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	<title>Comments on: Health Care Tradeoffs (Updated)</title>
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		<title>By: health and safety work</title>
		<link>http://www.outsidethebeltway.com/archives/health_care_tradeoffs/comment-page-1/#comment-537984</link>
		<dc:creator>health and safety work</dc:creator>
		<pubDate>Wed, 17 Dec 2008 21:33:33 +0000</pubDate>
		<guid isPermaLink="false">http://www.outsidethebeltway.com/?p=28290#comment-537984</guid>
		<description>&lt;strong&gt;health and safety work...&lt;/strong&gt;

health safety training...</description>
		<content:encoded><![CDATA[<p><strong>health and safety work...</strong></p>
<p>health safety training...</p>
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		<title>By: jean power</title>
		<link>http://www.outsidethebeltway.com/archives/health_care_tradeoffs/comment-page-1/#comment-532744</link>
		<dc:creator>jean power</dc:creator>
		<pubDate>Sat, 06 Dec 2008 21:25:35 +0000</pubDate>
		<guid isPermaLink="false">http://www.outsidethebeltway.com/?p=28290#comment-532744</guid>
		<description>My brother had back pain for a year,he had a job but no insurance so he didnt go to a doctor.He self treated with pain killers until he woke up one day to find he couldnt get out of bed.He called an ambulance and he went to the emergency room.There he found he had testicular cancer that has spread and wrapped around his spine.He was treated with chemo and surgery and had 3 discs replaced.He is now pretty much unable to work,sit for long or even bend over.How expensive is that?</description>
		<content:encoded><![CDATA[<p>My brother had back pain for a year,he had a job but no insurance so he didnt go to a doctor.He self treated with pain killers until he woke up one day to find he couldnt get out of bed.He called an ambulance and he went to the emergency room.There he found he had testicular cancer that has spread and wrapped around his spine.He was treated with chemo and surgery and had 3 discs replaced.He is now pretty much unable to work,sit for long or even bend over.How expensive is that?</p>
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		<title>By: truthynesslover</title>
		<link>http://www.outsidethebeltway.com/archives/health_care_tradeoffs/comment-page-1/#comment-532743</link>
		<dc:creator>truthynesslover</dc:creator>
		<pubDate>Sat, 06 Dec 2008 21:10:27 +0000</pubDate>
		<guid isPermaLink="false">http://www.outsidethebeltway.com/?p=28290#comment-532743</guid>
		<description>My father has an appointment to see his dermatologist in may,next year.He has had skin cancer removed many times.If thats the soonest a specialist can see him is that not rationed care?He has blue cross blue shield,not a crappy plan.</description>
		<content:encoded><![CDATA[<p>My father has an appointment to see his dermatologist in may,next year.He has had skin cancer removed many times.If thats the soonest a specialist can see him is that not rationed care?He has blue cross blue shield,not a crappy plan.</p>
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		<title>By: FOARP</title>
		<link>http://www.outsidethebeltway.com/archives/health_care_tradeoffs/comment-page-1/#comment-532657</link>
		<dc:creator>FOARP</dc:creator>
		<pubDate>Sat, 06 Dec 2008 14:46:23 +0000</pubDate>
		<guid isPermaLink="false">http://www.outsidethebeltway.com/?p=28290#comment-532657</guid>
		<description>&lt;blockquote&gt;It’s natural to look to England. It’s just not all that useful. We will never have a situation in this country where you are not allowed to purchase your own care on the private market.&lt;/blockquote&gt;

