Tag Archives: Socialism

Sally Pipes: how Obamacare causes doctors to quit practicing medicine

Sally C. Pipes is one of my favorite health care policy analysts. She has written several books on topics like the Canadian health care system, the American health care system, and the Obamacare health care law. She has debated health care with that damnable leftist Paul Krugman, among others. She heads up a think tank based in San Francisco, CA called the Pacific Research Institute.

Here is her latest column in the Orange County Register.

Excerpt:

Thanks to Obamacare, America’s corps of doctors appears to have a case of the blues.

The Physicians Foundation recently asked more than 13,000 doctors about their morale, their career plans, their practices and their views of the Affordable Care Act. The results were grim.

Nearly six in 10 doctors said that they are less positive about the future of health care in America under Obamacare. Almost two-thirds have a negative attitude toward their jobs – nearly twice as many as before the health law was passed in 2010.

As a result, many doctors are cutting back on their workload or shuttering their practices. Worse, their collective frustration is exacerbating our nation’s troubling doctor shortage.

More than three-fifths of doctors say they would retire today if they could, compared with 45 percent before Obamacare. Eighty-four percent say the medical profession is in decline. Fewer doctors say they would enter the profession today if they had it to do over again, and fewer would recommend it to their children.

This decline in doctors’ morale is taking a toll on Americans’ ability to access care. Physicians report working almost 6 percent fewer hours than they did four years ago. That’s about two and a half hours less per week per doctor. Add up all the hours, and it’s the equivalent of losing more than 44,000 full-time physicians.

Doctors also report seeing some 16 percent fewer patients than they did in 2008. That represents tens of millions fewer doctor-patient encounters each year.

More than half those surveyed say they plan to cut back further on the time they devote to patient care, to work part time, to retire or to switch to direct-pay “concierge”-type medical practices, which are beyond the reach of many of Obamacare’s rules and regulations.

Even before the law, America faced a chronic doctor shortage, with a gap of 14,000 physicians in 2010. And the problem will only grow worse.

According to the Association of American Medical Colleges, Obamacare will push the doctor shortage up to 63,000 by 2015 – and more than 91,000 by 2020. That’s in addition to the full-time-equivalent losses from doctors working fewer hours.

I have been talking to people in my office who voted for Obama all week to see why they did what they did. Surprisingly, not many people I talked to voted for him. But for those that did, a popular reason is that they wanted to tax the rich more. I asked them what would happen if you taxed the rich more. They told me that Obama can tax people who are “rich” more and more and that the “rich” will just keep paying those higher taxes while still continuing to work and work to provide the goods and services that we all use. I asked them about regulations, and they said that Obama can just keep heaping burdensome regulations on these “rich” people more and more, and they won’t mind at all. They’ll just keep working and hiring people and providing goods and services even if they make less money and have to work more to comply with regulations.

One of the Indian contractors who voted for Obama told me that rich people do what they do because they like it, and they will keep doing it no matter how much we tax and regulate them. “They will do it for love of fairness, and because Obama is such a good man – they will be inspired by him to pay the higher taxes and to fill in the extra paperwork”, he told me. For him, people just do whatever they like. The reason why some people work is because they like working, and the reason why some people don’t work is because they like not working. Another Obama-voter told me that people should be able to do whatever they like and everyone should end up equal in the end. Some people will work because they like to, and others won’t. Taxes don’t affect what a person does. Nor does the difficulty of the work. Nor does the exposure to malpractice lawsuits.  Nor does the higher medical insurance premiums. Doctors do what they do because they like it, and the conditions and profit margins don’t matter. Rich people like doctors will keep working at whatever they do even if they are taxed so much that they earn the same amount of money as people who work at McDonald’s.

That’s the worldview of the people who voted for Obama. They don’t understand incentives at all. They don’t understand the profit motive. They think that people who go to medical school until they are 35, racking up tens of thousands of dollars in debt in the process, will be happy to work 80 hour weeks and to pay 50% of their income in taxes so that other people can have free contraceptives. That is the worldview of the left – they have no idea what the consequences are of raising taxes on “the rich”. They don’t think that there are any consequences.

If you would like to see Sally Pipes talk a bit more about Obamacare, you can watch her explain it here:

Eight minutes long.

Melanie Phillips: the Left’s war on the family has left us with millions of lonely people

Dina has been really wonderful lately, calming me down after Tuesday’s election loss. I’m trying not to write about politics for a little while. For me the biggest impact of the election will be on the children. The children who will be aborted by their mothers, the children who will be raised without their fathers, the children who will be raised with no mother or no father in same-sex “marriages” and the children who will be saddled with over $200,000 of public debt the day they are born. Truly, leftism is a philosophy that makes war on children.

