Question:
Advertising will enable patients to get better treatment earlier in their illnesses

Advertisements—especially those that identify symptoms—can lead to a healthier citizenry, as consumers become aware of their diseases earlier, and can thus find the drug that targets their problem at an earlier stage. Many drugs can prevent or reduce the likelihood of a patient requiring surgery (for instance anti-cholesterol drugs can reduce the buildup of atheroma in blood vessels, which cause cardiovascular heart disease and strokes, thus reducing the likelihood of a heart bypass being required and improving any post-stroke rehabilitation). This not only saves money but is also better for patients. Surgery involves the risk of complications as well as taking time both directly and in post-operation rehabilitation.

Also many degenerative conditions can be best treated by early intervention; if patients are aware of the drugs that are available at an early stage they are more likely to take them, thereby increasing their standard of living and reducing their long-term cost to state or private health cover providers.

This leads to patients requesting drugs they do not need and in many cases are even harmful to them.

The prescription drugs are very different from freely available drugs. They often treat serious diseases, and so advertising those should target mainly people that are very ill and especially vulnerable. On the other hand, with direct-to-consumer advertising, many people who do not have a serious disease become convinced that they need the prescription drug, because the advertisements scare them.

Because of such advertisement, in the U.S. there was a rapid widespread exposure to dangerous drugs before risks were fully recognized, as with troglitazone (Rezulin) for diabetes and cisapride (Propulsid) for nighttime heartburn. Causing people to become more ill instead of healthier, because this leads to a higher “self-diagnosing”. [1]

[1] Health Information Action, Direct-to-Consumer Prescription Drug Advertising The European Commission’s Proposals for Legislative Change, September 2011, http://www.haiweb.org/campaign/DTCA/BMintzes_en.pdf , accessed 08/07/2011

The change need not be dramatic; it need not apply to all oil revenues at once. For example only revenues from new fields could go into the independent fund while existing revenues to the government are maintained. Services therefore won’t need to undergo contraction.

The impact on politics would also be minor; people elect those who get things done not those who blame others for their problems. Moreover all of the politicians will have the same constraint of a lack of funds so no single party will have an unfair advantage.

The bidding process is not too long and does not tie up funds or land that would otherwise be developed. Furthermore, the Olympic bidding process would not be as difficult, expensive or long if the benefits to the eventual victor were not deemed worth all the time and effort. The unsuccessful bids are not wasted, the plans drawn up and experience of the process can be utilized for later bids. Moreover, the exposure granted to land earmarked for Olympic redevelopment can both generate interest in the area and lead to further development in the area regardless of an unsuccessful Olympic bid. The bidding process is now open and trustworthy. Whilst the 1998 Salt Lake City scandal did reveal huge levels of endemic corruption, IOC president Jacques Rogge has taken significant steps to stamp it out. Cities can now be confident that the best bid will win and that they should not be put of bidding to host because they fear they will lose simply for not being corrupt enough.

The bribery of foreign officials cannot be fought by international means efficiently if the level of corruption at the national level is high. It depends on the political will of national governments, the activities of civil society and other social conditions that exists inside the state. This explains why in many countries there has been little enforcement of the OECD Convention on Combating Bribery of Foreign Public Officials. [1] In most OECD countries the political will to prosecute major bribery cases is lacking. This explains why international efforts to combat corruption are inefficient.

[1] Transparency International, ‘2008 Progress Report on Enforcement of the OECD Convention on Combating Bribery of Foreign Public Officials in International Business Transactions’, 22 June 2008, http://www.transparency.org/news_room/in_focus/2008/4th_oecd_progress_report

Businesses are concerned with their bottom line. They will pay workers as little as possible in order to maximize profits. Certainly in some businesses employers require highly skilled workers for which they will be willing to pay competitive wages. However, the people who most require worker protection, those on minimum wage, are generally unskilled and interchangeable with a large body of potential employees. For this reason there is little impetus to pay workers at the lowest echelons of firms anything but the lowest possible wages. Even if some firms are willing to offer comparatively higher wages to entice honest and diligent non-skilled workers, the overall wage schedule will be depressed as far as is economically possible.

A range of health programs are already available. Many employers offer health insurance and some people deliberately choose to work for such companies for these benefits, even if the pay is a little lower. Other plans can be purchased by individuals with no need to rely on an employer. This means they are free to choose the level of care which is most appropriate to their needs. For other people it can be perfectly reasonable to decide to go without health insurance. Healthy younger adults will on average save money by choosing not to pay high insurance premiums, covering any necessary treatment out of their own pockets from time to time. Why should the state take away all these people’s freedom of choice by imposing a one-size-fits-all socialist system of health care?

Human resources professionals will still be needed to deal with the very many other employment regulations put in place by the federal government. Instead of employees being able to exercise control over their health care choices and work with people in their company, patients will be forced to deal with the nameless, faceless members of the government bureaucracy.

While people do indeed need proper rest and downtime in order to perform to their maximum potential, exactly how much rest they need changes from individual to individual. A "one size fits all" approach through legislation will necessarily mean that some people who could work quite comfortably with no ill effects will be prevented from doing so.

The choice to work or not rightly belongs to them, as does even their decision to risk their health. It might be worth it to someone to take a chance on sleep deprivation in order to earn more pay.

Training is indeed the answer but it makes sense for this to be done on the job rather than simply in lecture theatres. Where there are skills gaps these gaps should be filled by encouraging and paying for temporary jobs to help fill those roles. In this way the young people involved will gain the skills for an area of the economy where there are vacancies.

To tackle gender discrepancies an engendered strategy is required on land, not only housing.

For example, Gulyani and Connors (2002) illustrate the Kalingalinga slum upgrading project in Zambia resulted in negative effects for women. Following investment in slum upgrading the proportion of female-headed households declined with a rise in the proportion of renters and relocations. Slum upgrading raised living costs to women, and without legal land rights female-headed households were forced to relocate and resettle.

There are several reasons why health care should not be considered a universal human right.

The first issue is one of definition – how do we define the services that need to be rendered in order for them to qualify as adequate health care? Where do we draw the line? Emergency surgery, sure, but how about cosmetic surgery?

The second is that all human rights have a clear addressee, an entity that needs to protect this right. But who is targeted here? The government? What if we opt for a private yet universal health coverage – is this any less moral? Let’s forget the institutions for a second, should this moral duty of health care fall solely on the doctors perhaps? [1]

In essence, viewing health care as a right robs us of another, much more essential one – that of the right to one’s own life and one’s livelihood. If it is not considered a service to be rendered, than how could a doctor charge for it? She couldn’t! If it were a right, than each of us would own it, it would have to be inseparable from us. Yet, we don’t and we can’t. [2]

We can see that considering health care as a basic human right has profound philosophical problems, not the least of them the fact that it infringes on the rights of others.

[1] Barlow, P., Health care is not a human right, published 7/31/1999, http://www.ncbi.nlm.nih.gov/pmc/articles/PMC1126951/ , accessed 9/18/2011

[2] Sade, R., The Political Fallacy that Medical Care is a Right, published 12/2/1971, http://www.aapsonline.org/brochures/sademcr.htm , accessed 9/18/2011

As discussed in the first proposition side argument, we can curtail the rights of individuals if we see that those rights lead to a large negative consequence for the state. In this situation proposition is happy to let some public sector workers feel slightly disenfranchised if it leads to fewer strikes and a situation where public sector workers are not paid too much, then the net benefit to society is such that the slight loss in terms of consistency of rights is worth taking instead. [1]

[1] Davey, Monica, “Wisconsin Senate Limits Bargaining by Public Workers”, The New York Times, 9 March 2011, http://www.nytimes.com/2011/03/10/us/10wisconsin.html?pagewanted=all

Instruction: Given a claim, retrieve documents that refute the claim


Question:
Advertisements for prescription drugs are not significantly different from any other advertisement

Advertising serves an important purpose by informing the public about a specific product. It is also regulated from manipulation, and therefore deserves no special restrictions; these same restrictions and watchdogs would be in place if advertising of drugs were allowed to make sure that no drug is misrepresented. We trust consumers to view adverts with a level of skepticism and we know that they form only one part of the research that goes into, say, buying a car. Drug companies have become more open in recent years. For instance, GSK now publishes the results of all their drug trials (including the ones that fail) online and there are plenty of other sources of information on drugs available. A drug that remains unused is a drug that is helping nobody; adverts are simply a reasonable way for drug companies to help consumers find out about their products within a safe and highly regulated environment [1] .

When the first discussion in the European Parliament was started, regarding the advertisement of pharmaceuticals, the pharmaceutical industry specifically pointed out the anomaly that exists: “Specific laws stood in the way of it communicating with patients over its products, even when others could. Presumably, this meant information was communicated by the media about new medicines. In this regard, the restrictions on the pharma industry contrast with the freedom enjoyed by manufacturers of vitamins and herbal remedies, who routinely advertise products to patients.” [2] This shows that it is unjust to make any differences between the companies.

