Showing posts with label Profit Motive. Show all posts
Showing posts with label Profit Motive. Show all posts

Sunday, February 12, 2023

Doctors Have a Moral Right to be Paid for Online Medical Advice

Telemedicine has taken off, especially since COVID. Many see major benefits: The patient doesn’t have to sit in a waiting room, where she can be infected, and the medical staff face less risk by not having to see patients in person, whenever possible. And, of course, a patient can maintain contact with her doctor during a pandemic.


One innovative offshoot of this trend is the online portal, which allows direct communication between doctor and patient. This communication often happens in lieu of an office visit. Consequently, healthcare providers have started charging for some medical advice given through these portals. In Fees for using MyChart? More health systems charging for some messages, Lisa Schencker reports for The  Chicago Tribune:


Patients who ask for their doctors’ help through online portals might soon notice something new: Fees for their physicians’ online advice.


A growing number of health systems across the country are now charging for some types of messages sent through online patient portals, such as MyChart, with fees often around $35 or less. It’s a trend that’s sparking mixed reactions, with some saying it seems only fair, while others see it as a cash grab.


A cash grab? But that cash is paying for a doctor’s advice. Do these others want something for nothing? Apparently so. 


Health system leaders say most messages remain free, and they’re only billing for questions that require more than a few minutes of a doctor’s time and that, in the past, would likely have merited an in-person visit.


“Some of those messages have become increasingly complex and are replacing what may have been a phone consultation or an in-person consultation,” said Richard Gundling, vice president at the Healthcare Financial Management Association, a professional group of health care finance leaders. “None of us wants to sit in waiting rooms anymore after the pandemic. We’re used to telehealth … we’re just accessing our providers differently now. The health systems are responding in kind.”


That’s only fair. But the entitlement mentality apparently knows no bounds for some. 


Some consumer advocates, however, criticize the trend as greedy.


“This is yet again the big business of health care finding ways to profit at every angle on patients,” said Cynthia Fisher, founder and chairman of Patient Rights Advocate, a Massachusetts-based advocacy group that’s been watching the trend.


She worries some people will now be hesitant to ask their doctors questions, out of fear they could be charged. “It really disadvantages, disproportionately, and harms the very people who can afford it the least,” she said.


Greed is certainly evident here. But it’s not the doctors or big business that is greedy. It’s the people who want the convenient access to the expertise, knowledge, experience, service, and time of the doctors and business owners who are the greedy ones. They want these values for nothing


I never cease to be amazed—and frankly, disgusted—with the callous ease at which many people take for granted the incredible benefits we receive from the healthcare industry. The “big business of health care” is not seeking to “profit . . . on patients.” They are profiting on the valuable services they provide, a noble pursuit. The people of the healthcare industry are not our slaves. Like everyone else, they deserve to be paid for their work.


Related Reading:


Profiting From Healthcare is Moral


True Healthcare Reform Would Exalt Profits


"Prime" Controversy: Profit vs. Patient Health?


The Elephant ‘Suggests’ Free Market, Not Single Payer, Healthcare


Thursday, August 25, 2022

FB Cancer Conspiracy Nonsense

Recently, an acquaintance shared article on Facebook, Cancer industry not looking for a cure; they’re too busy making money. It’s classic conspiracy theory nonsense. The points presented—no points are actually made—are so far-fetched that they’re not even worth commenting on. One example:


There is no real incentive to cure something that generates so much employment and profit; just imagine all of the cancer treatment specialists and their staff members who would be out of a job if this disease was ever cured.


As if cancer is some one single disease with one simplistic cure that eliminates all cancer from the entire human race! That’s the illusion created by Nixon’s “War on Cancer."


Of course, cancers do get cured. Some get managed to extend lives. Some cancers are not cured. Some don’t yet have effective treatments. But there is no one disease called “cancer.” It is many, many diseases that require many, many paths of research. But plenty of progress has been made against cancer, nonetheless. It’s a long and torturous progress; but progress nonetheless.


