My blog friend Rondi “Canada’s Coultier [sic]” Adamson has a post at the individualist site righthinker.com about the Canadian national health system. If you know her writing (and read the post title), you won’t be surprised at her conclusion:

But in Canada’s rationed system, the choices for humans [as opposed to pet cats] are not plentiful and wait lists are frequently long, though few would question the devotion of medical professionals. What Canadians such as myself question is not the public tier itself, but the wisdom of limiting patients and doctors alike to that tier.

She sent me the link to this post because it riffs off the (brief) discussion we were having about health care here earlier. The point she makes is not dissimilar from the one Bruce Bawer makes in his July 23, 2007 (5:10 P.M., CEST) post, in his case about Norway:

Norwegians boast of their system’s “total coverage” – but total coverage doesn’t mean guaranteed care, or care on demand. Far from it. Even the media here, which generally push the official line that Norway’s system is far superior to its U.S. counterpart, run occasional stories about Norwegian children who’ve been turned down for life-saving medications, who’ve had to fly to the U.S. to get the care they needed, or who’ve died while waiting for treatment.

…

None of which is meant to suggest that the U.S. system doesn’t need fixing. It does. But the solution to its problems doesn’t lie in copying the Canadian and European systems.

We Americans are a funny lot. We’ll accept (lamentably) the most egregious quacks imaginable as “experts” if they manage to snag a warm endorsement from Oprah, but we absolutely hate “expertise” that’s forced on us from on high, even if it’s got degrees and studies to back it up.

No health care system is going to satisfy all users all the time. Even in a rich, dynamic society, resources will always be limited. So the question is who gets to decide which trade-offs are made. Whatever the problems with insurance at it currently exists in the States, I think most people perceive that instituting a national health system means giving consumers less choice. Not a good direction for change, even if it would mean a “healthier” society according to criteria that would gladden the hearts of functionaries at the USDA and various UN organizations.

BTW, both Rondi and Bawer link to this video clip, in which Ayaan Hirsi Ali is interviewed by an insufferably smug leftist wind-up toy who has to be heard to be believed. The best moment is when the interviewer, wonderfully uncorrupted by self-awareness of any kind, complains that Hirsi Ali is speaking in cliches. He’s not wrong in literal terms, actually–the observation that you can come to America penniless and make your fortune if you have the resolve is hardly an original one. But Hirsi Ali has come by her conclusions through experience: living in illiberal societies and then moving to the West. Accusing her of mindless boosterism is ridiculous, even if you don’t agree with all her criticisms of Islam.

The Asahi ran a story yesterday that concludes that Japan’s “lost generation” (those who came of age in the years following the bursting of the Bubble) is showing itself ready to assume the role in politics it’s been avoiding. Based on the people profiled, I’m not so sure that’s a good thing:

After she graduated from university in 1998, Yamamoto decided she wanted no part in “mass consumer society.” Instead, she rented a 20-hectare farm in Niigata Prefecture and set about making a living through organic farming.

She barely managed and had to supplement her income by working part-time as a waitress at a nearby onsen. After two years, she gave up the farm and her job to volunteer her time and energy to local nonprofit activities.

She started by joining protests against the planned construction of a nuclear plant in the village of Maki. In 2003, she joined the village assembly. During this period, Yamamoto occasionally found odd jobs which paid little more than 200,000 yen a year.

While campaigning in a shopping district in downtown Niigata on July 15, Yamamoto emphasized that she understands what it’s like to be young and poor.

…

As part of her campaign platform she pledges to correct the income and benefit disparity between full-time and part-time workers.

There’s a certain droll logic to the idea that becoming a politician is the obvious next step for someone who’s spent her adult life avoiding work that has market value and generates wealth. However, being newly engaged with the political system is not the same as having learned anything useful about policy. There’s young and poor because you can’t find any steady work, and then there’s young and poor because you turn up your nose at the possibility of working in “mass consumer society.”

Promising to “correct” disparities implies that it’s a good idea for the government to continue the Japan Inc.-era practice of knob-twiddling with prices and wages–exactly the sort of behavior that helped the Bubble to inflate and burst in the first place. Perhaps, despite her overall failure as a farmer, Yamamoto managed to grow a money tree that she can use to make up the difference between freeters’ value to the economy and what she thinks they should be paid. If not, the major problems remain bureaucratic drag and the contraction of the population, neither of which is addressed by the Diet hopefuls quoted by the Asahi.

