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	<title>Comments on: Health Care &#8211; A Philosophical Look at Its Present and Future Development</title>
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	<description>SISYPHUS is a magazine that focuses on contemporary issues surrounding art, culture, and language.</description>
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		<title>By: Paul Dolinsky</title>
		<link>http://www.hippocketpress.org/sisyphus/2009/06/health-care-philosophical/comment-page-1/#comment-19</link>
		<dc:creator>Paul Dolinsky</dc:creator>
		<pubDate>Tue, 17 Nov 2009 02:30:06 +0000</pubDate>
		<guid isPermaLink="false">http://66.147.242.179/~hippocke/sisyphus/?p=23#comment-19</guid>
		<description>I&#039;m pleased to see that this article is still generating interest among readers. Are their biological limits to which humans can do, or moral limits on what they ought to do?   And so, individual humans  might manage indefinitely, to elude death&#039;s grasp. Can we continue to play fast and loose with morality as we&#039;re doing with mortality, as our wild dance party with genetics, robotics and computer technology proceeds, with little restraint ?   

    I recently saw a film, &quot;Xchange&quot; (Trimark Pictures, 2001), which explores this whole area in more detail. It depicts the breakdown of conventional mind-body unity and a kind of polymorphic shuffle, or what the film calls &quot;floating&quot; of consciousness from one body to the next, over periods of time.  To occupy another person&#039;s body itself becomes very sensuous. Indeed, in the film, a person who enjoys &quot;floating&quot; could become an avid hedonist, and uses a borrowed body (itself a big turn on) as a plaything. So, one  parties in clubs and tries to experience as much &quot;sex, drugs and rock n&#039; roll&quot; as their borrowed body could tolerate. In general, the whole experience of mind-body transfer could involve great sensuousness, an important philosophical point which Ankur Agarwal also makes in his comment in this Sisyphus Forum.

    At the present time, it is easier to lose oneself in television land or don VR goggles if one wants to experience the world through the senses of an animal or a human-nature sensibility. However, let&#039;s not forget that  literature, art and film and stage also take us, to the &quot;realm the imagination&quot; which assumes a kind of virtual existence in our conscious or unconscious minds. And didn&#039;t Rod Serling use that phrase, years ago, in the opening lines of each Twilight Zone episode on television? The realm of the imagination is indeed, very powerful, yet much safer than virtual and robotic experience. But not as flashy, not as sexy or alluring, perhaps? Maybe the virtual and robotic experience will become a  big new source of revenue for enterprising entrepreneurs...especially if the folks back on the planet can&#039;t  afford trips to a space station or space hotel?  