Anyway, I left this Facebook comment:


There's no such thing as a "cancer industry." There are companies that make money creating products that reduce suffering and extend life. That's what "making money" means--to make stuff people value and willingly pay for. Someone close to me was diagnosed with Crohn’s Disease at age 11. If not for the medicines created by profit-seeking pharmaceutical/biotech companies, this person wouldn't have grown into the thriving young adult he is today. There wouldn't be millions saved by organ transplants if not for the medical device and pharma industries. Cancer treatments have steadily advanced over my lifetime. I know plenty of cancer survivors among friends and family members. People and companies don't profit from cancer. They profit from extending lives. What a noble way to make money. This article would have us believe in some grand conspiracy involving tens of thousands of people, hundreds of companies, and who knows how many doctors. But that's all it is--dangerous conspiracy-theory quackery. It's sad to think of how many people might forgo valuable treatment because of this line of thinking.


These anti-science, anti-profit conspiracy theory peddlers are not just fringe nut cases. They do real damage by discouraging people from getting treatment that can help them. They consition people from getting not only cancer treatment, but vaccines as well. They are dangerous frauds.


Related Reading:


Promising trends and advances in the fight against cancer


Basic Cancer Research Funding: Don’t Forget Pharma


NJ Researchers Achieve Cancer Breakthrough


Gene Therapy Scientists Play God, Attack Cancer, Win by me for The Objective Standard


Heroic Scientists Achieve Major Advancement in Battle Against Cancer by me for The Objective Standard


Reason Delivers Again by Craig Biddle for The Objective Standard

Sunday, June 19, 2016

Favoring Poor Kids in Charter School Applications is Unfair—2

This is a follow up to my last post on the New Jersey Star-Ledger’s editorial Giving poor families a leg up in charter schools.

Reader317 commented:

Charter schools in NJ are sucking taxpayers dry with nepotism, exorbitant salaries and perks for administrators, and so forth.  They are not held to the same standards as public schools.  
Privitization introduces a profit motive which is fine for an enterprise like Uber, but not for obligatory government functions paid with tax dollars. [sic]

I left this reply:

Whose standards? The charters are [or should be] held to the only standard that matters. By the standards of the parents who choose charters for their kids, the charters are better.

And just who are the “taxpayers?” They are individuals who are being sucked dry by the government school establishment. Parents who choose charter schools are taxpayers, too. Why shouldn’t their tax money follow their kid to the school of their choice?

The problem with the traditional public schools is that they are not profit-driven. A for-profit school must satisfy the customers—the parents—or lose the business to a stronger competitor. The traditional public schools collect their students and revenues by force of truancy laws and taxation, not by voluntary consent of the parents. There’s no incentive to satisfy the customers, because there’s no profit motive.

Charters are upsetting traditionals’ monopoly, and that’s a good thing. There shouldn’t be tax-funded—and thus politicized, government controlled—schools. But as long as we have education taxes, charter schools are a step in the right direction because they expand parental school choice. School choice is a moral imperative.

Related Reading:




Charter Schools and their Reactionary Enemies--Part 3

Saturday, May 21, 2016

Is Profit-Seeking At Odds With Consumer Value?

In the comments section of Linda Stamato’s for-profit hit piece The predatory for-profit college industry and its enablers in Congress, which I covered in my post of 5/19/16, a correspondent ironically calling himself thinkerbell wrote,


. . . once you've gone for-profit, it's pretty much axiomatic that your final concern will be the generating profit rather than the development of wise and committed citizens who can envision and enact a better future.


I left this reply:


This makes no sense. The idea that the path to profitability is to disregard the good of or do bad things to your own customers can be easily debunked by a little personal introspection: When was the last time you sought out the lowest quality, highest price, worst service, or most dishonest provider in deciding how you spend your own money? If you seek maximum value for your dollars, you’ve disproved your own statement. For a private business that must depend on voluntary exchange, providing value greater to the consumer than the cost of the goods offered is the only path to profits. And that demands a long-term commitment to value creation, which requires principled business policies and actions. The opposite leads to bankruptcy. The school that puts profit over educational value is not a profit-seeking business but a quick-buck artist seeking to appropriate money, not earn profits. And money appropriators can exist among nonprofits or public colleges as well as schools organized as for-profit.


The evidence is all around us. Without satisfied customers, there are no sales. No sales, no profits. The basic principle of voluntary trade—producers seeking to increase sales and thus profits by competing for consumers seeking maximum value for their money—is win-win; self-interests are aligned, not antagonistic. There is no conflict between profit-seeking and the good of consumers, so long as all exchanges are voluntary.


