Uzique wrote:
i think you need to disentangle your thoughts about the medical profession and the market in terms of 'good' and 'service'. seems to me you're interchangeably using use-value and exchange-value and it's confusing as hell and muddles your argument. ditto with the analogy with farming and agriculture: i can't even begin to understand what you're really getting at, and what your real point is re: market medicine when you conflate so many terms.
http://en.wikipedia.org/wiki/Exchange_value
Ok, I'll start from scratch.
There are certain life necessities that we can all agree upon.
1) We all need food.
2) We all need water.
3) We all need shelter.
4) We all need warmth provided by clothing or fire.
Added to this, as we live in developed nations and expect more out of life:
5) We all want health care.
I classify health care as a want because its function is to extend life, not provide it. You
can't get by without the first four for more than a few days without dying. You
can get by without seeing a doctor your entire life. But, for the sake of argument, let's classify it as a need.
In order to check the first box, food, we do have options (this argument assumes that we are not farmers). We can grow our own food, if inefficiently, or we can pay someone else to do the task. They throw some seed in a field, do a rain dance, and magically we have bread on our table. As I said, we could grow it ourselves, but we'd probably fail at it and starve. Instead, the farmer performs a service for us, one we've listed as a necessity for survival. Without the farmer, we starve.
Much the same thing happens when we visit a doctor. We do have the ability to diagnose and treat ourselves, we have myriad websites and over-the-counter drugs dedicated to nothing but self-diagnosis and treatment, but we're not very good at it. We'd rather pay a professional for his or her time and knowledge. Without the doctor, we can not extend our lifespan to the extent we wish.
So why is it that no one ever calls for the nationalization of farms? Why are doctors somehow more coveted? We spend far more on food over the course of our lifetimes than we do on health care, but I don't hear anyone begrudging the farmer his profits. Health care isn't even a necessity for life, it's a luxury.