RE: Memorial Day Question /Is health care a Privilege or a Right? pro's and con's (Full Version)

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SternSkipper -> RE: Memorial Day Question /Is health care a Privilege or a Right? pro's and con's (5/27/2012 3:16:46 PM)

quote:

Since you feel compelled to post not 1 but 2 nasty posts, I am compelled to retort.
I started not to even bother responding to this rant, because I normally walk about from online rants.


I count 1 post that could even be construed as slightly 'nasty' ... But let's be honest, it was a response to seeing you throw "post somewhere else" messages to half the people that posted and then finally getting one myself for posting what I thought was a nice picture of Boston common. But go for it M think whatever you like ... the rest of you rectal spate goes unread.
Don't bust any fillings on my account.




TheHeretic -> RE: Memorial Day /Is health care a Privilege or a Right? pro's/con's (5/27/2012 3:52:48 PM)


quote:

ORIGINAL: vincentML

quote:

I don't really think, "right vs. privilege," is the correct frame for the discussion. Americans have an unquestioned right to travel, but that doesn't mean the government has to buy everyone a Chevy Volt, or even must allow them to board an airplane.


But the Commerce clause allows Congress to allocate funds to build roads and provide air traffic control to facilitate that travel.

quote:

Is healthcare an entitlement in the Constitution that we just hadn't noticed was in there, all this time? I don't think so.


Agree. there are probably no individual entitlements in the Constitution except in the Bill of Rights. However, the General Welfare clause and the Commerce clause have been held to give Congress the power to determine what is in the general welfare of the Nation and tax/spend to advance that Welfare. [not individual welfare] We shall soon see how the Robert's Court rules. Will it upset or modify those precedents?

quote:

Is the answer to our healthcare problems, putting government in charge of the system? If so, then what's the best way to do it?


Two excellent questions, Rich. I wonder how the answers will work out.



Funny you should mention the roads and ATC system, Vincent. I was thinking about just those very bits of infrastructure as examples of how the government can promote and facilitate, without assuming totalitarian control over something. What would the analogues be in a healthcare system?

One thing we could do that would break loose the logjam would be to reevalute what we consider public health issues, vs. individual health issues.

Say we view the medical needs people will encounter through their lives as falling broadly (and vastly simplified, I know) into four categories; routine, and geriatric/terminal for everybody, and catastrophic, chronic/disabling, for some. If we included provisions for all the routine care for all citizens, (say vaccinations, check-ups, boo-boos bad enough to have someone drive you to the ER, but not require an ambulance and trauma center) in our vision of public health, and have a public infrastructure to address them, I think we could go a very long way into resolving the problem. Since every one of us is going to die, as well, let's consider hospice care part of public health as well. Whether we do all that by means of subsidized insurance, operational grants to local administering authorities, or direct operation of a nationalized system of free clinics and urgent cares can be another discussion. One way or another, it will require a new acronym, next to a new deduction, on my paystub. I can live with that, especially if my insurance contribution is going down.

Since not everybody is going to need to utilize massive trauma care, or develop a critically expensive long-term condition, or need cancer treatment, or live long enough to need all the expensive second-to-last breaths modern medicine can provide, those are what we consider individual health issues, best met privately. That keeps competition and innovation alive and healthy in the industry, and allows insurance to actually be insurance.

Terminal/geriatric care is going to be a biggie. Every morning, thousands of new baby boomers start seeing their mortality in the mirror, and some of them simply aren't going to have that. A booming market in staving off death will rise to serve them, and who knows? We might get some great new medicine out of it. On the other hand, if this falls under government oversight and control, questions about whether we can afford to put an 87 year old in an ICU bed for three days every couple of months, become matter of government policy. I don't like that. I don't think a lot of other people would like that either.


It's just a thought, but since we never seem to get anywhere talking about it through the present filters, why not try a new angle of approach?




Real0ne -> RE: Memorial Day Question /Is health care a Privilege or a Right? pro's and con's (5/27/2012 4:02:45 PM)

fr

without reading through all the bullshit parlor talk that these types of threads attract, lets start from the top;


a RIGHT is:_____________________

a PRIVILEGE is: ____________________

I have yet seen anyone accurately state the difference since it has been misused since beginning of time.