Dina sent me this related article from Melanie Phillips, a well-known Jewish conservative based in the UK. It’s a really good article.

Excerpt:

Britain appears to be turning into a disunited kingdom of solitary and lonely people.

Recent figures have shown that ever-increasing numbers of middle-aged men and women are living alone.

According to the Office of National Statistics, almost 2.5 million people aged between 45 and 64 have their own home but no spouse, partner or children to live with them. Since the mid-Nineties, their number has grown by more than 50 per cent.

[…]A devastating study published last week revealed that, by the time they are 15, little more than half of British children are still living with both their natural parents. That means nearly half of 15-year-olds are not.

First the broken links between parents and children:

[I]f a parent disappears from his or her children’s lives, those children are far less likely to want to look after that parent when he or she becomes old and frail.

Nor will children want to look after a step-parent who, even if not actively resented, will not command the same bonds of love and duty as someone’s natural father or mother.

And the broken links in romantic relationships:

[O]ur post-religious, post-modern, post-moral society prizes above all else independence, which is seen as essential to fulfilling one’s potential without any constraints or interference by anyone else.

This fact more than anything else helps explain the rise and rise of cohabitation, and the reason why so many now prefer it to marriage.

The key point about marriage is that it is not a partnership or a relationship but a union in which two people bind themselves to each other for ever in solemn obligation.

By contrast, those who choose to cohabit regard their relationship as a partnership of independent individuals — in which they reserve for themselves the right to opt out, with no binding obligation on either side.

[…]Nor is it surprising that a principal reason why cohabitations collapse is the arrival of a baby. For a child demands unconditional obligation to another human being. And that’s what cohabitants don’t want.

And children who grow up without both of their biological parents:

Of course, there are lone parents who do a heroic job in bringing up their children against all the odds, but in general children in fragmented families suffer in every aspect of their lives.

They do worse at school and are less likely to get a job, are more prone to drugs, teenage pregnancy and crime, suffer more from depression and other mental disorders and are more vulnerable to physical and sexual abuse.

Worse still, they go on disproportionately to replicate in their adult lives the very same disordered or broken family patterns that did them so much damage.

For in fractured families, where one spouse has betrayed or abandoned another and where partners may come and go, the children grow up without any understanding of what it takes to overcome difficulties in a relationship, or what things such as trust, loyalty — and yes, real love — actually mean.

[…]From easier divorce to the abolition of laws covering illegitimacy; from the promotion of unmarried motherhood to the feminist demonisation of men; from the doctrine of non-judgmentalism, which gave a free pass to the abandonment of children, to the loading of the tax and welfare dice against marriage and in favour of lone parenthood — the wrecking ball of the Left has succeeded in smashing the traditional family to bits.

I love Melanie Phillips! And, like Dina and I, she also likes Conservative MP Iain Duncan Smith – the best MP in the UK.

Now everybody click here and go read the whole thing.

Where are all the Christian women? Are Christian women ready for marriage?

I have noticed some very alarming things about single Christian women lately, and I want to write about some of them.

I think that the main thrust of courting from the man’s perspective is that you want to 1) communicate your plan to make the marriage and the children have a positive impact for Christ and his kingdom, 2) you want to demonstrate that you understand the needs of women and that you are capable of meeting those needs, especially the needs for love and companionship, 3) that you understand the roles of a man and you have made preparations and decisions to be ready to fulfill those roles, and 4) you want to ask the kinds of questions that will allow you to ensure that the woman you are courting is ready to fulfill her roles – because she has also made preparations and good decisions.

Well, the problem I wanted to talk about has to do with objective 1). I have communicated my plan to many women and I find that there are particular parts where they resist. The main thing I would like to do is to have four children who all go into different interesting fields and make an impact for Christ. Here are some of the areas I think would be most useful:

  • cosmologist or astrophysicist
  • biochemist/bioinformatics
  • economist to research marriage and parenting
  • lawyer to join the Alliance Defense Fund

The goal here is that the children will be able to pursue their field of study without being persecuted by secular leftists, and be able to earn a living, and be able to make a contribution in an area that matters.

So what I normally do is lay out this plan to the woman and then see if she is supportive and helpful and starts to take action to help with that. But I have had some alarming reactions and I want to talk about some of those below.

1) Several women have told me that children can have as much impact for Christ as a ballet dancer or poet as they could as a Chief Justice of the Supreme Court or as a President. The part of this objection that I find most alarming is not that it is obviously false, but that my authority to lead, which is secured by my role as provider and saver of money, is being denied. I am still expected to bring savings and income into the family, but without any of the decision making authority about how hard the children should study and what fields they should be steered towards.

