This problem goes deeper than mere felony disenfranchisement, it's a matter of racial marginalization. Nationwide this figure is even more stark with 1/3 of the Nation's African-American males being denied the right to vote, largely due to our country's "war on drugs". Acemoglu and Robinson often use America as the poster-child for inclusivity, but seeing the correlation between the states that currently enact restrictive voting laws that disenfranchise African Americans and the states with strong histories of slavery, segregation, and discrimination, it's clear that these legacies are persistent and we aren't as far from the days of Jim Crow as we'd like to think.
Thursday, November 7, 2013
Ex-Felon Disenfranchisement In Virginia
The Heavy Censorship In China
- [Knock, knock]
- Who is it?
- Room Service (in Hotel) / Checking water usage
(at Home)!
- Ok. [Open the door]
- Freeze! Police!
This might be an effective way to catch a crafty
criminal. However, imagine it in everyday life, when one day you are staying at
home, surfing on the Internet and suddenly get caught like that without knowing
why. Wouldn't that be horrifying? This scenario actually happens in China
often, even today. Unlike the American government, which protects and supports
the free media and makes sure other forces can’t silence it (thanks to the virtuous circle), the Chinese
government itself actually silences/forbids the free media a lot due to its
extractive structure: Facebook, YouTube and a lot of other international
websites are made inaccessible in China and many of the political related
articles, history books that describe the truth but oppose the government's
opinions or reveal some of its down sides can't be published and sold in
Mainland China and can only be read secretly. People are not allowed to discuss
the sensitive issues online or to spread any anti-government thoughts. If they
do so, the contents will soon be "Hexie" - an Internet censorship - and
they themselves might be caught/guarded using the way of "Room
Service" of "Check Water Usage" mentioned above.
Sunday, November 3, 2013
Google's Going to Try to Cure Death.
On October 30th, Jon Stewart joked about Google's newest ventures that seemed to have little to do with their search engines. It's newest investment, a company called Calico, and a cover story in Time Magazine have caused quite a stir.
Short for the California Life Company, Calico has a fairly ambitious goal: to solve death. Tim Cook, Chief Executive Officer to Apple wrote in his own Google+ statement:
OK … so you’re probably thinking wow! That’s a lot different from what Google does today. And you’re right. But as we explained in our first letter to shareholders, there’s tremendous potential for technology more generally to improve people’s lives. So don’t be surprised if we invest in projects that seem strange or speculative compared with our existing Internet businesses.
Google's goal may be lofty - Larry Page, Google's CEO, calls it a "moon shot" - but it's a goal to benefit society. However, should Google achieve this goal, the company itself would benefit too.
In chapter 3 of Why Nations Fail, Acemoglu and Robinson argue that economic prosperity is the result of "inclusive economic institutions [which] foster economic activity, productivity growth, and economic prosperity." (p. 75) Acemoglu and Robinson highlight the importance of property rights and how, when people have confidence due to inclusive economic institutions that they will gain from their own innovations, they creatively invent benefitting the public. Without these property rights, US companies would not take the risks they are taking today.
No one's saying Google's reversing the aging process any time soon but within the economically inclusive institutions of the US, they're going to try.
Short for the California Life Company, Calico has a fairly ambitious goal: to solve death. Tim Cook, Chief Executive Officer to Apple wrote in his own Google+ statement:
OK … so you’re probably thinking wow! That’s a lot different from what Google does today. And you’re right. But as we explained in our first letter to shareholders, there’s tremendous potential for technology more generally to improve people’s lives. So don’t be surprised if we invest in projects that seem strange or speculative compared with our existing Internet businesses.
Google's goal may be lofty - Larry Page, Google's CEO, calls it a "moon shot" - but it's a goal to benefit society. However, should Google achieve this goal, the company itself would benefit too.
In chapter 3 of Why Nations Fail, Acemoglu and Robinson argue that economic prosperity is the result of "inclusive economic institutions [which] foster economic activity, productivity growth, and economic prosperity." (p. 75) Acemoglu and Robinson highlight the importance of property rights and how, when people have confidence due to inclusive economic institutions that they will gain from their own innovations, they creatively invent benefitting the public. Without these property rights, US companies would not take the risks they are taking today.
No one's saying Google's reversing the aging process any time soon but within the economically inclusive institutions of the US, they're going to try.