Unfortunately, higher education is an unfree market corrupted by a flood of money supplied by the government’s coercive taxing powers. This creates perverse incentives and feeds the rise of quick-buck artists.


Related Reading:



The Choice is Not Principles or Profits, Because There are No Profits Without Principles

Wednesday, October 28, 2015

Inane Comments Cost PennEast’s Critics Their Credibility

There is a lot of opposition to the PennEast company’s proposed natural gas pipeline through Pennsylvania and New Jersey, much of it irrational. For example, a Lehigh Valley Live article on the pipeline by John Sievers contained the following:


Residents both directly and indirectly affected by the route of PennEast's proposed 36-inch natural gas pipeline say they continue to be frustrated with the company's responses to their questions and concerns.


"I am appalled at what PennEast is attempting to do to our beautiful area in the name of greed and profit," Hunterdon County resident Elizabeth Balogh said. "The public resistance is growing every day. ... They have millions to spend on a project to take our land and destroy our resources so that they can export this gas. All we have is our homes, and for now, clean water."


The pipeline company held a series of invitation-only meetings last month with landowners along the proposed route.


I left these comments:


How can anyone take PennEast’s critics seriously after inane comments like Elizabeth Balogh’s?


“Greed and profit” are the motivation and reward for people to work and earn a living by producing and delivering an economic value that consumers want and need and are willing to buy; in PennEast’s case, the energy human lives and flourishing depend upon. If that’s bad, then so is the desire to live.


From the standpoint of human life and well-being as the standard of value, pipelines don’t destroy. They are a life-enhancing value, and they are everywhere. There are 2 Transco natgas pipelines within a mile of my house in Readington and a 3rd currently under construction. These pipelines, which cross the Delaware from Pennsylvania, coexist safely and innocuously with hundreds of surrounding homes, farms, and streams. And these pipelines are a small part of a vast network. There are currently 190,000 miles of liquid petroleum pipelines and 2.4 million miles of natural gas pipelines in America. Destructive? Give me a break. Where would we be without them? Clean water? You wouldn’t even have access to clean, safe water so conveniently available at the twist of a knob in your home without the pipelines that deliver the energy that run our water purification and delivery systems. Go down the list of modern conveniences and necessities you enjoy—from sanitary waste disposal to transportation to heating and cooling systems to plentiful food and great healthcare—and you will find that it all depends on pipeline-delivered energy. Thank you, greed and profit!


This is what PennEast is seeking to do for people. Profits earned in this manner are morally noble. The “greed” that motivates the pipeline producers is morally noble. Perhaps there are legitimate complaints about PennEast’s presentation and response to questions. Undoubtedly, there are legitimate concerns about the pipeline construction (I could name one; eminent domain). On the other hand, maybe nothing PennEast’s representatives say will satisfy opponents, who often seem more motivated by irrational bias against the pipeline and fossil fuels generally than balanced judgement.


I am certain of one thing. PennEast doesn’t deserve these kinds of smear tactics, especially from NIMBY hypocrites who enjoy the energy benefits of pipelines passing through thousands of other communities while trying to deny PennEast’s future consumers the benefits of this one pipeline. Inane comments like the above costs critics their credibility.


-------------------------------


I will address a couple of replies to my comments in the next couple of posts.


Related Reading:







Are Pipelines a Threat to Water?

Friday, October 16, 2015

The Choice is Not Principles or Profits, Because There are No Profits Without Principles

Altruism divorces virtue from personal gain, leaving the act of profitable productive achievement adrift in an amoral sea.


For example, after pharmacy chain CVS announced that it would rebuild its two Baltimore stores that were looted and destroyed in this year’s rioting, the New Jersey Star-Ledger lauded the company for being “willing to place principle over profit.” In Amid the riots and rubble, CVS stays righteous, the Star-Ledger editorialized:


"We have a long history of serving inner city communities," [CVS CEO Larry Merlo] said, "and we are 100 percent committed to serving our patients and customers in Baltimore."


And then, just to put his money where his mouth is, Merlo's company donated $100,000 to the United Way of Baltimore and the Fund for Rebuilding Baltimore.


No doubt, this is more than just an altruistic gesture; companies go where they can generate business, and that area of West Baltimore must buy whatever that CVS is selling. That community is a food desert for area residents, who also depend on it for their prescription drugs.


But CVS, which already has 20 other Baltimore outlets, has shown before that it is willing to place principle over profit.