[1] Debate: Should Drug Companies be allowed to advertise prescriptions direct to the public. http://toostep.com/debate/should-drugs-companies-be-allowed-to-advertise-prescription

[2] Jessop N., Will DTC Advertising appear in Europe ?, published 01/07/2011, http://pharmtech.findpharma.com/pharmtech/article/articleDetail.jsp?id=702161 , accessed 07/29/2011

Advertising does not attempt to tell the truth, but to give a biased view of a product. Companies spend millions of dollars a year on advertising, and would not do so if there were no return on this investment. While purchasing a particular brand of cola on the basis of an advert might not be disastrous for the consumer, using an inappropriate drug could be.

Drugs companies have also shown their willingness to abuse their advertising rights. For instance the FDA has recently had to insist that the possible side effects of drugs must be listed as an integral part of TV advertisements, because advertisements were being produced in which the list of side effects was read at too fast a pace to be understood.

It is thus understandable that in a survey soon after the 1997 regulations on direct to consumer advertising, 80% of American Medical Association (AMA) General Practitioners (GPs) thought it was not a good idea and undermined their role. [1]

[1] FDA: Direct-to-Consumer Advertising of Prescription Drugs:Looking Back, Looking Forward, published October 2005, www.fda.gov/downloads/AboutFDA/CentersOffices/CDER/ucm095993.ppt , accessed 08/07/2011

The change need not be dramatic; it need not apply to all oil revenues at once. For example only revenues from new fields could go into the independent fund while existing revenues to the government are maintained. Services therefore won’t need to undergo contraction.

The impact on politics would also be minor; people elect those who get things done not those who blame others for their problems. Moreover all of the politicians will have the same constraint of a lack of funds so no single party will have an unfair advantage.

The bidding process is not too long and does not tie up funds or land that would otherwise be developed. Furthermore, the Olympic bidding process would not be as difficult, expensive or long if the benefits to the eventual victor were not deemed worth all the time and effort. The unsuccessful bids are not wasted, the plans drawn up and experience of the process can be utilized for later bids. Moreover, the exposure granted to land earmarked for Olympic redevelopment can both generate interest in the area and lead to further development in the area regardless of an unsuccessful Olympic bid. The bidding process is now open and trustworthy. Whilst the 1998 Salt Lake City scandal did reveal huge levels of endemic corruption, IOC president Jacques Rogge has taken significant steps to stamp it out. Cities can now be confident that the best bid will win and that they should not be put of bidding to host because they fear they will lose simply for not being corrupt enough.

The bribery of foreign officials cannot be fought by international means efficiently if the level of corruption at the national level is high. It depends on the political will of national governments, the activities of civil society and other social conditions that exists inside the state. This explains why in many countries there has been little enforcement of the OECD Convention on Combating Bribery of Foreign Public Officials. [1] In most OECD countries the political will to prosecute major bribery cases is lacking. This explains why international efforts to combat corruption are inefficient.

[1] Transparency International, ‘2008 Progress Report on Enforcement of the OECD Convention on Combating Bribery of Foreign Public Officials in International Business Transactions’, 22 June 2008, http://www.transparency.org/news_room/in_focus/2008/4th_oecd_progress_report

Businesses are concerned with their bottom line. They will pay workers as little as possible in order to maximize profits. Certainly in some businesses employers require highly skilled workers for which they will be willing to pay competitive wages. However, the people who most require worker protection, those on minimum wage, are generally unskilled and interchangeable with a large body of potential employees. For this reason there is little impetus to pay workers at the lowest echelons of firms anything but the lowest possible wages. Even if some firms are willing to offer comparatively higher wages to entice honest and diligent non-skilled workers, the overall wage schedule will be depressed as far as is economically possible.

A range of health programs are already available. Many employers offer health insurance and some people deliberately choose to work for such companies for these benefits, even if the pay is a little lower. Other plans can be purchased by individuals with no need to rely on an employer. This means they are free to choose the level of care which is most appropriate to their needs. For other people it can be perfectly reasonable to decide to go without health insurance. Healthy younger adults will on average save money by choosing not to pay high insurance premiums, covering any necessary treatment out of their own pockets from time to time. Why should the state take away all these people’s freedom of choice by imposing a one-size-fits-all socialist system of health care?

Human resources professionals will still be needed to deal with the very many other employment regulations put in place by the federal government. Instead of employees being able to exercise control over their health care choices and work with people in their company, patients will be forced to deal with the nameless, faceless members of the government bureaucracy.

While people do indeed need proper rest and downtime in order to perform to their maximum potential, exactly how much rest they need changes from individual to individual. A "one size fits all" approach through legislation will necessarily mean that some people who could work quite comfortably with no ill effects will be prevented from doing so.

The choice to work or not rightly belongs to them, as does even their decision to risk their health. It might be worth it to someone to take a chance on sleep deprivation in order to earn more pay.

Training is indeed the answer but it makes sense for this to be done on the job rather than simply in lecture theatres. Where there are skills gaps these gaps should be filled by encouraging and paying for temporary jobs to help fill those roles. In this way the young people involved will gain the skills for an area of the economy where there are vacancies.

To tackle gender discrepancies an engendered strategy is required on land, not only housing.

For example, Gulyani and Connors (2002) illustrate the Kalingalinga slum upgrading project in Zambia resulted in negative effects for women. Following investment in slum upgrading the proportion of female-headed households declined with a rise in the proportion of renters and relocations. Slum upgrading raised living costs to women, and without legal land rights female-headed households were forced to relocate and resettle.

There are several reasons why health care should not be considered a universal human right.

The first issue is one of definition – how do we define the services that need to be rendered in order for them to qualify as adequate health care? Where do we draw the line? Emergency surgery, sure, but how about cosmetic surgery?

The second is that all human rights have a clear addressee, an entity that needs to protect this right. But who is targeted here? The government? What if we opt for a private yet universal health coverage – is this any less moral? Let’s forget the institutions for a second, should this moral duty of health care fall solely on the doctors perhaps? [1]

In essence, viewing health care as a right robs us of another, much more essential one – that of the right to one’s own life and one’s livelihood. If it is not considered a service to be rendered, than how could a doctor charge for it? She couldn’t! If it were a right, than each of us would own it, it would have to be inseparable from us. Yet, we don’t and we can’t. [2]

We can see that considering health care as a basic human right has profound philosophical problems, not the least of them the fact that it infringes on the rights of others.

[1] Barlow, P., Health care is not a human right, published 7/31/1999, http://www.ncbi.nlm.nih.gov/pmc/articles/PMC1126951/ , accessed 9/18/2011

[2] Sade, R., The Political Fallacy that Medical Care is a Right, published 12/2/1971, http://www.aapsonline.org/brochures/sademcr.htm , accessed 9/18/2011

As discussed in the first proposition side argument, we can curtail the rights of individuals if we see that those rights lead to a large negative consequence for the state. In this situation proposition is happy to let some public sector workers feel slightly disenfranchised if it leads to fewer strikes and a situation where public sector workers are not paid too much, then the net benefit to society is such that the slight loss in terms of consistency of rights is worth taking instead. [1]

[1] Davey, Monica, “Wisconsin Senate Limits Bargaining by Public Workers”, The New York Times, 9 March 2011, http://www.nytimes.com/2011/03/10/us/10wisconsin.html?pagewanted=all

Instruction: Given a claim, retrieve documents that refute the claim


Question:
Adverts generate profit. Profit funds research into improved drugs

We should not attack drugs companies for making profits from their products, nor for encouraging patients to use them. Each new drug costs an average of $500m to produce and very small percentage of the drugs that are researched ever make it to the market. [1] The more profitable the industry, the more new drugs it can afford to research and develop and thus the more patients who can receive appropriate treatment. Many of the complex cures being developed for diseases like cancer, HIV/AIDs, SARS and Avian Flu will take decades to research. In the meantime, drug companies require funding streams from other drugs to continue research.

Drugs have become increasingly expensive and advertisement helps to cover those costs. From 1980 and 2004, from about $6 billion (in 2005 dollars) to $39 billion. There has been a real growth rate of about 8 percent a year, on average.

By comparison, drug firms’ gross margins—sales revenue minus costs and income taxes—have been increasing more slowly, by about 4 percent annually. [2]

So, with more personalized medicine and greater costs in drug development, the industry needs a greater source of revenue in order to research therapeutics further. Advertising would provide this revenue.

[1] Hollis A., Me-too drugs: is there a problem ?, University of Calgary, published December 2004, http://www.who.int/intellectualproperty/topics/ip/Me-tooDrugs_Hollis1.pdf , accessed 08/08/2011

[2] Congres of United States, Research and Development in the Pharmaceutical Industry, October 2006, http://www.cbo.gov/ftpdocs/76xx/doc7615/10-02-DrugR-D.pdf , accessed 08/01/2011

Actually prescription drugs are generally sold expensively worldwide, especially in North America and receive enormous profits, regardless of the advertising. Companies actually have enormous budgets dedicated to advertising, in countries where it is legal. They are required to spend this money because they have to compete with other companies that are advertising their products, but if there were no advertising, they could spend the money on more research.

