To Piezoe:
I am 24. The description of human nature made me laugh. I appreciate you telling your background as I try to be objective about things myself. Objectiveness has inherent utility (especially for trading) and I also take pride of self for trying to be as objective as I can. I can tell by you finding it important to share your background that you try to be objective as well. That makes me able to trust your understanding of things to a much higher level. Thank you for the insight of the situation of medical care in the US. As you said, political subjects are so veiled in rhetorics that you often do not what to believe.
I am so aware of capitalists hating competition. Just look at Michael Porter's 5 forces - the whole framework shouts out loud how much a business hates competition. I think capitalism is the most efficient form to conduct economic activity for a market. The key is to shape (regulate) the market after the interest of society. The problem arises when capitalists can influece the border of the market, affect regulations. I am under the impression that USA governance is captured by interest groups to much higher degree than other western industrialized countries. Look at how the finance industry have killed regulations in the US over the past century...
I am from Sweden so most of our medical care is provided by government. My current best solution of medical care is that you have both capitalists and government operating the market. I do not have any percentages on how it should be distributed. My thinking is that government calculates approximate cost of treating patients it has and would give capitalists about that amount if a patient turned to them instead. Government keeps tabs on return on equity for these capitalists and reduce subsidies given if return on equity becomes too high. Obviously, we need to differentiate between treatments so we know where productivity has increased to we can lower subsidies more specifically. This would rein in costs and allow productivity gains to be passed onto consumers (patients). The government should also keep some spare capacity so that if capistalists try to reduce capacity to capture the market then government will counter balance.
I would also keep regulation present so that capitalists do not abuse the inelastic pricing power on health that physicians hold, ie. not allow premium but disgustingly expensive drugs to be premiered over generic but perfectly fine substitutes. Financing of medical care must not be the US way either - insurance takes care of everything. That provides disincentives for too many parts - the patient, the doctor.... This is just some rough idea of how I think it could work.
Notice that my idea is not going to the most optimal structure conceivable. A heavy hand holds entrepreneurs back because I don't believe we want to squeeze every possible penny, when it comes to medical care. We want to SHAPE the market, but let capitalists kill each other within it (compete).
Regarding the finance industry I think that you have to socialise it. It is too big to fail, meaning that we will not have any survival of the fittest, just survival of the present. Free enterprise/market is like evolution - the most efficient ones survive and the rest goes under. If this mechanism is gone then what's the point of free-enterprise? A private party trying to be as efficient as possible is not that different from a government agency trying the same (not confident about this statement though)? There is also the question of inherent monopoly power involved, if you are going to give people the privilege of making economic profit (different from accounting profit) then you should tax it way differently from normal business.
I must go to sleep, dead tired. I'll continue this post tomorrow. Not sure what I've written makes any sense haha.
I realize we've strayed a bit from thread topic, but I guess i get to play god in my thread? ;D
I am 24. The description of human nature made me laugh. I appreciate you telling your background as I try to be objective about things myself. Objectiveness has inherent utility (especially for trading) and I also take pride of self for trying to be as objective as I can. I can tell by you finding it important to share your background that you try to be objective as well. That makes me able to trust your understanding of things to a much higher level. Thank you for the insight of the situation of medical care in the US. As you said, political subjects are so veiled in rhetorics that you often do not what to believe.
I am so aware of capitalists hating competition. Just look at Michael Porter's 5 forces - the whole framework shouts out loud how much a business hates competition. I think capitalism is the most efficient form to conduct economic activity for a market. The key is to shape (regulate) the market after the interest of society. The problem arises when capitalists can influece the border of the market, affect regulations. I am under the impression that USA governance is captured by interest groups to much higher degree than other western industrialized countries. Look at how the finance industry have killed regulations in the US over the past century...
I am from Sweden so most of our medical care is provided by government. My current best solution of medical care is that you have both capitalists and government operating the market. I do not have any percentages on how it should be distributed. My thinking is that government calculates approximate cost of treating patients it has and would give capitalists about that amount if a patient turned to them instead. Government keeps tabs on return on equity for these capitalists and reduce subsidies given if return on equity becomes too high. Obviously, we need to differentiate between treatments so we know where productivity has increased to we can lower subsidies more specifically. This would rein in costs and allow productivity gains to be passed onto consumers (patients). The government should also keep some spare capacity so that if capistalists try to reduce capacity to capture the market then government will counter balance.
I would also keep regulation present so that capitalists do not abuse the inelastic pricing power on health that physicians hold, ie. not allow premium but disgustingly expensive drugs to be premiered over generic but perfectly fine substitutes. Financing of medical care must not be the US way either - insurance takes care of everything. That provides disincentives for too many parts - the patient, the doctor.... This is just some rough idea of how I think it could work.
Notice that my idea is not going to the most optimal structure conceivable. A heavy hand holds entrepreneurs back because I don't believe we want to squeeze every possible penny, when it comes to medical care. We want to SHAPE the market, but let capitalists kill each other within it (compete).
Regarding the finance industry I think that you have to socialise it. It is too big to fail, meaning that we will not have any survival of the fittest, just survival of the present. Free enterprise/market is like evolution - the most efficient ones survive and the rest goes under. If this mechanism is gone then what's the point of free-enterprise? A private party trying to be as efficient as possible is not that different from a government agency trying the same (not confident about this statement though)? There is also the question of inherent monopoly power involved, if you are going to give people the privilege of making economic profit (different from accounting profit) then you should tax it way differently from normal business.
I must go to sleep, dead tired. I'll continue this post tomorrow. Not sure what I've written makes any sense haha.
I realize we've strayed a bit from thread topic, but I guess i get to play god in my thread? ;D