Wrong! The Canadian system might not allow private health care, but there are many private health care providers in the UK, &lt;a href=&quot;http://en.wikipedia.org/wiki/BUPA&quot; rel=&quot;nofollow&quot;&gt;BUPA&lt;/a&gt; being the biggest one. It is quite possible for a British citizen to go their entire life without using the NHS.</description>
		<content:encoded><![CDATA[<blockquote><p>It&rsquo;s natural to look to England. It&rsquo;s just not all that useful. We will never have a situation in this country where you are not allowed to purchase your own care on the private market.</p></blockquote>
<p>Wrong! The Canadian system might not allow private health care, but there are many private health care providers in the UK, <a href="http://en.wikipedia.org/wiki/BUPA" rel="nofollow">BUPA</a> being the biggest one. It is quite possible for a British citizen to go their entire life without using the NHS.</p>
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		<title>By: Satisfaction and Quality In Health Care Reform - Liberal Values - Defending Liberty and Enlightened Thought</title>
		<link>http://www.outsidethebeltway.com/archives/health_care_tradeoffs/comment-page-1/#comment-532547</link>
		<dc:creator>Satisfaction and Quality In Health Care Reform - Liberal Values - Defending Liberty and Enlightened Thought</dc:creator>
		<pubDate>Sat, 06 Dec 2008 03:04:12 +0000</pubDate>
		<guid isPermaLink="false">http://www.outsidethebeltway.com/?p=28290#comment-532547</guid>
		<description>[...] Klein claimed that the British do not suffer from lack of quality in their less expensive system. James Joyner has an excellent round up of this entire debate (including a link to my earlier post) and cites [...]</description>
		<content:encoded><![CDATA[<p>[...] Klein claimed that the British do not suffer from lack of quality in their less expensive system. James Joyner has an excellent round up of this entire debate (including a link to my earlier post) and cites [...]</p>
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		<title>By: MNPundit</title>
		<link>http://www.outsidethebeltway.com/archives/health_care_tradeoffs/comment-page-1/#comment-532520</link>
		<dc:creator>MNPundit</dc:creator>
		<pubDate>Sat, 06 Dec 2008 00:53:47 +0000</pubDate>
		<guid isPermaLink="false">http://www.outsidethebeltway.com/?p=28290#comment-532520</guid>
		<description>I have always preferred the French system myself as a good hybrid that doesn&#039;t kill private insurance (which I hate because health should not be for profit but what can you do?).</description>
		<content:encoded><![CDATA[<p>I have always preferred the French system myself as a good hybrid that doesn't kill private insurance (which I hate because health should not be for profit but what can you do?).</p>
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		<title>By: tacitus</title>
		<link>http://www.outsidethebeltway.com/archives/health_care_tradeoffs/comment-page-1/#comment-532517</link>
		<dc:creator>tacitus</dc:creator>
		<pubDate>Sat, 06 Dec 2008 00:38:46 +0000</pubDate>
		<guid isPermaLink="false">http://www.outsidethebeltway.com/?p=28290#comment-532517</guid>
		<description>Jeff, I don&#039;t blame you for wondering.  I left my last job last year and procrastinated for several months before getting private health insurance.  During that time I developed an ear infection that didn&#039;t clear up after an initial trip to the local walk-in clinic.

Even with something that minor, I was extremely worried that the treatment would escalate to something that would cost me thousands of dollars, and I hesitated for several days before getting some follow-up treatment.  I was lucky, the ear problem did clear up, and soon after I decided it was too stressful to be without any insurance so I finally signed up for some.

I have a friend who refused to see a doctor for months about constant severe indigestion after even small meals, and he *had* excellent health insurance.  He was paranoid about having a pre-existing chronic condition on his health record just in case he ever decided to quit his job and would have to pay massive premiums because of it.

