Fidel Castro Died Yesterday!

Bahamut

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Why Is Cuba’s Health Care System the Best Model for Poor Countries



Cuba has become a world-class medical powerhouse with very limited resources, while “the US squanders perhaps 10 to 20 times what is needed for a good, affordable medical system.” As a result, the Cuban infant mortality rate is “below that of the US and less than half that of US Blacks,” and Americans can hardly claim to have a health care system.

by Don Fitz www.realcuba.wordpress.com

“Cuban-trained doctors know their patients by knowing their patients’communities.”

Furious though it may be, the current debate over health care in the US is largely irrelevant to charting a path for poor countries of Africa, Latin America, Asia and the Pacific Islands. That is because the US squanders perhaps 10 to 20 times what is needed for a good, affordable medical system. The waste is far more than 30% overhead by private insurance companies. It includes an enormous amount of over-treatment, making the poor sicker by refusing them treatment, creation of illnesses, exposure to contagion through over-hospitalization, and disease-focused instead of prevention-focused research.

Poor countries simply cannot afford such a health system. Well over 100 countries are looking to the example of Cuba, which has the same 78-year life expectancy of the US while spending 4% per person annually of what the US does.

The most revolutionary idea of the Cuban system is doctors living in the neighbourhoods they serve. A doctor-nurse team is part of the community and know their patients well because they live at (or near) the consultorio (doctors’ office) where they work. Consultorios are backed up by policlinicos which provide services during off-hours and offer a wide variety of specialists. Policlinicos coordinate community health delivery and link nationally designed health initiatives with their local implementation.

Cubans call their system medicina general integral (MGI, comprehensive general medicine). Its programs focus on preventing people from getting diseases rather than curing them after they are sick

This has made Cuba extremely effective in control of everyday health issues. Having doctors ‘ offices in every neighbourhood has brought the Cuban infant mortality rate below that of the US and less than half that of US Blacks. Cuba has a record unmatched in dealing with chronic and infectious diseases with amazingly limited resources. These include (with date eradicated): polio (1962), malaria (1967), neonatal tetanus (1972), diphtheria (1979), congenital rubella syndrome (1989), post-mumps meningitis (1989), measles (1993), rubella (1995), and TB meningitis (1997).

“Programs focus on preventing people from getting diseases rather than curing them after they are sick.”

The MGI integration of neighbourhood doctors’ offices with area clinics and a national hospital system also means the country responds well to emergencies. It has the ability to evacuate entire cities during a hurricane largely because consultorio staff know everyone in their neighbourhood and who to call for help getting disabled residents out of harms way. At the same time New York City (roughly the same population as Cuba) had 43,000 cases of AIDS, Cuba had 200 AIDS patients. More recent emergencies such as outbreaks of dengue fever are quickly followed by national mobilizations.

Perhaps the most amazing aspect of Cuban medicine it that, despite its being a poor country itself, Cuba has sent over 124,000 health care professionals to provide care to 154 countries. In addition to providing preventive medicine Cuba sends response teams following emergencies (such as earthquakes and hurricanes) and has over 20,000 students from other countries studying to be doctors at its Latin American School of Medicine in Havana (ELAM, Escuela Latinoamericana de Medicina).

In a recent Monthly Review article, I gave in-depth descriptions of ELAM students participating in Cuban medical efforts in Haiti, Ghana and Peru. What follows are 10 generalizations from Cuba’s extensive experience in developing medical science and sharing its approach with poor countries throughout the world. The concepts form the basis of the New Global Medicine and summarize what many authors have observed in dozens of articles and books.

First, it is not necessary to focus on expensive technology as the initial approach to medical care. Cuban doctors use machines that are available, but they have an amazing ability to treat disaster victims with field surgery. They are very aware that most lives are saved through preventive medicine such as nutrition and hygiene and that traditional cultures have their own healing wisdom. This is in direct contrast to Western medicine, especially as is dominant in the US, which uses costly diagnostic and treatment techniques as the first approach and is contemptuous of natural and alternative approaches.

“At the same time New York City (roughly the same population as Cuba) had 43,000 cases of AIDS, Cuba had 200 AIDS patients.”

