How to end the flat earth argument

Apparently people still think that the earth is flat despite an overwhelming amount of evidence to the contrary. This stuff is all over social media, and it infuriates me to no end because we’ve known that the earth was a sphere for thousands of years, and if ancient man could figure that shit out then I would expect that someone who has access to satellite photography would also be able to figure it out. But alas, people are ignorant as fuck and thus we have the flat earth theory. Everyone’s favorite astrophysicist, Neil deGrasse Tyson, recently had to respond to an NBA star commenting that the earth is flat.

I had an exchange with someone on Instagram earlier today. Someone I follow posted something showing how the earth was curved, not flat. Well, cue the “woke” enlightened folk. So I asked how a flat planet could form in the presence of gravity. Well, apparently gravity is also a conspiracy. Here’s the response I got:

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See, guys, there’s no such thing as gravity because density! Duh. And no, I’m not blurring anyone’s name out on here because if you’re stupid enough to think the earth is flat and gravity isn’t real you deserve to be called out. And yes, I also realize that you all have my Instagram handle now.

But here’s why I asked about gravity.

I wanted to think of a proof or a thought experiment I could give a flat earther to get them to realize that they’re wrong. And I think I came up with one. And it all hinges on gravity. In order for a flat planet to form, gravity either 1) needs to not exist, or 2) not behave according to our current models. My response to good ol’ Jonathan there was this:

“There’s a very easy way to prove whether or not gravity is real. Pick an object, any old object will do. Next, find a place you can drop it from–a second story window, a tree, a rooftop–it doesn’t matter. Now, if you know the mass of the object and the height from which you’re dropping it from, then it’s a matter of simple math. Calculate the time it would take the object to reach the ground 1) by using the standard model of gravity and the equation time = √(2d/g) and 2) by substituting the value of g for literally anything else–like the formula for density. Then drop the object and compare the times to those given by your two equations.”

That’s really something any middle school student should be able to do. The response I got?

…total crickets. Nobody had a response. None of the flat earth geniuses, to nobody’s surprise, derived a new form of math to describe acceleration and motion that didn’t use gravity.

Because you can believe that the government lies to us about the shape of the earth and the ISS and moon landing are faked by NASA, but there’s one thing that doesn’t lie–GODDAMN MATH.

But just the fact that this needs to be explained to people is incredibly disheartening. It speaks to a broken education system. It speaks to a culture steeped in paranoia. It speaks to a political system wherein people are encouraged to openly deny evidence. People are so quick to latch onto conspiracy, but they can’t see that the way to to truly keep someone ignorant is to make them question observable, measurable, testable, repeatable evidence. THAT’S how you keep someone in ignorance. And the fact that this is happening speaks volumes about our social and political state.

So if you ever run into a flat earther, give them this proof and see what happens. My guess it that cognitive dissonance will be so great that their head will explode.

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Democratizing the workplace

I came across this article from the BBC the other day and it absolutely fascinated me. The article focuses on a Swedish software firm , Crisp, and their rather innovative approach to how their business is structured.

Crisp doesn’t have a CEO.

Yassal Sundman, a developer at the firm, explains: “We said, ‘what if we had nobody as our next CEO – what would that look like?’ And then we went through an exercise and listed down the things that the CEO does.” The staff decided that many of the chief executive’s responsibilities overlapped with those of the board, while other roles could be shared among other employees. “When we looked at it we had nothing left in the CEO column, and we said, ‘all right, why don’t we try it out?'” says Ms Sundman.

This is something that I have long suspected about the business world–that in many cases, the boss is completely superfluous. More on that in a bit. So what does a workplace without a designated leader look like?

Crisp holds four-day meetings for all staff two to three times a year. They are used to making decisions on issues that affect everyone, such as an office move, but workers are encouraged to make decisions themselves at other times. It also still has a board – a legal requirement – and this can be used as a last resort to resolve issues if something is not working.

Imagine that, the people who are actually doing the work are making the decisions! Together!

Henrik Kniberg, an organisational coach at the firm, argues that not having to ask a boss for decisions on projects or budgets means the firm can respond faster. “If you want to get something done, you stand up and start driving that,” he says. Yet Mr Kniberg stresses that not having to ask permission does not remove the need for staff to discuss issues or bounce ideas off each other. Because they are all in charge, workers are more motivated, he argues. Crisp regularly measures staff satisfaction, and the average is about 4.1 out of five.

Who would have guessed that giving the worker bees more freedom and self-determination would lead to a happier and more agile workforce? Truly shocking.

What I like about this article is that, for me at least, it dispels some long held myths that people have about business that they apply to their politics. There’s this idea that business is always better at everything than government. I’ve said for years that this patently false for a variety of reasons, but I think this article really drive home on central point:

Businesses can be just as bloated, top-heavy, and overly-administrative as the worst government you can think of. The equivalent of bureaucracy is alive and well in the private sector, and it’s just as detrimental.