Oh, great. One of those party game things. Well, since Eric is a good friend, I’ll play along at least partially.

1. Let others know who tagged you.
2. Players start with 8 random facts about themselves.
3. Those who are tagged should post these rules and their 8 random facts.
4. Players should tag 8 other people and notify them they have been tagged.

Just what the world needs–another excuse for people to share private details that no one really needed to know about. But okay, let’s see….

1. My parents met when they were playing in a cover band together. My mother played drums and my father bass; when I was born, they named me after the Beatles’ rhythm section. (My middle name is Richard, and Sean is, of course, the Irish form of John.)

2. Those who find my voluble Yank patriotism and devotion to the English side of my family annoying may be pleased to know that the gods of mischief have found a way to stick it to me: People I meet are constantly telling me I “look French.”
3. Those who don’t tell me I look French tell me I look like Matthew Fox on Lost. I take it as a compliment, as I know it’s intended to be, but for the life of me I don’t see the resemblance.
4. I was brought up in a very conservative Christian sect and, directly out of high school, went to the small Bible college it ran in the East Texas woods. The atmosphere was friendly and upbeat, but classical-liberal skepticism was verboten (unless trained on the theory of evolution and other such intellectual tools of Satan, of course). I lasted six weeks before I had to get the hell out of there for the sake of my sanity.
5. I don’t seem to have the personality to succumb to the “addictive” allure of sites like Facebook. A friend invited me to sign up last week, so I did. Or tried to. It turned out I already had an account. Another friend had invited me to join some time before; I’d signed up and then not only not gone back but completely forgotten about it.
6. I grew up with parents who went to a local dairy farm to buy raw milk, went to another local farm to buy eggs, and had a vegetable garden most years. My mother baked all our bread. To this day, I find few things more irritating than food made with mediocre ingredients.
7. Well, okay–I do have a major weakness for Burger King.
8. For the love of Pete, one more? Uh, the first album I ever bought with my own money was Beauty and the Beat by the Go-go’s.

As far as tagging other people goes, I’m with Connie. But if there are eight people reading who’d like to share eight facts about themselves, comments are open. Knock yourselves out.

Strong 6 earthquake in Niigata and Nagano Prefectures, with the focus off Niigata. The strongest surface shaking seems to have been in the luckless Chuetsu region, which got hit badly by a series of quakes in October 2004. We certainly felt this one in Tokyo, too, but I was hoping it was centered offshore in the Pacific. A bunch of nuclear facilities shut down automatically, but there aren’t any reports of damage or injuries yet.

Added later: For those unfamiliar with the JMA scale, a strong 6 is a big-ass deal–sixth out of seven magnitudes of intensity: “In many buildings, wall tiles and windowpanes are damaged and fall. Most unreinforced concrete-block walls collapse.”

Added at 17:20: NHK is now reporting five deaths and 500 injured. A train derailed with, luckily, no injuries; and as Alan comments below, a transformer at a nuclear reactor caught fire, but it was brought under control by noon.

Last week I got a rare critical link. Very exciting–there are few things I like better than a good argument! And there are few better argument-starters than health care. His post is thoughtful and full of good points. I still don’t think he’s persuasive on his main point, though:

The health care system in Japan does have it’s problems, just like all systems. But on a whole it’s superior to the States. And that’s based on my anecdotes from living and experiencing the health care here in both countries over a period of many years.

Well, all right, but plenty of us have anecdotes. There was the dentist here who gave me a root canal (over four visits, of course) and left a live nerve fiber dangling there. It made its presence known with a vengeance a few months later.

There was the doctor I visited about a sore throat, explaining that I’d already tried aspirin, it wasn’t working, and I couldn’t afford to have my throat feeling raw for a presentation at the office the next day. He gave me powdered Tylenol and Chinese herbs.

There was the dermatologist at a major research hospital who looked at my skin condition and declared she’d never seen anything like it. The next dermatologist I went to (Japanese but trained in the Netherlands) listened to my story and said, “Huh? This is one of the most common conditions any dermatologist sees!”

There was my friend who came back from a trip to Thailand with a major fever and a wacked-out white cell count. The doctors told her she might have leukemia. Maybe. Almost certainly. Uh, more tests, maybe? A week later, she suddenly started feeling fine. Oops. Guess it was just one of those infections you sometimes get when you visit Southeast Asia. Our bad, said the hospital.