Sure, the company has had its share of missteps over the years, which is to be expected for the second largest pharmacy chain in the country. But in an age when we are jaded by the corporate pursuit of profits, it's fair to say this without hesitation or trepidation: Bravo, CVS.


I left these comments:


“CVS . . . has shown before that it is willing to place principle over profit.”


It doesn’t take principle to earn a profit? Nonsense.


Profit is the reward for successfully producing goods that consumers value and are willing to pay for. We are literally engulfed in the gifts that profit-seeking business corporations deliver, without which our lives would be deeply impoverished.


And what does it take to profitably create those goods? Virtues like intelligence, imagination, long-term planning, skill, ability, problem-solving prowess, dedication, hard work. It takes an unrelenting  principled commitment to the productive purpose of the corporation, which requires management skills able to do the difficult job of integrating all of the factors of production and gear it toward the satisfaction and well-being of the customer—the ultimate source of profits. The customer benefits and the business benefits—Win-Win, a truly noble method of serving the community.


Hopefully, CVS donated their money and decided to rebuild as an act of goodwill with an eye toward producing future profits, rather than as an act of altruism (unrewarded giving, or lose-win). Altruism is easy; a one-shot act to make the giver feel good. It’s easy to give up what you have earned. What’s hard is the creating that makes giving possible. Profit is where the long-term benefit to the people of the community lies. Bravo to CVS for its principled, virtuous, and successful commitment to its corporate pursuit of profits, without which there could be no $100,000 donation, or stores that provide access to the economic values local residents need, desire, and benefit from.


-------------------


Unfortunately, my comments came across as seeming to justify the pursuit of profit by benefit to the consumer or community, a collectivist-sounding rationalization. This I realized in preparing this post. Such is the danger of rushing to post a comment. The good of consumers does stem from the pursuit of profit. But that good is a consequence of profit-seeking, not the primary motive of the businessman, or the justification for his profits.


Related Reading:







Why Capitalism Needs a Moral Sanction

Sunday, September 20, 2015

More on Government vs. Private Health Insurance Middlemen: Coercive Power vs. Profit

In reply to my comments on the New Jersey Star-Ledger letter Eliminating the costly private-insurance middleman, in which I countered the letter writer’s call for eliminating the private insurers with a call to eliminate government interference from health insurance (see my 9/14/15 post), a correspondent replied to me that “Privatization places profits over people,” followed by a slam at health insurance company CEO pay.


I left this response:


I’m not sure what’s meant by “privatization.” But “profits over people” is a ridiculous absurdity.


To the extent markets are free—which means, people are free to trade on their own judgement—profits are earned by providing value to consumers. No value, no profits. Consumers don’t pay for non-value. My Crestor reduces my cholesterol, reducing my chance of heart disease. That’s a value to me. So I take it, and the pharma company gets paid, earning a profit. My insurer, since I chose to have drug coverage, gets paid, earning a profit. They didn’t put their profit over me, no matter how much their CEOs get paid. I gained. The company gained. Win-win. The same is true of the medical devices used in my recent surgeries, the hospital supplies and equipment, the anesthesia. And the same is true throughout business and industry, including insurance. Why should I care what CEOs make? They’re running companies that, by my own judgement, add value to my life. Otherwise, they wouldn’t get my money. Companies can’t put profits over people. The people—consumers—determine who gets the revenue from which profits come.


Nobody can put profits over people, because to earn profits a company must first think of how to create value for people, so the people voluntarily buy the company’s product. No value for consumers—the people—no profits.


Now consider Medicare. It doesn’t have to worry about profit. It can take your money by force of taxation; i.e., at the point of a gun. It needs no voluntary consent from the people. Medicare puts power over people. It seizes your money, whether you consider Medicare a value or not. Medicare uses force of law—guns—to forbid competition in the 65+ insurance market in areas of healthcare it covers. Medicare uses its legally enforced—gun-backed—monopsony power to dictate doctors’ fees. Unlike private insurers and its CEOs, Medicare doesn’t earn its money. It doesn’t have to. It simply takes it. So it doesn’t have to be concerned with profit. It doesn’t need the consent of the consumer. It has brute physical power.


And that’s the difference between free market healthcare and government healthcare. It’s either profits and voluntary choice, or guns and no choice.