Raiikun -> RE: Memorial Day /Is health care a Privilege or a Right? pro's/con's (5/27/2012 4:17:43 PM)

Saying health care is a "right" sounds good in theory, but I can't quite agree with it.

Health care is provided by the time and labor of others; so calling health care a "right" means declaring everyone has the right to the time and labor of others. And I can't quite bring myself to agree with that.




Real0ne -> RE: Memorial Day /Is health care a Privilege or a Right? pro's/con's (5/27/2012 4:42:45 PM)

the state claims it has the "right" to collect taxes.





Yachtie -> RE: Memorial Day /Is health care a Privilege or a Right? pro's/con's (5/28/2012 6:50:34 AM)

quote:

ORIGINAL: Real0ne
the state claims it has the "right" to collect taxes.


Another misuse of the word, by the state, made by people who do not know better. The state has powers, not rights. Even the wording of the US Constitution shows government has power and not rights; i.e. The Congress shall have Power To lay and collect Taxes ... You'll not find anywhere in the US Constitution, nor any state Constitution I believe, the word "right" assigned to government.




Yachtie -> RE: Memorial Day Question /Is health care a Privilege or a Right? pro's and con's (5/28/2012 7:27:31 AM)

Why is this all so difficult?


quote:

ORIGINAL: Real0ne

fr

without reading through all the bullshit parlor talk that these types of threads attract, lets start from the top;


a RIGHT is:_____________________

a PRIVILEGE is: ____________________

I have yet seen anyone accurately state the difference since it has been misused since beginning of time.





You might find this of interest. I quote the part I find applicable within the context of what is being discussed in this thread -

3. It is that quality in a person by which he can do certain actions, or possess certain things which belong to him by virtue of some title. In this sense, we use it when we say that a man has a right to his estate or a right to defend himself.

In this latter sense alone, will this word be here considered. Right is the correlative of duty, for, wherever one has a right due to him, some other must owe him a duty.

Rights are perfect and imperfect. When the things which we have a right to possess or the actions we have a right to do, are or may be fixed and determinate, the right is a perfect one; but when the thing or the actions are vague and indeterminate, the right is an imperfect one. If a man demand his property, which is withheld from him, the right that supports his demand is a perfect one; because the thing demanded is, or may be fixed and determinate.

But if a poor man ask relief from those from whom he has reason to expect it, the right, which supports his petition, is an imperfect one; because the relief which he expects, is a vague indeterminate, thing.


As Raiikun says, Health care is provided by the time and labor of others; so calling health care a "right" means declaring everyone has the right to the time and labor of others.

Just how much time and labor is, as their due, one entitled to lay claim to of another? Is it fixed and determinate? If not, then as my example, made well earlier in this thread, would allow one to pick the pocket of one's neighbor to whatever degree one decides, being vague and indeterminate.

Privilege is easy, a such easily falls within the scope of being granted license. For instance, ask the owner of the property if you may drink from his well. You'd be asking for his permission, the privilege of use of his property. If one has a right to its use one need not gain permission to its use.

As I posted earlier, License is permission by a competent authority to do that which would otherwise be illegal, a trespass, or a tort.

The whole "healthcare is a right" is a red herring.








thompsonx -> RE: Memorial Day Question /Is health care a Privilege or a Right? pro's and con's (5/28/2012 8:17:34 AM)

quote:

As Raiikun says, Health care is provided by the time and labor of others;


False prmise.


quote:

so calling health care a "right" means declaring everyone has the right to the time and labor of others.


Equals false conclusion.

quote:

Just how much time and labor is, as their due, one entitled to lay claim to of another?


False premise.



quote:

Is it fixed and determinate? If not, then as my example, made well earlier in this thread, would allow one to pick the pocket of one's neighbor to whatever degree one decides, being vague and indeterminate.


False conclusion.

Are you saying that you should not have to pay any taxes?




Real0ne -> RE: Memorial Day Question /Is health care a Privilege or a Right? pro's and con's (5/28/2012 8:31:24 AM)


quote:

ORIGINAL: Yachtie

Why is this all so difficult?


quote:

ORIGINAL: Real0ne

fr

without reading through all the bullshit parlor talk that these types of threads attract, lets start from the top;


a RIGHT is:_____________________

a PRIVILEGE is: ____________________

I have yet seen anyone accurately state the difference since it has been misused since beginning of time.