The Overlooked Costs
The Congo literally is too rich for its own good. It
boasts “abundant deposits of copper, gold, diamonds, cobalt, uranium, coltan,
and oil,” but, in tradition of the country, laid out in this article, they
continue to be obtained in an extractive manner that destroys not only wallets
but, more importantly, lives. Dictators and the elite “(bleed) the country of
billions of dollars”, while “nothing but misery and death (has been brought) to
the very people who live on top” of the whole country's potential fortune and future.
This is the true shame of the situation. Most of our
focus is on economic failure, as if an economy is a life to mourn. That
situation is of course lamentable and leads to wide scale “human suffering” (as
we saw in the downfall of South America and the unfathomable toll of the slave
trade) , but we get wrapped up in the big picture and fail to connect with the individual
human loss like Innocent.
Cooperatives
Acemoglu and Robinson discuss at length the issues with extractive institutions, arguing instead for more inclusive ones that maximize and broaden social participation and individual freedom. One way to do this in a broadly capitalist context is through cooperatives. Generally speaking, cooperatives tend to be small-scale organizations like local credit unions or co-op markets. One, however, is very different than the rest - the Mondragon Corporation. It was founded in the 1950's by a Basque priest, originally as a miniscule manufacturing company. Today, it is a large firm that operates in multiple sectors of the economy. Mondragon is a remarkably successful story of how cooperation between capital and labor - that is, a more inclusive business model within a generally inclusive economy - can work wonders.
As economist John C. Medaille writes,
Mondragon's motto - "Humanity at Work"
Taken from UnitedDiversity.coop
As economist John C. Medaille writes,
"MondragĂłn has a unique form of
industrial organization. Each worker is a member of two organizations,
the General Assembly and the Social Council. The first is the supreme
governing body of the corporation, while the second functions in a
manner analogous to a labor union. The General Assembly represents the
workers as owners, while the Social Council represents the owners as
workers. Voting in the General Assembly is on the basis of 'one worker,
one vote,' and since the corporation operates entirely form internal
funds, there are no outside shareholders to outvote the workers in their
own cooperatives. Moreover, it is impossible for the managers to form a
separate class which lords it over both shareholders and workers and
appropriates to itself the rewards that belong to both; the salaries of
the highest-paid employee is limited to 8 times that of the lowest paid. MondragĂłn has a 50 year history of growth that no capitalist organization can match," ("The Economics of Distributism V: The Practice of Distributism").
It's clear that Mondragon is a model of institutional inclusivity. By empowering rather than using its workers, the whole company thrives.
IBM
In 1980, IBM owned about three-quarters of the computer market. They were huge, and the CEO, John Opel, had plans for more growth in the future. He challenged the company to grow to create $100 billion in revenue per year by 1990, up from $40 billion when he made the challenge. But this plan changed the behaviors of IBM's employees. With their director's grand vision in mind, they set about business strategies that maximized profit in predictable ways. The business increased output of existing technologies and neglected new markets. IBM's profits increased in the next few years. But with technology changing every year, other companies like Compaq grew faster by embracing new technology. Because of this mistake, IBM lost it's place as a major player in the PC marketplace.
IBM's business strategy is similar to the Soviet Union's central control strategy in the 20th century. Like IBM, the Soviet Union tried to attain growth by allocating resources to the areas where they already knew they would succeed, and by trying to motivate workers with incentives. Both grew rapidly at first, and then fell apart later. Both institutions ultimately lost their power because they did not have incentives for innovation and new technology.
http://www.devilsadvocategroup.com/ibm-beware-of-bhags/
Oil: Blessing or Curse?
In one of the poorest regions of the world lie the resources that allow some men to make a killing. Diamonds, iron ore, and especially oil have proven to be detrimental to the masses in Africa in the past, leading to inhumane practices and gross mistreatment of human beings. One simply has to watch the movie "Blood Diamond" to gain perspective on this issue. However, as this article states, "For the first time in decades, though, there is some reason to hope that a better model is emerging that may be more successful in bringing the benefits of Africa's extraordinary endowments to the people who need them most."
New regulations from the EU and United States are being put in place to keep the money earned from these exploits in the country themselves, rather than being sent offshore to executives' bank accounts. However, not all are optimistic about these safeguards from extractive institutions. The chair of the Global Alliance for Tax Justice argues that there will still be corrupt officials, regardless of the inclusive institutions put in place. However, one universal idea underlies the crux of Africa's problems, one that A and R would agree with. Without a stable, centralized government, the discovery of oil in Africa will remain a curse, not a blessing.
