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Response to Dr. Wayne Grudem’s Endorsement of Donald Trump, July 2016

A missionary I know, Cal Zastrow, said, “If the primary goal of voting is winning, instead of being a faithful witness for Christ, then all kinds of evil grows.” I believe that as Christians, more than being patriotic to our nation, we are called to be faithful ambassadors of the Kingdom of God, and to further that kingdom.  We do this, in part, through involvement in earthly matters like grocery shopping, like changing diapers, like giving food to the poor, and like voting.

This week, respected theologian Wayne Grudem endorsed Donald Trump for president in an article, “Why Voting for Donald Trump is a Morally Good Choice”.  A friend shared the article on Facebook.  I admit that I was shocked at how much I disagree with such an influential evangelical Christian.  I was overwhelmed by how many things seemed 1) unsubstantiated; 2) rational leaps; and most grievingly, 3) misinterpretations of Scripture.  There were other things that may be qualified as more differences of opinion. These do not surprise me; I am used to being in a minority in what I believe about how government should function.  For a brief discussion of these things, see Footnote [1].

The first category of concern, things that seem to me to be unsubstantiated, mostly fall into three subsections.  They are either wild speculations or what I believe to be delusions of fear.  Most of these have to do with the future.  The third subsection is ignoring relevant truths.

The treatment of third parties at least excludes some truth: the truth of why our political system allows third parties; the truth of what some third party candidates (with far more demonstrable integrity and intelligence than Trump or Hillary) have said they will do as president[2],[3]; the truth of history, that parties have fallen and risen[4], including the Republican Party which was a new, third party when Lincoln was elected president[5]; the truth that the reason we don’t presently see third parties as viable is because we have consistently refused to vote for third party candidates who better represent us; and the truth that votes for third parties have impacts on future elections.

This year’s election is not an unusual opportunity.  Every year there is an evil candidate, or rather many evil candidates (for many third parties put forward evil candidates), which we the people have an opportunity of defeating.  Sort of:  I can try to persuade you to help me to defeat evil.  I can pray.  And I can vote.  It may not actually be within my power to defeat the Democrat or any other candidate.

Grudem believes that Trump sincerely wants what is best for America.  I am not in a position to say that this is false.  I don’t have evidence that Trump is plotting the demise of the United States.  I get a different impression, though, that Trump actually wants to further his own interests and to build his own ego.  I am wondering what evidence Dr. Grudem has for his belief in Trump’s motives.

Will the election be close?  (If he didn’t believe the election will be close, would the arguments in his article be the same?)  We’re three months from Election Day.  Polls of the popular vote, even when factoring in the Libertarian and Green Party candidates, show Hillary Clinton neck and neck with Donald Trump[6].  But elections in the United States are not decided by the popular vote.  They are decided by electors in each state.  News outlets[7],[8], analyzing polling data and voting patterns in previous cycles, have Hillary in the lead by about 50 electoral votes likely to go to her.  Estimates have her with around 200, Trump with around 150, and around 180 votes from a number of states too close to guess.  But if you look at the breakdown of how strong each candidate is in the votes analysts think they are likely to get, you can see that Hillary has far more votes in the “almost certain” and “very likely” categories, whereas about half of Trump’s fall into the “leans towards” Trump description.  If third party campaigns are somewhat successful, as many Republicans fear, more of the independent voters will go to the Libertarian or other conservative parties than would be persuaded to vote Republican, and Hillary’s lead could be even bigger.

Given the extent of the criminal behavior already documented on Hillary Clinton, without producing prosecution or sufficient public outrage[9], it is very unlikely that “additional shocking email disclosures” would have any new effect.  Obama has endorsed her[10] and has nothing to lose (except before God) from standing behind her and abstaining from prosecution.

The article gives a description of liberalism, “pro-abortion, pro-gender-confusion, anti-religious liberty, tax-and-spend, big government…”  The author applies it to Clinton and Obama, but the definition can just as honestly be applied to Trump[11]Therefore, we will not defeat “that kind of liberalism” by voting for Trump.  He is that kind of liberal.  He may practice it to a different degree, but the essence is the same.

The judicial supremacy described in this article may be a dominant theory, but it is not true, constitutionally speaking.  We should hold judges accountable for the subversion they commit by usurping the rule of law (the US Constitution) and exceeding their jurisdiction.  Impeachment could moderate their extremism.  And it could remove actual vigilante judges from office.  Then the activism wouldn’t be locked-in.  States and presidents, especially, are obligated to obey the supreme law of the land, the United States Constitution, and there is an argument to be made for states and executives to defy broad applications of specific decisions by the courts.  That is, Obergefell, for example, wouldn’t have to apply to any actual laws (court rulings are not laws) or states or cities or policies that were not included in the original case being brought.  This is the position that Alabama Justice Roy Moore seems to be most recently in trouble for[12].  There are also third party presidential candidates[13], [14] in the current election who agree with at least some of these answers to the Supreme Court argument, and would be willing to act accordingly.  I do appreciate Grudem bringing these problems to light, even if I disagree with his submit-to-the-corrupt-system solution.

Grudem mentions several close votes on the Supreme Court over the past 30 years, such as the Partial-Birth Abortion Act[15] and Hobby Lobby’s conscience and religious freedom case against being forced by Obamacare to pay for employees’ abortifacient contraceptives.  Some of these have gone in ways we agree with, submitting to the clear language of the Constitution and upholding liberty.  Many significant others have not.  Republican-appointed judges have a long history of assenting to egregious Supreme Court decisions.  Four of five Supreme Court justices giving us the decision in Utah v. Strieff[16], weakening the 4th Amendment to the US Constitution’s protections against unreasonable searches[17], were Republican-appointed[18].  Republican justices have given us Roe v. Wade[19], upheld Obamacare[20], and decided Obergefell[21] (attempting to mandate homosexual marriage).

I don’t see how a “right to abortion” could be found in the Equal Protection Clause of the United States Constitution, nor how it would be substantially different from the Supreme Court rulings already dominating our political climate.  Groups seeking to end abortion are seeking to have Roe v. Wade overturned.  Some are doing this, not by increasing laws that would regulate abortion[16], but by using the wording of the Constitution, including the Equal Protection Clause.  These laws include so-called “Personhood” legislation[22] and the “Sanctity of Life Act”[23].  With an unaccountable judiciary, the court is likely to strike such laws down.  They are, perhaps, slightly more likely to “with one decision” remove all abortion-regulating laws from our country, as Dr. Grudem fears.  I don’t see how a more liberal court would be much more likely to do this than the court we already have, or the one we had when Roe was decided.

In the history of our country, few significant Supreme Court decisions have been overturned by that court[24].  Fashions have shifted.  The Constitution has been amended.  Wars have been fought.  These have affected the application of some rulings.  Christians want Roe v. Wade to be overturned.  We want justices who uphold justice and the rule of law.  Republicans have not given us such radically righteous justices.  It is an extremely unlikely hope that Donald Trump (who is more liberal than previous Republican presidents) would appoint enough justices who would oppose the trend of popular opinion (our country is more liberal than ever) on abortion, and overturn Roe v. Wade.  I cannot find such a wild speculation to be even a considerable justification for voting for a man who disregards morality (unashamed adultery[25], owning a strip club[26], lying[11], essentially stealing[11]) and justice and the rule of law (promotion of unconstitutional laws, executive orders[27], and policies) himself.