I’m not sure how many presidents, vice presidents, junior vice presidents, CFOs and CEOs a company needs, but I’m willing to bet that, as this article from the BBC suggests, the answer is probably “None of them.”

The average CEO in 2014 made $22.6 million dollars per year. That’s a pretty tidy sum for a position, that, if Crisp’s example is any indication of, is essentially worthless. What’s more, that year CEO salaries increased almost 9%–way ahead of the 2.4% that the rest of the economy grew. And a 2000 study found that performance is a weak indicator of CEO compensation. The best predictor of CEO salary was the size of the company–no matter how terrible of a job they did. I’m sure everyone remembers all of those Wall St. folks that gave themselves huge bonuses after they collapsed the economy? The numbers are all here for you to take a look at.

And then there’s the lovely ‘golden parachute’ that we all hear about so much, which sounds like something Donald Trump would pay Russian hookers for, but is really just a giant check they give the top brass upon retirement. Here’s a list of the top 20 golden parachutes according to Bloomberg. I’ll recreate the top five for you here:

  1. Steve Wynn (Wynn Resorts): $358,134,747
  2. David Simon (Simon Property Group): $302,425,834
  3. John Hammergren (McKesson): $198,150,788
  4. David Zaslav (Discovery Communications): $161,119,864
  5. Brent Saunders (Allergan): $140,672,343

Man, what a great deal: getting paid tens of millions of dollars a year no matter how poorly you perform…and then they give you HUNDREDS OF MILLIONS when you retire!

What a fucking joke.

How many billions of dollars are wasted every year on executives that don’t do shit? Billions that could be reinvested in the company or the employees. While everyone else’s hours and benefits are slashed because of taxes or Obamacare or whatever bullshit line they throw out, the CEO gets to retire with hundreds of millions of dollars in his pocket. Notice how it’s never the top earners that are asked to tighten their belts during the lean times?

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But why is it this bad? How do these salaries get set? Well, in many companies, executive compensation is set by the board of directors. And who’s on the board? You guessed it–all of the executives. Executive salaries are out of control and keep going up despite poor job performance because they’re the ones giving themselves the raises and the golden parachutes. Pretty convenient, huh? This article in Forbes covers some of the insane catch-22s that allow this kind of unfettered greed and inefficiency to continue.

And then people wonder why a candidate like Bernie Sanders is so popular with people. Because people are tired of being bullshitted by business leaders and conservative politicians about how dire everything is while they keep making more and more money. They tell us all that they’ll need to get rid of social security and medicare while lowering the tax rates on the guy who just made $358,134,747 simply for retiring.

Because for all the ways they paint the private sector as noble, something for government to aspire to, the same bullshit happens there, too. The same bloating, the same excess, the same waste, the same frivolity. The same lack of accountability for the people at the top. Human greed and ignorance permeates all aspects of society, something that is often lost on conservatives. 

But it doesn’t have to be that way. Companies like Crisp are showing that. They’re just starting to show that there’s a different way to do things. You can essentially democratize the workplace–give the employees the reigns. Give the employees more of a stake in things. Give the employees the freedom they don’t get with a top-down organizational structure.

Because the same is is true in the workplace as it is in politics: the people have the power. Unions used to be how workers flexed that muscle. And then the bullshit started. “Well, you know, those unions, they just ensure that bad workers can’t be fired.” You hear this bullshit all the time, like with teachers. The teachers union just protects bad teachers!

An argument that seems especially ironic given that of the top 25 paid CEOs in ANY GIVEN YEAR from 1993-2012, one quarter of them worked for firms that took federal bailout money. In other words, these incompetent assholes fucked up, then used your tax money to stay in business and continue to give themselves a massive raise and an even more massive golden parachute. But hey, it’s the unions that are greedy, right?

It’s all bullshit, folks. Did you know that there are countries that don’t have a minimum wage? Doesn’t the sounds like a conservative republican’s idea of paradise!? Well, not so fast. Places like Iceland and Sweden have no minimum wage because workers have the right to collectively bargain. A lot of those evil socialist countries follow that model.

Oh, I get it: when the CEO gets to determine their own outrageous salary, it’s capitalism and moxie, but when the workers try to have a say in how much they’re paid it’s evil socialism. Again, how convenient.

So the next time someone tries to tell you that the government is wasteful and stupid, count for them the many ways the the private sector is also full of corrupt hypocrites.

 

What happened to those bootstraps?

Does anyone else find it supremely ironic that republican and conservative voters elected Donald Trump on the promise that his government would bring jobs back? Because I certainly find this sentiment to be the epitome of hypocrisy.

For decades now, all we’ve heard from the GOP and other conservatives is that the government is horrible and meddlesome, and everything would be better if there was less government interference and everyone took more personal responsibility for their lives.

