SOCIAL JUSTICE THROUGH HEALTH CARE
We hardly come across a person who may be fully satisfied with the health care delivery system run by either the government or the private sector. This is true not only for developing but for all the developed countries as well. Every law abiding, contributing individual has some legitimate expectations from the state. Disenchantment with present dispensation of health care compels people to seek better options across the borders. Even the present flow rate of patients from developed to developing countries has assumed the proportions of Medical tourism. Medical tourism is not a one-way traffic. Poor from India are known to visit Rashid Hospital at Lahore for kidney transplants. Medical tourism will definitely bring in world class equipment and services in our corporate hospitals. These corporate tertiary care hospitals can act as excellent referral hospitals. Lack of enough clinical material, as the patients are often referred to in medical parleyences is prompting the doctors from developed world into medical adventurism. Very recently two NGO’s headed by renowned plastic surgeons of Indian origin were in India, claiming to their credit hundreds of cleft lip and palate surgeries conducted in one week. During my brief interaction when I asked them one basic question that how do you justify single step surgery by a single specialist for a clinical entity that require 3-5 set up surgeries by 10 specialists over a period of 20 years, there was no answer. On record local doctors conduct all these surgeries. These NGO’s bring in a battery of trainee resident doctors for hands on training. Dumping of questionable services and drugs continues unabated in the absence of stringent regulations. Clear-cut up to date guidelines by health authorities have yet to be issued to safe guard the health interests of this nation. Most of the drugs banned in developed countries are still being dumped in the Indian market. Commerce alone dictates the policies of multinational companies in health sector of developing countries. State and national medical councils, the watch dogs of our national health interests are controlled by elected representatives from among the doctors. Competitive populism for being elected to these high offices takes away the very sting off these regulators. In this ‘market forces’ driven health sector, apart from other factors, size of the population, economic prosperity and literacy levels dictate the out look of key players. Subjective as well as objective assessments of the health care operations leave people confused with huge piles of data and endless interpretations. At the tail end of govt. health care delivery system is the rural dispensary or the slum revamping center, and the end user an illiterate or semi literate villager or a slum dweller. Dispensary is the humane face, the welfare state can present to its people. In yesteryears the service providers were from among the same social class they used to serve. Doctor can be a friend, philosopher and guide to the locals. Unfortunately the economic and social disparity between the service providing doctors and the service user population has grown enormously. Ad-hocism in health care delivery should be done away with immediate effect. Doctors and paramedical staff appointed on yearly contract basis are not showing any interest in the national programmes. Established private health care providers also have not shown any meaningful commitment for national programmes. Middle class itself has fragmented. Now it is fashionable to assign economic values to any issue like gender, but for social responsibility and justice. In this era of fast paced growth, the unorganized, silently suffering millions can not be wished away. Once reading on biodiversity I stumbled upon a very interesting quote, “only the species with economic importance will survive”. In our active pursuit for magnetizing economy, we assigned economic values to any thing except for morals. Commercialization of education has produced a new breed of professionals who have scant regard for professional ethics. Privatization is the buzzword with governments, because it takes away government responsibility. Private sector players are eyeing many ‘viable’ health institutions. There are no takers for commercially non-viable rural institutions. Rural health institutions dispense social medicine. Very recently one of the key players from private sector health care quoted the cost of developing one bed in corporate hospital at Rs. 30-60 lacs. These corporate health services are definitely out of each of the common man. These type of hospitals are definitely required for a nation with the present rate of growth but ‘bharat’ definitely needs different kind of hospitals. There are very strong social under currents against the exploitive private healthcare, inadequate government sector health care resources and the indifferent approach of welfare state. Health for all is a very lofty but expensive proposition. There are ways and means to reduce the pressure from government institutions. Private-public partnership, health insurance, monitoring and regulation of private sector health care can all make the things bit easy. Preventive health care education can go a long way in improving the public health. Community participation in health care has produced few but wonderful examples. Complementary community participation can make up for minor but critical deficiencies in the government run health care system. Setting up of health system corporations with World Bank assistance has already improved the working of govt. sector health care institutions considerably. Community participation through NGO’s can still improve the system, but most of