Yea, on those darn things called principles, I do tend to be a bit "all or nothing".
When Rand suggests that, unless charges are dropped against this doctor the US should stop the payoff, the implication is that the payoff is okay, only the charges against the doctor are wrong. It leaves one wondering - not whether Rand supports payoffs (he obviously does) - but what other payoffs Rand supports.
Contrast that with his father's observation on foreign aid - that's it's theft from poor people in rich countries given to rich people in poor countries. The implication here is clear. It should be stopped. All of it.
I must be willing to give up what I am in order to become what I will be. Albert Einstein
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