Conservatives 2008/2012: “The government just makes things worse. Get rid of the government and everything will be fine–it’s not the function of government to create jobs, you libtards.”

Conservatives 2016: “PLEASE BRING BACK MY JOB, GOVERNMENT!”

It’s galling to me that the party of moxie and rugged individualism is now the party that applauds a government that directly gets involved in business and trade negotiations–the very things conservatives were crying the government should stay out of for the past 30 years.

How many times have we seen conservative politicians and voters say the following about welfare or the minimum wage: “We don’t believe in handouts. If you want to make more money, improve your situation, work harder, etc. Pull yourself up by your bootstraps like a real American.”

Well apparently conservatives in 2016 have thrown out their old bootstraps.

This article on CNN interviews people in a Kentucky town, “the poorest city in America,” that overwhelmingly voted for Donald Trump. Here are some snippets:

Beattyville residents want jobs, especially ones that pay more than the minimum wage of $7.25 an hour. They think if anyone can bring jobs back, it’s Trump.

Yeah, of course. The guy whose Trump brand suits and ties are made in Chinese factories is going to bring your job back. The same guy who immediately nominated the CEO of a fast food company who hates the minimum wage, Andy Puzder, as labor secretary.

Here’s what one of the men Kentucky elected to the senate, Mitch McConnell, had to say about the minimum wage: He cited a Congressional Budget Office study that he claimed said raising the minimum wage to $10.10 an hour would “destroy half a million to 1 million jobs. […] That’s not the way to grow our economy,” he added.

And here’s what Kentucky’s other senator, Rand Paul, had to say about raising the minimum wage: ‘The minimum wage is a temporary’ thing, Paul said. ‘It’s a chance to get started. I see my son come home with his tips. And he’s got cash in his hand and he’s proud of himself. I don’t want him to stop there. But he’s working and he’s understanding the value of work. We shouldn’t disparage that.’”

Good luck getting jobs that pay beyond the minimum wage, Beattyville. You elected people who propose the very opposite of that, who think, in Paul’s case, that trying to raise a family on a minimum wage job is great because it’ll build your character and teach you the value of hard work!

“If you got a job here in Beattyville, you’re lucky,” says Amber Hayes, a bubbly 25-year-old mom of two, who also voted for Trump. She works at the county courthouse, but is paid by the Kentucky Transitional Assistance Program (K-TAP), a form of welfare.
The vast majority of Beattyville residents get some form of government aid — 57% of households receive food stamps and 58% get disability payments from Social Security.

But I thought that welfare was just for the takers? Isn’t that what all the conservative politicians campaign on? Haven’t we all heard some iteration of that from conservative friends and relatives? Isn’t that what Mitt Romney said just 4 years ago, that 47% of the country votes to just get free stuff?

Here’s what Kentucky’s own Mitch McConnell said about food stamps as recently as last September: Asked about the improving economy, McConnell scoffed: Business leaders tell him they have “a hard time finding people to do the work because they’re doing too good with food stamps, Social Security and all the rest.”

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Residents of Beatyville would apparently beg to differ with Mr. McConnell.

From the outside, it’s easy to wonder why people in Beattyville don’t just move somewhere else. But out of all the people CNNMoney met in Beattyville, only one wanted to leave. The rest are drawn to the beauty of the place and the friendly community. “I’m country to the core,” laughs Puckett. He husband of 39 years nods beside her. Judge executive Mays puts it this way: “We’re perceived as a hillbilly, backwoods, all this and that. But we’re a good people.”

Again, whatever happened to those bootstraps, hmm? That’s what Paul Ryan or Rand Paul would tell you to do–work to improve your own situation and don’t depend on the government to save you. If you lose your job, find another, even if it means moving. Retrain yourself. Oh, you can’t pay for that? Well, you just need more gumption and definitely less of that darned government in your life, always making things worse.

Look, I have lots of sympathy for the people of Beatyville. They’re certainly in a bad place. Yet at the same time, they and the rest of their state have repeatedly voted for people who have told them that the government will make their life worse. That getting rid of food stamps will create an incentive for people to get a real job. That social security and medicaid should be cut or outright privatized. That the problem with America in general is too much reliance on the government.

In the end, Beatyville and other red cities in red states that are suffering are the victims of their own voting. It’s particularly tragic that they now expect the same government that believes that the government shouldn’t be engaged in safety net programs or other forms of public assistance to save them. If the democrats were smart, they’d get out grassroots campaigns to go to towns like Beatyville and help explain this to residents.

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I guess we’ll see what happens in 2018.

Litigation nation

Liability. It’s fancy legal talk for “Who’s responsible?” Blame is big in our culture when something goes wrong, and we’ve taken to using the legal system as a way of obtaining closure.

Case in point: I recently came across this story about a family in Texas who is suing Apple because a driver who struck their car, killing their daughter, was using FaceTime at the time of the accident. In their lawsuit, the couple alleges that it was incumbent upon Apple to warn everyone that their app could be dangerous when misused, and that they should have designed a safer app.