The pharmaceutical industry has been the most profitable industry in America for each of the past 10 years and, in 2001, was a five-and-one-half time more profitable than the average for Fortune 500 companies [1] . Moreover, in Canada, the sale of a typical patented branded drug would bring about a profit margin of almost 70% [2] .

“U.S. Pharmaceutical Launches: Marketing Spend and Structure" reveals that the average blockbuster brand in the United States allots 49% of its budget to fulfill advertising needs. This hefty allotment is attributed to the fact that most blockbuster brands target a mass-market audience that requires large-scale advertising. [3]

Advertising reduces the incentive for research into new drugs as companies have found the returns on investment in advertising are better than those on research and development. This is particularly the case as it has become increasingly difficult to find a ‘blockbuster’ drug (because increasingly, new drugs are minor adjustments to existing ones). Significant changes to the way drugs are researched are needed for scientific advancements, but such changes are expensive and carry high risks of failure. It is of much lower risk is to the manufacturer to relicense existing drugs for new markets and new consumers, thereby allowing them to re-brand the drug [4] .

So they do not use the money mainly for research for new therapeutics, but spend nearly half of it on advertisements to maximize their profit even more.

[1] CIBC World Markets (2003) 2003 Investors' Guide to The Canadian Drugstore Industry, published 2003, http://www.envoycapital.com/includes/docs/drugstore_industry.pdf , accessed 07/30/2011

[2] Families USA (2002) Profiting from Pain: Where Prescription Drug Dollars Go, http://www.familiesusa.org/assets/pdfs/PPreport89a5.pdf , accessed 07/30/2011

[3] PR Newsmedia – United Business Media, Pharmaceutical Advertising: United States vs. Europe, published 12/22/2010, http://www.prnewswire.com/news-releases/pharmaceutical-advertising-united-states-vs-europe-55640307.html , accessed 07/29/2011

[4] Turning ideas into products- a pharmaceurtical paradigm shift. http://www.paconsulting.com/our-thinking/turning-ideas-into-products-a-pharmaceutical-paradigm-shift/

The change need not be dramatic; it need not apply to all oil revenues at once. For example only revenues from new fields could go into the independent fund while existing revenues to the government are maintained. Services therefore won’t need to undergo contraction.

The impact on politics would also be minor; people elect those who get things done not those who blame others for their problems. Moreover all of the politicians will have the same constraint of a lack of funds so no single party will have an unfair advantage.

The bidding process is not too long and does not tie up funds or land that would otherwise be developed. Furthermore, the Olympic bidding process would not be as difficult, expensive or long if the benefits to the eventual victor were not deemed worth all the time and effort. The unsuccessful bids are not wasted, the plans drawn up and experience of the process can be utilized for later bids. Moreover, the exposure granted to land earmarked for Olympic redevelopment can both generate interest in the area and lead to further development in the area regardless of an unsuccessful Olympic bid. The bidding process is now open and trustworthy. Whilst the 1998 Salt Lake City scandal did reveal huge levels of endemic corruption, IOC president Jacques Rogge has taken significant steps to stamp it out. Cities can now be confident that the best bid will win and that they should not be put of bidding to host because they fear they will lose simply for not being corrupt enough.

The bribery of foreign officials cannot be fought by international means efficiently if the level of corruption at the national level is high. It depends on the political will of national governments, the activities of civil society and other social conditions that exists inside the state. This explains why in many countries there has been little enforcement of the OECD Convention on Combating Bribery of Foreign Public Officials. [1] In most OECD countries the political will to prosecute major bribery cases is lacking. This explains why international efforts to combat corruption are inefficient.

[1] Transparency International, ‘2008 Progress Report on Enforcement of the OECD Convention on Combating Bribery of Foreign Public Officials in International Business Transactions’, 22 June 2008, http://www.transparency.org/news_room/in_focus/2008/4th_oecd_progress_report

Businesses are concerned with their bottom line. They will pay workers as little as possible in order to maximize profits. Certainly in some businesses employers require highly skilled workers for which they will be willing to pay competitive wages. However, the people who most require worker protection, those on minimum wage, are generally unskilled and interchangeable with a large body of potential employees. For this reason there is little impetus to pay workers at the lowest echelons of firms anything but the lowest possible wages. Even if some firms are willing to offer comparatively higher wages to entice honest and diligent non-skilled workers, the overall wage schedule will be depressed as far as is economically possible.

A range of health programs are already available. Many employers offer health insurance and some people deliberately choose to work for such companies for these benefits, even if the pay is a little lower. Other plans can be purchased by individuals with no need to rely on an employer. This means they are free to choose the level of care which is most appropriate to their needs. For other people it can be perfectly reasonable to decide to go without health insurance. Healthy younger adults will on average save money by choosing not to pay high insurance premiums, covering any necessary treatment out of their own pockets from time to time. Why should the state take away all these people’s freedom of choice by imposing a one-size-fits-all socialist system of health care?

Human resources professionals will still be needed to deal with the very many other employment regulations put in place by the federal government. Instead of employees being able to exercise control over their health care choices and work with people in their company, patients will be forced to deal with the nameless, faceless members of the government bureaucracy.

While people do indeed need proper rest and downtime in order to perform to their maximum potential, exactly how much rest they need changes from individual to individual. A "one size fits all" approach through legislation will necessarily mean that some people who could work quite comfortably with no ill effects will be prevented from doing so.

The choice to work or not rightly belongs to them, as does even their decision to risk their health. It might be worth it to someone to take a chance on sleep deprivation in order to earn more pay.

Training is indeed the answer but it makes sense for this to be done on the job rather than simply in lecture theatres. Where there are skills gaps these gaps should be filled by encouraging and paying for temporary jobs to help fill those roles. In this way the young people involved will gain the skills for an area of the economy where there are vacancies.

To tackle gender discrepancies an engendered strategy is required on land, not only housing.

For example, Gulyani and Connors (2002) illustrate the Kalingalinga slum upgrading project in Zambia resulted in negative effects for women. Following investment in slum upgrading the proportion of female-headed households declined with a rise in the proportion of renters and relocations. Slum upgrading raised living costs to women, and without legal land rights female-headed households were forced to relocate and resettle.

There are several reasons why health care should not be considered a universal human right.

The first issue is one of definition – how do we define the services that need to be rendered in order for them to qualify as adequate health care? Where do we draw the line? Emergency surgery, sure, but how about cosmetic surgery?

The second is that all human rights have a clear addressee, an entity that needs to protect this right. But who is targeted here? The government? What if we opt for a private yet universal health coverage – is this any less moral? Let’s forget the institutions for a second, should this moral duty of health care fall solely on the doctors perhaps? [1]

In essence, viewing health care as a right robs us of another, much more essential one – that of the right to one’s own life and one’s livelihood. If it is not considered a service to be rendered, than how could a doctor charge for it? She couldn’t! If it were a right, than each of us would own it, it would have to be inseparable from us. Yet, we don’t and we can’t. [2]

We can see that considering health care as a basic human right has profound philosophical problems, not the least of them the fact that it infringes on the rights of others.

[1] Barlow, P., Health care is not a human right, published 7/31/1999, http://www.ncbi.nlm.nih.gov/pmc/articles/PMC1126951/ , accessed 9/18/2011

[2] Sade, R., The Political Fallacy that Medical Care is a Right, published 12/2/1971, http://www.aapsonline.org/brochures/sademcr.htm , accessed 9/18/2011

As discussed in the first proposition side argument, we can curtail the rights of individuals if we see that those rights lead to a large negative consequence for the state. In this situation proposition is happy to let some public sector workers feel slightly disenfranchised if it leads to fewer strikes and a situation where public sector workers are not paid too much, then the net benefit to society is such that the slight loss in terms of consistency of rights is worth taking instead. [1]

[1] Davey, Monica, “Wisconsin Senate Limits Bargaining by Public Workers”, The New York Times, 9 March 2011, http://www.nytimes.com/2011/03/10/us/10wisconsin.html?pagewanted=all

Instruction: Given a claim, retrieve documents that refute the claim


Question:
Advertising puts pressure on doctors to prescribe inappropriate drugs to their patients

If a patient sees a drug that is inappropriate for him, and asks their doctor for it, if his doctor does not prescribe it, then he may ignore his doctor and seek a second or third opinion. In private health care systems it is likely that economic pressure will result in a doctor eventually agreeing to the patient’s demand.

In nationalized health services ‘pester power’ has resulted in doctors giving in to patients in the past rather than arguing with them (seen, for example, in the massive over-prescribing of antibiotics by British general practitioners for viral infections against which they are ineffective). If the doctor prescribes another drug (perhaps a cheaper generic version), even if it is chemically identical to the branded and advertised drug, the reverse-placebo effect may result in the drug being less effective than it should be, because the patient believes it is a weaker treatment. The patient may also be less willing to complete the prescription, or to visit that doctor again, thereby undermining the doctor-patient relationship. [1]

Prescription medicines are fundamentally complex and dangerous, which is why they require a prescription by a qualified doctor. It is not helpful to have a patient who lacks the decade of medical training a GP has self-diagnosing on the basis of an advert.

