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The Federalist Diaries

A Not-So-Divine Comedy, Part 12

No one can earn a million dollars honestly.
William Jennings Bryan, 1860 – 1925,
an American lawyer, statesman, and politician, three times the Democratic Party nominee for President of the United States.

The decadent international but individualistic capitalism in the hands of which we found ourselves after the war is not a success. It is not intelligent. It is not beautiful. It is not just. It is not virtuous. And it doesn't deliver the goods.
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Capitalism is the astounding belief that the most wickedest [sic] of men will do the most wickedest of things for the greatest good of everyone.
John Maynard Keynes, 1883 – 1946,
a British economist whose ideas, called Keynesian economics, had a major impact on modern economic and political theory, as well as on many governments’ fiscal policies.  

So far, we have noted many deficiencies in the capitalism which we practice.  The purpose behind such a look is to encourage thought and action about how to make capitalism work better.  So we look at more deficiencies.

The problem arising from the clash of values between capitalism and health care is profound, and examples abound.  Below, a physician writes about the problem.  

The Corrosion of Medicine
Can the Profession Reclaim its Moral Legacy?
by John Geyman, M.D.  

Medicine can no longer deny the extent to which unbridled self-interest has eroded its professionalism. As documented in earlier chapters, these excesses are pervasive throughout the profession, for all to see, involving patient care, education and research as well as academic medical centers and many of the profession's organizations.  The extent of deprofessionalization makes clear that the cause extends well beyond a few "bad apples." If medicine is to restore its professionalism, the profession must accept responsibility for letting down the public trust, recommit itself to service over self-interest, and build effective mechanisms of self-regulation which can gain the public's confidence.  

Whether medicine will give up its customary defensive mode and respond positively to its moral and professional challenges is an open question. Despite its long struggle to maintain its independence, the profession has lost much of its autonomy as it increasingly serves corporate interests. In a more proactive stance, medicine may recognize a larger role of government as a potential force to support the context within which it can restore its professionalism. Business as usual will not serve the profession or the public well. The profession now has a window of opportunity to expand its vision and lead toward better health care for all Americans. To do so, it must involve itself with rebuilding the capability of public health and with advocacy for real health care reform, which leads us to the last chapters. http://www.commoncouragepress.com/index.cfm?action=book&bookid=384  

March 13, 2008

 

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