At multiple points, Dr. Grudem indicates that he is a proponent of state-regulation of things like marriage and abortion.  On both of these issues I believe he is wrong.  Under the United States Constitution, Article IV: Section 1[28], separate states must honor the laws of other states.  If Massachusetts “marries” same-sex partners, then Connecticut is obligated to consider the couple married if they visit or even relocate there.  Thus marriage ought not to be excluded from the jurisdiction of the federal government.  Regarding abortion, the Constitution requires[29], “nor shall any state deprive any person of life, liberty, or property, without due process of law; nor deny to any person within its jurisdiction the equal protection of the laws.”  Thus the federal government also has a responsibility to enforce this part of the Constitution, taking only an oversight role if the states are in compliance.  States allowing abortion are not in compliance.  The solution to the immoral and unjust status of our laws is not just to have Supreme Court decisions return authority to the states.  We have a bigger problem.

Many of the threats to our religious liberty are not coming from courts, but from private businesses or from other branches of government.  Trump, if he were to be elected as our executive, is sympathetic to the homosexual agenda[30], at least, and would no doubt be influenced by that perspective when “executing” his office.  That is, we wouldn’t need a liberal Supreme Court to infringe our rights; the president (whose power via executive order has gone basically unchallenged for decades) would be committing the very trespasses we’re afraid of the court for.

Even if I prove so wrong, and Trump is electable, and Trump does nominate an honest and wise and selfless judge, and the judge passes the scrutiny of the Senate to have the appointment confirmed, and if the court can hear and rule on cases in such a way as to reign in the courts – we will still have the problem of a lazy, impotent Congress and a largely-unchecked executive branch (the latter of which would likely be exacerbated by a Trump presidency as by a Clinton one – Trump has promised to use executive orders to accomplish his will[27]).

While the argument that historically, politicians have not “gone back on most of what [they have] promised to do, especially on issues that are crucially important in the election,” might be accurate (and I have doubts even about this), it would be hard to apply to Donald Trump for two reasons.  The first is that he is demonstrably a liar[11].  And the second is that he has, in this one campaign, made many contradictory “promises” about what he will do.  It actually seems incredibly gullible to let a politician take many possible positions that could appeal to different constituencies, and to assume the one he’ll actually faithfully come through on is the position that you prefer.

Since the article focuses on the issue of the Supreme Court, let me here briefly address the things that Trump has said about the court during this presidential campaign.  Early on, Trump suggested that his sister would make a “phenomenal” appointment to the Supreme Court.  She’s already a federal judge, and she’s not a conservative[31].  Afterward, he said he was joking[32].  Then, he said he would release a list of 5-10 names of potential Supreme Court appointees, and guarantee that, if president, he would pick from that list[33].  Then he released a list of 11 names[34].  Within days of publishing this heralded list, he said he was not guaranteeing that he would appoint a judge from the list[35].  There is also the chance that he would attempt to appoint one, and then back down at the least resistance from the Senate, and appoint someone else.

Trump has also taken confusing positions on Israel.  Dr. Grudem says that Trump has promised to vigorously defend Israel.  In this same campaign, he has also said that he will remain neutral[36] on Israel’s dispute with Palestine.  But a top advisor has also said that Trump might be against a two-state solution[37].  On the other hand, and in contradiction to the fearful portrayal of “facts” that Grudem’s article gives, we have decades of speeches and actions by Hillary[38],[39] that, even if we don’t fully trust or agree with them, distance her from Obama’s snubbing of Israel.  Grudem’s only evidence that Hillary would be worse than Donald on Israel is that Hillary worked for and is of the same political party as Obama.  She is, however, also married to President Bill Clinton, of the same party, whose treatment of Israel[40],[41] was very different from Obama’s[42].

My second concern was about Wayne Grudem’s reasoning.  If he has a way of connecting principles to his applications, he is not including them in the article.  He asserts that it is OK to vote for someone bad (he calls them “flawed”) because he will do more good for the nation than his opponent.  But he doesn’t justify why he believes this is OK.  This is pragmatism.  I am not opposed to we humans evaluating the world in order to figure out what would be most effective – so long as, in the flow-chart of decision-making, we consider those things after we have determined if we could do them without committing an unrighteous act.  A good end does not make the “means” moral.

Grudem believes Trump will do the most good for the nation.  Some of this is founded in conservative policies.  Some is founded in speculation (particularly on the power and goodness of the Supreme Court under Trump).  Some is based on subjective consideration of some things as more important than others.  That is, if Trump is too busy doing harm to this nation to do it the good that his supporters hope, this reasoning might turn out to be inaccurate.  I see potential, especially in foreign relations, for Trump to do great harm to our country, including getting us into wars resulting in American casualties.  And in this one area, I believe that he may be likely to get us into bigger wars than Clinton would.  There are also the more abstract ideas of the good or harm of having such a man as Trump represent conservatives and Christians in this country.  What does that mean for the future of the Church here?  What about the future of the Republican Party?  What influence are conservatives and Christians left when we have demonstrated that we are willing to compromise – or worse, been led to justify the wickedness we are endorsing?

I am just as horrified that a vote may help Trump as I am that a vote may help Clinton.  This whole line of reasoning, that a vote for a third party is actually helping the slightly-leading candidate, has redefined what a vote[43] means.  A vote, to my mind, ought to be viewed as a contribution to collectively making a choice.  Like every choice, one choice excludes another.  If I say that my favorite flavor is chocolate, then I am automatically stating that vanilla and strawberry are not my favorites.  A vote is an endorsement, approval, help.  I am helping whom I vote for.  And there will be all sorts of indirect consequences for what I choose.

Some sure indirect consequences of Christians not voting either Trump or Clinton are: Republicans will receive less votes than they believed themselves entitled to.  The influence of third parties will be increased for the future.  Speculating now, Republicans in the future may feel less confident that the liberal candidates they’ve been putting forward are electable.  They may begin to reform, to shift to the more conservative end.  Or the system might be too corrupt already.  The powers behind the GOP may be too ideologically against justice, righteousness, the Constitution, economic liberty, and limited government to nominate conservative candidates, even if it might help the Republicans to gain power.  In which case, enter speculation category number two: third parties.  If lesser parties collectively get more attention and votes this election cycle, it strengthens the chances of any third party to gain momentum for the future.  If one third party gets a lot more attention and votes, it makes that one all the more powerful for future elections.  There are federal laws that give campaign money[44] to political parties based on if they reached a certain threshold of the popular vote in the previous election cycle.  There are state laws that grant ballot access based on thresholds of votes in that state[45].  (In Colorado[46], I’m not sure if votes for president apply.  The legal language is confusing to me.)  There is market pressure for websites and television and radio to give attention to things their audiences care about.  And votes indicate that we care.  The whole election paradigm in the United States could be shifting. 

