More on that $716,000,000,000 in Medicare Savings
In the last posting, an
extensive article on the $716,000,000,000
in savings which the Affordable Care Act
(Obamacare) will provide appeared. Breaking
down that amount,
a. About one third will
come from reduced payments to Medicare Advantage Plans which cost our government
significantly more than traditional Medicare. These plans often provide fringe benefits such as fitness services which other Medicare recipients do not get and also cover some co-payments and deductibles which traditional Medicare does not cover, making Medicare "supplements" unnecessary.
b. About one third will
come from hospital payments which will be offset for the hospitals by more
"paying" patients being admitted and finally,
c. About one third will
come from reducing waste, fraud and instituting efficiencies in the providers' delivery systems, none of which will
reduce benefits presently received by those on Medicare.
JL
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* * * *
Political
Trivia
Missouri Congressman
Todd Akin won that state’s senatorial primary two weeks ago. The other day, he made some sincere but nevertheless offensive
comments about abortions in situations involving rape. He attempted to distinguish between legitimate (or "forcible") rape where he contended the female body naturally reacts in a manner which would avoid pregnancy, and "other" kinds of rapes, which might result in pregnancies. As a result, he may not get any votes in November from women voters. None at all. Probably not even his wife. There is a possibility that he may end up being
replaced on the ticket despite his winning the primary.
The Democrats should recognize, however, that
this is a man who has been re-elected to his Congressional seat five times and
legitimately won the Missouri senate primary.
Could it be that his constituency backs this kind of thinking?
(It might be noted that Congressman Paul Ryan has co-sponsored extremist legislation introduced by Akin over the years, including a bill which would permit coverage of abortions only when made necessary by "forcible" rape, but not the "other" kind of rape. Both Congressmen also have supported a "personhood" amendment to the Constitution which would make all abortion illegal.)
Peas in a Pod: Todd Akin looks on as Ryan introduced the G.O.P.'s 2012 Budget in the House of Representatives
JL(It might be noted that Congressman Paul Ryan has co-sponsored extremist legislation introduced by Akin over the years, including a bill which would permit coverage of abortions only when made necessary by "forcible" rape, but not the "other" kind of rape. Both Congressmen also have supported a "personhood" amendment to the Constitution which would make all abortion illegal.)
Peas in a Pod: Todd Akin looks on as Ryan introduced the G.O.P.'s 2012 Budget in the House of Representatives
To paraphrase the late
H.L. Mencken, “No one ever lost an election by underestimating the intelligence of
the American people.” Democrats, beware!
Ryan, Rand and Roark
A Repudiation of Isaiah, Jesus and John Donne
“Only by taking responsibility for oneself, to the greatest extent possible, can one ever be free. And only a free person can make responsible choices between right and wrong, saving and spending, giving or taking.”
. . . Paul Ryan
This
is taken from the introduction to “A Roadmap to America’s Future,” the economic
blueprint authored by Paul Ryan early in 2010.
They are beautiful words and to some extent influenced voters who sent a
Republican majority to the House of Representatives later that year. It remains the touchstone of his economic and
political beliefs today. It thrusts
forward personal responsibility as the key to the freedom necessary to make
important life decisions.
This
is the personal philosophy of Howard Roark, the fictional architect in Ayn
Rand’s famous novel, The Fountainhead. It is the antithesis of letting the
government, or anyone else, take responsibility for you, thereby taking away
your freedom to make your own choices.
This also is the philosophy found in Austrian economist Frederich Hayek's Road to Serfdom in which the idea is expounded that once such responsibility starts being given to government, as happened in Nazi Germany and Communist Russia, there is no turning back.
Paul Ryan is an admirer of Rand, and asks
his office staff to read her works. Now
that he is to be the G.O.P. Vice-Presidential nominee, however, he has backed
off a bit, trying to make it clear that his admiration for Rand doesn’t go so
far as sharing her atheism nor her personal philosophy of objectivism. Ryan also has mentioned discussing Hayek,
whom he also admires, with his college professors.