Second, doctors must be part of the communities where they are working. This could mean living in the same neighbourhood as a Peruvian consultorio. It could mean living in a Venezuelan community that is much more violent than a Cuban one. Or it could mean living in emergency tents adjacent to where victims are housed as Cuban medical brigades did after the 2010 earthquake in Haiti. Or staying in a village guesthouse in Ghana. Cuban-trained doctors know their patients by knowing their patients’ communities. This differs sharply from US doctors, who receive zero training on how to assess homes of their patients.

Third, the MGI model outlines relationships between people that go beyond a set of facts. Instead of memorizing mountains of information unlikely to be used in community health, which US students must do to pass medical board exams, Cuban students learn what is necessary to relate to people in consultorios, policlinicos, field hospitals and remote villages. Far from being nuisance courses, studies in how people are bio-psycho-social beings are critical for the everyday practice of Cuban medicine.

Fourth, the MGI model is not static but is evolving and unique for each community. Western medicine searches for the correct pill for a given disease. In its rigid approach, a major reason for research is to discover a new pill after “side effects” of the first pill surface. Since traditional medicine is based on the culture where it has existed for centuries, the MGI model avoids the futility of seeking to impose a Western mindset on other societies.

Fifth, it is necessary to adapt medical aid to the political climate of the host country. This means using whatever resources the host government is able and willing to offer and living with restrictions. Those hosting a Cuban medical brigade may be friendly as in Venezuela and Ghana, hostile as is the Brazilian Medical Association, become increasingly hostile as occurred after the 2009 coup in Honduras, or change from hostile to friendly as occurred in Peru with the 2011 election of Ollanta Humala. This is quite different from US medical aide which, like its food aide, is part of an overall effort to dominate the receiving country and push it into adopting a Western model.

Sixth, the MGI model creates the basis for dramatic health effects. Preventive community health training, a desire to understand traditional healers, the ability to respond quickly to emergencies, and an appreciation of political limitations give Cuban medical teams astounding success. During the first 18 months of Cuba ‘ s work in Honduras following Hurricane Mitch, infant mortality dropped from 80.3 to 30.9 per 1000 live births. When Cuban health professionals intervened in Gambia, malaria decreased from 600,000 cases in 2002 to 200,000 two years later. And Cuban/Venezuelan collaboration resulted in 1.5 million vision corrections by 2009. Kirk and Erisman conclude that “almost 2 million people throughout the world” owe their very lives to the availability of Cuban medical services. ”

“US medical aide which, like its food aide, is part of an overall effort to dominate the receiving country.”

Seventh, the New Global Medicine can become reality only if medical staff put healing above personal wealth. In Cuba, being a doctor, nurse or support staff and going on a mission to another country is one of the most fulfilling activities a person can do. The program continues to find an increasing number of volunteers despite the low salaries that Cuban health professionals earn. There is definitely a minority of US doctors who focus their practice in low income communities which have the greatest need. But there is no political leadership which makes a concerted effort to get physicians to do anything other than follow the money.

Eighth, dedication to the New Global Medicine is now being transferred to the next generation. When students at Cuban schools learn to be doctors, dentists or nurses their instructors tell them of their own participation in health brigades in Angola, Peru, Haiti, Honduras and dozens of other countries. Venezuela has already developed its own approach of MIC (medicina integral comunitaria, comprehensive community medicine) which builds upon but is distinct from Cuban MGI. Many ELAM students who work in Ghana as the Yaa Asantewaa Brigade are from the US. They learn approaches of traditional healers so they can compliment Ghanaian techniques with Cuban medical knowledge.

Ninth, the Cuban model is remaking medicine across the globe. Though best-known for its successes in Latin America, Africa and the Caribbean, Cuba has also provided assistance in Asia and the Pacific Islands. Cuba provided relief to the Ukraine after the 1986 Chernobyl meltdown, Sri Lanka following the 2004 tsunami, and Pakistan after its 2005 earthquake. Many of the countries hosting Cuban medical brigades are eager for them to help redesign their own health care systems. Rather than attempting to make expensive Western techniques available to everyone, the Cuban MGI model helps re-conceptualize how healing systems can meet the needs of a country’s poor.

“Many ELAM students who work in Ghana as the Yaa Asantewaa Brigade are from the US.”