I’m not saying that I’ve proved that National Health is awful. I don’t believe that at all. It’s just that we can fling anecdotes back and forth like ping-pong balls without making generalizable points that should drive public policy. My teeth aren’t any less instructive than JST’s.

He seems to think that Americans should be dissatisfied with our health care system because WHO wants us to be. But there are compromises to be made. The Japanese system guarantees familiarity and stability at the cost of innovation and flexibility. It also, in putting lots of power in the hands of government bureaucrats, creates an incentive system for bribery and back-scratching. I doubt Americans, even those who have had bad experiences themselves, would think that trade-off was a good one. I’m no lover of insurance companies or HMOs, but I’m not convinced that getting Washington involved in managing the system would increase the overall saintliness of the enterprise, while driving costs down and without impeding the implementation of new treatments.

This week’s corner-cutting scandal involves elevators:

Leading elevator manufacturer Fujitec Co. used substandard steel in more than 12,000 elevators, 560 of which could fall short of mandatory strength standards, the infrastructure ministry says.

…

Some Fujitec elevators have only 66 percent of the legally required strength.

When operating under normal conditions, such elevators pose no problem, the ministry said. That is because the Building Standards Law requires elevators to be built to withstand up to three times the load they carry.

But problems could arise if an elevator were to stop between floors in the event of an earthquake with an intensity of upper 6 or stronger on the Japanese scale of 7. Ministry officials said railings that support the cage could become distorted in such instances, making it impossible for the elevator to restart itself.

That, in turn, could cause problems for workers rescuing passengers and trying to restore the elevator’s functions.

One heartening thing, of course, is that the problem has now been discovered, and there’s an excellent probability that reinforcement can be done before the next major earthquake turns potential problems into real disasters. The Nikkei story and others I’ve seen have made it sound as if the Ministry of Land, Transport, and Infrastructure called for fixes and further investigations after being apprised of the problem by Fujitec itself. (The investigation may have been one required by federal safety regulations–I’m not exactly an elevator expert, and the news reports have generally focused on the nature of the problem itself.)

Of course, sometimes lessons do end up having to be learned through tragedy. Spas and hot spring resorts have been in the spotlight since the methane explosion at a day spa in Shibuya that killed three employees:

According to the survey, 479 onsen facilities, such as ryokan inns and public baths, draw hot-spring water using an indoor system. Only 22, or 5 percent, have gas detectors.

The survey showed that 156 facilities, or 33 percent, had checked whether natural gas was present in hot-spring water, and 57 ascertained that it was.

But 323 facilities, or 67 percent, had never bothered to check.

Even if natural gas is present, there is no danger of an explosion if the facility is properly ventilated. But only 219 facilities, or 46 percent, were found to have ventilation systems.

As many as 108 facilities, or 23 percent, are operating in airtight conditions without even natural ventilation.

I wonder how many of the managers of those facilities were warned, as those at Shiespa were, that ventilation and detection systems were inadequate and haven’t done anything about it.

It’s been a pretty rainless rainy season so far. The weather’s lovely–not always sunny, but mild and warm. I’ve been trying to force myself not to be outdoors too much too soon, without much success. (I burn very easily.) Since it’s officially early summer, and I haven’t posted about poetry for, like, ever, here’s yet another from the Princess Shokushi:

声はして雲路にむせぶ郭公涙やそそく宵の村雨

式子内親王

koe ha shite / kumodji ni musebu / hototogisu / namida ya sosoku / yoi no murasame
Shokushi-Naishinno

Your voice, I can hear–
as you cut a sobbing path
through clouds, O cuckoo,
are your tears pouring down, too?
A burst of rain at twilight
–The Princess Shokushi

Imagining that the fleeting rainshower is caused by the equally fleeting flight of the cuckoo overhead, the princess wonders whether its crying voice (which she can hear) is accompanied by falling tears (which she can’t see).

Jane Galt wants to spread the word about Sony VAIO customer service, which is apparently as bad in the States as it is in Japan. Actually, I don’t know that Sony customer service is considered all that bad here; it’s just that everyone knows Sony products break down quickly. Hence the expression ソニー時間 (soni jikan: “Sony time”), which is…well, the (unusually low) amount of time it takes your Sony gizmo to conk out. A friend told me the expression started with an urban legend saying that Sony actually rigged its products to break down after a certain period of time, though I don’t know that there’s any way to verify that.