Grudem suggests that we should see Trump’s vice presidential pick as an indicator of the trend of his policy shifts.  Trump is, the author says, moving towards the conservative.  While it is possible for a politician’s choice for vice president to reflect one’s values, in a man famed for “closing the deal”, I have a different hypothesis: that he picked someone who would appeal to a demographic that Trump hadn’t secured by his own personality and variously-contradicting policies.  Maybe he picked Pence to lure conservative Republicans to vote for Trump.  This would also be a tactic seemingly consistent with those of past presidential candidates.

The third point I raised is – coming from a theologian, seminary professor, and author of a much-used systematic theology – by far the most concerning.  This is his use of Scripture in his argument.  I am certainly interested in learning how the Bible applies to the decisions that we make in this life.  So I am not objecting to a Christian leader making a statement about politics, or bringing the Bible into it.  Rather, I am concerned by the hermeneutics he uses.

The first, general subject of biblical relevance is whether we can classify such a man as Donald Trump as “evil” or “wicked”, or if we should just remind ourselves that “nobody’s perfect” and consider him “flawed”, but decent as statesmen go.  I will agree with Wayne Grudem when he says that Trump is flawed.  I probably see more flaws than Dr. Grudem does, given the differences I have with him on policy issues.  And I agree with Dr. Grudem’s list of character flaws in Donald Trump.  I have some to add, as well[11]He is a liar and an adulterer.  He has, under cover of law (eminent domain for private use and intentional bankruptcy), stolen for his own gain.  For such things the wrath of God is coming on the sons of disobedience[47], and we are commanded to have nothing to do with these things[48].

I’m sure, like every evil dictator in history, that Trump has his good points.  The Bible acknowledges that no one is righteous[49].  We have all fallen short[50]But the Bible also categorizes people into righteous[51] and wicked[52], and warns against associating with the wicked.  I especially commend to you the Proverbs[53] for a study of which type of people fall into which category.

Christians have been cleansed from the unfruitful works of darkness, and are therefore not classified as evil.  Trump, by his own testimony[54], has not repented, has not sought God’s forgiveness.  He has not been made clean by Jesus’ blood.  So, he remains where his enumerated sins have put him, in the category of an evil man.

The Bible records what Moses’ father-in-law advised the Israelites about what kind of men to appoint to their government: “Moreover you shall select from all the people able men, such as fear God, men of truth, hating covetousness….” – Exodus 18:21[55]  Wayne Grudem does not mention this verse when he declares that despite the wicked character of Trump, voting for him is a morally good choice.  Instead, he uses a passage from Jeremiah[56], about the Israelites seeking the welfare of the nation in which they are exiled.  He then goes on to expound what he believes is meant by “welfare”: that which is most likely to bring the best results.  And from there, he says that to vote for anyone who doesn’t have the best chance of beating evil and liberal and full of bad-policies Hillary is disobeying this instruction.  He claims that this command to Israel is to give us the “overriding question” we must ask ourselves when voting.  I wonder why the overriding question does not come from Exodus 18:21 that I quoted above, or Proverbs, or Romans[57]?

Perhaps the verse could be better interpreted as exhorting the Israelites to pray or warning the Jews against insurrection?  Something like Timothy’s exhortation[58] for Christians to “pray for… all who are in authority, so that we may lead a quiet and peaceable life in all godliness and reverence”?

How would we actually foretell what will be “most likely to bring the best results”?  It is far less arrogant to decide things based on truth and what is morally good in itself – and maybe on direction straight from God – than to weigh out pros and cons of policies and possibilities and contingencies.  Which items hold more weight as we’re weighing?  National security?  Jobs and taxes?  Civil rights? Abortion?  Marriage? Education?  Good Christians can argue all day long on which should be weightier.  But when we vote for president, I contend that is not what we are being asked to do.  We are being asked to choose a leader (specifically one who will carry out the laws in existence, including the Constitution, to command our military in time of war, and to be the head of our foreign relations).  And a nation is blessed when the ruler is righteous[59].

Which brings up an interesting point.  What about God’s blessing?  What about God’s power to deliver and guide and reform?  If we’re being pragmatic about what is possible from a human standpoint, the way our government is in the habit of functioning (not even trying to exert ourselves to reign it in towards how it should, under the Constitution, be functioning) – then we’re leaving out part of the picture.  Is God more likely to do good to a people who choose evil individuals for rulers?  Or is God able to do much good with our faithful choices?  If a remnant of Christians abides by its conscience and votes for actually good, actually qualified candidates – don’t you think God is more likely to show our whole nation mercy for our sakes? 

Next, Wayne Grudem says that defeating Hillary would be a good thing to do, and that since supporting Trump is a way to do that, it is a good thing to do.  According to James 4:17[60], he says, if we know a good thing to do and don’t do it, we’re sinning.  But what is the intended application of the verse?  It is good to do my dishes.  It is good to do my friend’s dishes.  It is good to be a sidewalk counselor outside abortion clinics.  It is good to perform ultrasounds at a pregnancy center.  It is good to pray.  It is good to write books.  It is good to preach the gospel.  It is good to teach doctrine.  It is good to rest.  It is good to feast.  It is good to fast.  We cannot possibly do every good thing, all at once.  Is defeating the Democrats the only good thing to do?  In a given situation, we need to discern the good thing that God wants us to do.  If we don’t do the good thing that God wants us to do, more so if we know what it is, it is sin.

But, as we’re discerning about the “right thing to do”, let’s take into consideration this other Scripture: “And why not do evil that good may come?–as some people slanderously charge us with saying. Their condemnation is just.” – Romans 3:8[61]  So even if some good things could possibly result from our choices, the end does not justify the means.  We have to figure out if the choice itself is evil or good.

There is a quote going around, attributed to C.H. Spurgeon, “Of two evils, choose neither.”  To some Christians, what seems best to them is to not vote at all in this presidential election.  Wayne Grudem believes this is also sin, citing Obadiah 1:11.  The verse he quotes could be taken to mean that the Edomites did nothing at all, if it weren’t for the context[62], which describes them cheering for evil and aiding those who were attacking Israel.  Cross reference to Psalm 137:7[63].

I don’t believe that abstaining from voting is inherently wrong.  There are some times in the Bible where abstaining from something “good” is advised.  Take, for example, Ecclesiastes 5:5: “It is better that you should not vow than that you should vow and not pay.” Or, “Not many of you should become teachers, my brothers, for you know that we who teach will be judged with greater strictness.” – James 3:1 Or, “The disciples said to him, “If such is the case of a man with his wife, it is better not to marry.” But he said to them, “Not everyone can receive this saying, but only those to whom it is given.” – Matthew 19:10-11  Or, “And the LORD said to Gideon, “With the 300 men who lapped I will save you and give the Midianites into your hand, and let all the others go every man to his home.”” – Judges 7:7 Or, “The LORD will fight for you, and you have only to be silent.”” – Exodus 14:14

So the questions we need to ask are: Has God given us the obligation to vote? Are we responsible for the outcome of the election even if we chose a morally acceptable but arguably less strategic vote?  Is it wrong to choose an evil person as our ruler? 