Tenth, the new global medicine is a microcosm of how a few thousand revolutionaries can change the world. They do not need vast riches, expensive technology, or a massive increase in personal possessions to improve the quality of people’s lives. If dedicated to helping people while learning from those they help, they can prefigure a new world by carefully utilizing the resources in front of them. Such revolutionary activity helps show a world facing acute climate change that it can resolve many basic human needs without pouring more CO2 into the atmosphere.

Discussions of global health in the West typically bemoan the indisputable fact that poor countries still suffer from chronic and infectious diseases that rich countries have controlled for decades. International health organizations wring their hands over the high infant mortality rates and lack of resources to cope with natural disasters in much of the world.

But they ignore the one health system that actually functions in a poor country, providing health care to all of its citizens as well as millions of others around the world. The conspiracy of silence surrounding the resounding success of Cuba’s health system proves the absolute unconcern by those who piously claim to be the most concerned.

How should progressives respond to this feigned ignorance of a meaningful solution to global health problems? A rational response must begin with spreading the word of Cuba’s New Global Medicine through every source of alternative media available. The message needs to be: Good health care is not more expensive — revolutionary medicine is far more cost effective than corporate controlled medicine.

*Don Fitz is editor of Synthesis/Regeneration: A Magazine of Green Social Thought. He is Co-Coordinator of the Green Party of St. Louis and produces Green Time in conjunction with KNLC-TV 24.
(taken from cubandemocracy)

 

Razor

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Chutiya incompetent agency to be exact.

They have failed n number of times and some times miserable.

That small country is only few miles off the Miami coast yet they could not manage to kill this guy.

Pretty shameful for an agency which has 50 billion dollar budget and 20000 men at its disposal
"chutiya incompetent agency", even better. :lol:

But I'm guessing KGB was active in covering Castro.

Also I think the most effective agencies are Israeli.
 

OrangeFlorian

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Socialized Healthcare vs. The Laws of Economics
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TAGS HealthInterventionismOther Schools of ThoughtPrices

07/28/2009Thomas J. DiLorenzo


The government's initial step in attempting to create a government-run healthcare monopoly has been to propose a law that would eventually drive the private health insurance industry out of existence. Additional taxes and mandated costs are to be imposed on health insurance companies, while a government-run "health insurance" bureaucracy will be created, ostensibly to "compete" with the private companies. The hoped-for end result is one big government monopoly which, like all government monopolies, will operate with all the efficiency of the post office and all the charm and compassion of the IRS.

Of course, it would be difficult to compete with a rival who has all of his capital and operating costs paid out of tax dollars. Whenever government "competes" with the private sector, it makes sure that the competition is grossly unfair, piling costly regulation after regulation, and tax after tax on the private companies while exempting itself from all of them. This is why the "government-sponsored enterprises" Fannie Mae and Freddie Mac were so profitable for so many years. It is also why so many abysmally performing "public" schools remain in existence for decades despite their utter failure at educating children.

America's Healthcare Future?
Some years ago, the Nobel-laureate economist Milton Friedman studied the history of healthcare supply in America. In a 1992 study published by the Hoover Institution, entitled "Input and Output in Health Care," Friedman noted that 56 percent of all hospitals in America were privately owned and for-profit in 1910. After 60 years of subsidies for government-run hospitals, the number had fallen to about 10 percent. It took decades, but by the early 1990s government had taken over almost the entire hospital industry. That small portion of the industry that remains for-profit is regulated in an extraordinarily heavy way by federal, state and local governments so that many (perhaps most) of the decisions made by hospital administrators have to do with regulatory compliance as opposed to patient/customer service in pursuit of profit. It is profit, of course, that is necessary for private-sector hospitals to have the wherewithal to pay for healthcare.

Friedman's key conclusion was that, as with all governmental bureaucratic systems, government-owned or -controlled healthcare created a situation whereby increased "inputs," such as expenditures on equipment, infrastructure, and the salaries of medical professionals, actually led to decreased "outputs" in terms of the quantity of medical care. For example, while medical expenditures rose by 224 percent from 1965–1989, the number of hospital beds per 1,000 population fell by 44 percent and the number of beds occupied declined by 15 percent. Also during this time of almost complete governmental domination of the hospital industry (1944–1989), costs per patient-day rose almost 24-fold after inflation is taken into account.

