I don't get too many comments here, and some of the ones I have received, particularly since I criticized the non-newspaper called Triblocal (see here and here), have been pretty scurrilous. Others have just been dim-witted. Most, however, have been interesting or thought-provoking, and I always like getting those (my post last week on libertarianism generated some very good comments; I shifted my view a bit, but still think libertarianism has some serious image problems that will continue to interfere with its viability as a major political force...as a party).
A while ago, I got into something of a dust-up on another site with someone named mcfnord (I'll assume for convenience that mcfnord is male - my apologies if I assume too much). While not a major contretemps, we did have a disagreement that, in my opinion, came from a too-idiosyncratic way of looking at the issues we were discussing, the danger of generalizing from one's own particulars.
I'm pleased to be able to moderate my views based on a comment received from mcfnord on my post of last week, Yes, you get it. Without getting into a lengthy rehash of what was said there, I contended that our future as a nation is going to be compromised by current trends and our failure to do anything about them, and how "we need to reconcile ourselves to a somewhat lesser life than we anticipated." If I had known that mcfnord was going to comment, I would have expected something other than his actual comment:
By the way, I recently received a comment from Anonymous asking my opinion of HR 5924. Since this was also alluded to, if indirectly, by mcfnord, I will give a somewhat abbreviated response. (For those without an encyclopedic knowledge of House bills, this provides for more visas for nurses.)
It's certainly possible that this comment is an attempt to find some inconsistency in my thinking. After all, I have expressed doubt about the attempts to increase the number of H-1B visas, most of which would be used to give software development jobs to foreign nationals. So, if I were to come out in favor of HR 5924, one could easily posit a "Gotcha" response (perhaps in tribute to the late Tim Russert).
First, I don't know and don't profess to know much of anything about the market for nurses. When I comment on the profession of software development, it comes from better than 20 years of experience in that profession, and it would be pointless of me to think that knowledge qualifies me to have an opinion on nursing.
Second, it seems almost trivial to point out that every market is different. I don't contend the market for CEOs should have the same rules as those for software developers any more than I see equivalence between, say, baseball players and teachers. There would be no necessary inconsistency if anyone saw the need for different policies and practices in the market for nurses than for software developers.
Third, what I do know tells me that there are differences. Nurses have seen a major upswing in their market power of late (as far as I know), commanding bigger salaries and better terms of employment; software developers and most other engineers have not (by the way, I'm not contending that nurses even now get what they merit; it's an incredibly difficult job and I have the utmost respect for them). If, after the upgrades to the compensation, we still don't have enough nurses to fill real needs, then it might be necessary to do something different.
Have we, however, exhausted other possibilities before we leap on the expedient of importing more nurses? Or is this just taking the easy, cheap way? Are hospitals and medical corporations funding scholarships for potential nurses to go to school? Is the well-known nursing instructor shortage being dealt with in some way?
I don't know the answers to any of these questions, because I am not plugged into the nurse labor market. One thing I do know: we should ask some very serious questions about the specific numbers in HR 5924, because we don't know where they came from. One of my biggest objections to the various H-1B visa "adjustment" bills floating around is that the numbers seem plucked out of nowhere - 130,000, 180,000, 195,000. I don't think anyone knows what the "right" number is, and I'd be very surprised if the nursing market yields any greater precision.
A while ago, I got into something of a dust-up on another site with someone named mcfnord (I'll assume for convenience that mcfnord is male - my apologies if I assume too much). While not a major contretemps, we did have a disagreement that, in my opinion, came from a too-idiosyncratic way of looking at the issues we were discussing, the danger of generalizing from one's own particulars.
I'm pleased to be able to moderate my views based on a comment received from mcfnord on my post of last week, Yes, you get it. Without getting into a lengthy rehash of what was said there, I contended that our future as a nation is going to be compromised by current trends and our failure to do anything about them, and how "we need to reconcile ourselves to a somewhat lesser life than we anticipated." If I had known that mcfnord was going to comment, I would have expected something other than his actual comment:
We've been living beyond our means throughout the last decade (or two), culminating in a negative savings rate and huge federal spending deficits, so yeah, like economists like to say: the unsustainable ends eventually. Factoring out the new advances in medical care, mostly in pharma, lowers both costs and quality of life, but there will be a massive nursing shortage. Time for skilled labor immigration? Don't tell Carrie!My response:
I am probably in a minority saying things are going well for me as compared to my parents. I do believe there's a "dual income trap" that didn't exist in my parents' era, but my response is to live far below my means. Communities that require a lot of gasoline are suffering, and there will be changes. I don't understand her statements such as "as we fill up our gas tasks each day..." but I know vast swaths of this nation built their civilization on the stuff, and they are suffering. I ride a bicycle. I live in an environment where that's viable. So I fill my gas tank each month or so. I'm not sure what people expected from home prices when the historical trend is 1% since the Great Depression. We all rode a bubble, and of course that's not sustainable. But I'm not convinced things are so different in this era. In the end, how useful and accurate an indicator is "gloom"? Mondale asked in his campaign, "So we'll all flip burgers?" and it didn't turn out that way. A willingness to adjust to market conditions, work hard, retrain, and save liberally for the future will probably continue to result in sustainable first-world standards of living.
