If a conservative is a “liberal who has been mugged”, approved there as the hoary old saying goes, here then a modern proponent of socialized medicine could be said to have been a fiscal conservative who has had more than five health care plans in the last four years (yours truly). I used to be 180 degrees opposed on this, but frankly, what we have is so much worse than even the bad socialized systems that it’s nothing more than ideological idiocy not to join the rest of the civilized world. To say nothing of the fact that we could easily match the French system, for instance, if we think the British or Canadian ones suck too much; and we’d spend less money overall, by all rational estimates (we already spend more public money than the average completely-socialized system; but we spend it stupidly and inefficiently on things like emergency care for the uninsured).
The people opposing such a move continue to spout baloney about waiting times, as if even those of us with insurance don’t wait as much or more in the US (and this matches my experience). For the benefit of equal or worse waiting times, I get to kick in thousands per year, and drown in paperwork (for all the payment plans we’re on to try to make sure we pay out of our HSA rather than out of after-tax money, and of course, to make sure I don’t overdraw the stupid thing). What’s worse is that the modern know-nothings who still push this disaster we live under are lying about the options people really have. You don’t realistically have the option to go to another doctor, even if you’re willing to pay standard (non-discounted) rates. Nor should you accept that as an answer – you’re already paying dearly for health care which these idiots claim is the “best in the world”.
Enough is enough. I’m turning in my capitalist-medicine decoder-ring. Call me Fidel LaFrenchie if you must. Better an honest socialist, if only for pragmatic reasons, than a lying capitalist.
Posted to comments and as letter-to-editor in their new interface, cialis but who knows if this new technology will work, condom so it’s reposted here for your pleasure. The 2nd Hawaii report coming as soon as work calms down a bit.
Commuters will only switch to transit if they are delivered to their final destination – within a couple of blocks. Failing to provide that “last mile” transport can doom an entire regional rail system. If far-flung suburbanites hate the bus, rx and their offices are too far to walk from the last rail or rapid-bus stop, then they’ll just keep driving, however long their commutes.
The part which was left out, in what’s becoming a disturbing trend of analysis-free journalism at the Chronicle, is that choice commuters will also NOT accept transfers as part of their daily commute, unless we’re talking about the Manhattan end of the scale where the transit alternative has the benefit of competing against 50-dollar parking.
Transfers from commuter rail to streetcar will not be any more attractive to daily commuters than transfers from commuter rail to shuttlebus – and choice commuters, as shown in South Florida with Tri-Rail, simply will not do the latter. Once you ride every day, the fact that the streetcar isn’t any faster or more reliable than the bus was becomes very obvious.
It’s time to remind people yet again: we did NOT decide to build what worked in Dallas, Portland, Denver, Salt Lake, Houston, and Minneapolis (light rail, or, what we would have built in 2000 and should have tried again in 2004). What we’re building instead was what failed in South Florida – a transit alternative which is utterly non-competitive with the car and will continue to serve only the transit-dependent at an incredibly high cost, while derailing transit momentum for decades.
Urban Transportation Commission, 2000-2005
This subject keeps coming up; and although I’ve explained it in bits and pieces in many crackplogs here, viagra as well as in other forums, prostate I’ve never put it all in one place before. But I’m also short on time, so I’ll reuse most of a post I made today to the excellent SkyScraperPage forums and just expand a bit.
The immediate relevance is a somewhat petulant response from Michael King to my letter to the editor in the Chronicle next week. I suppose this means I’ll be published, at least. The money quote:
we don’t find it particularly useful to hold our breaths on transit questions until we turn blue (or bile green), nor particularly helpful to respond to every interim proposal with cheerless variations on “it’s pointless and it won’t work.”
So, here it is: why it’s important to keep bringing up that this thing won’t work and WHY it won’t work, and what WOULD have worked instead:
South Florida built almost exactly what we’re going to build: a commuter rail line on existing tracks which is too far away from destinations people actually want to go to – so they have to transfer to shuttle buses for the final leg of their journey to work in the morning (and back from work in the evening). It has proved a miserable failure at attracting so-called “choice commuters”, i.e., those who own a car but are considering leaving it at home today to take the train to work.
Here’s how the experience has gone in the area:
- Start with a largely transit-friendly population (retirees from New York, for instance)
- In the mid-to-late 1980s, commuter rail gets built (requiring shuttle transfers).
- Everybody who says anything says “this is going to work; rail ALWAYS works!”
- Nobody but the transit-dependent rides it. (“we tried it and it didn’t work”).
- Ten years later, whenever somebody brings up light rail, “we tried rail and it didn’t work here”.
- In the meantime, a huge amount of money is spent double-tracking the corridor and increasing service; but still, essentially nobody who can choose to drive will ride the thing, because the three-seat ride (car, train, shuttle-bus) makes it so uncompetitive. (Remember that, like our rail line, it doesn’t run through any dense residential areas where people might be tempted to walk to the station – all passengers arrive either by car or by bus).
- Fifteen years later, when people still don’t ride, somebody reads about TOD and thinks “maybe that will help”. Millions are spent trying to encourage developers to build residential density around the train stations to no avail (a bit unlike Austin in that here, all we need to do is allow more density and it will crop up by itself due to pent-up demand for living in that part of town). Nothing comes of this – because people don’t want to pay extra to live next to a train station where they can hop a train to… a shuttle-bus.
- Twenty years later, whenever somebody brings up light rail, “we tried rail and it didn’t work here” is still the primary response – but finally some people are starting to say “well, we built the wrong thing last time”.
If there had been more people pointing out before, during, and after the system opened that a rail line which didn’t go where the people wanted to go would be a failure, it might not have taken twenty years just to restart the rail conversation there.
I don’t want it to take twenty years to restart the conversation here in Austin.
Don’t believe it will happen? Remember: the pro-commuter-rail forces, before the election, were saying let’s ride and then decide. People in South Florida rode. They decided. It didn’t work. It has taken twenty years to even start seriously talking about building rail in the right places (along the FEC corridor, or light-rail in Fort Lauderdale). We can’t afford twenty years here.