Of course, reputation doesn’t tell you everything. Toshiba in Japan is known for having surly and unhelpful customer service, but when the CD-ROM drive on my laptop started having seizures, everyone I talked to was great. (And by “everyone,” I’m referring to a half-dozen people. The drive would seem to be fixed at the end of each call and then start going on the blink a few days later. The last guy I talked to finally told me I’d just have to send my machine in.) I hope Jane finally gets some satisfaction out of Sony.

A close buddy, an Englishman, just sent me this article, with a note zeroing in, gay-ly, on the best one-liner:

He once asked Mick Jagger why his face was so wrinkled. “Laughter lines,” the old rocker replied with a grin. Melly quipped: “Nothing’s that funny.”

Perfect.

At Pajamas Media, Jules Crittenden reacts to Minister of Defense Kyuma’s resignation:

Japanese Defense Minister forced to resign for pointing out that Japan was asking for it.

Quick back story. Fumio Kyuma, native of Nagasaki, was in Chiba the other day addressing university students when he pointed out that the A-bombing of Nagasaki and Hiroshima “couldn’t be helped” and was “inevitable.” He noted it had the desireable efffect of preventing Japan from suffering the kind of decades-long Soviet nightmare suffered by Germany, Eastern Europe and Korea.

In my experience, rank-and-file Japanese people acknowledge that, too, when the topic comes up in one-on-one conversation. They don’t affect gratitude at having their countrymen incinerated, no, but they acknowledge that a swift end to the war was probably preferable to a protracted one and that the Allied occupation helped set the stage for Japan’s economic hypergrowth, with its drastic improvements in quality of life for Japanese citizens.

Several of my Japanese friends do maintain that we Westerners are hypocritical to moralize about the Japanese occupation of Korea and China. The democracies of Western Europe built their economic and geopolitical might through colonization; the United States and Australia, among other Allies, owe their existence to colonization. But when Japan decided that colonization was the way to become a world-class power (my friends argue), the West flipped out and said, “No, you’re not supposed to do that anymore. No more resources for you until you learn to behave!” (Atsushi and Jun’ichiro, if you think I’m misrepresenting you, feel free to let me know here.)

I don’t think that’s an invalid point. But Japan’s high-minded talk about an “Asian Co-prosperity Sphere” was malarkey–every bit as disingenuous as any Westerner’s contention that colonization was no longer something a nice, civilized people did.

BTW, along those lines, it may interest readers to know that Prime Minister Tojo’s granddaughter is running for a Diet seat:

The granddaughter of wartime Prime Minister Hideki Tojo said Tuesday if she wins election later this month for a seat in the Diet she will push to strengthen the military, rewrite the history of the Rape of Nanking and move to censure the United States for dropping atomic bombs on Japan.

…

On Japan’s mobilization of tens to hundreds of thousands of “comfort women” to serve in front-line brothels, Tojo said the government was not directly involved, a commonly held belief among Japanese conservatives despite evidence to the contrary.

…

Tojo said the U.S. atomic bombings of Hiroshima and Nagasaki went “beyond all the savage acts that occurred in history up until that time,” and accused the United States of being racially motivated. She claimed the U.S. would not have dropped such bombs on other “white” nations.

Japan, meanwhile, went to war to “liberate people of color from the white nations in the world” who were colonizing Asia at the time, she said.

Now, before anyone starts bloviating about how this shows what “the Japanese” think of World War II, let me just point out that Ms. Tojo is regarded as a far-right nutcase, albeit one who appears to have learned well the PC locutions that can be used to guilt-trip Westerners. (About that: One must acknowledge that there was plenty of racism abroad in the world back then, though my opinion is that the bombing of Dresden, say, casts considerable doubt on her specific contention about what violence the Allies would have been willing to commit against whom in order to win.) Most Japanese think of World War II what they think of all thorny subjects: they wish it would go away. Why, they wonder, do the Chinese and Koreans and Japan’s own ultra-nationalists have to keep bringing it up when it’s over and done with? I don’t condone that attitude, understand, but it is the prevailing one.

In any case, Japan went to war to compete for resources. It lost. It had the great good fortune to lose to honorable enemies, ruthlessly committed to victory in wartime but willing to set it on the path to renewed sovereignty and unprecedented economic recovery within a decade after peace had been achieved.

Happy Independence Day, fellow Americans.