[1] FDA: Direct-to-Consumer Advertising of Prescription Drugs:Looking Back, Looking Forward, published October 2005, www.fda.gov/downloads/AboutFDA/CentersOffices/CDER/ucm095993.ppt , accessed 08/07/2011

The majority of products that are advertised treat currently under-treated conditions. Drugs dealing with diseases such as depression, diabetes, and high cholesterol are some of the most frequently advertised. These advertisements can help inform viewers about their conditions, and prompt visits to physicians, who can help treat the problem early on.

Additionally, informed citizens are good for society, as physicians do not always recommend necessary or helpful drugs. In the status quo, patients do not visit their doctors often enough to be diagnosed. Only approximately half the patients in America get beta blockers after a heart attack. Clearly, an advertisement for beta blockers would be informational, rather than harmful.

The change need not be dramatic; it need not apply to all oil revenues at once. For example only revenues from new fields could go into the independent fund while existing revenues to the government are maintained. Services therefore won’t need to undergo contraction.

The impact on politics would also be minor; people elect those who get things done not those who blame others for their problems. Moreover all of the politicians will have the same constraint of a lack of funds so no single party will have an unfair advantage.

The bidding process is not too long and does not tie up funds or land that would otherwise be developed. Furthermore, the Olympic bidding process would not be as difficult, expensive or long if the benefits to the eventual victor were not deemed worth all the time and effort. The unsuccessful bids are not wasted, the plans drawn up and experience of the process can be utilized for later bids. Moreover, the exposure granted to land earmarked for Olympic redevelopment can both generate interest in the area and lead to further development in the area regardless of an unsuccessful Olympic bid. The bidding process is now open and trustworthy. Whilst the 1998 Salt Lake City scandal did reveal huge levels of endemic corruption, IOC president Jacques Rogge has taken significant steps to stamp it out. Cities can now be confident that the best bid will win and that they should not be put of bidding to host because they fear they will lose simply for not being corrupt enough.

The bribery of foreign officials cannot be fought by international means efficiently if the level of corruption at the national level is high. It depends on the political will of national governments, the activities of civil society and other social conditions that exists inside the state. This explains why in many countries there has been little enforcement of the OECD Convention on Combating Bribery of Foreign Public Officials. [1] In most OECD countries the political will to prosecute major bribery cases is lacking. This explains why international efforts to combat corruption are inefficient.

[1] Transparency International, ‘2008 Progress Report on Enforcement of the OECD Convention on Combating Bribery of Foreign Public Officials in International Business Transactions’, 22 June 2008, http://www.transparency.org/news_room/in_focus/2008/4th_oecd_progress_report

Businesses are concerned with their bottom line. They will pay workers as little as possible in order to maximize profits. Certainly in some businesses employers require highly skilled workers for which they will be willing to pay competitive wages. However, the people who most require worker protection, those on minimum wage, are generally unskilled and interchangeable with a large body of potential employees. For this reason there is little impetus to pay workers at the lowest echelons of firms anything but the lowest possible wages. Even if some firms are willing to offer comparatively higher wages to entice honest and diligent non-skilled workers, the overall wage schedule will be depressed as far as is economically possible.

A range of health programs are already available. Many employers offer health insurance and some people deliberately choose to work for such companies for these benefits, even if the pay is a little lower. Other plans can be purchased by individuals with no need to rely on an employer. This means they are free to choose the level of care which is most appropriate to their needs. For other people it can be perfectly reasonable to decide to go without health insurance. Healthy younger adults will on average save money by choosing not to pay high insurance premiums, covering any necessary treatment out of their own pockets from time to time. Why should the state take away all these people’s freedom of choice by imposing a one-size-fits-all socialist system of health care?

Human resources professionals will still be needed to deal with the very many other employment regulations put in place by the federal government. Instead of employees being able to exercise control over their health care choices and work with people in their company, patients will be forced to deal with the nameless, faceless members of the government bureaucracy.

While people do indeed need proper rest and downtime in order to perform to their maximum potential, exactly how much rest they need changes from individual to individual. A "one size fits all" approach through legislation will necessarily mean that some people who could work quite comfortably with no ill effects will be prevented from doing so.

The choice to work or not rightly belongs to them, as does even their decision to risk their health. It might be worth it to someone to take a chance on sleep deprivation in order to earn more pay.

Training is indeed the answer but it makes sense for this to be done on the job rather than simply in lecture theatres. Where there are skills gaps these gaps should be filled by encouraging and paying for temporary jobs to help fill those roles. In this way the young people involved will gain the skills for an area of the economy where there are vacancies.

To tackle gender discrepancies an engendered strategy is required on land, not only housing.

For example, Gulyani and Connors (2002) illustrate the Kalingalinga slum upgrading project in Zambia resulted in negative effects for women. Following investment in slum upgrading the proportion of female-headed households declined with a rise in the proportion of renters and relocations. Slum upgrading raised living costs to women, and without legal land rights female-headed households were forced to relocate and resettle.

There are several reasons why health care should not be considered a universal human right.

The first issue is one of definition – how do we define the services that need to be rendered in order for them to qualify as adequate health care? Where do we draw the line? Emergency surgery, sure, but how about cosmetic surgery?

The second is that all human rights have a clear addressee, an entity that needs to protect this right. But who is targeted here? The government? What if we opt for a private yet universal health coverage – is this any less moral? Let’s forget the institutions for a second, should this moral duty of health care fall solely on the doctors perhaps? [1]

In essence, viewing health care as a right robs us of another, much more essential one – that of the right to one’s own life and one’s livelihood. If it is not considered a service to be rendered, than how could a doctor charge for it? She couldn’t! If it were a right, than each of us would own it, it would have to be inseparable from us. Yet, we don’t and we can’t. [2]

We can see that considering health care as a basic human right has profound philosophical problems, not the least of them the fact that it infringes on the rights of others.

[1] Barlow, P., Health care is not a human right, published 7/31/1999, http://www.ncbi.nlm.nih.gov/pmc/articles/PMC1126951/ , accessed 9/18/2011

[2] Sade, R., The Political Fallacy that Medical Care is a Right, published 12/2/1971, http://www.aapsonline.org/brochures/sademcr.htm , accessed 9/18/2011

As discussed in the first proposition side argument, we can curtail the rights of individuals if we see that those rights lead to a large negative consequence for the state. In this situation proposition is happy to let some public sector workers feel slightly disenfranchised if it leads to fewer strikes and a situation where public sector workers are not paid too much, then the net benefit to society is such that the slight loss in terms of consistency of rights is worth taking instead. [1]

[1] Davey, Monica, “Wisconsin Senate Limits Bargaining by Public Workers”, The New York Times, 9 March 2011, http://www.nytimes.com/2011/03/10/us/10wisconsin.html?pagewanted=all

Instruction: Given a claim, retrieve documents that refute the claim


Question:
The costs and effects of advertising will place an additional burden on the healthcare system

Allowing advertising places an additional burden on the health care system.

As a result of advertising, if it were allowed, many patients would request the more expensive brand drugs and so place an additional burden on the public health care system. The offered generic drugs have the same effect; they are simply cheaper because they do not spend several millions on advertising.

Drug costs are increasing at a faster rate in the United States than anywhere else in the world (roughly by 25% year on year since the mid-1990s). This growth has been mainly driven by patients demanding advertised drugs (they accounted for half the 2002-2003 increase, for instance). Advertised drugs are always more expensive than generic rivals because of the branding and advertising costs, as well as the increased price that manufacturers can demand for a snappily named product. In private health care systems, this drives up insurance premiums, thereby pricing large numbers of people out of health care coverage (44 million Americans have no coverage, despite the United States spending more per capita on health care than any other country). Alternatively, it forces many people to select insurance packages with lower levels of coverage (the solution introduced in 2005 by the Bush administration). The EU has estimated that its member states with public healthcare systems would be crippled if they spent as much on drugs as the United States [1] .

Actually estimates in the United Kingdom state that, by buying generic drugs, the public health care system could save more than £300m a year. General practioners could make more use of cheaper, non-brand versions of the drugs, without harming care. An example of the NHS overpricing drugs: one treatment for gastric problems, Omeprazole, can be bought from wholesalers for between £2.50 and £3.40, yet the NHS pays £10.85 every time it is prescribed. To make the matter worse, doctors often over-prescribe; at least £100m could be saved if they were more careful in this matter. [2]

Therefore, because it would create a substantial financial burden to the current public health care system, allowing advertising would be a bad idea.

[1] Heath Care in the United States. http://en.wikipedia.org/wiki/Health_care_in_the_United_States

[2] BBC News, Drug profiteering claims denied, published 03/14/2004, http://news.bbc.co.uk/2/hi/uk_news/scotland/3511102.stm , accessed 07/30/2011

According to a financial study conducted by the Villanova School of Business explained that there is no significant burden to the health care system due to direct-to-consumer advertising. The study, conducted in the years 2001 – 2005 in the United States, shows that there is no significant relationship between advertising and price sensitivity. The comparison with other countries shows, the prices of pharmaceuticals and the price for health care (for drugs) have not risen in the United States.