You might find this of interest. I quote the part I find applicable within the context of what is being discussed in this thread -

3. It is that quality in a person by which he can do certain actions, or possess certain things which belong to him by virtue of some title. In this sense, we use it when we say that a man has a right to his estate or a right to defend himself.

In this latter sense alone, will this word be here considered. Right is the correlative of duty, for, wherever one has a right due to him, some other must owe him a duty.

Rights are perfect and imperfect. When the things which we have a right to possess or the actions we have a right to do, are or may be fixed and determinate, the right is a perfect one; but when the thing or the actions are vague and indeterminate, the right is an imperfect one. If a man demand his property, which is withheld from him, the right that supports his demand is a perfect one; because the thing demanded is, or may be fixed and determinate.

But if a poor man ask relief from those from whom he has reason to expect it, the right, which supports his petition, is an imperfect one; because the relief which he expects, is a vague indeterminate, thing.


As Raiikun says, Health care is provided by the time and labor of others; so calling health care a "right" means declaring everyone has the right to the time and labor of others.

Just how much time and labor is, as their due, one entitled to lay claim to of another? Is it fixed and determinate? If not, then as my example, made well earlier in this thread, would allow one to pick the pocket of one's neighbor to whatever degree one decides, being vague and indeterminate.

Privilege is easy, a such easily falls within the scope of being granted license. For instance, ask the owner of the property if you may drink from his well. You'd be asking for his permission, the privilege of use of his property. If one has a right to its use one need not gain permission to its use.

As I posted earlier, License is permission by a competent authority to do that which would otherwise be illegal, a trespass, or a tort.

The whole "healthcare is a right" is a red herring.









because it is incorrectly used for several reasons.

that is a [image]http://i123.photobucket.com/albums/o296/nine_one_one/stuff/GoldStarI.jpg[/image] definition




Yachtie -> RE: Memorial Day Question /Is health care a Privilege or a Right? pro's and con's (5/28/2012 8:54:36 AM)


quote:

ORIGINAL: thompsonx

quote:

As Raiikun says, Health care is provided by the time and labor of others;


False prmise.


quote:

so calling health care a "right" means declaring everyone has the right to the time and labor of others.


Equals false conclusion.

quote:

Just how much time and labor is, as their due, one entitled to lay claim to of another?


False premise.



quote:

Is it fixed and determinate? If not, then as my example, made well earlier in this thread, would allow one to pick the pocket of one's neighbor to whatever degree one decides, being vague and indeterminate.


False conclusion.

Are you saying that you should not have to pay any taxes?




Just what the fuck does that have to do with whether something is a right or not?

You're clueless as usual.




Musicmystery -> RE: Memorial Day Question /Is health care a Privilege or a Right? pro's and con's (5/28/2012 9:21:04 AM)

quote:


As Raiikun says, Health care is provided by the time and labor of others; so calling health care a "right" means declaring everyone has the right to the time and labor of others.


We could say the same of justice.

Very silly point.




vincentML -> RE: Memorial Day /Is health care a Privilege or a Right? pro's/con's (5/28/2012 9:42:09 AM)

quote:

Since not everybody is going to need to utilize massive trauma care, or develop a critically expensive long-term condition, or need cancer treatment, or live long enough to need all the expensive second-to-last breaths modern medicine can provide, those are what we consider individual health issues, best met privately. That keeps competition and innovation alive and healthy in the industry, and allows insurance to actually be insurance.


Okay, Rich. I can accept your categories as valid. Non-trauma, routine care could be handled by clinics such as those within pharmacies in my area. Immunization is a general welfare imo in addition to being an individual welfare. The schools require it of children tho some parents resist. A topic for another time perhaps. Hospice is already provided by Medicare, both in home and in hospital/care center.

quote:

Terminal/geriatric care is going to be a biggie. Every morning, thousands of new baby boomers start seeing their mortality in the mirror, and some of them simply aren't going to have that. A booming market in staving off death will rise to serve them, and who knows? We might get some great new medicine out of it. On the other hand, if this falls under government oversight and control, questions about whether we can afford to put an 87 year old in an ICU bed for three days every couple of months, become matter of government policy. I don't like that. I don't think a lot of other people would like that either.