New regulations from the EU and United States are being put in place to keep the money earned from these exploits in the country themselves, rather than being sent offshore to executives' bank accounts. However, not all are optimistic about these safeguards from extractive institutions. The chair of the Global Alliance for Tax Justice argues that there will still be corrupt officials, regardless of the inclusive institutions put in place. However, one universal idea underlies the crux of Africa's problems, one that A and R would agree with. Without a stable, centralized government, the discovery of oil in Africa will remain a curse, not a blessing.
Improvement and Persistance in Liberia
The recently released Ibrahim Index of African Governance has Liberia ranked as the most improved nation "in terms of overall governance since 2000". With the ending of Liberia's devastating civil war over 10 years ago, the country began the transition into more inclusive institutions. Their overall progress is positive, with the biggest improvements seen in the category of "Safety and Rule of Law". This improvement suggests that the Liberian government is becoming more centralized, a key aspect of a move toward inclusive institutions. However, despite major improvements, Liberia had its lowest ranking in the category of "Sustainable Economic Opportunity". Without economic opportunities to provide incentive, the country will not be able to experience significant sustained growth.
Another article also discusses the corruption that persists in the Liberian police force. According to the article, the police "simply take what they like"from street vendors. It is this sort of insecure property rights that Acemoglu and Robinson point to as stifling the incentive for entrepreneurship.
Another article also discusses the corruption that persists in the Liberian police force. According to the article, the police "simply take what they like"from street vendors. It is this sort of insecure property rights that Acemoglu and Robinson point to as stifling the incentive for entrepreneurship.
Obamacare and Creative Destruction
For fifteen million Americans that utilize private health insurance, challenges with Obamacare are incredibly frustrating. The anxieties and frustrations expressed over this massive shift in health insurance is due to its difficulty in transitioning into a functional institution, and especially with the difficulty of transitions in the private sector of health insurance.
These frustrations are aggravated by misunderstandings, as well; Obama frequently said that Americans who were satisfied with their plans would not have to change their plans. It seems now that Obama only meant this in reference to people whose health insturance was provided through their employer, Medicare, or Medicaid. It is likely that Obama was trying to divert these fears of creative destruction in order to gain support for Obamacare.

Initial understandings claimed that policies which were in effect since March 23, 2010 were originally expected to be grandfathered in without any changes, but later the Department of Health and Human Services elaborated further that if any part of a health insurance policy was changed since that date, it would not be grandfathered in (any change such as to co-pay, deductible, benefits, etc.). Estimates claim that "because of normal turnover in the individual insurance market, “40 to 67 percent” of customers will not be able to keep their policy," NBC reports.
Policies that don't match standards will have to be dropped; old policies are being dropped for new ones and two million Americans that previously used private health insurance have been notified that they will have to change their plan, The Atlantic reports. It is quite obvious that the massive reconstruction and shifts within the health insurance market is ultimately what is driving the fear and anger of many Americans. The plan is intended to greatly increase health insurance of the masses in the long term, but for many Americans it is completely undesirable in the short term.
These frustrations are aggravated by misunderstandings, as well; Obama frequently said that Americans who were satisfied with their plans would not have to change their plans. It seems now that Obama only meant this in reference to people whose health insturance was provided through their employer, Medicare, or Medicaid. It is likely that Obama was trying to divert these fears of creative destruction in order to gain support for Obamacare.
Initial understandings claimed that policies which were in effect since March 23, 2010 were originally expected to be grandfathered in without any changes, but later the Department of Health and Human Services elaborated further that if any part of a health insurance policy was changed since that date, it would not be grandfathered in (any change such as to co-pay, deductible, benefits, etc.). Estimates claim that "because of normal turnover in the individual insurance market, “40 to 67 percent” of customers will not be able to keep their policy," NBC reports.
Policies that don't match standards will have to be dropped; old policies are being dropped for new ones and two million Americans that previously used private health insurance have been notified that they will have to change their plan, The Atlantic reports. It is quite obvious that the massive reconstruction and shifts within the health insurance market is ultimately what is driving the fear and anger of many Americans. The plan is intended to greatly increase health insurance of the masses in the long term, but for many Americans it is completely undesirable in the short term.