      Maybe humans will survive long enough to seed other planets, as has already happened here, whether through stardust alone or conscious intervention of non-terrestrial beings. Human beings seek to penetrate nature&#039;s deepest secrets . We stand tall, erect bipeds, gazing at the sky, creating whole new realms for transforming ourselves and the physical world, even as we&#039;ve despoiled the earth. Yet, we cannot but wonder, with Yeats&#039; words in mind, as this epoch unfolds, at what slow beast slouches toward Bethlehem to be born.</description>
		<content:encoded><![CDATA[<p>I&#8217;m pleased to see that this article is still generating interest among readers. Are their biological limits to which humans can do, or moral limits on what they ought to do?   And so, individual humans  might manage indefinitely, to elude death&#8217;s grasp. Can we continue to play fast and loose with morality as we&#8217;re doing with mortality, as our wild dance party with genetics, robotics and computer technology proceeds, with little restraint ?   </p>
<p>    I recently saw a film, &#8220;Xchange&#8221; (Trimark Pictures, 2001), which explores this whole area in more detail. It depicts the breakdown of conventional mind-body unity and a kind of polymorphic shuffle, or what the film calls &#8220;floating&#8221; of consciousness from one body to the next, over periods of time.  To occupy another person&#8217;s body itself becomes very sensuous. Indeed, in the film, a person who enjoys &#8220;floating&#8221; could become an avid hedonist, and uses a borrowed body (itself a big turn on) as a plaything. So, one  parties in clubs and tries to experience as much &#8220;sex, drugs and rock n&#8217; roll&#8221; as their borrowed body could tolerate. In general, the whole experience of mind-body transfer could involve great sensuousness, an important philosophical point which Ankur Agarwal also makes in his comment in this Sisyphus Forum.</p>
<p>    At the present time, it is easier to lose oneself in television land or don VR goggles if one wants to experience the world through the senses of an animal or a human-nature sensibility. However, let&#8217;s not forget that  literature, art and film and stage also take us, to the &#8220;realm the imagination&#8221; which assumes a kind of virtual existence in our conscious or unconscious minds. And didn&#8217;t Rod Serling use that phrase, years ago, in the opening lines of each Twilight Zone episode on television? The realm of the imagination is indeed, very powerful, yet much safer than virtual and robotic experience. But not as flashy, not as sexy or alluring, perhaps? Maybe the virtual and robotic experience will become a  big new source of revenue for enterprising entrepreneurs&#8230;especially if the folks back on the planet can&#8217;t  afford trips to a space station or space hotel?  </p>
<p>      Maybe humans will survive long enough to seed other planets, as has already happened here, whether through stardust alone or conscious intervention of non-terrestrial beings. Human beings seek to penetrate nature&#8217;s deepest secrets . We stand tall, erect bipeds, gazing at the sky, creating whole new realms for transforming ourselves and the physical world, even as we&#8217;ve despoiled the earth. Yet, we cannot but wonder, with Yeats&#8217; words in mind, as this epoch unfolds, at what slow beast slouches toward Bethlehem to be born.</p>
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		<title>By: Ankur Agarwal</title>
		<link>http://www.hippocketpress.org/sisyphus/2009/06/health-care-philosophical/comment-page-1/#comment-18</link>
		<dc:creator>Ankur Agarwal</dc:creator>
		<pubDate>Thu, 15 Oct 2009 16:05:39 +0000</pubDate>
		<guid isPermaLink="false">http://66.147.242.179/~hippocke/sisyphus/?p=23#comment-18</guid>
		<description>Even the hybrids might be &quot;taught&quot; emotions; and with new combinations, new emotions might be generated. So we might not have just the mythological figures in terms of shapes and sizes, we might have a new-generation fantasy played out: even as new emotions, beyond our imagination, since that is based only on our experiences. Even though this now looks as so tempting an adventure to take, what makes me afraid is, where is my personal liberty? There is probably a combination I might never have had, yet there is also a wide framework in which I am defined: and when you define and determine my I, at the most it is me, not I. Almost a sophisticated police state which gives such illusions of freedom and choice! An interesting spinoff is if I assume either an entity (a soul) or some energy components (skandhas) to keep surviving {though here I would like to know how a soul itself is defined as?), then would we have a mix of beings now with energies/soul and beings without them? Or if say an ultimate resultant society in which only hybrids exist, then we just have efficient beings living life and realizing it to that much satisfaction as was incorporated in them; maybe there would not be a higher, a more sublime height of that feeling, not just height but in fact a transcendence, a transformation, but then wouldn&#039;t the human anyway gravitate towards killing himself, the human, in his quest for, what I call funnily as, sexiness?</description>
		<content:encoded><![CDATA[<p>Even the hybrids might be &#8220;taught&#8221; emotions; and with new combinations, new emotions might be generated. So we might not have just the mythological figures in terms of shapes and sizes, we might have a new-generation fantasy played out: even as new emotions, beyond our imagination, since that is based only on our experiences. Even though this now looks as so tempting an adventure to take, what makes me afraid is, where is my personal liberty? There is probably a combination I might never have had, yet there is also a wide framework in which I am defined: and when you define and determine my I, at the most it is me, not I. Almost a sophisticated police state which gives such illusions of freedom and choice! An interesting spinoff is if I assume either an entity (a soul) or some energy components (skandhas) to keep surviving {though here I would like to know how a soul itself is defined as?), then would we have a mix of beings now with energies/soul and beings without them? Or if say an ultimate resultant society in which only hybrids exist, then we just have efficient beings living life and realizing it to that much satisfaction as was incorporated in them; maybe there would not be a higher, a more sublime height of that feeling, not just height but in fact a transcendence, a transformation, but then wouldn&#8217;t the human anyway gravitate towards killing himself, the human, in his quest for, what I call funnily as, sexiness?</p>
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		<title>By: Bradly Jay Keller</title>
		<link>http://www.hippocketpress.org/sisyphus/2009/06/health-care-philosophical/comment-page-1/#comment-17</link>
		<dc:creator>Bradly Jay Keller</dc:creator>
		<pubDate>Tue, 08 Sep 2009 04:22:18 +0000</pubDate>
		<guid isPermaLink="false">http://66.147.242.179/~hippocke/sisyphus/?p=23#comment-17</guid>
		<description>Hi Paul,

A Day Lilly opens and blooms,
Within the span of one full day,
Then fades into seeming emptiness,
As the next beautiful blossom appears.

