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Doctors Shrug
Objectivist Center ^ | 3/03 | Edward L. Hudgins

Posted on 04/14/2003 1:00:14 PM PDT by RJCogburn

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To: breakem
regarding point 1, wait for the movie.

Update: "Atlas Shrugged" Movie Project April 2, 2002

Atlas Shrugged is an epic novel, the story of a society in mysterious decline, of the heroes who fight to preserve their world, and of the secret enemy who becomes their savior. Adapting the novel for the screen has proved to be a challenge of equally epic proportions. Since the 1970s, when Ayn Rand herself took up the challenge, three distinct projects have made it as far as the contract stage. At least six complete screenplays have been drafted. But so far none have even been cast, let alone filmed and released.

The current project, a TV miniseries for Turner Network Television, recently entered an uncertain phase when its contract expired in March, and "the making of Atlas" may now continue under several different plot-lines.

The project was a three-way collaboration. John Aglialoro, CEO of UM Holdings (and a trustee of The Objectivist Center), holds the film rights on the novel. Two years ago he signed with TNT's Originals division to produce a five-hour miniseries, with Al Ruddy of the Ruddy-Morgan Organization as executive producer. By the fall of 2000, Ruddy's team had completed the screenplay; anticipating an actors' strike the following summer, they were eager to line up the director and cast and complete the filming by June of 2001.

Then entropy set in. Prospective leads either were not interested or were otherwise committed. The economy hit the skids, making the projected $25 million cost of the film seem riskier. And TNT went through a wrenching process of reorganization when its parent company, Time-Warner, merged with America Online. Two executives involved with the project left, and Variety reports that half of the TNT Originals staff has been laid off.

In quick succession last summer, TNT first cut its financial commitment to $10 million, then withdrew from the project altogether. That left the project in Ruddy's hands, with nine months left to get it off the ground. He reconceived it as a feature film rather than a TV miniseries, and condensed the script accordingly, but was not able to line up the talent or the financing by the March deadline.

What happens now? Ruddy is still working to find those missing ingredients. Aglialoro says he would consider a new contract with Ruddy, but he will also be exploring other possibilities. He agrees that a full-length feature film is now a better approach than a TV miniseries.

"I am looking at all the options in terms of how to structure the story as well as the project. After half a dozen scripts that tried to tell the whole story, it may be time to consider spinning out the core plot of the strike, which conveys Rand's essential message, and not trying to include all the subsidiary plot-lines, relationships, and consequences of the strike."

Stay tuned….

http://www.atlassociety.org/news_atlas-mini.asp

21 posted on 04/14/2003 2:09:46 PM PDT by RJCogburn (Yes, it's bold talk.....)
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To: RJCogburn
The Fox is in charge of the henhouse and has been for some time. Does anyone seriously believe that the fox is going to kill his favorite hen??? No state or federal government, comprised of lawyers, is ever going to take the needed action. It will not happen.
22 posted on 04/14/2003 2:18:39 PM PDT by cynicom
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To: Lev
2) Ayn Rand was blind to the fact that the country she came to and admired existed only because of a vision and philosophy that was based on the religion of those who formed the nation

Vision and philosophy of the founders had many sources, Christianity was one of them. But it was not the only one. Regards, Lev

Agreed, and did not mean to imply otherwise. Even Christianity in and of itself owes a huge debt to Judaism. And there were many non-religious influences such as Adam Smith et al. I've also read that the system of government was influenced by the governmental systems of the Iroquois Confederacy, as well as by the English Parliamentary system.

My point was just that Rand lumps all religious types in with the looters. Yet it was those self-same religious folks who had a lot to do with founding the one country that came the closest to meeting her ideals.

It is not my intention either to whitewash the history of Christianity and how often its adherents have failed to live up to its standards. Several of those first colonies (e.g. Quakers) were founded by Christian sects that only came to this continent fleeing viscious persecution at the hands of other Christians.

I've read here on FR that at least one colony (the Quakers?) attempted to live communally for a period before giving it up. At least they had the practical good sense to give it up.

