Aligning The Ought-To’S Alongside The Can-Do’S
If our the world is serious almost healthcare reform, it behooves us to ask:
Unfortunately, when it comes to healthcare, other domestic issues, as well as fifty-fifty unusual policy, answering these questions isn't tardily because it requires that nosotros halt deceiving ourselves, as well as start critically as well as objectively evaluating the values, priorities, goals, as well as underlying beliefs of our culture.
For example, let's tell nosotros handgrip that nosotros ought to receive got access to high-quality healthcare nosotros all tin afford. And let's assume that high quality, highly efficiency universal healthcare isn't possible because of regime budget deficiencies. Since this scenario would hateful a continuation of our healthcare system's poor quality, high cost, as well as access inequity, nosotros should live yell for questions such as:
I disagree! We merely cannot afford such a defeatist view. We tin gain a dandy bargain past times "looking at ourselves inwards the mirror." We'd live wise to inquire the tough questions as well as non shy away from the radical transformation of our healthcare organisation as well as national priorities. It would live wise to create this amongst other domestic as well as international problems, every bit well.
Consider, for example, the recent interview of Andrew J. Bacevich on the Bill Moyer's Journal. Mr. Bacevich is an author, professor of international relations as well as history at Boston University, as well as retired Army colonel. He focused on the human relationship betwixt failed U.S. unusual policies as well as American consumerism. He concluded that our country's biggest problems are internal as well as the solution requires looking at ourselves inwards the mirror as well as yell for the tough questions. Here are about quotes:
This brings upwards a few lastly questions:
Conversations I've been having subsequent to the master post--with amongst Phil Wray as well as John Milligan--have offered several useful ideas.
One is to yell back of aligning the Ought-To’s amongst the Can-Do’s every bit a dynamic process, every bit opposed to a static process, particularly when there’s a potential “show stopper” obstruction (i.e., in that place is no way to accomplish our Ought-To goals). This way that when nosotros are prevented from doing everything nosotros Ought-To live doing, the odds are that nosotros tin soundless create some of the things nosotros Ought-To do. Those actions, as well as the noesis nosotros gain the process, can, inwards turn, “open novel doors” that enable us to accomplish to a greater extent than of the Ought-To’s by, for example, trying dissimilar tactics than originally considered, and/or past times refining our Definition of the master Ought-To’s inside reason. In other words, past times evolving our vision (goals & objectives) as well as methods (strategies and tactics) inwards calorie-free of the electrical flow realities, but without abandoning our initial intent, nosotros tin motility e'er closer to achieving our mission fifty-fifty when confronted amongst powerful obstacles.
Aother thought is to yell back of what nosotros should live doing inwards 2 levels: Ought-To’s as well as the Must-Be’s. That is, it is of import to clearly rank our goals as well as objectives inwards damage of their priorities (primary, secondary, tertiary, etc.). We would receive got to fighting to determine what are our moderate priority Ought-To’s (which demand non live essential) as well as our high priority Must-Do’s (which are absolutely essential). In this way, failure to create what nosotros Ought-To is regarded every bit undesirable, spell failure to create what nosotros MUST is considered totally unacceptable. In either case, the dynamic procedure higher upwards is a way to foster progress fifty-fifty inwards the human face of possible show-stoppers.
So, when faced amongst major obstacles that forestall us from doing all nosotros should live doing, it is wise to (a) evolve our vision as well as methods inwards social club to brand forrard progress as well as (b) larn our priorities straight, so nosotros know what to focus on first. Doing these things, it seems to me, would best live accomplished via a “bottom-up” procedure inwards which nosotros human face similar a shot “into the mirror” as well as examine our cultural value as well as beliefs, spell having serious as well as in-depth fighting almost who nosotros are every bit a people, who nosotros wish to become, as well as how to brand that societal transformation. This procedure would run for all the large issues our the world at nowadays faces, which includes non entirely healthcare, but entitlements, grand unusual policy strategy, transparency & accountability inwards government, etc.
- What OUGHT TO BE done to guarantee everyone has access to affordable, high-quality healthcare?
- What CAN BE done, realistically, to brand that happen?
Unfortunately, when it comes to healthcare, other domestic issues, as well as fifty-fifty unusual policy, answering these questions isn't tardily because it requires that nosotros halt deceiving ourselves, as well as start critically as well as objectively evaluating the values, priorities, goals, as well as underlying beliefs of our culture.
For example, let's tell nosotros handgrip that nosotros ought to receive got access to high-quality healthcare nosotros all tin afford. And let's assume that high quality, highly efficiency universal healthcare isn't possible because of regime budget deficiencies. Since this scenario would hateful a continuation of our healthcare system's poor quality, high cost, as well as access inequity, nosotros should live yell for questions such as:
- Why isn't the necessary coin available?
- Is it beingness spent elsewhere?
- Are in that place policies that promote waste product as well as abuse?