One&#039;s ego is like a slippery cocoon,
Which can be transcended by letting go,
Like a silk moth leaving its tomb, 
To take flight towards a radiant light.

So you see, just to be oneself, fully, is enough...

Brad</description>
		<content:encoded><![CDATA[<p>Hi Paul,</p>
<p>A Day Lilly opens and blooms,<br />
Within the span of one full day,<br />
Then fades into seeming emptiness,<br />
As the next beautiful blossom appears.</p>
<p>One&#8217;s ego is like a slippery cocoon,<br />
Which can be transcended by letting go,<br />
Like a silk moth leaving its tomb,<br />
To take flight towards a radiant light.</p>
<p>So you see, just to be oneself, fully, is enough&#8230;</p>
<p>Brad</p>
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		<title>By: Paul Dolinsky</title>
		<link>http://www.hippocketpress.org/sisyphus/2009/06/health-care-philosophical/comment-page-1/#comment-16</link>
		<dc:creator>Paul Dolinsky</dc:creator>
		<pubDate>Wed, 02 Sep 2009 05:47:35 +0000</pubDate>
		<guid isPermaLink="false">http://66.147.242.179/~hippocke/sisyphus/?p=23#comment-16</guid>
		<description>I thank Brad for his comment. If life  is impermanent,  so is the whole physical cycle of birth, death, decay and reintegration of the decayed  body into nature. Impermanence would be true for reincarnation, as a kind of subset of birth-death process. The whole cycle of birth and death for the planet and the universe itself, would also be characterized by impermanence. Anything “less” than the whole grasping itself as the whole would also be characterized by impermanence, even human “intimations of immortality:” as Wordsworth wrote, or glimmers of the whole through one’s meditation or insight. 

	Any intimations of a greater whole would already be the pouring the whole into a vessel which is less than the whole.  But this is also the Mystery of Christianity, the Awakening in the Eastern traditions, and the realm of Non-dualism or the One. Brad in effect, describes the “I am” that encompasses dualism,  as beyond predication, beyond knowledge, and beyond discussion. 

	Paradoxically, describing what is beyond predication, is both the grasping of the moment in its fullness and the reaching of the outer shore, as described in Buddhist sutras. Other traditions and philosophies have tried to describe this too, and my favorites on such a list would include Hegel, Plotinus, Heidegger. In physics, the theory of quantum entanglement seems to show that events could happen instantaneously, in places separated by space. In his comment, Brad gives us a taste of how he uses paradox to transcend paradox, as in his description of the “I am ” as that which is non-dual. In his book, Taking Tea With the Buddha: The Gift of Practice, presents many other descriptions along that line, many combined with his own verse.