The more money that has been spent on government-run healthcare, the less healthcare we have gotten. This kind of result is generally true of all government bureaucracies because of the absence of any market feedback mechanism. Since there are no profits in an accounting sense, by definition, in government, there is no mechanism for rewarding good performance and penalizing bad performance. In fact, in all government enterprises, exactly the opposite is true: bad performance (failure to achieve ostensible goals, or satisfy "customers") is typically rewarded with larger budgets. Failure to educate children leads to more money for government schools. Failure to reduce poverty leads to larger budgets for welfare state bureaucracies. This is guaranteed to happen with healthcare socialism as well.

Costs always explode whenever the government gets involved, and governments always lie about it. In 1970 the government forecast that the hospital insurance (HI) portion of Medicare would be "only" $2.9 billion annually. Since the actual expenditures were $5.3 billion, this was a 79 percent underestimate of cost. In 1980 the government forecast $5.5 billion in HI expenditures; actual expenditures were more than four times that amount — $25.6 billion. This bureaucratic cost explosion led the government to enact 23 new taxes in the first 30 years of Medicare. (See Ron Hamoway, "The Genesis and Development of Medicare," in Roger Feldman, ed., American Health Care, Independent Institute, 2000, pp. 15-86). The Obama administration's claim that a government takeover of healthcare will somehow magically reduce costs is not to be taken seriously. Government never, ever, reduces the cost of doing anything.

All government-run healthcare monopolies, whether they are in Canada, the UK, or Cuba, experience an explosion of both cost and demand — since healthcare is "free." Socialized healthcare is not really free, of course; the true cost is merely hidden, since it is paid for by taxes.

Whenever anything has a zero explicit price associated with it, consumer demand will increase substantially, and healthcare is no exception. At the same time, bureaucratic bungling will guarantee gross inefficiencies that will get worse and worse each year. As costs get out of control and begin to embarrass those who have promised all Americans a free healthcare lunch, the politicians will do what all governments do and impose price controls, probably under some euphemism such as "global budget controls."

Price controls, or laws that force prices down below market-clearing levels (where supply and demand are coordinated), artificially stimulate the amount demanded by consumers while reducing supply by making it unprofitable to supply as much as previously. The result of increased demand and reduced supply is shortages. Non-price rationing becomes necessary. This means that government bureaucrats, not individuals and their doctors, inevitably determine who will get medical treatment and who will not, what kind of medical technology will be available, how many doctors there will be, and so forth.

All countries that have adopted socialized healthcare have suffered from the disease of price-control-induced shortages. If a Canadian, for instance, suffers third-degree burns in an automobile crash and is in need of reconstructive plastic surgery, the average waiting time for treatment is more than 19 weeks, or nearly five months. The waiting time for orthopaedic surgery is also almost five months; for neurosurgery it's three full months; and it is even more than a month for heart surgery (see The Fraser Institute publication, Waiting Your Turn: Hospital Waiting Lists in Canada). Think about that one: if your doctor discovers that your arteries are clogged, you must wait in line for more than a month, with death by heart attack an imminent possibility. That's why so many Canadians travel to the United States for healthcare.

All the major American newspapers seem to have become nothing more than cheerleaders for the Obama administration, so it is difficult to find much in the way of current stories about the debacle of nationalized healthcare in Canada. But if one goes back a few years, the information is much more plentiful. A January 16, 2000, New York Times article entitled "Full Hospitals Make Canadians Wait and Look South," by James Brooke, provided some good examples of how Canadian price controls have created serious shortage problems.

  • A 58-year-old grandmother awaited open-heart surgery in a Montreal hospital hallway with 66 other patients as electric doors opened and closed all night long, bringing in drafts from sub-zero weather. She was on a five-year waiting list for her heart surgery.

  • In Toronto, 23 of the city's 25 hospitals turned away ambulances in a single day because of a shortage of doctors.

  • In Vancouver, ambulances have been "stacked up" for hours while heart attack victims wait in them before being properly taken care of.

  • At least 1,000 Canadian doctors and many thousands of Canadian nurses have migrated to the United States to avoid price controls on their salaries.
Wrote Mr. Brooke, "Few Canadians would recommend their system as a model for export."


