27 Comments

That's funny, right now you are paying for all the legal overhead caused by the war on drugs.

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Support the Health Care Compact. http://healthcarecompact.or... -- It will give power over legislating health care to individual states.

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What if it takes less resources to maintain a decent quality of life on drugs versus sober? Any difference from ems using virtual reality?

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Maybe when welfare recipients are tested for drugs, drug use will go down. Why should I have to pay them to get high on drugs? I don't mind helping those can't work. I don't want to support those who won't work.

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Local control of education is a myth; it died decades ago as states passed laws trying to equalize funding across towns and counties and states. Federal interference just made it worse, since there is hardly a school district around that doesn't spend enormous resources on one thing or another because the federal funding requires it.

I've heard a state prosecutor bemoan that our preoccupation with drug enforcement has caused the judiciary to parse our 4th Amendment doctrines so carefully that in his opinion, it had weakened his ability to prosecute many non-drug cases. In other words, the drug wars have impacted search and seizure under state constitutional law. The drug cases have created a lot of unfavorable precedent. While he didn't endorse recreational drug use, he thought the war on drugs was an abysmal failure, and not merely because they hadn't stopped the recreational use. I thought that was an interesting perspective.

The fostering of widespread disrespect for law, as pointed out in the Ken Burns documentary on Prohibition, is also one of the unintended consequences. Localizing recreational drug laws would be one way of allowing our population to 'vote with their feet' or their vacation dollars. Not unlike what we've done with gambling and having places like Las Vegas and Atlantic City. Illegal gambling can't possibly be the local problem for most places that it used to be since gamblers can now travel and do it legally.

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Isn't education already mostly left up to local control, No Child Left Behind excepted? If it hasn't worked for education, why would getting the federal government out of the way work for drug laws or medicine?

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One thing to note is that medical spending is much lower in some states than others. I assume that this would true in counties and cities also.

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Recreational and medicinal drug legislation are two different beasts. Recreational drug legislation at the Federal level should be limited to international import and trade between states. This is a very straight-forward application of the 10th amendment. I'm not sure whether this has been tested in California, where growing and using medicinal marijuana is explicitly allowed by state law.

Medicinal drug legislation should remain at the federal level. Complying with the federal and all the local legislation is already a burden for pharma companies. Removing federal legislation means that each state will come up with something similar, but different, making compliance really really difficult. After all - these drugs are created and manufactured with the intent of selling nationally and internationally, which places them squarely within the scope of Federal law.

In this scenario where medicinal drugs are federally regulated and recreational drugs are locally regulated, using prescription drugs without a prescription would by definition be recreational and fall under the applicable local ordinance. There are obvious problems that can be overcome by carefully crafted legislation, but I think it places the legislative and enforcement burdens in the right places.

Disclaimer: I work for a big Pharma, but do not speak for them. I have no special knowledge of this subject matter and don't work in a financial or legal capacity.

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If you don't like fawful's statistic, find a better statistic. Discarding tax incentives and R&D decreases the government share of heath spending to 45%, as is easily deduced from the paper fawful cites, or, say [wikipedia](http://en.wikipedia.org/wik.... HA's claim about the "monstrous share" is just wrong. US government spending on healthcare is not greater than total heathcare spending in most rich countries, or even government spending, but it is pretty close.

daedalus2u, the nominal top rates of 90% before JFK and 70% before Reagan were meaningless. When they cut the rates, they had no significant effect on revenue. We are still at traditional rates of government revenue.

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Fawful,Sigh, my more detailed post got lost in the vortex of "slow down, you're posting too quickly".

Daedelus2 answers you well enough with tax expenditure yadda yadda.

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That is a strange way of calculating “health care spending”. It includes R&D, health care for government employees, exemptions for employer sponsored coverage, and sales tax exemptions as “health care spending”.

It seems kind of disingenuous to me, to lump together NIH R&D, sales tax and tax exemptions for employers and then say the government does a bad job at negotiating with providers.

If taxes not collected count as government “spending”, then right now the largest item of government “spending” is the gigantic government welfare “payments” to the wealthy because they are not taxed at higher rates.

Increase the marginal rate on the wealthy back to traditional levels (70% when Johnson, Nixon, Ford, Carter, Regan were president), then we would be able to get back to traditional government revenues, traditional deficits, and traditional growth rates.

Since the fraction of the population uninsured is only ~17%, if the health insurance payments of the 83% were taxed at 21%, there would be enough revenue to cover insuring the 17% without insurance. Since the government is already paying for this health care by subsidizing those with private coverage by not taxing them, there is no increase in government health care expenditures.

Bingo, that is the way to give everyone health care without increasing government spending. Just redefine government “spending” to include taxes not collected.

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Why should people who oppose drug legalization accept municipalization for drugs when their preferred policies are banned? The US has moved away from states' rights in the last couple of hundred years and everything from regulation to employment laws to health policy have layers of constraints that are explicitly designed to limit regional diversity.

To focus only on single issues like drugs is to force drug opponents to engage in one sided disarmament. One should readily say, we will support diversity when diversity is permitted on major issues that the Left elite supports and would not countenance relaxing for most of the population.

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I'm probably more orthogonal than to the right of Krugman (I'm not progressive) but relative to conservatives I think he's a good faith thinker, and when it comes to public economists he seems relatively good faith.

Prof. Mankiw and Cowen, in contrast, seem to me to be worse faith in clunkily obvious ways that Prof. DeLong and Krugman seem to delight in pointing out.

When it comes to describing the world and the potential impact of policy Krugman seems among the best faith of his class to me, even if its a shittier pool than we could easily imagine.

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No one to the right of Krugman thinks he's a good-faith thinker. He's consistently claimed that Republicans are evil and the only reason people vote for them is raaaacism.

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In my supremely non-expert understanding, the monstrous share of spending is in the private sector,

Wrong.

This isn't even hard to check, so there's no excuse for being wrong about this. More than 50% of healthcare spending in the US is done by governments through S-Chip, Medicare, Medicaid, Veteran's hospitals, Indian Health Care authority, Title X reproductive coverage, etc. US government spending per capita is higher than average total health care spending in most countries. The refusal of the government to finally implement the doc fix as well as the general protection of the medical cartel is strong evidence that the government has no real interest in lowering spending.

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In the US just socializing would not remotely be enough to reduce spending.

That seems to me to go against the bulk of smart thought on this topic, which claims that federal socializing alone would massively reduce spending because the federal govt. would bargain down costs and cut out private health insurance company overhead. That isn't to say that muncipalizing wouldn't be superior to federalizing where medicine is socialized either way (I'd like to see good faith debate on what's optimal), but the low hanging fruit seems to me to be in the direction of federal socializing.

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