- Would in that place plenty taxation dollars if the government's electrical flow funds were to live redistributed?
- Must taxes live increased to heighten additional money?
- Who would live for it as well as who against redistribution as well as taxation increases?
- Why would surely people live opposed if it would assist so many?
- How are the winners as well as losers inwards the electrical flow system, as well as why?
- What does it tell almost the priorities/values of those opposed, as well as how create they compare amongst those inwards favor?
- What is it almost our civilisation as well as economical organisation that promotes belief inwards such priorities/values?
- Is the American capitalist model broken; is it pathologically mutated?
- Would it live wise to brand "compassionate capitalism" the norm?
- How would nosotros bargain amongst the negative aspects of human nature, such every bit ego, greed, fear, as well as denial?
- How tin people's minds live enlightened to residue betwixt selflessness as well as selfishness?
- Is usage of the work a broken healthcare system driven past times a perverse economical model, pervasive ignorance, resistance to (fear of) change, etc.?
I disagree! We merely cannot afford such a defeatist view. We tin gain a dandy bargain past times "looking at ourselves inwards the mirror." We'd live wise to inquire the tough questions as well as non shy away from the radical transformation of our healthcare organisation as well as national priorities. It would live wise to create this amongst other domestic as well as international problems, every bit well.
Consider, for example, the recent interview of Andrew J. Bacevich on the Bill Moyer's Journal. Mr. Bacevich is an author, professor of international relations as well as history at Boston University, as well as retired Army colonel. He focused on the human relationship betwixt failed U.S. unusual policies as well as American consumerism. He concluded that our country's biggest problems are internal as well as the solution requires looking at ourselves inwards the mirror as well as yell for the tough questions. Here are about quotes:
The pursuit of freedom, every bit defined inwards an historic flow of consumerism, has induced a status of dependence on imported goods, on imported oil, as well as on credit. The primary wish of the American people…is that zip should disrupt their access to these goods, that oil, as well as that credit. The primary aim of the U.S. regime is to satisfy that desire…what nosotros want, past times as well as large is, nosotros wish this continuing flow of rattling inexpensive consumer goods…And nosotros wish to live able to create these things without having to yell back almost whether or non the book's balanced at the goal of the month, or the goal of the financial year. And therefore, nosotros wish this unending occupation of credit…[We should] human face ourselves inwards the mirror, to run across the direction inwards which nosotros are headed. And from my betoken of view, it's a direction towards e'er greater debt as well as dependency.
…[There is a] yawning disparity betwixt what Americans expect, as well as what they're willing to pay… nosotros don't alive inside our means. I mean, the acre doesn't, as well as increasingly, private Americans don't. Our saving - the private savings charge per unit of measurement inwards this the world is below zero. The personal debt, national debt, notwithstanding you lot wish to mensurate it, every bit individuals as well as every bit a government, as well as every bit a acre nosotros assume an endless occupation of credit…[This assumption] is going to live shown to live false. And when that twenty-four hr flow occurs it's going to live a dark day, indeed…[We've moved from] 'an empire of production'…[to] 'an empire of consumption.'… This continuing style to borrow as well as to assume that the bills are never going to come upwards due. I testified earlier a House commission half dozen weeks agone now, on the time to come of U.S grand strategy.
…How are nosotros gonna pay the bills? How are nosotros gonna pay for the commitment of entitlements that is going to increment twelvemonth past times twelvemonth for the side past times side pair of decades, particularly every bit babe boomers retire?" Nobody has answers to those questions…[we] receive got opted for a faux model of freedom. H5N1 liberty of materialism, a liberty of self-indulgence, a liberty of collective recklessness
…The large problem, it seems to me, amongst the electrical flow crisis inwards American unusual policy, is that unless nosotros create modify our ways, the likelihood that our children, our grandchildren, the side past times side generation is going to relish the opportunities that we've had, is rattling slight, because we're squandering our power. We are squandering our wealth. In many respects, to the extent that nosotros persist inwards our majestic delusions, we're also going to squander our liberty because majestic policies, which goal upwards enhancing the potency of the majestic president, also goal upwards providing majestic presidents amongst an chance to compromise liberty fifty-fifty hither at home. And we've seen that since 9/11.
…We receive got created an majestic presidency. The congress no longer is able to articulate a vision of what is the mutual good. The Congress exists primarily to ensure the reelection of members of Congress…[Our political] organisation is broken.
…One of the dandy lies almost American politics is that Democrats truly subscribe to a laid of meat convictions that brand Democrats dissimilar from Republicans. And the same thing, of course, applies to the other party. It's non true. I come about to define myself every bit a conservative… Parsing every word, every phrase, that either Senator Obama or Senator McCain utters, every bit if what they tell is going to expose about profound as well as of import modify that was going to come upwards almost if they happened to live elected. It's non going to happen… because the elements of continuity outweigh the elements of change. And it's non going to come about because, ultimately, nosotros the American people, turn down to human face inwards that mirror. And to run across the extent to which the problems that nosotros human face really prevarication within.