$14



Canadian price-control-induced shortages also manifest themselves in scarce access to medical technology. Per capita, the United States has eight times more MRI machines, seven times more radiation therapy units for cancer treatment, six times more lithotripsy units, and three times more open-heart surgery units. There are more MRI scanners in Washington state, population five million, than in all of Canada, with a population of more than 30 million (See John Goodman and Gerald Musgrave, Patient Power).

In the UK as well — thanks to nationalization, price controls, and government rationing of healthcare — thousands of people die needlessly every year because of shortages of kidney dialysis machines, pediatric intensive care units, pacemakers, and even x-ray machines. This is America's future, if "ObamaCare" becomes a reality.

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aditya10r

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He did some bad things and some good things like every leader but under him the Cuban people had houstheir own country back and stop against imperialism and brought pride in the country .No one even a dictator can rule that long without support of the people .
Really

I think Deng Xiaoping was the best commie leader of 20th century.

He kick started china economically and made an industrial power house.
 

aditya10r

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"chutiya incompetent agency", even better. :lol:

But I'm guessing KGB was active in covering Castro.

Also I think the most effective agencies are Israeli.
There is a saying

If you don't hear about a secret Intel agency in any accident,that means they are working great.

That's what they should be,extremely silent and deadly.

MOSSAD is the most powerful agency I think,their ability to gather Intel,kill terrorists is unbeatable.
 

Bahamut

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Really

I think Deng Xiaoping was the best commie leader of 20th century.

He kick started china economically and made an industrial power house.
Deng Xiaoping was very good in terms of economics but his successor created a huge debt problem but as for the best leader of 20 century , then it is easily Lee Kuan Yew of Singapore
 

aditya10r

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Deng Xiaoping was very good in terms of economics but his successor created a huge debt problem but as for the best leader of 20 century , then it is easily Lee Kuan Yew of Singapore
Yes,but to a larger extent it's Deng Xiaoping,he had to deal with hostilities and had to cater a very large population and he was pretty damn good at that
 

OrangeFlorian

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A guy called Pinochet.
He was a US puppet, and similar to say (recent eg. ) Ukraine, he overthrew a democratically elected leader.
A democratically elected leader who was opposed by the congress and turned Chile into a Weimar Republic and destroyed the economy. Chile is economically the strongest country in South America because of Pinochet.
 
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Razor

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A democratically elected leader who was opposed by the congress and turned Chile into a Weimar Republic and destroyed the economy. Chile is economically the strongest country in South America because of him.
I don't know much about S.America's economics perhaps @Sakal Gharelu Ustad or maybe @pmaitra knows.

I do know that the US likes to experiment with leaders, by "peaceful" coups and sometimes buy off the whole "Congress" or whatever.
 

Bahamut

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A democratically elected leader who was opposed by the congress and turned Chile into a Weimar Republic
I am sorry to correct you but the US companies were in involved in illegal business there and broke the rule and were rightfully expelled out of country but what America did next was wrong and Pinochet was a complete manic with even now his own people hate him completely .Weimar republic was not socialist in nature , it was Presidential republic .Plus US congress has no right to decide which leader is democratic or not
 

OrangeFlorian

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Chile: Socialism, Dictatorship, and Liberalism
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TAGS Free MarketsPolitical Theory

01/13/2005Ryan McMaken
With Augusto Pinochet awaiting trial for ordering the killing, torture, and imprisonment of political dissidents during the 1970's, Chilean politics is back in the news. This is still a sore spot for most every Chilean, and even here in America, any sympathetic mention of either Pinochet or his Marxist predecessor Salvador Allende can provoke some harsh words.

American leftists hate Pinochet for all the wrong reasons, despising his role in liberating the Chilean economy and ending Allende's drive toward making Chile into another Cuba. Still convinced that Fidel Castro is Latin America's most enlightened leader, many Che Guevera devotees still chafe under Allende's ignominious defeat.

Just as disturbing is the fact that many conservatives did—and still do—look the other way on Pinochet's record on torture and suspension of basic liberties. Indeed, conservatives in the US have recently argued for the merit of torture and detention as effective means of controlling dissident populations. T he fact remains, however, that few subjects inspire more debate among students of Latin American history than the Pinochet question, although its days as anything more than an academic issue may soon be numbered.