Folks who read this blog know that I’m not usually a fan of corporations, but I have to side with Apple here. It’s unreasonable, both in legal terms and in common sense, to expect a company to clairvoyantly predict all the ways in which a product can be misused or abused. And speaking of common sense, it should be painfully obvious to everyone that a video chatting app shouldn’t be used while driving.

There is definitely someone at fault here, but it isn’t Apple. It’s the man who was driving the car that hit them. He’s the one at fault because he’s the one who made the decision to use the app while driving. It was his actions that lead to the accident, not Apple’s.

What this appears to be is simply a grab for money. Why else sue Apple instead of, you know, the man who killed your daughter? Probably because the guy who hit your car isn’t worth billions of dollars. But more importantly, suing Apple doesn’t speak to justice–turning tragedy into financial gain is not justice.

But this case brings to light several important questions.

First, should companies be held responsible when their products are used incorrectly or abused? The answer to that, I should think, is a resounding NO. There was a similar debate about this issue during the democratic primary. Hillary Clinton supported a law that held gun manufacturers liable for incidents involving their products. Bernie Sanders did not support such legislation. I have to side with Bernie on this one (shocking, I know, me agreeing with Bernie). The fact that someone used a gun to commit a murder isn’t the manufacturers fault; that individual chose to use a gun for murder instead of self-defense or sport.

Where would this sort of thing end, holding manufacturer’s liable for the actions of individuals who use their products? Suing the brewery for a drunk driving accident? Suing the waitress who served the alcohol? Charging the gun shop owner who sold the weapon used in a crime as an accomplice or an accessory? Holding manufacturers liable is a very, very dangerous precedent.

Second, are companies obligated to warn people about the potential dangers of their products? This is a slippery slope. How much hand-holding do we expect these companies to do? This is why we have labels that say things like, “Do not stick hand in while lawnmower is running” or “caution: this hot drink is hot.” At some point, individuals have to exercise common sense and personal responsibility.

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The fact that we have to tell people this is sad

Third, is litigation the best way to get closure? Suing Apple isn’t going to bring the family’s daughter back. Even if they did win, say, a billion dollars, that still isn’t going to change the fact that their daughter died. But I think more importantly, we as a culture have to realize that getting money isn’t the same thing as grieving. We have a tendency in this country to throw money at problems.

But sometimes that simply doesn’t work. In the case of losing a loved one this is particularly true. Money does not replace loved ones and it isn’t a substitute for grief. Sorry. But I expect that our cultural solution to intense emotional angst would involve money somehow, because everything in this country revolves around money.

Perhaps what disturbs me the most about cases that seek to hold a manufacturer liable is that they absolve individuals of the need or expectation that they use common sense, critical thinking, and have a little personal responsibility for their actions. We’re becoming a nation where everything is always someone else’s fault, we’re never the ones in the wrong. We always try to point the finger at others when we screw up. “How was I supposed to know that my child could choke on tiny toy parts if he wasn’t supervised?! Give me money!” Maybe you could try, I don’t know, parenting your child. I don’t think it’s too much to expect people to know that hot coffee is hot or that you shouldn’t stick your hand in a lawnmower while it’s running. It’s dangerous to me to allow people to use the law to obviate their own lack of foresight, responsibility, or common sense.

Now, all of this doesn’t mean that people who experience what the family in that article went through don’t deserve closure. After all, the accident was not due to a lack of vigilance on their part; someone else’s poor choices directly affected them. But that person wasn’t Apple. It was the man driving the car. Who can and will be prosecuted for his crime–manslaughter. That’s where the legal system is supposed to provide closure to grieving people. In the fact that the person was caught, held responsible for their actions, and won’t be allowed to do it again. That they’ll be punished for their poor choices. That’s justice.

Facebook, fake news, and free speech

The issue of fake news on social media has suddenly become a hot button issue, and Facebook has found itself square in the cross-hairs of public ire. The issue recently came to a head after an armed man invaded a local pizza parlor because a “news” article he read online said that Hillary Clinton has a secret child slavery ring based there.

At first glance, any rational person would hear or read something like that and say, “Sure, whatever. That’s the dumbest thing I’ve ever heard. How could anyone fall for something like that?”

Well, there are several reason why someone would believe something that outlandish. First and foremost, there are a lot of people out there who simply aren’t rational. Second, there is now a whole industry of trolls out there dedicated to creating fake news, and they’ve gotten quite good at it, to the point where fake news, by all outward appearances, resembles actual news. And finally, there is such a huge distrust of mainstream media, that increasingly people are turning to alternative and, shall we say, less vetted news sources.

