A Philosophical Thought On Health Care & Drug Companies...

[quote]Besides which, the gov’t does not adhere to budgets well at all. They always spend more than they have, and they always want to spend more. I suppose in the hypothetical event that there were a gov’t that adhered strictly to budget demands, did not deficit spend, and treated its income like a multi-national company’s, it might be possible to stick the gov’t in charge of a private company and do “ok”. However, all governments universally violate this requirement.

As such they are the last people I would stick in any position that required a)efficiency and b) rapid --and continued-- innovation. The only exception I can think of is the military, which is exceptionally good at killing things and breaking stuff. Still, the amount of innovation per dollar spent is pathetic, as is the global efficiency of many aspects of the military machine. They may be fantastic at warfare operations, but they are miserable at a wide variety of other tasks that a private company would run much smoother. My roommate is also a captain in the army, and I have heard at many junctures his bitching about various ineptitudes and inefficiencies of the Machine. He could probably write a book about them.[/quote]

I agree to a level, however, I think the efficiency of big business versus government organization or non-profit organization, is grossly overexaggeratted. If big business is so stable, innovative and efficient, how the fuck did this whole mess come about…and fannie mae and freddie mac don’t fucking count, because…they were privatized, the government back-up which they did eventually get were implied not explicit.

All the big financial firms more or less crumbled because they were based on bullshit, and had a sizeable proportion of mismanagement and solitaire players as any other organization.

Maybe, I’m a communist, but I honestly do not believe individuals who work for private business and individuals who work in non-business organizations, and governments have any great difference in productivity.

It really comes down to the individuals in the organization, and the motivation they have within themselves. For the most part, people who just ‘want a job,’ be it degree’d or fastfood…suck. The world is driven by creators, be they artisans, creative finance people, web developers, devoted construction workers, whatever.

[quote]3IdSpetsnaz wrote:

I agree to a level, however, I think the efficiency of big business versus government organization or non-profit organization, is grossly overexaggeratted.

Maybe, I’m a communist, but I honestly do not believe individuals who work for private business and individuals who work in non-business organizations, and governments have any great difference in productivity.

It really comes down to the individuals in the organization, and the motivation they have within themselves. For the most part, people who just ‘want a job,’ be it degree’d or fastfood…suck. The world is driven by creators, be they artisans, creative finance people, web developers, devoted construction workers, whatever.[/quote]

A simple test of your theory. Go down to any local DMV (Dept of Motor Vehicles). Next go to your nearest grocery store (Krogers, SuperWalkart, Wholefoods, Costo, Safeway) Give an honest appraisal of the efficiency and service, attitude and respect you received from each and get back to us.

[quote]denv23 wrote:
I think it is a great idea to turn the research and production of pharma over to the govt (basically a company that has no competitors, is not working with its own capital, and never has to show a profit of any sort) TAKE THAT YOU DIRTY CEO’S!![/quote]

The problem is what Orion said. Drugs would be markedly cheaper. But incentives to innovate would also decrease dramatically without the opporutnity to reap substantial profit. Perhaps a time limit on which drugs could remain in the public market could work. It does not seem to me that drug companies should charge exorbitant prices and line their pockets, making huge profit, decades after drugs hit the market. At the same time, there need to be incentives to do research and produce new drugs. I don’t see that happening in the same way with a nationalized health care system.

Similar balances are struck in other areas. Such as patent, trademark, and copyright law.

[quote]JEATON wrote:
3IdSpetsnaz wrote:

I agree to a level, however, I think the efficiency of big business versus government organization or non-profit organization, is grossly overexaggeratted.

Maybe, I’m a communist, but I honestly do not believe individuals who work for private business and individuals who work in non-business organizations, and governments have any great difference in productivity.

It really comes down to the individuals in the organization, and the motivation they have within themselves. For the most part, people who just ‘want a job,’ be it degree’d or fastfood…suck. The world is driven by creators, be they artisans, creative finance people, web developers, devoted construction workers, whatever.

A simple test of your theory. Go down to any local DMV (Dept of Motor Vehicles). Next go to your nearest grocery store (Krogers, SuperWalkart, Wholefoods, Costo, Safeway) Give an honest appraisal of the efficiency and service, attitude and respect you received from each and get back to us.[/quote]

There is truth to this, but by the same merit, go to any not-for-profit committee for some sort of social benefit, perhas an aids treatmetn center or a public clinic, and then go to some Union workshop. The inverse would be true.

This is a huge insult to anyone who runs a business. All the OP is doing is downplaying the roles these CEO’s and others have in running their business. Take 2 identical corporations today, put 2 different people in the driver’s seat and you’ll have 2 very different corporations 5 years from now.