	So, what do we have here, on which we would agree? Compassion for ourselves and other beings. This is classic Buddhism, if you want to attach a description to this thought. But it’s also the Golden Rule of personal balance, and the treating others the way that one would wish to be treated. Presumably, if this extends to human activities it would have to include commerce and health care, which brings us right back to our original discussion.  I appreciate Brad’s use of verse in his comment, which I hope will help all of us bring our full resources and creativity into this discussion, and indeed to most any discussion among people.  It’s nice to see that Sisyphus shares space with Canary - the poetry zine - here on hippocketpress.com, and indeed, contains poems within its own pages.</description>
		<content:encoded><![CDATA[<p>I thank Brad for his comment. If life  is impermanent,  so is the whole physical cycle of birth, death, decay and reintegration of the decayed  body into nature. Impermanence would be true for reincarnation, as a kind of subset of birth-death process. The whole cycle of birth and death for the planet and the universe itself, would also be characterized by impermanence. Anything “less” than the whole grasping itself as the whole would also be characterized by impermanence, even human “intimations of immortality:” as Wordsworth wrote, or glimmers of the whole through one’s meditation or insight. </p>
<p>	Any intimations of a greater whole would already be the pouring the whole into a vessel which is less than the whole.  But this is also the Mystery of Christianity, the Awakening in the Eastern traditions, and the realm of Non-dualism or the One. Brad in effect, describes the “I am” that encompasses dualism,  as beyond predication, beyond knowledge, and beyond discussion. </p>
<p>	Paradoxically, describing what is beyond predication, is both the grasping of the moment in its fullness and the reaching of the outer shore, as described in Buddhist sutras. Other traditions and philosophies have tried to describe this too, and my favorites on such a list would include Hegel, Plotinus, Heidegger. In physics, the theory of quantum entanglement seems to show that events could happen instantaneously, in places separated by space. In his comment, Brad gives us a taste of how he uses paradox to transcend paradox, as in his description of the “I am ” as that which is non-dual. In his book, Taking Tea With the Buddha: The Gift of Practice, presents many other descriptions along that line, many combined with his own verse.</p>
<p>	So, what do we have here, on which we would agree? Compassion for ourselves and other beings. This is classic Buddhism, if you want to attach a description to this thought. But it’s also the Golden Rule of personal balance, and the treating others the way that one would wish to be treated. Presumably, if this extends to human activities it would have to include commerce and health care, which brings us right back to our original discussion.  I appreciate Brad’s use of verse in his comment, which I hope will help all of us bring our full resources and creativity into this discussion, and indeed to most any discussion among people.  It’s nice to see that Sisyphus shares space with Canary &#8211; the poetry zine &#8211; here on hippocketpress.com, and indeed, contains poems within its own pages.</p>
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		<title>By: Bradly Jay Keller</title>
		<link>http://www.hippocketpress.org/sisyphus/2009/06/health-care-philosophical/comment-page-1/#comment-15</link>
		<dc:creator>Bradly Jay Keller</dc:creator>
		<pubDate>Sat, 29 Aug 2009 01:23:13 +0000</pubDate>
		<guid isPermaLink="false">http://66.147.242.179/~hippocke/sisyphus/?p=23#comment-15</guid>
		<description>Hello Paul,

Nirvana and Samsara,
Atman and Anatman,
That which reincarnates, 
That which does not reincarnate.

All things are transient and therefore do not exist, 
One thing exists and manifests as transience,
Life Activity and Death Activity,
The &quot;I Am&quot; is both empty and luminous.</description>
		<content:encoded><![CDATA[<p>Hello Paul,</p>
<p>Nirvana and Samsara,<br />
Atman and Anatman,<br />
That which reincarnates,<br />
That which does not reincarnate.</p>
<p>All things are transient and therefore do not exist,<br />
One thing exists and manifests as transience,<br />
Life Activity and Death Activity,<br />
The &#8220;I Am&#8221; is both empty and luminous.</p>
]]></content:encoded>
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		<title>By: Paul Dolinsky</title>
		<link>http://www.hippocketpress.org/sisyphus/2009/06/health-care-philosophical/comment-page-1/#comment-14</link>
		<dc:creator>Paul Dolinsky</dc:creator>
		<pubDate>Thu, 13 Aug 2009 06:03:13 +0000</pubDate>
		<guid isPermaLink="false">http://66.147.242.179/~hippocke/sisyphus/?p=23#comment-14</guid>
		<description>I greatly appreciate the responses of people to my article. In this particular response, I&#039;d like to deal with some issues which Robert M. Shelby raises. You present well, Robert, the case against mind-body dualism in the context of a monistic theory that is naturalistic and materialist in framework. In the article, I criticize the dualism between mind and body that prevails today, in Western medicine, in which the body is regarded as a combination of organic parts which could be replaced by mechanical ones.   Permit me to present here, briefly, a monistic account, not of the relationship between the mind and body, but between the life energy of a living person and the so-called soul or that which reincarnates after the death of the body. 

     Buddhism &quot;officially,&quot; in terms of the Buddha&#039;s sermons, is agnostic on the question of Gods existence. Its doctrine of anatman (no abiding self or soul) stands in contrast to the HIndu doctrine  of Atman (Soul), as is well known. Yet, Buddhism does espouse reincarnation. So, the problem then becomes, what is it that incarnates, if there is no abiding self or soul, after the person has died?. I think that Buddhism turns this question around. It doesn&#039;t focus on a non-material soul, but on a collection of energy which may or may persist after a person has died. These are the skandhas, or components of consciousness, as form, feeling and volition.  So, if one has achieved a state of desirelessness, then, the impulse to seek a new form in a new incarnation will not be there. As Robert writes above, this is like the flaming going out, and having no more fuel. This is a popular Buddhist image, comparing losing attachments to extinguishing of the flame of desire, if there is no longer fuel, for it. 