For most Chileans, and especially the young, the dark days of the junta have become quite irrelevant in the daily lives of modern Chileans. While Chile is rarely found in the sensationalist American news, the economic realities of modern Chile are often in the international financial news. Chile, it turns out, is a great place to invest and to do business. Unlike many Latin American countries, Chile is not notable for its strongman politics (like Venezuela) or its ongoing guerilla wars (like Colombia), but is rather a place where people prefer to get on with the business of doing business.

One might even say that Chile has become a nation of shopkeepers—a phrase once derisively used by foreign observers to describe the British. Throughout the 1990's, and today, under the current administration of "socialist" Ricardo Lagos, Chile has furiously been attempting to secure free trade agreements with every country it can from New Zealand to South Korea to the United States. Free trade, low debt, low taxes, and relatively laissez-faire economics are at the heart of the ongoing economic expansion in Chile. Long a practical and trade-minded people, the Chileans are now enjoying the fastest growing economy in Latin America, and are considered an increasingly good investment choice by the world financial community. And, as some have said, it is well on its way to becoming a first-world nation.

One would think that a nation on the verge of becoming one of the richest in the world would be a good thing, but one should never underestimate the poor judgment of those clinging to the tenets of defunct economists. The Latin American left, of course, has never been one to admit that capitalism has brought prosperity to anyone anywhere in the history of mankind, so Chile remains a significant thorn in their side.

Much of this is due to the fact that the opening of the Chilean economy came during the Pinochet regime, a regime that embodies the antithesis of all that is good and decent among Latin American leftists. Yet, most insidious for the left is the fact that Chile has so thoroughly repudiated the basic foundations of Dependency Theory. Instructed by bad economics and worse ideology, many intellectuals of Latin America concluded that the reason Latin America had not become a global economic powerhouse was because there had not been enough regulation put on the economy, and that they had been long exploited by the United States and its European allies.

While decades of American meddling in Latin America is hardly deniable, there had never been anything resembling a relatively free market in Latin America with its state-controlled economies and oligarchic rule. And while the region's economies had long groaned under the weight of heavy handed governments, things became worse during the 20th century as such regimes were further encouraged by the theories of European and American socialists of the New Deal variety (i.e., John Maynard Keynes & company) who preached that new trade barriers, price and wage controls, and vast redistribution of wealth would solve the economic problems of the world. Such barriers, it was believed, would free Latin America from international competition and corporate "meddling" and bring prosperity to the whole region.

As has now become obvious, such policies bring anything but prosperity, and the more the Latin Americans attempted to pursue autarky by government fiat, the more their populations sank into poverty and economic ruin. For decades, Chile had remained relatively resistant to Dependency Theory as trade-minded governments under Eduardo Frei and Jorge Alessandri attempted to keep their economies relatively open. Yet the zeitgeist of the time overwhelmed them, and with the ascent of Salvador Allende in 1970, international trade collapsed, private firms were confiscated and nationalized, and hyperinflation took its hold on the country.

The economic disaster all ended badly, as such things tend to do, with a military coup and the Pinochet dictatorship. The downward spiral did not end merely with the end of the Allende regime, however. As even its sympathizers will tell you, the military junta was not a big fan of free-market economics. They preferred an economy that would "obey orders." Yet, protectionism and the controlled economy had proven to be such an abject failure that something had to be done, so with few other options Pinochet turned to disciples of what was then considered the radically free-market Chicago School of Economics. A total economic meltdown was avoided. The budget was balanced, regulations were lifted, the health care system was freed, and international trade resumed. Markets, as they will always do when given the chance, moved toward providing more goods at cheaper prices, and economic growth quickly began to outpace other Latin American economies.

Perhaps the most remarkable thing about the relative freedom of the Chilean economy has been its resilience during these thirty years since the coup. Naturally, once the Pinochet junta found that the middle classes were prospering under its economic plans, it continued the policies in order to maintain its precious political capital. As a junta, it was able to ignore the incessant calls from the left throughout the region to raise taxes, control the economy, and cut off trade. Yet, even after the junta finally fell into undeniable disfavor, the free economy continued, and significantly, even after the election of President Ricardo Lagos, an outspoken opponent of the junta who calls himself a socialist. The economy of Chile has only become more focused on good business, sound money, and extensive trade.