This industry is already here and under Medicare. I have read or heard that 25% of Medicare dollars go into terminal treatment. Wayyy too much imo. Much of the treatment is expensive but inappropriate/ineffective. The governent controls what it will/can pay for. The decisions to proceed are made by physicians with family. This is why the effort was made to have end of life counseling and efficacy committees included in the PPACA. Twarted by the lie about "death committees." And yet, private insurance companies decide on which protocols they will pay.

quote:

Since not everybody is going to need to utilize massive trauma care, or develop a critically expensive long-term condition, or need cancer treatment, or live long enough to need all the expensive second-to-last breaths modern medicine can provide, those are what we consider individual health issues, best met privately. That keeps competition and innovation alive and healthy in the industry, and allows insurance to actually be insurance.


Okay, here are several problems:

The young and bullet-proof shy away from paying insurance premiums thus narrowing the pool of money to cover those who need catastrophic treatment. Additionally, insurors will cherry pick by denying coverage for pre-existing conditions, narrowing the money pool even further. For these reasons premiums for catastrophic/long term conditions will be exorbitant. We can predict that demand will be much reduced and the health insurance business will become smaller.

Catastrophic/long-term care private insurance will not solve the problem of distributive justice. In other words, if you are poor or middle class you are fucked.

I cannot imagine how there will be increased competition and innovation that allows iinsurance to be insurance, as you put it.

How should public healthcare insurance/taxation be different from paying taxes to provide for public education? Not everyone uses the public system but all have the opportunity to attend. So, if the wealthy wish to get "better" care, with on-time appointments can't they purchase "boutique" healthcare?

Vincent




vincentML -> RE: Memorial Day Question /Is health care a Privilege or a Right? pro's and con's (5/28/2012 9:44:28 AM)


quote:

ORIGINAL: Musicmystery

quote:


As Raiikun says, Health care is provided by the time and labor of others; so calling health care a "right" means declaring everyone has the right to the time and labor of others.


We could say the same of justice.

Very silly point.


Wonder why right-to-lifers object to right to healthcare. Curious, ain't it?




vincentML -> RE: Memorial Day /Is health care a Privilege or a Right? pro's/con's (5/28/2012 9:50:36 AM)


quote:

ORIGINAL: Yachtie

quote:

ORIGINAL: Real0ne
the state claims it has the "right" to collect taxes.


Another misuse of the word, by the state, made by people who do not know better. The state has powers, not rights. Even the wording of the US Constitution shows government has power and not rights; i.e. The Congress shall have Power To lay and collect Taxes ... You'll not find anywhere in the US Constitution, nor any state Constitution I believe, the word "right" assigned to government.


Maybe we should consider it a moral right that trumps a lack of Constitutional right. Sort of like the humane right to food, clothing, and shelter.

Might also throw in the right to safety and the right to get an education.




TheHeretic -> RE: Memorial Day /Is health care a Privilege or a Right? pro's/con's (5/28/2012 10:15:20 AM)

The critical difference between insurance companies having protocols on end of life care, and the government making the determinations is competition, and choice, Vincent. Most people don't get to sit down at retirement, and decide which government they are going to go with.

As for saying the market to keep boomers from dying is already here, that's like saying the dot com boom in the stock market was already going in the eighties. The initial foundation is in place, but it's still a little while before things really go nuts.




Marini -> RE: Memorial Day /Is health care a Privilege or a Right? pro's/con's (5/28/2012 10:15:40 AM)

quote:

Say we view the medical needs people will encounter through their lives as falling broadly (and vastly simplified, I know) into four categories; routine, and geriatric/terminal for everybody, and catastrophic, chronic/disabling, for some. If we included provisions for all the routine care for all citizens, (say vaccinations, check-ups, boo-boos bad enough to have someone drive you to the ER, but not require an ambulance and trauma center) in our vision of public health, and have a public infrastructure to address them, I think we could go a very long way into resolving the problem. Since every one of us is going to die, as well, let's consider hospice care part of public health as well. Whether we do all that by means of subsidized insurance, operational grants to local administering authorities, or direct operation of a nationalized system of free clinics and urgent cares can be another discussion. One way or another, it will require a new acronym, next to a new deduction, on my paystub. I can live with that, especially if my insurance contribution is going down.