         The highest expression of this cessation of desire is achieved in Nirvana, when desirelessness becomes part of one&#039;s very being (monism) and that collection of energy would no longer seek a new incarnation. But there are gradations of desirelessness and attachment, and so the skandhas might  migrate or gravitate and seek a new material form that corresponds to its level of development; it would mechanistically be attracted toward certain births, in the way that gravity on earth is a mechanistic force. To use an analogy, if there are radio waves, they will go off into space. If there are no radio waves, then there are no radio waves going off into space. Similarly, if there is desire, the imprint of desire in some very subtle form will persist, and eventually assume a body, like a new coat of paint (an image I used in one of my poems!). 

      The collection of skandhas would be centripetal, spinning on its own axis, as it were, like a planet. However, the skandhas would also exist in relationship to compassion which is expansive, and centrifugal energy, not unlike the energy of sun radiating outward. To help others achieve Enlightenment, one might require another incarnation or new birth, as in Mahayana Buddhism. This is generally regarded as the difference between Mahayana and Hinayana (or Theravada) Buddhism.  The question, here, is whether to seek another birth, even to help  other suffering beings, is a form of attachment, or not. My understanding is that compassion is expansive by its nature, so, to be motivated to seek another birth to help other beings, would not be a form of attachment.  

    So, I would say that Buddhism attempts to justify reincarnation on the basis of energy and energetics rather than entities, as the soul. Nonetheless, this account transcends one&#039;s possible experience, and so many people regard it as an article of faith. I myself, would like to accept the account above, but I&#039;m not happy to define myself as a person of faith because altogether too much suffering in the world has been caused by people who justify their acts on the basis of faith. I  myself would rather accept the above account based on possible experience. This is no small thing, for David Hume, the famous 17th century empiricist, rejects objects as having an abiding substance, and defines objects only as the &quot;permanent possibility  of sensation.&quot;  Indeed, in the age of relativity theory. we don&#039;t speak of objects but objects as they exist relative to our perception. However minute and &quot;fundamental&quot; the particle they discover at Cerne (if they ever get the supercollider working long enough to obtain the high speed particle collisions they are seeking),  that particle become the subject of discourse as an object of perception. 