Through advertising, after the introductory phase of a drug, the health system is not burdened more. Simply put people are just able to choose between drugs, in a comparable price range easier and therefore do not cost additional money to the state. [1]

So a greater financial burden is no excuse from prohibiting companies to advertise products.

[1] Villanova University, DOES DTC ADVERTISING RAISE PRICE? THE IMPACT OF

PHARMACEUTICAL ADVERTISING ON CONSUMERS’ PRICE SENSITIVITY, published 2005 http://www.brandweeknrx.com/files/dtc_drug_advertising_and_drug_prices_study.pdf , accessed 08/07/2011

The change need not be dramatic; it need not apply to all oil revenues at once. For example only revenues from new fields could go into the independent fund while existing revenues to the government are maintained. Services therefore won’t need to undergo contraction.

The impact on politics would also be minor; people elect those who get things done not those who blame others for their problems. Moreover all of the politicians will have the same constraint of a lack of funds so no single party will have an unfair advantage.

The bidding process is not too long and does not tie up funds or land that would otherwise be developed. Furthermore, the Olympic bidding process would not be as difficult, expensive or long if the benefits to the eventual victor were not deemed worth all the time and effort. The unsuccessful bids are not wasted, the plans drawn up and experience of the process can be utilized for later bids. Moreover, the exposure granted to land earmarked for Olympic redevelopment can both generate interest in the area and lead to further development in the area regardless of an unsuccessful Olympic bid. The bidding process is now open and trustworthy. Whilst the 1998 Salt Lake City scandal did reveal huge levels of endemic corruption, IOC president Jacques Rogge has taken significant steps to stamp it out. Cities can now be confident that the best bid will win and that they should not be put of bidding to host because they fear they will lose simply for not being corrupt enough.

The bribery of foreign officials cannot be fought by international means efficiently if the level of corruption at the national level is high. It depends on the political will of national governments, the activities of civil society and other social conditions that exists inside the state. This explains why in many countries there has been little enforcement of the OECD Convention on Combating Bribery of Foreign Public Officials. [1] In most OECD countries the political will to prosecute major bribery cases is lacking. This explains why international efforts to combat corruption are inefficient.

[1] Transparency International, ‘2008 Progress Report on Enforcement of the OECD Convention on Combating Bribery of Foreign Public Officials in International Business Transactions’, 22 June 2008, http://www.transparency.org/news_room/in_focus/2008/4th_oecd_progress_report

Businesses are concerned with their bottom line. They will pay workers as little as possible in order to maximize profits. Certainly in some businesses employers require highly skilled workers for which they will be willing to pay competitive wages. However, the people who most require worker protection, those on minimum wage, are generally unskilled and interchangeable with a large body of potential employees. For this reason there is little impetus to pay workers at the lowest echelons of firms anything but the lowest possible wages. Even if some firms are willing to offer comparatively higher wages to entice honest and diligent non-skilled workers, the overall wage schedule will be depressed as far as is economically possible.

A range of health programs are already available. Many employers offer health insurance and some people deliberately choose to work for such companies for these benefits, even if the pay is a little lower. Other plans can be purchased by individuals with no need to rely on an employer. This means they are free to choose the level of care which is most appropriate to their needs. For other people it can be perfectly reasonable to decide to go without health insurance. Healthy younger adults will on average save money by choosing not to pay high insurance premiums, covering any necessary treatment out of their own pockets from time to time. Why should the state take away all these people’s freedom of choice by imposing a one-size-fits-all socialist system of health care?

Human resources professionals will still be needed to deal with the very many other employment regulations put in place by the federal government. Instead of employees being able to exercise control over their health care choices and work with people in their company, patients will be forced to deal with the nameless, faceless members of the government bureaucracy.

While people do indeed need proper rest and downtime in order to perform to their maximum potential, exactly how much rest they need changes from individual to individual. A "one size fits all" approach through legislation will necessarily mean that some people who could work quite comfortably with no ill effects will be prevented from doing so.

The choice to work or not rightly belongs to them, as does even their decision to risk their health. It might be worth it to someone to take a chance on sleep deprivation in order to earn more pay.

Training is indeed the answer but it makes sense for this to be done on the job rather than simply in lecture theatres. Where there are skills gaps these gaps should be filled by encouraging and paying for temporary jobs to help fill those roles. In this way the young people involved will gain the skills for an area of the economy where there are vacancies.

To tackle gender discrepancies an engendered strategy is required on land, not only housing.

For example, Gulyani and Connors (2002) illustrate the Kalingalinga slum upgrading project in Zambia resulted in negative effects for women. Following investment in slum upgrading the proportion of female-headed households declined with a rise in the proportion of renters and relocations. Slum upgrading raised living costs to women, and without legal land rights female-headed households were forced to relocate and resettle.

There are several reasons why health care should not be considered a universal human right.

The first issue is one of definition – how do we define the services that need to be rendered in order for them to qualify as adequate health care? Where do we draw the line? Emergency surgery, sure, but how about cosmetic surgery?

The second is that all human rights have a clear addressee, an entity that needs to protect this right. But who is targeted here? The government? What if we opt for a private yet universal health coverage – is this any less moral? Let’s forget the institutions for a second, should this moral duty of health care fall solely on the doctors perhaps? [1]

In essence, viewing health care as a right robs us of another, much more essential one – that of the right to one’s own life and one’s livelihood. If it is not considered a service to be rendered, than how could a doctor charge for it? She couldn’t! If it were a right, than each of us would own it, it would have to be inseparable from us. Yet, we don’t and we can’t. [2]

We can see that considering health care as a basic human right has profound philosophical problems, not the least of them the fact that it infringes on the rights of others.

[1] Barlow, P., Health care is not a human right, published 7/31/1999, http://www.ncbi.nlm.nih.gov/pmc/articles/PMC1126951/ , accessed 9/18/2011

[2] Sade, R., The Political Fallacy that Medical Care is a Right, published 12/2/1971, http://www.aapsonline.org/brochures/sademcr.htm , accessed 9/18/2011

As discussed in the first proposition side argument, we can curtail the rights of individuals if we see that those rights lead to a large negative consequence for the state. In this situation proposition is happy to let some public sector workers feel slightly disenfranchised if it leads to fewer strikes and a situation where public sector workers are not paid too much, then the net benefit to society is such that the slight loss in terms of consistency of rights is worth taking instead. [1]

[1] Davey, Monica, “Wisconsin Senate Limits Bargaining by Public Workers”, The New York Times, 9 March 2011, http://www.nytimes.com/2011/03/10/us/10wisconsin.html?pagewanted=all

Instruction: Given a claim, retrieve documents that refute the claim


Question:
Bribery is sometimes necessary for survival

"Survival" corruption, practised by public servants, is usually the result of small salaries, perhaps in highly inflationary economies, which do not allow them to make a living. Such as with the junior police officers mentioned in the previous point. Without bribery, public administration would collapse altogether as no one would have any incentive to get anything done. Thus the level of corruption is determined by the poor economic situation of the country as well as by the policy of the government.

Corruption in any form creates inefficiency and ‘drag’ on the economy – it is an unofficial form of transaction tax and has the same effect on the economy.

The proposition focuses on the ‘seen’ detriment to public servants of losing income from bribery but ignores the ‘unseen’ benefit of ending bribery which is that the cost of living naturally falls with the cost of doing business.

The change need not be dramatic; it need not apply to all oil revenues at once. For example only revenues from new fields could go into the independent fund while existing revenues to the government are maintained. Services therefore won’t need to undergo contraction.

The impact on politics would also be minor; people elect those who get things done not those who blame others for their problems. Moreover all of the politicians will have the same constraint of a lack of funds so no single party will have an unfair advantage.

The bidding process is not too long and does not tie up funds or land that would otherwise be developed. Furthermore, the Olympic bidding process would not be as difficult, expensive or long if the benefits to the eventual victor were not deemed worth all the time and effort. The unsuccessful bids are not wasted, the plans drawn up and experience of the process can be utilized for later bids. Moreover, the exposure granted to land earmarked for Olympic redevelopment can both generate interest in the area and lead to further development in the area regardless of an unsuccessful Olympic bid. The bidding process is now open and trustworthy. Whilst the 1998 Salt Lake City scandal did reveal huge levels of endemic corruption, IOC president Jacques Rogge has taken significant steps to stamp it out. Cities can now be confident that the best bid will win and that they should not be put of bidding to host because they fear they will lose simply for not being corrupt enough.

Businesses are concerned with their bottom line. They will pay workers as little as possible in order to maximize profits. Certainly in some businesses employers require highly skilled workers for which they will be willing to pay competitive wages. However, the people who most require worker protection, those on minimum wage, are generally unskilled and interchangeable with a large body of potential employees. For this reason there is little impetus to pay workers at the lowest echelons of firms anything but the lowest possible wages. Even if some firms are willing to offer comparatively higher wages to entice honest and diligent non-skilled workers, the overall wage schedule will be depressed as far as is economically possible.

