George Rebane
[This is the addended transcript of my regular KVMR commentary broadcast on 12 July 2017.]
Today’s intense debate over what to do about healthcare once more highlights the country’s divisions. The socialists want a ‘single payer’ system of homogenous nationalized healthcare, others of a more conservative bent promoting freer markets want a decentralized system of distributed healthcare services and providers. But what we overlook in this debate is the little-known idea of a society’s social commons, and how single payer will become one more such a common.
Moving nations toward new forms of governance based on the ideology of social commons is today quietly being promoted by leftwing institutions as an attractive middle ground for closing the schism between the Left and the Right. (more here, here, and here) We are told that with the advent of the new order of social commons replacing the remnants of capitalistic market driven economies, we will again enjoy the “conviviality of traditional Main Streets and public spaces, the freedom of the internet, the fertility of knowledge in the public domain, the patrimony of nature that we are bidden to pass along improved rather than diminished”, making a place “where the new conservatism and the new progressivism can unite.”
Under a social commons world order we will have income equity, availability of jobs, universal healthcare, free education, and equal access to all resources. No more will the top 1% be the top 1%. But what we forget when examining such futures is the established rule, ‘them that pays the piper, calls the tune’. Socialists think that since government will then pay for healthcare, it should also manage its delivery to minimize costs by what services it will provide to whom under what circumstances, and how it will control demand for different services. Because after all, in addition to equal access, reducing costs is the prime motivation for changing our healthcare system into a social common.
And therein lies the rub. In his now classic ‘The Tragedy of the Commons’, the late Garrett Hardin taught us about the care and feeding of social commons. Hardin pointed out that since a common is owned by no one, its prudent consumption depends on the altruistic behavior of its consumers, which historically has been in short supply. The main takeaway is that all commons have an intrinsic carrying capacity – think of the Boston Common where the community’s cows grazed – which causes all commons to be eventually destroyed by over consumption, because those altruists who can and don’t over-consume the commons will come up short when compared to their more selfish neighbors.
People know this and therefore have established public commons - such things as roads, bridges, waterways, air quality, national security, community policing, education, and so on - to be managed by someone with a big stick, aka governments. In a strict sense this does away with the commons and hands the resource over to some government department or bureau to manage and husband. We have done this over the years with the fervent hope that government, as our trusted agent, will competently manage the common resource for the benefit of us all.
But management of a common requires the government to also manage our behaviors and life styles. If some enjoy life styles which put an extra burden on the common, others will complain and demand that government rein them in. In matters of public health, we have already seen this in how tobacco, fatty foods, and narcotics are being managed for our benefit. (more here) The inevitable problem comes when funds to support a common resource become scarce, then the prudent manager will demand further concessions by raising taxes and reducing services to consumers. This we already see in the EU countries where people are used to leading a much more regimented life.
The promoters of social commons argue that these problems arise because we have not yet completely purged capitalism, markets, greed, and inequality from society. And as soon as we do that by setting up more and more social commons to satisfy our needs, then we all will have equal access to health, prosperity, and fulfillment in a new world where contentment and peace will reign forever. Amen.
My name is Rebane, and I also expand on this and related themes on Rebane’s Ruminations where the addended transcript of this commentary is posted with relevant links, and where such issues are debated extensively. However, my views are not necessarily shared by KVMR. Thank you for listening.
[Addendum to be added in the fulness of time. Just got back from an afternoon of shooting with one my pals in 92F weather, slaving over a hot scope on my new 30-06 (we both have identical rifles and scopes), and now we’re ready for some prime sour mash squeezins on the rocks sitting on the porch with our feet up. Life is good.]
Sandbox - 29jul17
[Ah yes, the filibuster debates are again in season. Republicans are being admonished by the eternally innocent progressives about messing with the filibuster, as if that were a tradition brought down on the tablets and one that has remained unblemished since then. It would be utterly unconsciounable to bring up the recent history of who exercised the 'nuclear option' and under what conditions they pulled the trigger. In the meanwhile, we are on our way home and thank RR readers for keeping the sandboxes exercised and the comment candles burning. gjr]
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