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  <title>Re: Harpers.org by mnovendstern</title>
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  <entry>
    <title>Sick in the head: 
             Why America won't get the health-care system it needs&#8212;By Luke Mitchell (Harper's Magazine)</title>
    <id>http://harpers.org.sharedcopy.com/archive/2009/02/52e56a809b73f51b2230a26e6e9dca68.html#43622</id>
    <link type="text/html" href="http://harpers.org.sharedcopy.com/archive/2009/02/52e56a809b73f51b2230a26e6e9dca68.html" rel="alternate"/>
    <modified>Sun, 26 Jul 2009 16:26:32 +0000</modified>
    <content type="html">    &lt;span class="content comments_count_9 withoutphoto"
      &gt;&lt;span class="text"
      &gt;        &lt;blockquote class="comment_body comment_body1"
          &gt;still are part of a culture predisposed to virtuality, a culture where in every realm of endeavor, from industry to politics to art, the word trumps the deed and the immaterial emotion trumps the material fact.&lt;a href="http://r4.sharedcopy.com/2isll#shcp0"
            &gt; &lt;sup&gt;link &amp;raquo;&lt;/sup&gt;&lt;/a
        &gt;&lt;/blockquote&gt;
        &lt;p class="comment_body comment_body2"
          &gt;     How, though, is single payer less beholden to "Platonic immateriality". I mean, interesting, beautiful construction. But let's be honest that any universal solution is going to a "system" that abstracted from the individuals within it        &lt;a href="http://r4.sharedcopy.com/2isll#shcp1"
            &gt; &lt;sup&gt;link &amp;raquo;&lt;/sup&gt;&lt;/a
        &gt;&lt;/p&gt;
        &lt;p class="comment_body comment_body3"
          &gt;     How, though, is single-payer any less beholden to the "needs of the 'system'"?        &lt;a href="http://r4.sharedcopy.com/2isll#shcp2"
            &gt; &lt;sup&gt;link &amp;raquo;&lt;/sup&gt;&lt;/a
        &gt;&lt;/p&gt;
        &lt;blockquote class="comment_body comment_body4"
          &gt; defined by the passivity of a people that has sacrificed its own, dem ocratic power of large numbers on the altar of strange and unstated beliefs.&lt;a href="http://r4.sharedcopy.com/2isll#shcp4"
            &gt; &lt;sup&gt;link &amp;raquo;&lt;/sup&gt;&lt;/a
        &gt;&lt;/blockquote&gt;
        &lt;blockquote class="comment_body comment_body5"
          &gt;His anger&#8212;and his emphasis on &#8220;a man&#8221; as the relevant object of social consideration&#8212;were unusual.&lt;a href="http://r4.sharedcopy.com/2isll#shcp5"
            &gt; &lt;sup&gt;link &amp;raquo;&lt;/sup&gt;&lt;/a
        &gt;&lt;/blockquote&gt;
        &lt;blockquote class="comment_body comment_body6"
          &gt;As we get better at understanding why people get sick, we will also get better at deciding whether or not to insure them. Ultimately, the entire nation could be reduced to two perfect circles: the people who pay for insurance and don&#8217;t need it, and the people who need insurance but can&#8217;t pay for it. &#8220;I mean, asymptotically,&#8221; I said, &#8220;you will slowly approach perfect knowledge . . .&#8221;&lt;a href="http://r4.sharedcopy.com/2isll#shcp6"
            &gt; &lt;sup&gt;link &amp;raquo;&lt;/sup&gt;&lt;/a
        &gt;&lt;/blockquote&gt;
        &lt;blockquote class="comment_body comment_body7"
          &gt;The argument for single payer is straightforward.&lt;a href="http://r4.sharedcopy.com/2isll#shcp8"
            &gt; &lt;sup&gt;link &amp;raquo;&lt;/sup&gt;&lt;/a
        &gt;&lt;/blockquote&gt;
        &lt;blockquote class="comment_body comment_body8"
          &gt;The demand for not dying, to give just one example, is pretty much unlimited.&lt;a href="http://r4.sharedcopy.com/2isll#shcp9"
            &gt; &lt;sup&gt;link &amp;raquo;&lt;/sup&gt;&lt;/a
        &gt;&lt;/blockquote&gt;
        &lt;blockquote class="comment_body comment_body9"
          &gt;Overtreatment, of course, is another word for growth, and it is the natural consequence of a  market-driven system.&lt;a href="http://r4.sharedcopy.com/2isll#shcp10"
            &gt; &lt;sup&gt;link &amp;raquo;&lt;/sup&gt;&lt;/a
        &gt;&lt;/blockquote&gt;
&lt;/span
      &gt;&lt;/span&gt;
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    <author>
      <name>mnovendstern</name>
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