All of this is creating a perfect storm wherein people are reading things on the internet that simply aren’t true, but are nonetheless being presented as fact. After public outcry, Facebook is taking some steps to trying and help crack down on fake news. In short, the plan is to create a feature whereby people can flag an article as “disputed.” People can still read the article, but they’ll be able to see a message saying the there are others who dispute the “facts” in it.

Cue people crying foul.

Immediately there was a backlash that Facebook was trying to “control” the news. The new measures, although sent to third-party fact checkers once flagged, are user generated. And they still don’t prevent you from viewing a disputed article. In reality, Facebook isn’t taking any false content off their site; they’re simply giving people a warning that what they’re about to read might not be entirely factual.

Despite this, there are still cries that this violates freedom of speech. Like this article, which warns that such measures limit the public from hearing “different points of view.”

Frankly, such arguments are bullshit, because anything that isn’t a fact really isn’t “a different point of view.” That’s a false equivalency. Saying that the earth is flat and gravity isn’t real isn’t “an alternate point of view”–it’s just plain wrong and not rooted in fact or reality.

Now, that isn’t to say that people shouldn’t be allowed to believe whatever they want. If you want to believe that the earth is flat or hollow or that vaccines cause autism or that lizard people run the government, fine. I can’t stop you. But there’s a difference between voicing your opinion and trying to represent your opinion as fact. One is clearly protected by freedom of speech while the other is not. Freedom of speech gives you license to say and believe whatever crazy thing you want without fear of imprisonment, but it doesn’t give you the right to proclaim it as fact.

An example. Person A posts something on their own Facebook feed that says, “I don’t believe vaccines work. I think that they cause autism, and I think parents shouldn’t vaccinate their children.” This is clearly someone’s personal opinion. Then there’s person B who creates a Facebook group with a title like, “Vaccine Research Group” and creates an article called “Vaccinating your children gives them autism,” which is filled with personal opinion organized in a journalistic format, but contains no factual information or citations.

There is a clear difference between what person A has done and what person B has done. Person A has expressed his or her own thoughts on a public forum. That, to me, is clearly protected by freedom of speech. Person B, however, has dressed their opinion up as journalism and represented it as fact. The latter is much more likely to influence someone to not vaccinate their children because they view it as a credible source–it’s news. This could lead to very real, physical harm in children. Which is what the difference is. Deliberately misleading people in a way that causes them harm goes beyond freedom of speech. 

There’s a clear difference between being able to freely voice your opinions–which everyone has the right to do–and trying to represent your opinion as fact. The former is a critical part of a free society, while the latter is incredibly dangerous to society as a whole. The latter can get you in a whole heap of trouble, as Andrew Wakefield found out if we’re sticking with the vaccine example. He falsified research. That isn’t protected as ‘free speech.’ That’s fraud. And that’s what fake news is essentially–fraud.

As far as I’m concerned, the steps that Facebook is taking don’t go nearly far enough. I’d like to see Facebook create an algorithm that scans an article and looks at 1) how many citations there are, and 2) where those citations are from. Fake news has the potential to lead to great harm: further denial of climate change, dropping vaccination rates, increased use of “alternative” medicine that doesn’t work. And, as we’ve seen already, armed people invading pizza parlors. It’ll lead to further polarized politics, less discourse, and a greater misunderstanding of political and governmental processes.

In short, fake news is bad news for us all.

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Vote your conscience, you idiots

So tomorrow marks the day that all the electors in the electoral college get together to formally elect the president of the United States. Lots of people are hoping that these electors will see Donald Trump as unfit for office and vote someone–anyone–else into office instead. Which they could technically do, because they’re not constitutionally bound to vote for whoever won their respective states. Unless of course you ask the electors themselves.

With only a handful of exceptions, most of the republican electors plan to vote for Donald Trump, even if they think he is unfit to be president. Why? Well, just ask this idiot from Texas: “Each of us signed a pledge that, as electors, we will support the nominee when called to Austin on December 19.” You hear that a lot when they interview these electors. “Well, you know, I just have to serve the will of the people.”
NO YOU DON’T YOU FUCKING TWAT. That’s the entire point of having an electoral college. So that when people DO elect someone who isn’t fit for office, you can nullify the whole damn thing.

Which makes the whole entire process pretty useless huh? If that’s your view, then why even have an electoral college at all? Why not stick with the popular vote if all you’re ever going to do is reaffirm “the will of the people”?

Not that that would be a bad thing. If we went by the popular vote, Clinton would be taking office right now and we’d all be fondly remembering president Al Gore. But that’s a subject for another blog.

Right now I’d like to focus on the electors and the fact that they apparently aren’t even aware of their own role in the damn process. Which begs the question: how the hell do people become electors in the first place?

They campaign for it. Then there’s a vote by the state party. That’s it. So any dumbass can become a member of the electoral college simply by showing up to meetings and throwing their name into a hat.

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No special qualifications–just pure, unadulterated party loyalty! Which seems to be why the whole goddamn system is fucked up the first place–people voting party over substance and policy. So sure, I guess it only makes sense that the electoral college isn’t immune to the bullshit that permeates every aspect of our society.

