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	<title>Comments on: Makes sense</title>
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	<link>http://www.neptunuslex.com/2007/03/02/makes-sense-2/</link>
	<description>The unbearable lightness of Lex. Enjoy!</description>
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		<title>By: The Flight Deck &#187; If It&#8217;s Broke You Gotta Fix It - Healthcare, Part I</title>
		<link>http://www.neptunuslex.com/2007/03/02/makes-sense-2/comment-page-1/#comment-57847</link>
		<dc:creator>The Flight Deck &#187; If It&#8217;s Broke You Gotta Fix It - Healthcare, Part I</dc:creator>
		<pubDate>Mon, 19 Mar 2007 01:27:40 +0000</pubDate>
		<guid isPermaLink="false">http://www.neptunuslex.com/2007/03/02/makes-sense-2/#comment-57847</guid>
		<description>[...] in just one post. And since its been a little over two weeks since?Ǭ</description>
		<content:encoded><![CDATA[<p>[...] in just one post. And since its been a little over two weeks since?Ǭ</p>
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		<title>By: The Flight Deck &#187; If It&#8217;s Broke You Gotta Fix It - Healthcare, Part I</title>
		<link>http://www.neptunuslex.com/2007/03/02/makes-sense-2/comment-page-1/#comment-409871</link>
		<dc:creator>The Flight Deck &#187; If It&#8217;s Broke You Gotta Fix It - Healthcare, Part I</dc:creator>
		<pubDate>Mon, 19 Mar 2007 01:27:40 +0000</pubDate>
		<guid isPermaLink="false">http://www.neptunuslex.com/2007/03/02/makes-sense-2/#comment-409871</guid>
		<description>[...] in just one post. And since its been a little over two weeks since I asked Max Damage, over in the Walter Reed thread at Lex&#8217;s, if he had a healthcare “solution”, whether it be for military or [...]</description>
		<content:encoded><![CDATA[<p>[...] in just one post. And since its been a little over two weeks since I asked Max Damage, over in the Walter Reed thread at Lex&#8217;s, if he had a healthcare “solution”, whether it be for military or [...]</p>
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		<title>By: Michelle</title>
		<link>http://www.neptunuslex.com/2007/03/02/makes-sense-2/comment-page-1/#comment-54021</link>
		<dc:creator>Michelle</dc:creator>
		<pubDate>Tue, 06 Mar 2007 15:17:23 +0000</pubDate>
		<guid isPermaLink="false">http://www.neptunuslex.com/2007/03/02/makes-sense-2/#comment-54021</guid>
		<description>Wow. Things to think about, indeed. Not necessarily to all agree with, but to think about. See you on the Flight Deck, my friend.</description>
		<content:encoded><![CDATA[<p>Wow. Things to think about, indeed. Not necessarily to all agree with, but to think about. See you on the Flight Deck, my friend.</p>
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		<title>By: Max Damage</title>
		<link>http://www.neptunuslex.com/2007/03/02/makes-sense-2/comment-page-1/#comment-53860</link>
		<dc:creator>Max Damage</dc:creator>
		<pubDate>Tue, 06 Mar 2007 06:31:07 +0000</pubDate>
		<guid isPermaLink="false">http://www.neptunuslex.com/2007/03/02/makes-sense-2/#comment-53860</guid>
		<description>Michelle, I do believe I&#039;ll take you up on that and see you on the flight deck.  I hope you&#039;ll put in a good word for me there.  To answer your question, I&#039;m an engineer by trade, and my job is to Solve Problems, so I tend to look at things a little differently than the average person might.  How much I *care* about something doesn&#039;t fix it, nor does money in and of itself.  Eventually it takes action.  That action has to be applied to something that can be changed and will provide results we want to achieve.  Evaluating these choices, these points in the equation, requires ranking them in order of importance and assigning a value to them so I can spend my most effective work first, then spend my limited resources on the less effective.  In the medical field it&#039;s called triage, you handle the worst first and if you lose his leg but save another&#039;s life you&#039;ve done well.  This ties in with economics in that you want the greatest possible good for the least cost, and then start working towards the lesser good for increased cost, until eventually you run out of your finite resources and can accomplish no more good.

I&#039;m inherently worth no more than you, and you&#039;re actually worth more than I since, as a female, you&#039;re absolutely necessary to the continuance of the species.  I and my group of males can be easily replaced in this regard by a single Eurostud with a tan.  Please do not mention this to my wife.

We&#039;re both chunks of carbon spinning around old Sol on this warm mudball, and if either of us cease to exist there&#039;s three billion Chinese who won&#039;t care less.  Our ability to affect the lives of others adds value.  The ditch-digger is no less a human being than the policeman or the doctor, but when you need a policeman or a doctor the ditch-digger is not a substitute, and when you need a ditch guess who is more valuable than the doctor?  Value is relative to need.

Let me give you an thought to ponder.  We all want to be safe while we motor around in our automobiles.  We all want our kids to be safe, and we&#039;ll spend nearly anything to do that.  So why don&#039;t school busses have seat belts?

