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the promise and peril of utilitarian philosophers writing articles for the nyt

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this sheep needs braces, but can we afford it?

Peter Singer had an almost wholly wonderful piece on socialized medicine in the NYT the other day (it appeared in the IHT today). Why almost? The first 2/3rds of the piece are devoted to debunking the myth that American medical care isn’t already “rationed.” It is, of course, “rationed,” just by ability to pay rather than medical necessity. Great stuff very clearly and cogently written. But in the last bit of the piece, and unfortunately you could see this coming once you noticed that Singer was the author, he veers off into the trickier questions involved in the rationing of medical care under and egalitarian but limited system. And in doing so, he ends up raising issues and situations that really are better deferred until a later date, as the careful but undecided reader might well walk away from this piece disturbed by the notion that a new medical order might well find more marginal value in 2000 wart removals than, say, costly treatment for a single disabled kid. Wrong point to make right now, Peter! Stop yourself when you find yourself making things harder than they need to be in context – this isn’t a graduate seminar, it’s real life complete with feelings and stuff!

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July 19, 2009 at 12:10 am

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