I would exhort everyone, especially Christians, to do all things out of faith and not out of fear.  Or, at least, that we would fear God alone.  Fearing Him, may we be diligent to find out the truth, to seek His perspective on these matters, and follow His will for us personally.

Update, October 9, 2016: Wayne Grudem removed his endorsement and published this apology, in light of recent revelations about Trump’s previous moral corruption: Trump’s Moral Character and the Election.

Footnotes:

[1] I disagreed with some of Grudem’s approvals of Trump’s policies and what he considers “most likely”.  Below I mention some.

Lower taxes are good.  They do not in themselves constitute a more just or more limited government.  In fact, if unaccompanied by a budget a fraction the size of what it has been, lower taxes will only mean more borrowing, which is a hidden tax on the future[i].  It is also debatable whether graduated tax rates are just[ii].

I am not convinced that Trump would be good at diplomacy[iii],[iv],[v],[vi],[vii].  He may be convinced that he will not be manipulated, deceived, or out-strategized by Russia, Mexico, or Middle-Eastern nations, but I am not.  Trump’s “tough guy” persona may be useful in standing up to bullies, or it may make our international representative into a bully himself.  He has said that he would be in favor of having our military “go after the families of terrorists”[viii],[ix], and to, when fighting them, match the level of violence terrorists and ISIS use[x].  Victory at the cost of virtue is an unacceptable goal for me to support.  I am also concerned that it would not be so easy to win a war (without making many more enemies globally) as Trump seems to think.

My personal belief is that Hillary is rather smart, and rather interested in maintaining whatever power she can get her hands on.  Therefore, I think that she is actually less likely than Trump to get us into a big war or to alienate our allies.  (And if she does, she’ll probably do it behind the scenes where no one will be able to verify it was her doing it.)

Both Trump and Hillary have taken contradictory positions on fracking during this campaign, which perhaps could be characterized at this time by saying that they believe in local decision-making about fracking[xi].  I would find it impossible, without prophetic revelation, to determine what each candidate will actually do for or against this energy issue.

Trump’s words about health insurance have not always sounded like they are entirely free-market solutions, even during this campaign season[xii].  Like many Republicans this year, he does support repealing – and replacing – Obamacare, apparently with a mixture of free market solutions and with some sort of forced “safety net” for the poorer people.  Does this mean retaining an expansion of Medicaid?  Something else?  I believe there is a substantial difference between Hillary Clinton’s intentions for the health care industry, and that of Donald Trump.  But it may be a difference of degree only.  There are manifold problems with Obamacare.  One of them is the individual mandate, what I still believe to be an unconstitutional imposition on our liberties (whatever the Supreme Court says about the penalty being a tax).  The second is that the government funding for these programs is unconstitutional.  They have no enumerated jurisdiction to be spending money on a private citizen’s health care.  Trump’s plan would, presumably, deal with only one of these objections (the individual mandate). 

From what I have read and heard, there seems to be some debate about whether Trump owes his so-called business success to his own abilities[xiii] to “solve problems and get things done.”  Commentators have pointed out that Trump started with a substantial sum of money inherited from his father.  They say that his fortune, if invested in mutual funds back in 1982, and left there, accruing, would be twice what he claims to have made it today through business acumen[xiv].  They mention that more than one of his business ventures has gone bankrupt.  Some of them bring up his wielding of eminent domain for personal gain (abetted by corrupt politicians)[xv]; his use of bankruptcy (not paying bills) to pass off the risk of his investments to those providing the actual goods and services[xvi]; and that he is defendant in a lawsuit for fraud[xvii] in the case of Trump University.  There is even some question as to whether Trump is as wealthy as he claims.  All of these things cast doubt on the prudence of employing Trump to use his reputed problem-solving skills to tackle the big, nuanced problems the United States is facing.

[i] Mises Institute, “Tax Cuts Without Spending Cuts Are Pointless” https://mises.org/blog/tax-cuts-without-spending-cuts-are-pointless

[ii] Capitalism.org, “What About a Progressive Tax?” http://capitalism.org/taxation/what-about-the-fair-tax/

[iii] The New York Times, “Transcript: Donald Trump on Nato, Turkey’s Coup Attempt and the World” http://www.nytimes.com/2016/07/22/us/politics/donald-trump-foreign-policy-interview.html?_r=0

[iv] Talking Points Memo, “How Donald Trump Is Already Doing a World of Damage Abroad” http://talkingpointsmemo.com/dc/no-election-necessary-trump-already-doing-damage-abroad

[v] The Boston Globe, “The Day Trump Trashed US Diplomacy” https://www.bostonglobe.com/opinion/2016/07/21/the-day-trump-trashed-diplomacy/gXunS1AcEhkSKGdpiErVvL/story.html

[vi] War on the Rocks, “Open Letter on Donald Trump from GOP National Security Leaders” http://warontherocks.com/2016/03/open-letter-on-donald-trump-from-gop-national-security-leaders/

[vii] The Chicago Tribune, “Column: On Foreign Policy, Hillary Clinton is Bad. Trump is Worse.” http://www.chicagotribune.com/news/opinion/chapman/ct-hillary-clinton-foreign-policy-trump-perspec-0605-md-20160603-column.html

[viii] CNN, “Donald Trump on Terrorists: ‘Take Out their Families’ ” http://www.cnn.com/2015/12/02/politics/donald-trump-terrorists-families/

[ix] The video clip here is important. Mediaite, “Trump: The Military Would Not Refuse My Orders Even If They Consider them Illegal” http://www.mediaite.com/tv/trump-the-military-would-not-refuse-my-orders-even-if-they-consider-them-illegal/

[x] YouTube CNN, “Donald Trump Anderson Cooper CNN Interview (part 3)” https://www.youtube.com/watch?v=d5NGbI3snZg

[xi] OilPrice.com, “Is Trump Flip-Flopping on Fracking?” http://oilprice.com/Latest-Energy-News/World-News/Is-Trump-Flip-Flopping-On-Fracking4276.html

[xii] Originally compiled and published on Facebook January 2016, this is my own research on “Donald Trump’s Similarities to Democrats”.  It is a list of sources about various positions Trump has taken, with a section of sources also demonstrating that he is a liar.  https://www.facebook.com/notes/lisa-cress/donald-trumps-similarities-to-democrats/10153386583390954

[xiii] Alternet, “Exposing How Donald Trump Really Made His Furtune: Inheritance from Dad and the Government’s Protection Mostly Did the Trick” http://www.alternet.org/story/156234/exposing_how_donald_trump_really_made_his_fortune%3A_inheritance_from_dad_and_the_government’s_protection_mostly_did_the_trick

[xiv] Money Talks News, “Trump Worth $10 Billion Less Than If He’d Simply Invested in Index Funds” http://www.moneytalksnews.com/why-youre-probably-better-investing-than-donald-trump/

[xv] National Review, “Trump and Eminent Domain” http://www.nationalreview.com/article/431005/trump-eminent-domain