        In the final analysis, what if we don&#039;t reincarnate as new beings, and and we come back as the grass beneath our feet, as Whitman writes. Is that so bad, really, particularly if we live and die, knowing we&#039;ve done our best to preserve the Earth and make this planet a better place for all its inhabitants?</description>
		<content:encoded><![CDATA[<p>I greatly appreciate the responses of people to my article. In this particular response, I&#8217;d like to deal with some issues which Robert M. Shelby raises. You present well, Robert, the case against mind-body dualism in the context of a monistic theory that is naturalistic and materialist in framework. In the article, I criticize the dualism between mind and body that prevails today, in Western medicine, in which the body is regarded as a combination of organic parts which could be replaced by mechanical ones.   Permit me to present here, briefly, a monistic account, not of the relationship between the mind and body, but between the life energy of a living person and the so-called soul or that which reincarnates after the death of the body. </p>
<p>     Buddhism &#8220;officially,&#8221; in terms of the Buddha&#8217;s sermons, is agnostic on the question of Gods existence. Its doctrine of anatman (no abiding self or soul) stands in contrast to the HIndu doctrine  of Atman (Soul), as is well known. Yet, Buddhism does espouse reincarnation. So, the problem then becomes, what is it that incarnates, if there is no abiding self or soul, after the person has died?. I think that Buddhism turns this question around. It doesn&#8217;t focus on a non-material soul, but on a collection of energy which may or may persist after a person has died. These are the skandhas, or components of consciousness, as form, feeling and volition.  So, if one has achieved a state of desirelessness, then, the impulse to seek a new form in a new incarnation will not be there. As Robert writes above, this is like the flaming going out, and having no more fuel. This is a popular Buddhist image, comparing losing attachments to extinguishing of the flame of desire, if there is no longer fuel, for it. </p>
<p>         The highest expression of this cessation of desire is achieved in Nirvana, when desirelessness becomes part of one&#8217;s very being (monism) and that collection of energy would no longer seek a new incarnation. But there are gradations of desirelessness and attachment, and so the skandhas might  migrate or gravitate and seek a new material form that corresponds to its level of development; it would mechanistically be attracted toward certain births, in the way that gravity on earth is a mechanistic force. To use an analogy, if there are radio waves, they will go off into space. If there are no radio waves, then there are no radio waves going off into space. Similarly, if there is desire, the imprint of desire in some very subtle form will persist, and eventually assume a body, like a new coat of paint (an image I used in one of my poems!). </p>
<p>      The collection of skandhas would be centripetal, spinning on its own axis, as it were, like a planet. However, the skandhas would also exist in relationship to compassion which is expansive, and centrifugal energy, not unlike the energy of sun radiating outward. To help others achieve Enlightenment, one might require another incarnation or new birth, as in Mahayana Buddhism. This is generally regarded as the difference between Mahayana and Hinayana (or Theravada) Buddhism.  The question, here, is whether to seek another birth, even to help  other suffering beings, is a form of attachment, or not. My understanding is that compassion is expansive by its nature, so, to be motivated to seek another birth to help other beings, would not be a form of attachment.  </p>
<p>    So, I would say that Buddhism attempts to justify reincarnation on the basis of energy and energetics rather than entities, as the soul. Nonetheless, this account transcends one&#8217;s possible experience, and so many people regard it as an article of faith. I myself, would like to accept the account above, but I&#8217;m not happy to define myself as a person of faith because altogether too much suffering in the world has been caused by people who justify their acts on the basis of faith. I  myself would rather accept the above account based on possible experience. This is no small thing, for David Hume, the famous 17th century empiricist, rejects objects as having an abiding substance, and defines objects only as the &#8220;permanent possibility  of sensation.&#8221;  Indeed, in the age of relativity theory. we don&#8217;t speak of objects but objects as they exist relative to our perception. However minute and &#8220;fundamental&#8221; the particle they discover at Cerne (if they ever get the supercollider working long enough to obtain the high speed particle collisions they are seeking),  that particle become the subject of discourse as an object of perception. </p>
<p>        In the final analysis, what if we don&#8217;t reincarnate as new beings, and and we come back as the grass beneath our feet, as Whitman writes. Is that so bad, really, particularly if we live and die, knowing we&#8217;ve done our best to preserve the Earth and make this planet a better place for all its inhabitants?</p>
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		<title>By: Ted Fleischman</title>
		<link>http://www.hippocketpress.org/sisyphus/2009/06/health-care-philosophical/comment-page-1/#comment-13</link>
		<dc:creator>Ted Fleischman</dc:creator>
		<pubDate>Sun, 09 Aug 2009 23:53:30 +0000</pubDate>
		<guid isPermaLink="false">http://66.147.242.179/~hippocke/sisyphus/?p=23#comment-13</guid>
		<description>Dear Paul Dolinsky,

Thanks for the insightful point-of-view and philosophical essay on health care.  I found many points of agreement, especially when you conclude with &quot;Greed At The Top, and the Future of Humanity.&quot;

I also found the speculation about mind, body, and soul very interesting. I agree that the boundaries seem to be challenged by technology and science, but I would go further and say that the boundaries are dissolving as we discover other animals beside humans have consciousness. Looking at the applications of fractal mathematics to landscapes and biology, I can imagine it also being applied to consciousness.

However, the topic of health care does not lend itself easily to philosophy or mind-body analysis, instead health care is best understood by historical analysis; at least, in my opinion. 

I really don&#039;t attribute the current health care system in the United States to a coherent for-profit system; more directly it is a compromise between the disparate interests of many for-profit entities with government entities, all of which conflicted with each other. In short, a historical accident.

I also don&#039;t believe we can change the current system by showing it is philosophically untenable. The argument needs to be historically and empirically based -- in my opinion.

If I were making the argument for health care change, I would reference the trust-busting history of William McKinley and Theodore Roosevelt. I would also analyze in great detail, clearly, how the current health care system works and how it is likely to fail in the future.

-----
It also helps to understand where the opposition to health care reform comes from.