Let's put it another way: Monofuel dependency, deficit spending, credit card abuse, home equity reliance, a meat-heavy diet, and a hope that nothing will ever change: WAS IT EVER A GREAT IDEA?
And so we begin to see a kind of convergence in our thinking, mcfnord. For all that some might accuse me of peddling gloom, my primary contention is not that we are in a "malaise," but in a state of denial. We're refusing to accept the reality of our future, and, in our belief that the way we live is the acme of progress, we'll be very disappointed.**********
mcfnord, we should absolutely do all the things you're talking about, though I continue to believe there are structural problems with some of your remedies (retraining is too easily passed off as just another economic transaction, whereas I believe it to be a major relationship change - far more wrenching - but probably necessary).
And those things you correctly point out as weaknesses in our way of living are, unfortunately, perceived by many as among our strengths. When a president tells us to spend our way out of our national trauma surrounding 9/11, it is no wonder we see
spending psychosis. Stability has become the goal for many, rather than the flexibility to ride and enjoy change (but I do think we as a nation are rather glib about the potential negative effects of change).
You say that we can continue "in sustainable first-world standards of living." I'm not sure exactly what that will mean, especially if the trends toward income and wealth inequality increase, but I do know that that will represent a major shock to a country that expects excessive, luxurious first-world standards of living. It is true that not everyone needs a big-screen TV, but everyone thinks they do, and the change in mental frame that is needed will be wrenching in a nation that sees those things, things that are unfathomable to the vast majority of the world's population, as absolute necessities.
One quibble: we're talking about vast long-term trends here, and, while I'm no apologist for Walter Mondale, that we aren't all flipping burgers yet does not entirely invalidate the statement (not that I believe that we all will be, either, just that we haven't played it out long enough to determine anything).
By the way, I recently received a comment from Anonymous asking my opinion of HR 5924. Since this was also alluded to, if indirectly, by mcfnord, I will give a somewhat abbreviated response. (For those without an encyclopedic knowledge of House bills, this provides for more visas for nurses.)
It's certainly possible that this comment is an attempt to find some inconsistency in my thinking. After all, I have expressed doubt about the attempts to increase the number of H-1B visas, most of which would be used to give software development jobs to foreign nationals. So, if I were to come out in favor of HR 5924, one could easily posit a "Gotcha" response (perhaps in tribute to the late Tim Russert).
First, I don't know and don't profess to know much of anything about the market for nurses. When I comment on the profession of software development, it comes from better than 20 years of experience in that profession, and it would be pointless of me to think that knowledge qualifies me to have an opinion on nursing.
Second, it seems almost trivial to point out that every market is different. I don't contend the market for CEOs should have the same rules as those for software developers any more than I see equivalence between, say, baseball players and teachers. There would be no necessary inconsistency if anyone saw the need for different policies and practices in the market for nurses than for software developers.
Third, what I do know tells me that there are differences. Nurses have seen a major upswing in their market power of late (as far as I know), commanding bigger salaries and better terms of employment; software developers and most other engineers have not (by the way, I'm not contending that nurses even now get what they merit; it's an incredibly difficult job and I have the utmost respect for them). If, after the upgrades to the compensation, we still don't have enough nurses to fill real needs, then it might be necessary to do something different.
Have we, however, exhausted other possibilities before we leap on the expedient of importing more nurses? Or is this just taking the easy, cheap way? Are hospitals and medical corporations funding scholarships for potential nurses to go to school? Is the well-known nursing instructor shortage being dealt with in some way?
I don't know the answers to any of these questions, because I am not plugged into the nurse labor market. One thing I do know: we should ask some very serious questions about the specific numbers in HR 5924, because we don't know where they came from. One of my biggest objections to the various H-1B visa "adjustment" bills floating around is that the numbers seem plucked out of nowhere - 130,000, 180,000, 195,000. I don't think anyone knows what the "right" number is, and I'd be very surprised if the nursing market yields any greater precision.