[lit-ideas] Re: From today's paper

  • From: Eric Yost <mr.eric.yost@xxxxxxxxx>
  • To: lit-ideas@xxxxxxxxxxxxx
  • Date: Mon, 03 Nov 2008 17:20:53 -0500


Simon: And on balance do such systems do more harm than good?

Eric: We can only try to evaluate the systems that fall inside our direct experience. Even within that narrow group, it's difficult, if not impossible, to assess their ultimate good.

I do know of some "systems" that seem drafted by Satan. Here's one.

Consider the Stark Laws -- drafted by Pete Stark (Democrat-CA) -- governing the use of visa-waiver physicians to provide medical care to underserved areas of the US. They are astoundingly corrupt.

Under the good old Stark Law, a US business-type weasel doctor can recruit a physician from, say, India, on a visa-waiver. The business-doctor weasel can then build a new facility, say an expensive sleep-clinic, and under Stark's Law, the Indian visa-waiver physician would be liable for half the cost of the new clinic, despite the fact that the Indian physician had no stake in the weasel's company, and merely was trying to perform public service to get a Green Card for himself and his family.

Stark wrote his law to give weasels advantage over the poor Indian doctor. The result is that the visa-waiver physician would be liable for, in a reasonable example: * $3 million for the clinic, whether they stayed here or not; and should they try to leave weasel's practice,
* $200k for recruiting violation penalties, and another
* $250k penalty from the sponsoring governmental commission.

In short, a guy comes to help an underserved area in the US to get a Green Card for his family. In return, he is paid at 1/2 the rate of US physicians and has a $3.5 million penalty over his head by the enslaving sponsor. The sponsor can lord it over the Indian physician, demand outrageous hours, because he has leverage.

NOW, DOES THIS HELP IN THE BIG PICTURE?

NO. As soon as possible, the Indian doctor leaves the sponsor's area rather than setting up a new practice there, so the area continues to be underserved, and the business-type weasel doctor, enriched by the slave labor, can recruit his next victim, this time from, say, the Czech Republic.
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