-----------------------------------


Of course, today’s health insurance industry is not even remotely indicative of a free market, given government’s extensive controls and mandates. Today, there is no real competition. In a truly free market, things like CEO pay would be moderated by market forces. So discussing CEO pay in relation to government vs. free market healthcare is to compare apples to oranges.


Related Reading:





Moral Health Care, not “Universal Health Care”—by Paul Hsieh for The Objective Standard

Sunday, July 12, 2015

Defending Walmart Against the Black Soul of Altruism

Walmart is raising wages this year. As the New Jersey Star-Ledger editorialized back in February, Walmart's wage hike is good business more than altruism.

True enough.

But this Leftist publication, not surprisingly, doesn’t see Walmart’s self-interested action as a virtue. Instead, the Star-Ledger saw it as a chance to smear a great company:

The idea of working at Walmart always evokes Dickens' depiction of life in the Chancery: "It's being ground to bits in a slow mill; it's being roasted at a slow fire; it's being stung to death by single bees; it's being drowned by drops; it's going mad by grains."

And the fact that it pays a sub-poverty wage is no great prize, either.

So it comes as welcome news that Walmart will give 40 percent of its American workforce - that's 500,000 hourly employees in all - a wage increase to a minimum of $9 per hour, and then another bump to $10 next year.

This cannot be dismissed casually. It is an extraordinary development when the country's largest employer - a black-souled scourge of the labor market, which has built an empire on the backs of exploited workers - can demonstrate more sense than the U.S. Congress, which habitually lies about the potential evils of a national $10 minimum wage.

Apparently, the Star-Ledger can’t (or won’t) see the stark moral and economic difference between a voluntary wage increase and a government mandated wage floor.

Indeed, any increase is not something to sniff at: Working families could use even a $1-per-hour boost, because the extra $2,000 per year makes a real difference for someone making $19,000.

But it's been so long coming, it's hard not to be cynical about Walmart's ulterior motives, or keep a straight face when it's CEO depicts this as an example of corporate munificence.

The truth is that Walmart is responding to the realities of a more vigorous economy, and it will likely inform all retailer payrolls in coming months.

Responding to market conditions and the law of supply and demand is an “ulterior motive?” Walmart’s wage announcement states, “Ultimately, we believe this package of changes will benefit associates, customers and the business.” But apparently, the Star-Ledger believes Walmart's employees should only get a raise when they don’t earn it. That, of course, is what altruism—the glorification of the unearned—demands. Someone must always be sacrificing. There must always be a loser in the transaction. In this case, if Walmart is motivated by its own profit, which it sees as tied to customer and employee satisfaction—the win-win-win inherent in successful business—its new policy is corrupted by an “ulterior motive.” But what the Star-Ledger’s view of Walmart exposes is the black soul of altruism.  

The Star-Ledger also condemned Walmart because many of its employees qualify for food stamps, for taking advantage of undefined “tax breaks,” and myriad other alleged evils.

I left these comments in support of Walmart:

Walmart “built an empire on the backs of exploited workers?” Wrong. Like all successful companies, Wal-Mart built its business on satisfied customers. Wal-Mart’s revolutionary business model, employing modern technology, lowered the cost of consumer goods across the retailing industry, stretching the budgets and raising the standards of living of millions of consumers; a particular benefit to those at the lower end of the income scale. Satisfied customers is the source of Wal-Mart’s “revenues of, gasp, nearly a half-trillion” dollars, as well as making it the largest employer in America and creating hundreds of thousands of the kind of entry-level jobs that for many is a first step up on the economic ladder (see below). It takes virtue, not “a black-souled scourge,” to build that kind of success.

Walmart cashes in on food stamp money “coming out of your wallet?” Don’t blame Walmart. SNAP is a government program. The government, not Walmart, is the one forcibly seizing money from taxpayers’ wallets. Why shouldn’t Walmart accept food stamps from people who voluntarily patronize its stores? It is one of the taxpayers being ripped off. And what “tax breaks” are we talking about? Wal-Mart is the 5th largest corporate taxpayer in America.