Google Glass
Google Glass
The new "connected eyeware", Google Glass, provides an excellent example of the economic innovation that contract enforcement, technology development, private entrepreneurial investment yield. While the article was an initial report on a conspicuous barge located in the San Francisco Bay, which was later confirmed to be a future "floating Google store", the background is a profound example of many modern economic institutions that have brought prosperity to modern states and individuals.Several miraculous economic stimulants and safeguards were casually mentioned throughout the article. The first was the description of leasing agreements, which are enforced by the United States courts, and allow economic agreements to take place without fear of a contractual partner reneging on the terms. The second was the mention of a patent for a water-based cooling system for data centers. Patents allow entrepreneurs to make major informational and financial investments to innovate their industries without having their patented ideas stolen by business competitors. The third, a regulation on business by the state, is the requirement of a permit to dock the barge near the San Franciscan shoreline, which would require the permit to be purchased from the city. In short, political institutions may implement a variety of policies that bring about economic prosperity as well as legislate regulations on businesses, some of which allow the state to extract some of the profits both directly and indirectly.
Saturday, November 2, 2013
The Diffusion of Destruction
In chapter 10, Acemoglu and Robinson make the argument that it was France's invasion into much of Western Europe that allowed it to impose inclusive political institutions in those areas including rule of law, the dismantling of the feudal system, and the weakening of guilds which eventually led to the creation of wealth.
However, unlike France's invasions, America's invasion of Iraq did not result in the establishment of inclusive political and economic institutions. Why have America's efforts to stabilize the country not had the same results? This issue is incredibly complex, but from a perspective geared towards the reading, I argue that America failed to promote centralization, establish rule of law, and stamp out corruption based on religious differences in the country. Citizens cannot participate inclusive institutions like voting when their government is unable to guarantee basic security and ensure fair elections. Terrorism and Iraq's dark history with extractive institutions make an easy, quick transition to an inclusive government a dream. The United States should have made strengthening the government, reducing corruption, and establishing rule of law priorities over large military engagements. Institutional solidarity, created with Iraq's unique culture in mind, should have been a bigger priority.
However, unlike France's invasions, America's invasion of Iraq did not result in the establishment of inclusive political and economic institutions. Why have America's efforts to stabilize the country not had the same results? This issue is incredibly complex, but from a perspective geared towards the reading, I argue that America failed to promote centralization, establish rule of law, and stamp out corruption based on religious differences in the country. Citizens cannot participate inclusive institutions like voting when their government is unable to guarantee basic security and ensure fair elections. Terrorism and Iraq's dark history with extractive institutions make an easy, quick transition to an inclusive government a dream. The United States should have made strengthening the government, reducing corruption, and establishing rule of law priorities over large military engagements. Institutional solidarity, created with Iraq's unique culture in mind, should have been a bigger priority.
Thursday, October 31, 2013
Extractive Dual Economy in Zimbabwe
The extractive institutions of Zimbabwean mining industry, diamond mining in particular, are representative of the extraction from the days of Rhodesian neo-apartheid. Celia W. Dugger writes in a 2009 New York Times Article: "Zimbabwe’s military, controlled by President Robert Mugabe’s political party, violently took over diamond fields in Zimbabwe last year and has used the illicit revenues to buy the loyalty of restive soldiers and enrich party leaders, Human Right's Watch charged in a report released Friday." The corruption, however, goes further than that. A News24.com article explains that "About $2 billion in Zimbabwe's diamond revenues have been unaccounted for since 2008" and goes on to explain that this money could be funding much worse than Robert Mugabe's super-mansion.
Monday, October 28, 2013
Espionage Scandal
This past week, information has come out that the United States has been using resources to spy on over 60 million phone calls in Spain, according to USA TODAY. Jose Manuel Garcia Margallo, the Prime Minister of Foreign Relations in Spain, is outraged, saying that he has asked the US Embassy previously for information on this. He claims that it could severely change relations between the US and Spain. A document provided by former NSA employee Edward Snowden allegedly shows that the NSA collected this information from December 2012 until January 2013. This is an extremely important critical juncture in foreign affairs between the USA and Europe. If these reports are in fact true, the trust that has long existed between Spain and other European countries and the United States could be lost, making further international relations extremely difficult. As a nation, the United States needs to provide an explanation before relations with these other powerful countries cease being lucrative. Other countries that have been implicated in this NSA scandal include France and Germany, who are both demanding explanations from the White House. A nation needs to keep its allies, and if these reports are validated, the United States will be at a risk of losing the friendly relations it has enjoyed, and as history has shown time and time again, nothing good comes from hostile relations.
