The Knowledge Illusion: Why We Never Think Alone (Unabridged) 2

If you have not read the immediately preceding post, please scroll down and read it. The immediate post presents HM’s thoughts about how the need to use knowledge from fellow humans fails. A good example of this can be found in the current debates about the Affordable Care Act and its replacement. Although the Affordable Care Act is flawed, information from fellow humans who have successfully dealt with this problem is being ignored.

The United States has the most expensive healthcare costs in the world, but results characteristic of a third world country. And it is the only advanced country that does not have a single payer system in which the single payer is the government. This progression did not happen all at once. It began in England after WW II and variants of it were gradually adopted over time by advanced countries with the notable exception of the United States.

How can this be explained? It can be explained most simply in one word, “beliefs.” In this case, the belief in free markets. Free markets are good, but what is frequently forgotten is that free markets do not remain free, they are manipulated and require government intervention to disrupt the development of monopolies. Moreover, free markets are not universally applicable. Economists have effectively argued that free markets are not appropriate for medical care.

However, even if one believed in the viability of free markets for medical care, how can they ignore the success of single payer systems in the developed world? The problem is that beliefs stymy new and creative thinking and using knowledge from knowledgeable people. New beliefs require thinking and thinking requires mental effort, which many people find uncomfortable.

Then there is the faux “Fair and Balanced” news. When the Affordable Care Act was being proposed, “Fair and Balanced” news featured an English Woman who had a complaint about a surgical procedure she had undergone. This woman was livid about this presentation on “Fair and Balanced” news. Although she had complaints about this one procedure, she was highly enthusiastic about the national health system in Britain. Moreover, none of the countries who have adopted a single payer system in which the single payer is the government have abandoned these programs. It should be noted that in the United States Medicare is a single payer system that works quite well. However, Medicare covers only a certain percentage of costs, so supplemental insurance is prudent.

So beliefs can thwart change and innovation. But not all beliefs are necessarily bad. Consider religion, particularly religions for which the medical suffering of fellow human beings is important. One would think that in the United States where such religious beliefs are widespread, medical care would be among the best, not the worst. What apparently happens here is compartmentalization. These religious beliefs are thwarted by beliefs about government and the supremacy of market forces. The result of this compartmentalization is that the health and finances of fellow citizens suffer.

© Douglas Griffith and, 2017. Unauthorized use and/or duplication of this material without express and written permission from this blog’s author and/or owner is strictly prohibited. Excerpts and links may be used, provided that full and clear credit is given to Douglas Griffith and with appropriate and specific direction to the original content.

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