And, I think it comes from the cadre that follows the leadership of Rush Limbaugh and similar rabble rousers. This large cadre is characterized by the following:

1) no introspection or impartial analysis of the commonly-held beliefs and political positions of the cadre

2) anti-sentimentalism

3) antagonism to government programs that are intended to more equally distribute goods and services to citizens

4) belief that punishment is more effective in shaping human behavior than reward.</description>
		<content:encoded><![CDATA[<p>Dear Paul Dolinsky,</p>
<p>Thanks for the insightful point-of-view and philosophical essay on health care.  I found many points of agreement, especially when you conclude with &#8220;Greed At The Top, and the Future of Humanity.&#8221;</p>
<p>I also found the speculation about mind, body, and soul very interesting. I agree that the boundaries seem to be challenged by technology and science, but I would go further and say that the boundaries are dissolving as we discover other animals beside humans have consciousness. Looking at the applications of fractal mathematics to landscapes and biology, I can imagine it also being applied to consciousness.</p>
<p>However, the topic of health care does not lend itself easily to philosophy or mind-body analysis, instead health care is best understood by historical analysis; at least, in my opinion. </p>
<p>I really don&#8217;t attribute the current health care system in the United States to a coherent for-profit system; more directly it is a compromise between the disparate interests of many for-profit entities with government entities, all of which conflicted with each other. In short, a historical accident.</p>
<p>I also don&#8217;t believe we can change the current system by showing it is philosophically untenable. The argument needs to be historically and empirically based &#8212; in my opinion.</p>
<p>If I were making the argument for health care change, I would reference the trust-busting history of William McKinley and Theodore Roosevelt. I would also analyze in great detail, clearly, how the current health care system works and how it is likely to fail in the future.</p>
<p>&#8212;&#8211;<br />
It also helps to understand where the opposition to health care reform comes from.</p>
<p>And, I think it comes from the cadre that follows the leadership of Rush Limbaugh and similar rabble rousers. This large cadre is characterized by the following:</p>
<p>1) no introspection or impartial analysis of the commonly-held beliefs and political positions of the cadre</p>
<p>2) anti-sentimentalism</p>
<p>3) antagonism to government programs that are intended to more equally distribute goods and services to citizens</p>
<p>4) belief that punishment is more effective in shaping human behavior than reward.</p>
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		<title>By: Robert M. Shelby</title>
		<link>http://www.hippocketpress.org/sisyphus/2009/06/health-care-philosophical/comment-page-1/#comment-12</link>
		<dc:creator>Robert M. Shelby</dc:creator>
		<pubDate>Sun, 02 Aug 2009 00:24:40 +0000</pubDate>
		<guid isPermaLink="false">http://66.147.242.179/~hippocke/sisyphus/?p=23#comment-12</guid>
		<description>[2nd try] Dolinsky &amp; Kane together make a fine presentations. One tiny gnit to pick: Dolinsky in Part 2, B. &quot;The Body &amp; Consciousness&quot; writes of Buddhist Mahayana and Theravada each containing &quot;yana&quot; or 
&quot;vehicle&quot;. Clearly he means Mahayana and Hinayana (which equates to Theravada.) I mention it only because I know he cares about detail.