the meaningful NGO’s turn their back on govt. run health care institutions because of their doubts on the integrity of government officers. Government health care institution are increasingly seen not as caring hospitals but like police stations, where medico legal reports are written and postmortems conducted. Most of the government doctors’ time is spent in courts appearing as medico legal experts witnesses. Emergency, post mortem, and then the VIP duties in addition hardly leave the doctors free for any meaningful job at government hospitals. There is an urgent need to have separate curative, preventive, legal, administrate and health intelligence wings. Government hospitals attract the poorest of the poor, mostly people from the unorganized sector. Their contribution to national GDP is by no means small. With the present growth rate, upward social mobility is seen in every strata of society. Many segments of this unorganized sector can be organised so that they also enjoy the patronage of welfare state in the form of health insurance policies. Apart from direct benefit to these segments of society, the state will benefit from the ‘off loading’ of burden from government run health care system and loading it on insurance driven private sector health care institutions. Poorest of the poor will repose faith in welfare state. Sanjivini, health insurance policy with the Punjab Milkmen Cooperative Societies is already a big success. ECHS (Ex servicemen Contributory Health Scheme) is an other success story. These success stories can be replicated with countless groups like, panwallas, dhabewallas, autorikshaw drivers etc. Simply organize the unorganized sector. There is no dearth of role models from among government doctors also. Their inclusion rather than drift after dissent from the present dispensation of health care will immensely improve the system. Stability of tenure is an excellent incentive government can give to its doctors without costing anything to exchequer. Yet tenure beyond decades should be discouraged as it leads to development of vested interests of the old incumbents and denial of chance to the youngsters. Resource mismatching is a major problem in the govt. run health care system. There are dispensaries where specialists are posted and still many more civil hospitals where non-specialist are posted. These mismatching result in defective and inefficient health care. Nodal Hospitals can be created for round the clock emergency services by cannibalizing defunct and sick institutions where equipment worth crores is lying unused and salary bills are bleeding the exchequer white. Most of the medical officers retire in the same administrate rank. This undue stagnation has forced many a brilliant doctors out of service. By simply seeking options for place of posting, honestly implementing with minimum displacement on merit can also revitalize the govt. doctors’ cadres. Private sector health care delivery system is a totally market driven commercial enterprise. So called ‘market forces’ have least respect for ethical and moral value systems. Multi level marketing chains have evolved in the name of referral systems. End result is exploitation of the unsuspecting common man, who still regards his healer a holy person. This ‘incentive’ system is strengthening the hold of unqualified, unscrupulous and unregistered medical practitioners on illiterate masses. Not many qualified doctors are unscrupulous. A large section of private health care providers feel genuinely threatened by blackmailers of all sorts. Consumer protection act is a very convenient beating stick in the hands of their tormentors.
Under the constant threat of being blackmailed, the private health care providers are becoming more defensive in attitude. More patients are being referred to tertiary care institutions for this reason only, thereby flooding the referral institutions. People have a common feeling that sickness is an invitation for exploitation at the hands of private health care providers. Even the charitable hospitals are charging as heavily as fully private hospitals. Medical profession is fully responsible and capable of self-correction. Medical councils and associations can jointly evolve a fail-safe mechanism to keep their black sheep under check even without government help, but the buck stops with the government. Welfare state is duty bound not only in providing health care delivery system but also proper health care administration and social justice through its health care delivery mechanism.
Name : Dr. Pardeep Kumar Sharma
Email-ID : omfspardeep@yahoo.com.
(M) : 0988456296
Date of Birth : 12.02.1962
Education Qualifications : BDS (Bachelor of Dental Surgery)
MDS (Master of Dental Surgery in Oral and Maxillofacial Surgery)
Educational Institutes Attended
Govt. High School Bargari : Matriculation (1969-1977)
Distt. Faridkot, Punjab, India
DAV College Chandigarh : Pre-University (1973-79)
(Punjab University)
Barjindra College Faridkot : Pre-Medical (1980)
Dental Wing, Medical College : BDS (1981-1986)
Patiala
Dental College and Hospital : MDS (2003-2006)
Amritsar
Professional Experience
House Officer, Christian : 1987-1988
Medical College & Hospital,
Ludhiana
Research Officer, All India : Jan. 1989 to June 1989
Institute of Medical Science
AIIIMS, New Delhi
Dental Officer, Indian Armed : July 1989 to August 1994.
Forces in the Rank of Capt.
3
Medical Officer (Dental) : w.e.f. Nov. 1995 till date
in Punjab Civil Medical Service
(PCMS)
Research papers Published
“Role of Programmed cell death in dental anomalies associated with cleft lip and Palate”. “Medical Hypotheses” Churchil Living Stone Publishers London-1991
Post traumatic polatoglossal adhesion, a case report stomatologica India (1990).