Walmart raised wages out of “ulterior motives,” not “munificence?” True, but not in the negative way implied here. Self-interest is not an “ulterior” or base motive. It is the essence of pursuing a better life. In truth, a job is not a munificent undertaking—in the hand-out sense—for employer or employee. It is based on mutual self-interest—an eminently virtuous moral transaction. Consider the degrading view of workers implicit in the S-L’s morally inverted premise: Workers are lazy incompetents who can’t earn higher wages through merit, so they must depend on “munificence”—charity—or government minimum wage coercion. Are they really too stupid to know when they are being taken advantage of? But as one Wal-Mart employee noted in 2013 in his response to another SLEB smear of Wal-Mart, the company and its employees get a bum rap:

While The Star-Ledger may think our employment choice is “dismal,” we know better. Walmart promoted 165,000 people last year to positions with more responsibility and higher pay; about three-quarters of our store management teams started as hourly associates. They earn between $50,000 and $250,000 a year.

I should know. I started as a cashier in Oklahoma and, 14 years and nine promotions later, I’m a market manager in northern New Jersey, overseeing store operations in Woodbridge, Linden, Union, Kearny, Bayonne and Watchung.

I think The Star-Ledger owes an apology to the thousands of hardworking men and women at our stores in New Jersey.

Ditto for this editorial. All of Walmart’s workers took their jobs voluntarily at mutually agreed-upon wages. This is not “exploitation.” It is called trade. If trade is exploitation, then it works both ways; the worker can just as easily be said to have exploited Wal-Mart for taking advantage of the job opportunity created by the company. In truth, no job constitutes exploitation. Workers take jobs—even miserable ones—because they’re better off than without that job. A job is a life improvement. A company hires workers to advance its own productive mission. Win-win.

The question critics never ask is: If employment conditions are so bad, why do workers take the jobs? Because, in the context of any specific time, workers consider themselves, by their own voluntary judgement, better off than the alternative. This was true even in Dickens’s time, when working conditions, by today’s standards, really were miserable. If this were not true, why would anyone take the jobs? Yes, wage gains have been slow in this recovery (though everyone is much better off than 40 years ago). And yes, wages will play catch-up as the economy (finally) strengthens. And yes, Walmart is self-interestedly responding to a much stronger labor market (which coincidentally [?] took off after Congress ended unemployment compensation extensions in 2013). As more and better job opportunities open up, competition for good workers will heat up, and jobholders/seekers will move on if companies don’t take steps to hold and attract them. This is a virtuous process precisely because everyone is pursuing his own self-interest, rather than altruistic—self-sacrificial—ends. We should never forget that altruism, in the form of government’s “affordable housing” interventions, was the primary cause of the financial crises and Great Recession.

Related Reading:


Capitalism and the Moral High Ground—Craig Biddle, for The Objective Standard

Thursday, February 12, 2015

The Free Market Doesn’t ‘Do’: It Liberates You to Do

[Below is my reply to a comment posted on Paul Mulshine’s column My generation is kidding itself about Medicare]


In a post that was eventually deleted for inappropriate comment, nyquill012 made two points; one concerning free markets and one concerning where healthcare companies’ profits come from. I left this reply:


“it's [a] delusion that the ‘free market’ can solve anything.”


This is true. A free market doesn’t solve problems. It’s not an entity. A free market leaves individuals free to plan and advance their lives according to their own judgement, including solving their own problems, without aggressors and predators getting in their way. That’s what the “free” in free market means; freedom from aggressive force. This feature of a free market—the absence of aggression and predation, including by government officials—is what makes free market capitalism the only moral social system. If the free market is a “fairy tale,” then so is any chance of peaceful coexistence among people.


The real delusion is that government bureaucrats can solve the problems of millions upon millions of people simply by seizing their money and imposing “solutions” at gunpoint, without creating bigger problems than it “solves”. The extraordinary cost of healthcare is a prime example. Government pays nearly 90% of our healthcare bill—either directly through government programs like Medicare and Medicaid, or indirectly through government-controlled “insurance” companies. As any decent economics textbook will tell you, when you disconnect the consumer from the responsibility to pay his own way, price discipline disappears. Then you have a government dictating prices through monopsony power and healthcare decisions properly left to healthcare consumers and providers.


As to private healthcare companies “profiting on death and suffering”: In fact, they profit on valuable products and services that reduce suffering, cure people, and extend life. The only people who profit on death and suffering are power-hungry politicians, people who seek escape from the responsibility of paying their bills, and spiritual parasites who push socialized medicine under the guise of caring for people.


Related Reading:



Free Market—the Ayn Rand Lexicon