A range of health programs are already available. Many employers offer health insurance and some people deliberately choose to work for such companies for these benefits, even if the pay is a little lower. Other plans can be purchased by individuals with no need to rely on an employer. This means they are free to choose the level of care which is most appropriate to their needs. For other people it can be perfectly reasonable to decide to go without health insurance. Healthy younger adults will on average save money by choosing not to pay high insurance premiums, covering any necessary treatment out of their own pockets from time to time. Why should the state take away all these people’s freedom of choice by imposing a one-size-fits-all socialist system of health care?

Human resources professionals will still be needed to deal with the very many other employment regulations put in place by the federal government. Instead of employees being able to exercise control over their health care choices and work with people in their company, patients will be forced to deal with the nameless, faceless members of the government bureaucracy.

This leads to patients requesting drugs they do not need and in many cases are even harmful to them.

The prescription drugs are very different from freely available drugs. They often treat serious diseases, and so advertising those should target mainly people that are very ill and especially vulnerable. On the other hand, with direct-to-consumer advertising, many people who do not have a serious disease become convinced that they need the prescription drug, because the advertisements scare them.

Because of such advertisement, in the U.S. there was a rapid widespread exposure to dangerous drugs before risks were fully recognized, as with troglitazone (Rezulin) for diabetes and cisapride (Propulsid) for nighttime heartburn. Causing people to become more ill instead of healthier, because this leads to a higher “self-diagnosing”. [1]

[1] Health Information Action, Direct-to-Consumer Prescription Drug Advertising The European Commission’s Proposals for Legislative Change, September 2011, http://www.haiweb.org/campaign/DTCA/BMintzes_en.pdf , accessed 08/07/2011

While people do indeed need proper rest and downtime in order to perform to their maximum potential, exactly how much rest they need changes from individual to individual. A "one size fits all" approach through legislation will necessarily mean that some people who could work quite comfortably with no ill effects will be prevented from doing so.

The choice to work or not rightly belongs to them, as does even their decision to risk their health. It might be worth it to someone to take a chance on sleep deprivation in order to earn more pay.

Training is indeed the answer but it makes sense for this to be done on the job rather than simply in lecture theatres. Where there are skills gaps these gaps should be filled by encouraging and paying for temporary jobs to help fill those roles. In this way the young people involved will gain the skills for an area of the economy where there are vacancies.

To tackle gender discrepancies an engendered strategy is required on land, not only housing.

For example, Gulyani and Connors (2002) illustrate the Kalingalinga slum upgrading project in Zambia resulted in negative effects for women. Following investment in slum upgrading the proportion of female-headed households declined with a rise in the proportion of renters and relocations. Slum upgrading raised living costs to women, and without legal land rights female-headed households were forced to relocate and resettle.

There are several reasons why health care should not be considered a universal human right.

The first issue is one of definition – how do we define the services that need to be rendered in order for them to qualify as adequate health care? Where do we draw the line? Emergency surgery, sure, but how about cosmetic surgery?

The second is that all human rights have a clear addressee, an entity that needs to protect this right. But who is targeted here? The government? What if we opt for a private yet universal health coverage – is this any less moral? Let’s forget the institutions for a second, should this moral duty of health care fall solely on the doctors perhaps? [1]

In essence, viewing health care as a right robs us of another, much more essential one – that of the right to one’s own life and one’s livelihood. If it is not considered a service to be rendered, than how could a doctor charge for it? She couldn’t! If it were a right, than each of us would own it, it would have to be inseparable from us. Yet, we don’t and we can’t. [2]

We can see that considering health care as a basic human right has profound philosophical problems, not the least of them the fact that it infringes on the rights of others.

[1] Barlow, P., Health care is not a human right, published 7/31/1999, http://www.ncbi.nlm.nih.gov/pmc/articles/PMC1126951/ , accessed 9/18/2011

[2] Sade, R., The Political Fallacy that Medical Care is a Right, published 12/2/1971, http://www.aapsonline.org/brochures/sademcr.htm , accessed 9/18/2011

As discussed in the first proposition side argument, we can curtail the rights of individuals if we see that those rights lead to a large negative consequence for the state. In this situation proposition is happy to let some public sector workers feel slightly disenfranchised if it leads to fewer strikes and a situation where public sector workers are not paid too much, then the net benefit to society is such that the slight loss in terms of consistency of rights is worth taking instead. [1]

[1] Davey, Monica, “Wisconsin Senate Limits Bargaining by Public Workers”, The New York Times, 9 March 2011, http://www.nytimes.com/2011/03/10/us/10wisconsin.html?pagewanted=all

Instruction: Given a claim, retrieve documents that refute the claim


Question:
Bribery is sometimes the cost of doing business

Bribery is often inevitable for foreign companies that invest in those countries, where corruption is widespread and the conditions for business development are unfavourable. In Russia IKEA, the Swedish furniture company, was asked to pay bribes to get electricity for its stores and refused hiring generators instead, however the generators themselves had their price inflated, as a result IKEA suspended investment in Russia. [1] It illustrates that bribe giving is just a result of political system with weak democratic traditions. That is why many companies from developed countries, where corruption levels are low, tend to practise bribery in the developing world.

[1] Kramer, Andrew E., ‘Ikea Tries to Build Public Case Against Russian Corruption’, The New York Times, 11 September 2009, http://www.nytimes.com/2009/09/12/business/global/12ikea.html?_r=1

The developed world also carries part of responsibility for the situation in the developing world due to its role as the bribe-payer. After all, it is largely multinational corporate interests that supply the bribe payments. They defraud the citizens of developing countries who get a less good deal as a result, as well as the interests of shareholders at home whose money is diverted into the pockets of foreign officials. This shows the necessity of treating the bribing of foreign officials as a criminal offence in companies’ home countries. It also requires the publication of all payments relating to foreign deals.

The change need not be dramatic; it need not apply to all oil revenues at once. For example only revenues from new fields could go into the independent fund while existing revenues to the government are maintained. Services therefore won’t need to undergo contraction.

The impact on politics would also be minor; people elect those who get things done not those who blame others for their problems. Moreover all of the politicians will have the same constraint of a lack of funds so no single party will have an unfair advantage.

The bidding process is not too long and does not tie up funds or land that would otherwise be developed. Furthermore, the Olympic bidding process would not be as difficult, expensive or long if the benefits to the eventual victor were not deemed worth all the time and effort. The unsuccessful bids are not wasted, the plans drawn up and experience of the process can be utilized for later bids. Moreover, the exposure granted to land earmarked for Olympic redevelopment can both generate interest in the area and lead to further development in the area regardless of an unsuccessful Olympic bid. The bidding process is now open and trustworthy. Whilst the 1998 Salt Lake City scandal did reveal huge levels of endemic corruption, IOC president Jacques Rogge has taken significant steps to stamp it out. Cities can now be confident that the best bid will win and that they should not be put of bidding to host because they fear they will lose simply for not being corrupt enough.

Businesses are concerned with their bottom line. They will pay workers as little as possible in order to maximize profits. Certainly in some businesses employers require highly skilled workers for which they will be willing to pay competitive wages. However, the people who most require worker protection, those on minimum wage, are generally unskilled and interchangeable with a large body of potential employees. For this reason there is little impetus to pay workers at the lowest echelons of firms anything but the lowest possible wages. Even if some firms are willing to offer comparatively higher wages to entice honest and diligent non-skilled workers, the overall wage schedule will be depressed as far as is economically possible.

A range of health programs are already available. Many employers offer health insurance and some people deliberately choose to work for such companies for these benefits, even if the pay is a little lower. Other plans can be purchased by individuals with no need to rely on an employer. This means they are free to choose the level of care which is most appropriate to their needs. For other people it can be perfectly reasonable to decide to go without health insurance. Healthy younger adults will on average save money by choosing not to pay high insurance premiums, covering any necessary treatment out of their own pockets from time to time. Why should the state take away all these people’s freedom of choice by imposing a one-size-fits-all socialist system of health care?

Human resources professionals will still be needed to deal with the very many other employment regulations put in place by the federal government. Instead of employees being able to exercise control over their health care choices and work with people in their company, patients will be forced to deal with the nameless, faceless members of the government bureaucracy.

This leads to patients requesting drugs they do not need and in many cases are even harmful to them.

The prescription drugs are very different from freely available drugs. They often treat serious diseases, and so advertising those should target mainly people that are very ill and especially vulnerable. On the other hand, with direct-to-consumer advertising, many people who do not have a serious disease become convinced that they need the prescription drug, because the advertisements scare them.

