Posted by D
The minister for health is wrong, the government is responsible for the failing budget of medicare. Wrong, because medicare is itself the problem. The insurance bills faced by doctors is partly bound up with medicare, as well as litigious law firms.Medical services are consumption items full stop.Medicare generates, therefore, two sets of problem, though they are tied, economics and finance.Both terms , in view of the escalating costs of Australia’s variant of an NHS, devolves on the takeover of medical services under the command consumption economy of Medicare. The divorce of supply from market pricing , and, the notion of `rational economics’ is ordering and direction of concrete facts and not theory of action, are the twin culprits.
The last contention is summed up by the vulgar usage of system. Used as a metaphor to picture the relationships btween law and economics, for example, is fine to simplify things before arriving at robust theory. One can proceed to add things like language, conventions informing the business of government and so forth.This is something quite lost on sociologists, whose assumption is , to be blunt, primitive tribalism.The irony is, tribal custom, can be pictured in the same way.For what law, economy, medicine, any enterprise, are not, are mere concrete reality, a block which can be altered and shaped at whim.They are due to human action.
What theory discloses is, what informs action is abstract.Nothing concrete about what informs and guides action at all.The analogy with physics is more than just good,thoery illuminates and lifts out and formulates the intuition into, precisely , theorems of action,just physics theory is a very good approximatin of the principles of this universe.What does physics show: a universe which is given out of `spontaneously occurring interactions’ ( the notion of `chaos’) and so also formations and so forth.All possible because of very few , abstract principles informing all those things.`Evolution’ , as a rough and ready term, simply observes that of `living things’ also.
That is what common law is, in a nutshell, very good theorems of human action, hence, the ground of common law is economics, that of open, free commerce.Common law is not, therefore, fact bound , not ends connected which includes attempts to direct and redistribute according to aims which, in sentiment might be fine,but inevitably yields not just corruption of markets , but totalitarian government.
Not autarchy, not the centrally planned, economy, not the directed economy though using, formally, does the work of price guided alone markets.That last possibility, central directions using markets , notionally of markets, to do the work, sums up much of government polcies from the 80’s to the current government’s efforts in central planning, including medicare and, to add, `universites’, right through to industry sectors.
Medical service are not an homologous `whole’, the `holistic’ superstitious notion which underpins the otherwise nonesenical `health system’ and `medicare’.From general practice, to high level specialities, medicine can only be summary noun for quite diverse things. Added to which,subsidiary things like nursing, hotel accomodation of patients in hospitals and any other thing which might be deployed.A hospital itself simply provides a framework for an agglommeration of services, because, unless there is abetter way of running some things, it is more efficent to run some things in such institutions.
An agglomeration of different markets it can be said, even though some arerelated.From the initial visit to the G.P. , a patient ends up in the operating bed having something ripped out of them.
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