Without a doubt, thirty years ago, a politician with policies like those Lagos now espouses would have been berated as a reactionary free-market extremist and a sell-out to American corporate interests. Yet, unlike the aging communists and liberation-theology types of Latin America who still dream of a great egalitarian revolution, the socialist Lagos is hardly willing to throw out the policies of the Pinochet era simply because they are perceived as "undemocratic."

The Chilean economy after all, has posted growth rates above 7% per year for many years now, and maintains a very small debt load (Chile now has a budget surplus of 2% of GDP), relatively sound currency, and a free business environment. Chileans have savings rates many times in excess of American rates. As Lagos himself now says: "It is not something of the right-wing parties nor the left-wing parties. It's simply sound economic policy."

Lagos has said that he would like to see Chile continue its drive to become a regional trade center doing business all along the pacific rim and throughout the Americas, providing an open port for trade with all the accompanying services and technology. In short, he wants another Singapore.

One should not speak too highly of Lagos, of course, as he is a politician. But, he is a politician who is unwilling to argue with economic success. The real source of Chile's prosperity, which even the politicians grudgingly admit, is the spirit of business, trade, and friendly commerce with all nations that prevails today. Even the heavy-handed attempts by the Lagos administration to mandate English instruction for all school children is, at its heart about more trade, more business, and making more money. Naturally, private sector schools have been teaching English for many years, but the left in Chile has opposed English instruction in the public schools as a part of American cultural "imperialism."

While this writer is certainly not enthusiastic about government schools, it nevertheless stands to reason that if you must have them, teaching English might be a fairly practical thing to do. And fortunately, most Chileans, eager to do more business with the English-speaking nations of the world have better things to do than pound the table and complain about cultural imperialism.

As the value of the American dollar plummets, and spending reels out of control, and Europe sinks ever deeper into a bureaucratic quagmire, Chile is indeed one of the most free and open economies in the world today. James Barrineau of Alliance Capital has recently declared, "it is hard to find fault with Chile these days," and if one compares Chile's per capita government debt of $742 to America's $25,099, it is easy to see why.

Alas, the Chileans' devotion to good business and open trade was once a hallmark of our own nation as well. Yet today, while the Chileans save, Americans and their government, encouraged by the increasingly irresponsible easy money policies of the Federal Reserve, spend and spend while private and government debt piles up. Trade is curtailed through new and old protectionist policies, and as if a study were needed to confirm it, the United States continues to fall on the Economic Freedom Index (from 10th to 12th), and is now behind countries like Chile, Iceland, and Denmark.

Once, long ago, George Washington exhorted his countrymen to pursue nothing more in its international affairs other than peaceful trade with all nations. With a few exceptions, America spent many decades doing just that. Today, in contrast, Americans are taxed by their government to pay for American troops in over 100 foreign nations and to pay the interest on a massive debt financing wars and military interventions in every corner of the globe. To protect ridiculously inefficient agricultural interests, the government lays a heavy tax burden on consumers to subsidize such political largesse, and every year thousands upon thousands of pages of new regulations are written to further control health care, insurance, and every other kind of private enterprise, big and small.

"They hate us because we're free" is the mantra of the global interventionists, yet one can only wonder why cities like Copenhagan, Santiago, Wellington, and Singapore are not near the top of every terrorist's "to do" list. The Chilean government, unlike the American one, is not busy bankrupting itself with hundreds of thousands of troops in a foreign land desecrating mosques and supporting repressive regimes like the Saudi royal family or the Likuds in Israel. They are simply pursuing peaceful commerce with all nations, and they are reaping the rewards.

When a socialist government in Chile acts with more restraint and displays a much greater fondness for sound money and free trade than our own allegedly "conservative" government in America, the time has come to take a serious look at how we do business. As our economy is drained of its freedom and its future by the proponents of debt, protectionism, and incessant intervention abroad, it may soon be clear, that Americans, once so content to make money and do business in peace, have forgotten what liberty and prosperity are all about.
 

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