Because of such advertisement, in the U.S. there was a rapid widespread exposure to dangerous drugs before risks were fully recognized, as with troglitazone (Rezulin) for diabetes and cisapride (Propulsid) for nighttime heartburn. Causing people to become more ill instead of healthier, because this leads to a higher “self-diagnosing”. [1]

[1] Health Information Action, Direct-to-Consumer Prescription Drug Advertising The European Commission’s Proposals for Legislative Change, September 2011, http://www.haiweb.org/campaign/DTCA/BMintzes_en.pdf , accessed 08/07/2011

While people do indeed need proper rest and downtime in order to perform to their maximum potential, exactly how much rest they need changes from individual to individual. A "one size fits all" approach through legislation will necessarily mean that some people who could work quite comfortably with no ill effects will be prevented from doing so.

The choice to work or not rightly belongs to them, as does even their decision to risk their health. It might be worth it to someone to take a chance on sleep deprivation in order to earn more pay.

Training is indeed the answer but it makes sense for this to be done on the job rather than simply in lecture theatres. Where there are skills gaps these gaps should be filled by encouraging and paying for temporary jobs to help fill those roles. In this way the young people involved will gain the skills for an area of the economy where there are vacancies.

To tackle gender discrepancies an engendered strategy is required on land, not only housing.

For example, Gulyani and Connors (2002) illustrate the Kalingalinga slum upgrading project in Zambia resulted in negative effects for women. Following investment in slum upgrading the proportion of female-headed households declined with a rise in the proportion of renters and relocations. Slum upgrading raised living costs to women, and without legal land rights female-headed households were forced to relocate and resettle.

There are several reasons why health care should not be considered a universal human right.

The first issue is one of definition – how do we define the services that need to be rendered in order for them to qualify as adequate health care? Where do we draw the line? Emergency surgery, sure, but how about cosmetic surgery?

The second is that all human rights have a clear addressee, an entity that needs to protect this right. But who is targeted here? The government? What if we opt for a private yet universal health coverage – is this any less moral? Let’s forget the institutions for a second, should this moral duty of health care fall solely on the doctors perhaps? [1]

In essence, viewing health care as a right robs us of another, much more essential one – that of the right to one’s own life and one’s livelihood. If it is not considered a service to be rendered, than how could a doctor charge for it? She couldn’t! If it were a right, than each of us would own it, it would have to be inseparable from us. Yet, we don’t and we can’t. [2]

We can see that considering health care as a basic human right has profound philosophical problems, not the least of them the fact that it infringes on the rights of others.

[1] Barlow, P., Health care is not a human right, published 7/31/1999, http://www.ncbi.nlm.nih.gov/pmc/articles/PMC1126951/ , accessed 9/18/2011

[2] Sade, R., The Political Fallacy that Medical Care is a Right, published 12/2/1971, http://www.aapsonline.org/brochures/sademcr.htm , accessed 9/18/2011

As discussed in the first proposition side argument, we can curtail the rights of individuals if we see that those rights lead to a large negative consequence for the state. In this situation proposition is happy to let some public sector workers feel slightly disenfranchised if it leads to fewer strikes and a situation where public sector workers are not paid too much, then the net benefit to society is such that the slight loss in terms of consistency of rights is worth taking instead. [1]

[1] Davey, Monica, “Wisconsin Senate Limits Bargaining by Public Workers”, The New York Times, 9 March 2011, http://www.nytimes.com/2011/03/10/us/10wisconsin.html?pagewanted=all

Instruction: Given a claim, retrieve documents that refute the claim


Question:
Individuals may have no choice

People are often made to give bribes to officials because of unfavourable economic, social or bureaucratic conditions. Officials may refuse to serve clients unless they are paid. For example in Delhi police officers regularly take lunch without paying and more senior officers take 10,000 each month to allow the restaurant to stay open late. [1] In those countries where state institutions are extremely corrupted, refusal to give a bribe may cost financial losses for business representatives or even health and liberty for citizens who need medical service and access to justice.

[1] Burke, Jason, ‘Corruption in India: ‘All your life you pay for things that should be free’, guardian.co.uk, 19 August 2011, http://www.guardian.co.uk/world/2011/aug/19/corruption-india-anna-hazare

The position of civil society plays a key role in reducing corruption. Its action in taking a moral stand against corrupted officials is an important precondition for effective anticorruption policy. Hence, citizens who put up with the necessity to give a bribe become a part of the problem. It is not just the case of public officials abusing their positions, but of people who are tempted to choose the easiest way out. Recent developments in India show how quickly expectations can change once people begin to make a stand. Anna Hazare went on a hunger strike creating a mass movement against bribery. Now there are websites such as ipaidabribe.com popping up to shine a spotlight on corruption. [1] The change is the first step in the fight against corruption.

[1] Campion, Mukti Jain, ‘Bribery in India: A website for whistleblowers’, BBC News, 6 June 2011, http://www.bbc.co.uk/news/world-south-asia-13616123

The change need not be dramatic; it need not apply to all oil revenues at once. For example only revenues from new fields could go into the independent fund while existing revenues to the government are maintained. Services therefore won’t need to undergo contraction.

The impact on politics would also be minor; people elect those who get things done not those who blame others for their problems. Moreover all of the politicians will have the same constraint of a lack of funds so no single party will have an unfair advantage.

The bidding process is not too long and does not tie up funds or land that would otherwise be developed. Furthermore, the Olympic bidding process would not be as difficult, expensive or long if the benefits to the eventual victor were not deemed worth all the time and effort. The unsuccessful bids are not wasted, the plans drawn up and experience of the process can be utilized for later bids. Moreover, the exposure granted to land earmarked for Olympic redevelopment can both generate interest in the area and lead to further development in the area regardless of an unsuccessful Olympic bid. The bidding process is now open and trustworthy. Whilst the 1998 Salt Lake City scandal did reveal huge levels of endemic corruption, IOC president Jacques Rogge has taken significant steps to stamp it out. Cities can now be confident that the best bid will win and that they should not be put of bidding to host because they fear they will lose simply for not being corrupt enough.

Businesses are concerned with their bottom line. They will pay workers as little as possible in order to maximize profits. Certainly in some businesses employers require highly skilled workers for which they will be willing to pay competitive wages. However, the people who most require worker protection, those on minimum wage, are generally unskilled and interchangeable with a large body of potential employees. For this reason there is little impetus to pay workers at the lowest echelons of firms anything but the lowest possible wages. Even if some firms are willing to offer comparatively higher wages to entice honest and diligent non-skilled workers, the overall wage schedule will be depressed as far as is economically possible.

A range of health programs are already available. Many employers offer health insurance and some people deliberately choose to work for such companies for these benefits, even if the pay is a little lower. Other plans can be purchased by individuals with no need to rely on an employer. This means they are free to choose the level of care which is most appropriate to their needs. For other people it can be perfectly reasonable to decide to go without health insurance. Healthy younger adults will on average save money by choosing not to pay high insurance premiums, covering any necessary treatment out of their own pockets from time to time. Why should the state take away all these people’s freedom of choice by imposing a one-size-fits-all socialist system of health care?

Human resources professionals will still be needed to deal with the very many other employment regulations put in place by the federal government. Instead of employees being able to exercise control over their health care choices and work with people in their company, patients will be forced to deal with the nameless, faceless members of the government bureaucracy.

This leads to patients requesting drugs they do not need and in many cases are even harmful to them.

The prescription drugs are very different from freely available drugs. They often treat serious diseases, and so advertising those should target mainly people that are very ill and especially vulnerable. On the other hand, with direct-to-consumer advertising, many people who do not have a serious disease become convinced that they need the prescription drug, because the advertisements scare them.

Because of such advertisement, in the U.S. there was a rapid widespread exposure to dangerous drugs before risks were fully recognized, as with troglitazone (Rezulin) for diabetes and cisapride (Propulsid) for nighttime heartburn. Causing people to become more ill instead of healthier, because this leads to a higher “self-diagnosing”. [1]

[1] Health Information Action, Direct-to-Consumer Prescription Drug Advertising The European Commission’s Proposals for Legislative Change, September 2011, http://www.haiweb.org/campaign/DTCA/BMintzes_en.pdf , accessed 08/07/2011

While people do indeed need proper rest and downtime in order to perform to their maximum potential, exactly how much rest they need changes from individual to individual. A "one size fits all" approach through legislation will necessarily mean that some people who could work quite comfortably with no ill effects will be prevented from doing so.

The choice to work or not rightly belongs to them, as does even their decision to risk their health. It might be worth it to someone to take a chance on sleep deprivation in order to earn more pay.

Training is indeed the answer but it makes sense for this to be done on the job rather than simply in lecture theatres. Where there are skills gaps these gaps should be filled by encouraging and paying for temporary jobs to help fill those roles. In this way the young people involved will gain the skills for an area of the economy where there are vacancies.

To tackle gender discrepancies an engendered strategy is required on land, not only housing.

For example, Gulyani and Connors (2002) illustrate the Kalingalinga slum upgrading project in Zambia resulted in negative effects for women. Following investment in slum upgrading the proportion of female-headed households declined with a rise in the proportion of renters and relocations. Slum upgrading raised living costs to women, and without legal land rights female-headed households were forced to relocate and resettle.

There are several reasons why health care should not be considered a universal human right.