The answer is purely economic.  School busses are made to carry people, and to add the steel necessary to keep the chassis rigid enough to make seat belts effective would increase the weight and cost of the vehicle to the point nobody would purchase one and it would get 2mpg.  It&#039;s cheaper to add padding to the seats to protect against the most common traffic accidents and accept the fact that in case a bus falls off a bridge a few kids are going to die.  We&#039;ve saved most of the kids by making the school bus a viable means of getting them to and from school, but we&#039;ve made that possible by not making it perfectly safe and accepting that statistically we&#039;re going to have a few deaths that would have been prevented if cost were no object.

How I *feel* about designing a bus that I know will cost a few kids their lives is immaterial.  My job is to make certain the most kids get to school and back while minimizing the number that die because safety was too costly.  It&#039;s an equation that must balance else I help fewer kids overall but save one or two extreme cases.

Ask Lex about ejection seats that would save a pilot, but only above the knees.  That&#039;s a harsh choice to make, re-design the airplane or admit the millions spent in re-design is less costly than a man&#039;s legs.  Yet those are the decisions we make every day.  Empathy cannot enter into it, else we&#039;ll squander time and treasure for the few and do so much less for the many.

And yes, at the end of the day many an engineer and doctor and medic has looked himself in the mirror, told himself he did the best he could and saved the most, then unscrewed the top of a bottle and flipped the lid away knowing it wasn&#039;t going to be needed again.  Empathy is for after the affair is done and you feel you could have done more.  Somehow. Maybe...

  - Max</description>
		<content:encoded><![CDATA[<p>Michelle, I do believe I&#8217;ll take you up on that and see you on the flight deck.  I hope you&#8217;ll put in a good word for me there.  To answer your question, I&#8217;m an engineer by trade, and my job is to Solve Problems, so I tend to look at things a little differently than the average person might.  How much I *care* about something doesn&#8217;t fix it, nor does money in and of itself.  Eventually it takes action.  That action has to be applied to something that can be changed and will provide results we want to achieve.  Evaluating these choices, these points in the equation, requires ranking them in order of importance and assigning a value to them so I can spend my most effective work first, then spend my limited resources on the less effective.  In the medical field it&#8217;s called triage, you handle the worst first and if you lose his leg but save another&#8217;s life you&#8217;ve done well.  This ties in with economics in that you want the greatest possible good for the least cost, and then start working towards the lesser good for increased cost, until eventually you run out of your finite resources and can accomplish no more good.</p>
<p>I&#8217;m inherently worth no more than you, and you&#8217;re actually worth more than I since, as a female, you&#8217;re absolutely necessary to the continuance of the species.  I and my group of males can be easily replaced in this regard by a single Eurostud with a tan.  Please do not mention this to my wife.</p>
<p>We&#8217;re both chunks of carbon spinning around old Sol on this warm mudball, and if either of us cease to exist there&#8217;s three billion Chinese who won&#8217;t care less.  Our ability to affect the lives of others adds value.  The ditch-digger is no less a human being than the policeman or the doctor, but when you need a policeman or a doctor the ditch-digger is not a substitute, and when you need a ditch guess who is more valuable than the doctor?  Value is relative to need.</p>
<p>Let me give you an thought to ponder.  We all want to be safe while we motor around in our automobiles.  We all want our kids to be safe, and we&#8217;ll spend nearly anything to do that.  So why don&#8217;t school busses have seat belts?</p>
<p>The answer is purely economic.  School busses are made to carry people, and to add the steel necessary to keep the chassis rigid enough to make seat belts effective would increase the weight and cost of the vehicle to the point nobody would purchase one and it would get 2mpg.  It&#8217;s cheaper to add padding to the seats to protect against the most common traffic accidents and accept the fact that in case a bus falls off a bridge a few kids are going to die.  We&#8217;ve saved most of the kids by making the school bus a viable means of getting them to and from school, but we&#8217;ve made that possible by not making it perfectly safe and accepting that statistically we&#8217;re going to have a few deaths that would have been prevented if cost were no object.</p>
<p>How I *feel* about designing a bus that I know will cost a few kids their lives is immaterial.  My job is to make certain the most kids get to school and back while minimizing the number that die because safety was too costly.  It&#8217;s an equation that must balance else I help fewer kids overall but save one or two extreme cases.</p>
<p>Ask Lex about ejection seats that would save a pilot, but only above the knees.  That&#8217;s a harsh choice to make, re-design the airplane or admit the millions spent in re-design is less costly than a man&#8217;s legs.  Yet those are the decisions we make every day.  Empathy cannot enter into it, else we&#8217;ll squander time and treasure for the few and do so much less for the many.</p>
<p>And yes, at the end of the day many an engineer and doctor and medic has looked himself in the mirror, told himself he did the best he could and saved the most, then unscrewed the top of a bottle and flipped the lid away knowing it wasn&#8217;t going to be needed again.  Empathy is for after the affair is done and you feel you could have done more.  Somehow. Maybe&#8230;</p>
<p>  &#8211; Max</p>
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		<title>By: Michelle</title>
		<link>http://www.neptunuslex.com/2007/03/02/makes-sense-2/comment-page-1/#comment-53698</link>
		<dc:creator>Michelle</dc:creator>
		<pubDate>Mon, 05 Mar 2007 20:59:17 +0000</pubDate>
		<guid isPermaLink="false">http://www.neptunuslex.com/2007/03/02/makes-sense-2/#comment-53698</guid>
		<description>Thanks Max. Will do in the next few days when I have a little more time. You probably should check out the Flight Deck, its a pretty cool place. And, if you don&#039;t, how will you ever be able to respond to my point by point response? :)

