Medicine and the Vampire Economy. Lee Hieb, MD

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    If you put the Federal Government

    in charge of the Sahara Desert, in five

    years you would have a shortage ofsand--

    Milton Friedman

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    Medicine and theVampire Economy

    Lee D. Hieb, MD

    Orthopaedic and Spinal Surgeon

    Lake City, Iowa

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    Dont prey

    on each other

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    Dont prey on the dead

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    Prey on the living (productive)

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    Only two possible outcomes:

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    ??

    Why is America the MostProsperous Nation on Earth?

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    Why is America Prosperous?

    Democracy?Natural Resources?

    Low population density?Work Ethic?

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    Why is America Prosperous?

    History of Economic

    Freedom

    Rule of Law

    Respect for Private Property

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    America

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    American Decline as Disease

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    Before Treatment:

    Correctlyname Diagnosis

    Catalog and analyze theSymptoms

    Examine the Signs

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    Symptoms

    Decreased economicdevelopment

    Under/un-employment

    Escalating prices

    Diminishing standard of living Diminishing middle class

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    Medical Symptoms

    Shortages of physicians

    Shortages of necessities

    Uncertainty of investment

    Escalating overhead

    Price Controls

    Fear of Prosecution

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    Economic Signs

    Government administers a

    capitalist system with an

    immense bureaucracy

    Criminalization of violators

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    150,000 pages Medicare Regs

    2000 pages

    on billing

    RAC

    Auditors

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    Tax Code

    1913 400 pages

    2011 82,000 pages

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    Top Rule Producing Agencies

    11

    Treasury

    Commerce Interior

    EPA

    Agriculture

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    Rules (completed) > 100 Mil

    impact

    H and HS 23

    EPA 4Treasury 3

    Energy 3

    DOE 2

    Defense 0

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    11 Pages of laws

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    9 Pages= Disposal CFL

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    Economic Sign

    Government sustainseconomic life through

    spending and borrowing

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    Private vs Government Spending

    1920 to 2011

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    Economic Sign

    Producers are organized

    into cartels some of which

    are favored over others by

    government policy

    (syndicalism)

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    Economic Sign

    Profit is held privately, but

    loss is public.

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    Economic Sign

    The government acknowledgesno restraint on its powers.

    Words have no meaning

    Money from thin air

    Property is no longer private

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    Economic Sign

    General Belief: Only the

    State can protect the

    individual from

    unscrupulous businessmen.

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    Economic Sign

    Generalbelief:

    Prosperitywill follow acultural and

    spiritualawakening.

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    What is the Diagnosis?

    F. A. Hayek, NobelLaureate Economist

    William Welk, HarvardEconomist

    Thomas Dilorenzo, PhD.Economist, Mises Institute

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    Public/Private Partnership:

    Germany, Italy and Spain

    Vast regulations

    Violations of property rights

    Inflation

    Price controls

    Taxes

    Criminalization of business

    activities

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    F.A. Hayek: Road to Serfdom

    Germany 1928: 55% Gov

    controlled, 10% Military

    Spending

    US today, 45% Gov and

    21% budget military

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    rviving the Vampire

    (Fascist)Economy??

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    Business Organization

    Sales

    Manager

    Purchasing

    Agent

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    Business Organization

    Sales ManagerPurchasing Agent Public

    Relations

    Legal

    GovernmentInterface

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    Hire a

    Contact Man

    Former Pols on corporate boards,

    etc.

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    Companies Join for Safety

    Small companies cant

    compete legally--form

    external legal arm.

    Band together to lobby and

    appease government

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    All for the Volk:

    Camouflage private interest ascommunity benefit

    Conrad Hilton

    wentGreen

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    Economy of Coercion

    Incentives forunwanted

    investments

    Forced investments

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    Vampire Government

    Increasing bureaucracy

    meant increased

    functionaries

    Became a legally privileged

    group.

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    Cowering Businessman

    Live in fear of beingprosecuted

    Cannot keep track ofthe laws

    Fear new extortion

    Fear new decree thatwill bankrupt him

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    Courageous Businessman

    Not for

    investment

    risk, but for

    circumventing

    regs

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    When all else fails---

    Give up and join thegovernment.

    (Adopting another fascist

    characteristic: Pragmatismover Principle.)

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    Outcome--at First

    Government safeguardedbig business and avoided

    bankruptcies.

    Companies who couldnt

    compete funded partymembers for favors.

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    Gave lots of money to party

    Lost all economic freedom

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    To live in this process is

    absolutely not to be able to notice

    itone no more saw it developingday to day than a farmer in his

    field sees the corn growing. One

    day it is over his head.--Milton

    Mayer, They Thought They Were Free

    Principiis obsta. Finem respice.

    Resist the beginnings. Consider the end.

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    Progressive Economic/ Social

    Oppresssion

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    Best Outcome

    1954 Franco

    woke up toFree Market

    reforms

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    Conclusions: We are at tipping pt.

    Without general economic

    reform we cannot maintain

    quality medical care

    Economic improvement

    means decreasing government

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    Dont surrender a rightmake them take it.

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    Practical Note

    Stay lean, mean, able to

    turn on a dime

    Produce necessities, not

    pain palliatives

    Prepare to downsize

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    Pragmatism With Principle

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    Hope for the Future

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