For me, the whole point of getting married is to serve the Lord – and if my plans to serve are threatened by marriage, then I will not do it. I would rather use the fortune I have to make donations to individual events than to be married and have those resources wasted on ballet dancers and poets. Further on this point about education and careers, I feel that one of the things that a man struggles with is the fear that his children will not be able to grow up and be prosperous and independent in the world. I especially worry that they will feel pressure to compromise their faith because of financial concerns.

Many people think that there is this Santa Claus in the sky who will magically provide money no matter how reckless they are – but I don’t think God is like that. I think he values stewardship, wisdom and prudence – and that’s what I intend to teach my children. I want my children to have enough money so that they can be independent of the state, and resilient against peer pressure. I see many many people who get degrees in fields where they fall under pressure to adopt viewpoints that are non-Christian simply because of financial concerns. Money matters a lot to keeping your convictions, especially when you get married and have children – it’s something that needs to be planned for.

I am afraid of getting overruled by someone who thinks that the world is a safe place for Christians, or that any field is as good as any other for serving Christ. There is a reason why people know who William Lane Craig and Michele Bachmann are – they have the skills. But what I am seeing from Christian women is that Christianity can be reduced to just reading the Bible, singing in church and praying to hear the voice of their emotions. (Which they call the voice of God) There is no thought being put into how to make children achieve at a high level by setting goals and funneling them into areas that matter.

It’s like Christian women think that the children’s happiness is more authoritative in the family than my knowledge and experience about how to build up children who will retain their faith, maintain their financial independence and have an influence in the world. Often, the women who tell me that the choice of career doesn’t matter are themselves riddled with credit card debt. And the ones who tell me that science apologetics doesn’t matter are the ones whose parents and siblings are becoming apostates after reading Richard Dawkins books. If I am the one who is earning the money and providing the savings up front, then I am the one who should be leading on things like education, careers, jobs and so forth. If I was smart enough to study the right things, to work and to save before I got married, then I shouldn’t be overloaded after the marriage by someone else’s feelings, emotions and desire to be her children’s “friend”.

2) Another concern I have is about how these Christian women are moved by liberal sob stories so that they vote against a strong foreign policy, self-defense, deterrence, capital punishment, and men using force to punish evildoers in general. On the foreign policy front, one woman complained to me that American helicopter gunships had used excessive force by attacking Islamic terrorist infantry with the gunship’s machine gun. Now some of you will have caught on that military issues and platforms are an interest of mine because I am a war gamer. I play military simulations ranging from squad-level infantry combat right up to full-scale carrier strike groups. So I am informed about tactics, strategy, weapons, vehicles and so on.

Anyway, I took a look at the full guncam footage she linked me and read the AARs and noticed that there was a convoy of BLUFOR Humvees coming into range of the OPFOR infantry, and that the OPFOR infantry was armed with RPGs. I asked her to tell me what she thought an RPG could do to a Humvee. She had no idea what an RPG was or what it could do to a Humvee. I explained that RPGs are ROCKETS that explode and it would kill all the occupants of Humvees. It seemed to me that her only reason for complaining about it was that her friends had sent it to her, and she felt pressured to agree with them. She had no understanding of the capabilities of the arms and vehicles at all, yet she felt qualified to make judgments about unnecessary violence. In fact, it became clear that she was taking this position because she thought that it made her look morally superior. She felt “compassion” for the poor Islamic terrorists. It’s so easy to second guess American military forces when you know nothing at all about war in general, or Islamic extremism in the Middle East in particular.

This terrifies me. I do not want to be overruled by someone who makes decisions based on ignorance, emotions, intuitions and peer pressure. This person went on to assure me that shooting terrorists was the same as blowing up busloads of children, and that killing convicted serial killers was the same as killing unborn babies. Because killing is killing, right? That scares me. Who would want to be a passenger in a car with someone who was drunk and color-blind? Not me. It’s hard to consider someone for marriage who can’t see the difference between good and evil or guilt and innocence, but instead tries to lift up evil and bash down good. (Not only was she anti-capital punishment but also anti-self-defense – all without having done a moment’s worth of research on the peer-reviewed studies showing how capital punishment deters crime, and how concealed-carry laws reduce rates of violent crime).

Should I marry someone who is uncomfortable with the male role of making moral judgments and exercising force against evil? Someone who takes positions without knowing anything about the details of what she is talking about? Of course not. No one can be happy married to someone who takes positions on moral issues based on ignorance, emotions, vanity and peer pressure. And some Christian women are unwilling to learn anything about war, or even to come to the firing range to fire a handgun. They have opinions, they make pronouncements about how they will overrule you if you get married to them, they vote to undermine national security and world peace by emboldening aggressors and then they refuse to learn anything about the issues. All they need to know are their feelings. And they vote based on those feelings, not based on studies or history or anything factual.