Research Project Undertakes
“Malocclusion and associated Factors among Delhi Children” a study sponsored by Indian Council of Medical Research (ICMR).
Areas of Interest : Environment, Health, Defence, International Affairs and Rationalism
Here this nice Video about health care
Overweight and obese patients frequently feel stigmatized in health care settings, and face stereotypes and prejudice from health care providers. These stigmatizing experiences (also called ‘weight bias’) jeopardize patients’ emotional and physical health. The Rudd Center for Food Policy and Obesity at Yale University (ruddcenter.yale.org) has released this new video in response to a growing concern about weight bias in health care. The video, hosted by celebrity and activist Emme and …
Kaiser! Holy Frack! why is Paul talking to these scumbags! NOOOOOOO!
Yeah, 90% and DECREASING. Why? Because other great products. HOLY SHIT what is that? Competition on a free market! Dipshit
SICKO the movie was full of lies and exagerations……………..but Health Care IS broken. Here is how you improve Health Care………….make the Legislators in Washington buy their own insurance on the free market……..not through any government group……………..THEN….THEY’LL DO THE THINGS IT TAKES TO MAKE IT FAIR FOR EVERYONE.
Learn how to write and maybe people will listen.
I ‘m not a native speaker, so i am not forced to write and speaking the way you wait me to do. besides at this page from youtube is not an english class, neither i am at english class, otherwrise i would accept your advice in a good mood, so here it is a debate about Ron Paul. The important it is the comunication and comprehention among people and many people write incorrectly in the internet, i am not the only one. Give advice for other people too.
ron paul gets his ideas from the constitution, which is why I think he is one of the best politicians out there.
An interview with Ron Paul by Kaiser (well at least they’re honest about the identities here). Calling medical care an “entitlement”. This is crap. So is Ron Paul. People die of preventable disease, we bail out every company Ron Paul sits on the board of, money he’s NOT entitled to. He’s even worse than the parties and if you don’t believe me research which state has the most uninsured children. He is a waste of air.
OK, I just looked it up. Windows has shrunk down to 88% from last year. Also, Macs are going up, even in a bad economy (you’d think they’d go down because they’re so expensive). That proves that in a free market, if you have the talent and drive, you can succeed.
Also, your Windows example is one of the most extreme cases. What about something simple like landscaping companies? The people who do the best job at the best price are the ones who get the most accounts.
I agree with you. Democrat Rep. John Conyers backed down from his pledge to investigate ACORN fraud:
http://spectator.org/archives/2009/05/07/conyers-kills-acorn-probe/print
What happened in a mere two weeks to change Conyers’ mind? Did he get a call from friends of ACORN in high places? Did he get something else? Why drop the call for a congressional probe in the very same week that ACORN criminal charges have been filed in Nevada and Pennsylvania?
http://www.foxnews.com/story/0,2933,519155,00.html
http://www.thepittsburghchannel.com/politics/19395414/detail.html
What gives? Or who gives? Now why would Conyers want to go after the goose that laid the golden acorn.
I get a kick out of all these people who vehemently support and protect Obama and his policies – they act as if his decisions will not effect them – only other people. They act as if they are immune to the coming Socialism and the devastating effect it will have on our country.
What does it mean when they say that they “want Obama to succeed?” Does that mean that his supporters just want him to “personally” succeed at passing through all of his programs? This is the sense I get. His supporters seem to be only focused on this man and his own “personal” success RATHER than focusing on the outcome and ramifications of his decisions.
This arrogance, insanity and idiocy MUST stop! You hear the media and others say that Obama is so smart, but what kind of “smart” man would arrogantly and obviously spend massive amounts of money that he simply doesn’t have — where is the intelligence there? What kind of “smart” man would create trillions in debt for future generations while at the same time complain about “the huge government debt and waste” Obama does have a “smart” – a certain kind of conniving “smart” – a manipulative “smart” – after all – since Obama lies EVERYDAY – he must be somewhat smart – but only in the sense that he has to remember all of his lies!
It's a shame that some people abuse Homework Help by trying to get others to do the work for them. There's a fine line between asking for help and cheating.
not really because the KFF have not been affiliated with Kaiser Permanente since the 80s. They are related only in name due to their founder, but they are two totally different organizations that are not financially tied. The KFF is actually a respected health policy thinktank and is not as some people may erroneously assume, a voice of the healthcare industry.