The first issue is one of definition – how do we define the services that need to be rendered in order for them to qualify as adequate health care? Where do we draw the line? Emergency surgery, sure, but how about cosmetic surgery?

The second is that all human rights have a clear addressee, an entity that needs to protect this right. But who is targeted here? The government? What if we opt for a private yet universal health coverage – is this any less moral? Let’s forget the institutions for a second, should this moral duty of health care fall solely on the doctors perhaps? [1]

In essence, viewing health care as a right robs us of another, much more essential one – that of the right to one’s own life and one’s livelihood. If it is not considered a service to be rendered, than how could a doctor charge for it? She couldn’t! If it were a right, than each of us would own it, it would have to be inseparable from us. Yet, we don’t and we can’t. [2]

We can see that considering health care as a basic human right has profound philosophical problems, not the least of them the fact that it infringes on the rights of others.

[1] Barlow, P., Health care is not a human right, published 7/31/1999, http://www.ncbi.nlm.nih.gov/pmc/articles/PMC1126951/ , accessed 9/18/2011

[2] Sade, R., The Political Fallacy that Medical Care is a Right, published 12/2/1971, http://www.aapsonline.org/brochures/sademcr.htm , accessed 9/18/2011

As discussed in the first proposition side argument, we can curtail the rights of individuals if we see that those rights lead to a large negative consequence for the state. In this situation proposition is happy to let some public sector workers feel slightly disenfranchised if it leads to fewer strikes and a situation where public sector workers are not paid too much, then the net benefit to society is such that the slight loss in terms of consistency of rights is worth taking instead. [1]

[1] Davey, Monica, “Wisconsin Senate Limits Bargaining by Public Workers”, The New York Times, 9 March 2011, http://www.nytimes.com/2011/03/10/us/10wisconsin.html?pagewanted=all

Instruction: Given a claim, retrieve documents that refute the claim


Question:
Bribery is only wrong under a Western-centric notion of corruption

Norms and values differ between countries. In many non-western societies gift taking and giving in the public realm is a matter of traditions and customs. Moreover, gift giving is a part of negotiations and relationship building in some parts of the world. It is hypocritical for the west to target developing countries for this as many so-called democracies are hopelessly compromised by business interests through political funding and lobbying.

The United States Foreign Corrupt Practices Act bans large bribes but allows for the payment of small ‘customary’ sums in order to ease transactions. [1]

[1] The Economist, ‘When a bribe is merely facilitating business’ June 11th 2011, http://www.economist.com/blogs/blighty/2011/06/anti-bribery-laws

In different cultures the lines between the acceptable and unacceptable are drawn differently. However, there are limits in all societies, beyond which an action becomes corrupt and unacceptable. The abuse of power for private gain and the siphoning off of public or common resources to private pockets should be illegal and unacceptable in all cultures and societies.

The change need not be dramatic; it need not apply to all oil revenues at once. For example only revenues from new fields could go into the independent fund while existing revenues to the government are maintained. Services therefore won’t need to undergo contraction.

The impact on politics would also be minor; people elect those who get things done not those who blame others for their problems. Moreover all of the politicians will have the same constraint of a lack of funds so no single party will have an unfair advantage.

The bidding process is not too long and does not tie up funds or land that would otherwise be developed. Furthermore, the Olympic bidding process would not be as difficult, expensive or long if the benefits to the eventual victor were not deemed worth all the time and effort. The unsuccessful bids are not wasted, the plans drawn up and experience of the process can be utilized for later bids. Moreover, the exposure granted to land earmarked for Olympic redevelopment can both generate interest in the area and lead to further development in the area regardless of an unsuccessful Olympic bid. The bidding process is now open and trustworthy. Whilst the 1998 Salt Lake City scandal did reveal huge levels of endemic corruption, IOC president Jacques Rogge has taken significant steps to stamp it out. Cities can now be confident that the best bid will win and that they should not be put of bidding to host because they fear they will lose simply for not being corrupt enough.

Businesses are concerned with their bottom line. They will pay workers as little as possible in order to maximize profits. Certainly in some businesses employers require highly skilled workers for which they will be willing to pay competitive wages. However, the people who most require worker protection, those on minimum wage, are generally unskilled and interchangeable with a large body of potential employees. For this reason there is little impetus to pay workers at the lowest echelons of firms anything but the lowest possible wages. Even if some firms are willing to offer comparatively higher wages to entice honest and diligent non-skilled workers, the overall wage schedule will be depressed as far as is economically possible.

A range of health programs are already available. Many employers offer health insurance and some people deliberately choose to work for such companies for these benefits, even if the pay is a little lower. Other plans can be purchased by individuals with no need to rely on an employer. This means they are free to choose the level of care which is most appropriate to their needs. For other people it can be perfectly reasonable to decide to go without health insurance. Healthy younger adults will on average save money by choosing not to pay high insurance premiums, covering any necessary treatment out of their own pockets from time to time. Why should the state take away all these people’s freedom of choice by imposing a one-size-fits-all socialist system of health care?

Human resources professionals will still be needed to deal with the very many other employment regulations put in place by the federal government. Instead of employees being able to exercise control over their health care choices and work with people in their company, patients will be forced to deal with the nameless, faceless members of the government bureaucracy.

This leads to patients requesting drugs they do not need and in many cases are even harmful to them.

The prescription drugs are very different from freely available drugs. They often treat serious diseases, and so advertising those should target mainly people that are very ill and especially vulnerable. On the other hand, with direct-to-consumer advertising, many people who do not have a serious disease become convinced that they need the prescription drug, because the advertisements scare them.

Because of such advertisement, in the U.S. there was a rapid widespread exposure to dangerous drugs before risks were fully recognized, as with troglitazone (Rezulin) for diabetes and cisapride (Propulsid) for nighttime heartburn. Causing people to become more ill instead of healthier, because this leads to a higher “self-diagnosing”. [1]

[1] Health Information Action, Direct-to-Consumer Prescription Drug Advertising The European Commission’s Proposals for Legislative Change, September 2011, http://www.haiweb.org/campaign/DTCA/BMintzes_en.pdf , accessed 08/07/2011

While people do indeed need proper rest and downtime in order to perform to their maximum potential, exactly how much rest they need changes from individual to individual. A "one size fits all" approach through legislation will necessarily mean that some people who could work quite comfortably with no ill effects will be prevented from doing so.

The choice to work or not rightly belongs to them, as does even their decision to risk their health. It might be worth it to someone to take a chance on sleep deprivation in order to earn more pay.

Training is indeed the answer but it makes sense for this to be done on the job rather than simply in lecture theatres. Where there are skills gaps these gaps should be filled by encouraging and paying for temporary jobs to help fill those roles. In this way the young people involved will gain the skills for an area of the economy where there are vacancies.

To tackle gender discrepancies an engendered strategy is required on land, not only housing.

For example, Gulyani and Connors (2002) illustrate the Kalingalinga slum upgrading project in Zambia resulted in negative effects for women. Following investment in slum upgrading the proportion of female-headed households declined with a rise in the proportion of renters and relocations. Slum upgrading raised living costs to women, and without legal land rights female-headed households were forced to relocate and resettle.

There are several reasons why health care should not be considered a universal human right.

The first issue is one of definition – how do we define the services that need to be rendered in order for them to qualify as adequate health care? Where do we draw the line? Emergency surgery, sure, but how about cosmetic surgery?

The second is that all human rights have a clear addressee, an entity that needs to protect this right. But who is targeted here? The government? What if we opt for a private yet universal health coverage – is this any less moral? Let’s forget the institutions for a second, should this moral duty of health care fall solely on the doctors perhaps? [1]

In essence, viewing health care as a right robs us of another, much more essential one – that of the right to one’s own life and one’s livelihood. If it is not considered a service to be rendered, than how could a doctor charge for it? She couldn’t! If it were a right, than each of us would own it, it would have to be inseparable from us. Yet, we don’t and we can’t. [2]

We can see that considering health care as a basic human right has profound philosophical problems, not the least of them the fact that it infringes on the rights of others.

[1] Barlow, P., Health care is not a human right, published 7/31/1999, http://www.ncbi.nlm.nih.gov/pmc/articles/PMC1126951/ , accessed 9/18/2011

[2] Sade, R., The Political Fallacy that Medical Care is a Right, published 12/2/1971, http://www.aapsonline.org/brochures/sademcr.htm , accessed 9/18/2011

As discussed in the first proposition side argument, we can curtail the rights of individuals if we see that those rights lead to a large negative consequence for the state. In this situation proposition is happy to let some public sector workers feel slightly disenfranchised if it leads to fewer strikes and a situation where public sector workers are not paid too much, then the net benefit to society is such that the slight loss in terms of consistency of rights is worth taking instead. [1]

[1] Davey, Monica, “Wisconsin Senate Limits Bargaining by Public Workers”, The New York Times, 9 March 2011, http://www.nytimes.com/2011/03/10/us/10wisconsin.html?pagewanted=all

Instruction: Given a claim, retrieve documents that refute the claim