3) A final example has to do with Christian women embracing socialism because it is “compassionate”. Believe it or not, some women do not really understand the effect of having the government spend more and more money equalizing life outcomes. Most of the Christian women I spoke to had enormous difficulty understanding how single motherhood by choice creates child poverty. They wanted to believe that child poverty was just spilled milk – it just happened, and wasn’t anyone’s fault, and that subsidizing it wouldn’t create more of it.

One Christian pro-life activist wrote to me that she was “great with kids” and was going to have one out of wedlock and raise it with money from the government. This woman never finished college and had not held any sort of serious job. She complained that no men were marrying her (note: this woman was completely irresponsible and penniless and unsuitable for marriage) and blamed the men. I told her that the reason why men were not marrying her was because they were paying a third of their income in taxes and looking at the 1.65 trillion deficits and 14.5 trillion national debt. She said that men didn’t really care about money and numbers and that if they loved her, they would marry her anyway, but they were just selfish lazy cowards. She was willing to inflict fatherlessness and day care on a child, but she was “great with kids”.

Another Christian woman told me that the government should provide free meals to children so that they were all equal regardless of whether their mothers had married or not. I explained that every time that government takes a responsibility away from men, that our household income would go down because of higher taxes, and my job would be put in jeopardy because of government debt. I also explained that the more government does, the less control there is inside the family – like when Christians have to pay for public schools so that all the children will be equal. Equally illiterate and innumerate. Instead of proposing free market solutions to poverty that retain family integrity – like school voucher programs – they always seem to leap to the big government solutions first.

But you can see how this idea of economic equality captures the emotions of some Christian women and they don’t even realize how they are undermining men’s desire and ability to achieve their goals for the marriage. They don’t read economics and they don’t realize that Christian marriage plans cost money. Men need money in order to put their own children through college. Men need money for homeschooling, stay-at-home moms and private schools. And men need money for apologetics books and to take children to apologetics conferences. It’s amazing because this woman expected me to keep her at home as a stay-at-home mom, but she wanted my salary to go to subsidize the single mothers by choice in the next neighborhood over.

That is the level of self-destructive economic ignorance I am seeing from some Christian women. They look at social problems like child poverty, and the only solution they can come up with to these problems is government-controlled redistribution of wealth by a secular government. (Together with all the high unemployment that this deficit spending creates). Why are they so opposed to men and marriage and family? Because they have never taken the time to read even a basic book on economics. Newsflash: free market capitalism is better for the poor than socialism – that’s why the poor are wealthier in the United States than in any other country, and their standard of living has gone up over time.

For example, take health care. I know another Christian woman who complained to me about some poor child of a single mother who could not get treatment for some condition or other. Notice how there was no emphasis on what this single mother chose to study, whether she chose to work, whether she chose to save, or whether she married a good provider. No. The problem is taken as is – as a case of spilled milk and all questions of responsibility and accountability are dismissed. I was asked how capitalism can solve the problem.

Well the first thing to point out is that her solution is to defund the family, grow government, reward irresponsibility, undermine my plan by diminishing the earnings I save that fund my plan. And why? So that she could feel better and see God’s aim of making us all happy achieved. It is very important to understand this point. Women who claim to be Christians may not actually be Christians. If a woman thinks that God’s job is to make his human pets happy, then she is not a Christian at all, but a socialist-to-be, with an unnecessary Santa Claus riding on top of her emotional delusions. These are the people who claim to be opposed to abortion and then vote for single-payer health care which provides… taxpayer-funded abortion. Don’t believe a word of it. No one can be a Christian who is a socialist, and if they don’t know anything about economics, that’s what they are. No matter what a woman says, if her solution to poverty is the secular government taxing your family and your employer, and reducing the family’s earnings and destabilizing the family’s revenue stream, then she does not have a Christian view of family, government and charity. She will undermine your role as provider because she values socialism MORE than she values marriage and family.