If we are going to have an electoral college as a kind of check or balance against populist idiots like Trump assuming the mantle of the presidency, then you’d think that there would be at least SOME qualification for choosing the president other than your ability to fill out paperwork and show the fuck up to the vote.

Like…a civics class! Or some demonstration of critical thinking. Or at LEAST an understanding of policy. Hell, far be it from me to defend the system that gave us Bush v2.0 and now Trump, but the whole point of the electoral college was to ensure that we didn’t have direct democracy, because the framers of the constitution thought that the masses were stupid enough to elect an idiot to office. Which apparently they are. But the very system that was designed to protect us from that eventuality wound up being populated by the very idiots that the founders didn’t want directly choosing the president.

I fully expect the electors to honor their pledges. Which pains me to write. It pains me that the very people who toss out sentences like, “I have to vote for the will of the people,” are going to elect the man who didn’t win the most vote–in essence, who WASN’T the choice of the people.

Maybe it’s because America is full of idiots. Or maybe it’s because we let the idiots run the place.

In defense of socialized medicine

Socialized or government run healthcare is often derided by its capitalist critics here in America. But does it really deserve all of the hate and mistrust that it gets from us? So many times I’ve heard people claim that such systems are inefficient, even tyrannical because they limit choices. More recently, I’ve heard and read many people talking about how even people in the Scandinavian countries are turning their backs on socialist principles.

However, much of these claims remain to be proven. Strangely, nobody ever offers evidence that increased choice leads to better health outcomes. As for inefficiency, most people who demonize socialized medicine cry about increased wait times for procedures. And what about citizens themselves turning their backs on socialized medicine? I’m willing to bet that the majority of the people who make this claim have never been to any of these other countries and have never bothered to ask its citizens what they actually think–they’re simply parroting economic and political rhetoric and propaganda.

In reality, it’s actually pretty easy to take a magnifying glass to socialized medicine and hold it up to scrutiny. There are a lot of data one can analyze and compare to determine whether socialized medicine is really the evil and inefficient scourge that people claim. There’s even a way to find out what the people in places like Sweden actually think about their healthcare: by–shockingly–asking them point blank and not relying on American politicians and conservative economists to spoon feed you their own biases.

There are two primary resources that we’re going to be looking at in this post. The first is here. That link will take you to the complete 2014 International Profiles of Health Care Systems released by The Commonwealth Fund. The majority of the information I will be providing comes directly from the report. It’s an excellent read, albeit a long one. The report compares the healthcare systems of Australia, Canada, Denmark, England, France, Germany, Italy, Japan, The Netherlands, New Zealand, Norway, Singapore, Sweden, Switzerland, and the US. That’s a pretty broad base to compare, and I feel it’s an adequate sample to really show genuine reflections in outcomes and costs.

First, it’s worth noting exactly how all of these systems work in terms of how they cover healthcare. Australia, Canada, Denmark, England, Italy, New Zealand, Norway, Singapore, and Sweden all have national health systems that cover all citizens, run by the government, and funded through taxpayers. France, Germany, and Switzerland have a statutory insurance mandate, similar to Obamacare, wherein all citizens are required to purchase insurance; funding largely comes from employee/employer contributions. And finally the US, where 56% of people have private insurance, 13% are uninsured, and the remaining 31% are covered under government run programs (Medicare, Medicaid).

Now, the first thing we can do is look at cost, since that’s currently what we are bemoaning here in the US. Per capita, here is what healthcare spending looks like in each of those countries. I will highlight the highest and lowest numbers.

  • Australia: $3,997
  • Canada: $4,602
  • Denmark: $4,698
  • France: $4,288
  • Germany: $4,811
  • Italy: $3,209
  • Japan: $3,649
  • Netherlands: $5,219
  • New Zealand: $3,172
  • Norway: $6,140
  • Singapore: $2,881
  • Sweden:$4,106
  • Switzerland: $6,080
  • UK: $3,289
  • US:$8,745

The US pays the most, almost double the average of $4592. Now, what about spending as a part of GDP?

  • Australia: 9.1%
  • Canada: 10.90%
  • Denmark: 11.00%
  • France: 11.60%
  • Germany: 11.30%
  • Italy: 9.2%
  • Japan: 10.30%
  • Netherlands: 12.1%
  • New Zealand: 10.00%
  • Norway: 9.30%
  • Singapore: 4.7%
  • Sweden: 9.6%
  • Switzerland: 11.40%
  • UK: 9.3%
  • US: 16.90%

Again, the US spends the most. We get an average here of around 11%, and the US is a good 50% higher than that.

So we spend the most of all of those countries. Surely, then, we get better outcomes for that, right? Well, let’s look at some healthcare quality indicators listed in the survey. The first one is: “Diabetes lower extremity amputation rates per 100,000.”

