So, now we have a president who promised, and delivered, health care reform that goes a long way toward reaching those millions of previously uninsured Americans with adequate coverage; and we have 4 men wanting to take over his job, all of whom have vowed to repeal said progress if elected. To me this sounds a lot like "reinventing the wheel." How can we move forward by destroying what has been built already?
Well, this is, of course, not only a huge issue, it is actually several issues often confused. My mind is simple, so I'll break the topic of "Health Care Insurance" into the three topics of Health, Health Care, and Health Care Insurance.
Health
It's probably safe to say that everyone wants to be healthy. However, it's an entirely different story when it comes to taking the necessary steps to be healthy. Many people are very health conscious and make it a lifestyle to eat well, to exercise regularly and to balance their lives with work, recreation and rest. They are willing to do what it takes to maintain their best health. Others know they should do these same things but lack the will to follow through. Still others are ignorant of how to live healthy, ignore what they do know, or are prevented by physical, environmental or economic realities from living healthy lives. Finally, there are some who manage to be rather healthy in most respects through no effort of their own; they just have lucky genes or something. We all know "healthy is good." So it's always beneficial to promote good health among all via education and marketing, loving coercion and example. However, this is still a land of individual freedom, and we can't make anyone take the steps necessary to improve or maintain one's health. This is where government has inconsistently stepped in time and again. Over the years, congress has determined that we must wear seat belts and motorcycle helmets, our cars must have air bags, crash protection and safety glass, and our homes cannot contain lead or asbestos; all to protect our health whether we want it or not. So, what am I saying here? Just that we all know it's a good thing to be healthy. But to what extent is it our government's responsibility to ensure our health and well-being? We seem willing to accept government directives over some areas of our lives, whereas others cause an uproar. It's really just a small step from mandating seat belts and lead-free paint to "Obamacare" for all. The question is: What do "the people" really want?I consider the scope of health care to include the availability and affordability, and the right to access, of professional health care. We are all very thankful for the vast network of hospitals, research labs, clinics, nursing centers and individual professional medical offices all across America. Every new medicine or advanced technique expands the opportunities to improve our lives. One of the major issues of our times is the increasing total cost of our nation's medical care. The crisis we are facing is the confluence of 1) more medical treatments becoming available every year, representing incremental expenses not incurred in the past; 2) an aging population that naturally requires more treatment; and 3) the belief that we have the right to whatever treatments are available.
Many of us are quite interested in "preventive" healthcare; that is, we are willing to visit the doctor when nothing is wrong just to make sure there isn't a problem brewing unseen. Others only make that trip when a problem demands it, expecting a quick fix. Again, this is a matter of personal choice and lifestyle. Still others wait until matters progress such that an emergency visit and hospitalization are required. The point is that all this care is good, and it has a cost. In a free society, that cost is born responsibly by the individual, either directly or by the purchase of insurance protection. Like other commodities, we buy what each desires or can afford. However, if we assume an inherent right to our healthcare, we must consider a very different model.
Health Care Insurance
Finally, interwoven throughout the above discussions is the theme of Health Insurance, whether individually chosen and purchased, provided by employers or mandated by legislators. As a general definition of "insurance," it is an instrument designed for protection against major calamity. We purchase homeowners insurance against the unlikely and costly fire or storm damage; but we don't expect coverage for our peeling paint or the cracks in our driveway. Somehow we have come to expect exactly that, however, from our health insurance coverage. We want our insurers to pay for every visit to the doctor, the dentist, the optometrist and the pharmacist. Most of these are routine visits, something we all should be willing and able to pay for, even though it may mean re-budgeting other items in our lives. Where we really need insurance is for unexpected accidents, hospitalizations and surgeries. If we realigned our insurance plans to cover those catastrophic costs for which insurance is intended, there should be plenty of money in the system to pay the needed expenses. Overall costs should come down because we would all be more responsible over those health care costs that each of us should be paying directly. This should be the first step in bringing under control our exuberant health care cost; well maybe it's the second step, after rooting out waste and fraud.
The other area to control costs is a very difficult one to address, so my comments will be limited. It is just that maybe everyone is not necessarily entitled to every form of health care available. This gets into moral issues where judgments are difficult to make -- remember the threats of the "Death Panels?" Maybe, just maybe, I shouldn't expect the latest $500,000 treatment for a condition that has little likelihood of being cured. Or maybe, just maybe, the wealthy do have a greater right to such treatments, simply because they can afford them. These are just thoughts, but we should not be afraid to address these points.
Finally, regarding health care reform and so-called (disrespectfully, in my opinion) Obamacare, the whole discussion must begin with one question: Should the United States, as the most prosperous nation on earth, be expected to provide a certain minimal level of health care coverage to all its citizens? If the consensus answer is "yes," then the discussion can begin as to how best to accomplish that goal. If the answer be "no," then we leave our less fortunate citizens to fend for themselves. Every president of the 20th and 21st centuries has suggested the right answer should be some degree of "yes." After 100 years, one president made it happen. If the solution or the process wasn't perfect, it should be tweaked, revised and improved by successors. An outright repeal, however, would be an irresponsible, elitist response of "no" by those who are least affected by the question.
Well, those are my thoughts, but I'm only one. You are, too, so feel free to share by leaving a comment below. Thanks for reading, and remember to vote whenever you can.