It
would be wonderful to be a nation of pure individualists, each taking full
responsibility for themselves.
Unfortunately, this would result in some of us being winners and some of
us being losers. It amounts to "winner take all, and the devil take the hindmost." And if the government
has to be responsible for the welfare of the "hindmost," it also must involve
itself in the choices which all individuals, including the winners, make for
themselves. Howard Roark in The Fountainhead worshiped at the shrine
of the individual ego from which he believed all creativity flows, shunning anything even
remotely “collective” or dependent on others.
And conversely, he owed nothing to his fellow man, despising altruism as a vice.
The Fountainhead is a great book, published in 1943 in
the shadow of totalitarianism which the author feared would spread to this
country and would squelch individual rights.
Today, however, a nation of Howard Roarks would be an unmitigated
disaster. Unfortunately, I suspect that Paul Ryan sees a little bit of Howard Roark in himself.
If
you have not read The Fountainhead, I
recommend that you do so. At the least, read
Roark’s famous courtroom speech, reproduced below. Although it will take a few minutes, it will be time well spent. (If you google "roark courtroom speech," you can easily find and view via U-Tube the speech from the 1949 movie in which Gary Cooper played Roark, but reading it exactly as it appeared in Rand's novel is better.)
Jack Lippman
Howard Roark's
Courtroom Speech
Courtroom Speech
From The Fountainhead, by Ayn Rand (printed without permission)
“Thousands of years ago, the first man discovered how to make fire. He was probably burned at the stake he had taught his brothers to light. He was considered an evildoer who had dealt with a demon mankind dreaded. But thereafter men had fire to keep them warm, to cook their food, to light their caves. He had left them a gift they had not conceived and he had lifted dardness off the earth. Centuries later, the first man invented the wheel. He was probably torn on the rack he had taught his brothers to build. He was considered a transgressor who ventured into forbidden terrritory. But thereafter, men could travel past any horizon. He had left them a gift they had not conceived and he had opened the roads of the world.
“That man, the unsubmissive and first, stands in the opening chapter of every legend mankind has recorded about its beginning. Prometheus was chained to a rock and torn by vultures—because he had stolen the fire of the gods. Adam was condemned to suffer—because he had eaten the fruit of the tree of knowledge. Whatever the legend, somewhere in the shadows of its memory mankind knew that its glory began with one and that that one paid for his courage.
“Throughout the centuries there were men who took first steps down new roads armed with nothing but their own vision. Their goals differed, but they all had this in common: that the step was first, the road new, the vision unborrowed, and the response they received—hatred. The great creators—the thinkers, the artists, the scientists, the inventors—stood alone against the men of their time. Every great new thought was opposed. Every great new invention was denounced. The first motor was considered foolish. The airplane was considered impossible. The power loom was considered vicious. Anesthesia was considered sinful. But the men of unborrowed vision went ahead. They fought, they suffered and they paid. But they won.
“No creator was prompted by a desire to serve his brothers, for his brothers rejected the gift he offered and that gift destroyed the slothful routine of their lives. His truth was his only motive. His own truth, and his own work to achieve it in his own way. A symphony, a book, an engine, a philosophy, an airplane or a building—that was his goal and his life. Not those who heard, read, operated, believed, flew or inhabited the thing he had created. The creation, not its users. The creation, not the benefits others derived from it. The creation which gave form to his truth. He held his truth above all things and against all men.
“His vision, his strength, his courage came from his own spirit. A man's spirit, however, is his self. That entity which is his consciousness. To think, to feel, to judge, to act are functions of the ego.
“The creators were not selfless. It is the whole secret of their power—that it was self-sufficient, self-motivated, self-generated. A first cause, a fount of energy, a life force, a Prime Mover. The creator served nothing and no one. He lived for himself.
“And only by living for himself was he able to achieve the things which are the glory of mankind. Such is the nature of achievement.