…We turn down to alive inside our means. We drib dead on to yell back that the problems that beset the the world are out in that place beyond our borders. And that if nosotros deploy sufficient amount of American powerfulness nosotros tin laid those problems, as well as thus things dorsum hither volition drib dead on every bit they receive got for decades.
…How did nosotros come upwards to live a acre inwards which nosotros really thought that nosotros could transform the greater Middle East amongst our army? What receive got been the costs that receive got been imposed on this country? Hundreds of billions of dollars. Some projections, 2 to 3 trillion dollars. Where is that coin coming from? How else could it receive got been spent? For what? Who bears the burden?...It was a telephone commutation mistake...And that powerfulness live the 2d when nosotros human face ourselves inwards the mirror. And nosotros run across what nosotros receive got become. And perchance undertake an endeavour to brand those changes inwards the American way of life that volition enable us to save for time to come generations that which nosotros value most almost the American way of life.So, the U.S. is an empire of consumption relying on credit as well as armed services powerfulness to feed our materialistic addiction, every bit nosotros indulge ourselves recklessly as well as squander our wealth as well as powerfulness amongst piddling regard for the mutual good. Instead of examining ourselves inwards the mirror as well as yell for the tough questions almost what we've become, nosotros foolishly focus beyond our borders to laid the problems that are really caused past times our internal attitudes as well as systems.
This brings upwards a few lastly questions:
- If nosotros were a wise as well as virtuous country, what would nosotros tell nosotros OUGHT to live doing almost healthcare as well as other domestic as well as unusual policies?
- If nosotros were a brave as well as compassionate the world amongst the will to brand telephone commutation changes for the mutual good, what would nosotros tell nosotros CAN create later peering bravely into the mirror as well as yell for the tough questions almost ourselves, our assumptions, as well as our way of life?
- If nosotros were such a country, would nosotros as well as so live able realigning our misaligned Ought-To's as well as Can-Be's past times changing values, priorities, goals, as well as underlying beliefs of our culture?
- Or are nosotros so deeply enmeshed inwards our maladaptive ways, as well as so controlled past times our broken/pathological systems and policies, that all nosotros tin create is lookout adult man hopelessly as well as helplessly every bit nosotros "go downwardly the drain" as well as manus over to time to come generations a weak as well as miserable the world inwards which the American Dream has drib dead the American Nightmare?
Conversations I've been having subsequent to the master post--with amongst Phil Wray as well as John Milligan--have offered several useful ideas.
One is to yell back of aligning the Ought-To’s amongst the Can-Do’s every bit a dynamic process, every bit opposed to a static process, particularly when there’s a potential “show stopper” obstruction (i.e., in that place is no way to accomplish our Ought-To goals). This way that when nosotros are prevented from doing everything nosotros Ought-To live doing, the odds are that nosotros tin soundless create some of the things nosotros Ought-To do. Those actions, as well as the noesis nosotros gain the process, can, inwards turn, “open novel doors” that enable us to accomplish to a greater extent than of the Ought-To’s by, for example, trying dissimilar tactics than originally considered, and/or past times refining our Definition of the master Ought-To’s inside reason. In other words, past times evolving our vision (goals & objectives) as well as methods (strategies and tactics) inwards calorie-free of the electrical flow realities, but without abandoning our initial intent, nosotros tin motility e'er closer to achieving our mission fifty-fifty when confronted amongst powerful obstacles.
Aother thought is to yell back of what nosotros should live doing inwards 2 levels: Ought-To’s as well as the Must-Be’s. That is, it is of import to clearly rank our goals as well as objectives inwards damage of their priorities (primary, secondary, tertiary, etc.). We would receive got to fighting to determine what are our moderate priority Ought-To’s (which demand non live essential) as well as our high priority Must-Do’s (which are absolutely essential). In this way, failure to create what nosotros Ought-To is regarded every bit undesirable, spell failure to create what nosotros MUST is considered totally unacceptable. In either case, the dynamic procedure higher upwards is a way to foster progress fifty-fifty inwards the human face of possible show-stoppers.
So, when faced amongst major obstacles that forestall us from doing all nosotros should live doing, it is wise to (a) evolve our vision as well as methods inwards social club to brand forrard progress as well as (b) larn our priorities straight, so nosotros know what to focus on first. Doing these things, it seems to me, would best live accomplished via a “bottom-up” procedure inwards which nosotros human face similar a shot “into the mirror” as well as examine our cultural value as well as beliefs, spell having serious as well as in-depth fighting almost who nosotros are every bit a people, who nosotros wish to become, as well as how to brand that societal transformation. This procedure would run for all the large issues our the world at nowadays faces, which includes non entirely healthcare, but entitlements, grand unusual policy strategy, transparency & accountability inwards government, etc.