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The Alleged Death of “Experts”

 

Much ink has been spilled and many teeth gnashed among the media and academic class over the last year over the death or experts and expertise. According to, oddly enough “experts”, the popular will is overthrowing the proper rule of experts and creating a world without real expertise. That is the thesis of Tom Nichols’ The Death of Expertise: The Campaign Against Established Knowledge and Why It Matters. 

This is complete nonsense. What is happening is not the death of expertise but the rational pushback against the overreach of experts.

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Specific Reforms Needed

 

Health reform is not so hard. First we must understand that there are two markets at work here. There is the market for actual health care. And then there is the market for health insurance. The market for health care needs to be more transparent. So encourage providers to get together and establish a standard list of a la carte services and procedures. Require that these prices be published and kept up to date. When a person/family member wants to arrange for healthcare, require providers to give an estimate for this care. Establish fairness in the law that would subject providers to excessive service, price gouging and under-estimating complaints. Let the trial lawyers do the rest. On drugs, open up distribution rights to all foreign sourced drugs. Allow exclusive rights only to patented drugs. Limit patent terms and allow one renewal only. Allow foreign prices to be used in drug price gouging actions.

The health insurance market was largely state regulated before the ACA. Let the states still regulate the insurer ratings/qualifications, claims and complaints in their states, however get them out of the policy term/coverage regulation business. Let the industry come up with a standard insurance form to be used nationwide. Let the insured select the coverage, deductibles and self insured limits from a standard, easy to understand menu for any policy. Policies would all be written as “major medical” policies with or without “routine and well-care.” Limit coverage to US risks. Let people buy special policies for out of country risks. Allow the insurers to provide discounts to those who belong to health maintenance or consierge care programs.

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Tight Lines, Mon

 

“Virgil, what is the name of the fish eating predator bird?”

The 67-year-old entrepreneurial cabbie could have said “Mu’ad Dib” and I’d have half believed him but it was simply a fish hawk. The nice man, or mon, had delivered me to an inlet lake where bonefish prowled for crab at high tide. I’m staying at some all-inclusive resort at Turks and Caicos. It’s free for me and enjoyable despite being canned like a cruise ship.

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