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January 30, 2006
Pick Two
Jane Galt has had some interesting posts lately on abortion, or more specifically, policies that could drive us to the Democratic ideal of "safe, legal and rare." William Saletan writes in the New York Times that better sex education can help reduce abortions by driving down unwanted pregnancies. Jane is not impressed, and concludes that the current "constellation of policy choices" dictates that among "safe, legal, and rare," we can only pick two.
Here she borrows from "a rather old saw regarding the quality of fast food," that is, "good, fast and cheap--pick two."
This 'pick-two' rhetoric nicely illustrates the trade-offs involved in any public policy and the underlying vision that our choices are constrained by circumstances and human nature. An opposing camp often believes that any problem can be overcome by a sufficiently sophisticated contrivance (a mild form of utopianism). Forcing this camp to 'pick two' could be the start of productive policy formulation, or at least force them to give up unreasonable expectations.
I encountered a similar tactic when we studied health care policy at university (and I was surprised as anyone to find it in my fairly liberal school). The three E's of health care are effectiveness, efficiency, and equity -- pick two. Arguably, one could say the U.S. barely reaches half of our potential E's, but most people, or at least the idealists in my school, would be concerned about getting our missing equity. The 'pick two' rule forced them to think carefully about which of the others they'd like to give up.
I'd be curious if there are other such examples our readers could provide. One has already come to my attention, which I'll direct at those of you looking for a significant other: single, attractive, and sane -- pick two.
Posted by Zach Wendling at January 30, 2006 11:38 PM
I encountered a similar tactic when we studied health care policy at university (and I was surprised as anyone to find it in my fairly liberal school).
Was this in one of your SPEA classes, Zach? I minored in SPEA, actually, and was surprised that in my "Intro to Public & Environmental Affairs" course, the professor taught many reasonable, but outside of liberal orthodoxy, things such as that we're really not running out of room for landfills (there's plenty of space...siting and transportation is more the issue) and styrofoam cups are more environment-friendly than paper (paper doesn't break down quickly in actual landfill conditions, and styrofoam takes up less room per cup once crushed).
Posted by: Eric Seymour at January 30, 2006 02:09 PM | permalink
Transportation: faster, cheaper, safer (pick two).
Posted by: CGHill at January 30, 2006 04:35 PM | permalink
One problem with using the "pick two" for safe, legal and rare, and one I'm suprised hasn't been mentioned before. If you don't pick "legal" as one of them, how can you guarantee the reality for the other two?
With safe, there's no methods of regulation, via the legal and/or legislative systems, to insure that the techniques being used by the doctors are actually considered safe. Not only that, but there would be few avenues of recourse for those who suffered from an unsafe procedure. In fact, I can see it now.
You killed my daughter, you bastard!
I'll sue!
...
Oh wait. How do I explain this one to the judge. Hmmm...
I'll have your licence revoked!
Oh, it already is...
I'll see you in jail!
...
Just got out, huh?
[sound of shotgun being racked]
Die.
And with rare, how exactly will you determine the precise rarity of abortions? It would be like the police going up to drug dealers trying to determine the exact quantity of drugs they have sold, wouldn't it?
Pardon me, sir. Just a routine inquiry.
Huh? I'm just standing here, trying to decide which... Ummm... Yeah, which pregnancy test to buy for my girlfriend. That's it, officer.
Fine, sir. Would you mind telling us how many abortions you've done in the alley back there?
Oh, no! I don't have nothing to do with that! Abortions are illegal, and I wouldn't even think about it!
Well, sir. Thank you for your time and thank you for shopping at Walgreens.
[muttering which sounds like someone saying "Damn pigs." repeatedly]
Yo, babes. RU486, just fifty bucks...
Too far along for that, huh? Got coathanger anna office. Just a franklin. Watcha say?
Snarkiness and extremely unlikely examples aside (Okay, the first one isn't very unlikely. The second one is, though.), the only way to insure that abortions are both safe and rare is to keep them, in principle, legal. To think otherwise is, in my view, one of those "unreasonable expectations" you mentioned.
Posted by: Off Colfax at January 31, 2006 01:01 AM | permalink
You forgot the other combo: if they're legal and rare, why does it follow that they'll be unsafe? I'd think that in such a scenario, they're more likely to be safe (or at least, as safe as such a procedure can be).
Peter at Crescat had some snarky but (imo) basically correct responses to Jane on this one. I like her, but she's off on this one.
Posted by: Nick Blesch at January 31, 2006 03:13 AM | permalink
In the world of computer programming the saying is "cheap, fast, good - pick any two"
Posted by: easyfrag at January 31, 2006 07:14 AM | permalink
Rare and safe but illegal: this is pretty much what pro-life advocates want, a law that restricts all abortions to only those that are most neccessary, i.e., when the health or life of the mother is in jeopardy. (Granted, this does ignore those proverbial back alley abortions.)
Legal and rare but unsafe: a very restrictive law that would fail to adequately protect a mother when her pregnancy threatens her health or life.
And Jane responds to Peter in rather snarkier terms.
Posted by: Zach Wendling at January 31, 2006 07:48 AM | permalink
I'm reminded of another one related to cars, especially when considering emissions and design: clean, safe, and powerful -- pick two.
Posted by: Zach Wendling at January 31, 2006 07:50 AM | permalink
Of course Zach, everything humanity does is done with imperfect knowledge of the past, present and future.
One cannot build a bridge without deciding how many deaths are acceptable after it is built. If the bridge were perfect, then the amount of resources its construction would consume would be infinate.
In the same way, everytime we get into a car we are acknowledging that we are willing to kill someone to make our transportation more convienent. The probability of it happening is low, but integrated over a lifetime there is a reasonable expectation that we will be involved in someone's death directly as a result of our wish to commute in cars.
The same thing happens in education and health care. You can't have it all, and you have to draw the line at some point so that we don't waste resources. Unfortunately, it seems that preciously few political decisions are approached in this fashion.
A few days ago we had a discussion about telecom reform. Once again, the tradeoff is universal high-speed internet service vs. big telecom's ability to profit. The degree that the government mandates universal service will determine the nation's access to high-speed internet.
Posted by: Dave S. at January 31, 2006 08:05 AM | permalink
Vehicles: durable, reliable and economical to drive.....
Posted by: lawyerchik1 at January 31, 2006 09:31 AM | permalink
I dunno, lc1. My Saturn would seem to fit all three.
Posted by: Zach Wendling at January 31, 2006 09:33 AM | permalink
Zach
My Saturn held up, but I've heard that later models are having reliability problems. The Big 2.5 in America haven't invested in making new cars over the past decade since they have been fat dumb and happy making "more bigger" SUV's.
Now that's coming home to roost with the gas prices, and people want cars again. Unfortunately, my guess is that GM is several years behind Japan on the product cycle.
Posted by: Dave S. at January 31, 2006 08:47 PM | permalink
Yeah maybe, but you took the best one in the article itself: single, attractive & sane.....
Posted by: lawyerchik1 at February 2, 2006 03:26 PM | permalink
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