Since not everybody is going to need to utilize massive trauma care, or develop a critically expensive long-term condition, or need cancer treatment, or live long enough to need all the expensive second-to-last breaths modern medicine can provide, those are what we consider individual health issues, best met privately. That keeps competition and innovation alive and healthy in the industry, and allows insurance to actually be insurance.

Terminal/geriatric care is going to be a biggie. Every morning, thousands of new baby boomers start seeing their mortality in the mirror, and some of them simply aren't going to have that. A booming market in staving off death will rise to serve them, and who knows? We might get some great new medicine out of it. On the other hand, if this falls under government oversight and control, questions about whether we can afford to put an 87 year old in an ICU bed for three days every couple of months, become matter of government policy. I don't like that. I don't think a lot of other people would like that either.

It's just a thought, but since we never seem to get anywhere talking about it through the present filters, why not try a new angle of approach?
'
[sm=applause.gif]
This is a great post, from our conservative poster on the left coast!
Rich, are you turning into a closet liberal?

I appreciate your very well thought out and comprehensive plan.
IF the powers that be thought along these lines, it sounds like a fairly humane form of coverage.

I STILL prefer a single-payer health plan, I don't want corporations in the driver's seat running our healthcare system.

Do we want "corporations" running/controlling our health care system?
Even if the current system is changed and revamped, how much involvement should "for profit" involvement be?????

With the dismal failure of insurance and health care in the United States these days, this issue is fast becoming numero uno, and is a question that has to be answered/and actually RESOLVED in the next few years.
The current system, will NOT last much longer.




Yachtie -> RE: Memorial Day /Is health care a Privilege or a Right? pro's/con's (5/28/2012 10:33:35 AM)

quote:

ORIGINAL: vincentML

Maybe we should consider it a moral right that trumps a lack of Constitutional right. Sort of like the humane right to food, clothing, and shelter.

Might also throw in the right to safety and the right to get an education.


Under the guise of a right, if someone has the humane right to shelter, food and clothing I'd suppose anyone needing such is free to exercise their right and to crash at your place, eat your food and help themselves to your wardrobe.

But if, instead, you'd point them in the direction of the nearest shelter then it would be apparent that they'd be accessing the privilege the shelter offers in its charity.

Charity is something one does for whatever reason, but it is not owed anyone due to any claim of right they might make. Charity is more akin to a gift, and a gift is not something anyone has a right to. How could it be a gift if you have a right to it?





Marini -> RE: Memorial Day Question /Is health care a Privilege or a Right? pro's and con's (5/28/2012 10:36:59 AM)


quote:

ORIGINAL: Musicmystery

quote:


As Raiikun says, Health care is provided by the time and labor of others; so calling health care a "right" means declaring everyone has the right to the time and labor of others.


We could say the same of justice.

Very silly point.


We will always FIND the money to bail out corporations, banks, prisons, and our current 100 years to infinity military involvements/occupations/wars.




Marini -> RE: Memorial Day /Is health care a Privilege or a Right? pro's/con's (5/28/2012 10:46:16 AM)

quote:

Maybe we should consider it a moral right that trumps a lack of Constitutional right. Sort of like the humane right to food, clothing, and shelter.

Might also throw in the right to safety and the right to get an education.



I like the way Epiphany stated this in post #76, and is specifically why I phrased this thread the way I did.

From post #76 --"This alone more than justifies trashing the present system and all it's parasites, for a well designed universal system, leaving the moral arguments for later leisure."

I have seen endless threads debating morality, and the endless circular arguments based on what is right/what we should do/etc.
[8|]
We need something DONE in the immediate near future/soon, we don't have 20-50 years to sit back and debate/ decide what "should" be done in the name of humanity, what is morally the right thing to do, why can't we help our brothers,etc.




Lucylastic -> RE: Memorial Day /Is health care a Privilege or a Right? pro's/con's (5/28/2012 10:48:57 AM)

Amen Marini!




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