Sydney, Australia. One of the more pleasant duties of my occupation is the occasional opportunity to attend international conferences and exchange scientific ideas with new colleagues and colleagues that have grown into friends. Many times the most productive exchanges occur over lunch and dinner. The sated feeling of a full stomach induces an aura of comfort conducive to open and frank exchanges. Scientists become willing to quietly speculate about ideas and notions they might not feel comfortable committing to in a formal forum.These occasions also provide opportunities to come to understand different societies and cultures. Certainly, scientists generally come from similar classes in their respective societies. Nonetheless, they generally adopt the ideas and prejudices that underpin their societies. Moreover, since scientists and engineers typically occupy privileged positions, they are consequently more likely to defend current social structures.
In is in this context, that I enjoyed a pleasant dinner with a group of Americans and Canadians at a Spanish restaurant in Sydney, Australia as the conversation drifted to differences between American and Canadian medical care. OK, OK, I might have pushed the conversation there.
My Canadian friends were at one time proud of government-provided universal medical care, while at the same time they admitted certain difficulties. There tends to be a shortage of doctors that often increases the wait for medical care. Care may be free, but it is rationed by time. However, Canadians have learned to be patient patients and generally accept inconvenience as one price for their health care system.
I asked what happens if someone has to wait for a heart operation? Well, I was told, if a patient needs one they get one, but the doctor, not the patient, is the one who decides what is needed. If a patient is not willing to accept the same risk as the doctor is, a patient cannot even pay a private doctor for separate treatment. The Canadian government does not permit private medical facilities that would require an overnight stay. The idea is that if a doctor offers his services privately, then he is taking them away from the pool of services available to the state. Patients must travel to the United States if they desire more medical care. The United States provides Canada a safety valve for alternative care.
If a Canadian doctor errs and you die while waiting for a heart operation because the doctor assigned you too low a priority, he or she is less liable to a lawsuit than a doctor would be in the United States. Of course, the health care system, the Canadian HMO if you will, is not liable at all. If the state health care system misallocates resources in a way that denies a patient services when needed, it is not accountable to the patient for this miscalculation. This is an interesting point to consider as we debate in the US the level of HMO legal liability. As long as there is a private component to the health care system, legal accountability is at least possible.
My Canadian friends explained that doctors are allocated to different provinces by the government. They seem to accept this heavy handedness without question, so I asked whether they considered it presumptuous of the government to tell doctors where to practice. Their response was that the government contributed to the education of doctors and therefore had a right to decide where they could practice. There are no private universities in Canada so the government is the source of doctors.
My Canadian friends had no response to the observation that by the same argument, the fact that the state provides a free public education would entitle the state to tell everyone, not just doctors, where they can live and what jobs they can occupy.
What is scary is not that my Canadian friends are somehow indifferent to the ever-expanding power and intrusiveness of the state, but rather that these people are not unlike me. They have much the same temperament and interests. Under only slightly different conditions, our places could be exchanged. It is chilling to realize how fragile appreciation of freedom and independence is; how easy it is to willing exchange personal freedom for security and to accept the role of sheep with the government as benevolent shepherd.
Speak Out for Li Shaomin
July 1st, 2001Frank Monaldo
What made the protest at Tiananmen more poignant for Americans is that the Chinese protestors embraced American symbols as well as ideals in their protest. We have grown accustomed to American flags burned in anger usually by puppets of regimes or other groups run by thugs. The site of paper mache reproductions of the Statue of Liberty reminded Americans of the liberty they enjoy.
A short time after the protests at Tiananmen Square had been ruthlessly squashed, George Bush the elder sent high-level Administration officials to mend bridges with the Chinese government. Americans were rightly upset at this capitulation to Chinese tyranny.
Bush did not want Chinese repression to alter long-term trade and diplomatic relationships with the United States. Diplomacy can work in ways that are not readily apparent to those more concerned with principle than tact. If the private rapprochement had resulted in concessions by the Chinese government that loosened its grip over the private lives of the Chinese, we might be able to say that diplomacy succeeded. Success could justify private diplomacy.
However, rather than learning that internal repression has consequences, the Chinese government learned the virtue of patience. Let things settle down and in the long run the Americans will be so obsessed with the prospect of lucrative commerce that not only will there be no trade restrictions, but Americans will not even make serious vocal complaints. Indeed, if you are sufficiently persistent you might even be able to find an American politician for whom illegal campaign contributions can purchase acquiescence.
George W. Bush has in many ways learned from the mistakes of his father. Where his father was aloof, George W. is avuncular and gregarious. However, George W. has inherited much of his father’s foreign policy apparatus. Although that foreign policy team was successful in its prosecution of the Gulf War, they never found a permanent formula for dealing with China. George W. and may be fated to repeat the same mistakes with respect to China.
As this is written, an American EP-3 reconnaissance aircraft brought down by a hot dog Chinese fighter pilot over international waters, is still being held illegally by the Chinese government bent on extracting the maximum embarrassment. Even if you dismiss the aircraft incident as unfortunate and accidental that is only about a little bit of hardware, consider the plight of Li Shaomin. Li was born in China 45 years ago. Li’s father was a Communist Party member imprisoned for his support of protestors at Tiananmen Square. The elder Li was dismissed from the Party and for a time jailed. Cognizant of the restrictions imposed on Chinese citizens, Li Shaomin decided to become an American citizen in 1995. Li is a distinguished academic earning a Ph.D. from Princeton University and a faculty position at Hong Kong University.
The Chinese security apparatus detained Li while he visited a friend in the Chinese mainland. Despite official and unofficial inquiries, the Chinese government has refused to release Li or provide satisfactory information about this American citizen. The Chinese government has accused Li of espionage. Chinese due process allows him a lawyer, but Li has not been allowed to meet with his attorney.
It is the obligation of the State Department to protect Americans abroad and they do not appear to have done so in this case. Perhaps the State Department, in the words of David Tell of the Weekly Standard, is exercising “an expert enterprise so exquisitely subtle that untutored civilians are very often unable to distinguish it from simple appeasement of Beijing’s Communist rulers.”
Any administration has a positive obligation to speak publicly and forcibly on behalf of human rights around the world and certainly for Americans abroad. We do not even have to impose economic sanctions to make our voice heard. Forget about really painful potential reprisals like revocation of most favored nation status for China. This Administration has not even been willing to oppose the staging of the 2008 Olympics in China. The Chinese will inevitably try to exploit the sports event for its propaganda value in much the same way that Nazi Germany exploited the 1936 Olympics. Even a president as weak and ineffectual as Jimmy Carter was able to muster the courage to have the US boycott the Moscow Olympics. This Administration says it is neutral on the possibility of a Chinese Olympics. George W. must either speak out or provide clear evidence that behind the scenes exhortations are reaping unequivocal changes in Chinese behavior. As Dr. Laura would say, “Now go do the right thing.”
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