  • Australia: 4.6
  • Canada: 10
  • France: 7.1
  • Germany: 18.4
  • Netherlands: 13.5
  • New Zealand: 6.7
  • Norway: 8.7
  • Sweden: 3.3
  • Switzerland: 7.1
  • UK: 5.1
  • US: 17.1

Hey, look! The US wasn’t #1! That honor goes to Germany. But just barely, we’re a close second. It’s still worth pointing out that we’re still nearly double the average rate (9.2). So I don’t really know if I would qualify that as a victory.

What about lifespan?

  • Australia: 82.8
  • Canada: 82.2
  • Denmark: 80.6
  • France: 82.4
  • Germany: 81.0
  • Italy: 82.7
  • Japan: 83.7
  • Netherlands: 81.9
  • New Zealand: 81.6
  • Norway: 81.8
  • Singapore: 83.1
  • Sweden: 82.4
  • Switzerland: 83.4
  • UK: 81.2
  • US: 79.3

(Data from the WHO).

We don’t seem to live the longest, which is odd considering how much we pay compared to everyone else. Okay, well what about deaths due to the healthcare system? In other words, how many avoidable deaths in the healthcare system were there (per 100,000)?

  • Australia: 57
  • Canada: n/a
  • France: 55
  • Germany: 76
  • Netherlands: 66
  • New Zealand:79
  • Norway: 64
  • Sweden:61
  • Switzerland: n/a
  • UK: 83
  • US: 96

Yikes. Looks like our healthcare system kills more people.

Now it wasn’t all bad news for the US. We had the highest 5 year breast cancer survival rate (barely) and we were somewhere in the middle of the pack when it came to mortality after admission to a hospital for a heart attack. And that seemed to be the general trend, that the US was either the worst offender or somewhere in the middle.

Okay, what about the long waits and rationing? There were several markers here. The first was “Able to get same or next day appointment when sick.”

  • Australia: 58%
  • Canada:41%
  • France: 57%
  • Germany: 76%
  • Netherlands: 63%
  • New Zealand: 72%
  • Norway: 52%
  • Sweden: 58%
  • Switzerland:n/a
  • UK: 52%
  • US: 48%

Everywhere else but Canada it’s easier to get a same/next day appointment. The next measure was “Very or somewhat easy getting care after hours.”

  • Australia: 46%
  • Canada: 38%
  • France: 36%
  • Germany: 56%
  • Netherlands: 56%
  • New Zealand: 54%
  • Norway: 58%
  • Sweden: 35%
  • Switzerland: 49%
  • UK: 69%
  • US: 39%

Again, the US isn’t the worst, but it’s far below the average (48.7%). Okay, now the one I’m sure you’ve all been waiting for: “Waited 2 months or more for a specialist appointment.”

  • Australia: 18%
  • Canada: 29%
  • France: 18%
  • Germany: 10%
  • Netherlands: 3%
  • New Zealand: 19%
  • Norway: 26%
  • Sweden: 17%
  • Switzerland: 3%
  • UK: 7%
  • US: 6%

Well, well, well. While it’s true that other people have to wait longer to see a specialist, we weren’t necessarily the fastest. And it isn’t as if people those other countries are dying in the streets because they can’t see a doctor. Indeed, it would seem as if this whole issue is really a nonissue–clearly it doesn’t affect mortality, as every other country on the list had a higher average lifespan than America. Also, “waiting” depends on what we’re talking about: we might get people into specialists faster, but other countries do primary care faster than we do. However, there’s one more piece of this issue to look at: “Experienced access barrier because of cost in the past year.”

  • Australia: 16%
  • Canada: 13%
  • France: 18%
  • Germany: 15%
  • Netherlands: 22%
  • New Zealand: 21%
  • Norway: 10%
  • Sweden:6%
  • Switzerland: 13%
  • UK:4%
  • US: 37%

While it’s true we do get people seen faster in some instances, we certainly make them pay through the nose for it. So much so that some people can’t or don’t access healthcare at all. I wrote awhile back about stress in America and the role that Americans said money played: 20% said they put off medical appoints because of cost. That’s worth noting.

Also worth noting before we move on is how much people pay for drugs per capita in each country:

  • Australia: $588
  • Canada: $771
  • Denmark: $295
  • France: $651
  • Germany: $668
  • Italy: $514
  • Japan: $718
  • Netherlands: $450
  • New Zealand: $297
  • Norway: $414
  • Singapore: n/a
  • Sweden: $478
  • Switzerland: $562
  • UK: n/a
  • US: $1,010

Look at that, ours is the only number with a comma in it.

Okay. So we’ve looked at efficiency and outcomes. But what about popularity? You often hear that criticism. “Well yeah, it’s cheaper in Sweden, but the people over there hate it!” Is that really true? Well, luckily for us, we have some sources.