[xvi] Forbes, “Fourth Time’s a Charm: How Donald Trump Made Bankruptcy Work for Him” http://www.forbes.com/sites/clareoconnor/2011/04/29/fourth-times-a-charm-how-donald-trump-made-bankruptcy-work-for-him/#3fae39ec6f7a

[xvii] The New Yorker, “Trump University: It’s Worse Than You Think” http://www.newyorker.com/news/john-cassidy/trump-university-its-worse-than-you-think

[2] Tom Hoefling for President 2016, “Platform” http://www.tomhoefling.com/platform.html

[3] Darrell Castle for President 2016, Constitution Party, issues page http://castle2016.com/issues/

[4] Wikipedia, “Political Parties in the United States”, history and early political parties section https://en.wikipedia.org/wiki/Political_parties_in_the_United_States#History_and_early_political_parties

[5] Great American History, “How Lincoln Won the 1860 Republican Nomination” http://www.greatamericanhistory.net/nomination.htm

[6] Real Clear Politics, Polls, “Election 2016 Presidential Polls”  http://www.realclearpolitics.com/epolls/latest_polls/president/

[7] Real Clear Politics, Polls, “Battle for White House” http://www.realclearpolitics.com/epolls/2016/president/2016_elections_electoral_college_map.html

[8] 270 to Win, “2016 Election: Clinton vs. Trump”  http://www.270towin.com/maps/clinton-trump-electoral-map

[9] Huffington Post, “5 Reasons the Comey Hearing was the Worst Education in Criminal Justice the American Public has Ever Had” http://www.huffingtonpost.com/entry/5-reasons-the-comey-hearing-was-the-worst-education_us_577ee999e4b05b4c02fbdcd5

[10] Politico, “President Obama Endorses Hillary Clinton” http://www.politico.com/story/2016/06/president-obama-endorses-hillary-clinton-224130

[11] Originally compiled and published on Facebook January 2016, this is my own research on “Donald Trump’s Similarities to Democrats”.  It is a list of sources about various positions Trump has taken, with a section of sources also demonstrating that he is a liar.  https://www.facebook.com/notes/lisa-cress/donald-trumps-similarities-to-democrats/10153386583390954

[12] Liberty Counsel Connect, “Chief Justice Roy Moore Counters Politically Motivated Complaints on Marriage” http://libertycounsel.com/chief-justice-roy-moore-counters-politically-motivated-complaints-on-marriage/

[13] Tom Hoefling for President 2016, “Tom Hoefling: Judges, and politicians, behaving badly” http://www.tomhoefling.com/home/tom-hoefling-judges-and-politicians-behaving-badly

[14] The Castle Report, “Original Intent” http://www.castlereport.us/original-intent-2/

[15] Some people who oppose abortion also oppose these incremental or compromise regulations.  Some of these people believe all regulations are wrong or counterproductive[a], while others only oppose language in laws that implies that if you follow the regulations, “then you can kill the baby”[b].

[a] Abolish Human Abortion, position paper on “immediatism” http://abolishhumanabortion.com/immediatism/

[b] American Right to Life, position paper on abortion regulations http://americanrtl.org/abortion-regulations

[16] The Washington Post, “Supreme Court construes the exclusionary rule narrowly in Utah v. Strieffhttps://www.washingtonpost.com/news/volokh-conspiracy/wp/2016/06/21/supreme-court-construes-the-exclusionary-rule-narrowly-in-utah-v-strieff/

[17] Cornell University Law School, Legal Information Institute, “U.S. Constitution: Fourth Amendment” https://www.law.cornell.edu/constitution/fourth_amendment

[18] A 5-3 decision, given in October 2015 by Justices Thomas, Roberts, Kennedy, Alito (these four were appointed by Republicans), and Breyer (appointed by a Democrat). Supreme Court of the United States Blog, “Utah v. Strieffhttp://www.scotusblog.com/case-files/cases/utah-v-strieff/

[19] Ironton Tribune, “Republican Nominees have Upheld Roe v. Wadehttp://www.irontontribune.com/2008/09/30/republican-nominees-have-upheld-roe-v-wade/

[20] The Patient Protection and Affordable Care Act was upheld 5-4, with Chief Justice Roberts being the only Republican-appointed Justice to vote in favor.  The National Law Review, “Analysis: U.S. Supreme Court Upholds the Affordable Care Act: Roberts Rules?” http://www.natlawreview.com/article/analysis-us-supreme-court-upholds-affordable-care-act-roberts-rules

[21] Obergefell v. Hodges was another 5-4 decision by the Supreme Court in 2015, all 4 Democrat-appointed judges voting in favor, and Republican-appointed Justice Kennedy joining them.  Wikipedia, “Obergefell v. Hodges” https://en.wikipedia.org/wiki/Obergefell_v._Hodges

[22] Personhood, Education page, “A Right to Life” section http://www.personhood.com/education

[23] Legislators who support the Sanctity of Human Life Act reintroduce it frequently.  Here is 2015’s bill.  Congress.gov “H.R. 426 – Sanctity of Human Life Act” https://www.congress.gov/bill/114th-congress/house-bill/426

[24] Wikipedia, “List of overruled United States Supreme Court decisions” https://en.wikipedia.org/wiki/List_of_overruled_United_States_Supreme_Court_decisions

[25] The Washington Post, “GOP Senator Calls Out Donald Trump’s ‘Many Affairs’ in Lengthy Tweetstorm” https://www.washingtonpost.com/news/the-fix/wp/2016/01/25/gop-senator-calls-out-donald-trumps-affair-in-lengthy-tweetstorm/

[26] Life Site News, “ ‘Anyone But Donald Trump’: Here’s His Record on Life, Marriage, and Religious Liberty” https://www.lifesitenews.com/news/anyone-but-donald-trump-heres-his-record-on-life-marriage-and-religious-lib

[27] Bloomberg, “Trump Embraces Executive Orders to Avoid Congressional Gridlock” http://www.bloomberg.com/politics/articles/2016-06-27/trump-eyes-executive-orders-to-sidestep-congressional-gridlock

[28] Cornell University Law School, Legal Information Institute, “U.S. Constitution, Article IV, Section 1.” https://www.law.cornell.edu/constitution/articleiv

[29] Cornell University Law School, Legal Information Institute, “U.S. Constitution, 14th Amendment” https://www.law.cornell.edu/constitution/amendmentxiv

[30] PBS NewsHour, “Donald Trump May Support Gay Rights, but Does the Republican Party?” http://www.pbs.org/newshour/rundown/donald-trump-may-support-gay-rights-republican-party/

[31] National Review, “Trump Praises His Sister, a Pro-Abortion Extremist Judge” http://www.nationalreview.com/corner/423196/trump-praises-his-sister-pro-abortion-extremist-judge-ramesh-ponnuru

[32] The New York Times, “Trump Says He Was Kidding in Suggesting His Sister for the Court” http://www.nytimes.com/live/supreme-court-justice-antonin-scalia-dies-at-79/trump-says-he-was-kidding-when-he-suggested-his-sister-for-the-court/

[33] Fox News, “Trump Says He’ll Release List of Potential Supreme Court Justices” http://www.foxnews.com/politics/2016/03/21/trump-says-hell-release-list-potential-supreme-court-justices.html

