My Comments on:

Chris Bray's HNN Posts about National Heath Insurance. 
HNN Cliopatria [pseudonym],
Feb 1, 2011

Andrew D. Todd

 a_d_todd@rowboats-sd-ca.com 

http://rowboats-sd-ca.com/



Bray published  his two pieces on Feb 1 and Feb 3, 2011, and I responded to them more ore less jointly on Feb and Feb 7, by which he was no longer interested in discussing he matter.

I do not recall Mr Bray showing any kind of sustained interest in health care issues, over an acquaintance of some years. I think what set him off, apart from the general level of furor at the time, was the invocation of the 1792 Militia Act, as a precedent.




Chris Bray, Your Argument Just Tripped on a Rock and Shot Itself in the Foot With a Rusty Musket, HNN Cliopatria [pseudonym],Feb 1, 2011

http://hnn.us/blogs/entries/136087.html

(now at)

https://historynewsnetwork.org/blog/136087

My response (02/07/2011 05:51 PM)


Sailors as a Special Case in  the Parish Welfare System.

Well, as I keep having to  point out, I am not a Colonial/ Early American expert,  but I do know something about England at the same period.

The  basic unit of local government  was the parish, or the town of one parish, which usually came to the same thing. "Health, Education, and Welfare" issues were handled at this level.  The customary arrangements came from England, and were still substantially the same. There was not  very much travel in the first place, on account of its obvious difficulty, and obviously  vulnerable people, such as the very old, pregnant women, etc., traveled still less. There was the notion of "settlement," something  like citizenship on the  local level. You possessed a settlement  in a  parish, generally by virtue of being born there, or apprenticed there, or married there. Settlement  meant  that the parish had to maintain you when you became an economic liability. If you did not have settlement, and you became  unable to work, you got deported back to  the place you had come from. You know, like Mexican immigrants.

There is a literature of New England small towns. I myself know a very small portion of it. I suppose a starting point would be: Michael Zuckerman, _Peaceable Kingdoms: New  England Towns in the  Eighteenth Century_ (1970). One might also look at Carl  Bridenbaugh's _Cities In Revolt: Urban  Life in America, 1743-1776_ (1955, 1970). Bear in mind that these cities were all very small, Philadelphia being the  largest at 50,000 people. A  natural leader like Benjamin Franklin could always go and talk the local Scrooge around if he had to.

In an essentially agricultural society, sailors were an anomaly, because they were rootless men who didn't belong anywhere. They would have  been called  outright vagabonds except for the  fact that when they came ashore, they normally had money to splash around, having just been paid off. When they had spent their money,  they would normally go around the  ships, looking for berths. Read Herman Melville, and Richard Henry Dana. It was perfectly normal for a sailor to arrive at Boston, having shipped out of Charleston, South Carolina, several years previously, and having been to Africa and China in  the  meantime.  That was the sailor's way. He  hired on by the voyage.  If sailors should get sick on shore, or be put ashore sick, with no wages, then no captain would want to take them away again.  The  founding fathers were  forced to invent  something like a modern welfare system to deal with sailors.


Through some omission, I failed to cite my key sources for the legal aspects of the last paragraph.

http://commonplace.online/article/sailors-health-national-wealth/?print=print

https://en.wikipedia.org/wiki/An_Act_for_the_relief_of_sick_and_disabled_seamen






Chris Bray, Discipline and Medicate-- Or, The Problem of Seeing Like a State, Again, HNN Cliopatria [pseudonym], Feb 3, 2011

http://hnn.us/blogs/entries/136217.html

(now at)

https://historynewsnetwork.org/blog/136217


My response (02/05/2011 09:58 AM)

The Way Courts Work, and Finding a Judicial Solution.

The mandate is not essential to ObamaCare. It is just that, without the mandate, or some other compensating arrangement, the insurance companies get taken to the cleaners. The mandate was probably a dumb idea in the first place, and, if only the mandate should be eliminated, the insurance companies will probably use all their influence on both sides of the aisle to do a more sensible fix. A more realistic solution would be  lowering the Medicare age to, say, fifty-five, and paying for it out of federal general revenue and/or the federal deficit.  As a practical matter of course, people who have serious health issues and are not covered under Medicare tend  to  be about sixty.  Let the insurance companies insure the younger people who are less likely to file claims.

In the course of dealing with issues relating to the  patent system, I have become aware of how the federal court system works in practice, especially in terms of "judge shopping." For example, the East  District of Texas (*) is notorious for favoring patent-holders, and many of the judges in that court have blatant  conflicts-of-interest.  The plaintiffs in legal  cases seek out federal judges who are likely to agree with them, and get decisions which the are not strictly entitled to, and then the defendants appeal the cases up to the federal appeals courts, where the decisions are often thrown  out, primarily because the local favoritism has ceased to operate, or even to the Supreme Court.

(*) The East District is Longview, Marshall, and Tyler, the North  District is Dallas, the South District is Houston, and the West District is San Antonio. Thus  the East District is a kind of "rotten borough." At  least one of the judges has a son, a lawyer who practices before the court, who consistently represents patent interests.

Out of about fifteen federal judges who have been approached in the matter of the mandate, only one, Judge  Vinson of Florida, has been prepared to rule against ObamaCare in sufficiently broad terms as to block implementation of the program.

Another federal judge, Judge Hudson of  Virgina, has thrown out the mandate, but presumed severability, and left the remainder standing. He has presumably  taken the reasonable view that if the legislators had known that he  was going to throw out the mandate, they would simply have picked one of several alternative means to pay off the insurance companies. Likewise, one assumes that he has also taken account of the fact that the scene in  the  House and Senate chambers was a madhouse, with proponents of about ten different alternative and mutually incompatible schemes all screaming at each other. Obviously, under those circumstances, the bill which resulted was bound to be an unholy mess, without the kind of logical consistency which judges value. The thing is that generous majorities of both houses voted for expanding socialized health insurance in a sizable way. They did not vote for the law of the jungle so dear to Reason Magazine. A judge with reservations about particular clauses, such as the mandate, has to take account of the legislators' underlying intention, and either rule ObamaCare unconstitutional per se, in terms of its underlying intentions,  or else find a way to shave off its rough edges.

Only about five percent of judges are willing to attack the  ideal of social insurance per se. Most  judges are old enough to be realists about their personal health,  and they know, instinctively, that  some kind of system will have to be worked up, and that this system will have to be reasonably equitable. As good jurists, they recognize that a principled root-and-branch attack on ObamaCare must also be a principled root-and-branch attack on Medicare and Social Security. And they are  not Libertarians or  Randians.

http://www.washingtonmonthly.com/archives/individual/2011_02/027853.php
http://www.upi.com/Top_News/US/2011/02/03/Judge-tosses-healthcare-reform-challenge/UPI-76011296725400/
http://thinkprogress.org/2011/02/04/aca-standing/




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