Dear Bob Fink: Thanks for the posting on Who will take care of my dogs? You tell us an interesting story of an "ideal" health system that has failed to live up to its stated goals. I have heard that all of the Scandanavian countries are having to backtrack from their earlier goals of universal health care. Why is that? Are there the same fiscal crunches there as here? In the face of shortages, one typical solution is rationing. That is what is described here; rationing of health care. It seems to me that that is the US reality; we are going to have to ration health care. In fact we do now, it just isn't rule oriented. But with managed care, the rules and the managers are being put into place. Maybe it would be better to have the system run by market forces; that would seem to many of us as fairer than the arbitrary application of the rule by the manager. Fairness is our primary concern. Fairness in the distribution of resources. How do we go after a fair distribution system for income? The taxation system was designed to do so. High income people can continue to earn their high incomes, they just should get taxed more. There has been the cry that people lose their incentives to work with high taxation. I know of no scientific evidence to support that. What little I am familiar with, would support the opposite. I found reading the book by Daly and Cobb, For the Common Good by Beacon Press in Boston, to give me hope. Here is an argument for an economic transformation where the society has the goal for the support for human(e) life. How such a transformation will come about, I don't know. We have to begin to push for it. The income distribution "rules" are to totally out of whack. The CEO salaries listed are obscenely high. I know that there are the usual justifications but really there is no justification for that given the nature of poverty at home and around the world. Problem is, that there is no check and balance system. The governmental process used to try to provide that, and often taxation was a check and balance stratety. Both are so discredited right now as to be totally ineffective. In each mayoral election here, I take the occasion to ask the candidates just when are they going to raise taxes so that we will have a decent set of public services. When I moved from Maryland to Tennessee, my taxes went down several thousand dollars a year. I am regarded with great suspicion with that question. I have decided that if they won't tax me, I will take the difference between the two states' tax levels and give that to charity. That accomplishes distribution but it does not address equitable distribution to where the real needs are. And its only my giving that it affects. Others take the money and use it for more personal purposes. Thanks so much for the inspiration. We need to speak out on this, not just for ourselves but for the welfare of us all. We cannot continue to be greedy and stingy. American capitalism has turned us all into Scrooges. How did that happen? Where in the ghost of Marley when we need it? Dear Martones: Thanks for the Rotary Club talk, that was very informative and again inspirational. You are doing a valuable education, for them and for us. It makes me realize that I could be doing that too. But I'm so busy with other things that it just doesn't happen. Maybe a New Years resolution to give at least one talk to some group this year about PD as I know it. That is the best way to do it; personal story. All the best. Bob Newbrough ([log in to unmask])