[34] Politico, “Trump Unveils 11 Potential Supreme Court Nominees” http://www.politico.com/story/2016/05/trumps-supreme-court-nominees-223331

[35] The Washington Examiner, “Trump Might Not Stick to Supreme Court Nominees on His List” http://www.washingtonexaminer.com/trump-might-not-stick-to-supreme-court-nominees-on-his-list/article/2591733

[36] Commentary Magazine, “Is Trump Really Pro-Israel?” https://www.commentarymagazine.com/politics-ideas/campaigns-elections/trump-really-pro-israel/

[37] The Jerusalem Post, “Top Trump Advisor to ‘Post’: Settlement Annexation  Legitimate If PA Continues to Avoid Real Peace” http://www.jpost.com/US-Elections/Top-Trump-advisor-to-Post-Settlement-annexation-legitimate-if-PA-continues-to-avoid-real-peace-460856

[38] The Intercept, “Hillary Clinton Wasn’t Always This One-Sided on Israel” https://theintercept.com/2016/05/17/hillary-clinton-wasnt-always-this-one-sided-on-israel/

[39] Truth Out, “What We Can Expect From  Hillary Clinton on Israel/Palestine http://www.truth-out.org/news/item/33868-what-we-can-expect-from-hillary-clinton-on-israel-palestine

[40] It is very difficult to find somewhat neutral historical summaries of the Bill Clinton administration’s relationship with Israel.  This source has almost a more social take on it. The Washington Post, “What Bill Clinton Can Teach Obama About Israelis”   https://www.washingtonpost.com/opinions/what-bill-clinton-can-teach-obama-about-israelis/2012/11/23/e654ef34-334d-11e2-9cfa-e41bac906cc9_story.html

[41] This one is more political and historical regarding Bill Clinton’s interactions with Israel. Gale Student Resources in Context, 2011 “Bill Clinton’s Role in Israeli Peace Accords” http://ic.galegroup.com/ic/suic/ReferenceDetailsPage/DocumentToolsPortletWindow?displayGroupName=Reference&jsid=874b6aa16ce31d9be921dfffb8e9df12&action=2&catId=&documentId=GALE%7CEJ2181500121&u=sand55832&zid=24730bc50ec2547e7f8807b03925dbb2

[42] The Wall Street Journal, “How Obama Abandoned Israel” http://www.wsj.com/articles/how-obama-abandoned-israel-1434409772

[43] Dictionary.com, “vote” http://www.dictionary.com/browse/vote

[44] Federal Election Commission, “Public Funding of Presidential Elections”, General Election Funding section http://www.fec.gov/pages/brochures/pubfund.shtml#General

[45] Ballotpedia, “Ballot Access for Major and Minor Parties” https://ballotpedia.org/Ballot_access_for_major_and_minor_party_candidates

[46] Ballotpedia, “Ballot Access Requirements for Presidential Candidates in Colorado” https://ballotpedia.org/Ballot_access_requirements_for_presidential_candidates_in_Colorado

[47] ESV Bible, Colossians 3:6 http://www.esvbible.org/Colossians%203/

[48] ESV Bible, Ephesians 5 http://www.esvbible.org/Ephesians+5/

[49] ESV Bible, Romans 3:10 http://www.esvbible.org/Romans+3:10/

[50] ESV Bible, Romans 3:23 http://www.esvbible.org/Romans%203%3A23/

[51] Blue Letter Bible, KJV occurrences of “righteous” in Proverbs https://www.blueletterbible.org/search/search.cfm?Criteria=righteous&t=KJV&csr=Pro#s=s_primary_0_1

[52] Blue Letter Bible, KJV occurrences of “wicked” in Psalms and Proverbs https://www.blueletterbible.org/search/search.cfm?Criteria=wicked&t=KJV&csrf=Psa&csrt=Pro#s=s_primary_0_1

[53] ESV Bible, Proverbs http://www.esvbible.org/Proverbs%201/

[54] CNN, “Trump Believes in God, but Hasn’t Sought Forgiveness” http://www.cnn.com/2015/07/18/politics/trump-has-never-sought-forgiveness/

[55] ESV Bible, Exodus 18:21 http://www.esvbible.org/Exodus+18/

[56] ESV Bible, Jeremiah 29:7 http://www.esvbible.org/Jeremiah%2029/

[57] ESV Bible, Romans 13 http://www.esvbible.org/Romans%2013/

[58] ESV Bible, 1 Timothy 2:2 http://www.esvbible.org/1%20Timothy%202/

[59] ESV Bible, Proverbs 29:2 http://www.esvbible.org/Proverbs%2029%3A2/

[60] ESV Bible, James 4:17 http://www.esvbible.org/James%204%3A17/

[61] ESV Bible, Romans 3:8 http://www.esvbible.org/Romans%203%3A7/

[62] ESV Bible, Obadiah http://www.esvbible.org/Obadiah/

[63] ESV Bible, Psalm 137:7 http://www.esvbible.org/Psalm%20137%3A7/

To God be all glory,

Lisa of Longbourn

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Insurance is a guard against risk.  Term life insurance is provision for your family in case you die young – an unlikely occurrence.  Car insurance is coverage in case you get in an accident – which most people won’t.  What we call health insurance is not insurance.  It is a “benefit,” like a retirement plan.  Our system originated when companies were competing for labor without breaking the salary cap laws. 

We could have health insurance, an investment to pay large, unexpected expenses if they come up.  There are a few plans that cover only catastrophic needs.  These are not the kind provided by employers in our market today.  Of course, if employers want to pay for preventive healthcare and common doctor’s visits, that is their competitive option.  It shouldn’t be mandatory, any more than a salary cap should be mandatory. 

Employers could also provide grocery coverage: the planned, necessary expense; for each employee and his family.  The price of food would go up, and options would go down, and companies would do better to just pay well for their labor, letting the consumers determine the demand and value of food.  Consumers are less extravagant, more cost-conscious, and diligent to hold providers accountable for their products and services. 

What makes us think that paying rows of middle men for our health care payment system will result in saving money or improving care?  Are these middle men doing something I couldn’t do myself?  No – they’re distancing me from information about my options in health care and the shocking costs of some procedures. 

My solution is this:

1.  Do not require an employer to do anything for his employee that does not concern his job: cover injuries caused by the job and keep work environments safe. 

2.  Also eliminate what is essentially a tax break on the benefits provided by employers.  If wages are going to be taxed, so should the health care benefits and retirement plans. 

3.  Do not require insurance companies to have a minimum amount of coverage, nor any specifics.  Instead, enforce contract law: openness of the agreement being made and stiff penalties for either party dropping their end of the bargain.

4.  Do not require individuals to have health insurance of any kind.  If the problem is in collecting payment for emergency services rendered to the poor, this needs to be addressed in a wider question of bankruptcy laws and debt repayment.  Leaving individuals to the option of health insurance reduces the weight on the health care industry by discouraging unnecessary doctor’s visits and encouraging preventative lifestyles. 

