The First Amendment is nearly the last portion of the Bill of Rights that courts seem to take seriously -- treating all the others as if the Founders were just kidding. The 9th and 10th went early. The 2nd has been nibbled away at. The 4th has become a bad joke under the last several Administrations. We abandoned the 6th somewhere out in Guantanamo Bay and the 5th has fallen victim to the drug war. (The 3rd is still alive and well, though!)
But today freedom of speech is under fire by those who increasingly claim [some] people have a right not to be offended that trumps free speech. Just who has this new right and who does not (certainly white males don't seem to have it) is unclear, as well as how one can ever enforce a standard where the victim has full discretion in determining if a crime has been committed, are left unexplained.
We have seen this theory of speech gaining adherents in Universities, for example, so while its continued gains are worrisome though not entirely unexpected. The one thing I never saw coming in the increasingly secular west was how much momentum anti-blasphemy laws would gain, and how much these laws would be pushed by the Left**.
Jonathon Turley has a good article on this topic in the Washington Post, as linked by Reason
Ken at Popehat has a roundup of creeping ant-blasphemy law over the last year (it is hard for me to even write that sentence seriously, it sounds so Medieval)
**It is in fact insane that the Left has so many people coming out in favor of protecting Islam from blasphemy. I know it is not everyone, but it is just amazing that a good number of people who call themselves liberal can excuse violence by a misogynist culture that is meant to suppress speech in the name of Gods and Churches. We have actual children of the sixties arguing that threats of violence are sufficiently good reason to suppress speech and that a religion that basically enslaves women needs laws that protect it from criticism (these same children of the sixties that all protested the Christmas bombings of Cambodia are also launching drone strikes willy nilly on civilians and claiming that the President can assassinate Americans solely on his say-so, but those are different topics.)
This all goes to prove my long-time conviction that the political parties have very little foundation in any real morality, and that they tend to simply take positions opposite of the other party. Since Conservatives staked out the anti-Islam position, the Left feels the need to find some way to be pro-Islam. Weird, but I can't think of any other explanation. The only exceptions to this rule are 1) expansions of Presidential power and 2) taking the drug war to new stupid extremes. Both parties seem unified in supporting these two things, at least when their guy is in office.
Via Cafe Hayek, Paul Krugman says:
And surely the fact that the United States is the only major advanced nation without some form of universal health care is at least part of the reason life expectancy is much lower in America than in Canada or Western Europe.
If I were a cynical person, I might think that the tortured and overly coy syntax of this statement is due to the fact that Krugman knows very well that the causation he is implying here is simply not the case. Rather than rehash this age-old issue here on Coyote Blog, let's roll tape from a post a few years ago:
Supporters of government medicine often quote a statistic that shows life expectancy in the US lower than most European nations with government-run health systems. But what they never mention is that this ranking is mainly due to lifestyle and social factors that have nothing to do with health care. Removing just two factors - death from accidents (mainly car crashes) and murders - vaults the US to the top of the list. Here, via Carpe Diem, are the raw and corrected numbers:
And so I will fire back and say, "And surely the fact that the United States is the only major advanced nation without some form of universal health care is at least part of the reason life expectancy related to health care outcomes is so much higher in America than in Canada or Western Europe.
And check out the other chart in that post from that study:
US cancer survival rates dwarf, yes dwarf those of other western nations. Even black males in the US, who one would suppose to be the victims of our rapacious health care system, have higher cancer survival rates than the average in most western nations (black American women seem to have uniquely poor cancer survival rates, I am not sure why. Early detection issues?)
All this data came originally from a post at Carpe Diem, which I refer you to for source links and methodologies.
Kudos to a reader who pointed this one out to me from the Mail online. It is a favorite topic of mine, the use by the more-scientific-than-thou media of steam to illustrate articles on smoke and pollution.
Check out the captions - smoke is billowing out. Of course, what they are likely referring to -- the white plumes from the 8 funnel-shaped towers -- is almost certainly pure water. These are cooling towers, which cool water through evaporative cooling. These towers are often associated with nuclear plants (you can see that in the comments) but are used for fossil fuel plants as well. There does appear to be a bit of smoke in the picture, but you have to look all the way in the upper left from the two tall thin towers, and one can see a hint of emissions. Even in this case, the plume from the nearer and smaller of the two stacks appears to contain a lot of water vapor as well. My guess is the nasty stuff, to the extent it exists, is coming from the tallest stack, and it is barely in the picture and surely not the focus of the caption.
