Monday, February 27, 2017

Modest Proposal

Dr. E.W. Prichard, an ex-naval surgeon who settled in Scotland as a G.P., convicted of murdering his wife and mother-in-law by poison, the last person to be publicly executed in Glasgow, in 1865. He may have killed a servant-girl as well.

Now that we're going to get rid of the Dodd-Frank fiduciary rule requiring investment advisors to act in their customers' best interests—I actually heard some Republican hack on the radio saying that the rule was a limitation on consumer freedom of choice ("But I might want to choose an investment adviser who will use me to push up the the price of a stock that's going to collapse so he can make more for the firm, or himself, by shorting it!")—

Now, I say, maybe we should think about applying this in some other places. I notice that was a big part of the Republican opposition to the Affordable Care Act too. When Obama said "If you like it you can keep it," he wasn't thinking about all the ordinary Americans who prefer their insurance to suck up their premiums and never give them any payback unless a motorcycle accident turns them into paraplegics. Obama thought we'd like to get rid of those in favor of plans that give you preventive care without a copay. And worried about poor people who couldn't afford any insurance instead of Silicon Valley libertarians who don't need insurance because they know they're immune to cancer. (Nobody's immune to cancer.)

Anyway, why don't we start licensing physicians who decline to take the Hippocratic Oath? What about my right to choose a doctor who doesn't mind doing a little harm? Harmful physicians could probably cut costs a lot, which is so important in health care for poor people, in line with the Ryan proposals.

Cross-posted at The Rectification of Names.

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