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