[quote]LankyMofo wrote:
This is a huge insult to anyone who runs a business. All the OP is doing is downplaying the roles these CEO’s and others have in running their business. Take 2 identical corporations today, put 2 different people in the driver’s seat and you’ll have 2 very different corporations 5 years from now.[/quote]

There are a couple other things as well.

We often read about these ‘huge bonuses’ CEO’s get, often when they leave. People don’t understand orders of magnitude. Often these CEO’s lead the way to the corps making billion of dollars and get reimbursed millions of dollars. They don’t understand that these bonuses are negotiated, and mathmatically a relatively small cost of doing business. Companies like Pfizer and Exxon-Mobil have operating costs that dwarf some countries’ entire economies.

Think of me as a CEO who managed to put $50 dollars in your pocket. You give me a quarter bonus.

There’s no doubt that these people make extraordinary amounts of money, but it’s really no skin off the corporations back. It’s just people’s ignorance and resentment toward those who have what they don’t.

[quote]SteelyD wrote:
LankyMofo wrote:
This is a huge insult to anyone who runs a business. All the OP is doing is downplaying the roles these CEO’s and others have in running their business. Take 2 identical corporations today, put 2 different people in the driver’s seat and you’ll have 2 very different corporations 5 years from now.

There are a couple other things as well.

We often read about these ‘huge bonuses’ CEO’s get, often when they leave. People don’t understand orders of magnitude. Often these CEO’s lead the way to the corps making billion of dollars and get reimbursed millions of dollars. They don’t understand that these bonuses are negotiated, and mathmatically a relatively small cost of doing business. Companies like Pfizer and Exxon-Mobil have operating costs that dwarf some countries’ entire economies.

Think of me as a CEO who managed to put $50 dollars in your pocket. You give me a quarter bonus.

There’s no doubt that these people make extraordinary amounts of money, but it’s really no skin off the corporations back. It’s just people’s ignorance and resentment toward those who have what they don’t.[/quote]

Exactly. I understand the outrage people have for CEOs that receive huge bonuses when their company is tanking (the banking industry obviously comes to mind), but the board members of these companies wouldn’t be paying these CEOs that well if they thought someone else could do a better job at a cheaper price. If board members believe the effect of any CEO would be a net loss to the company (profit created < compensation expense) they would find a new CEO. It’s still all based on the bottom line.

Here are my philosophical thoughts about government health care:

They cannot even grow food.

We have mastered agriculture 6000-10000 years ago and yet if governments do it, millions of people starve.

I mean, we have done it for quite a while now and basically you stick something in the ground and watch it grow.

Illiterate, medieval peasants could do it.

Governments, alas, could not.

And yet people think that governments could run a health care system.

The mind boggles.

I have a question. Can someone name one government run agency outside the military that is run effectively?

[quote]3IdSpetsnaz wrote:
Aragorn wrote:
3IdSpetsnaz wrote:
thunderbolt23 wrote:
Beowolf wrote:

I’m sorry. but you’ve obviously never even heard of economic theory. Please shut up.

This is one of the stupidest statements I’ve seen on these forums, EVER. And that is SAYING something,

I wish I could disagree. I cannot.

Perhaps I’m ignorant on this subject then, hence why I said, think and unsure, rather know and for sure.

I guess, I’d like to know in a nut shell what those individuals add to the equation.

In all honesty, I’d suggest taking some serious business classes, or at least doing a lot of reading on business operation. There’s a LOT to it, even though they’re the people that get the brunt of all political rhetoric. There’s really not a good way to give a detailed overview in the space of a post IMHO.

Operations management–and business finance management–of large national and international business, which is exactly what the pharma company is, is extremely complicated. As bad a rap as your typical collegiate “business” major gets, the top notch business schools are almost as hard and competitive as law school or med school (yes, I just said that. But look at Wharton before you crucify me, along with a few other programs :slight_smile: ).

Believe it or not, I actually run a small business. I want to get a degree in business and finance, and eventually maybe go to Navarra for Grad School, this is after I finish off my comp sci degree by the way.

I think your answer is kind of a cop out, what I’m saying about the pharm companies, is the pharmacists and the researchers make the product, the demand is always gonna be there, so perhaps so much business aspect in this sector is unnecessary.

Turning this into a quasi governmental endeavor would benefit it, you’d probably put an end to all the fake psychiactric treatment our fucked up system profits off of as well.[/quote]

Wow. You are so wrong on so many levels it’s just baffling. I lived and grew up in a Communist system. It’s a scary time in America to see people considering and pursuing this line of thinking.