“Man cannot survive except through his mind. He comes on earth unarmed. His brain is his only weapon. Animals obtain food by force. Man has no claws, no fangs, no horns, no great strength of muscle. He must plant his food or hunt it. To plant, he needs a process of thought. To hunt, he needs weapons, and to make weapons—a process of thought. From this simplest necessity to the highest religious abstraction, from the wheel to the skyscraper, everything we are and everything we have comes from a single attribute of man—the function of his reasoning mind.
“But the mind is an attribute of the individual. There is no such thing as a collective brain. There is no such thing as a collective thought. An agreement reached by a group of men is only a compromise or an average drawn upon many individual thoughts. It is a secondary consequence. The primary act—the process of reason—must be performed by each man alone. We can divide a meal among many men. We cannot digest it in a collective stomach. No man can use his lungs to breathe for another man. No man can use his brain to think for another. All the functions of body and spirit are private. They cannot be shared or transferred.
“We inherit the products of the thought of other men. We inherit the wheel. We make a cart. The cart becomes an automobile. The automobile becomes an airplane. But all through the process what we receive from others is only the end product of their thinking. The moving force is the creative faculty which takes this product as material, uses it and originates the next step. This creative faculty cannot be given or received, shared or borrowed. It belongs to single, individual men. That which it creates is the property of the creator. Men learn from one another. But all learning is only the exchange of material. No man can give another the capacity to think. Yet that capacity is our only means of survival.
“Nothing is given to man on earth. Everything he needs has to be produced. And here man faces his basic alternative: he can survive in only one of two ways—by the independent work of his own mind or as a parasite fed by the minds of others. The creator originates. The parasite borrows. The creator faces nature alone. The parasite faces nature through an intermediary.
“The creator’s concern is the conquest of nature. The parasite’s concern is the conquest of men.
“The creator lives for his work. He needs no other men. His primary goal is within himself. The parasite lives second-hand. He needs others. Others become his prime motive.
“The basic need of the creator is independence. The reasoning mind cannot work under any form of compulsion. It cannot be curbed, sacrificed or subordinated to any consideration whatsoever. It demands total independence in function and in motive. To a creator, all relations with men are secondary.
“The basic need of the second-hander is to secure his ties with men in order to be fed. He places relations first. He declares that man exists in order to serve others. He preaches altruism.
“Altruism is the doctrine which demands that man live for others and place others above self.
“No man can live for another. He cannot share his spirit just as he cannot share his body. But the second-hander has used altruism as a weapon of exploitation and reversed the base of mankind’s moral principles. Men have been taught every precept that destroys the creator. Men have been taught dependence as a virtue.
“The man who attempts to live for others is a dependent. He is a parasite in motive and makes parasites of those he serves. The relationship produces nothing but mutual corruption. It is impossible in concept. The nearest approach to it in reality—the man who lives to serve others—is the slave. If physical slavery is repulsive, how much more repulsive is the concept of servility of the spirit? The conquered slave has a vestige of honor. He has the merit of having resisted and of considering his condition evil. But the man who enslaves himself voluntarily in the name of love is the basest of creatures. He degrades the dignity of man and he degrades the conception of love. But this is the essence of altruism.
“Men have been taught that the highest virtue is not to achieve, but to give. Yet one cannot give that which has not been created. Creation comes before distribution—or there will be nothing to distribute. The need of the creator comes before the need of any possible beneficiary. Yet we are taught to admire the second-hander who dispenses gifts he has not produced above the man who made the gifts possible. We praise an act of charity. We shrug at an act of achievement.
“Men have been taught that their first concern is to relieve the sufferings of others. But suffering is a disease. Should one come upon it, one tries to give relief and assistance. To make that the highest test of virtue is to make suffering the most important part of life. Then man must wish to see others suffer—in order that he may be virtuous. Such is the nature of altruism. The creator is not concerned with disease, but with life. Yet the work of the creators has eliminated one form of disease after another, in man’s body and spirit, and brought more relief from suffering than any altruist could ever conceive.