Secondly, there are solutions to poverty that are compatible with the Bible and capitalism that she ought to know about, if she had actually done any reading about it. The first thing that should have come into her mind is private charity. If the government has any role at all, it should be to provide tax credits for private charity. It is important for government not to crowd out the virtuous character of the people by taking over the job of helping neighbors. But even more than that, every Christian woman should be familiar with the horrors of socialized medicine in countries like Canada and the UK, and the alternative to socialized medicine – consumer-driven health care. If a woman is not well-read on consumer-driven health care policy, then she is at risk for being taken in by this socialist undermining of the family. Real Christian women choose policy based on economics, not based on their emotions and their ridiculous theology of God making his human pets happy regardless of what they believe about him. Our job as Christians is not primarily to make people have equal net worths regardless of their personal decisions. Our job is to make them know about God’s existence and character, and we can do that better with private charity – certainly better than any secular government can. Your money is your voice. Don’t give it to a SECULAR government that will turn around and enact taxpayer-funded abortion, taxpayer-funded IVF, taxpayer-funded day care, taxpayer-funded fatherlessness welfare, and so on.

And more

I’m going to stop now, but I could go on and on about how some Christian women neglect to study Christian apologetics or theology, but instead learn about trendy secular practices like yoga, vegetarianism, recycling, etc. Or how they think there is no Hell. Or how they think that the Bible was written by men and that they can just pick the verses they like. Or how they think that science is not worth studying to confirm the Bible. Or how they know nothing at all about how premarital sex and cohabitation decrease the stability of marriage. Or how they think that same-sex unions are no different than married couples when comparing stability, domestic violence, promiscuity, and so on. Or how they want to subsidize single motherhood by choice because fathers are not really important to children and can easily be replaced by taxpayer-funded welfare and taxpayer-funded IVF. Or how they think that single-payer payer health care is good, even though it means taxpayer-funded abortion, in practice. Or how they think that taxpayer-funded day care is good for children. Or how they think that public schools need to be funded with more family money, so that all children will be “equal”.

I could go on forever with examples of how woefully unprepared some single Christian women are for marriage. But I’m going to end by explaining what the underlying problem for all of these symptoms is, and then you can leave your comments.

Conclusion

Basically the underlying problem is this: when some Christian women say they want marriage, they actually don’t want marriage at all – not a marriage to a man who is going to take on the traditional male roles anyway. The reason why men work is so that they are the sole or primary breadwinners – so that they have the authority to make decisions and lead in the home. Men want to have children who are self-sufficient and morally upright, and who can have an influence for Christ and his Kingdom. And they know that although the compassion of their wives is useful in the early years of a child’s development, that moral responsibility and accountability are needed later on to change children into adults.

Men need to be providers SO THAT they can be respected as protectors, when they set out moral boundaries and push their children to know truth from lie, right from wrong, and practical from impractical. Men also need to be able to make arguments about theology and apologetics using evidence, and not to be overruled by emotions, intuitions, and even e-mails that are debunked on snopes.com (yes, one woman told me that Splenda was not safe – I sent her 100 peer-reviewed studies from the NCI web site and she responded with a CONSPIRACY E-MAIL that was debunked on snopes.com).

So the real problem is that some Christian women say they want marriage, but what they actually want is a Stepford husband who will perform none of the traditional roles of a man, which they find icky and mean. They want the money to be brought into the home and the wedding to be photographed and the babies to play with, but they don’t want the men to act in the traditional male role of protector, provider and moral/spiritual leader. It is very important for men to get this out there and in the clear during the courting process. And I also really recommend that men avoid sex before marriage, because sex makes you stop caring about male roles and serving God. If you want to serve God by executing a plan, then stay away from premarital sex. I have had to play defense against women trying to push me too far physically when I was not satisfied with them from a Christian point of view. Just say NO.

Please see this post for questions you can ask a woman to verify whether a woman is an authentic Christian. And the most important thing to do is to give her books to read and tasks to perform to see if she is willing to follow your lead. Science apologetics and fiscal conservativism are key. If the person is not talking about the Big Bang, the fine-tuning and biological information, you cannot even be sure she is a Christian – it could all just be emotions and youth. Some women I know just give the name “Christianity” to their feelings of happiness and goodness and pacifism and postmodernism and relativism and socialism and universalism. They do not actually KNOW that there is a Creator and Designer of the universe who raised Jesus from the dead independent of their feelings of happiness and goodness and pacifism and postmodernism and relativism and socialism and universalism. They just think that the world is a place where people feel good and only good things ever happen and they agree with everyone else’s religion so that more people will like them. The thing about Christian women that you need to fear most is this emotional happy-clappy intuition they have that the world is a happy, safe place and that people can do whatever they want and that God’s job, (and later government, as they drift into atheism), is to make everyone happy and prosperous. That is completely incompatible with a marriage designed to serve God.

Note: for those who think I am too critical of Christian women, Michele Bachmann has none of these flaws and I am backing her to be President. So there are Christian women who do know what they are doing, and I would like them to run for President and win. There is nothing in what I wrote that opposes smart, strong women being in control at the very top.

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