Rely on government rescues, forget responsibility

"No small part of the current confusion between 'health care' and medical care comes from failing to recognize that Americans can have the best medical care in the world without having the best health or longevity because so many people choose to live in ways that shorten their lives.

There can be grave practical consequences of a dogmatic insistence on external explanations that allow individuals to escape personal responsibility. Americans can end up ruining the best medical care in the world in the vain hope that a government takeover will give us better health.

Economic issues are approached in the same way. People with low incomes are seen as a problem for other people to solve. Studies which follow the same individuals over time show that the vast majority of working people who are in the bottom 20 percent of income earners at a given time end up rising out of that bracket.

Many are simply beginners who get beginners' wages but whose pay rises as they acquire more skills and experience. Yet there is a small minority of workers who do not rise and a large number of people who seldom work and who-- surprise!-- have low incomes as a result."