23 posted on 04/14/2003 2:29:17 PM PDT by MalcolmS (Paging Dr. Galt, Dr. Johnathon Galt)
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To: RJCogburn
In real life Atlas usually has a family to support, and most of the looters aren't quite smart enough to realize what they are doing.
24 posted on 04/14/2003 2:32:10 PM PDT by Salman
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To: tdadams
Bump to your bump and ditto
25 posted on 04/14/2003 2:42:45 PM PDT by pankot
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To: RJCogburn
If I were an M.D., I'd simply require all my patients to pay their bills in cash. This would allow me to fire the entire administrative staff of my practice (no more insurance processing, accounts payable, or accounts receiveable to waste resources on) and slash prices across the board. I'd also publish a menu of services with prices, offer house calls (for colds, allergies, flu, etc.) and limit office visits to those that required office facilities. One more thing: I'd allow my patients to subscribe to my services on a monthly basis, with a regular checkup every six months and two hours of office time per quarter in exchange for a flat fee (discounted for families). This would encourage my patients to care for their own health rather than running to the doc every time somebody looks at them funny -- and in time they'd hopefuly come to see me as a Marcus-Welby-type family doctor rather than as a mere source of pills -- or as a target with deep pockets.

As for prescriptions: I'd publish a list of bus companies that serve Mexican cities, and a list of "approved" pharmacias in each city for them to use. Drug prices in the US are outrageous. Just a thought.

26 posted on 04/14/2003 2:50:42 PM PDT by B-Chan (FR Catholic)
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To: RobFromGa
re: religion. Ayn Rand made it clear the morality does not require an organized religion in order to define it. living things are either alive or dead. actions which favor continued existence and which are in the best self-interest of a man without depriving another man of the same is moral. that which is not is immoral. nothing is owed by any man to another that does not involve self-interest. and she is right because that is human nature.

Yes, Ayn Rand made it clear that organized religion is not necessary to define a morality. However, in Atlas Shrugged, she argued that religion was in fact immoral according to her philosophy.

My point is simply that objectivist philosophy did not create the country she admired and to which she immigrated. It was created by people who, for the most part, were religious (Christian--of various brands and flavors, Deist, Jewish etc.). Some were more serious about their religion than others, but for her to lump all religious types in with the looters is a bit unfair.

From a practical point of view, is there a country where an atheistic system of government has resulted in an objective (pun intended) success? Among nations which promoted atheism, such as the USSR, the lack of a restraining morality leads to about 100 million killed--far outstripping the dead in any conflict that had a religious dimension. Without relgion (indeed in many cases with it), people tend to flock toward anarchy or warlordism rather than objectivism.

I wonder if an essentially atheistic philosophy, such as objectivism, can appeal to enough people to actually have a major reforming impact on the world. It's an interesting thought to ponder.

27 posted on 04/14/2003 2:55:32 PM PDT by MalcolmS (Paging Dr. Galt, Dr. Johnathon Galt)
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To: Doctor Stochastic
The current Trial Lawyers's arguments (as seen and heard o TV and Radio) are that the doctor's premiums are increasing because the Evil Insurance Companies made bad stock investments and premiums are raised to cover the losses.)))

Trial lawyers think in terms of "fault", even when the fault is irrelevant to the issue. We all (OK, most of us) have lost some in the market, and that creates changes in behavior. This is true for insurers as it is for us. We can't afford some things these days.

But it doesn't occur to the Trial Lawyers that we now cannot afford *them*, and the much-vaunted "consumer policing" that supposedly they bring to the community to justify their luxurious existance.

When times were flush, we could afford a quantity of parasites. When grain and hay are cheap, we don't worry so much about worming the cattle. Now, when times are not so abundant, we have to give our cattle some worming medicine so that they can survive.

28 posted on 04/14/2003 3:02:57 PM PDT by Mamzelle
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To: B-Chan
The idea you propose is already in place in several large cities. Yearly membership ranges from $15,000 to $25,000 and up. While this a sound capitalistic business pracitce, it will also serve to bring on socialized medicine for the rest of us.
29 posted on 04/14/2003 3:03:12 PM PDT by cynicom
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To: cynicom
Sad but true - we are indeed our own enemy in this way.
30 posted on 04/14/2003 3:12:02 PM PDT by Amalie (Its STILL too dangerous to vote Democratic...)
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To: RJCogburn
Thanx, something for my grandchildren to go to on a senior ticket.
31 posted on 04/14/2003 3:12:40 PM PDT by breakem
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To: RobFromGa
Agreed on the abridged tape. Also, the reader, Edward Hermann does a great job. He also read the audio version of John Addams by David McCullough.