Public views of the health system: “Works well, minor changes needed.”

  • Australia: 48%
  • Canada: 42%
  • France:  40%
  • Germany:42%
  • Netherlands: 51%
  • New Zealand: 47%
  • Norway: 46%
  • Sweden: 44%
  • Switzerland: 54%
  • UK: 63%
  • US: 25%

You can ask the converse, too: “Needs to be completely rebuilt.”

  • Australia: 9%
  • Canada: 8%
  • France: 11%
  • Germany: 10%
  • Netherlands: 5%
  • New Zealand: 8%
  • Norway: 12%
  • Sweden: 10%
  • Switzerland: 7%
  • UK: 4%
  • US: 27%

Well it looks to me like socialized medicine is pretty popular. Meanwhile, a much higher percentage of people don’t like the American healthcare system. In fact, very few people in countries with socialized medicine feel it needs to be completely abandoned. That’s not exactly a stinging rebuke of socialism. As an example, I find it interesting that Canada, the nation with the worst scores when it came to access, had numbers in the single digits with regard to completely scrapping their system. And we can look at other sources, as well.

Eurobarometer conducts public polling in the EU. When asked about the overall safety and quality of their healthcare, almost 3/4 of EU citizens responded that it’s good (71%).

While it’s true that in many other countries people can purchase private or supplemental insurance, those numbers are generally low, with some exceptions. In England, only 11% of people buy supplemental coverage. That number plummets to 7% and 5% in Norway and Sweden. Again, hardly a shunning or abandonment of socialist principles. And where those numbers are much higher (between 50-70% of people) that coverage mostly allows for things like private hospital rooms, elective surgery, optometry, etc–it doesn’t necessarily buy access to better basic care (although in some cases it certainly can buy you access to faster private hospitals and doctors).

Alright, so what can we conclude from all of this? Well, for one, we can say that when politicians call US healthcare the greatest on earth, they’re talking out their asses. It’s not. The data clearly demonstrate that it isn’t. It doesn’t manage to make us live longer, and it puts us in the middle of the pack when it comes to industrialized nations as far as most other health outcomes. We pay the highest prices for mediocre results, basically.

At this point, I don’t really know how anyone can completely bash socialized medicine. It produces better outcomes for less money. That isn’t up for debate, that’s what the numbers indicate. There are some aspects that don’t measure up to the needs of some Americans, like the amount of time one waits to see a specialist. Although, that might be one reason why they pay so much less than we do: they don’t refer people to specialists at the drop of a hat. That probably saves a lot of money in the long run.

These data also seem to speak against the idea that “When the government gets involved everything goes wrong.” On the contrary, we see that the countries where the government is most involved have the lowest costs, the best outcomes, and the highest rate of approval among their citizens.

And as far as the “they’re all fleeing socialism to embrace the free market” lines go, that’s a bunch of baloney. By and large, people are satisfied with socialized medicine, and people are turning to private industry mostly for niche care. And even if more people are embracing some aspects of the free market, they aren’t doing so while abandoning socialism: it seems most countries agree that basic healthcare is a human right, and all citizens should have access to it.

I suspect that the American fear and hatred of socialized medicine is due to several factors. One, for many generations we’ve simply been taught by our government that socialism and communism are dire enemies. Two, here in American we’re used to a corrupt and inefficient government, so we naturally don’t see how centrally planned healthcare can work. But just because our government is inept doesn’t mean that all others are; indeed, it would seem that every other government has found a way to produce better outcomes with less money, which doesn’t exactly prove the “government is inept” theory. Admittedly, socialized medicine wouldn’t work in the current American government. Mostly because the government is bought and paid for in America, where overseas that isn’t the case (or at least not to the same extent as here). Which brings us to three: healthcare, to most of the world, is a human right, while in the United States it remains mostly a privilege.

Most countries see the health of their citizens as something that shouldn’t be considered a for profit venture. We can’t really say the same for the US. We provide healthcare for the elderly, but even that’s questionable now that republicans control all three branches of the government here. There’s a very real possibility that Medicare will be dismantled and replaced with a voucher system where our seniors will purchase private insurance. The problem with that is that insurance companies are in it to make money, and if a senior can’t afford what the insurance companies are charging, tough luck. I guess grandma doesn’t get healthcare.

In reality, having the government run everything allows them to stand up to the pharmaceutical companies and insurance companies (where applicable) and set price ceilings and negotiate. In our American system, we pretty much let private companies write the laws, literally. And now we have a group of people in power who want less government involved, because for some reason the same people who were going to drop you like a brick when you got sick are magically going to have a change of heart once Uncle Sam isn’t looking.

In summation: socialized medicine works. It’s cheaper and it’s more effective. It’s nothing to be afraid of, unless you own stock in an insurance or pharmaceutical company. Anyone who tells you different just isn’t living in a world of facts (or ethics, if you ask me).

I leave you with a meme.

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