The article itself is worth a read, arguing that figures from the UK Met office show there has not been any global warming for 16 years. This is not an insight for most folks who follow the field, so I did not make a big deal about it, but it is interesting that a government body would admit it.
... because it really annoys public officials when you don't vote for the candidates they have approved.
Every write-in entry must be verified with the list of legitimate write-in candidates for that election, by a three-member review team. In the August primary election, Maricopa County elections officials saw the biggest ratio of fake-to-legitimate write-in candidates in recent memory: Among 90,433 entries in write-in slots, 1,738 were votes for legitimate write-in candidates.
Each fake entry cost Arizona counties money and manpower and slowed down the tabulation process, said Maricopa County Recorder Helen Purcell, who oversees elections.
“They think they’re making some kind of a statement or being cute,” Purcell said.
The rise of write-in candidates - over 90,000 in one small-turnout primary election, strikes me as a very interesting untold story about the election and a metric of voter frustration with the whole process.
So don't be afraid to go off the board -- it is your right, no matter how much it irritates petty bureaucrats. Mal Reynolds for President!
I saw this at Flowing Data -- this is apparently a chart prepared by some sustainability group at MIT to map solar potential of different sites in Cambridge, MA
Look at all the sites marked "excellent". I have news for the brilliant folks at MIT. Even the best, flattest roof facing south in Cambridge, MA still rates a "sucks" for solar potential. (source)
Even with massive state and Federal subsidies, those of us who live in the bright red areas find that roof-top solar PV is still an - at best - marginal investment with very long payback times. We all hope to change this in the future, but there is no way a city like Cambridge with approximately half the solar insolation we get in AZ is going to have "excellent" roof top solar PV sites.
In 2010, Arizona v0ters passed proposition 100, a 1% "temporary" sales tax increase that was meant to help fill in the budget hole created by the recession. The tax was only to last 3 years.
It is pretty clear that by the end of 2013, when the tax expires, the rationale for the temporary tax cut will have passed. Already the state's finances are improving and all signs are that by 2014 the economy and real estate market should be greatly recovered.
But, having got taxpayers used to paying the higher tax, supporters of big government and public employees unions have put a proposition on the ballot this year (204) to make the 2010 tax increase permanent. The tax extension will go to a mish-mash of new programs.
This is how the government spending ratchet works. A "temporary" tax increase is justified in a fiscal emergency to fill in a recession-created hole. Government insiders decide they like having more money, and make the tax permanent. The new money is used to create brand new programs. Then, in the next recession, when all these brand new programs are now "essential" and "beyond the reach of even the worst austerity", a new, even higher "temporary" tax increase is necessary.
JP Morgan finds itself under the government microscope for having heartlessly... cooperated with the government four years ago
The U.S. Department of Justice and New York Attorney General Eric Schneiderman teamed up last week to sue J.P. Morgan in a headline-grabbing case alleging the fraudulent sale of mortgage-backed securities.
One notable detail: J.P. Morgan didn't sell the securities. The seller was Bear Stearns—yes, the same Bear Stearns that the government persuaded Morgan to buy in 2008. And, yes, the same government that is now participating in the lawsuit against Morgan to answer for stuff Bear did before the government got Morgan to buy it....
As for the federal government's role, it's helpful to recall some recent history: In the mid-2000s, Bear Stearns became—outside of Fannie Mae and Freddie Mac—perhaps the most reckless financial firm in the housing market. Bear was the smallest of the major Wall Street investment banks. But instead of allowing market punishment for Bear and its creditors when it was headed to bankruptcy, the feds decided the country could not survive a Bear failure. So they orchestrated a sale to J.P. Morgan and provided $29 billion in taxpayer financing to make it happen.
The principal author of the Bear deal was Timothy Geithner, who was then the president of the Federal Reserve Bank of New York and is now the Secretary of the Treasury. Until this week, we didn't think the Bear intervention could look any worse.
Somewhere there was a legal department fail here - I can't ever, ever imagine buying a company with Bear's reputation that was sinking into bankruptcy without doing either via an asset sale or letting the mess wash through Chapter 7 so there could be an old bank / new bank split. But Bank of America made exactly the same mistake at roughly the same time with Countrywide, so it must have appeared at the time that the government largess here (or the government pressure) was too much to ignore.