Sunday, October 27, 2013
Change is Brewing in Saudi Arabia
Acemoglu and Robinsons' idea of persistence and path dependency may appear to hold historically, but Saudi Arabia seems to be quite dissatisfied with this idea. They are opting for "Plan B": generate a critical juncture or two and perpetuate meaningful change. Saudi Arabia has been broiled in conflict in recent history and has fallen into civil war; their populace is aching for change.
Their most recent push for cultural change has come as long oppressed Saudi women have begun to attempt to push off many of the long held restrictions that they have been held over. Currently, women in Saudi Arabia are not permitted to drive because of extremely strict interpretations of religious texts, but they are taking to the streets to demonstrate against this inequality. Women have planned group drives through main thoroughfares to bring the issue to the attention of their fellow women, their oppressors, and the world at large. Although no rules have been changed as of yet, support is growing, and change is imminent. Hopefully, this progressive movement won't stop with just new driving laws.
Their most recent push for cultural change has come as long oppressed Saudi women have begun to attempt to push off many of the long held restrictions that they have been held over. Currently, women in Saudi Arabia are not permitted to drive because of extremely strict interpretations of religious texts, but they are taking to the streets to demonstrate against this inequality. Women have planned group drives through main thoroughfares to bring the issue to the attention of their fellow women, their oppressors, and the world at large. Although no rules have been changed as of yet, support is growing, and change is imminent. Hopefully, this progressive movement won't stop with just new driving laws.
The Royal African Company
In 1672 a new company was formed in England, The Royal African Company. This company was comprised entirely of wealthy merchants from London looking to make a profit on the slave trade. It was a monopoly given by the King Charles II. This company was very profitable not only because it was granted a monopoly, but also because there was a high demand for slaves in the Caribbean. Between 1680 and 1686 an average of 5000 slaves a year were transported to the Caribbean.
However, after the Glorious Revolution in 1688, Parliament gained a lot more power relative to the Crown. English economics became more inclusive, partly because different groups could petition Parliament with their own cause, and if it was just, Parliament was likely to listen. Groups like the Society of Merchant Venturers had more power and influenced Parliament to repeal the Royal African Company's monopoly on the slave trade. This is just one example of how the critical juncture, the Glorious Revolution changed English economics to be more inclusive.
However, after the Glorious Revolution in 1688, Parliament gained a lot more power relative to the Crown. English economics became more inclusive, partly because different groups could petition Parliament with their own cause, and if it was just, Parliament was likely to listen. Groups like the Society of Merchant Venturers had more power and influenced Parliament to repeal the Royal African Company's monopoly on the slave trade. This is just one example of how the critical juncture, the Glorious Revolution changed English economics to be more inclusive.
Mexican Corruption
Acemoglu and Robinson, authors of Why Nations Fail, argue that political institutions have a direct correlation to the economic success of nations. Living conditions in Mexico vary greatly with those of the United States. A reason for these differences is the difference in the solidty of the nations' central governement. Mexico's central government is considerably weaker than that of the United States and is full of corruption which has crippled the nation's ability to advance for decades. In, Corruption in Mexico, Once Rarely Exposed, Is Starting to Come to Light , Karla Zabludovsky writes about the corruption of Mexican governor, AndrĂ©s Granier. Granier says in a recording, “We go to Fifth Avenue and buy a pair of shoes; $600. I took clothes to Miami, I took clothes to CancĂșn, I took clothes to my house, and I have leftovers. I’m going to auction them off.” This is an interesting lifestyle for a government official who makes a reported $92,000 a year. It is also very interesting that Granier lived this lavish lifestyle considering his successor discovered that about $190 million in government funds were unaccounted for under Granier. This money could have been used to improve state programs and institutions for the people of Mexico, but instead was used to fund the extravagant lifestyle of a corrupt government official. Corruption in Mexico's central government is the reason there is so much poverty in Mexico today.
Free Elections in Madagascar
Since gaining independence in 1960, the island nation of Madagascar has been a hotbed for divisive and often violent politics. In 2009, a coup ousted elected president Marc Ravalomanana as concern over the distribution of the nation's economic growth arose. While Madagascar operated as a constitutional democracy, the economic growth was highly unbalanced and extractive leading to much tension that culminated in the coup that removed Ravalomanana from the presidency.
But four years later, it appears that Madagascar is finally taking steps to return to more inclusive political institutions. The nation held a presidential election Friday that appears to reflect the genuine will of the public. Because power has been transferred back to the people, both candidates have campaigned on platforms that intend to "help the unemployed" and improve education standards. Free elections have effectively forced political candidates to take on positions that are politically, economically, and socially inclusive.