Come to MedPulse to read unbiased review of Obama’s health care plan. A column directed at informing readers on medical research and policies. Check out our other sections such as “Disease of the Week” and “Patient Advocacy,” which will provide you with information that will not only make your health care experiences more understandable but will direct you to resources that can solve some of your medical care needs.
whatch that video (France: ‘Best’ Health Care?)
Next time you post something like this, with facts and figures, post a link so people can check it out to make sure its legit, based on current events, and not more china bashing.
When you do, then I'll check it out.
============================
Now you supplied a link, but the great cyber wall here in China won't let me get there.
China censors China hate sites plus pornography.
Keep this in mind, the Amnisties Internationals organizations depend on donations to survive. I've often wondered just how much they embellish the facts on that alone. It behooves one to look very closely at their board of directors, what they are getting paid, what percentage goes to public education, who they interview, are they seeking the other sides arguments without predisposition, — in short, is it tabloid journalism, or is it really true. Plus, how current is it?
====================
Peace
Jim
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he himself called himself an isolationist because thats what the founding fathers where based on(which they where) but you said im contridictory which im not im just saying you can still belive in a small government with a capable military
I am studying nursing and I know for me it is the right choice, not because it is a 'woman's thing' (there are several men in my classes), but just because it is what's right for me.
I know here in Canada nurses are taken very seriously. We aren't ordered around by doctors, we are autonomous.
You need to decide what is best for you. You, and no one else,
Yes we have a problem brewing, and it begins with that 2/3 of Americans that don't vote, allowing an administration like Bush's to hold two terms in office. And believe me we’re paying for it. Future administrations have a lot to undo. We’ve become fat, lazy, complacent and in some cases have been lulled to sleep. I honestly can't believe what has been done to our rights in the name of Homeland Security. Many have toned out, simply unable to deal with the present. However, there not all glazed over by Idol, Paris and Brittany. There are many who are paying attention, but inactive, waiting for the opportune moment, I hope. Some are simply centrists, like me. The problem is the right is too far right and the left is too far left, and the vast majority is stuck in the middle. If the power brokers continue on their track, and it does come to something similar to South Africa, I believe the result will be more like Romania in the 1980s, united against Ceausescu. Turning our nation's military inwards would fail, and then they would also realize the implications of the 2nd Amendment. There are lots of guns out there, and I mean everywhere. Remember that we Americans have done some of our best work with our backs against the wall, so don’t point a finger of failure just yet. There will have to be a giant slap in the face, perhaps several, before we wake from our coma. I will say God help those who provide the negative catalyst for that galvanizing element. But if a viable third party candidate were to grab that disenchanted 2/3 of Americans they would walk away with an election, that’s real change. Anything from the two-party system calling itself change is just the same ole bullshit. The thing is most Americans feel powerless. We're not. Example: high gas prices have caused many people to back away from gluttonous gas guzzling, in part, driving the price per barrel of oil down by over $4.00 in one day on Wall Street. As far as any other comparisons between our two countries there’s a big difference. Old World vs a country that is not even reached 300 yet. America as a whole is the second largest land mass on the planet, that's a lot of ground to control. I live in New Hampshire. Our state motto is "Live Free or Die." Hopefully it never comes to that because I believe it down to my very bones. As far as how you've pegged all Americans in your generalizations, you're wrong. We're not the people you see in International media, or when you visit and some of the things you write, generalizing American habits, values, demeanor etc. are pretty presumptuous. People who live in other countries love to try and put all of us into one barrel. First of all many people don't espouse any religion, there goes "Christian Charity," second you start killing people, messing with people's families, taking their property and trying to enslave them I Goddamn guarantee compassion and good will go out the window. Americans are damned if we do and damned if we don't. Instead of pointing a finger of blame for our standards of living, perhaps you should pay more attention to your own. Everyone wants to make us the living embodiment of all evil, be careful what you wish for.
Ron Paul is the best Superhero u can ralise.
There’s a difference between pacifism and isolationism. Only attacking when attacked makes sense. Not attacking when attacked or attacking without being attacked are both stupid.
So you’re saying Dr. Paul is an isolationist? If so, that’s clearly wrong. The world hates the States more than ever now because of all their meddling in world affairs. Trade, talk, and be diplomatic with all and avoid unnecessary conflict that makes you neo-isolationists because no one will like you. That’s Ron Paul’s take on foreign policy: end the empire and protect soveriegnty for the betterment of all Americans.
Great post! Libs quake at the thought of people who do things the right way.