The only comment I will make here is that I just don&#039;t get how a peron can do this or even why they would want to:

&lt;em&gt;&quot;I just approach problems without empathy... &lt;/em&gt;

Seems to me that the only way to approach any problem is with a large dose of empathy. There should be no worry of the empathy clouding your judgment because I think real empathy just means recognizing that we&#039;re all inter-connected. It isn&#039;t about &quot;handouts&quot; or &quot;something for nothing&quot;, but it is about recognizing that to a point we all are &quot;our brother&#039;s keeper&quot; and that there are certain basics we are all entitled to, again at least to a certain point. You&#039;re not &quot;worth more&quot; than me just because you might have more money than I, no matter how hard you worked for it. And if I am wrong and you are, then our values are so screwed that we might as well just give up the game right now.
I hope I see you on the Flight Deck.</description>
		<content:encoded><![CDATA[<p>Thanks Max. Will do in the next few days when I have a little more time. You probably should check out the Flight Deck, its a pretty cool place. And, if you don&#8217;t, how will you ever be able to respond to my point by point response? <img src='http://www.neptunuslex.com/wp-includes/images/smilies/icon_smile.gif' alt=':)' class='wp-smiley' /> </p>
<p>The only comment I will make here is that I just don&#8217;t get how a peron can do this or even why they would want to:</p>
<p><em>&#8220;I just approach problems without empathy&#8230; </em></p>
<p>Seems to me that the only way to approach any problem is with a large dose of empathy. There should be no worry of the empathy clouding your judgment because I think real empathy just means recognizing that we&#8217;re all inter-connected. It isn&#8217;t about &#8220;handouts&#8221; or &#8220;something for nothing&#8221;, but it is about recognizing that to a point we all are &#8220;our brother&#8217;s keeper&#8221; and that there are certain basics we are all entitled to, again at least to a certain point. You&#8217;re not &#8220;worth more&#8221; than me just because you might have more money than I, no matter how hard you worked for it. And if I am wrong and you are, then our values are so screwed that we might as well just give up the game right now.<br />
I hope I see you on the Flight Deck.</p>
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		<title>By: Skippy-san</title>
		<link>http://www.neptunuslex.com/2007/03/02/makes-sense-2/comment-page-1/#comment-53461</link>
		<dc:creator>Skippy-san</dc:creator>
		<pubDate>Mon, 05 Mar 2007 08:25:25 +0000</pubDate>
		<guid isPermaLink="false">http://www.neptunuslex.com/2007/03/02/makes-sense-2/#comment-53461</guid>
		<description>Here in Japan they have a combination of private and government health care. Its not perfect but it does provide a safety net. For example the S.O. has private insurance from when she was down sized by her heartless American employer ( part of her buy out package) and she is entitled to use Japanese National health care.

Personally I would rather pay a health insurance premium that allowed me to buy into the civil service health care plans, the kind that has been used by Congress than pay into SS. I don&#039;t have that option and like TSP it would sure be nice if it came from my pre-tax income.

In Singapore they have a thing called the Central Provident fund. Its about 29% of your income and you have no choice-you have to pay into as does your employer. It funds health care, retirement savings and you are allowed to borrow against it to buy a house. (Apartment really-you have to be really rich to have a seperate house). 

Like I said its not very democratic but it gets the job done.

Of course the Sings do their damndest to strictly control immigration-something the US probably needs to do.</description>
		<content:encoded><![CDATA[<p>Here in Japan they have a combination of private and government health care. Its not perfect but it does provide a safety net. For example the S.O. has private insurance from when she was down sized by her heartless American employer ( part of her buy out package) and she is entitled to use Japanese National health care.</p>
<p>Personally I would rather pay a health insurance premium that allowed me to buy into the civil service health care plans, the kind that has been used by Congress than pay into SS. I don&#8217;t have that option and like TSP it would sure be nice if it came from my pre-tax income.</p>
<p>In Singapore they have a thing called the Central Provident fund. Its about 29% of your income and you have no choice-you have to pay into as does your employer. It funds health care, retirement savings and you are allowed to borrow against it to buy a house. (Apartment really-you have to be really rich to have a seperate house). </p>
<p>Like I said its not very democratic but it gets the job done.</p>
<p>Of course the Sings do their damndest to strictly control immigration-something the US probably needs to do.</p>
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