods' bad behavior. But that is very different from saying that he somehow owes me an apology.

For all I know, my neighbors may be judgmental when I drive out of my driveway in a 15-year-old car. But they have never said anything to me about it, and I have never offered them an apology. This is not equating driving a 15-year-old car with what Tiger Woods did. But the point is that any apology he might make should be made to his family, who were hurt, not to...]]> Tue, 23 Feb 2010 00:00:00 -0600 During bad times, the blame game is the biggest game in Washington. Wall Street "greed" or "predatory" lenders seem to be favorite targets to blame for our current economic woes.

When government policy is mentioned at all in handing out blame, it is usually blamed for not imposing enough regulation on the private sector. But there is still the question whether any of these explanations can stand up under scrutiny.

Take Wall Street "greed." Is there any evidence that people in Wall Street were any less interested in making money during all the decades and generations when investments in housing were among the safest investments around? If their greed did not bring on an...]]> Tue, 16 Feb 2010 00:00:00 -0600 If eternal vigilance is the price of freedom, incessant distractions are the way that politicians take away our freedoms, in order to enhance their own power and longevity in office. Dire alarms and heady crusades are among the many distractions of our attention from the ever increasing ways that government finds to take away more of our money and more of our freedom.

Magicians have long known that distracting an audience is the key to creating the illusion of magic. It is also the key to political magic.

Alarms ranging from "overpopulation" to "global warming" and crusades ranging from "affordable housing" to "universal health care" have been among the distractions of...]]> Sat, 13 Feb 2010 00:00:00 -0600 Most of us want to be fair, in the sense of treating everyone equally. We want laws to be applied the same to everyone. We want educational, economic or other criteria for rewards to be the same as well. But this concept of fairness is not only different from prevailing ideas of fairness among many of the intelligentsia, it contradicts their idea of fairness.

People like philosopher John Rawls call treating everyone alike merely "formal" fairness. Professor Rawls advocated "a conception of justice that nullifies the accidents of natural endowment and the contingencies of social circumstances." He called for a society which "arranges" end-results, rather than simply treating...]]> Tue, 09 Feb 2010 00:00:00 -0600 Mixed up with the question of fairness to individuals and groups has been the explosive question of whether individuals and groups have the innate ability to perform at the same levels, if they are all treated alike or even given the same objective opportunities.

Intellectuals have swung from one side of this question at the beginning of the 20th century to the opposite side at the end. Both those who said that achievement differences among races and classes were due to genes, in the early years of the 20th century, and those who said that these differences were due to discrimination, in the later years, ignored the old statisticians' warnings that correlation is not...]]> Tue, 09 Feb 2010 00:00:00 -0600 If there is ever a contest to pick which word has done the most damage to people's thinking, and to actions to carry out that thinking, my nomination would be the word "fair." It is a word thrown around by far more people than have ever bothered to even try to define it.

This mushy vagueness may be a big handicap in logic but it is a big advantage in politics. All sorts of people, with very different notions about what is or is not fair, can be mobilized behind this nice-sounding word, in utter disregard of the fact that they mean very different things when they use that word.

Some years ago, for example, there was a big outcry that various mental tests used for college...]]> Tue, 09 Feb 2010 00:00:00 -0600 A recent flap in a Berkeley high school reveals what a farce "fairness" can be. Because this is ultra-liberal Berkeley, perhaps we should not be surprised that a proposal has been made to eliminate four jobs as science teachers and use the money saved for programs to help low achievers.

In Berkeley, as in many other communities across the country, black and Latino students are not performing as well as Asian and white students. In fact, the racial gap in academic achievement at Berkeley High School is the highest in California-- no doubt a special source of embarrassment in politically correct Berkeley.

According to the principal, "Our community at Berkeley High School has...]]>