“Men have been taught that it is a virtue to agree with others. But the creator is the man who disagrees. Men have been taught that it is a virtue to swim with the current. But the creator is the man who goes against the current. Men have been taught that it is a virtue to stand together. But the creator is the man who stands alone.
“Men have been taught that the ego is the synonym of evil, and selflessness the ideal of virtue. But the creator is the egotist in the absolute sense, and the selfless man is the one who does not think, feel, judge or act. These are functions of the self.
“Here the basic reversal is most deadly. The issue has been perverted and man has been left no alternative—and no freedom. As poles of good and evil, he was offered two conceptions: egotism and altruism. Egotism was held to mean the sacrifice of others to self. Altruism—the sacrifice of self to others. This tied man irrevocably to other men and left him nothing but a choice of pain: his own pain borne for the sake of others or pain inflicted upon others for the sake of self. When it was added that man must find joy in self-immolation, the trap was closed. Man was forced to accept masochism as his ideal—under the threat that sadism was his only alternative. This was the greatest fraud ever perpetrated on mankind. “This was the device by which dependence and suffering were perpetuated as fundamentals of life.
“The choice is not self-sacrifice or domination. The choice is independence or dependence. The code of the creator or the code of the second-hander. This is the basic issue. It rests upon the alternative of life or death. The code of the creator is built on the needs of the reasoning mind which allows man to survive. The code of the second-hander is built on the needs of a mind incapable of survival. All that which proceeds from man’s independent ego is good. All that which proceeds from man’s dependence upon men is evil.
“The egotist is the absolute sense is not the man who sacrifices others. He is the man who stands above the need of using others in any manner. He does not function through them. He is not concerned with them in any primary matter. Not in his aim, not in his motive, not in his thinking, not in his desires, not in the source of his energy. He does not exist for any other man—and he asks no other man to exist for him. This is the only form of brotherhood and mutual respect possible between men.
“Degrees of ability vary, but the basic principle remains the same: the degree of a man’s independence, initiative and personal love for his work determines his talent as a worker and his worth as a man. Independence is the only gauge of human virtue and value. What a man is and makes of himself; not what he has or hasn’t done for others. There is no substitute for personal dignity. There is no standard of personal dignity except independence.
“In all proper relationships there is no sacrifice of anyone to anyone. An architect needs clients, but he does not subordinate his work to their wishes. They need him, but they do not order a house just to give him a commission. Men exchange their work by free, mutual consent to mutual advantage when their personal interests agree and they both desire the exchange. If they do not desire it, they are not forced to deal with each other. They seek further. This is the only possible form of relationship between equals. Anything else is a relation of slave to master, or victim to executioner.
“No work is ever done collectively, by a majority decision. Every creative job is achieved under the guidance of a single individual thought. An architect requires a great many men to erect his building. But he does not ask them to vote on his design. They work together by free agreement and each is free in his proper function. An architect uses steel, glass, concrete, produced by others. But the materials remain just so much steel, glass and concrete until he touches them. What he does with them is his individual product and his individual property. This is the only pattern for proper co-operation among men.
“The first right on earth is the right of the ego. Man’s first duty is to himself. His moral law is never to place his prime goal within the persons of others. His moral obligation is to do what he wishes, provided his wish does not depend primarily upon other men. This includes the whole sphere of his creative faculty, his thinking, his work. But it does not include the sphere of the gangster, the altruist and the dictator.
“A man thinks and works alone. A man cannot rob, exploit or rule—alone. Robbery, exploitation and ruling presuppose victims. They imply dependence. They are the province of the second-hander.
“Rulers of men are not egotists. They create nothing. They exist entirely through the persons of others. Their goal is in their subjects, in the activity of enslaving. They are as dependent as the beggar, the social worker and the bandit. The form of dependence does not matter.
“But men were taught to regard second-handers—tyrants, emperors, dictators—as exponents of egotism. By this fraud they were made to destroy the ego, themselves and others. The purpose of the fraud was to destroy the creators. Or to harness them. Which is a synonym.