I've seen an unabridged audio version of AS available... 38 cassettes! LOL!

32 posted on 04/14/2003 3:18:03 PM PDT by Tijeras_Slim
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To: cynicom
This is what is called "boutique" medicine. Some of its versions show some experimental promise, and not all of them are expensive. Several are in place in Austin, Texas.
33 posted on 04/14/2003 3:39:32 PM PDT by Mamzelle
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To: MalcolmS
My point was just that Rand lumps all religious types in with the looters. Yet it was those self-same religious folks who had a lot to do with founding the one country that came the closest to meeting her ideals.

Yes, the founders were religious to verying degrees but as far as I remember Rand were talking about 'preachers' as you said, not people who happened to be religious. Maybe at the time most of representatives of organized religion deserved to be included in the same category with looters.
I am not as militant as Rand was but if a religion puts altruism above individual freedom in its moral scale, I'm with her.
Regards,
Lev

34 posted on 04/14/2003 3:42:23 PM PDT by Lev
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To: B-Chan
What you suggest is fine as far as it goes, but you are not taking into account the souring costs of hospitalization. Office visits and treatments are the least expensive of this cost pyramid.

It is a very despressing thing to watch, this exploding hospitalization cost. There are many difficult dynamics at work.

For instance, I do a bit of investing in biotech. I am privy to some discussions of new medical technology--and my ears always perk up at the "Wow, how cool!" things that come down the pike. They are investment opportunities.

A really wow-cool thing that we will have shortly are new shunts used in cardiovascular surgery. They will come imbedded with a medicine which will prevent/slow the formation of tissue that heretofore has shortened the useful life of the shunt. The question--which company will produce the best shunt?

Notice that the question is not, and will never be as long as the legal situation is as it is--"What is the best shunt for the money?"

A few years back there was a big competition for a heart-attack medication, administered in the ER. One cost $3K, another cost $300. The pharm company that produced the more expensive version pulled out all the stops to establish that it was *slightly* better (and even that wasn't really established). The hospitals wanted the cheaper version--but they knew better than to go for it when the other company had created a "paper trail" of marginal superiority. They couldn't risk being dragged into court with an accusation of being a dangerous cheapskate.

Multiply this by thousands of similar circumstances in medical practice, and it just seems so hopeless to try to contain costs...

35 posted on 04/14/2003 3:51:47 PM PDT by Mamzelle
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To: Tijeras_Slim
I think that the fact that Atlas Shrugged is still quite relevant almost fifty years after being writtern shows what a firm grasp of human nature and government nature that Ayn had.
36 posted on 04/14/2003 4:01:02 PM PDT by RobFromGa (Real Americans Support our Troops 100%)
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To: RJCogburn
If American doctors go on strike, or leave medicine for other pursuits, the government will just expand the H-1B program to allow more foreign docs in. My sister-in-law works in HR for a pretty big healthcare company, and often sends her to the Philippines to recruit nurses. I've also read that it's being considered to make up for the shortage of government school teachers (yet another reason to home school!). I'm afraid the future holds much more of this, and no career field will be immune.

Scouts Out! Cavalry Ho!

37 posted on 04/14/2003 4:20:48 PM PDT by wku man
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To: MalcolmS
Preachers in the book were exclusivly villians.

Although her bias against religion is unmistakeable, I'm hard pressed to recall a single preacher in the cast of characters, much less "preachers" plural.

I don't see how America's religious history mitigates any of the lessons of Atlas Shrugged.

I agree there should be a condensed version. It's verbose to an almost absurd degree.

38 posted on 04/14/2003 5:19:26 PM PDT by tdadams
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To: cynicom
But there is an alternative. It requires no laws, no regulations, no state or federal intervention.

Quite simply, all the doctors in the country sign a pledge that they will never provide medical treatment to a trial lawyer. Never again, no matter what the circumstances.

Sick lawyers will be offered a straight up-or-down choice: resign permanently from their parasitic "profession", or die.

39 posted on 04/14/2003 5:57:49 PM PDT by John Locke
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To: B-Chan
Here in Silicon Valley, at least, some of the walk-in "corporate" medical places give you a 10 or 20% discount if you pay cash. I had crummy health insurance at a company and decided that I'd do better just paying for low-level stuff like sinus infections myself.
40 posted on 04/14/2003 6:03:59 PM PDT by jiggyboy
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