He was lucky too.  When he finally did go, the problem was still manageable, but if it had been something more serious, he could have died.</description>
		<content:encoded><![CDATA[<p>Jeff, I don't blame you for wondering.  I left my last job last year and procrastinated for several months before getting private health insurance.  During that time I developed an ear infection that didn't clear up after an initial trip to the local walk-in clinic.</p>
<p>Even with something that minor, I was extremely worried that the treatment would escalate to something that would cost me thousands of dollars, and I hesitated for several days before getting some follow-up treatment.  I was lucky, the ear problem did clear up, and soon after I decided it was too stressful to be without any insurance so I finally signed up for some.</p>
<p>I have a friend who refused to see a doctor for months about constant severe indigestion after even small meals, and he *had* excellent health insurance.  He was paranoid about having a pre-existing chronic condition on his health record just in case he ever decided to quit his job and would have to pay massive premiums because of it.</p>
<p>He was lucky too.  When he finally did go, the problem was still manageable, but if it had been something more serious, he could have died.</p>
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		<title>By: Jeff</title>
		<link>http://www.outsidethebeltway.com/archives/health_care_tradeoffs/comment-page-1/#comment-532506</link>
		<dc:creator>Jeff</dc:creator>
		<pubDate>Fri, 05 Dec 2008 23:53:53 +0000</pubDate>
		<guid isPermaLink="false">http://www.outsidethebeltway.com/?p=28290#comment-532506</guid>
		<description>I can&#039;t help wondering what would have happened to a friend of mine if she&#039;d been living in the USA.  She&#039;s French, living in Marseille (although I met her some 20 years ago here in the states), and is unemployed.  Thus she has little money.  This last June she had a physical (paid for by the French government) and they discovered a tumor in one of her breasts.  She had the tumor surgically removed (again, free to her), and during the course of the operation they discovered a second tumor under her armpit, which they also removed.

She has since completed six chemotherapy treatments, and she has just started radiation therapy that will continue daily through January.  Again, all is free to her.  Is she cured of cancer?  We don&#039;t yet know.  But what would her condition be if, instead of living in France, she&#039;d been living here in the States, jobless and without money, and with the cancer, undetected, spreading daily through her body.

And there&#039;s the example of another friend of mine: a freelance artist who died several years ago.  Because he was an artist, he never had much money, and thus he couldn&#039;t afford insurance.  His tooth became infected and he didn&#039;t visit a doctor (no money, no insurance).  Finally, when his arm began to swell up, he went to the local hospital emergency room, but it was too late.  His infection had developed into blood poisoning, and he died hours later.  And I can&#039;t help wondering...some sort of universal health care might have saved his life.

Just my two cents worth.</description>
		<content:encoded><![CDATA[<p>I can't help wondering what would have happened to a friend of mine if she'd been living in the USA.  She's French, living in Marseille (although I met her some 20 years ago here in the states), and is unemployed.  Thus she has little money.  This last June she had a physical (paid for by the French government) and they discovered a tumor in one of her breasts.  She had the tumor surgically removed (again, free to her), and during the course of the operation they discovered a second tumor under her armpit, which they also removed.</p>
<p>She has since completed six chemotherapy treatments, and she has just started radiation therapy that will continue daily through January.  Again, all is free to her.  Is she cured of cancer?  We don't yet know.  But what would her condition be if, instead of living in France, she'd been living here in the States, jobless and without money, and with the cancer, undetected, spreading daily through her body.</p>
<p>And there's the example of another friend of mine: a freelance artist who died several years ago.  Because he was an artist, he never had much money, and thus he couldn't afford insurance.  His tooth became infected and he didn't visit a doctor (no money, no insurance).  Finally, when his arm began to swell up, he went to the local hospital emergency room, but it was too late.  His infection had developed into blood poisoning, and he died hours later.  And I can't help wondering...some sort of universal health care might have saved his life.</p>
<p>Just my two cents worth.</p>
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		<title>By: tacitus</title>
		<link>http://www.outsidethebeltway.com/archives/health_care_tradeoffs/comment-page-1/#comment-532479</link>
		<dc:creator>tacitus</dc:creator>
		<pubDate>Fri, 05 Dec 2008 23:02:23 +0000</pubDate>
		<guid isPermaLink="false">http://www.outsidethebeltway.com/?p=28290#comment-532479</guid>
		<description>Regarding the life-expectancy of cancer patients in the USA and countries with universal healthcare.  It&#039;s true that the American system provides better access to the latest (and usually most expensive) treatments, which does translate to better results. 

However, the gap used to be much wider and has narrowed considerably over the past few years as governments strive to accommodate these more expensive treatments in their budgets.

But it remains a fact that overall, the universal healthcare systems perform close to the American private system in terms of overall results (e.g. life expectancy and infant mortality) for far less the cost.  There is no doubt that those systems are proving to be much more efficient at delivering healthcare to their citizens. 