From Byron Schlomach at Goldwater:
For this calculation, actuaries assume a rate of return on all the money invested. The assumed rate of return, or “discount rate”, makes a big difference in how big current liabilities might be. For example, if you invested enough now to pay back a $100 debt in 10 years and you expected a rate of return of 5 percent each year, you would need to invest $61.39. But, if you expected an 8 percent return each year, you would only need to invest $46.32 today.
Arizona’s government pension funds use a discount rate of either 8 or 8.25 percent, considerably higher than the 5 percent they have actually earned over the last decade. Consequently, while Arizona’s unfunded pension liabilities are officially $16 billion, a huge sum, the unfunded liabilities using the actual rate of return of 5 percent are more like $37 billion. That’s $5,800 for every man, woman, and child in the state.
Administrative bloat is a natural tendency of organizations. I am not entirely sure why, though I understand some of the drivers. Never-the-less, I have seen it in nearly every organization I have worked in or consulted for.
Even the best-run private companies still have this problem. To remain competitive, then, they have to come through every few years and wield the ax on these growing staffs, almost like trimming back a hedge that keeps trying to overgrow your house. I spent a depressing amount of time as a consultant helping them. It is uncomfortable, sometimes heartbreaking work, and one wonders the whole time why there is not some better way to keep staff in check. To my mind, there is a still a great academic work to be written on this topic some day.
The alternative, in organizations that can get away with it, is administrative bloat. Like, for example, in this public institution:
via Mark Perry, now at AEI
That staff adds up to an incredible billion dollars in administrative salaries, or nearly $21,000 a year per full-time student. And remember, if this is just salaries, the actual cost is much higher because they all need offices, supplies, travel, etc.
I wasn't planning on watching the debates, but my wife made me watch the first 20 minutes. Is this really what passes for political discourse in this country? I was particularly struck by the appeals to unnamed authorities -- both candidates said something like "I saw a study the other day [unnamed] that said my plan was great" or "your plan was bad." Seriously pathetic.
And, after the corporatism and cronyism of the last 8+ years, the fact that Romney could not explain why it made sense to cut tax rates but eliminate deductions just convinced me he deserves to lose. He was losing to class warfare rhetoric on tax cuts, when he should have been taking the high ground, even with the occupy wall street folks, saying that it was time to stop tilting the tax code towards special interests and populist fads at least one of which -- the tilting of the tax code to home ownership -- helped drive the recent economic downturn.
I blog and don't tend to debate in real time, because I always think of great quips hours later, but even I had the perfect rejoinder for Obama in real time when he said, "I think we should return to Clinton era tax rates, when the economy was great and growing." Romney should have said, "If I am President, I will happily work with Democrats to do just that, as long as they agree to return to Clinton era spending levels. After all, if government policy during that era was really so perfect for the economy, then spending levels must have been appropriate as well."
I don't plan to watch any more of this garbage until and unless they include someone other than the Coke and Pepsi candidates. I'd like to see Gary Johnson but heck, even adding a Marxist would probably help.
OK, there are lots of reasons to get Obama out of office. The problem is, that for most of them, I have no reasonable hope that Romney will be any better. Corporatism? CEO as Venture-Capitalist-in-Chief? Indefinite detentions? Lack of Transparency? The Drug War? Obamacare, which was modeled on Romneycare? What are the odds that any of these improve under Romney, and at least under Obama they are not being done by someone who wraps himself in the mantle of small government and free markets, helping to corrupt the public understanding of those terms.
So I am pretty sure I cannot vote for Romey. I really like Gary Johnson and I am pretty sure he will get my vote. Republican friends get all over me for wasting my vote, saying it will just help Obama win. So be it -- I see both candidates undertaking roughly the same actions and I would rather that bad statist actions be taken in the name of Progressives rather than in the name of someone who purports to be free market.
To test my own position, I have been scrounging for reasons to vote for Romney. I have two so far:
1. Less likely to bail out Illinois when its pension system goes broke in the next few years
2. I might marginally prefer his Supreme Court nominees to Obama's
That is about all I have. Stretching today, I have come up with a third:
3. If we have a Republican in the White House, the press will start doing its job and dig into the facts about drone strikes and warrant-less wiretapping.