Bhil, aboriginals or natives of India are the first to own the land in India. Though could not go through your full narration however I included in watch list and would read at leisure.
However I agree that we so called urban Indian or so called Aryan have deprived Bhils of their legitimate rights and in greed of so called growth have encroached their habitat. Now they are forced to come out in our world and adapt to get integrated with so called main stream.
Max what we can do is now adopt then in our society and give them their due respect.
Yes! He is useful in cartoons, child’s magazines and animation. There, he is the best superhero… laughing…
We pay 20% in welfare tax now per employee for our entire life to finance high costs that can only exist in a system of forcible appropriation. A servicer will charge as much as he can to the public credit card for a procedure in our system, there’s no competition, limited funds, or voluntary transaction holding him to a lower price. We now have 60 trillion in unfunded medicare promises. We are Madoff with a printing press and we will collapse from this ponzi scheme socialist model.
No it’s not. It’s because Microsoft screwed up BIG time with Vista. I repeat 90% after such a blunder is a signal that free market doesn’t JUST work. Because your school needs you to run MS Office, because the company you’re working for runs Windows anyway and it’s easy to sync, or because the calculating program for you business is only available for Windows. That’s the level of dependability one single company could build up. Oh, you swore too? Sorry, your credibility just went down to zero.
I agree with every word. America is transforming right before our eyes, and we don't even know it. I have assumed this, every since NAFTA was created. Illegal Immigrants and Drug Lords have real power in this country right now. The division there talking about are the have and have nots. Our way of life is on the verge of collapse. Its too many outsiders over here that don't want to assimilate, they want to change to system. Every immigrant before assimilated, but now the game has changed. It took an outsider to see this, instead of an American. We are being destroyed from within. Too many people from all walks of life don't invest in America. Everybody seems to be selling out. The immigrants have another country to fall back on, Americans don't. Passing new laws won't help, because they don't follow the laws anyway, unless it works for them. We are in trouble, real trouble, fortunately for me, it won't happen in my life time. ( I hope)
Good Article.
I’m sure he does and that’s why Sicko was such a good movie. R Paul is simply pushing a broken system from which he profits. Since when is it ok for profit making organizations to change their prices depending on who’s paying? That is not free market enterprise. That is lying cheating and stealing and Ron Paul thinks it’s just fine when the medical industry does it and you pay. That is also the “free market” lie that put republicans in the hole.
Sure, free market just works on its own. That’s why 90% of all desktops run Windows. Don’t we have enough religions already? Ron Paul acts if the free market is his and doesn’t deem it necessary to give us proper proof that it’s truly a better alternative.
Socialist this, socialist that, anti-communist FUD really worked on you guys in the US.
I repeat, your health is not some cellphone.
There must be quality control and people must have some kind of security from medical bills.
Ron Paul tries to make health care profitable and forgets its purpose.
Every human should have access to medical facilities affordable with their pocket size. There is no space gamble around here. Act now or drown.
RON PAUL’S GOT IT ALL!!!!
First of all you shoud be called a great BIG conservative. To be an American you should have respect for the Constitution and what it stands for. The current admin does not even recognize to Constitution. Mr. Bush considers it "A god damn piece of paper" Cheney cannot even remember that the military oath is to defend the Constitution. (His memory failed during a prepared speech to West Point graduates)
At the end of your dissertation you requote Mr Bush as stating he he stands firm for non-negotiable demands of human dignity.
So far during his watch:
Rescue workers at ground zero were lied to regarding their health.
Habeus Corpis was revoked after 200 years
Torture was instituted (including children)
Americans have had their phone conversations eaves dropped upon.
The public has been lied to regarding war.
Thousand of American soldiers have died
Hundred of thousands of Iraqi citizens have been murdered.
The deficit is at 3 Trillion dollars and the American dollar may collapse because of the debt.
Gas prices have risen dramatically and that is not due to the price of oil. The refineries are not working at capacitiy and the oil companies ( this admin. is a part of) have raked in record profits.
The middle class has eroded. Americans are now putting living expenses on their credit card.
The government has not been held accoutable to the people.
Women are certainly not respected when the ban on late-term abortions did not include emergencies concerning the life of the mother.
Religion is only tolerated if you believe in the approved God.
Property Rights are not respected when you consider "eminant domain"
Freedom of speech is only "free" when you agree with the policies of the admin. (or if your FOX noise)
There is NO equal justice since this current regime has taken power and eroded our civil rights. The same rights that we are supposedly defending with the war on terror.