The one thing some people need to understand is that communism breeds laziness and complacency. If you want to see how a communist or “socialist” system works, see people on Welfare. That is what awaits you in a generation or two of communism.

[quote]3IdSpetsnaz wrote:
Besides which, the gov’t does not adhere to budgets well at all. They always spend more than they have, and they always want to spend more. I suppose in the hypothetical event that there were a gov’t that adhered strictly to budget demands, did not deficit spend, and treated its income like a multi-national company’s, it might be possible to stick the gov’t in charge of a private company and do “ok”. However, all governments universally violate this requirement.

As such they are the last people I would stick in any position that required a)efficiency and b) rapid --and continued-- innovation. The only exception I can think of is the military, which is exceptionally good at killing things and breaking stuff. Still, the amount of innovation per dollar spent is pathetic, as is the global efficiency of many aspects of the military machine. They may be fantastic at warfare operations, but they are miserable at a wide variety of other tasks that a private company would run much smoother. My roommate is also a captain in the army, and I have heard at many junctures his bitching about various ineptitudes and inefficiencies of the Machine. He could probably write a book about them.

I agree to a level, however, I think the efficiency of big business versus government organization or non-profit organization, is grossly overexaggeratted. If big business is so stable, innovative and efficient, how the fuck did this whole mess come about…and fannie mae and freddie mac don’t fucking count, because…they were privatized, the government back-up which they did eventually get were implied not explicit.

All the big financial firms more or less crumbled because they were based on bullshit, and had a sizeable proportion of mismanagement and solitaire players as any other organization.

Maybe, I’m a communist, but I honestly do not believe individuals who work for private business and individuals who work in non-business organizations, and governments have any great difference in productivity.

It really comes down to the individuals in the organization, and the motivation they have within themselves. For the most part, people who just ‘want a job,’ be it degree’d or fastfood…suck. The world is driven by creators, be they artisans, creative finance people, web developers, devoted construction workers, whatever.[/quote]

Well firstly it depends on the type of business and a) what it does/supplies and b) how the structure of the business is set up. Solid, traditional hierarchies like IBM and GM etc are good at some things and horrible at others as a result of their structure. Alternative structures like Google, various tech companies, other businesses are exceptionally good at different areas. I think you are massively oversimplifying because it’s not like every big business has a comparable management/operations structure, OR comparably talented personnel. More fluid business structures are more adaptable, while more traditional business structures have different advantages.

Fannie/Fred are not privatized. They are QGEs. quasi-governmental entities. This particular middle ground has a large number of disadvantages because it is directly influenced by government and the market, but often is not allowed to adapt to market demands because of government pressure. IE–certain people in the legislature mandating that F&F take on ever increasing amounts of sub-prime mortgages. So I think you have it backwards in this case, as F&F are a) not private and b) F&F were not the true genesis of the problem anyways, but made it worse. As an aside I think that putting the government in charge of something that needs to respond to market forces is a bad idea.

“All” the big financial firms did not crumble. Some very very big ones did. But there were others that were properly managed and avoided catastrophe. But you never hear about those because they’re doing well.

Here’s the thing I think you need to take into account when talking about “individuals in the organization”–Statistically speaking, no one is altruistically motivated. At least not completely. And one of the driving forces for innovation and adaptation is profit motive. Ask yourself this: why did (and do) all the hotshot math, finance, and business guys go to Wall Street when they could work for the good of the country in the US gov’t in regulations and such? Money. The US gov’t pays in the hundreds of thousands and the Street pays in the 10s of millions.

Why do many of the best and brightest scientists go into industry instead of academics? Money. Industry pays between 1.5-4x as much as a professorship.

The one thing the gov’t excels at with regard to operations is killing creativity by regulating it to death with S.O.P.s and red tape, and killing the desire to achieve excellence. Fast adaptation requires a loose leash and the willingness to take risks, which is not something that government control excels at.

Particularly in pharm and biochem research, here is something you are missing in the equation. Productive research needs a loose leash and particularly needs almost this attitude of “let’s research for the sake of research and see what comes up”. This does not work well in a tightly regulated, standardizd, SOP paperwork filled atmosphere.

[quote]thunderbolt23 wrote:
Beowolf wrote:

I’m sorry. but you’ve obviously never even heard of economic theory. Please shut up.

This is one of the stupidest statements I’ve seen on these forums, EVER. And that is SAYING something,

I wish I could disagree. I cannot.

[/quote]

…Why do you wish you could disagree? Just curious.