No system is perfect, and I very much doubt the USA will suddenly adopt an NHS-like system anyway, but something has to be done before the majority of Americans are priced out of the market altogether.</description>
		<content:encoded><![CDATA[<p>Regarding the life-expectancy of cancer patients in the USA and countries with universal healthcare.  It's true that the American system provides better access to the latest (and usually most expensive) treatments, which does translate to better results. </p>
<p>However, the gap used to be much wider and has narrowed considerably over the past few years as governments strive to accommodate these more expensive treatments in their budgets.</p>
<p>But it remains a fact that overall, the universal healthcare systems perform close to the American private system in terms of overall results (e.g. life expectancy and infant mortality) for far less the cost.  There is no doubt that those systems are proving to be much more efficient at delivering healthcare to their citizens. </p>
<p>No system is perfect, and I very much doubt the USA will suddenly adopt an NHS-like system anyway, but something has to be done before the majority of Americans are priced out of the market altogether.</p>
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		<title>By: tacitus</title>
		<link>http://www.outsidethebeltway.com/archives/health_care_tradeoffs/comment-page-1/#comment-532470</link>
		<dc:creator>tacitus</dc:creator>
		<pubDate>Fri, 05 Dec 2008 22:52:05 +0000</pubDate>
		<guid isPermaLink="false">http://www.outsidethebeltway.com/?p=28290#comment-532470</guid>
		<description>&lt;blockquote&gt;It’s natural to look to England. It’s just not all that useful. We will never have a situation in this country where you are not allowed to purchase your own care on the private market.&lt;/blockquote&gt;

This is a completely bogus comment from Klein. There has been a private healthcare system working alongside the NHS in Britain for decades.  When I worked for a British company 25 years ago, they provided private health insurance as a standard benefit, and I used it too, with no additional out-of-pocket expenses.

Ten years ago my mother opted to go private to have shoulder surgery when the NHS waiting list for the procedure was about 8-10 weeks long, and my brother-in-law, who owns and runs a small business, pays for personal private health insurance because it gives him additional options as to where and when he gets treatment.

None of us is wealthy -- all middle class people (my mother is a retired schoolteacher) -- and yet we were and are afforded and can afford the option of private healthcare, should we wish it.  

That is not to say the NHS has failed us.  Far from it.  Both my parents owe their lives to the timely and excellent care provided by the NHS.  But going private is always an option, and is an option taken by hundreds of thousands of British people each and every year.</description>
		<content:encoded><![CDATA[<blockquote><p>It&rsquo;s natural to look to England. It&rsquo;s just not all that useful. We will never have a situation in this country where you are not allowed to purchase your own care on the private market.</p></blockquote>
<p>This is a completely bogus comment from Klein. There has been a private healthcare system working alongside the NHS in Britain for decades.  When I worked for a British company 25 years ago, they provided private health insurance as a standard benefit, and I used it too, with no additional out-of-pocket expenses.</p>
<p>Ten years ago my mother opted to go private to have shoulder surgery when the NHS waiting list for the procedure was about 8-10 weeks long, and my brother-in-law, who owns and runs a small business, pays for personal private health insurance because it gives him additional options as to where and when he gets treatment.</p>
<p>None of us is wealthy -- all middle class people (my mother is a retired schoolteacher) -- and yet we were and are afforded and can afford the option of private healthcare, should we wish it.  </p>
<p>That is not to say the NHS has failed us.  Far from it.  Both my parents owe their lives to the timely and excellent care provided by the NHS.  But going private is always an option, and is an option taken by hundreds of thousands of British people each and every year.</p>
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		<title>By: Joel</title>
		<link>http://www.outsidethebeltway.com/archives/health_care_tradeoffs/comment-page-1/#comment-532457</link>
		<dc:creator>Joel</dc:creator>
		<pubDate>Fri, 05 Dec 2008 22:17:43 +0000</pubDate>
		<guid isPermaLink="false">http://www.outsidethebeltway.com/?p=28290#comment-532457</guid>
		<description>Research incentives are largely government (NIH) driven, FWIW.</description>
		<content:encoded><![CDATA[<p>Research incentives are largely government (NIH) driven, FWIW.</p>
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		<title>By: Brett</title>
		<link>http://www.outsidethebeltway.com/archives/health_care_tradeoffs/comment-page-1/#comment-532453</link>
		<dc:creator>Brett</dc:creator>
		<pubDate>Fri, 05 Dec 2008 22:03:51 +0000</pubDate>
		<guid isPermaLink="false">http://www.outsidethebeltway.com/?p=28290#comment-532453</guid>
		<description>Ugh, not Gratzer again. He got in some trouble back in the 2008 Republican Primaries when Giuliani cited a work of his as a reason for slamming the NHS in an ad. &lt;a href=&quot;http://http://www.factcheck.org/bogus_cancer_stats_again.html&quot; rel=&quot;nofollow&quot;&gt;Factcheck.org&lt;/a&gt; has a good page on it, including how Gratzer was criticized by the researchers he cited for distorting their figures, and how he tried to weasel out of being called on it. 