The USA has not signed the Kyoto accords.
The USA has NEVER signed any UN resolutions regarding human rights.
The USA does not belong to the International Court so none of our leaders can be tried for human rights violations or crimes against humanity.
Stop listening to the propaganda and do some independent research before you regurgitate the "official line".
This president may think he has principles but he certainly does not abide by them. The sheep that are following are fellow Republicans (congress) and certainly NOT liberals!!!
So whose idea of "right" are you speaking of?
Have you ever heard of the terms short and concise? And to the point?
Ron Paul is falling behind on the “Times” 100 most influential people list. Rate him ” 100″ and lets get him to number one!
I’m sure it’s been mentioned before, but isn’t it interesting that he’s being interviewed by Kaiser?? hmmmmmmmm
No he doesn’t! He has specifically used words stating he does not believe in isolationism, he believes, like your founding fathers in non-interventionism. If not attacking everyone is isolationism, then bring on isolationism!
Well done. At least you've researched it. Many of the items you list are the reasons I do support Obama – so we'll agree to differ.
However, I will question your assumptions in point 11 and 12.
There's so much info here on this link – you'll have a field day – but it's quite interesting ( for example it has the national debt and inflation recorded year by year by President since 1780 ish on the spreadsheet at the bottom under sources – you need to select the worksheet).
You'll figure it out – but look at Fig 1 which shows the climb in National Debt. And look at Fig 3 together with the narrative underneath which shows the "change" by President for the last 50 years.
You will see that Democrat policies have been more successful (Clinton, Carter and Johnson) and that tax decreases have not had the anticipated effect.
http://www.cedarcomm.com/~stevelm1/usdebt.htm
.EDIT: Point 13 – The minimum wage is arguable. First should there be a minm wage? And then what level is it set.
It's a matter of judgement. I have a view that says it should be set in areas wider than one state.
Generally – I have to say it's difficult to compare the pre war period with the post war period – because so much has changed. The lessons are different – the balance is different.
I'll come back and give you a counter argument for Point 12 shortly. I have to attend to something briefly.
OK POINT 12 – I say increasing tax on rich does not affect jobs. The higher the income the more their money is spent outside their domicile country – holidays, overseas property. Taxation takes the money into "federal" control. That is then spent within the US – on infrastructure, on defence – or even as lower tax for low earners who spend on local goods and services. So taxing the rich helps the economy more than not taxing them.
A counter argument to this is that the rich move out – but thats a matter of balance again when compared to other countries. But bear in m ind – most choose to remain in the US and enjoy the benefits it offers . Lower tax countries are low for a reason – they don't offer the same environment or other benefits.
EDIT: Just read your updates. Regarding business tax. Businesses are in the the US because thats where their market is. It' not just about tax rates. Businesses also consider the benefits of a legislative framework – what redress they have on unpaid debts for example. One of the central planks of Obamas policy is to tax the many US companies who continiue to do business in the US but have chosen to register their business outside US to avoid paying US taxes. For example, over 12000 US companies are now registered in the Cayman Islands yet 99% of their market is in US. They are simply re-registering their office, tax advisors told them to. They still do the same business in the US -but pay their tax to Cayman Is not US. Obama is going to close that loophole. The money will be taxed from where it is earned – not where it is accounted. All these companies are doing is aviding the tax they should legally pay. That puts them back on equal status with their competitors – often smaller companies – who have been unfairly put at a disadvantage. It doesn't mean jobs are lost. It actually encourages more investment – because only profits are taxed. If they re-invest – they avoid tax. .
I've got to go out soon. I'll check this page later.
EDIT: Yes – a "paper office " as you call it. Thats whats been happening. You can keep lowering taxes – but if they find a country with a lower tax – they move – or re-register. They can hop from the Bahamas to somehwere else for a 1% difference. Obama plans to change the tax point. If they've done the business in the US they'll pay US taxes. They can keep their paper office – but there will be no point. It's been done in Europe where they had the same problem. Some of the finace companies still amnage to get round it – because they can "earn" moeny in the paper office. But manufacturing industries, service industries, distributive industries, retail businesses will no longer be able to avoid paying their legal tax contribution.
BTW I also have been in business, corporate and private for 33 years – and points 29 and 30 we could never agree.
Must go. Thanks..
I don't care *why* they come here. You can come here LEGALLY or stay OUT. Illegals don't deserve protection from anything. Legal immigrants do.