“From the beginning of history, the two antagonists have stood face to face: the creator and the second-hander. When the first creator invented the wheel, the first second-hander responded. He invented altruism.
“The creator—denied, opposed, persecuted, exploited—went on, moved forward and carried all humanity along on his energy. The second-hander contributed nothing to the process except the impediments. The contest has another name: the individual against the collective.
“The ‘common good’ of a collective—a race, a class, a state—was the claim and justification of every tyranny ever established over men. Every major horror of history was committed in the name of an altruistic motive. Has any act of selfishness ever equaled the carnage perpetrated by disciples of altruism? Does the fault lie in men’s hypocrisy or in the nature of the principle? The most dreadful butchers were the most sincere. They believed in the perfect society reached through the guillotine and the firing squad. Nobody questioned their right to murder since they were murdering for an altruistic purpose. It was accepted that man must be sacrificed for other men. Actors change, but the course of the tragedy remains the same. A humanitarian who starts with declarations of love for mankind and ends with a sea of blood. It goes on and will go on so long as men believe that an action is good if it is unselfish. That permits the altruist to act and forces his victims to bear it. The leaders of collectivist movements ask nothing for themselves. But observe the results.
“The only good which men can do to one another and the only statement of their proper relationship is—Hands off!
(Here and elsewhere, I've highlighted what I feel are important parts of the speech.)
“Now observe the results of a society built on the principle of individualism. This, our country. The noblest country in the history of men. The country of greatest achievement, greatest prosperity, greatest freedom. This country was not based on selfless service, sacrifice, renunciation or any precept of altruism. It was based on a man’s right to the pursuit of happiness. His own happiness. Not anyone else’s. A private, personal, selfish motive. Look at the results. Look into your own conscience.
“Now observe the results of a society built on the principle of individualism. This, our country. The noblest country in the history of men. The country of greatest achievement, greatest prosperity, greatest freedom. This country was not based on selfless service, sacrifice, renunciation or any precept of altruism. It was based on a man’s right to the pursuit of happiness. His own happiness. Not anyone else’s. A private, personal, selfish motive. Look at the results. Look into your own conscience.
“It is an ancient conflict. Men have come close to the truth, but it was destroyed each time and one civilization fell after another. Civilization is the progress toward a society of privacy. The savage’s whole existence is public, ruled by the laws of his tribe. Civilization is the process of setting man free from men.
“Now, in our age, collectivism, the rule of the second-hander and second-rater, the ancient monster, has broken loose and is running amuck. It has brought men to a level of intellectual indecency never equaled on earth. It has reached a scale of horror without precedent. It has poisoned every mind. It has swallowed most of Europe. It is engulfing our country.
“I am an architect. I know what is to come by the principle on which it is built. We are approaching a world in which I cannot permit myself to live.
“Now you know why I dynamited Cortlandt. (a low-income apartment complex which he had designed but which was not built the way he designed it.)
“I designed Cortlandt. I gave it to you. I destroyed it.
“I destroyed it because I did not choose to let it exist. It was a double monster. In form and in implication. I had to blast both. The form was mutilated by two second-handers who assumed the right to improve upon that which they had not made and could not equal. They were permitted to do it by the general implication that the altruistic purpose of the building superseded all rights and that I had no claim to stand against it.
“I agreed to design Cortlandt for the purpose of seeing it erected as I designed it and for no other reason. That was the price I set for my work. I was not paid.
“I do not blame Peter Keating. (an inferior architect in whose name Roark designed Cortlandt.) He was helpless. He had a contract with his employers. It was ignored. He had a promise that the structure he offered would be built as designed. The promise was broken. The love of a man for the integrity of his work and his right to preserve it are now considered a vague intangible and an inessential. You have heard the prosecutor say that. Why was the building disfigured? For no reason. Such acts never have any reason, unless it’s the vanity of some second-handers who feel they have a right to anyone’s property, spiritual or material. Who permitted them to do it? No particular man among the dozens in authority. No one cared to permit it or to stop it. No one was responsible. No one can be held to account. Such is the nature of all collective action.