As for the greater article, I actually am rather wary of the NHS Model, although I do support Universal Health Care (in the form of a French- or Canadian-style single payer system, or a hybrid of the two with some American elements). At least in the single-payer system, all the government is supposed to do is set the rates (and in an ideal world, create incentives for more doctors so as to keep a large supply of them out there). The doctors ultimately make the decision on how important your priority is in terms of getting treated, and if you don&#039;t like that, you can go to another doctor.</description>
		<content:encoded><![CDATA[<p>Ugh, not Gratzer again. He got in some trouble back in the 2008 Republican Primaries when Giuliani cited a work of his as a reason for slamming the NHS in an ad. <a href="http://http://www.factcheck.org/bogus_cancer_stats_again.html" rel="nofollow">Factcheck.org</a> has a good page on it, including how Gratzer was criticized by the researchers he cited for distorting their figures, and how he tried to weasel out of being called on it. </p>
<p>As for the greater article, I actually am rather wary of the NHS Model, although I do support Universal Health Care (in the form of a French- or Canadian-style single payer system, or a hybrid of the two with some American elements). At least in the single-payer system, all the government is supposed to do is set the rates (and in an ideal world, create incentives for more doctors so as to keep a large supply of them out there). The doctors ultimately make the decision on how important your priority is in terms of getting treated, and if you don't like that, you can go to another doctor.</p>
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		<title>By: odograph</title>
		<link>http://www.outsidethebeltway.com/archives/health_care_tradeoffs/comment-page-1/#comment-532451</link>
		<dc:creator>odograph</dc:creator>
		<pubDate>Fri, 05 Dec 2008 21:53:31 +0000</pubDate>
		<guid isPermaLink="false">http://www.outsidethebeltway.com/?p=28290#comment-532451</guid>
		<description>&lt;blockquote&gt;&lt;blockquote&gt;We don&#039;t charge anything to parents here in California. Free tuition, free textbooks.&lt;/blockquote&gt;

Right and the laws of thermodynamics don&#039;t hold either and Barack Obama has a magic energy pony.

Tuition is not paid directly by the parent, but indirectly via property taxes. So it isn&#039;t free. The benefits are focused on the households with kids, but the costs are distributed amongst all households. A situation ripe for abuse, waste, fraud and corruption.&lt;/blockquote&gt;

I guess you are back to looking for conflicts wherever you can, even when you really agree with my meaning.

I think most people use the word &quot;subsidized&quot; to mean a price is paid directly, but bought down by a 3rd party.

It is pretty preposterous to suppose that I thought education K-12 was free like the air we breathe ... but if you have an emotional need for conflict I guess you&#039;ll find it where you will.