5.  Allow increased competition by revoking the state line restrictions on insurance policy sales. 

6.  Reduce the cost to healthcare professionals by reforming the system that allows doctors to be sued without probable cause.  Our economy and government is almost completely biased against businesses in favor of consumers.  The customer is not always right; sometimes the “customer” is committing fraud. 

To God be all glory,

Lisa of Longbourn

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I am no fan of government involvement in commerce, even when the industry is health care.  As with most government programs, the three arguments are simple: First, it is quite illogical to think that we can funnel money through a string of middlemen, each of which receives their cut, and come out ahead.  Second, the more the government controls the money, the more they control everything else.  We see this in the recent bailouts of banks, where CEO’s were deprived of their prearranged bonuses by force, and also in the car manufacturing fiasco where the government first handed the money and second forced a government-arranged bankruptcy.  The fear is that when the government is funding health care, the government will tell doctors and patients their options.  Finally, every other experiment the government has made in taking over an industry, however charitable, has been a money-draining disaster with worse results.  For example, consider social security or the public education system. 

Obviously there are other concerns with a socialized, or even a partially socialized health care system.  If things go as they have in Europe and Canada, lines will be long, doctors scarce, and treatments almost rationed (or chosen for their cost efficiency rather than effectiveness).  Private health insurance companies (which insure no such thing) may be put out of business.  Perhaps they ought to be put out of business, but the government is hardly an improvement.  We might worry about fraud, or about people taking advantage of services that cost them nothing. 

 The Problem with Health Insurance

There are two reasons why the people want the government involved in health care:  Many individuals are not insured and cannot afford the high costs of treatment or even of preventative checks.  As an act of charitable compassion, some people argue, the government should take responsibility for these “underprivileged.”  Others, many of whom work in the industry, agree that the present health insurance system is not as good as it ought to be, and think that the government should fix it.  Not surprisingly, these two groups of constituents are looking for very different things from their government.  But they each voted for the same man as president because he at least sounded concerned about the issue. 

 Status Quo

I realize the relatively-free-market health insurance system is not meeting needs, though I believe a free market solution would be better.  Let me describe the problem.  An insurance company takes money monthly to insure you and your family.  They put that money into a pot, part of which goes to pay their employees.  The rest is a bet they make that you will not need the full amount of your premium.  Sometimes they lose the bet, but as long as they don’t lose too often, they can apply the extra money they charged you to the bills for other people.  To keep their costs down, insurance companies tend to be selective and difficult about accepting claims.  They use different ploys, like keeping the most expensive treatments out of formularies; claiming that the treatments are experimental or cosmetic; restricting the doctors you see to those in a pre-approved network; or by prohibitive referral processes.  Insurance companies sign contracts with in-network doctors agreeing to pay a certain amount for specific services – usually an amount less than that which the doctor would usually bill.  This though it actually costs a doctor more to bill an insurance company, due to the amount and hassle of paperwork required.  On top of this, the insurance company usually requires you to pay a copay or percentage of your bill.  Or another old-fashioned, lower-priced option is to have a deductible.  In this system, the patient pays for routine care and emergency expenses up to a certain amount (which they may or may not exceed in a year, and would probably do better not to exceed), at which point the insurance kicks in with a discount or normal coverage.  More on this later. 

To compensate for the arbitrary reductions that insurance companies make to the amount of a doctor’s fee, doctors are almost forced to raise their prices to fool insurance companies into paying them what they need to make a living.  Competitively low prices have been eliminated by an across-the-board amount insurance will pay.  What is to be gained by a doctor charging the insurance less than they have agreed to pay? 

The Corporation Aspect

Insurance companies, except for Medicaid and Medicare, have been private enterprises, required to compete for customers.  To gain a competitive edge, there are several options.  The most obvious is advertising.  Name recognition is important.  Companies can advertise having a large pool of doctors in their networks, easy paperwork, comprehensive coverage, low premiums, small deductibles or copays, perks like inexpensive prescription drugs, or customized get-only-what-you-need plans.  The problem is, insurance companies as a rule have become accustomed to advertising to corporations or businesses, not to individuals. 

Enter Government Interference

I have not studied how the benefits became a normal offering from a corporation to its slaves, but I suspect taxes (translate: government interference and manipulation) have something to do with it.  This is what I know.  Businesses are taxed on the amount of money they pay their employees.  Employees are taxed on their income.  Some things on which people spend their money are tax-exempt (food and medical expenses in most cases).  Perhaps businesses sought to increase the incentive to work for them by offering the untaxed add-on’s? 

(excerpt from an article at http://www.ebri.org/publications/facts/index.cfm?fa=0302fact: “In 1910, Montgomery Ward entered into one of the earliest group insurance contracts. Prior to World War II, few Americans had health insurance, and most policies covered only hospital room, board, and ancillary services. During World War II, the number of persons with employment-based health insurance coverage started to increase for several reasons. When wages were frozen by the National War Labor Board and a shortage of workers occurred, employers sought ways to get around the wage controls in order to attract scarce workers, and offering health insurance was one option. Health insurance was an attractive means to recruit and retain workers during a labor shortage for two reasons: Unions supported employment-based health insurance, and workers’ health benefits were not subject to income tax or Social Security payroll taxes, as were cash wages.

“Under the current tax code, health insurance premiums paid by employers are deductible for employers as a business expense, and are excluded, without limit, from workers’ taxable income.”)

Why is this adverse?  As long as the employees of the company are not complaining – or in worse cases, not threatening strike or resignation – the corporations are under no pressure to do what is best for the patients.  They will buy insurance plans that cost them the least money.  Even if two plans cost the same low price, how is a corporation to know which health insurance provider will offer better service? 

Starbucks and Competition

Let’s compare this to something simple and familiar: Starbucks.  On every corner, there is a Starbucks.  One might be on your way out of your neighborhood when you’re headed to work.  Your grocery store might have one in the corner.  Or there may be that chic spot where you always have coffee with your girlfriends.  Which Starbucks do you patronize?  There might be a friendly Starbucks, a convenient Starbucks, the one with the drive-thru or the excellent customer service.  You might prefer a clean Starbucks or a less busy coffee location.  A few Starbucks offer different selections for their bakery, or later hours.  If you ever have a bad experience at one franchise, you can switch loyalties and frequent the Starbucks across the street. 

Now what if the company you work for, as part of your compensation package, had agreed to fund your Starbucks addiction?  Yet for their convenience they bought a package with a single Starbucks site for all of their employees.  To use your benefits, which your company already paid for, you must go to the Starbucks they chose.  The person who selected the corporate Starbucks didn’t even like coffee, has no idea where you live or whether you like bakery items or drive-thrus.  But now you’re stuck.  To take advantage, you have to drive clear out of your way, get out of your car and walk in, only to find they don’t have the muffins you like and the barrista is grumpy every day.  If you get ambitious, you may complain to your human resources department in hopes that they would change coffee shops for you.  But then someone else is unhappy, because they don’t like the busy, cramped feeling of a drive-thru when they’re reading their novel in the corner, hugging a cardboard-ringed cup of coffee. 