While the results of the election will not be known for weeks, it will take even longer to gauge the success of Madagascar's transition to inclusive institutions. If free elections can turn the tide that has risen in the last four years of social unrest, then Madagascar may be in for sustainable economic growth in the future.
But four years later, it appears that Madagascar is finally taking steps to return to more inclusive political institutions. The nation held a presidential election Friday that appears to reflect the genuine will of the public. Because power has been transferred back to the people, both candidates have campaigned on platforms that intend to "help the unemployed" and improve education standards. Free elections have effectively forced political candidates to take on positions that are politically, economically, and socially inclusive.
While the results of the election will not be known for weeks, it will take even longer to gauge the success of Madagascar's transition to inclusive institutions. If free elections can turn the tide that has risen in the last four years of social unrest, then Madagascar may be in for sustainable economic growth in the future.
Saturday, October 26, 2013
India's bridge collapse prior to Commonwealth Game 2010
One and a half month before Commonwealth Game 2010 was hosted in India, the bridge next to Jawaharial Nehru Stadium, the main venue for the Commonwealth Game, collapsed into three pieces. This only added up to the already bad conditions prior to the Game, such as security concern where two tourists have been shot outside Jama Masjid, the prevalent spread of dengue fever, and the traffic chaos. These unfavorable conditions to host the Game has caused some athletes to pull out of the competition.
I believe that India's poor preparation for the Commonwealth Game is correlated with the still-existing traces of extractive institution in Indian government. The practice of bribery is commonplace in India and this results in an ineffective allocation of resources. For example, looking specifically at the bridge collapse case, construction companies could bribe the government to take on the bridge building project and hence, the government may not choose the most decent company to take on this project. This might explain why the "costs are running 17 times the original estimates, and the government's anti-corruption watchdog has identified 16 projects with suspect financing." Unless the prevalence of graft could be reduced and minimized, it will be a great impediment to the creation of inclusive political and economic situation where individuals or companies can compete on equal footing.
Wednesday, October 23, 2013
Singapores Dual Economy
This dual economy is a bit different from the classic model of a dual economy of which South Africa is a good example. In Singapore "the 2 sectors does not fall within the class distinction of the have and the have-nots, ie. one where income and wealth inequality explains much of the difference between the two classes," and therefore one sector does not work as an extractive power over the other. The international sector "did not seem to boost the welfare of ordinary Singaporeans as much as the GDP growth numbers implied, and they are not hurting Singaporeans very much on the way down, either."
Sunday, October 20, 2013
Obamacare and Medical Monopolies
As Obamacare officially became law with the reopening of our government, the importance of healthcare and healthcare costs in America will only grow. Healthcare in America is already very expensive because our system is incredibly complex, it is for profit, and government oversight is severely lacking both in quality and quantity. With the new mandate that (just about) every citizen must have insurance by around March, the medical market place is about to become much more complicated. However, a critical flaw in our medical system that is entirely unnecessary is the presence of medical monopolies.
Certain hospitals across America are merging together to form a monopoly on healthcare services. Once in possession of these monopolies, hospitals can drive prices even higher than they already are. Of course, these aren't official monopolies but steps to "streamline" healthcare for the consumer. Much like England from the 15th to the end of the 17th century, monopolies are still an issue in America because companies continually find loopholes to exploit the system. Combine this problem with the impeding shortage of primary care physicians, the lack of residencies to train doctors who actually have MDs so that they can work, and an aging population, the roller coaster ride that is healthcare is just getting started. It seems to be the natural instinct of both American and English businessmen to use the system to reach the top, then destroy the ladder so no one else can challenge them.
Certain hospitals across America are merging together to form a monopoly on healthcare services. Once in possession of these monopolies, hospitals can drive prices even higher than they already are. Of course, these aren't official monopolies but steps to "streamline" healthcare for the consumer. Much like England from the 15th to the end of the 17th century, monopolies are still an issue in America because companies continually find loopholes to exploit the system. Combine this problem with the impeding shortage of primary care physicians, the lack of residencies to train doctors who actually have MDs so that they can work, and an aging population, the roller coaster ride that is healthcare is just getting started. It seems to be the natural instinct of both American and English businessmen to use the system to reach the top, then destroy the ladder so no one else can challenge them.
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