In the film Rising Sun, Sean Connery’s character claims that “the Japanese have a saying: ‘Fix the problem, not the blame.’ Find out what’s f—- up and fix it. Nobody gets blamed. We’re always after who f—- up. Their way is better.” While this is not universally true (sometimes fixing the problem does mean assigning blame), it’s true enough: Americans, particularly American media, are much more fixated on pointing fingers than solving problems. With the current financial crisis, there is no shortage of culpability to go around, and the standard blame orgy is in full swing. Unfortunately, almost no one, least of all the media, is even mentioning one of the largest culprits: the American consumer. Far from assigning even a tiny bit of the blame there, most noticeably exclude them from analysis. In the debate last night, McCain went so far as to call them “innocent victims of greed and excess”.

Wrong.

The American public, that is currently raising such a stink about this crisis, did as much to cause it as anyone. They are not the sole cause, to be sure, but they are not innocent and it disgusts me they they (we) are getting a pass. One of the few to even mention this is Chris Plummer, who recently provided a menu of blame that included the general public, twice:

Consumers

Railing against greedy thieves in the financial industry ignores how readily Americans availed themselves of the cheap credit that same industry offered them. If there’s honor among junkies, it’s that they don’t blame their drug dealer for their addiction.

…

American workers

Employees across all industries suddenly fear for their jobs and resulting financial hardship as the nation appears headed into a recession of considerable depth. The ones most at risk are the millions who lived beyond their means and failed to steer earnings into savings for just such potential emergencies. They sadly face just desserts for feasting high on the hog.

That may be harsh, but it is largely true. It’s clear that the trigger for this crisis has been home loans made to people who ultimately couldn’t pay them back. Yet, in a society of finger pointing, somehow no one seems willing to even mention that, just perhaps, the people that agreed to take such loans might have, just perhaps, helped to totally screw us all.

The common rebuttal to this is “but there was criminal, predatory lending! Those people didn’t know what they were getting into! They were being lied to!” But, even if there was outright fraud in every single case, “those people” still signed the paperwork. Essentially, this rebuttal is saying that consumers who suck at math and reading comprehension are automatically innocent. This argument doesn’t hold up in any other venue. I’d like to believe that a small outlay of cash to a rich Nigerian in exile would net me millions but, if I fell for this scam, no one would call me an innocent victim. They’d say I got what I deserved for being so stupid and greedy. Blame certainly falls on the scammer, but also on the willing participation of the scammed. It takes two to tango.

When you are out and about, and a bomb set by a complete stranger goes off and kills you for no reason, you are an innocent victim. If you willingly enter a contract that fully explains what will happen, you are not innocent, no matter what anyone told you the contract said. That isn’t how contracts work. If you don’t understand a contract, you don’t sign it. Especially for something as large and important as a home.

You hear a lot of demand for “accountability” from the public, the media and politicians regarding Wall Street, government, the banking industry and so on. But this same public seems pathologically unable to be accountable themselves. We demand responsibility from others, but shown none ourselves. Why would we? We have no end of talking heads telling us we are the innocent victims.

Now, as mentioned, “Main Street” isn’t the sole culprit in this. There are a lot of other forces at work (which samaBlog lucidly explained). The point of this post is not to lay the blame solely at the public’s feet, but rather to act as one of the only places that assigns them any blame at all.

I tend to agree with the sentiment from a bad Michael Crichton movie that started this post, that blame just isn’t particularly useful. But, if you must point fingers, make sure you point them in the right direction.

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The death of an 18-year old girl from voluntary breast surgery explains the timing of this post, but is only tangentially related to its point. In the coming days, there will likely be a huge fuss about plastic surgery in the media, with people screaming on all sides in what passes for debate in that venue. Some, like this article, will make mention of an American Society of Plastic Surgeons report (pdf) claiming that the number of breast augmentations in 2007 increased 64% over the number in 2000. Some will claim this as a sign of the decline of Western Civilization. They may be right, but not in the way that they think.

In the past five years, health insurance providers have gained more and more control over the business of health in the United States. This has made them very profitable, as this comparison of four large, publicly held health insurers—Humana (HUM), CIGNA Corporation (CI), United Health Group Inc. (UNH) and Aetna Inc. (AET)—with the S&P 500 index from 2003 to 2007 shows (for the color blind, the S&P line is the one on the bottom):

Image and data from Google Finance

In the process, they have essentially gained control of the pricing of nearly every procedure that they cover. They, not the doctor, set how much the doctor charges. I will have more to say about this later but, briefly, the result of this has been to cause a toxic environment with at least two major consequences: 1) in most cases, neither the person consuming health care nor the person providing it have any input or influence on what the care costs (this basically turns the invisible hand into a middle finger) and 2) doctors are now, essentially, indentured servants to insurance companies.

As a direct result of the latter development, doctors in private practice are now forced to make one of three choices: either close their practice down now, continue practicing until forced to close by bankruptcy, or find some way of making money that doesn’t involve dealing with insurance companies. A great many doctors have been choosing the third path by exploiting a loophole of sorts: insurance companies usually don’t cover voluntary surgery. Voluntary surgery, like breast augmentation.

It should, therefore, come as no surprise that plastic surgery is on the rise. There are now huge numbers of doctors motivated to get people to pay for it, so that the doctors themselves can, you know, house themselves and eat. This makes it cheaper, easier to get, and gives plastic surgery the perception that it is now routine (which, sadly, it is becoming). Ever heard of labial plastic surgery, where women have their genital “lips” reduced? You will, as millions of OB/GYNs discover they can’t actually survive by doing things like delivering children into the world.

As I said, I will have more to say on this later. For now, keep in mind when watching all these idiots on television that the rise in plastic surgery has real economic causes.

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