What’s more, as this trend catches on, more and more businesses start choosing a Starbucks for their employee benefits.  Starbucks realizes that they can earn as much by pleasing one corporation as they could by catering to a thousand individual customers.  Once the contract is landed, there’s almost no possibility the business would pull out.  Service wanes, options are reduced, prices inflated, and soon no one who is not part of a corporate plan can afford to buy Starbucks.  Opting for your old favorite Starbucks near your house with the drive-thru and muffins costs you an arm and a leg – and they don’t even have muffins anymore, because that isn’t part of the plan the corporation who chose them wanted.  Your neighbor has to give up his Starbucks addiction because he is self-employed and can’t afford it. 

And the economics get worse, because your wife and kids used to love Starbucks.  The corporate plan includes them (and the trend has made it impossible to afford mocha frappachinos anywhere else), only at that one Starbucks.  To reduce corporate costs, though, they start to restrict the family plan.  Wives and kids under 18 can be included for now for a monthly fee.  After 18, if they enroll in college, the company will still fund their Starbucks life – who knows why the company cares.  Then all of a sudden, at 25, no matter what your family values or circumstances, your kids are no longer covered.  “So get over it,” my reader says, “It’s only coffee.” 

Dire Consequences

But I’m not talking about coffee.  I’m talking about health care, without which you will live with chronic pain or illness.  When you break a bone and can’t afford the X-rays and doctor’s visits, you forever cripple yourself, limiting your employment possibilities.  Or you may die, after exposing your community to sickness.  And remember, the reason an average uninsured person cannot afford basic health care is because the prices are inflated due to insurance policies and corporate-appealing non-competition. 

 Every Man for Himself

In the Starbucks illustration, I even skipped a step, eliminated the middle man.  That middle man not only harms you, the patient, but also the doctor.  And the less lucrative it becomes to be a doctor, the less people want to be doctors.  When there are not enough doctors for immediate care, you wait.  The service gets worse, more and more limited because all these unnecessary people are skimming off their share, and there isn’t enough money to pay for what is needed at the inflated prices.  But everyone is out for themselves, including the patient.  They’re going to get the most they can out of their coverage, too, taking advantage of any free or fully covered procedure, necessary or not.  These procedures have their place, and their price, but are not for everyone.  Someone is paying for them, even if it is not the patient, and no one is benefiting. 

How the Government Makes Things Worse

An astute observer may already have realized that if the government takes over the Starbucks plan system, the problem is only going to get worse.  There will be even less competition; more cost-cutting standardization of inventory; and less incentive for providers leading to less providers and longer waiting and higher costs.  This is not even to mention the regulation that will accompany the government plan, or the government-funded coverage for those who could not afford health insurance under the old system. 

 Creation Rather than Creativity

Nevertheless, the Obama administration presses on towards a government option for health insurance.  A nation already so much in debt that it cannot hope to get out of it, threatened with economic collapse, high unemployment, and runaway inflation is going to invent more money (and possibly also increase your taxes) with which to provide health care to its poor.  The US may be able to create dollars ex nihilo, but it cannot create doctors, and we are going to run low. 

Government Advantage

What’s more, this government plan will have the unmatchable advantage of an endless supply of money for which they will have to give little account, as opposed to the private competitors who have to make do with what they can collect by way of premiums.  Analysts fear that private insurance companies will be shouldered out of business by the government “option.”  Corporations will not choose to carry the expense of health insurance when their employees could get coverage from the government. 

Rationing

Others who risk prophesying anticipate a responsible government (don’t know where they got that idea), which will limit the amount of imaginary money they’re spending, and be forced to ration care.  Even aside from the money, as I said, fewer providers in business may demand rationing, too.  The most fearful consequences of this potentiality are the way decisions will be made.  Would a rationing system choose a younger person for care over an elderly person?  If your condition is the most expensive to treat, would you be left untreated?  Or perhaps your chances of survival are small, so there will be no attempt made to save your life.  An extreme government might choose by party loyalty or by race.  When choices like that have to be made, motives become suspect. 

Forecasting Good Things

Now for the bright side.  Barring a law prohibiting paying for your own care or health insurance, the private half of the system might be improved by this sudden competition.  If under a national health care system you cannot get treatment or if you doubt the quality of the treatment, you may take your savings and pay dearly for health care yourself.  It will be interesting to see if all doctors will be required to accept the government health plan, or if they will have the option of demanding private pay. 

Free Markets Fight Back

When corporations start dropping benefits from their compensation packages, employees worried about the level of health care they might receive under a government-run plan will have the competitive option of buying health care for themselves and their families outside of the corporate insurance model.  I believe the best option for reforming the health care industry is to make just this shift, to competing for the business of the individual rather than the company.  Already I see insurance companies marketing to that class of consumers.  Such policies would be most efficient as catastrophic coverage, for medical expenses exceeding tens of thousands of dollars.  Patients would pay out of pocket for routine medical visits and simple treatments like antibiotics, but in case of surgery, hospital stays, or a disease like cancer, those high costs would be covered.

The Answer for the Poor

In either case the solution requires that you have enough money of your own to pay for health care.  Most people do not.  So in the end we may survive this government takeover only by prevention and caring for each other in community.  Eat healthy.  Wash your hands.  Get enough sleep.  Join a community of people who are going to watch your back – maybe even an insurance community where you all save your money together, agreeing to help each other if any of you incurs a major medical expense. 

To God be all glory,

Lisa of Longbourn

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Before you read any farther, I want you to know that this is not my opinion of all doctors, nor is any doctor necessarily guilty of all of these things.  However, I feel like venting on the occasional futility of the health care system – into which Americans pour millions upon millions of dollars each year.  There have been studies (I read about a few in Empty Cradle) that showed no difference between families that spent 40% more money receiving more health care services than those who didn’t.  Some things to think about. 

 

stethescope 

Doctors:

Tell you what you already know.  For example, “There is a lump.” Or “You are sick.” 

Run diagnostic tests.  If the results are negative, you are no better off, but they feel content with the job they have done.  They are guards of public health, reassuring themselves that you do not have any exotic infectious, quarantine-requiring diseases. 

Have no interest in diagnosing what you have if it is inconvenient, only what you do not have.

Say you have a virus, which they refuse to treat, as though it were nothing.  Influenza is a virus that has killed thousands or more. 

Prescribe and recommend medications that either prolong your symptoms or whose side effects are worse than your symptoms.

Order tests for diseases that are untreatable. 

Do not understand tests.

Change their minds. 

Inoculate you against diseases which are almost impossible for you to contract. 

Charge outrageous prices for exercises you could do yourself at home.

Require useless follow-ups that take them two minutes and cost you a full exam fee. 

Believe so much in whatever they were taught by experts in school that they doubt your common sense. 

Desire to see you annually for physicals and screenings which will not contribute to your health or quality of life – but may contribute to their statistics, and definitely to their bankroll. 

Are enslaved by the insurance and welfare systems, requiring hours of paperwork and follow-up to verify claims. 

Stick together.

Leave most of the work to nurses.

Gullibly believe “experts” in almost every other field, rather than thinking critically about subjects outside their college major(s).

 

To God be all glory,

Lisa of Longbourn

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