You know the press are in full defense mode protecting their guy in office when the only press that reports on the ACLU's accusation about sky-rocketing wire tapping under Obama are the libertarians at Reason and the Marxists at the World Socialist Web site. Four years ago the New York Times would have milked this for about a dozen articles. It may take a Republican President to get the media to kick back into accountability mode over expansions of executive power.
I work in a small, four-story suburban office building. I have seen our fire drills and can look out at our parking lot, and I would be surprised if there are 200 people in the building. A few months ago some division of Chrysler moved in and took a bunch of the space. A lot still remains empty (which is why I am here -- cheap!)
The Chrysler folks put a sign downstairs a few days ago saying that they would be hosting a luncheon for the building. Great, I thought, a free hot dog and some fruit salad. Imagine my shock when I saw this when I arrived today:
Chrysler sent three full semi-trailers, one of cars and two of convention-type booths and displays, plus a whole crew of people to set this up, all for a lunch in our building with less than 200 people. I thought maybe that we were just getting a preview of a larger public event, but I am looking out my window now and they are tearing down again. Crazy.
One thing that even many libertarians get wrong: Wasting money is not unique to government entities. Private and public entities can become senescent, and grow bureaucracies that lose focus on what they are supposed to be doing. The difference between the private and the pubic sphere, though, is that for private companies, markets eventually enforce discipline (either forcing change or killing off the bloated entity). There is no similar mechanism for state agencies short of perhaps absolute bankruptcy, and Greece is proving even that is not enough to force change.
Of course, when the government gives large private entities with political pull special protections and bailouts, then no such accountability is enforced. The same people are operating the company with the same false assumptions and unlearned lessons.
A climate alarmist posts a "Bet" on a site called Truthmarket that she obviously believes is a dagger to the heart of climate skeptics. Heck, she is putting up $5,000 of her own money on it. The amazing part is that the proposition she is betting on is entirely beside the point. She is betting on the truth of a statement that many skeptics would agree with.
This is how the climate debate has gone wrong. Alarmists are trying to shift the debate from the key points they can't prove to facile points they can. And the media lets them get away with it.
Read about it in my post this week at Forbes.com
I always suspected government jobs programs and job training programs were a waste of time. I never imagined they were total vaporware:
"There are no jobs!" That is what people told me outside a government "jobs center" in New York City.
To check this out, I sent four researchers around the area. They quickly found 40job openings. Twenty-four were entry-level positions. One restaurant owner told me he would hire 12 people if workers would just apply.
It made me wonder what my government does in buildings called "job centers." So I asked a college intern, Zoelle Mallenbaum, to find out. Here's what she found:
"First I went to the Manhattan Jobs Center and asked, "Can I get help finding a job?" They told me they don't do that. 'We sign people up for food stamps.' I tried another jobs center. They told me to enroll for unemployment benefits."
So the "jobs" centers help people get handouts. Neither center suggested people try the 40 job openings in the neighborhood.
From John Stossel, who has a lot more at the source link.
I frequently write here that almost never does a month go by, even in a state where I have operated for over 10 years, that I don't discover yet another tax I owe or license I must obtain.
Today, I got a note from the state of Arizona that we must license our two septic pumping trucks with the state. Already, these are licensed each year with the County in which they operate, a process that includes a fee (of course) and an inspection by the County. Now I have to fill out a bunch of forms to send the exact same information to the state, with yet another fee (of course) and the need for another inspection each year by the County. I asked if my current County license would suffice to cover the inspection, and I was told no. So, to operate this truck in Arizona I must
- Fill out forms and send fee to County
- Get inspected by County
- Fill out forms with the same information as already sent to County and send fee to State
- Get inspected yet again by County, but this time on the state form
- Repeat every year
It is interesting to note that the state does nothing except file my form and bank the fee. This is just another money and power grab -- more cash for the bureaucracy and yet another useless task (filing these forms and sending out compliance letters, etc) to justify their headcount. Then the next time someone suggests "brutal cuts" to state budgets, everyone can scream that the rivers will run brown with sewage because the state won't have the people to collect all the paperwork that duplicates what the County already collects.