Really you should have some self-control.  Ask yourself &quot;am I bending the meaning of this sentence just so I can get mad about it?&quot;

And really the odd thing is that it is disservice to your own discourse.  If you want to state an alternate plan for k-12 education, you could.  You don&#039;t need to mire yourself in the semantics of &quot;free k-12 education.&quot;  Chances are everyone reading this know what that means to sufficient detail.</description>
		<content:encoded><![CDATA[<blockquote><blockquote>We don't charge anything to parents here in California. Free tuition, free textbooks.</p></blockquote>
<p>Right and the laws of thermodynamics don't hold either and Barack Obama has a magic energy pony.</p>
<p>Tuition is not paid directly by the parent, but indirectly via property taxes. So it isn't free. The benefits are focused on the households with kids, but the costs are distributed amongst all households. A situation ripe for abuse, waste, fraud and corruption.</p></blockquote>
<p>I guess you are back to looking for conflicts wherever you can, even when you really agree with my meaning.</p>
<p>I think most people use the word "subsidized" to mean a price is paid directly, but bought down by a 3rd party.</p>
<p>It is pretty preposterous to suppose that I thought education K-12 was free like the air we breathe ... but if you have an emotional need for conflict I guess you'll find it where you will.</p>
<p>Really you should have some self-control.  Ask yourself "am I bending the meaning of this sentence just so I can get mad about it?"</p>
<p>And really the odd thing is that it is disservice to your own discourse.  If you want to state an alternate plan for k-12 education, you could.  You don't need to mire yourself in the semantics of "free k-12 education."  Chances are everyone reading this know what that means to sufficient detail.</p>
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		<title>By: Steve Verdon</title>
		<link>http://www.outsidethebeltway.com/archives/health_care_tradeoffs/comment-page-1/#comment-532444</link>
		<dc:creator>Steve Verdon</dc:creator>
		<pubDate>Fri, 05 Dec 2008 21:30:32 +0000</pubDate>
		<guid isPermaLink="false">http://www.outsidethebeltway.com/?p=28290#comment-532444</guid>
		<description>&lt;blockquote&gt;We don&#039;t charge anything to parents here in California. Free tuition, free textbooks.&lt;/blockquote&gt;

Right and the laws of thermodynamics don&#039;t hold either and Barack Obama has a magic energy pony.

Tuition is not paid directly by the parent, but indirectly via property taxes.  So it isn&#039;t free.  The benefits are focused on the households with kids, but the costs are distributed amongst all households.  A situation ripe for abuse, waste, fraud and corruption.

&lt;blockquote&gt;Seems like you had an opportunity there, to say exactly where you would draw the medical (or educational) line.&lt;/blockquote&gt;

I already have, more than once.</description>
		<content:encoded><![CDATA[<blockquote><p>We don't charge anything to parents here in California. Free tuition, free textbooks.</p></blockquote>
<p>Right and the laws of thermodynamics don't hold either and Barack Obama has a magic energy pony.</p>
<p>Tuition is not paid directly by the parent, but indirectly via property taxes.  So it isn't free.  The benefits are focused on the households with kids, but the costs are distributed amongst all households.  A situation ripe for abuse, waste, fraud and corruption.</p>
<blockquote><p>Seems like you had an opportunity there, to say exactly where you would draw the medical (or educational) line.</p></blockquote>
<p>I already have, more than once.</p>
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		<title>By: odograph</title>
		<link>http://www.outsidethebeltway.com/archives/health_care_tradeoffs/comment-page-1/#comment-532438</link>
		<dc:creator>odograph</dc:creator>
		<pubDate>Fri, 05 Dec 2008 21:16:24 +0000</pubDate>
		<guid isPermaLink="false">http://www.outsidethebeltway.com/?p=28290#comment-532438</guid>
		<description>&lt;blockquote&gt;&lt;blockquote&gt;If someone said an equivalent &quot;a market is a mechanism for allocating goods&quot; in that arena we might wonder if they were endorsing the status quo, or a policy shift in one direction or the other.&lt;/blockquote&gt;

You are the only one wondering.&lt;/blockquote&gt;

Seems like you had an opportunity there, to say exactly where you would draw the medical (or educational) line.</description>
		<content:encoded><![CDATA[<blockquote><blockquote>If someone said an equivalent "a market is a mechanism for allocating goods" in that arena we might wonder if they were endorsing the status quo, or a policy shift in one direction or the other.</p></blockquote>
<p>You are the only one wondering.</p></blockquote>
<p>Seems like you had an opportunity there, to say exactly where you would draw the medical (or educational) line.</p>
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