[quote]orion wrote:
Here are my philosophical thoughts about government health care:

They cannot even grow food.

We have mastered agriculture 6000-10000 years ago and yet if governments do it, millions of people starve.

I mean, we have done it for quite a while now and basically you stick something in the ground and watch it grow.

Illiterate, medieval peasants could do it.

Governments, alas, could not.

And yet people think that governments could run a health care system.

The mind boggles.

[/quote]

My god. This is the best analogical simple argument against public health care I’ve ever read. Some libs I know are about to be pwn’d <_<

No, you’re not, and that’s the idea behind the the abolition of patents and intellectual property.

You’ll hear a lot of libertarian bullshit about this, though.

Bullshit. When was the last time an investor or executive designed a drug? The innovators by and large don’t receive the profits.

Hey, great idea! Good thing the Bush Administration actually tried it! Guess what they found?

"Federal Workers Win Job Contests
[FINAL Edition]
The Washington Post - Washington, D.C.
Author: Christopher Lee
Date: Jun 8, 2005
Start Page: A.19
Section: A SECTION
Text Word Count: 516

The federal government spent $110 million last year to determine whether 12,573 federal jobs could be done more efficiently by private contractors, with in-house workers winning 91 percent of the time, according to an Office of Management and Budget report.[…]

In 2003, federal agencies studied 17,595 federal jobs and found civil servants to be superior to contractors 89 percent of the time."

It must have been on some other fucking planet then, because there’s never been a communist country on Earth.

Yet that’s exactly what a corporation is.

The Military is run effectively? I think that’d be the one that is least effective.

READ THIS AND FOREVER HOLD IT AGAINST ME

I don’t really think so. Commercial innovation is geared towards profit, thus drugs making fatal illnesses sustainable are what these company’s Overlords desire, and they put their toadies to task to see that through.

Because of this, extremely rare illnesses get no play, because the amount of money to be made from profit is not substantial…thus, there is no capitalist interest in making drugs for Lou Gehrig’s disease.

This is where the gov’t has already stepped in, the government sponsors and subsidizes much of the drug development for these rare diseases, in addition to this, it also has research done on its behalf.

In the mean time, pharma company lobbyists sit up in DC pushing all sorts of legislation that let them push their ‘feel-good’ drugs, on kids as young as kindergarten, because as you know, 78.7 percent of people are ADHD and/or bipolar, so…“as you already know Senator, we need to really boost awareness of this, and remove the stigma of ‘mental illness,’ all the way down to grade school level, that’s why this bill taking tax payer money to educate the youth and families of America about…”

And my response would be…Which is pretty incredible, because somehow all our societal and technological advancement that built this country happened with all these barely functioning unfocused hyper/hypo manics blundering around our country in their nutty mixed state for the past 3 hundred years. Obviously, if these people go unmedicated, terrible things will happen…

Get my drift?
This mad dash to kick out bullshit anti-depressants and, illness sustainers, is more of a cramp on medical innovation, than our supposed socialist system would be.

Why? I mean if you get down to the dirty of it, the pharma companies have exactly ZERO incentive to create a drug that cures ANY disease. Their goal is to make drugs that are consistently used for the duration of someone’s life or at least a long period. For them to create a drug that is a one shot or cycle shot to cure an illness , would cut to the business model of the drug that could otherwise be sustained for a life long profit. Thus creating cures is not in their interest.

You can call my argument sophomoric or conspiracy theory all you want, but if you really think about it…

We know the anti-depressant, hyper/hypo, kiddy-dope drug culture IS going on. So how far fetched is the self-serving cure-no-illness argument really from the truth? And if not, how long till it does become the truth? We’ve already seen the Enrons, and Blackwaters, and further that a lack of ethics has become so systemic that it nearly brought our nation to its knees.

So why would the capitalists of the pharma companies be any different?
“Because we’re Americans, which means all capitalists are good guys!” Right…

For this reasone, I’m telling you.

Medicine is one thing that probably should be socialized.

Also when I was in High School, there was a kid in my grade who would take a private jet to fucking Japan on the weekends, just to go shopping. He was a Macedonian-American whose family came here to flee political turoil there int he 50s and apparently were some sort of nobility, his family owned a labeling company entirely, and I believe were plurality share holder in a Pharma company…they are BILLIONAIRES, so please don’t tell me that all the money that goes into a pill is spent on research, because if that’s true, where the fuck did this kid’s family get their billions?

I don’t know if it’s the pefect answer, but I think pharma production needs to be socialized in some way, or at least decommercialized. Change definetely needs to happen.