We need to exorcise from ourselves the semantic ghost of Cartesian split between &quot;consciousness&quot; and &quot;body&quot;. They are distinct only   lexically. Our bodies are not vehicles that &#039;contain&#039; or &#039;carry&#039; consciousness, they ARE CONSCIOUS. Our bodies ARE US. A lake &quot;has a surface.&quot; THE SURFACE IS NOT SEPARATE FROM LAKE-WATER. The wick of a candle when lit is sustained by the candle&#039;s wax when lit, just as our nervous systems are integral with bodies and sustained by them while we live. Crossing over, when our flames go out we are, so to speak, dead candles. We can play with cosmology &amp; metaphysics all we wish, they merely perturb our flames. Everything we know and experience of our bodies lies within mentality. One does not, cannot, know his bodily basis for it transcends mentality and can only equate with spirit, a &#039;physical&#039; basis more physical than physics. (Physics is abstract until actions derived from it make changes in the world.)</description>
		<content:encoded><![CDATA[<p>[2nd try] Dolinsky &amp; Kane together make a fine presentations. One tiny gnit to pick: Dolinsky in Part 2, B. &#8220;The Body &amp; Consciousness&#8221; writes of Buddhist Mahayana and Theravada each containing &#8220;yana&#8221; or<br />
&#8220;vehicle&#8221;. Clearly he means Mahayana and Hinayana (which equates to Theravada.) I mention it only because I know he cares about detail.</p>
<p>We need to exorcise from ourselves the semantic ghost of Cartesian split between &#8220;consciousness&#8221; and &#8220;body&#8221;. They are distinct only   lexically. Our bodies are not vehicles that &#8216;contain&#8217; or &#8216;carry&#8217; consciousness, they ARE CONSCIOUS. Our bodies ARE US. A lake &#8220;has a surface.&#8221; THE SURFACE IS NOT SEPARATE FROM LAKE-WATER. The wick of a candle when lit is sustained by the candle&#8217;s wax when lit, just as our nervous systems are integral with bodies and sustained by them while we live. Crossing over, when our flames go out we are, so to speak, dead candles. We can play with cosmology &amp; metaphysics all we wish, they merely perturb our flames. Everything we know and experience of our bodies lies within mentality. One does not, cannot, know his bodily basis for it transcends mentality and can only equate with spirit, a &#8216;physical&#8217; basis more physical than physics. (Physics is abstract until actions derived from it make changes in the world.)</p>
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		<title>By: Robert M. Shelby</title>
		<link>http://www.hippocketpress.org/sisyphus/2009/06/health-care-philosophical/comment-page-1/#comment-11</link>
		<dc:creator>Robert M. Shelby</dc:creator>
		<pubDate>Sat, 01 Aug 2009 22:43:26 +0000</pubDate>
		<guid isPermaLink="false">http://66.147.242.179/~hippocke/sisyphus/?p=23#comment-11</guid>
		<description>Minor glitch in B. &quot;Body &amp; Consciousness&quot;: in writing of Buddhism you refer to Mahayana and Theravada both as containing &quot;yana&quot; (vehicle), whereas you meant Mahayana and Hinayana (approximately equivalent to Theravada.) I bring it up only because I know you care about detail.</description>
		<content:encoded><![CDATA[<p>Minor glitch in B. &#8220;Body &amp; Consciousness&#8221;: in writing of Buddhism you refer to Mahayana and Theravada both as containing &#8220;yana&#8221; (vehicle), whereas you meant Mahayana and Hinayana (approximately equivalent to Theravada.) I bring it up only because I know you care about detail.</p>
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		<title>By: Katy Kneier</title>
		<link>http://www.hippocketpress.org/sisyphus/2009/06/health-care-philosophical/comment-page-1/#comment-9</link>
		<dc:creator>Katy Kneier</dc:creator>
		<pubDate>Sat, 11 Jul 2009 23:55:35 +0000</pubDate>
		<guid isPermaLink="false">http://66.147.242.179/~hippocke/sisyphus/?p=23#comment-9</guid>
		<description>I appreciate both what Paul Dolinsky and Jeff Kane have to say.
I will twitter this down to less than 200 words...(maybe not).
It is all certainly a cultural and a philosophical discussion re: health care reform. However, how does this administration and Congress make the leap?  It will be a giant leap from what we DO Not have to what we Need to have in this country. We, Americans (most of us), are used to certain ways of experiencing life and have certain expectations. How do we all change from outward seeing humans to humans that look inward at our daily habits, health issues, and preventive care?  It has to start with us and the policy-makers, together, educating each other and making changes that will help change generations after us.
Serious people need to unite and come together to address the needs and issues of a multitude.
I would agree with Dr. Kane, we need consumers of health care involved from the get go.  I hope this HIPPOCKET website will be forwarded to President Obama and his policy developers.
Thank you, Charles and others who are involved with continuing the discussion.
Katy Kneier, LCSW ,retired medical social worker with 36 yrs of service to our elders with health needs/issues.</description>
		<content:encoded><![CDATA[<p>I appreciate both what Paul Dolinsky and Jeff Kane have to say.<br />
I will twitter this down to less than 200 words&#8230;(maybe not).<br />
It is all certainly a cultural and a philosophical discussion re: health care reform. However, how does this administration and Congress make the leap?  It will be a giant leap from what we DO Not have to what we Need to have in this country. We, Americans (most of us), are used to certain ways of experiencing life and have certain expectations. How do we all change from outward seeing humans to humans that look inward at our daily habits, health issues, and preventive care?  It has to start with us and the policy-makers, together, educating each other and making changes that will help change generations after us.<br />
Serious people need to unite and come together to address the needs and issues of a multitude.<br />
I would agree with Dr. Kane, we need consumers of health care involved from the get go.  I hope this HIPPOCKET website will be forwarded to President Obama and his policy developers.<br />
Thank you, Charles and others who are involved with continuing the discussion.<br />
Katy Kneier, LCSW ,retired medical social worker with 36 yrs of service to our elders with health needs/issues.</p>
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