“I did not receive the payment I asked. But the owners of Cortlandt got what they needed from me. They wanted a scheme devised to build a structure as cheaply as possible. They found no one else who could do it to their satisfaction. I could and did. They took the benefit of my work and made me contribute it as a gift. But I am not an altruist. I do not contribute gifts of this nature.
“It is said that I have destroyed the home of the destitute. It is forgotten that but for me the destitute could not have had this particular home. Those who were concerned with the poor had to come to me, who have never been concerned, in order to help the poor. It is believed that the poverty of the future tenants gave them the right to my work. That their need constituted a claim on my life. That it was my duty to contribute anything demanded of me. This is the second-hander’s credo now swallowing the world.
(I
have highlighted the following portion which I feel is the crux of Roark’s
position.)
“I came here to say that I do not recognize anyone’s right to one minute of my life. Nor to any part of my energy. Nor to any achievement of mine. No matter who makes the claim, how large their number or how great their need.
“I wished to come here and say that I am a man who does not exist for others.
“It had to be said. The world is perishing from an orgy of self-sacrificing.
“I wished to come here and say that the integrity of a man’s creative work is of greater importance than any charitable endeavor. Those of you who do not understand this are the men who’re destroying the world.
“I wished to come here and state my terms. I do not care to exist on any others.
“I recognize no obligations toward men except one: to respect their freedom and to take no part in a slave society. To my country, I wish to give the ten years which I will spend in jail if my country exists no longer. I will spend them in memory and in gratitude for what my country has been. It will be my act of loyalty, my refusal to live or work in what has taken its place.
“I came here to say that I do not recognize anyone’s right to one minute of my life. Nor to any part of my energy. Nor to any achievement of mine. No matter who makes the claim, how large their number or how great their need.
“I wished to come here and say that I am a man who does not exist for others.
“It had to be said. The world is perishing from an orgy of self-sacrificing.
“I wished to come here and say that the integrity of a man’s creative work is of greater importance than any charitable endeavor. Those of you who do not understand this are the men who’re destroying the world.
“I wished to come here and state my terms. I do not care to exist on any others.
“I recognize no obligations toward men except one: to respect their freedom and to take no part in a slave society. To my country, I wish to give the ten years which I will spend in jail if my country exists no longer. I will spend them in memory and in gratitude for what my country has been. It will be my act of loyalty, my refusal to live or work in what has taken its place.
“My act of loyalty to every creator who ever lived and was made to suffer by the force responsible for the Cortlandt I dynamited. To every tortured hour of loneliness, denial, frustration, abuse he was made to spend—and to the battles he won. To every creator whose name is known—and to every creator who lived, struggled and perished unrecognized before he could achieve. To every creator who was destroyed in body or in spirit. To Henry Cameron. To Steven Mallory. (an architect and a sculptor who inspired Roark.) To a man who doesn’t want to be named, but who is sitting in this courtroom and knows that I am speaking of him.”
Ayn Rand
Paul
Ryan
By choosing Ryan as his running mate, Mitt Romney has selected an "ideologue" whose philosophy will permeate the vacuum where his own philosophy ought to be. In the words of Howard Roark, "The only good which men can do to one another and the only statement of their proper relationship is - 'Hands off!' " And further, Roark attributes America's success to the "private, personal, selfish motives" of individual achievers.
Because of the influence Ayn Rand has had on the thinking of Paul Ryan, the
2012 Republican program will be a denial of the words of the prophet Isaiah
(feed the hungry, shelter the homeless, clothe the naked) along with the
trashing of the intent of the biblical Golden Rule as professed by Jesus, and
as for poet John Donne's advice to "ask not for whom the bell tolls . .
. it tolls for you," Roark, Rand and probably Ryan couldn't care a
whit about for whomever the bell is tolling.
John Donne, the Prophet Isaiah and Jesus
JL
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Jack
Lippman
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