Just after wasting an hour or two of my time with this (and sending it to my managers to waste days of their time), I got a happy note from the US Census Bureau that I had been selected to file quarterly reports about my business (they have a special survey of the lodging business -- I presume they do this for other industries as well). I wrote back:
To Whom It May Concern:
I am not sure what we have done wrong to be punished with this extra workload, but unless I hear back from you that this report is required of us by law under threat of some sort of dire consequence, we will not be filling it out.
We are a small company and only I, the President, am equipped to fill out this form. We already fill out your annual survey and it is incredibly time-consuming for us, for it asks for data in ways we do not normally track it. Further, it asks for our P&L in a form that does not match GAAP accounting, which causes all sorts of difficulties in completing it. And we don’t normally compile results on a quarterly basis, only annual, so this report would be particularly onerous. We actually have to run a business here.
Finally, I might add, I am loathe to send the government yet more data since this data will likely just be used as a justification to raise my taxes or increase our regulatory burden.
So no thanks.
PS- let's just assume the "you have a crappy job" jokes have already been made and move forward from there in the comments.
Reacting to the unbelievable economic ignorance he has seen in recent campaign ads, Don Boudreaux writes
If astronomy operated similarly to politics, the world’s top astronomers would compete furiously amongst themselves to see who could most effectively assure the general public that the sun orbits around a stationary flat earth – a flat earth that was created just 4,000 years ago and which sits atop a tower of turtles.
I am happy to vociferously criticize the many shortcomings in US civil liberties. But one are where I can't agree with other civil libertarians is their frequent homage to Europe as the home of civil liberties enlightenment. Kudos, of course, to countries like Holland and more recently Portugal for reasonable drug laws. But Europeans have many problems we do not share, particularly in protecting, or not protecting free speech. Here is another example, from Sweden. Just because they have a reputation for sexual freedom does not make them a civil liberties paradise:
One of the prime arguments I have always made about the Assange asylum case is that his particular fear of being extradited to Sweden is grounded in that country's very unusual and quite oppressive pre-trial detention powers: ones that permit the state to act with anextreme degree of secrecy and which can even prohibit the accused from any communication with the outside world.....
Svartholm is now being held under exactly the pretrial conditions that I've long argued (based on condemnations from human rights groups) prevail in Sweden:
"Gottfrid Svartholm will be kept in detention for at least two more weeks on suspicion ofhacking into a Swedish IT company connected to the country's tax authorities. According to Prosecutor Henry Olin the extended detention is needed 'to prevent him from having contact with other people.' The Pirate Bay co-founder is not allowed to have visitors and is even being denied access to newspapers and television. . . .
"Since he hasn't been charged officially in the Logica case the Pirate Bay co-founder could only be detained for a few days.
"But, after a request from Prosecutor Henry Olin this term was extended for another two weeks mid-September, and last Friday the District Court decided that Gottfrid could be detained for another two weeks.
"To prevent Gottfrid from interfering with the investigation the Prosecutor believes it's justified to detain him for more than a month without being charged....
Unlike in the British system, in which all proceedings, including extradition proceedings, relating to Assange would be publicly scrutinized and almost certainly conducted in open court, the unusual secrecy of Sweden's pre-trial judicial process, particularly the ability to hold the accused incommunicado, poses a real danger that whatever happened to Assange could be effectuated without any public notice....
By the way, the whole sexual freedom thing? Uh-uh. Which is another reason Assange is worried, since women can pretty much retroactively any sex they later regret as a sexual assault.
I got a note from some advocacy group asking me to lend my voice to stopping some cut in SBA lending. This is what they linked to:
A federal program designed to help small businesses with commercial real estate mortgages is coming to an end this week.
The U.S. Small Business Administration’s 504 loan refinancing program, which expires Thursday, allowed companies to refinance real estate and equipment loans.
SBA 504 loans for new purchases are still available.
I had a couple of thoughts
- Why do we need a government program for commercial real estate and equipment financing? These are the only two sectors of small business lending that are robust right now. I get 3 calls a week trying to give me equipment financing.
- The SBA has already pretty much killed small business cash flow lending. Basically, if you want a loan secured only by cash flow, the SBA is your only choice. Why would a bank make such a loan privately when they can make it and get an SBA gaurantee paid for by the client? As a result, no bank even has a desk for non-SBA lending, and since SBA lending is hard, many don't have an SBA desk any more.
I can't prove it, but I am convinced the SBA has killed innovation in the private lending market to small businesses.
Update: Another thought - the SBA is the barely-useful quid pro quo cited by statists from all the fantastically expensive and time-consuming regulation that gets dumped on small businesses. Well, I don't want it. I don't want to give statists any cover that this is somehow an equal bargain. It's a quarter flipped up on one side of the scale to balance ten tons of bullshit on the other side. It's like sending flowers to someone you raped.
Consumers should cheer the news that low-cost competitors may be coming to the smartphone data market:
FreedomPop's service, which begins operations on Monday, will offer users half a gigabyte of high-speed wireless data per month free and sell more at cheaper rates than what the big carriers charge: one gigabyte for $10 a month and five gigabytes for $35 a month.
Verizon's new data plans, by comparison, charge $80 a month for six gigabytes of data, plus a smartphone connection fee of $40 a month that also comes with unlimited calls and texts.
FreedomPop says much of its income won't come from selling data. Instead, it will sell additional services, such as a Turboboost feature that for a fee will guarantee the fastest speeds available to a user even when on a congested network.
Ahh, but look at the last sentence. This looks to me like it could well run afoul of the whole "net neutrality" BS, as they will be charging to put someone's traffic ahead of another's. Here is my prediction: Like almost all government regulation, net neutrality laws, which their authors probably imagined would keep large players like Verizon in check, will actually be used by Verizon and AT&T to squash upstart competitors like these guys (I can't even write the word "FreedomPop" because it seems to be one of the most painfully bad names I have heard in a sector full of bad corporate and product names).
Mike Rizzo raises a point that is a common theme here at Coyote Blog. People often propose a statist solution because they distrust some private actor (e.g. large corporations) and want someone with power over the top of them. However, to create such a regulatory structure, one has to give even more power to the state's regulator than the corporation has. At least one has the choice of whether or not to deal with a private entity (unless of course it is a government-enforced monopoly, but that just takes us back to statism). We give private actors power only to the extent that we choose to transact with them. When we give government power, there is no longer this sort of opt-out. Rizzo observes:
Just ask the person a question. “I can respect why you think this. But can you do me a favor? Can you imagine getting your ideal world in place, and then rather than “your guys” being in charge, how would you feel if the person/people running it were people you completely mistrusted, despised and disagreed with? Would you feel good about your system? Why or why not?”
I tell folks all the time - I don't trust private actors any more than the people in government. What I trust more are their incentives and the tools I have for enforcing accountability on them.
These two articles were back to back in my feed reader this morning. First, Joe Biden argues that medical procedures should be free if you feel you need one
“Everyone knows, everyone in this room knows that President Obama has increased the benefits available to people on Medicare by the action he took,” Biden said. “You are now able to go get a wellness exam, and guys, if you conclude you need a colonoscopy because of the feeling you had or you need a breast health examination, you don’t have to pay a co-pay for that.”
And then I got this from China
As part of its 8 day Golden Week celebration, China's central planners decided to do a good thing for the people and remove all tolls from expressways. That was the populist explanation. The fundamental one was that this act would somehow spur the economy. Alas, while the same people may have saved some transit money in the process, what they did not save was on transit times. As South China Morning Post reports, millions were promptly stuck in traffic jams as a result of the politburo's generosity. From SCMP: "A bid by authorities tostimulate the economy by suspending road tolls for the "golden week" holiday brought huge tailbacks across the mainland yesterday as almost 86 million travelers took to the roads. That's 13.3 per cent more than on the first day of the National Day holiday last year." And then the fun began.
"One traveller blogged that he could only move 200 metres in an hour on the Zhengzhou to Shijiazhuang expressway in Henan province. Others said the queue of cars on the Guangzhou to Shenzhen expressway was 40 kilometres long. All roads leading out of Guangdong were jammed, with cars moving at about a kilometre an hour in front of some toll gates. Provincial traffic-management authorities estimated traffic on expressways would increase by 40 to 80 per cent compared with the same period last year, the Shenzhen Special Zone Daily reported. The People's Daily reported dozens of accidents on 24 highways across the mainland, further aggravating the congestion."
Since the government still keeps hammering down doctor supply, through enforcement of tough licensing procedures and through price caps (that keep getting cut) on doctor visits, we should soon be seeing the equivalent of this highway traffic jam in medicine. Which is why every socialized medicine country in the world has queues and why their citizens keep flying to the US for treatment.